story and photos by Bobby Anderson, Staff Writer

The state of Guerrero, Mexico is a juxtaposition of two worlds.
The resort city of Acapulco, backed by the Sierra Madre Del Sur mountains spills into the Pacific Ocean.
Cliff divers entertain throngs of sunbathing tourists daily plunging some 136 feet into the crashing waves below.
But travel a few miles in any direction and you run the risk of becoming entangled in the violence and death associated with what you might expect from Mexico’s heroin capital.
Oklahoma Heart Hospital RN Shawn Watts walked that fine line a few weeks ago, going on a medical mission trip that provided help and hope for hundreds of families.
Watts realized the world is a very different place outside the walls of Oklahoma Heart Hospital South.
An outdoor covered basketball court served as the mission trip’s staging ground surrounded by a dense urban population eager to seek medical care.
Watts served as triage nurse sending patients to either a dentist, optometrist, pharmacist, family practice doctor or pediatrician based on their needs.
“They’re so worry about their kids staying healthy they wanted their kids to get vitamin shots and even antibiotics when it wasn’t appropriate,” Watts said.
At OHH all Watts has to do is walk into a supply room to get whatever he needs to take care of patients.
“They gave me a box of IV catheters, tubing and medication,” Watts said. “It’s field medicine. That’s exactly what it is.”
Fifteen minutes away was storied Acapulco.
“You hear that and think ‘Oh, how nice.’ It’s not,” Watts said. “In Mexico they develop a resort community and you go two miles beyond and it’s gone. That whole culture is gone. You have true Mexico. They have chickens hanging for sale gutted in the streets. They burn their trash in the streets at night.
“Fish are laying out all day long for sale not even iced in the market. You drive whatever direction you want to. It’s just the culture.”
So Watts assumed when he arrived he’d bunk up in a corner in someone’s house on the floor.
Little did he know he would find a resort hotel room for $43 a night.
People from all over would line up early in the morning to catch the clinic as it opened. Some rushed out the door without even taking their morning medication.
“I would check their blood pressure and it would be 180/110,” said Watts, who traveled with the medical-based Fishers of Men. “We couldn’t tell if their medicine was working for them.”
Multivitamin IV solutions, or banana bags, flowed freely for most of the day as the group did what it could for whomever showed up.
Despite residents not always having access to medical care or the medicines they needed, Watts said the culture had a few things working for it.
“You have no choice but cardiac health there because everything was uphill and you walk to everything,” Watts said. “These little old ladies their blood pressure was well controlled just on basic medicines. They didn’t use medications like we do. They used medicines that were more basic, been around for years and didn’t require monitoring afterwards. Long-term they weren’t the best but they were the most practical for that area.”
Diabetes, malnourishment and dehydration were all issues.
In the hot Mexico sunshine, Watts would go through 6-7 bottles of water daily with no access to a restroom.
“We left there at 6 p.m. and we all went to the restroom after that,” Watts said.
The days flowed for Watts.
“I triaged them so fast that I made the doctors and the dentists mad because I set up extra lines,” Watts laughed. “I had a couple CNAs with me and we did blood pressure, scales, temperatures, measurement. I started slotting them so fast the director of the mission board said ‘You come back. You organize. You’re good. You get everything done. You come back.’”
That’s no surprise. ER, ICU and now CCU at Oklahoma Heart Hospital have been Watts’ sandbox for the past 17 years.
His first calling was in applied ministry as a youth minister in an inner city.
He started doing home health on the side.
“It flowed,” Watts said. “I became an aide and did home health for four years and went to nursing school and worked three jobs during that.”
He would go to class for three hours and see patients on his lunch break before repeating the cycle in the afternoon.
“I love it. It just fits,” Watts said. “I’ve tried to slow down and thought about an office job since I’m 50. I just don’t have the gears for it.”
That’s a good thing not only for the people of Oklahoma City but the residents of Guerrero as well.

