Medical/Dental Servicesin <strong>Yosemite</strong>b. Dislocations (such as shoulders and fingers)c. Lacerationsd. Sprains and strains of joints, muscles and tendonse. Significant head injury, such as concussionf. Controlled but continuous bleeding, such as from theBy Gary M. Flashner, M.D.nose or the bowels.All communities require certain services to function - food, fuel, 3. True emergencies that require immediate medical care suchmodes of transportation, means of exchange, and appropriate" as:health care services. This article will serve as a review of the a. Heart attackshealth care services available in the Park, along with those that b. Strokescan only be obtained outside of <strong>Yosemite</strong>.c. Severe asthma attacksThe <strong>Yosemite</strong> Medical and Dental Clinic is the center for these d. Broken bones with associated open woundsservices in the Park. Only two other National Parks in the United e. Serious single or multiple injuries, such as those seenStates (Yellowstone and Grand Canyon) have formal facilities for with automobile/motorcycle accidents or climbing falls,medical care. The <strong>Yosemite</strong> Clinic is located along the main road The staff at the Clinic must always be prepared to deal withbetween the Ahwahnee Hotel and the Village Store. There are the urgent problems and true emergencies at the same time thatthree different entrances into the building -- (1) a front entrance we are providing ongoing care in a family practice setting. Forinto the Dental Clinic, (2) a front entrance into the Medical Clinic this season, all the nursing staff have qualifications and prior ex.(open from 8 a.m. to 6 p.m.), and (3) a rear entrance to the Medical perience working in hospital intensive care units and/or emergencyrooms. Our nursing department includes JoAnne Weston (de-Clinic for emergency visits during after-hours (6 p.m. to 8 a.m.daily, weekends and holidays), and for ambulancentrance at partment director), Dianne Puto, Jane Newman, Wanda Starnes,any time.Cathy Sheehe, Karrie Godor, Kate Lappin, Kathy Edwards, andThe staff of the Medical Clinic consists of 3 physicians (a fourth Pat Borden. In addition to providing the nursing services necessaryin our daily outpatient care, this department can also pro-if hired during the busy summer season), 9 nursing staff, 2 individualsin charge of technical services and coordination of clinic vide round-the-clock care for the small number of patients whoactivities, and 3 people in charge of business office activities. The must be kept in one of the "holding rooms" either overnight orClinic is not an extension or branch of the Curry Company or the until that patient can be transported. In addition to these responsibilities,the department performs extensive support functionsNational Park Service, and all functions are directed by the Chiefof Staff, Dr. James Wurgler. He is accompanied by Dr. William without which the Clinic could not function. These include careBowie and Dr. Gary Flashner who, with the help of the Clinic staff, and maintenance of surgical equipment, appointment scheduling,the Park emergency medical system, and the staff of <strong>Yosemite</strong> ordering and receiving of medications and supplies, filling of allSearch and Rescue, provide medical care 24 hours a day, 7 days prescriptions, and after-hours/weekend handling of billing alonga week.with o~casional participation in ground ambulance and helicopterThe physicians at the Clinic are all Board certified in Family transfers of patients to hospitals in Fresno, Merced or Modesto.Medicine by the American Board of Family Physicians and all have The technical staff at the Clinic includes Chris Becker and DebbieWise. Their responsibilities include operation and maintenanceextensive experience in dealing with true medical and surgicalemergencies. These skills are absolutely essential in providing of all laboratory, X-ray, and electrocardiographic equipment. Chrisgood health care in <strong>Yosemite</strong> because these specific types of also handles the responsibilities as Clinic Coordinator which involvescommunications and coordination of efforts between theproblems are presented to the Clinic.1. Common problems of family medicine and preventive medicinesuch as:in research and development of computer applications for our labdifferent departments of the Clinic. He has also been instrumentala. Diagnosis of pregnancy and initial prenatal care and business office. Technical services are provided 24 hoursb. Well-baby care and immunizationsa day, 7 days a week, and