by Sheila Kennedy-Stewart, MSN, RN, CMSRN & Melodie Hopkins, BSN, RN

The hospitalist movement has arrived and it has transformed the care of hospitalized patients and the collaboration among healthcare professionals. For Integris Southwest Medical Center (ISMC) nurses and members of the Clinical Practice Council (CPC), having a close, professional relationship with our hospitalists is a must to improve the value of inpatient care. In the fifteen years since the hospitalist movement and quality movement began, our nurses have supported the initiative for 24/7 hospitalists in the hospital for a safer health care system. The engagement of collaboration is mutual between our nurses and hospitalists. Melodie Hopkins, Intermediate Care Team Lead for Integris Southwest Medical says, “The Hospitalist Group have respect for the nurses’ judgement and recommendations in patient care. We feel we now have a voice that is being heard.” ISMC’s Clinical Practice Council is instrumental in supporting nurses by introducing LEAN projects to curtail hospital costs, supporting evidence-based practice for maintaining the highest standard of patient care and raising funds for the celebration of the annual ‘Nurses Week’. This time of year, the CPC would normally be organizing a fund raiser for the special week’s celebration. But ISMC is about to transition to EPIC computer system and all the nurses are busy with extra educational classes. When the hospitalists became aware that this year’s nursing week might not be well celebrated due to lack of funds, they jumped into action.
Our hospitalists organized and are sponsoring the “Brushes and Bubbly.” This event will be a painting fun-raiser. The event is to be held May 25th, 2017 at Nosh Restaurant in Moore. Tickets for the event are $35.00 and all proceeds will go to the Clinical Practice Council. The Nurses of ISMC are grateful for the comradery of our wonderful hospitalists and we salute you: Mobolagi Olulade, M.D., Carolyn Pimsler, D.O., Jeanette Kelley, D.O., Nicole Dodson, D.O., Adrian Scaunasu, M.D., Abie John, M.D., Emenike Uba, M.D., Shiedeh Khodadadian, D.O., Ryan Morgan, D.O., Siddhartha Rangineni, M.D., Matthew Kallenberger, D.O, Mahdi Mussa, M.D., Ralph Shadid, M.D., Magesh Sathaiah, M.D., Dubari Ashraf, M.D., Susan Mathew, D.O., Paragkumar Patel, M.D.

AllianceHealth outcomes change lives

by Bobby Anderson,
Staff Writer

The message sent to the Midwest City community a few months back was resounding.
More than two years of work and planning by multiple AllianceHealth Midwest departments culminated in a prestigious accolade that will benefit patients throughout the metro.
For the first time, the hospital received full Chest Pain Center with PCI (Percutaneous Coronary Intervention) Accreditation from the Society of Cardiovascular Patient Care.
“Essentially what it did was validated to our community we were serious about our cardiology program and our treatment and our evaluation of chest pain patients,” said Mark Macklin, RN, BSN, cardiology director and chest pain coordinator. “This has always been a community-based hospital and it was important for us to relay that to the community that we had committed ourselves to improving in those particular areas.”
To receive accreditation, AllianceHealth Midwest demonstrated its expertise and commitment to quality patient care by meeting or exceeding a wide set of stringent criteria and completing on-site evaluation by a SCPC review team.
AllianceHealth Midwest is the only hospital in the state of Oklahoma to receive this level of accreditation.
“This accreditation is another large step in our commitment to providing superior emergency and cardiac care to the residents of Midwest City and Eastern Oklahoma County” said Damon Brown, CEO, AllianceHealth Midwest. “This accreditation was made possible because of the dedicated work and commitment of a multi-disciplinary team that included employees, physicians and paramedics.”
Macklin has spent the last 12 of 22 years in nursing in cardiac care after an emergency medicine and trauma background.
And he’s seen cardiac care come to the forefront.
TREMENDOUS NEED
“Any community in Oklahoma, cardiovascular disease is going to be a primary focus,” Macklin said. “Particularly for the process of chest pain accreditation it was important for us because of our volume throughputs, lengths of stay and those issues that we standardized the process so patients are treated not exactly the same but at least within the same guidelines and standards … so we don’t miss small things along the way.”
Macklin stressed that the purpose of obtaining chest pain accreditation wasn’t to just put the emblem on the paperwork. The process was one the entire AllianceHealth system has committed to in order to improve its processes and insure better outcomes.
“What it tells (the community) is that along with the accreditation process is the process of ongoing performance improvement and what might be standard of care today is fluid and those standards change annually, even more often than not based on evidence-based practice and clinical research.
“We have cardiologists that embrace the recommendations that come out of the American College of Cardiology and published literature.”
Macklin likes to use the phrase “parking lot to parking lot” to describe the program.
The program simply doesn’t work if all departments don’t work together.
“It’s not just an emergency process, it’s not just a cath lab process and it’s not just an inpatient observation process,” Macklin said.
That became obvious during the entire accreditation process.
“What we identified early on in the process was we were already pretty good at the acute MI,” Macklin said. “What we identified through the process and our surveyor’s neutral eyes was that our biggest opportunity was our EMS arrivals and starting to take those EMS patients who were acutely myocardial infarcting … straight to the cath labs, shaving 20 sometimes 30-times off our perfusion times.
“That’s been our biggest improvement you can see on a daily basis. We’ve empowered EMS … that if it walks like a duck, and it quacks like a duck call it a duck and we’ll take them to the lab.”
The process is ongoing.
Macklin knows time is muscle and staff are always up against the clock.
The pride comes through the continual refinement of the process.
Representatives from every department met regularly through the accreditation process and still are called back in to maintain improvement.
“This is a group of people who aren’t afraid to call s omebody out and it’s a group that isn’t afraid to tell you what they need,” Macklin said. “This is a team sport.”
Certification lasts for two years but statistics are monitored monthly by the accreditation agency.
Ongoing employee education and community education are tenets of maintaining certifications.
And the process for recertification has already begun.
And everyone is involved.