Dear Savvy Senior,

Does Medicare cover 100 percent of all preventive health care screenings? I’m due to get a colonoscopy and a few other tests, but I want to find out if I’ll have to pay anything before I proceed.  New to Medicare

Dear New,
Medicare currently covers a wide array of free preventive and screening services to help you stay healthy, but not all services are completely covered.
You also need to be aware that the repeal of the Affordable Care Act (aka Obamacare) – which helps financially support Medicare – may very well cause these free preventive services to be eliminated in the future. But in the meantime, here’s how it works.
Free Preventive Services
Currently, most of Medicare’s preventive services are available to all Part B beneficiaries for free, with no copays or deductibles, as long as you meet basic eligibility standards. Mammograms; colonoscopies; shots against flu, pneumonia, and hepatitis B; screenings for diabetes, depression, and heart conditions; and counseling to combat obesity, alcohol abuse, and smoking are just some of Medicare’s lengthy list of covered services. But to get these services for free, you need to go to a doctor who accepts Medicare “on assignment,” which means he or she has agreed to accept the Medicare approved rate as full payment.
Also, the tests are free only if they’re used at specified intervals. For example, prostate cancer PSA tests, once every 12 months for men over 50; or colonoscopy, once every 10 years, or every two years if you’re at high risk.
Medicare also offers a free “Welcome to Medicare” exam with your doctor in your first year, along with annual wellness visits thereafter. But don’t confuse these with full physical examinations. These are prevention-focused visits that provide only an overview of your health and medical risk factors and serve as a baseline for future care.
For a complete list of services along with their eligibility requirements, visit Medicare.gov and click on the “What Medicare Covers” tab at the top of the page, followed by “Preventive & screening services.”
Hidden Costs
You also need to know that while the previously listed Medicare services are completely free, you can be charged for certain diagnostic services or additional tests or procedures related to the preventive service. For example, if your doctor finds and removes a polyp during your preventive care colonoscopy screening, the removal of the polyp is considered diagnostic and you will likely be charged for it. Or, if during your annual wellness visit, your doctor needs to investigate or to treat a new or existing problem, you will probably be charged here too.
You may also have to pay a facility fee depending on where you receive the service. Certain hospitals, for example, will often charge separate facilities fees when you are receiving a preventive service. And, you can also be charged for a doctor’s visit if you meet with a physician before or after the service.
To eliminate billing surprises, talk to your doctor before any preventive service procedure to find out if you may be subject to a charge and what it would be.
Cost Sharing Services
Medicare also offers several other preventive services that require some out-of-pocket cost sharing. With these tests, you’ll have to pay 20 percent of the cost of the service, after you’ve met your $183 Part B yearly deductible. The services that fall under this category include glaucoma screenings, diabetes self-management trainings, barium enemas to detect colon cancer, and digital rectal exams to detect prostate cancer.
Medicare Advantage Members
If you have a Medicare Advantage plan, your plans are also required to cover the same free preventive services as original Medicare as long as you see in-network providers. If you see providers that are not in your plan’s network, charges will typically apply.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

Oklahoma Insurance Commissioner John D. Doak is offering innovative ideas on health insurance to national leaders. Doak responded today to a request from U.S. House Majority Leader Kevin McCarthy asking for recommendations as lawmakers move forward with the repeal of the Affordable Care Act.
“If the Affordable Care Act is repealed, we should take this as an opportunity to do something different, something that works,” Doak said. “Unlike other lines of insurance, the hands of the health insurance industry have been tied by the law, unable to grow and innovate. Now is the time to open the market to see what can be done to provide greater access to affordable health insurance for everyone.”
One of Doak’s suggestions to House Leader McCarthy includes examining the use of microinsurance. This type of insurance focuses on the low-income population and has been successful in countries like India. Doak included research from David M. Dror, Chairman of the Micro Insurance Academy, on how microinsurance could work in the United States.
Other ideas from Doak include:
Permitting sale of insurance across state lines under state regulatory enforcement.
Adopting policies that expand the use of health savings accounts coupled with more affordable, high-deductible health plans.
Allowing states to enact new health reforms at the grade-school level that incorporate physical fitness and nutrition programs to deter preventable illnesses.
Letting states determine the age at which a child can remain on his or her parent’s group health plan.
Enacting legislation that protects consumers from unfair balance billing and surprise billing from individual providers like anesthesiologists, radiologists or medical service companies such as air ambulance and imaging providers.
Allowing states to pursue innovative health care delivery mechanisms including, but not limited to, telemedicine and the expansion of the technologically-based Project ECHO® for rural America.
The Oklahoma Insurance Department and Commissioner Doak will be holding town hall meetings throughout the state to talk with Oklahomans about healthcare reform. The dates and locations of those meetings will be announced at a later date.

