story and photos by Betty Thompson

Pawnee – It has been said that a picture is worth a thousand words. The framed photo of young Virginia Norris Rogers sitting horseback, dressed in her boots, jeans, button up and cowboy hat, is no exception. The photo is a mere glimpse of the woman she would become, strongly rooted in agriculture.
“I tell people my outfit never changed, I just buy bigger sizes,” laughs Rogers.
Rogers said she began working on the ranch at a very young age with her father and their long-time ranch hand Albert. She even had a horse before she was born, which she later named “Chicken,” because of his yellow color.
“I was out at the crack of dawn getting cattle in,” Rogers recalled. “We would work until noon or so, and then my dad would go off to auction.”
Her father, Cecil “Whitey” Norris, started trading cattle at the age of 16 and became an auctioneer at age 23. Rogers said he went to an auction just about everyday.
After marrying Avis, Rogers’ mother, in 1933, Cecil bought 160 acres of land and used every opportunity from trading and auctions to buy more land. Together, they built a ranch of nearly 5,000 acres with horses and Hereford cattle.
Rogers is proud to be a fourth-generation farmer in Pawnee County and deeply rooted in agriculture. Family photos and keepsakes fill her walls and shelves, including her parents’ spurs, which hang above the front door. Her grandfather’s brand was the first brand ever registered in the state of Oklahoma and is still used today by her cousin John Henry.
“I think it’s [agriculture] been more fulfilling than shaping,” said Rogers. “It’s hard to describe what’s in your blood. You don’t know anything else.”
Rogers was no stranger to the hardships that ranch life brought: drought, cattle prices, finding reliable help, and more, but her love for ranching never faltered. After marrying her husband Olin, she said “it was just natural” for them to start their own ranching operation, Rogers Ranches, LLC, and have been running the operation ever since.
Rogers and Olin have been married for 42 years and have been running their commercial Angus herd on the farm Olin grew up on since 1986.
“It’s not a lot, but it’s enough to keep us busy,” laughed Rogers.
Busy is an understatement.
Not long after marrying, they bought an insurance agency which they worked while running their cattle operation, and only just sold it in November 2011.
Rogers was also very active in Oklahoma Extension Homemakers, now known as Oklahoma Home and Community Educators, a service designed to provide homemakers with resources similar to the resources farmers receive from the extension service. Rogers served as the county secretary/treasurer under Martha Waters, who was the first woman to be a director of an Oklahoma county extension.
A few years later, she was appointed to serve on the Pawnee County Health Department Board.
Like her father, Rogers and Olin have always been active in the Pawnee County Cattlemen’s Association (PCCA). Olin served as PCCA president in the early 1970s, and Rogers served as president from 2009 to 2011. During Rogers’ time as PCCA president, PCCA became a unified county under the Oklahoma Cattlemen’s Association (OCA). Rogers went on to serve for three years as a district director for the OCA before being elected as the North Central District vice president, putting her on the Executive Board of Directors. She also makes it a priority to be involved in the Oklahoma Cattlewomen’s Association as well.
“It has been very rewarding,” Rogers said. “I love it. Olin and I both enjoy meeting other people and learning about ranches across Oklahoma.”
Rogers was recently appointed to serve as the president of the Pawnee County Economic Development Foundation by the chairman of the Pawnee County Commissioners. The Foundation is actively involved in trying to bring new businesses to the community, and recently awarded a $75,000 grant to the city of Pawnee to refurbish an old building.
In addition to her leadership positions, Rogers writes a column for the local newspaper addressing concerns for farmers and ranchers.
“I just had this wild hair idea one day to start writing about issues in the cattle industry,” Rogers said. “Every now and then I throw in a column about my upbringing, experiences on the ranch as a child, or encourage membership and participation in the OCA.”
If you think she cannot make time for any other commitments, think again.
Rogers also serves as Chairman of the Board for her church, as well as staying busy with four grandchildren and two great-grandchildren.
She attributes this desire to give back to her upbringing.
“I learned early from my family that caring for people was important,” Rogers said. “You have to do what you can for others. I hope to relate to others that agriculture is vital to our state.”
Another important lesson she learned on the ranch is that you can be caring and giving, but also a tough fighter.
Rogers laughed recalling that she woke up to her father saying “Get up boys!” even though it was only her sister and her. Perhaps that oftentimes hard upbringing is what made her so strong when she was diagnosed four years ago with breast cancer.
However, cancer picked the wrong cowgirl. Today, she is cancer-free and proud to be called a survivor.
“I never had a ‘straight path’ in life,” Rogers said, “but I love doing what I am doing now—trying to be one of the best representatives for agriculture I can be.”

