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Albert Tsosie and Shirlene Bigwater: The Individuals Who Have Provided Exceptional Care at SMH for Four Decades

GANADO, Ariz. — Albert Tsosie and Shirlene Bigwater have been dedicated employees of Sage Memorial Hospital for many years, contributing a combined 79 years of service and witnessing the hospital’s growth firsthand. Their commitment to their work is evident in their long tenure at the hospital. They have not only delivered outstanding healthcare services to patients but also served as mentors and role models to younger employees. We interviewed them about their journey at Sage Memorial Hospital, their reflections on the changes over the years, and their advice for new and future employees.

Interview with 40 year recipient  Albert Tsosie

Albert Tsosie joined Sage Memorial Hospital in August 1983 and has been a valued member of the team for over 40 years.

Q: What inspired you to stay with Sage Memorial Hospital (SMH) for almost four decades?

It is helping & giving my utmost assistance to our community.

Q: In your perspective, what has been the most significant transformation SMH over the years? 

A: I believe that the most transformation is having our new hospital build & our new CEO. Melinda White, coming on board.

Q: Can you share a notable experience or project that you were involved in during your tenure?

A: Since I started in August 1983, I started teaching as an BLS instructor with the American Heart Association which I’ve started in the summer of 1984. Since then, I’ve teached hundreds of BLS classes through the years of being here. It’s something I had enjoyed doing helping people to learn basic life support.

Q: How has your role evolved throughout the years?

A: My role here since 1983 has pretty much evolved from being a Arizona Intermediate EMT, Surgical Tech, Patient Care Technician. Presently, I’m certified as a Medical Assistant. 

Q: What advice would you give to newcomers joining SMH?

A: Here’s a few of my advice to newcomers is: Just be yourself. Make a strong impression. Always make an extra effort to help others. Set boundaries for yourself. Do your job to the best of your ability. 

Q: Can you mention a person or event that had an impact on your career within SMH?

A: Ok, I have to say that my former EMS Supervisor, Nathan David, had a significant impact on my career. Secondly, ERT Zella Wilson, of the ER Dept.. 

Q: What accomplishment are you most proud of in your lengthy career with us?

A: My accomplishments? That has to be our SMH patients that come here for their healthcare management thanking my services I’ve provided during their visits. It’s a great feeling when you hear someone appreciating your assistance. 

Q: How have you witnessed the industry evolve over time?

A: A lot has changed since 1983 in the medical industry. For example, we didn’t wear PPEs when treating a patient whether it was in the ER dept or out in the field working a motor vehicle accident. 

Q: What are your anticipations for the future of SMH?

A: My anticipation is that SMH will grow to being one of the best Rural Hospitals in Northern Arizona. I hope I will continue to be part of that happening for the future of SMH for the next few years!

Interview with 39 year recipient  SHIRLENE BIGWATER 

Shirlene Bigwater has been a dedicated employee of Sage Memorial Hospital for 39 years.

Q: What inspired you to stay with Sage Memorial Hospital (SMH) for almost four decades?

A: At first it was for my kids, they all wanted to graduate from Ganado.  Church, nice place to raise children, convenient, enclosed area, 24 hour security, friendly environment, co-workers and lab managers,  past and present making it an enjoyable pleasant place to work,  thank you for your hard work and dedication.

Q: In your perspective, what has been the most significant transformation SMH over the years?

A: Waiting almost forty years for a new hospital. Thank you, current Admin and Board for making it a reality. Can’t wait to see the finished product.

Q: Can you share a notable experience or project that you were involved in during your tenure?

A: I did not go to Baltimore for formal training on the old Meditech LIS system.  I was responsible for learning to build tests, interface with TRICORE reference lab. (at that time). I had to learn, because techs were coming and going.  Today, we have people who are willing to learn new instrumentations and procedures. I feel confident to retire. 

Q: How has your role evolved throughout the years?

A: Started out as a lab generalist bench tech, as the years went by I am now a General Supervisor, more responsibilities, more expectations.

Q: What advice would you give to newcomers joining SMH?

A: You have to care for the people and love your job.

Q: Can you mention a person or event that had an impact on your career within SMH?

A: Marlene Gleason, and FJ,  both encouraged, taught, believed, stood up for the lab and always strived for perfection.  Dr. Rizwan was also a caring Supervisor.  Only once I was put on a 3 day suspension,  but thank God for Administrators that know their employees.  The temporary contract Lab Manager packed up and left town by the end of the week. 