United Way of Central Oklahoma Raises More Than $19.1 Million in 2016 Campaign

United Way of Central Oklahoma celebrated the close of its 2016 fundraising campaign Friday night with its 15th annual Snowflake Gala at the National Cowboy & Western Heritage Museum.
The United Way revealed that a grand total of more than $19.1 million was raised through more than 600 employee workplace campaigns as well as corporate gifts and thousands of individual donations.
“This year’s campaign achieved what was most important — raising the money needed to fund the health and social services programming that supports the well-being of our community,” said Debby Hampton, president and CEO of the United Way of Central Oklahoma. “Our 58 Partner Agencies are the best of the best, and funds raised during our campaign will provide much needed support to these organizations.”
Representatives from several campaigns that contributed to the larger United Way of Central Oklahoma goal announced their totals before the grand total was revealed:
The Heart of the City campaign raised $574,222
The State Charitable Campaign totaled $451,755
The Combined Federal Campaign total was $2,156,102
Additionally, the United Way of Logan County and United Way of Canadian County raised $353,145 through their campaigns.
These campaigns combined with the United Way of Central Oklahoma’s fundraising efforts to reach the grand total of $19,100,958 million.
Challenging year
The United Way of Central Oklahoma didn’t announce a specific fundraising goal for its 2016 campaign. Instead, the organization set out to raise as much money as possible in a tough economic environment.
Making it to that total was challenging this year, Hampton said, because of the hurting local economy. She credited the campaign’s success to Oklahomans’ notoriously giving spirit and the hard work of campaign co-chairmen John and Charlotte Richels, two of the area’s most notable community leaders.
“We knew going into the campaign that it was going to be a challenging fundraising year,” said John Richels, Devon Energy Corp. chairman of the board and campaign co-chairman. “In difficult economic times like these, central Oklahomans need help from the United Way more than ever and we are very appreciative of the tremendous support the community has shown for the United Way and its Partner Agencies.”
The funds raised will be dispersed to the United Way’s Partner Agencies through an in-depth allocation process.
Honoring volunteers
With United Way of Central Oklahoma board chairman Larry Nichols as emcee, the organization’s annual volunteer awards ceremony preceded the Snowflake Gala. Three Oklahomans were recognized for dedicating their time and talents to helping make the mission of the United Way of Central Oklahoma successful:
Dennis Jaggi, managing partner for EnCap Flatrock Midstream, was presented with the United Way’s highest honor, the Richard H. Clements Lifetime Achievement Award.
Dave Carpenter, American Fidelity Assurance Company president and COO, was honored with the Ray Ackerman Leadership Award.
George Young Sr., Oklahoma State house Representative and CEO of Young Management Consulting, received the John and Berta Faye Rex Community Builder Award.
“These volunteers are pillars of our society and have worked tirelessly toward bettering the health and human services available to those in need in central Oklahoma,” Hampton said. United Way is blessed with an amazing board of directors, campaign cabinet and volunteers who give of themselves with such tremendous generosity, it’s truly amazing.”
Although the 2016 campaign has ended, the United Way continues to recruit volunteers and raise funds for its community projects and partner agencies year round.

Sunbeam Family Services announces the addition of Kevin Sonntag as the organization’s Director of Counseling.
Kevin brings an outstanding combination of passion, compassion, counseling experience, and expertise with Employee Assistance Programs. We are looking forward to his proactive leadership in our counseling services at Sunbeam,” said Jim Priest Sunbeam Chief Executive Officer.
Sonntag brings more than 16 years of experience to his new position. Before joining the Sunbeam team, Sonntag served as manager of the employee assistance program for Denver-based Centura Health, was program manager for AspenPointe Health Services, Child & Family Network (2012-2015), Colorado Springs, and behavioral health clinician for Aspen Pointe Health Services from 2009-2012.
“Sunbeam Family Services is an invaluable piece of the fabric of this great city, and I am thrilled to be joining the excellent team here. My vision is that our counseling program will provide help, hope, and opportunity to even more people throughout this community in the years to come.”
Sonntag received a bachelor’s degree in business administration in management from Texas A&M University and a master’s degree in counseling from Denver Seminary.

