Monday, September 26, 2005
Must be willing to fly in small planes....
I’ve now been working for about 3 weeks. My work hiring date was kind of mixed up as the director of the Family Infant Toddler program informed me that she was quitting her job a couple of days after my arrival in Bethel. This didn’t exactly make for a smooth transition. Anyway, after a week of waiting around, my first couple of days consisted of hospital orientation. YKHC (Yukon Kuskokwim Health Corporation) is literally that…a big corporation. Orientation was comical as they talked about “the corporation this” and “the corporation that.” As the largest employer in the area and the 7th largest employer in
Anyway, after a couple of days of orientation, I was ready to start my real job. I arrived promptly on time and was hoping to meet with my new boss who would show me around (if even just for the day). Turns out her flight to
So I was anxiously anticipating our first travel day. My first flight was to a village called Akiak, which is only about a 15 minute flight. We flew on a charter company called Craig Air. The plane was a 4-seater and I ended up with the seat right next to the pilot. I did OK on the way to the village, but I was definitely feeling ready for the flight to be over when I looked down and saw the gravel runway. On the way back, it happened to be quite windy and combined with a small case of nerves, a helping of agutak (Eskimo ice cream---basically whipped Crisco and berries), and diligently watching all of the dials on the plane, I was quite ill when we got back to Bethel. I couldn’t believe it. Sick on my first day of travel and only a 15 minute flight. For the rest of the day, I sat at my desk (working quite hard of course) thinking…I don’t think I’ll make it if I’m going to be this sick every day of my job. It took me 1 hour just to eat my peanut butter and jelly sandwich. I went straight home and ordered a device over the internet which is called a sea band and looks like a watch but it applies a little electrical stimulus on your wrist and reportedly is very helpful in decreasing motion sickness. The other PT said it works amazingly.
So the next day, I was quite nervous upon going to work. It was another short charter flight on Craig Air. This time to a village called Napakiak. I boarded the plane with trepidation (a big 6 seater this time) and to my amazement….no sickness. I’ve now been to 6 villages on all sorts of different planes, and haven’t been sick again. So at least I have that going for me, must have been the first day jitters (or the wind). The other villages I’ve been to are Quinhagak (pronouced like Quinn-a-hawk and it’s not labeled on the map below, but it is on the coast south of Bethel), Chevak (near Hooper Bay in the north—about an hour and 10 minute flight), Alakanuk (also far north) and Kwethluk (about 15 miles up river from Bethel). I’ve been on the
major air carrier for the region which is Era aviation and you even get Alaskan frequent flier miles. This is a bigger plane (a Twin Otter), but most of the seats are removed and used for cargo. You really feel like you are part of the day to day working on the bush villages as we stop in villages along the way and deliver the mail, packages, etc. I’ve also flown Yute Air, another regional charter operation. On all the flights, you fly very low to the ground, so you can really see the tundra/look for wildlife, etc. Mostly it’s an amazing maze of lakes and swamp with yellow, orange and red fall colors around them. There are occasionally some hills or plateaus and if it’s clear you can see mountains in the background. I’ve seen a lot of birds and possibly a moose or two.
So the general procedure when you get to the village, is first to make it to the village health clinic. Every village has a clinic which is staffed by local villagers who are trained as health aides and do just about everything from delivering babies (if it’s an emergency), stabilizing emergencies, stitching people up, giving shots, routine health care, etc. This is where we set up shop for the day. To get to the clinic, we either walk (sometimes up to a couple of miles) or get picked up by someone with an ATV or a truck. We hop on, hold on, and head into town. Then we call all the families and set out for home visits. There are various delays (for example, one family’s 16 year old son had just killed his first seal and his mother was busy cutting it up for the town elders so we had to come late in the afternoon). Sometimes the pace is fast if we have a lot of kids to see, but usually there are just a few kids and we have about 1-3 hours to hang out in the clinic. I quickly learned to bring a book along as everyone else gets out their knitting. It’s also fun to check out the local grocery stores or take a walk to the beach. I learned today that it is a policy that we have to spend at least 4 hours in a village, even if we only have 1 kid to see.
The family’s homes have all been fairly similar. Many don’t have running water, but it’s not very obvious. The health clinics all have had running water so far (many are quite new). Some houses have full kitchens, others just a microwave and a hot plate. Some have furniture, others a couple of mattresses on the floor. Overall, the floors have been fairly dirty linoleum so it’s not optimal for putting babies down to play on the floor. I hate to be making so many generalizations, but I’m just trying to give an overall description of things. One thing that definitely amazes me is the number of children. We’re typically there to see the youngest baby and there are often 2-3 more kids under the age of 5. Plus the school age children. Having big families is the name of the game here. My co-worker was telling me about how sad she is that her sister only has had 2 kids. She said, “she could at least have a few more.”
I’m trying to get the hang of how much to interact with the kids/families. There is generally a lot of Yupik speaking and they’re pretty touchy to people coming in and interacting with their kids/giving them toys, etc. But I’m sure with enough observation I’ll be able to figure something out. One of my co-workers was going to train me to perform a developmental test. It was mostly a parent interview test and she did the entire thing in Yupik. Then handed me the score sheet and asked if I had any questions. Me, questions??
Enjoy the pictures and think of me flying through the air!
Caciitua (Indispensible Yup'ik Phrases)
Waqaa. (Hello). Today in the office our friend Jimmy was teaching us some Yup'ik. He was laughing so heartily at our attempts to say hello, we thought he must be pulling a fast one on us, teaching us to say whale penis or something. So we looked it up on the all knowing internet, and it turns out he was being honest and just laughing at our pronunciation. If you are interested in the language, here's a link with a few words you can listen to:
Learn to speak in Yup'ik
May you be ever umyuartuluni!
Saturday, September 24, 2005
Garage Sales and The FUN Run!