by Traci Chapman
Staff Writer

As Russell-Murray Hospice prepares to commemorate its 30th year in business, those associated with it are celebrating a new home and new levels of care to those who need it most.
“It’s appropriate we are here today, holding our board of directors and annual advisory board meeting, in our new building,” RMH Executive Director – and the organization’s first RN – Vicki Myers said. “It’s peaceful, it’s efficient, it’s just perfect for everything, and if Russell-Murray is here for 30 more years, this building is perfect for us.”
Myers made her remarks during the Nov. 15 annual meeting of the two boards at Russell-Murray’s new home, located at 2001 Park View Drive in El Reno. The new building, recently purchased by the longtime hospice care organization, is more than triple the space of its previous offices, located in historic downtown El Reno, Myers said.
“As we’ve grown, the staff really has had to try to work in a situation that just wasn’t feasible,” she said. “They were just crammed in with each other, and while everyone handled it very well, it just wasn’t working the way we wanted it to.”
That meant when a former medical office building located adjacent to Mercy Hospital El Reno came on the market, the organization jumped at it. The space meant not only plenty of room for a growing staff, but also room to grow and a more prominent location, headquartered not only near the hospital, but also other medical providers. That’s good news for the staff, but also for Russell-Murray’s patients, said Melodie Duff, RN, patient care coordinator. As RMH closes out the year and heads into 2018 – its 30th anniversary – Duff said staff and those associated with its success have a lot to be proud of, including 4,440 patients who have been treated and cared for by the organization’s nurses and caregivers.
“We currently have patients from infants days old to patients over 100,” Duff said. “We serve without care about their ability to pay, and we’re always there for them, no matter what.”
That’s something unique in Oklahoma hospice – and elsewhere – Russell-Murray Clinical Supervisor Missy Ellard said.
“If a patient qualifies and desires hospice care, we do not turn patients away based on their reimbursement status,” she said. “Many hospices, even not for profit hospices, have a ‘quota’ of non-reimbursable patients and will decline patients if they don’t have a payer source – RMH has never done that.”
That assistance totaled about $400,000 last year, Administrator Christina Ketter said. With $3.8 million in revenues and a $2.6 million payroll, Russell-Murray saw a jump in helping those who could not afford it.
“It might be younger people who lost their job and didn’t have insurance and, of course, the seniors who might not have access to Medicare or something like that,” Ketter said. “To me, our charity care, the way we look at our patients and how we treatment them shows what kind of an organization, what kind of people we are.” Russell-Murray’s approach has worked – from its roots as a small El Reno hospice care provider to an organization with offices also located in Kingfisher, Weatherford and Oklahoma City. In October, those sites combined served 118 patients through the work of 25 full-time RNs and LPNs, as well as several per diem PRN nurses, across RMH’s four offices.
“We serve approximately 75-mile radius surrounding each of the four offices,” Myers said. Even before the move, Russell-Murray was working to expand its services, not only to patients, but also their families. In March, the organization celebrated the opening of the Virginia E. Olds Resource Library, coordinated originally by Carol Russell Davis and Evan Davis and Vicky Joyner. When RMH began looking at moving, Carol Davis undertook the transfer of the library’s books to the new site, while Sue Pennington-Unsell is director of bereavement. Named for retired University of Oklahoma School of Social Work professor and longtime Russell-Murray counselor Virginia Olds, the library is unique among hospice organizations, Myers said – and is something that can help not only patients and their families, but also nurses who deal daily with end-of-life care and the emotional toll it can take. “We wanted to accumulate information related to social issues involved in bereavement, emotional and psychological resources, coping with these kinds of illnesses and more,” Myers said. “It’s important to remember that the patient isn’t the only person who suffers through an end-of-life illness – it’s incredibly difficult and stressful for their family, their friends and their caregivers.”
Those caregivers are the backbone of Russell-Murray’s nearly 30-year success, and they make those who work with them proud every day, Duff said.
“I can’t tell you how many thank you cards and calls we get, talking about how our staff treats their patients, and particularly those who can’t afford it,” she said. “We hear all the time that our nurses never judge and are always there to do everything they possibly can do – and that’s an accomplishment in itself.”

