by Bobby Anderson, Staff Writer

Like many, Karyl James, MSN, BSN, RN, Mercy Hospital CNO watched the frequent headlines marking deadly shootings.
And the reports of violence inside health care showed no signs of slowing down.
But what happens if the two scenarios combined? It was a question James and others in the Mercy system really didn’t want to think about, but one they knew they had to answer.
“With all the public shootings going on our safety team in collaboration with nursing said we have to educate and do something about it,” James said recently.
Through planning, discussion and scenarios Code Roscoe was born.
The code is Mercy-wide, so all 45 hospitals in the system use it for any active shooter situation.
Each unit must have at least two identified safe places that can prevent a shooter’s access to people.
“It’s not just nursing it’s registration, it’s all of those individuals. The front door of the hospital is registration so they need a safe place,” James said.
Planning for the unknown is a constant battle. Knowing who might have a gun is another.
A former ER nurse, James is familiar with both.
“Unknown was just kind of second nature for me and personally, I’ve had a gun pointed at me as an ER nurse many years ago,” James said.
It was an eye-opener to say the least.
“Yeah, I’m going to die. It was frightening,” James said of what flashed through her mind all those years ago. “He was not in his right mind and pulled out the revolver. Luckily, I had a police officer right next to me and he grabbed the gun.”
“The worst we can do is say ‘Oh, that will never happen to me because it might.’”
James knows working without a plan would shortchange everyone. That’s why she’s invested in the planning, hoping it will never be put to use.
The first drill that was run pointed out several instances where locking mechanisms didn’t work the way they should have.
The second time the code was called it wasn’t a drill.
“I got that call on a Sunday afternoon and I just froze,” James said of the scenario where the hospital locked down after a suspect in a nearby neighborhood was seen with a gun. “My stomach just sank because there was no drill.”
Out of instinct the first thing James did was call the house supervisor. That wasn’t protocol.
“The first thing you do is turn your phone off and text only,” James said. “I was the administrator on call.”
The house supervisor did answer and whispered to James she and several others were huddled under a table in the nursing administration offices.
“There was no lock on that door so they had the table pushed against the door,” James said. “The larger space you could just walk in. We’ve since put a badge reader on that door.”
Officials also learned the emergency locking button that seals all doors in the emergency department did not work.
“You could literally walk up and push open our ER so we got that fixed,” James said. “It really kind of opened our eyes to a lot of the safety measures we thought we had but really didn’t.”
Mercy has had Code Roscoe in place for nearly three years now. It’s evolved along the way.
“The reason I feel good about it is because the co-workers feel good about it,” James beamed. “After that actual event I went to the hospital after it was all said and done. It was a grueling 45 minutes because that was about how long it took for police to subdue the individual shooting in the neighborhood. I rounded on staff.”
“They knew exactly what to do. They knew where their safe spots were and the locks worked. They felt safer. For me, that’s a win.”
Planning for the unexpected is challenging to say the least.
“There’s always something new and I think you have to be flexible to understand you don’t have everything figured out and you never will,” she said.
“I get shocked every day with something new. Being open to accepting that and training as much as you possibly can for those bigger events – coworkers will figure out what they need to do and what is right to do for their patients and their safety.”

Glioblastoma is an aggressive form of brain cancer with no cure. Even with surgery and chemotherapy, patients typically live only 12-18 months after diagnosis.
But a new discovery from Oklahoma Medical Research Foundation scientist Rheal Towner, Ph.D., offers new hope in fighting this deadly cancer, which claimed the lives of Sens. John McCain and Ted Kennedy.
In pre-clinical experiments at OMRF, Towner discovered that a protein called ELTD1 is present in the most aggressive glioblastoma tumors. Towner then tested how the tumors would react to an antibody known to counteract the effects of ELTD1.
He found that the compound slowed the process of angiogenesis, the growth of new blood vessels, which is key to tumors’ ability to spread and kill.
“This drug seems just as promising, if not better than, what is currently considered the standard of care,” said Towner. “Few therapies exist for treating glioblastoma, but this could provide a step in the right direction.”
If proven effective in further trials, said Towner, “This could provide overall treatment with fewer side effects and better results than we see in current drugs.”
The new findings were published in the journal NeuroOncology.
Towner will continue to look for ways to use the new treatment in combination with other drugs to boost their effectiveness and better target tumors.
“One problem with drug treatments for tumors is that it’s hard to get the drug to the tumor site,” he said. “If we can regulate that process with targeting ELTD1, we might be able to use it to deliver other drugs directly to the tumor and, hopefully, eliminate it.”
If researchers succeed with this tumor-targeting method, Towner said they will begin testing it on other tumors associated with breast, pancreatic or other cancers.
Funding for this research was provided by National Institute of General Medical Sciences, grant number 5P20GM103636-02, and Institutional Development Award (IDeA) from the NIGMS, grant number 5P20GM103639. The NIGMS is part of the National Institutes of Health.