My work is important to me because I can still do it. And I love all kinds of sports. Glenn Boyer

Music and art. My family was full of musicians. Liliana Schechter

Believe it or not it’s the sunrise I get to watch every morning. Gwyn Walters

The fact I have a washer and dryer in my apartment. I’m easy to please. Sandy Dolan

By John D. Doak, Oklahoma Insurance Commissioner

Retirement can be a new beginning for us, but planning for your golden years can be daunting. This week is National Retirement Planning Week© (NRPW). The goal of NRPW is to promote the importance of comprehensive retirement planning.
While retirement planning was once thought of as an issue for older people, the truth is that you must start preparing for a secure future as soon as you enter the work force.
Check out this retirement checklist to help you plan for a comfortable and secure retirement.
Review Your Finances
If your workplace offers a 401(k), 403(b), ESOP, profit sharing plan, IRA or Roth IRA, you should take advantage of their plan. Many employers will match contributions up to a certain amount. The sooner you start saving, the more money you’ll have for retirement. Consider at least contributing the amount needed to obtain the employer match.
Review your finances to see how financially prepared you are for retirement. Track down and value your assets including cash, investments and anything else you can exchange for cash such as your house, savings bonds and even fine jewelry. Find the retirement accounts you have put money into throughout your career. You might want to think about consolidating some accounts so your money is easier to manage. If you decide to consolidate retirement accounts, seek advice on how to implement a rollover to avoid immediate taxation of your funds.
Assess Your Life Situation
Life insurance, like retirement, is something to consider at the beginning of your working years. Life insurance policies can provide benefits throughout life including whole life policies that build cash value. Whole life policies also allow you to take a loan, or borrow from them, but doing so does reduce the amount your beneficiaries will receive if you haven’t repaid the loan. Please note: you will pay interest on the amount you borrow. Do your research carefully to determine if such a policy is right for you at your current life stage.
Also, review your specific needs for health insurance and long-term care insurance. Your need for various coverages will change throughout your life. Insurance can help provide financial security in your retirement years if a catastrophe happens.
Annuities
An annuity is a contract or policy between you, the policyholder, and an insurance company. An annuity pays a periodic (monthly, quarterly, semiannual or annual) income benefit for the life of a person (known as the annuitant). Annuities can also be purchased for a specified time period. Annuities can play an integral role in a financially secure retirement. There are four main types of annuities:
*Variable annuities with guaranteed lifetime withdrawal benefits: Long-term, tax-deferred insurance products that contain investment and insurance components with optional guaranteed withdrawal benefits.
*Fixed and fixed-indexed annuities: Long-term, tax-deferred insurance vehicles which offer a guaranteed minimum interest rate.
*Single premium immediate annuities products: Provide a guaranteed income for life or a specified period in exchange for a one-time lump sum payment.
*Deferred income annuities: Provide for guaranteed income but don’t begin until a specified age, such as 80 or 85.
Please note that annuities are not for everyone. Research your options thoroughly before purchasing one. Also, consider the costs associated with the annuity, such as the broker commissions.
Grow Your Nest Egg
Having a clear financial plan is important. A rule of thumb: 80 percent of your current annual income is a good amount to save up for retirement. Consider if you’ll receive a pension and Social Security and subtract that amount from your annual income. Use that number to calculate a financial plan running out to age 100 for how much you’ll need every year based on the year you retire.
Learn about investing and consider paying a certified financial planner for help. You might be keeping your money in accounts that have low rates of return and could earn more simply by moving the money.
A professional can help you invest your money for the best rate of return.
It is possible to retire on your own terms if comprehensive retirement plans are properly developed and managed. Visit www.RetireOnYourTerms.org for retirement resources such as a retirement calculator, basics on investing and information on how to find the right financial advisor.
For insurance information, contact the Oklahoma Insurance Department at 1-800-522-0071 or visit our website at www.oid.ok.gov.

