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Show Thursday June 11, 1961 8 v , V fc x ' lil1!': hv'-- V ' fy ' me y &? informal afternoon luncheon, Dr. Stan Bezek takes the opportunity to discuss tant issues relative to rural health care delivery at the Memorial Doug Fonnesbeck, take time prior to luncheon to discuss the merits of traditional dutch oven cooking. Lab technician (and outdoor cook expert) Kon Hatch, along with former hospital administrator of Garfield &!' '&' impor- - Rural Health Has Common Needs in Southern Utah (Continued from Page 1) Clinics. Bezek came to Panguitch six years ago as a National Health Services Corps (NHSC) physician on a temporary basis. remote parts of the county, of being without a hospital brought great sacrifice from area residents. Not only did they donate generously, but taxes were raised for bonding purposes placing an added burden on each resident. NHSC is a federal agency under the Department of Health, Education and Welfare which provides scholarship funding to medical students to use toward their education. In turn, new physicians obligate themselves from one to three years to NHSC to work in medially underserved areas. Yardley closed his thoughts to the group by reiterating what had been said earlier by Bezek, that the National Health Services Corps, he felt, was essential to securing physicians to these smaller, more rural areas. Bezek, whose residency was in family practice found in checking out Panguitch, that the community had done its homework and laid all the groundwork for a fine hospital facility with good potential. He worked with staff, administrators and IHC personnel over a period of years to develop a unique embryo of rural health care delivery. Physicians Assistant and Director for Garfield County Ambulance Service Bob responded to McCullough, questions in his field of expertise. He outlined the problems that are peculiar to health care in a rural setting. He stressed Under the plan, Garfield set up one of the first Home Health Care programs in a rural area. The hospital received funding initially from a Rural Health Initiative grant which was applied toward purchasing equiment and establishing supportive clinics in outlying areas of the county. ' Bezek commended IHC for being instrumental ih using its expertise to design systems for rural health care. He stated that he was proud that Garfield Memorial Hopsital and Clinics had succeeded in their efforts to secure accreditation, always more difficult for smaller institutions. As a salaried physician through IHC, Bezek said he felt more a part of the system than he would functioning through the private practice approach. com- missioner spoke to those attending and praised the efforts of Garfield citizens in responding to the need for a call for high quality health care in the county. Yardley stated he believed the tremendous response in fundraising throughout the county was motiviated by the fear of the people over possibly losing a hospital all together. Yardley pointed out that Garfield had had a hospital facility since 1946 and the thought, for many residents, in p? yv , .. Dr. Ray Cowley, director of the Health , District addressed the rede of the public sector in the rural health care setting. Adtnittjhg that the role of his agency in public liealth was oriented more to early intervention and prevention, he said he was interested in how to bring the public and private sectors together to work more closely with one another without overlapping services. He exMcCullough spoke briefly concerning plained we want to supplement for communications emergency private health care, not compete with medical services at the county level. He it. stated that Ultra High Frequency (UH-F- ) Speaking from her own personal is a poor carrier throughout Garfield viewpoint Marge King, director of for County requiring costly repeaters for Southwestern District does UHF Also Nursing he said, transmitting. not allow the sending of telemetry Health related how she was born and readings. McCullough suggested Very reared in the remote community of (VHF) would be Boulder in Garfield County. She stated High Frequency she knows first hand the problems her better. two part-tim- e nurses encounter in However, he said that the Federal delivering health services to the more Communications Commission (FCC) remote parts of the county. has indicated that VHF is already too Final speaker to the group was the this congested. Protests McCullough, of another small hospital administrator not so but in be true cities, may larger in rural areas. In addition he said, located in Kanab about 70 miles south of Panguitch. Alan King, who oversees many western states are currently southwestern training for technicians and others. Often technicians are qualified to serve the hospital in several capacities (i.e. and lab). Because their presence is critical to hospital operations it is difficult to spare them to travel for training in larger cities. It is King said, an important item that needs attention. patients or premature births were so