The Rheumatology Research Foundation has named Oklahoma Medical Research Foundation scientist Darise Farris, Ph.D, as a recipient of its Research Foundation Innovative Research Award.
The award will provide Farris with $400,000 in funding over a two-year period to continue promising research in understanding the origins of the autoimmune disease Sjögren’s syndrome.
Sjögren’s syndrome is a painful autoimmune disease in which a person’s immune system attacks the body’s own moisture-producing glands, inhibiting the ability to produce tears or saliva. The most common symptoms include severe dry eyes and dry mouth, as well as arthritis, fatigue and others.
The disease is believed to affect as many as 3 million people in the United States and, like many autoimmune diseases, disproportionally affects women by a 9-to-1 ratio. There is no known cure and current treatments only address symptoms, not the root cause.
In her lab at OMRF, Farris is trying to identify the proteins in patients that are causing the abnormal autoimmune response in the glands that produce tears and saliva.
“We know that Sjögren’s selectively attacks these glands, but nobody understands why those glands are targeted,” said Farris. “We believe there are unidentified salivary gland antigens, which are proteins that are the target of an immune response.”
Farris is currently pursuing two related paths of Sjögren’s research.
First, her lab is attempting to identify the proteins that incite the disease. Using special tools, scientists have isolated specific receptors from immune cells called T cells from the salivary tissue of Sjögren’s patients. They have isolated the immune cell receptors that directly touch the unknown proteins, and they hope to use them to explain why salivary tissues are targeted in the disease.
If this work is successful, it could provide the knowledge needed to better identify individuals who either have Sjögren’s syndrome or are susceptible to the disease.
The second aim is to follow up on the discovery of a relationship between the degree of activation of those T cells and reduced saliva production. Farris said. “We think this might lead to an understanding of why saliva production is defective in these patients,” said Farris.
The award was a result of research published with colleagues at OMRF in the journal JCI Insight. Farris earned her Ph.D. in immunology at the University of Oklahoma Health Sciences Center and has spent 18 years at OMRF researching Sjögren’s and other autoimmune diseases.
“This award is very exciting for us because it’s going to permit us to follow up on what we believe to be a fruitful line of investigation,” said Farris.
“It will allow us a bigger budget to collect needed data in order to answer these pressing questions and work toward solutions for patients suffering from this painful disease.” The Rheumatology Research Foundation was created by the American College of Rheumatology and is based in Atlanta, Ga.
“Dr. Farris’ research uses cutting-edge molecular tools to probe the causes of Sjögren’s disease that could lead to innovative therapies,” said OMRF Vice President of Research Rodger McEver, M.D.