Today, the Diabetes Prevention team and the Physical Therapy department of the hospital teamed up to sponser a Fun Run. Lying in bed this morning and listening to the

Friday, September 23, 2005
Where the heck is Bethel, Alaska?

Not exactly a tourist mecca, Bethel is about 70 miles up the Kuskokwim River. The Kuskokwim and the Yukon rivers are the two largest rivers in Alaska. The area surrounding Bethel is called the Yukon-Kuskokwim Delta (or YK Delta for short). Home to millions of birds, this corner of Alaska is about 75,000 square miles and is similar in size to the state of Oregon. There are no roads which connect the villages and it takes about 3 hours in a small plane to fly from the northern to the southern villages of the delta. There are also many small villages near Bethel on the Kuskokwim which can be reached by boat. Of course, once the tundra freezes over, it's a whole different story and the snow mobile options are endless. Plus they make the frozen river into an ice highway. There are about 6,000 people who live in Bethel and about 25,000 in the YK Delta. Bethel is about 400 air miles west of Anchorage and Nome is about 400 miles north. Russia is approximately 400 miles to the west. I include this map as I'm getting ready to post my fun experiences as a travelling pediatric therapist, flying to all of the little villages around Bethel!
Sunday, September 18, 2005
Berry, Berry, Berry Tasty





Saturday, September 17, 2005
Bethel Health Issues

Well, so far we've mostly raved about the positive aspects of Bethel, so we figured we would share a few of the more challenging issues. As you may know, Bethel is a damp town. That means it is illegal to buy, make, or sell alcohol. You can bring it in and unfortunately a lot of people have access to it. There is also a problem with inhaling substances such as Lysol or Listerine. This is called huffing and there is actually one of only 2 inhalant abuse centers in the United States located here. When you go to the grocery store, all of the abused items are located behind the counter. This


Friday, September 16, 2005
Dedicated to My Brother



Saturday, September 10, 2005
Random Bethel Action



Here's a few more pictures of Bethel. Dawson bought some rainboots, so he is very excited about walking through mud puddles and showing me just how wet his feet don't get. They don't have my size for boots at any of the 5 stores in town. I need to order some soon, as my coworkers are amazed that I show up to work without them. The picture of Dawson on the container is in our front yard. Our thought is that people buy the containers to ship stuff up and then just keep the container in their yard. Maybe there's another explanation, but the bottom line is that a lot of people have big boxes in their yards! All of the water and sewer pipes are located above ground and this one shows the insulation to keep the pipe from freezing. In the villages, I've seen ATV's with insulated water storage tanks cruising around to fill up people's water tanks in their homes. People tend to use the spray-on insulation quite generously, spraying everything from their tanks to their houses.
Wednesday, September 07, 2005
More Fishing





Monday, September 05, 2005
berry picking and other pretty tundra vegetation


Sunday, September 04, 2005
Boardwalks!
Bethel has a network of boardwalks set up across the tundra which you can use to walk around town. It's a very nice system because walking on the tundra itself requires great ankle strength as the ground is marshy and uneven and you invariably turn your ankle and your foot plops into a hidden mud puddle. And walking next to the roads is not very fun as there are a lot of cars in Bethel...all trying to navigate the pot-holed dirt roads at mock-Bethel speed (about 35-45 mph!). The number of cars here was one of the most surprising things about Bethel. The town is very spread out and everybody seems to have a car. Or take a taxi. They are 3 taxi cab companies in town and they run a very profitable business. More on the taxis later, but it costs $4 to get around town and $6 to go to the airport. The boardwalks are really the way to go, however. They are also susceptible to the heaving of the tundra and sometimes have a roller coaster feel to them, but they are really nice to walk on.


Saturday, September 03, 2005
Go Grizzlies!

The Mighty Kuskokwim Salmon Fest
This is Genevieve driving Judge Devaney's boat out on our first fishing mission. We only caught two that time, but it was enough to break the Michigan curse. (We never caught a fish in Michigan, despite our skillful attempts. Of course, we never had bait, which may have been a problem.) The Judge let us take home one of the fish, which was great. Our friend Gilder tried to talk us through our first salmon filleting experience. It took us about an hour. And a trip to the store for a better knife. We ended up with Salmon steaks. Fillet shmillet.

Here's a nice view of the river. The part to the right is actually an island, so the Kuskokwim is actually about three times wider than it appears in this shot.


We labeled the fish appropriately. "Mangled. Not for guests"
We later got a primer on the fillet maneuver from Judge Windahl. We now have several more salmon fillets in our freezer and they are beautiful. It takes no time at all once you know what you're doing. And you have a sharp knife.
Friday, September 02, 2005
Thursday, September 01, 2005
Permafrost and Salmon Eggs





Fish gutting.