Chris and’ Debbie generally makec. Routine PAP smears recommended once a year for allthemselves available for 3 days (72 hours) at a time.womenThe Clinic business office staff includes Lois Smith, Kathyd. Health instruction on weight control and exercise Kniereman, and Anne Marie Arrigo, They handle all responsibilitiesinvolving the day-to-day finances of the Clinic, managemente. Complete physical exams including those that might berequired for insurance policies, team sports, new jobs, of medical records, and handling of correspondence to patients,or for the updating of personal medical status other physicians, etc. In addition, Lois Smith is a licensed physicalf. Ongoing management and control of common chronic therapist and is in charge of our physical therapy department,health problemsuch as diabetes, high blood pressure, Kathy Kniereman is in charge of all Clinic statistics, and Anneheart disease (such as heart failure and abnormal heart Marie Arrigo handles all of our word processing needs.rhythms), thyroid and other hormonal diseases, epilepsy, We are sometimes asked about services that we do not routinelyhandle. These include detailed allergy testing (we DO administerulcer disease, arthritis, kidney problems, etc.2. Urgent problems that require treatment on the same day allergy shots for individuals who have been prescribed by anthat the problem develops such as:allergist), delivering babies, and complete in-patient care as woulda. Simple, closed fracturescontinued on next page
f l ¯ .... ¯i ~" ’i!tSave the River Dance A SelloutBy Hugh MaguireExpressing their determination to prevent the damming of the to pay $80 for a motel alongside the river when it will look likeMerced River, a capacity crowd of over 200 people attended the 1976 (a drought year)? It will mean jobs after awhile."$12 per ticket "Don’t Dam the Merced River" Dinner Dance held Jan Van Wagtendonk, a member of the Merced Canyon Committeeand Research Scientist at <strong>Yosemite</strong> National Park stated,on February 1, at the Carroll N. Clark Community Hall in El Portal.Ranging from businessmen to Park Rangers and residing in "1 feel very strongly about the scenic and aesthetic values of aMerced, Mariposa, El Portal and <strong>Yosemite</strong> National Park, the free flowing river. There is a value to a free flowing river you can’tdiverse crowd was united by a desire to keep the Merced River replace. This river is the lifeblood of the community. It is like anforever wild and free.artery flowing through the body." Van Wagtendonk revealed thatSponsored by the Merced Canyon Committee, members estimatedthat a profit of between $2,000 and $2,500 would be real-River and its tributaries included in the national Wild and Scenicthe Merced Canyon Committee was trying to have the Mercedized, which will be used for lobbying efforts to save the river. Rivers system so it would be protected forever. It was announcedAfter the barbeque dinner and a raffle ticket drawing which after the dinner that the Mariposa Indian Council of Mariposaawarded prizes varying from rafting trips to dinner for two at local County is supporting this legislative effort.restaurants, Chicago Blues music by J. Wood and the Blues Commandosflowed through the hall and the crowd danced until after mittee, explained that the four-mile stretch of river in El PortalRalph Mendershausen, Chairman of the Merced Canyon Com-midnight.affected by one of the dam proposals "is an area of recreationEach person at the affair had their particular story to tell explaningwhy they opposed damming the Merced River. tion of the area. The problem is visual, and it also affects rafting,that is very important and the dam doesn’t contribute to the recrea-Denise Springer, a Curry Company employee who works at the fishing and tourism."Ahwahnee Hotel dining room, reported she was at the dinner Susan Shaughnessy, owner of the Happy Medium restaurant"because I’ll do anything I can to contribute to the salvation of in Mariposa added that damming the Merced River "would makethe river. I lived in El Portal for seven years; the river is everything the area ugly and deprive us of a tourist attraction. Everybodyto me. I’ll be very upset if they dam it."I’ve talked to is against it. They’d be taking away our birthright.Art Baggett of El Portal, Chairman of the El Portal Planning WP;’y rlot more solar power? They don’t have to rape the river."Advisory Committee, said the dam proposal "is like putting the All in all, the dance was a huge success, in part due to donationsof time and prizes by Bill