by Bobby Anderson, Staff Writer

With a lifetime in resident care Kara Bolino knows that no matter what, people always come first.
That’s why the Executive Director at Heritage Point of Oklahoma City is so proud her memory impairment community serves as a resource for families 24 hours a day, seven days a week, 365 days a year.
Most recently, Heritage Point has created a response team that allows for families to move residents in 24 hours a day if a crisis arises.
“We’re really good at making things happen if they need to,” Bolino said. “Any type of emergency situation we’re able to pull together and help families out. We have a nurse who is really flexible and more than willing to go and do an immediate assessment.”
“We can be here in the evening or at night for them. It’s important to be flexible. If we’re only here 9 to 5 how does that help anybody in a crisis?”
The ability to respond to patients’ changing needs – whether they be emergent or day-to-day – has always been the philosophy from President and Owner Kip Pammenter and Vice President of Operations David Thompson.
Pammenter created the original Heritage Point community in Overland Park, Kansas years ago, changing the way memory care was delivered and benchmarked.
PERSONAL APPROACH
Heritage Point was designed after that Overland Park community and is a sister residence to Heritage Point Tulsa.
When Pammenter talks about residents he uses their first names.
The president of a company that specializes in Alzheimer’s and memory care knows that’s the only way you can truly make a difference in someone’s life. Getting to know each and every client and meeting them where they are, is the hallmark of Pammenter’s successful approach to person-centered care.
Dealing with the effects of Alzheimer’s disease and trying to understand available care options can be extremely challenging for families. That’s why Pammenter designed Heritage Point to work with families to envision a better way to live with Alzheimer’s disease and other dementia related impairments.
Pammenter wants to truly reinvent Alzheimer’s care and what life should be like for seniors with cognitive challenges. The focus is on each individual resident; knowing who they are and what they love to do…and then finding activities that have meaning and purpose.
Heritage Point offers a smaller, home environment that promotes dignity, respect and love. A dedicated team of experienced and caring staff understands the importance of developing close personal relationships with residents and becomes an extended part of your family.
The philosophy is that everything starts with the idea that every individual is a whole person – regardless of their level of dementia – with many different backgrounds, abilities, interests, beliefs, preferences, and needs.
“Every day is different to be honest and I think that’s a good thing,” Bolino said. “All of our residents function different daily. Every day is something new. The residents dictate the day and that’s a big thing we focus on. We want everyone to be their own individual self and do what they normally do and us work around them.”
The belief at Heritage Point is that each resident deserves to be understood and should be encouraged to be involved, to whatever extent possible, in participating in their care.
There’s a value and respect for residents’ innate right to have choices everyday and strive to provide opportunities for life activities that not only have meaning and purpose, but also promote independence and choice.
To that end, each home has a homemaker that is dedicated to creating an atmosphere that encourages and inspires resident participation in dynamic activities program.
A key part of taking a person-centered approach to care is embracing an interactive process that focuses on building personal relationships between each resident, their family, medical professionals, and care staff.
The goal is to create a collaborative partnership among everyone involved that ultimately enhances each resident’s daily life experiences.
In each home, everything is guided first by the question, “What is the right thing to do for the resident?”
That begins with a comprehensive sit-down meeting with families and Heritage Point managers and caregivers.
From dietary to housekeeping to nursing each member sits down with families ready to ask and answer any and all questions to make sure residents feel at home.
“It’s critical,” Bolino said. “I think the families need to be able to come to you with whatever. Our entire management team sits down with families and tries to get to know residents on a personal level and their family so we can provide the care we’re talking about.”