by Major Lesley Norman, Risk Reduction Officer, Oklahoma City Fire Department

At the beginning of the year, we set goals to make positive improvements in your lives. Most people never consider improving safety around their residents. The Oklahoma City Fire Department (OKCFD) has a few safety suggestions for 2019. Ensure the following safety recommendations are completed to provide a safer year for you and your family at home.
Smoke alarms should be installed inside each bedroom/sleeping area and one outside those areas. Smoke alarms should also be installed on every level of the home including basements. The Oklahoma City Fire Department “Project Life” smoke alarm program allows Firefighters to install smoke alarms at no charge for qualifying residents of Oklahoma City. Contact 405-316-2337, www.smokealarmsokc.com or www.Gratisalarmasokc.com to request smoke alarms. Residents outside of Oklahoma City can contact your local fire department or Red Cross. The hearing impaired can contact the Oklahoma Assistive Technology Foundation (OkAT), 888-885-5588 or email abletech@okstate.edu. OkAT will install smoke alarms with strobe lights and bed shaker for qualifying Oklahoma residents. Apply at www.okabletech.okstate.edu.
Carbon Monoxide alarms should be installed in a central location outside each sleeping area and on every level of the home according to the National Fire Protection Association (NFPA). Carbon Monoxide (CO) is an odorless, colorless, poisonous gas created from incomplete combustion of natural gas, propane, methane or gasoline. Running vehicles and generators also produce CO. Make sure gas appliances are professionally serviced every year to avoid possible CO leaks inside your home.
Fire extinguishers should be located in a kitchen, garage or both, ready to extinguish small fires. If there are smokers in the home, consider additional locations. Small “ABC” extinguishers can be purchased from the local department store and are disposable. Review the manufacturers’ recommendation for a disposal date. Always call 911 or have someone call 911 before extinguishing a fire. When using the extinguisher apply the PASS method for extinguishment, stand six to eight feet from the fire. P – pull the pin, A – aim low at the base of the fire, S – squeeze the lever slowly, S – sweep from side to side. An OKCFD training video is available at https://www.youtube.com/watch?v=w_ZYolzwMX4 or follow instructions provided with the extinguisher.
Fire drills should be practiced monthly while testing your smoke alarm. The OKCFD has a program called “EDITH,” Exit Drills In The Home. The EDITH program’s purpose is to inspire residents to develop an exit plan for their home. The exit plan should include two ways out of every bedroom, a meeting place outside the home, and practicing the fire drill. Practice your exit plan around your mobility and the plan should be shared with everyone sleeping in your home.
Fall prevention measures should include installing grab bars inside your home if you or other family members have a fall risk. Suggested location for grab bars is near toilets and bathtubs. Make sure you have a clear path to the restroom from your sleeping area. Use your walking aid or lift chair on those days you feel weaker than normal. Speak with your physician if your strength starts to fade. Begin this year making fire and fall safety improvements a priority in your life.
* According to the National Fire Protection Association (NFPA), “3 out of 5 fire deaths happen in homes with no smoke alarms or the alarms are not working.”
Additional fire safety information is available at www.nfpa.org/Public-Education.