by Bobby Anderson, Staff Writer

As AllianceHealth Seminole’s Chief Executive Officer, Debbie Hancock, RN, MSN has learned to always carry a set of scrubs with her just in case.
High heels, slacks and pearls are generally the order of the day but then again, like every nurse knows, things tend to hit the fan when you least expect it.
But it’s not a big deal for the 17-year nursing veteran who feels as comfortable in the boardroom as she does in the emergency room.
“It’s a smaller hospital than the one I came from … and there’s really a family atmosphere. Most of the people that work here have worked here forever and that’s dedication right there,” Hancock said. “They want to work here. They want to be here.”
“The people here just make it,” Hancock continued. “They’re proud of their hospital. They’re proud of their community. They could go anywhere but they choose to be here.”
Hancock has served the Seminole population as AllianceHealth Chief Nursing Executive for more than half a year.
She came from a similar role in Texas at Hill Regional Hospital.
Looking to make a move to get closer to her grandchildren, Hancock was able to move from a seven-hour-drive to her grandkids in Wichita, Kansas to just three hours.
WEARING LOTS OF HATS
The experience of a rural hospital is a new one for Hancock, who leads a facility licensed for 32 beds. Her last hospital in Texas had more than a 130-bed capacity.
“With it there’s more challenges here because you wear more hats. You’re responsible for more because you don’t have the people,” says Hancock, who’s worked a couple days each week on the floor for the past few weeks.
On given days, Hancock has found herself serving as the emergency room director or the medical-surgical director.
There’s no flex pool or staffing office to call up when someone is sick.
And the small town of Seminole isn’t one that’s attracting a lot of medical professionals.
“We try to breed them from within,” said Hancock, whose hospital sits a stone’s throw away from Seminole State College. “You have to have people with a different mindset.”
That means showing people that they have ownership of the hospital and their individual unit. After all, they are there to make a difference and stepping up to a leadership role can often be the best and fastest way to improve outcomes.
So far, Hancock has been amazed by staff that have shared leadership roles among them.
“In a bigger hospital you have so many other people you can lean on to take care of things,” Hancock said. “Here you have to lean on nurses that you have.”
That’s why, on occasion, she ditches her desk, puts on her scrubs and hits the floor.
“I see what they’re going through and the struggles that they do have,” Hancock said. “When they tell me we can’t do that … when I work down there with them I find out why.”
THE VISION AHEAD
The wheels are already in motion at AllianceHealth Seminole, which is working to expand offerings.
“I want to see it grow. We have new programs, a sleep lab that’s opening and we’re working on chest pain accreditation,” Hancock said.
February is the expected chest pain accreditation timeline. Soon after the hospital will pursue stroke certification.
“All of AllianceHealth is working towards the same goals and initiatives,” Hancock explained. “It’s important for us to be able to meet our goals. It makes it easier on our nurses when we transfer. When we have the same chest pain and stroke protocols it’s an easy transfer.”
“I just want to see us grow and get the people in place that need to be here.”
She has a feeling most of the pieces are already in place. A couple more hires and she expects a full staff.
Mentoring and moving up within are the order of the day as is Hancock’s willingness to accept suggestions from staff.
“Our goals are the same, it’s just how we get there,” Hancock said. “We’re excited. Good things are happening here.”
AllianceHealth Seminole currently serves more than 30,000 residents in Seminole County and the surrounding area. Seminole is a licensed acute care hospital with two large operating suites, one endoscopy suite, one post anesthesia recovery room, and 32 private rooms. AllianceHealth Seminole began serving the community in October 2007.

By Emily D. Lammie, Director of Community Engagement

After almost 27 years of operation in the iconic building on Classen Boulevard and I-44, A Chance to Change opened its doors at 2113 W. Britton Road. Since 1979, the agency has helped guide individuals and families to recovery from behavioral health and substance use disorders. This move has made it possible to enhance the addiction and behavioral health services the agency provides.
Thursday, January 12, 2017, A Chance to Change along with the Northwest Chamber of Oklahoma City held an official ribbon cutting and open house. Additional photos, photo descriptions, and interviews are available upon request.
The new building space has not come without growing pains, however. “We are thrilled to be able to truly become a full service counseling agency in this new location. We understand that many of our clients are in some of their darkest hours, insecure, and struggling for normalcy. Uprooting our location, although much needed and very improved, can be extremely stressful. The construction, décor, and facilities were all designed with our community in mind. From soothing wall colors, to comfortable chairs, the warmth and care our clients felt in the Classen location is still very much a part of the new building space,” said Janienne Bella, Chief Executive Officer.

Chad Borin, D.O., has been appointed Chief of Staff for St. Anthony Hospital.
Dr. Borin is board certified in emergency medicine. He obtained his undergraduate degree at Southeastern Oklahoma State University in medical biology. He then went on to complete his medical degree from Oklahoma State University College of Osteopathic Medicine. Following his medical degree, Dr. Borin completed an emergency medicine internship at Tulsa Regional Medical Center, and an emergency medicine residency at Integris Southwest Medical Center.
Dr. Borin is the Medical Director of St. Anthony Hospital Emergency Services, as well as an active member of the Medical Executive Committee. He is the first osteopathic physician and first emergency physician to become Chief of Staff. He will serve a two-year term and will be succeeded by Chief of Staff Elect Gregory McKinnis, M.D. in 2019.