Senior educates generations

by Bobby Anderson,
Staff Writer

The sounds of children’s playful voices float through Southwinds Montessori Preschool in Norman.
Inside, the classrooms are a flurry of activity with 45 smiling faces whirring around from activity to activity.
In the background, Carol Zerboni smiles a big, beautiful proud smile.
It’s been that way more than 40 years now for Zerboni, who operates the private Montessori school along Highway 9.
And she laughs at the time when running a school and teaching children was the farthest thing from her mind.
“I just wanted a paycheck – a little extra money to have to spend,” Zerboni said of looking for a job as a young art major at the University of Oklahoma.
“I asked if they needed an art teacher and she hired me immediately.”
“I didn’t have a clue what Montessori was. Being Italian, I thought for sure I’d figure it out.”
When Zerboni figured out the Montessori philosophy hailed from Italy she was intrigued.
When she found out what it could do for young children she was hooked.
“I watched and looked at the materials and equipment and the way they were learning and it was different than anything I’d ever seen,” Zerboni said. “The materials were just incredible – beautiful. There was a purpose for everything.”
She switched her major to elementary education and then went on to Oklahoma City University to complete her Montessori training.
The textbook definition of Montessori discusses an emphasis on independence, freedom within limits, and respect for a child’s natural psychological, physical, and social development.
For Zerboni – and literally millions of children through the years – it just seems natural.
THE MONTESSORI CONCEPT
The education system originated in Italy with Dr. Maria Montessori, the second female doctor in the country’s history.
With compulsory education beginning at age seven, the streets of Rome were filled with young children with plenty of time on their hands.
With the idea that children learned 80 percent of their knowledge from birth to four, the pediatrician set up the first Montessori, Casa dei Bambini.
The program was a success, so much so that Prime Minister Benito Mussolini appointed her chairwoman of education for the country.
But during World War II she called the dictator “a fascist pig” and was booted from the country.
“She was so ahead of her time and really bright and really understood the child,” Zerboni said of her icon.
Landing in India, Montessori continued her curriculum development, carrying it all the way through high school.
To this day, Zerboni still gets questioned about what Montessori is all about.
“I tell them it’s a method of education where the teacher’s role is totally different,” Zerboni said. “It’s not teacher-driven. Your job as a teacher is to create the environment to be inviting so that the kids can go in it and move. They need to move and they need to have meaningful work … and for them to make their own choices and create independence.”
That’s why the halls at Southwinds are often a flurry of activity. To some it may seem like a classroom run amuck.
But spend a few moments observing and you’ll see children discovering the world around them through all five senses.
And they’re enjoying it as the same time.
Zerboni will tell you Montessori school kids read earlier than those in traditional school. Phonic sounds are taught at age three but it’s not done with them sitting in a hard-plastic chair for six hours a day.
“Freedom of movement is one of the biggest things that’s different from public school,” Zerboni said. “I really think sticking children that are young in desks is really not fair to the child. It is unnatural. They can’t sit. They’re not absorbing anything at all.”
Absorption is key to knowledge. Children aren’t just taught things in Montessori they experience them and store them with emotion and memory that will carry the information with them for the rest of their days.
Zerboni things a lot of that is missing in today’s schools.
“I think what we’re losing out on is we’re waiting too long to get our kids involved in Math, Reading, Science and all the basics,” she said. “They’re ready for it. They get it.”
Zerboni took her 40 years of experience and passion and poured them into her own line of instructional books.
Zeb Books was born nearly a decade ago – named after the family pet. “I’ve done the thinking about this and about what works and what doesn’t,” Zerboni said. “I’m not sure I have the only way but I know my way works because I’ve got kids reading up a storm.”
“That’s one reason people send their kids here.” And the fact that they’re having fun while learning doesn’t hurt either.