Brightmusic Chamber Ensemble presents fine classical music in an intimate, family-friendly setting. All concerts will take place at 7:30 pm on Tuesday evenings at the beautiful and historic St. Paul’s Cathedral in downtown Oklahoma City at 127 NW 7th Street (at Robinson). Bright Music website, www.brightmusic.org, contains more detailed information about this concert, including the musicians who will be appearing. Season passes are available online, and individual tickets are available at the door for $20. Admission is free for children and students with student ID and for active-duty military service personnel with ID.
“Reeds-A-Plenty”
Experience the Richness
Tuesday, March 19, 2019, 7:30 pm at St. Paul’s Cathedral, 127 NW 7th Street (at Robinson).
Experience the exquisite richness of woodwinds as the Brightmusic Chamber Ensemble presents a diverse sampling of 18th- through 20th-century works for reeds in its fourth concert of the 2018-19 season Tuesday evening, March 19, 2019. On the program are worthy works by Saint-Saëns and Glinka, as well as three of the worthiest French composers and a Czech you’ve probably never heard of. This is a rare opportunity to hear these delightful but less frequently performed works, some by composers who are best known for their compositions for the wind ensemble. Plenty of charm! Plenty of delight! Plenty of reeds!
The works on the program are:
Francois Devienne, Trio No. 5 in B-flat Major (for flute, clarinet & bassoon), Mikhail Glinka, Trio Pathétique in D Minor (for clarinet, bassoon & piano), Florent Schmitt, A Tour d’Anches (“Reeds in Turn”) (for oboe, clarinet, bassoon & piano), Clemence de Grandval, Trio de Salon, op. 8 (for oboe, bassoon & piano), Lukasš Hurnik, Fusion Music for Oboe, Clarinet, Bassoon & Piano, and Camille Saint-Saens, Caprice on Danish and Russian Airs (for flute, oboe, clarinet & piano).
Musicians appearing:
Parthena Owens, Flute, Lisa Harvey-Reed, Oboe, Chad Burrow, Clarinet, Rodney Ackmann, Bassoon , Ruirui Ouyang, Piano and Sallie Pollack on the Piano.
The performance will take place at St. Paul’s Cathedral, 127 NW 7th Street (at Robinson). Individual concert admission is $20 per ticket. Children, students and active-duty military personnel are admitted free with ID. More information about this concert is available on Brightmusic’s website at http://www.brightmusic.org.

What brings you joy in your life? Salvation Army Central Oklahoma Area Command

What really brings me joy is when my three boys have success in their personal life. Rick Dimit

The fact every day I can come here and have an opportunity to be Jesus’ hands extended. Dee Watts

Staying active … and playing pinball. Hugh Osborn

Seeing my friends every day and having my family close and working here brings me joy. Deanna Waltens