by Traci Chapman
Staff Writer

For Karen McKeever, nursing is about helping the most vulnerable, those who might struggle with getting the help they need.
It’s a philosophy that’s led her to treat thousands of patients and help spearhead an ever-expanding effort to lead patients having difficulty finding their to way discover the right path.
“It just seemed like the people who might need help the most are often overlooked – it’s the people without insurance or who are struggling not only with physical issues, but also mental health challenges,” McKeever said. “They need someone who can be there for them in their corner, to let them know they’re not facing this all alone.”
That kind of nurturing spirit comes easy to McKeever, a mother of six who now has nine grandchildren – and a nurse who worked in pediatrics and as a Yukon Public Schools nurse, concentrating on severely disabled students. Looking out not only for the young, but also the disabled and those who might not have an advocate became McKeever’s life work, a passion that led to an organization aimed at doing just that.
It was originally Canadian County Health Access Network, started in 2011 by McKeever and fellow nurse Rosemary Klepper.
“So many Sooner Care patients don’t know where to go or how to best address their health issues – you see many going to the emergency room when there are better avenues available, and you find families that are dealing with problems that go far beyond basic health or physical disease or distress,” McKeever said.
“There was just a huge gap in service, a real need for these patients and for their families, who were not being taken care of or served,” she said. “We knew how important it was for them to have someone they could turn to – as nurses, we needed to be there not only to treat them but to guide them and help with whatever challenges they were facing.”
It wasn’t long, however, before McKeever and Klepper’s philosophy caught on, and patients beyond El Reno, Yukon, Mustang and other area communities began to ask for assistance. That’s why CC-HAN’s “CC” soon transitioned from Canadian County to , Central Communities, with co-founder and care manager McKeever and fellow care manager Rhonda Chronister now available to SoonerCare patients and their families across south central Oklahoma, working to improve their health and healthcare options and much more.
“Rosemary (Klepper) decided it was time to retire, to explore other things, but my heart is here, I didn’t want to walk away,” McKeever said. “That’s when Rhonda came onboard, and it’s been a great arrangement.”
For her part, Chronister said she views McKeever not only as a co-worker, fellow care manager and nurse, but also as a mentor who has spurred on Chronister’s own love of nursing and helping patients far beyond regular nursing duties.
“Karen is an amazing person and an amazing nurse, and it’s a remarkable opportunity to work with her and learn from her,” Chronister said. “Her capacity for love and how she gives of herself is inspirational to everyone who knows her, particularly the people we serve.”
McKeever has always envisioned something bigger for CC-HAN, which led to the agency helping patients not only locate the right caregiver and treatment, but also issues that might aggravate physical ailments. That’s why CC-HAN provides care management to patients not only facing financial constraints that can limit their ability to get the medical treatment they might need, but also those who deal with complex health issues, as well as providing a proactive approach – guiding patients to the right resources for well child examinations and care, injury and accident prevention, diet and nutrition and accessible medical and dental care.
“What the patient might need at any particular moment might not be ‘nursing’ services, but rather they might not have gas money to get to an appointment or they might not have any food in the cupboards – and that disrupts the treatment they need,” McKeever said. “That’s the bottom line – making sure they are healthy and able to live their lives and do what they need to do, because someone who’s dealing with a mental health issue can have a ripple effect on their entire family, and that family might need guidance in how to help and to make sure it doesn’t negatively impact others, either mentally or physically.”
It’s a philosophy that’s not only challenging and fulfilling, but also always interesting, McKeever said. She never knows what she might face in any given day – whether it will be assisting patients with medical care options, educating families about CC-HAN’s resources or even delivering food to someone who is hungry and doesn’t know where to turn.
“What we do is everything that’s the best of nursing – helping people who truly need it and giving that care, that guidance – as a nurse, it’s so fulfilling and inspirational, and to me it’s what our profession is all about,” McKeever said. “To me, if you’re a nurse, you’re always a nurse – it’s not something you do, it’s something you are.”
For more information about Central Communities Health Access Network, its services or philosophy, look online at www.cc-han.com.