By Darlene Franklin

When I’m asked to name my heroes, I readily name a handful: Rosa Parks, Corrie Ten Boom, Eleanor Roosevelt, alongside Abraham Lincoln, George Washington, and others.
What makes a hero? Dwayne Johnson asked that question in his 2013 television series, The Hero.
In addition to my addiction to reality TV, I was interested in the answer. I was facing my own hero’s challenge. I had to battle back from a month-long hospitalization. I had never fully recovered from crippling weakness and arthritis which had left me unable to walk or do most of my daily activities, and led to my moving to a nursing home.
On my first day of therapy, I was wheeled down the hall to the gym. My physical therapist worked with my lower extremities, core strength, standing, endurance-walking? The occupational therapist focused on “activities of daily living,” more upper body. Could I raise my arms enough to brush my hair? Dress myself?
We had a long way to go, and a hundred days (according to government mandated guidelines) to accomplish the task.
Weakness and pain nibbled at the edges of my motivation. In one of my first sessions, my physical therapist gave me a simple task: stand up.
I called on all my strength and pushed myself to my feet. I remained there, tottering, for a few seconds.
“Sit down-gently. Don’t plop.”
I reached back for the wheelchair arm with one hand, then the other, then as slowly, as carefully as I could, lowered myself into the chair. I was spent.
“That was good,” she said cheerfully. “Now do it four more times.”
Every muscle trembled, and most of them screamed with pain. I adapted the mantra of the winner of The Rock’s competition as my own: “I will not let pain or fear defeat me. I will only fail if I cannot, physically, complete the task.”
I stood four more times that day. I learned an essential lesson in facing an overwhelming task: success has more to do with my willingness to do the hard thing than with physical facts.
My health continues to fluctuate. I’ve been to the hospital three times since Christmas and have just completed another hundred days of therapy.
I will not let pain and fear defeat me.
The lesson served me well. I began with enthusiasm, drive, and a definite goal: to walk around the nursing home.
More lessons headed my way.
· Accept a different normal.
My third hospitalization reminded me of a fact I had conveniently forgotten. Congestive heart failure-which leaves my heart pumping fine, sometimes high, more often low-creates problems for my other organs. They pick and choose when to work.
I decided to stop waiting for things to get better, because they probably won’t. That decision led to the next lesson.
· Do it anyway.
So what if I’m sore from this afternoon’s therapy and tired from last night’s battle with sleeplessness? Go ahead and write. Sing. Visit with friends. Attend church. Live life in the now, because that’s all I have.
And sometimes. . .
· Miracles happen.
For four years, I have worked to improve range of motion in my arms; I can’t clasp my hands together behind my head. We’ve worked on it as much as we’ve worked on walking, standing and everything else. Nothing had changed.
Until one day this session, something popped in my arms and they moved a few more inches. I still can’t rest the back of my head on my hands-but I can wash my hair and tie on a chin strap.
· The miracle you receive may not be the one you wanted or expected.
I ran into a foe that defeated my dreams of walking freely through the halls, at least until I can obtain appropriate equipment: I can’t go without oxygen. My legs will take me further than my lungs will.
“A hero is a person who is admired for. . .courage.” A lifetime has taught me courage is not the absence of fear, but acting in spite of fear.
In that case, maybe I am a hero. Maybe you are too.