Photography and Text by Terry “Travels with Terry” Zinn t4z@aol.com

Most people may only think of Mount Rushmore when they think about South Dakota. While it is not to be missed there are other attractions which need to be recognized.
The entire city of Deadwood is a national historic landmark. In Deadwood
you can ponder the truth at the foot of Wild Bill’s grave in Mount Moriah cemetery (along with Calamity Jane’s), tour Adams Museum and House, pan for gold at the Broken Boot Mine, choose from various guided tours, or take a self-guided walking tour into the past that puts the Wild West into perspective. You may even run into an incarnation of Wild Bill himself, either at the number 10 saloon or on horseback inspecting main street.
And there’s plenty of casinos for your gaming pleasure along with some fine eateries. One such is Kevin Costner’s Diamond Lil’s, where I had a pleasant Martini during sunset over main street. Costner’s memorabilia and costumes from his films are on display throughout the dining room, and if that was not enough finery, the top floor hosts a fine dining restaurant complete with piano and beveled glass décor.
Deadwood, South Dakota, is full of surprises such as Costner’s founded and funded Museum of the Tatanka (Buffalo) Museum right outside of town. Even with expert Lakota interpreters, displays of costumes worn in “Dances With Wolves”, and historic explanatory panels, the best part of Tatanka is the monumental 17 part sculpture of an Indian hunt near a buffalo jump. With wafts of movie theme music and the rustling of Dakota grass, this hill top venue is the pride of South Dakota, itself. Hats off and congratulations to Kevin Costner for giving back to America with the preservation and inspiration found at Tatanka: Story of the Bison interpretive Center and Sculpture. (For more information you may visit http://www.storyofthebison.com.
Up to 60 million Bison once roamed the Great Plains of North America. By the close of the 19th century, it was estimated that less than 1,000 bison survived.
This is their story… “I believe today that this place is bigger than the dream I had for it. What it means to anyone that comes here will be up to them. Tatanka was not designed as the white man’s version of the Native American. Rather it stands as a centerpiece for two cultures, one whose very lives depended on the buffalo and one who saw it as a means to an end. It recognizes and accepts that this is our mutual history. It can also represent the chance to move forward.” Kevin Costner, Attraction Founder/Owner
The badlands is another South Dakota wonder. (www.nps.gov/badl/index.htm) Roaming among the many outcroppings of natural time sculptured stone you are transported to another world. Containing the world’s richest Oligocene epoch fossil beds, dating 37-28 million years old, the evolutionary stories of mammals such as the horse and rhinoceros arise from the 244,000 acres of sharply eroded buttes, pinnacles, and spires.
Hill City calls itself the Heart of the Black Hills. The history of Hill city reaches back into Pennington County’s oldest archives. In 1876, it was the first settlement established in conjunction with the initial discovery of Black Hills gold in French Creek, 13 miles south of where Hill City sits today. Miners came from far and wide to prospect in and around this small mountain town, now referred to as “The Heart of the Hills.” Although the first settlement in the count, it was the second community to develop in the greater Black Hills area, springing up shortly after the town of Custer.
In addition to livening up the local scene in the dark of winter, Open Stage Concerts gives new talent and seasoned acts alike a supportive place to hone their craft. It also helps local promoters find and hire performers for summer shows and festivals. Local and regional singer/songwriters and poets are regulars, but storytellers, dancers, jugglers, and joke tellers are welcome too. The audience’s free-will donations help support their scholarship program and art education grants for local kids.
Open Stage concerts at the High Country Guest Ranch will be held February 9 and 23, and March 9 and 23, with doors open at 5:15 pm with the buffet starting at 5:30 pm.
Other Hill City attractions are the Museum at Black Hills Institute and the Black Hills Institute of geological Research and the South Dakota State Railroad Museum which might quench your curiosity.
While on your way to other South Dakota sights you may wish to explore Deadwood and Hill City.

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
http://realtraveladventures.com/author/zinn

The Oklahoma History Center is honored to present Colonial Williamsburg’s Katharine Pittman in a portrayal of America’s “Lady Washington,” Martha Dandridge Custis Washington. The performance will be Thursday, February 7, from 7 to 8:30 p.m. and will take place in the Chesapeake Event Center. Admission costs are $10 for Oklahoma Historical Society members and $20 for nonmembers. There is no reserved seating, so early arrival is recommended. Tickets may be reserved by calling 405-522-0765. The Oklahoma History Center is located at 800 Nazih Zuhdi Drive in Oklahoma City.
Katharine Pittman has been an actor/interpreter for the Colonial Williamsburg Foundation for six years. She is a graduate of Wake Forest University and holds degrees in theater and history, and performed for many years around the country in musicals and operas. However, history was always her passion and, when given the opportunity, Pittman developed the Martha Washington portrayal and became one of the Nation Builders for Colonial Williamsburg.
While in Oklahoma, Pittman will make an appearance at the annual Colonial Day event at the Oklahoma State Capitol and Revolutionary Day in Tulsa.

by Bobby Anderson, Staff Writer

A new chapter is unfolding in the Tealridge retirement community history.
Oklahoma Christian University recently sold its Tealridge retirement community located at 2100 NE 140th Street in Edmond to a local group with big plans for this well-known senior living community on the university campus.
The new group owns and manages the Tealridge Assisted Living & Memory Care Community in Edmond as well as the University Village Retirement Community in Tulsa among other communities.
However, leadership is based locally in Edmond.
“With the addition of the Tealridge independent living community, we are now able to offer our residents a full care campus with housing options ranging from independent living apartments to assisted living and even memory care services – all in one location,” said Jon Paden, who leads the new group.
The sale took almost two years to complete given Oklahoma Christian’s desire to find the right buyer and ensure the community continued to be managed and owned by a group with integrity as well as shared values and beliefs.
The new owners are already starting to reinvest in the community with over $1 million funded for building improvements which will include updating all resident apartments, dining and social areas.
“We are excited to build on the great Tealridge reputation for quality in the Edmond community and we are blessed to be able to invest the money and resources needed to really create a special, yet affordable retirement option.” added Paden.
Daily operations will be managed by Melissa Mahaffey the new Executive Director at Tealridge Retirement Community.
While she has extensive senior living management experience, Mahaffey credits her success from a genuine passion for improving the lives of her senior residents.
She also serves on the Oklahoma Assisted Living Federation.
“I am so excited to be a part of the next chapter at Tealridge.” shared Mahaffey. “We have the resources and vision to really create a place that builds on Tealridge’s great reputation while updating things to be on par with the best rental communities in Edmond.”
In addition to the great residents that already call Tealridge home, Mahaffey is building a team focused on placing a strong emphasis on customer service, hospitality and convenience for retirees regardless of what phase of life they are in, Paden added.
To find out more about Tealridge you can go online at tealridge.com.

