third world of the u.s.. definition hospitalist/general pediatrician eagle pass, tx/portland,...
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![Page 1: Third World of the U.S.. Definition Hospitalist/General Pediatrician Eagle Pass, TX/Portland, OR/Bethel, AK Prescreened to work in Alaska](https://reader038.vdocument.in/reader038/viewer/2022110404/56649ebf5503460f94bca3fe/html5/thumbnails/1.jpg)
BUSH ALASKAThird World of the U.S.
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Definition
Hospitalist/General Pediatrician
Eagle Pass, TX/Portland, OR/Bethel, AK
Prescreened to work in Alaska
Locum Tenens
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Yukon Kuskokwim Delta-Alaska
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Bethel, Alaska
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Google- “armpit of Alaska” 850 miles west of Anchorage Population- 6500 (70% Native American-
Yu’pik, Chu’pik and Athabascan) Six miles of roads- transportation in/out by
barge(summer only) or plane Taxi capital of North America Permafrost/tundra Milk-$6, Orange Juice-$15 Airport-signs are in Yu’pik
Bethel, Alaska
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Indian Health Service One hospital/main clinic/satellite clinics Service area-size of state of Oregon/56
villages/40,000 people Health Aides Medical students/Residents(FP) Medivac/bush plane Clinic appts-boat or airplane
Yukon-Kuskokwim Health Corporation
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YKHC Hospital-50 beds
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Clinic Appointment Transport
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Mekoryuk Air Strip-Medivac
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Pediatric Clinic
Hospital Service
On Call
Medivac
Pediatrics-YKHC
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Iqmik Aalsma Subsistence living Fish camp Tribal law Honey bucket Dried beaver testicles
Local Terms
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Subsistence Living
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Yu’pik/Chu’pik/Athabascan Mothers have 12-14 children-keep 6 Breastfeeding uncommon-high Vit D
deficiency Level of education Intermarriage common Immunocompromised
Patient Population
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Traditional Dress-Quaspegs
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Mukluks
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Endemic TB Adrenogenital Syndrome Community Acquired MRSA HIV Pneumonia(7x in first 12 mos life) Bronchiectasis Otitis Media with Perforation Botulism
Common Medical Problems
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32 week premature infant-phone resuscitation/4wheeler and plane transport
Coding a 2 month old over the phone
Seizure disorder-out of medication
Child abuse-physical/sexual
Cases
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Kipnuk, Alaska
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Kipnuk-Preemie Medivac
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Typical Housing-Bethel
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Bethel Cemetery
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Walrus tusks
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Questions