If you’re heading north out of Tulsa and don’t know what to look for, you could pass right by R & G Family Farm and never know it. However, nestled back in the woods off of State Highway 11 you can often find Katie Plohocky gardening, feeding the livestock and organizing her latest proposal to bring agriculture and food to the communities around her.
Born on a 400 acre centennial farm in Croswell, Michigan, Katie Plohocky has been playing in the dirt since she could crawl. Upon graduating high school Katie headed for the business world. She earned a bachelor’s degree in business leadership from Baker College as well as a master’s and MBA from University of Phoenix. Already a well-seasoned commercial real estate agent, in 2000 she moved to Oklahoma to continue her career. It wasn’t until she got involved with the Indian Healthcare Resource Center’s ‘Food for Life’ in 2008 that she realized the food scarcity that many Oklahomans face.
“We are in a food desert,” she said. “People in this area have to travel several miles to access food. We grow more than enough food in the state, but access and distribution of that food is a different story. Seventeen percent of households in this area do not have transportation, so food access is a problem. We help with community gardens, help people grow in their backyards and assist mobile farmers markets.”
In addition to her selfless attitude, Plohocky’s entrepreneurial spirit and work ethic set her apart. The projects and service organizations she has developed did not come with an instruction manual, nor were they a guaranteed success. One thing that is guaranteed, however, is that when Katie recognizes a need with Oklahoma food and agriculture she takes action. Take for example her mobile grocery store.
Founded in 2010, R & G Family Farm’s mobile grocery store was just the first of many different ways Plohocky is striving to increase access to food and having a lasting impact on agriculture in Oklahoma. The mobile grocery store served over 10,000 people in only its second year of operation.
“We started a mobile grocery store to serve food deserts about four years ago,” she said. “We converted a nine-horse trailer into a grocery store that we can transport to different neighborhoods each day. We have 16 acres that consist of chickens, goats, aquaponics, fruit trees and vegetables that we stock the store with. We also have partner farms that grow produce for us as well as let us utilize the food they do not sell. Our customer base continues to expand significantly each year.”
With a portfolio which shows over 100 percent growth in food sales each year, her selfless attitude and entrepreneurial mindset is working well to benefit others. It is easy to see how her volunteer base is growing with individuals that want to give back.
In 2015 R&G Family Farm started ‘Hands to Harvest”, which redirects unsold produce to those who need it most. With this program, Plohocky takes volunteers to partner farms, grocery stores and restaurants to harvest unwanted food and leftover food waste. This food is either distributed through R&G Family Grocers’ mobile store, Food on the Move, Food Bank of Eastern Oklahoma, or taken back to their commercial kitchen for preservation. Between her farm, gardens, mobile grocery store and volunteering it can be hard to see how Plohocky has any free time to do anything else. However, Plohocky understands the importance of educating people across Oklahoma on our food needs at both the local and regulatory level.
Don’t be surprised if you see Plohocky out of her work clothes on the steps of the state capitol building. She has become a resounding voice for Oklahoma food security and has traveled to the state capitol several times to discuss policy related to food growth and distribution. Each year she coordinates the Oklahoma Food Security Summit which brings together national, state, tribal, and local food policy experts and community members to discuss food insecurity and develop solutions to take action. On the local level, she began the “Cooking for Health” program which teaches people how to grow and prepare fresh, healthy food all the while reducing food waste.
“We currently work with Tulsa Food Security Council, Lacy Park Community Center, Tulsa City-County Health Department, OSU Health Sciences, Tulsa Public Schools, Tulsa Community College, and many others to provide community classes around healthy food,” she said.
Listening to Plohocky describe all of the different facets of food and agriculture with which she’s involved can be challenging to keep up with. However, she claims it’s all more than worth it at the end of every day.
“By doing what we do, we hope to change lives for the better. Healthy diets can only be possible through diverse farming systems that ensure everyone has adequate access to local foods. Any day we get to do that is a day well spent,” Plohocky said.