Q: What accomplishment are you most proud of in your lengthy career with us?

A: Always passing our inspections, and our proficiency testing, we never had to discontinue any testing because of failing. (knock on wood)  Before our current Lab manager came, we did have some inspections with high deficiencies, I believe it was because they were only here temporarily and did not care enough.  It seems as the years go by, with new testing and procedures, there’s more to look out for and review.

Q: How have you witnessed the industry evolve over time?

A: New instrumentations, new procedures, new diseases and different testing techniques, faster  walk away testing, even in blood bank,  we will be able to just load our specimens and let the analyzer do the procedure, of course we would have to check it then release the results.  I’m waiting for the instrumentation, where all you need is one fingerstick and you get your CMP’s and CBC in less than a minute.   Today,  Medical Technologist is known as a Medical Laboratory Scientist. 

Q: What are your anticipations for the future of SMH?

A: To be the hospital of choice, less send outs, larger inhouse test menu. Because of new specialized services. No need to transfer patients elsewhere.

Embracing Cultural Diversity in Mental Health Care: An Interview with Dr. Richard Laughter

GANADO, Ariz. — Dr. Richard Laughter recently joined the Sage Memorial Hospital behavioral health team. He is the only Native American psychiatrist on the Navajo Nation. With over 15 years of experience in psychiatry and a passion for embracing cultural diversity, Dr. Laughter talks about how traditional healing practices can help with mental health care. In this interview, he explains why cultural elements are important in treatment and how they can help patients get better.

Traditional Healing Practices at Sage Memorial Hospital

Dr. Laughter envisions expanding the cultural diversity in mental health care by offering a variety of practices such as sweat lodges, hogans, teepees, and other traditional structures for patients to access. He also hopes to incorporate Christian practices for those who may not identify with traditional Native American beliefs.

“I envision bringing cultural elements into the hospital, like the Hogan and spiritual counselors. They could operate as a separate entity to serve the entire facility,’” said Laughter. “This way, we can guide people there and make sure they get the specific prayers or support they need.”

These practices will work alongside other treatments like therapy and medication. The goal is to provide a well-rounded approach to healing, combining both Western and traditional medicine.

Other plans include; incorporating programs such as “Wellbriety” which is a Native American approach to healing addiction, and working with community members who may be able to offer unique perspectives on treatment.

About Dr. Richard Laughter

Dr. Richard Laughter was raised in Salt Lake City, Utah, but frequently visited the Navajo reservation with his parents. His father hails from Shonto, Arizona, while his mother originates from Vanderwagon, New Mexico. His clans are Bit’an’nii, born for T’od’ich’nii.  Maternal grandfather is Dibe’l izhini,  and maternal grandfather is T’achil’nii. He is a veteran of the USMC and achieved the rank of Sergeant in the infantry.

He obtained his undergraduate degree in human biology from the University of Utah before completing his psychiatry residency at The University of Nevada in Reno. Subsequently, he pursued a Master’s in Business Administration from Grand Canyon University.

After graduating, Laughter moved to the Navajo Reservation and began working at Gallup Indian Medical Center. He spent four years there, making a big difference in his service-focused career.

“I have chosen to make this reservation area my home,” said Laughter.” I have seen firsthand the challenges and disparities that our people face in accessing mental health care and I am committed to being a part of the solution.”

 AA Program (Wellbriety)

In addition to incorporating traditional healing practices, Sage Memorial Behavioral  Health Services  is also implementing the Native American 12 Step Program, “Wellbriety.” This program was developed by White Bison and focuses on incorporating cultural teachings into the 12 steps.

Leroy Klassen, a Peer Support Specialist, has recently completed training in the Wellbriety 12 Steps and will be leading sessions Monday through Friday. The sessions will incorporate traditional elements such as talking circles, drumming and singing, prayer, and smudging.

Sage Memorial BHS is also in the process of setting up a sweat lodge and ordering materials for two teepees. They are also planning to hire a traditional practitioner to further incorporate cultural practices into treatment.

In addition to the Wellbriety program, Sage Memorial BHS also offers SAMHSA Matrix Substance Abuse groups, which consist of 54 lessons on coping skills. These groups alternate with Wellbriety sessions in both the morning and afternoon.

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