The Stacie Daniel Success Story

Hunting is Stacie Daniel’s passion. She loves being outdoors surrounded by nature, the thrill of the hunt and truly living off the land. But Stacie was born with cystic fibrosis, a disease that not only threatened to end to her hunting days – but also her life.
“I remember my mom being in tears when I was diagnosed at six years old,” says Daniel. “They told her to love me while she could and pretty much wrap me in a bubble because the life expectancy at that time for someone with CF was 10 to 12 years.”
As a child, Stacie’s issues were mainly digestive. She didn’t start experiencing lung problems until she was a teenager. That’s when her disease started to progress. By the time she was 25, her lungs were only functioning at 30 percent capacity.
“I would get up every morning and start coughing,” remembers Daniel. “I’d have coughing fits that would last 45 minutes to an hour. If I got excited or laughed, or anything really, I would start coughing. It was miserable.”
Despite her deteriorating condition, Stacie did her best to live life to the fullest. She would try to go hunting as often as she could. “I wanted to enjoy life. I wanted to go out and have fun. I wanted to hunt and fish and be active and travel and see things. So I did.”
“Today, people with my disease are living well into their 30s,” adds Daniel. “Growing up with cystic fibrosis you know it’s coming – eventually. You just hope it’s later than sooner.”
At 29, Daniel was listed on the transplant list. She would wait nine months before getting ‘the call.’ “When you get the call, its earth shattering. It’s an answered prayer, it really is. But at the same time you know another family is now grieving. That part is hard to take.”
In August 2017, Daniel received a double lung transplant at the Nazih Zuhdi Transplant Institute at INTEGRIS Baptist Medical Center. Doctors say her new set of lungs is as close to a perfect match as possible. “Stacie is an ideal patient. Complaint and full of drive and dreams,” says Mark Rolfe, M.D. “She is the kind of patient that every transplant pulmonologist loves because she is so easy to take care of and takes advantage of the transplant to live life to its fullest.”
“I’m able to walk as long as my little legs will carry me, I don’t cough anymore and I can actually breathe. My energy is back and I feel great,” she declares. “But the best part is, I can hunt as much as I want to. In fact, I was out there opening morning of hunting season this year, which is amazing to me considering that it was only five weeks after my surgery.” Daniel shot a 9-point deer on the three month anniversary of her transplant.
In November, Stacie celebrated her 31st birthday … and thanks to the miracle of transplantation she no longer fears the inevitable. “I am not cured, I will always have CF and the sinus and digestive issues that go along with it. But the disease cannot get into my new lungs and it’s the respiratory issues that are the most fatal. So my prognosis is great and because of my donor and the generosity of his or her family, I truly have been given a second chance at life.”
Daniel hasn’t been in contact with them yet, but would like to someday. In the meantime, she will continue to share her story in hopes of saving even more lives. “In the last moments of your life, the best thing you can give is life. Check the little green box on your driver’s license and become an organ donor.”