Outpouring of Care and Support Brings Endangered Porpoise Closer to Safe Waters

When just 30 animals of a specific species are left in the world, the zoo and aquarium communities accredited through the Association of Zoos and Aquariums (AZA) are compelled to act. The Oklahoma City Zoo and Botanical Garden has partnered with over 100 other AZA-accredited institutions to help save the vaquita (Vah-KEE-tah) porpoise from extinction. Vaquitas, or “little cows” in Spanish, are the smallest and most endangered cetacean in the world.
To date, AZA organizations have contributed over $1 million toward the emergency rescue of the Vaquita. AZA and its members are joining the Mexican government, which today announced that it is pledging up to $3 million to support the VaquitaCPR emergency rescue plan. VaquitaCPR (Conservation, Protection and Recovery) is an emergency action plan led by the Mexican government, with the input of an expert group of conservation scientists and marine mammal veterinarians. The Zoo has pledged $5,000 from its Round Up for Conservation emergency intervention funds, collected from Zoo guests who volunteer to “round up” to the next dollar amount on purchases made at the Zoo.
“Without these combined rescue efforts, the vaquita will soon be extinct,” said Dr. Rebecca Snyder, Zoo curator of conservation and science. “We are fortunate to have these funds from our home-base conservation fundraising effort for emergencies such as the VaquitaCPR emergency rescue plan.”
Vaquita can easily become entangled and subsequently drown in gill nets used to illegally catch other species, including the endangered totoaba fish, found off the coasts of the northwestern corner of the Gulf of California, Mexico. The fish’s swim bladder is used in traditional Chinese medicine. In addition to securing funds, AZA is teaming up with other conservation organizations to capture the remaining vaquita and place them in sea pens to try to establish a protected assurance colony.
The Zoo is a founding member of the AZA’s Saving Animals From Extinction (SAFE) program and the vaquita is one of the 10 signature SAFE species. AZA institutions have played a key role in bringing back other species from the verge of extinction by establishing protective housing and breeding programs, such as for the California condor, Arabian oryx, golden lion tamarin and American bison. This expertise provided by AZA members is very valuable to the Vaquita Rescue Effort. The Zoo has other SAFE species in its animal collection, including the Asian elephant, gorilla, cheetah and shark.
Donations to the VaquitaCPR emergency rescue plan can be made through the Zoo by calling the ZOOfriends’ office at (405) 425-0611 or can be made online at www.VaquitaCPR.org.. A complete list of the AZA-accredited facilities that have contributed to the AZA SAFE Vaquita Rescue Plan can be found online at https://www.aza.org/donors-to-the-aza-safe-vaquita-rescue-project. To review the AZA SAFE Vaquita Conservation Action Plan, visit https://www.aza.org/safe-vaquita-conservation-projects.
Show your support for all the little and large animals of the world. Round Up for Conservation with every purchase at the Zoo!

Q. I am a health care provider and I am very concerned with all the pharmaceutical drugs being advertised on TV. I worry that people will believe everything they see and hear in the commercial and dump more money into this industry that is failing us in so many ways. These are some of my concerns.  —-  Rhonda

A. I don’t know how many readers have paid close attention to these frequently run drug commercials. It is crazy to think that drugs are being advertised on TV…..really?
It is highly unlikely that any of these drugs will make you sing, dance or ace a game of volleyball but you would never know it if you fell for the message in the commercial. Notice how the speaker enunciates very clearly until he gets to the side affects of the drug. Then suddenly he has a manic episode, his speech is pressured and barely audible. The last thing you think you heard is something about coma and possible death. But with those butterflies and beautiful surroundings who focuses on being in a coma.
So ok, you think one of these drugs might help you. You talk to your doctor, who also thinks this drug might help your symptoms and he writes a prescription. Now the scary part. You pull into the pharmacy parking lot with your prescription in hand. The pharmacy tech takes over while you wait. Your name is called and you are told you owe $475.00 after insurance has paid their part. Now you have symptoms related to finding out the pharmaceutical industry is raping you.
So what has happened? You watch a commercial for a new drug with people who are smiling big, some are singing, dancing, growing beautiful flowers and don’t forget the butterflies and maybe the ocean. These are happy people taking their new drug. Who wouldn’t want to smile big and grow beautiful flowers.
So now your hooked. Your doctor writes the prescription. The pharmacist tells you the price. You announce he can keep the drug because there is no way you can pay for it unless you stop eating.
Or another issue………Maybe your doctor gives you samples of the new drug and you find it does help your symptoms. But when you are told it will cost $475 after your samples are gone, what is the point.
I was personally given a prescription for a skin cream, with a coupon because the doctor told me it might be expensive. When I went to pick up the prescription the pharmacy tech had a strange look on his face when he told me the small tube of cream was $1042 after the coupon!!
Be cautious. Pay attention to the side affects listed for these drugs. If you can make behavioral or life changes, try that first. Your health and your money are at risk.