By Darlene Franklin

“Why should I be afraid?” Israel’s greatest warrior king, David, asked in Psalm 27.
These past few months, I could have given him a few reasons from the “disease that stalks you in darkness” (Psalm 91:6, NLT) category. It started with a pulmonary embolism that could have taken my life and progressed to a succession of less threatening but still uncomfortable and debilitating ailments, most recently the need for cataract surgery.
Given my propensity to anxiety, I decided to proactively arm myself with encouragements not to give in to fear. When I opened my Bible, I discovered that every time it tells me to not be afraid, it also gives a reason.
If often also gives additional instruments. “Just” do this instead. As I adjust my attitude, my fear level drops.
“Just stand still and watch the Lord rescue you today.” (Exodus 14:13 NLT bold face mine and also in the paragraphs below)
In the words of the Desiderata by Max Ehrmann, “No doubt the universe is unfolding exactly as it should.” Given time, most issues will resolve themselves.
Yes, there are times I’m supposed to get to work or even go on the offensive. But I start by standing still. I’m not in control, and why do I want to be? God is so much more powerful than I am on every level.
“The Lord himself will fight for you. Just stay calm.” (Exodus 14:14 NLT) The phrase “stay calm” follows on the heels of “standing still” in the Bible, suggests the two work hand in hand. “Stand” involves physical action, to maintain an upright position while on one’s feet, without wavering. In this case, “stay” works more like “to be.” I can stand still because I am calm.
“Still” implies calm. I am undisturbed by outside forces, not showing or even feeling strong emotion, e.g., fear.
“Just open your eyes and see how the wicked are punished.” (Psalm 91:8 NLT.)
Take a look at the larger picture. When the doctor told me, I had blood clots in my lungs—not one but two—I was unaware that that I had already passed the first test to survival. I hadn’t died in a heart attack as soon as they developed.
Recently, I spent eight hours in emergency room because of chest pain which turned out to be nothing worse than gastric difficulties. Over the long hours I spent watching the ER fill, empty, and fill again with new patients, I opened my eyes to those in much worse shape than me. I could afford to wait while newborn babies sick from pneumonia cried feebly and accident victims hovered on the brink of life and death.
“Just remember what the Lord your God did.” (Deuteronomy 7:18-21 NLT)
Remember the past. Was I frightened the last time I went through a similar experience? When the doctor warned me that the surgery was very serious, implying “and you could die.” Of course! I was afraid, but at peace—and I survived.
The more often something like that happens, the easier it becomes to remember God’s in control. Whether I live or die, I can trust him. The heart and mind connect what I’m learning from my Bible study and what’s happening in my life more clearly. Past experience increases my confidence that God has a purpose behind the current trial that’s tempting me to fear.
“Just have faith.” (Mark 5:36 NLT)
This guideline feels obvious—except the person who was told to have faith had every reason to doubt. Jairus, a leader in his synagogue, had come to Jesus when his daughter was deathly ill. Before they reached the house, he received word that his child had died.
Jesus’ response to the news? “Just have faith.” Minutes later He raised the girl from the dead. But if I had been Jairus in that moment, I would have felt like screaming, “I had faith. I came to you.” Undercurrent: You failed me.
Jesus encouraged Jairus to continue in the same faith he’d started out with. To trust God even in his bleakest moment. And sometimes I’ll be called on to trust in the face of massive disappointment, impossibility, and personal pain.
The next time fear comes knocking at the door, let’s remember these five principles so we can face those challenges with courage. God is on our side, and He’s always more powerful than what’s happening.