Hunter, Marianne Hunter, FrankMerced River in a pipe. The river ’is an integral part of our ife.Everydayou hear it, you swim n it. I have a little boy growing and Elsie Dominguez, Tony Tate, Art Baggett, Tom LeRose, theup by it. The river is very importanto tourism. Tourists driving Ansel Adams Gallery, Savage’s Trading Post, Cedar Lodge, thethrough the Merced River Canyon think they’re already in American Indian Council of Mariposa, Vic McLean’s Wild River<strong>Yosemite</strong> National Park. It’s not just ours, it’s a national river." Tours, Zephyr River Expeditions, <strong>Yosemite</strong> Park and Curry Company,Pioneer Market and the El Portal Market. One can only hopeLetty Brouillette, who along with her husband owns Savage’sTrading Post and the Red Bud Lodge declared, "1 don’t think the that the efforts of the community will be rewarded by the preservationof the river.river’s approach should be put in a tunnel. Out of all the peopleI’ve talked to in the county, only two are in favor of damming theriver. I called the PG&E office in San Francisco and they saidthey weren’t interested in buying power from the dam. Who wantsMedical/Dental Services continuebe found in a formal city hospital. When such services are required,we generally refer our patients to specialists who we knowand with whom we communicate in Fresno, Merced, Modesto andSonora.The staff of the Clinic hope that this article wil help to informthe <strong>Yosemite</strong> community of the range of health care that isavailable in the Park. We are always available at 372-4637.In future Sentinel articles, we will describe services providedby the <strong>Yosemite</strong> Dental Clinic as well as providing discussionsof specific and common health problems that we encounter,NOTICEThe <strong>1985</strong>edition of the YOSEMITE/BAY toBREAKERS T-shirt is available for sale to all<strong>Yosemite</strong> participants in this annual event.This year the Bay to Breakers Run will beheld on May 19th, <strong>1985</strong>. To reserve your"collector’s edition" T-shirt, or for more information,contact Bill Germany at extension1256.J
- Page 1 and 2: yOSEMITE NATIONAL PARK RESEARCH Ltb
- Page 3 and 4: Fresno Reservations First Anniversa
- Page 5 and 6: Envelope commemorating the opening
- Page 7 and 8: ~ ,..~i,~:~L .~’~%.q:~,’;::i,
- Page 9 and 10: {Yosemite Receives Major Donation t
- Page 11 and 12: ,!r..... h~ ......Wawona Under Cons
- Page 13 and 14: Nordic Skiing at Badger Pass~¯}.j(
- Page 15 and 16: !Goals for 1985sky," only the adver
- Page 17 and 18: :c:~. -i!AIOSEMITE NATIONAL PARK RE
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- Page 23 and 24: SWinter Games (continued)tion and s
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- Page 27 and 28: ~,°-,9~’j..A pen and ink sketch
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- Page 35 and 36: SUNSET.’. ’~ ,L~~,’._~.,~ ~ii
- Page 37 and 38: Merced River UpdateOn Tuesday, Apri
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- Page 41 and 42: i~Yosemite Weddings"WE DON’T TAKE
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- Page 45 and 46: LF Iv 7]Summer Thursdays, 8:50 p,m,
- Page 47 and 48: y Joanne WestonAH-CHO0! Allergy Sea
- Page 49 and 50: !iWho Was John Muir?by Hugh Maguire
- Page 51 and 52: Youth Sports Roundupby Ron MackieMa
- Page 53 and 54: MoviesJuly 2:July 9:July 16:July 23
- Page 55 and 56: CLINIC UPDATEBP: Your Barometer of
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- Page 59 and 60: East Overpowers West In All Star Ga
- Page 61 and 62: MoviesAugust 6: Cotton ClubAugust 1
- Page 63 and 64: ,’4’¯ iGAMES1985 WawonaGames F
- Page 65: Jim and Lynn Wilson: The Sierra Sun
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creer e osee her,.wish, her w_e!, I
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World Heritage Dedication, Mt. Anse
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TIMBER!Cedar Lodge Falls!by Employe
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.)iii/YOSEMITE RENAISSANCE 1985"To
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"Red" Guthrie Wins1985 Yosemite Awa
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MoviesNovember 5:Oxford BluesNovemb
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I: °CONGRESSIONAL HEARINGS HELD IN
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YOSEMITE’S CHRISTMAS TRADITION...
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iwt¸i’¯ !"i!,i~i:!CHRISTMASINYO
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MoviesDecember 13: Vision QuestDece