Show Al2 UTJUI The Salt Lake Tribune Utah Hospital: - i Low on Cash - - ' 1 - High on Hope ' ' I - 1 L - ' ' 1' — - s - - - r I Al Continued from Sunday July 24 1994 k — - ' it i i ' '''ai ' - - ' i''' ' ' i ' - ol - - ' - - A i J 4 It' ' - i - I i ' - - a -- - - - ii ' t' Ni 0 - ' - - !If i: a vkil tt X t — - Ox' l' - 1 ' riT L- 4i 441 - Liii:11 - -- 1 ' s t- f --0 - " h ar she NAVAJO i - INDIAN HOP " RES r - I A 1 'it It 9' if 1 -- ' : - i' jA ' - 1 ' oe- - ' ' ie ''' 1 - i I ''' SI 10 - Gallup NEW 1 ':4IC 4 MEXIC1 ' ''' 'AV' running through the end of the year Peter a family physician who has lived and worked on the reservation for two decades is more pragmatic He says the agency has supported the Monument Valley Hospital with referrals and contracts "They serve a function but on the inpatient side it will never be a financial boon because it is rural" he says If the hospital were to close Peter acknowledges IHS would have a tremendous burden trying to provide care for the Navajos who now are treated at the facility On the other hand he says "if they become financially insolvent there are others who want to provide those services" Carney blames most of the hospital's financial woes on a shift toward outpatient care that cut revenues by a third last year 'We went to them IHS officials because they are controlling so many admissions and sending most of them 80 miles away" he says to IHS hospitals in Chinle and Tuba City both in Arizona ' ''''' i g A ' '- 1 tt t I1 - ! r' - t '-- ''- le- e :' vi 'f )444 4 ' - : 4: -e'--'' ' f ' - Jr : ""e1 1'''''''- ) - - ti t -- - ' — t - 1 i- ‘ 1 ir Z: ' 'k tI e 4iir -- : 4- - ‘ s - s - N -- ty-k---- '' 'w - - ‘ 'n f'' --- - -- -- -- - ' - - - " l -- k - -e 40 : ai - 1) - d Deirdre EitelThe Salt Lake Tribune Beverly Farley a registered nurse for four years checks on Shaddin Parrish who was born at Monument Valley HospitaL Abby Grayzel an analyst at the Utah Department of Health's Bureau of Primary Care and Rural Health Systems spends a lot of time trying to help rural hospitals recruit and retain health-car- e professionals "When you are looking at living in a town where there is nothing but a gas station and a school it is a very different quality of life In most rural communities at least they have a main street and some shops" Grayzel says Those who are lured to Monument Valley "typically are really fascinated by the reservation" she says "They love the reserva- - tion and the people" Grayzel recently worked with the two newest physicians at the hospital—pediatrician Lois Lello and family practice physician Mike Polski — to get them on a public-healtprogram that pays off medical professionals' school loans in exchange for their commitment to work in such an area h Lello made a minimum commitment at Monument under her contract with the Public Health Service which is paying off her loans for medical Loma Linda Calif 'It's a wonderful program" she says "It brings fresh hot off two-ye- Va'-le- y sct 1 1 1 I 1 I i i 1 i 4 four-hou- 1 e - - St----- '''S e ) i 1 ( - ' ii 11 died In April Carney notified Indian Health Services (HIS) the hospital was in such dire financial straits it would close this summer After a meeting in Gallup NM that included representatives of the Navajo Nation IHS agreed to pay up to $400000 in unpaid bills dating back to 1990 The federal agency also "agreed to pay for all inpatient care for all southern Utah residents who need admission to Monument Valley Hospital'" says Doug Peter head medical officer for 111S' Navajo Area Office Carney says that won't be enough to keep the facility up and ' - The Salt Lake TrIbutle ld ! 3i II ti AR:ZONA ' 17 - - Forminglor 1 flaPstatt - L4 (4 11 ' h j d 1 ti 1 AI" A r' 1 '' f z Ir - -- RESERVATION I t 1 r 7—r--- - Valley Hospital ND AN tal One of the most common Navajo customs observed at the hospital involves untying knots in a rope while a woman is in labor to -- Monument t(aYenta Page i Phillips started working at the hospital in the 1960s first as a nurse's assistant and now in housekeeping About 65 percent of the employees are Navajo The hospital is a critical service for Navajos living in this area she says They wouldn't know where to go because of transportation and gas Some don't have automobiles But 1994 stands a good chance of being the Adventists' final hospichapter at the away" la:)---4 - -- — It1---- Y' 1 COLORADO Ekandtnf 4C eg° l' '''''' s- k69- 4 " :): 4 ' s - p A - t 11 ‘'' j ' ''' -- ' 4- ' 7 r'' ' - ''' ' '- UTAH ' ' A r - 1 i - moo r 11 - 4: "'- 6 un 1 triple duty as fire chief dental technician and at officer Goulding Trading Post safety prevent the umbilical cord from choking her child Peggy Phillips 52 recalled what it was like before the hospital was built when sick or injured Navajos "would go to the Gouldings for help but they weren't doctors or nurses" She was 5 years old — and away at boarding school — when her mother got sick after a Christmas party in the area With no medical facility near the woman was taken in a wagon to her hogan where ''' c i Deirdre