SYNERGY HomeCare provides hope and help to seniors and their families

by Traci Chapman

Kassem always knew she had a calling to serve – it was a calling that became a beacon of light for seniors and their families who needed help.
“Caring for people and providing hospitality are my natural passions, and part of my culture is to care for seniors,” Kassem said.
Kassem’s passion lit the beacon that became SYNERGY HomeCare, a flame that began to burn in 2011.
It was in 2011 Kassem graduated with an MBA from University of Central Oklahoma. That graduation marked a turning point for her – Kassem said she saw a void when it came to compassionate senior care and was determined to do something about it.
Kassem had a unique approach – fusing her drive to care for people with her love for hospitality, she did extensive research on senior care franchises. When she found SYNERGY, Kassem knew exactly where she was meant to be, she said.
“My heart just connected with the mission and values of SYNERGY HomeCare,” she said.
Kassem’s philosophy quickly took hold, spurring growth for the local franchise. Today, Kassem’s SYNERGY operation includes two offices – the original in Edmond and a second location, opened in December 2016 in Norman – employing 10 staff members and more than 100 caregivers. The company has a 5-mile service area and also provides referrals to clients in other locales, Kassem said.
“Although the metro area is geographically widespread, the small-town culture naturally evolved into relationships extending southward down the Interstae-35 corridor, allowing SYNERGY to begin penetrating the Moore/Norman market,” Kassem said.
While about five percent of Kassem’s caregivers provide live-in care, most do not, offering services to clients that take anywhere from an hour and up to 24 hours, at any given time, she said. Those caregivers tend to a myriad of needs, from the most personal – like bathing and dressing, feeding, dealing with incontinence and other issues – to companionship, coordinating outside appointments and services, meal planning and preparation, transportation, light housekeeping and running errands.
Those, of course, are necessities and things seniors need assistance with every day. But, there is so much more to it – and, that’s where post-hospitalization care comes in, Kassem said.
“It’s difficult for anyone to come home after a hospital stay, but for seniors it can be much more challenging – they might suffer from memory loss, their health depends on remembering and following hospital discharge instructions, keeping follow-up doctor’s appointments and other matters,” she said. “They also face trying to take care of day-to-day tasks while they’re recuperating.”
According to the Agency for Healthcare Research and Quality, almost a quarter of seniors hospitalized are readmitted within 30 days of discharge, many times for conditions unrelated to the initial illness or injury. That’s one reason why SYNERGY moves beyond daily assistance, with coworkers providing medical and emotional issue care, including care management, recovery assistance, difficult behavior management and more. Caregivers provide help, and hope, not only to senior clients, but may also provide relief for family members who need respite from taking care of a loved one, Kassem said. It’s assistance that can mean all the difference to everyone involved, she said.
All Kassem SYNERGY caregivers are employees, not contract labor – something somewhat unusual in the senior home care industry, and management is always a phone call away, including on-staff supervising registered nurses, she said. Care assessments are always provided on a complimentary basis, Kassem said.
Veterans are an integral part of SYNERGY’s mission – in fact, she said the organization is one of the largest veteran home care providers in the state.
“Veterans call us directly, and we can even help get them through the paperwork process,” Kassem said. “At times we work with the VA Center in Norman and with the Dale K. Graham Foundation in Norman.”
As SYNERGY continues to grow, Kassem said she hopes to provide even more services, including expanding a program started in 2017 – Dine & Discuss, an event hosted at SYNERGY’s Edmond location, which also served as an Alzheimer’s Association fundraiser.
“We partnered with the Alzheimer’s Association, where we provided complimentary dinner and two free hours of respite care while the topic was discussed,” she said. “The topics change each month, and the speaker also varies – we hope to create the same opportunity to the public going into 2018, but working towards creating a calendar of speakers further in advance and promoting it more so the word is spread.”

More information is available by calling or reviewing SYNERGY HomeCare’s websites, both for its Edmond and Norman locations:
SYNERGY HomeCare Edmond
13720 N Bryant Ave
Edmond, Oklahoma 73013
405-254-3046
www.synergyhomecareedmond.com
SYNERGY HomeCareNorman
1272 N Interstate Drive
Norman, Oklahoma 73072
405-701-0791
www.synergyhomecarenorman.com