referred. Smaller hospitals he noted function with less staff but operate undo1 the same strict federal regulations as larger hospitals such as LDS in Salt Lake City. Meeting rising costs is a major concern as is complying with required paperwork. King made the point that small hospitals have lower patient volume so costs to patients are greater. He added that a small hospital requires the same equipment as its larger counterpart to Administrator Robert Kruse was most pleased with the policymakers visit and felt that they enjoyed an enhanced image of rural health care. They could see said Kruse, that smaller Physicians at Garfield Memorial Hospital are equipped to handle a good majority of basic operations, including most general surgery and acute abdominal surgeries. x-r- rural hospitals provide just as professional and high quality services and larger, urban health care facilities. Parting thoughts from the twenty-fiv- e visitors expresed gratitude for the hospitality shown by Garfield County, the hospital and supportive friends. Marion Ein of NHPF stated that she was in charge of arranging site visits. She said she thought that when she returned to Washington, D.C. she might resign that particular duty as she could never top their site visit to Garfield County. function effectively. Adniinistrators and physicians were asked what percentage of patients they referred to larger hospitals or to specialists for surgery. Bezek responded that only 5 percent of cases involving only high risk obstetrics 3-- Child Abuse: Ugly, Common And an Increasing Problem (Continued from Page 1) though, indicated that parents who were abused as children often became abusive. Also parents who have unreasonable expectations of their children, parents who depend heavily on physical punishment for discipline, and families that are isolated from the mainstream of society are more likely to be involved in abuse. The great equalizer is stress, which shows up in almost all cases of abuse. Fewer than ten percent of abusive parents are emotionaly disturbed. Abuse is seldom an isolated incident; it is usually the end result of a buildup of incidents combined with stress that produce explosive violence. Research has shown that the victims of abuse tend to be: boys who are difficult, step-by-ste- p demanding, and challenging; han dicapped children, who are often victims of abuse at the hands of parents who feel like failures for having such a child; premature infants, who bring with them horrendous medical bills and who may have been isolated from their families for the first few months of life ; ones who and lookalike children resemble hated adults. agencies. As citizens, we can decide to condone violence and hostility as accedptable reactions. whether We can examine our attitudes towards parenting and children. Are children chattel? Should the state intervene when children need help? Do children have rights? Is parenting important and satisfying? Are parents being denied the recourse of outside help in times of stress? Do we avoid or refuse to recognize the problems of child abuse? What can we do as parents and citizens about child abuse? To start with, we can be aware of our own potential for violence. If we find ourselves headed for a possibly violent confrontation, we can back off, reflect, and try to determine what caused the situation. We can anticipate stress and resolve it before it leads to regrettable actions. And we can reach out and seek help, whether from friends, relatives, church, or social service support Child abuse is a problem that affects everybody. If we would each take more time to examine our own potentialities for abuse and what we can do about them, child abuse would become a rarity instead of the common it is today. ... V'; V' - Specifically McCullough mentioned stringent ambulance codes imposed by the Department of Transportaiton (DOT). Regulations require the vehicles to be certain widths, which in turn, necessitate that the vehicle be custom-madforcing up hosts. He suggested that for rural aras, some of these regulations could be reviewed keeping in mind poorer counties. He emphasized the need for a balance between quality control and cost factors. e, government, county Representing Jim Yardley, a former county the difficulties smaller hospitals encounter when regulation upon regulation is added in all aspects of hospital operation without regard to cost. He notkl that the impact of over regulation appears to hit the small hospital hardest. appealing to the FCC to permit tran- the operation of Kane County Hospital, which is managed by a second private smitting of telemetry on UHF. sector corporation, Advanced Health Another point raised by McCullough (AHS), offered some additional to the policymakers, was that studies System of interest to the visiting conpoints have shown that doctors who had been cerned policymakers. reared in rural areas tend to return to those areas and remain to practice King expressed that although small successfully. Physicians reared in hospitals compete for physicians, urban areas have not achieved