Vicki L Mayfield, M.Ed., R.N., LMFT Marriage and Family Therapy Oklahoma City

If you would like to send a question to Vicki, email us at [email protected]

Seniors needed in vaccine debate

story and photos by Bobby Anderson, Staff Writer

Whooping cough, polio, measles and rubella.
Anyone over the age of 50 remembers hearing horror stories about the diseases that plagued previous generations.
For the much of the current generation the above are simply footnotes in history with no real meaning.
But that may be changing.
From January 1 to March 25, 2017, 28 people from 10 states (California, Colorado, Florida, Michigan, Nebraska, New Jersey, New York, Pennsylvania, Utah, and Washington) were reported to have measles.
Those numbers are alarming for Norman Pediatrician Dr. Thomas Kuhls, so alarming that for the first time in his life he’s entered politics.
“I’ve never done anything political in my life. I don’t think I even ran for student council in middle school,” Kuhls laughed.
Then two things happened. Kuhls read that an immunization bill by Sen. Ervin Yen would not be heard in the 2016 session.
“Senator Yen’s bill would strengthen immunizations because rates are dropping,” Kuhls said. “More importantly, at the end of the legislative year when the anti-vaccine bill was passed by an overwhelming majority and went to the Governor.” Thank God Gov. Fallin vetoed it but what scared me was when the Republicans tried to override their own governor and came just 13 votes short.
“It was clear the majority of those legislators … even with my ignorance I knew there weren’t that many people that didn’t have their kids vaccinated. It had to do more with misinformation and misunderstanding and not really truly understanding vaccines.”
That’s why Kuhls is supporting the non-profit political action group Vaccinate Oklahoma.
Kuhls taught vaccines at the University of Oklahoma for years. His background is in immunology and pediatric infectious diseases.
Kuhls still has his smallpox scar.
“In my generation and in my parents’ they all knew the importance of vaccines because many of those era have seen polio,” Kuhls said. “Back in my era vaccines were always important.”
WHAT’S AT STAKE
“I think people don’t realize what’s at stake,” Kuhls said. “Our personal exemption rate is increasing yearly in this state. Other states when their rates go up have had outbreaks of diseases like in California.”
“When the population isn’t immunized it sets us up for a disaster, an outbreak.”
Before the middle of the last century, diseases like whooping cough, polio, measles, Haemophilus influenzae, and rubella struck hundreds of thousands of infants, children and adults in the U.S.. Thousands died every year from them. As vaccines were developed and became widely used, rates of these diseases declined until today most of them are nearly gone from our country.
Statistics from the CDC paint an interesting picture.
*Nearly everyone in the U.S. got measles before there was a vaccine, and hundreds died from it each year. Today, most doctors have never seen a case of measles.
*More than 15,000 Americans died from diphtheria in 1921, before there was a vaccine. Only two cases of diphtheria have been reported to CDC between 2004 and 2014.
*An epidemic of rubella (German measles) in 1964-65 infected 12½ million Americans, killed 2,000 babies, and caused 11,000 miscarriages. Since 2012, 15 cases of rubella were reported to CDC.
Kuhls says the United States has very low rates of vaccine-preventable diseases, but this isn’t true everywhere in the world.
Only one disease — smallpox — has been totally erased from the planet. Polio is close to being eliminated, but still exists in several countries.
More than 350,000 cases of measles were reported from around the world in 2011, with outbreaks in the Pacific, Asia, Africa, and Europe.
In that same year, 90% of measles cases in the U.S. were associated with cases imported from another country. Only the fact that most Americans are vaccinated against measles prevented these clusters of cases from becoming epidemics.
Kuhls said one of the major drivers of non-compliance is public schools making it easier for parents to sign exemption forms rather than instructing parents to have their children vaccinated.
“I think anybody my age understands the importance of vaccines and have watched diseases go away,” Kuhls said. “Your readers need to tell their grandkids these diseases are real and they’ve lived through them and they are the vaccines that made them go away.”
“It’s the grandparents that have seen that and have been through that.”