Eiteribe Salt Lake Tribune Bill Bischard pulls 'A4 4 Ilfe t 4ir '' 4 1 L 4 ' I Itipev "— N1 99-ye- brick-andmort- - - signs The hospital's beginnings go back to the 1950s when Leone and Harry Goulding homesteaders in Monument Valley invited the Seventh-da- y Adventist Church to run a medical clinic for Navajos The Gouldings drew up a deed for 10 acres in the canyon just above their trading post now a museum and popular tourist lodge Adventist missionaries Gwen and Marvin Walter moved onto the property just 112 miles north of the Arizona-Utastate line converting two mobile homes into the first clinic In 1961 the clinic was transformed into a hospital Three decades later Camey's charge continues to go beyond medicine because this is the Seventh-day Adventist Church's only remaining mission hospital in the United States He says he has faith the financial situation will improve We have seen what we considWe really er to be miracles feel the Lord's hand in this" Carney says "It's in Gods will that this place continue or that it's time to move on If the Lord wants us here he will provide" The hospital is open seven days a week 24 hours a day But the clinics —closed Friday and Saturday in observance of Adventists' sabbath — are busiest on Sundays And the Adventists — some of whom openly proselyte their patients — have learned a tolerance of Navajo beliefs "We kind of live and let live" says Carney We do not allow any type of ceremony that would cause contamination or intoxication" 'While that excludes peyote he says it is not uncommon for Navajos in the hospital to "have ceremonies with eagle feathers and chanting to chase the evil spirits ?g''' g k 7 l I! r ' - ' i I the press people" to the facility that traditionally has attracted more seasoned or even retired physicians After her residency at Children's Hospital in Cincinnati Lello says she acquired "an inflated picture" of her profession It didn't take long to get grounded "It's a very hands-o- n experience" says Lello who sees only children in the clinic a range of patients in the hospital and has taken on administrative chores One of the biggest differences she has seen between an urban area and the rural hospital is limited referral patterns It can take a week before a molested child is able to get into counseling with a social worker a special hearing test requires a r drive and seeing a pe- - ar diatric specialist requires an drive to Phoenix or eight-hou- r Salt Lake City She also has to do a fair amount of bringing those referred providers up to speed about the area where their patient lives "They have no idea what they are sending them back to: No electricity no plumbing" Lello says Polski joined the staff right out of residency about 212 years ago The biggest allure for him was the fact the hospital is Christian based Polski says he prayed to God for career direction and "be took me here" "I can be a witness to Christ with patients without the administration getting upset" be says Despite the drawbacks of financial instability and remoteness Polski says there are several factors that provide balance Navajos be says "are really nice patients to deal with Theirs is a very gentle culture" And physicians don't come across many of the turf battles encountered at urban facilities The variety of patients — from newborns to geriatrics — is appealing to him Meanwhile hospital boss Carney is praying for a miracle Before be was hired three years ago he says the hospital was again facing closure "It was miraculous" Carney says "A little old lady in CAliforDia sent us a check for $50000 That bought us a couple of weeks" and more donations came in after an Adventist publication about the gift He adds: "I would not rule out opening the mail tomorrow and finding a check for i $500000" - r r-- L ( r -- or ‘4 --7 r"-0"--- 1 4 -J 10--- ' i I 1I 1 r 04 r"el ' -- 4 I- ' ' - sr ' A ED I' rf-- e"111 414:7' Ill re 1 - l ‘ ‘ - FP t ----1 - i fay' amE--11 ' 'k 14 "'s AW A t' r 1 toe ' 4 '- lb ' 1 ' tr- - ' '41 i - a i r r ''' ' cee) cL) LIn c6) 7 Er L P"'"'t r7 I rd ' 04 0 ' l'" 119 s4b '''A ' :'Vio7":''' - ' - ' 49 er " - r"7"' ' ' ' ' '--' ' romr 1 -- -- t 44 - 1 4 I i- I - 17""""4""1 't k 'i goonikikkutoti N i t 1 1 Lit & I Cole Haan® — ---- -1 0 HD1 & a Paragons Reebok' Rockport Murphy Nike' Roundtree & Yorke' Sperry° Timberland° Vans° CHILDNEYS SHOE CLEMINCE 05 17E2 Entire stock of non-continui- ng :'l)E:::1730'3L spring and summer shoes for children C' A 171217 1' 'II' - (41:- f) : d: 9 z Seection va'iei by Wore Limited to stook on hard Sorry we carrot accept phone or frail ornes on tits rnecnandse Basic non ieasoria1 fnercardise is not Malt 10-- 9 and Stoplay 124 in Sall taie CPy V tAirray Fas'von Pa y Shop waeletarr vise end The Discover Cal We weicome yoar Dilarl 5 Crelt Carl The American lAoreste Can Diners CLAD inci-de- d Monday-Satairda- knee-re:iot- i A k i - Murphye 7A lo IIP casual shoes for men featuring your favorite styles by your favorite makers including: Johnston Guess? 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