success physicians assistants, nurses and as readily in rural areas. technicians, they are generally helpful to one another in exchanging ideas on Dr. Brian Handley, serving Garfield effective management. County fear the past four years at the He noted that some of the problems clinic and hospital said that although he had not come to Panguitch through the appear to apply equally to all rural NHSC, he felt the program was areas, one of which is recruitment. It essential to recruitment of physicians has become increasingly difficult to in rural areas especially in the initial recruit physicians as these remote areas tend to have little appeal to their phases of staffing of facilities. wives who (refer more expensive He stated that Garfield Memorial shopping facilities and other urban Hopsital was already established and attractions. It is also difficult to recruit working when he first became in- nurses when they find a qualified nurse, terested and that its efficient activities cannot find satisfactory emwere attractive to him. He told they for her husband. ployment policymakers that it is always the rural He said thatanother major concern is areas which get hurt the worst when funding cutbacks occur, two specific providing suitable opportunities for areas, affected being NHSC and family medicine. of Bering Vuf Ad V Vhe Richfield Reaper - Gunnison Valley Nevis - Garfield County News 510 South Main - Gunnison 43 South Main Richfield 115 North Main Panguitch fJlmlli PEwne - Phone - Phone 896-443- 1 6 FOR SALE lumbia 12x65 wstove, 1970 Co- trailer, fridge and dishwasher. Good cond 2 or $6000. Call 896-855- (33) 527-352- 4. MOBILE HOMES FOR SALE Chaste from the areas best selection of new 6 used homes. No charoe lor delivery 6 i 971 Broad-mor- e mobile home, 12x65 with 8x10 expando. Kitchen appliances; 2 air coolers; fireplace. Good condition. Call -1- See Chuck 5 pm. at- - SCOTSMANS HOMES Hwy. 89 S. of Richfield 896-654- 5 529-708- 1 after set-u- o in Utah. ( FOR SALE extra mobile 3 ma tiffins 529-741- 6 9. 527-382- 24c (33)23-24p- d na dm. : u t I m nr D-5- 529-714- 9 527-418- 1 527-412- 9 0 896-857- 7. 1979 Komfort travel trailer. Must sell. See at Butch Cassidy campgrounds. Call after 6:00 pm. Call (36) 529-735- s24pd Chevrolet Impala automatic, good transportaiton $325. 1890 Mauser Rifle, good original condition, good 1969 V-- call 355 1928pd JL Mustang Mach I Hatchback, air shocks, raidals, AMFM Cassette Automatic Player, Trans., air cond., super car for young adult. Pricor ed to sell. Call 896-544- 896-406- 6. (37) C 1 pickup V-- ton Call 1976 4x4 Dodge after 5:00 pickup. Low mileage, p.m. (38) sl9pdtfc 8 ( 37) g24pd new paint job, interior FOR SALE 1960 Ford like new, $3950. Call Super Cab, loaded. Must 1978 Plymouth Arrow for (38) sell. Will look at any sale. 2 dr. hatchback, exreasonable offer. Call 3 Call cond. cellent 1979 Chevette For Sale: days or after 5 p.m. or Low mileage, like new, nights. (38) days. (37 ) 24c ac, stereo, good mpg. 1978 Ford Call FOR SALE WNhoul advertaing, (37) 23pd Fiesta, in excellent cond. iMMtWng Son has gone on a mis- 2 TON FLATBED dump sion. Call (37) truck for sale. Call Kent V J at deer rifle $100. 529-714- 9 Andy - 24-25- 896-818- 3. 1977 Chev. metallic brown, 350 Asking $1050. I. 528-360- wma (38)23-24- c 896-441- 1973 8 896-506- 896-84- 527-37- 896-475- 1 22-2- - 60 East Main Phone 676-270- 6 small FT. CABOVER 1979 Mercury Bobcat, YOUR CHOICE: New 1979 Dodge CAMPER with attached new tires, great mileage 1981 Autos, trucks or pickup wmany extras jacks for sale. Call group accent pkg. $3500, farm tractors for 50 per- - for sale. Bids will be accall after 5:00 cent of cost if you qualify. cepted by Zions Bank, days or after 6 p.m. (36) 16tfc dh pm. (37 sl9pdtfc Mr. Adams (37) Richfield. For more info 10 and 32 5th wheel weekends; 8am - 5 p.m., Like new call Ask for trailer, must see to appreciate. Ph. 326-9Craig (33) stfc pd Marysvale or ph. FOR SALE: 2 bdrm Richfied (36 ) mobile home, acre, 1980 35 fenced, fireplace, new FOR SALE carpet. Small dn, will Wilderness 5th wheel trailer. Call 5297942. (36) finance. Call Phone 528-311- 1 Salma Sun - Salina 529-783- 9 UnderstandiurhiU Your child may not be seeing the world properly and not even know it. To a young child, blurred or double vision, even sight through only one eye, seems normal. Without any point of comparison, theres no way of knowing that what he or she sees should be any different. But your child may tell you about his or her seeing difficulties in ways, says the National Society to Prevent Blindness. non-verb- Write the Society for these clues, and check your youngsters sight with the Societys Home Eye Test for Preschoolers. The test doesnt replace a professional eye examination, but can tip you off to a possible problem. For a copy of the Home Eye Test or other information, contact your state Society to Prevent Blindness or the National Society to Prevent Blindness, 79 Madison Avenue, New York NY 10016 896-500- 896-551- lc M6-645- f X The first vented by hand-hel- d George camera Eastman was in-i- n 1888. |