In Pause for Wellness, people in the Interior Health community share their personal stories, journeys, and insights about health and well-being. With the help of some amazing mental health professionals and a lot of reading, I’ve been learning about who I am and understanding my "authentic self". Lately, I’ve been thinking more about why I don't always live and behave like that person. And I've started to understand that permission has been getting in my way. I have three young kids at home and the topic of permission comes up a lot. Whether it's permission to stay up late, to go on a field trip or have a second cookie, my kids look to me for permission to do things pretty regularly. So I'm wondering, if I'm the parent, who do I look to for permission to be my authentic self?  It turns out the answer is pretty simple and you don't have to go far to get it. You don’t need anyone’s permission but your own.  Whether it’s permission to walk away, permission to try something else, or permission to try again; you have it. You only need to decide to give it to yourself.  About the author Hi! My name is Megan and I'm part of the communications team at Interior Health. I live in Kelowna, on the beautiful lands of the Syilx peoples. The Interior Health value that means the most to me is compassion. I think compassion starts at home, with our families and ourselves. And I love being part of an organization where we're encouraged to bring compassion to work each day and to use it to make a difference in the lives of the people we meet. 

Ktunaxa Nation cultural educator Jared Basil presents a drum to Interior Health’s Shannon Statham, at a Ktunaxa Nation drum ceremony at the newly opened Cranbrook urgent and primary care centre. A welcome to the building in Ktunaxa language is on the front door, the exterior sign, and other places in the facility.   For as long as he can remember, Jared Basil has loved to dance. Every May long weekend, dressed in full regalia, he dances to the drums of the Lower Kootenay Band at its annual Yaqan Nukiy Pow Wow. In elementary school he remembers being jeered by classmates as he danced during presentations. But dancing keeps him grounded; connected to his culture and to the Ktunaxa Nation. “Dancing has always been in my life. It’s something I have always been able to showcase without fear of animosity. When the drum is going...the drumming is meant to represent the heartbeat of Mother Earth, so when you are connected and grounded to that, sometimes it feels like nothing else matters.”   Dancing is also part of what helped bring Jared back from hardship. As a young adult, Jared fell into substance use but has been turning his life around since 2010, the same year he worked a stint at the 2010 Olympics in Vancouver.   A return to his roots and culture, a return to dancing, and the arrival of his son, all helped to bring him back to his community and to health. “I came back for a pow wow and I had been gone so long…I didn’t have regalia…it was like I had forgotten how to dance,” he says. “But I was at this pow wow and I was just feeling this need and wanting to dance. So, I started dancing again. Being a part of that was so meaningful. Having that ability to dance again was one of the most important aspects of being able to get back into my culture. It reinvigorated me. And having a son was a big factor in relearning the culture.” Months after that pow wow, Jared and his girlfriend (now fiancé) returned to Creston and Jared threw himself into the community. He was elected to band council for six years before joining the Ktunaxa Nation in his current role as a cultural educator, working with the traditional language and cultures of the Ktunaxa. It’s a role that brought him together with the team working to open the new urgent and primary care centre (UPCC) in Cranbrook, on the traditional territory of the Ktunaxa. Jared joined the team in the planning stages and connected with language experts and elders in the Nation to provide words and phrases to be used at the centre.  Traditional language has become part of Interior Health capital projects with projects featuring language pieces designed to make buildings welcoming spaces for people of all cultures and backgrounds.  On the Cranbrook UPCC sign, the phrase Ya·kiⱡ ʔawumuʔtiⱡamnamki roughly translates to ‘a place to seek medical help.’ “We have always wanted to preserve and advance our language but non-Indigenous communities haven’t always wanted to create space for that kind of opportunity,” he says. “Now we are in a different era. We live in a time of truth and reconciliation. It’s about embracing each other’s cultures…that ability to be open to all.” Other phrases will be on the entrance door to the UPCC and inside on different rooms. “The advancement of the language in a respectful manner is so important. For our future generations to start seeing their language on buildings like this speaks to a different level of esteem that some of us Indigenous people never had in the past.” The Cranbrook UPCC opened on Dec. 6 in the Baker Street Professional Centre. It features a team-based care environment with physicians, nurse practitioners, physicians, physiotherapists and more treating people who need urgent care within 12 to 24 hours. The Numa Kakin’ drum group performs at a Ktunaxa Nation drum ceremony at the Cranbrook urgent and primary care centre on Dec. 10. Welcoming Words Ktunaxa Nation cultural educator Jared Basil worked with language experts and elders in the Nation to provide words and phrases to be used at the new Cranbrook urgent and primary care centre. Here's an example of some the phrases you'll see there, and loose translations of what they mean: Front door sign: “Kiʔsuʔk kyukyit q̓api niskiⱡ. Hu sukiⱡq̓ukni kin wakiⱡ nawsanmiyitki" Good day everyone. I am glad/pleased that you arrived. Exterior building sign: “Ya·kiⱡ ʔawumuʔtiⱡamnamki” Where/There is/Place where” to seek medical help. Group room sign: “Ya·kiⱡ ȼxanaʔt”  Where/There is/Place where” to tell someone/ to relate or to explain to someone. Consultation room sign: “Ya·kiⱡ hakq̓ti·mu” Where/There is/Place where” to discuss something/ to have a meeting or discussion over a particular issue.

Last week, Interior Health began offering the paediatric COVID-19 vaccines to children age five to 11 in communities across the region. The response from families and communities has been positive and thousands of children in this age group have already booked appointments across B.C.  Many families have expressed how relieved and grateful they are to have their younger children vaccinated against COVID-19. There are also others who have questions, understandably, and it is important we continue to make it easy for parents and guardians to have access to the factual information they need to make the decision to get everyone in their family vaccinated. The paediatric Pfizer vaccine is available for five to 11 year olds in B.C. It is a smaller dose of the same vaccine administered to millions people globally over the past year.  There were no severe reactions in children during clinical trials and any mild side effects (sore arm, fever) subsided in a day or two. In our clinics across IH, specially trained pediatric immunizers and public health nurses are on hand to provide care and support children receiving the vaccine.  Like youth and adults, we know children need protection from COVID-19. Since Sept. 1, children aged five to 11 have accounted for 16 per cent, or close to 2,000 of COVID-19 cases in the Interior region, the highest rate of infection of all age groups.  While most of these children experience mild to moderate illness from the COVID-19 virus, some children can get severely ill requiring hospital admission while others can have lingering symptoms or health issues long after their infection. Vaccination will help reduce this risk and these impacts.  Data from studies of children aged five to 11 has shown that the vaccine is 91 per cent effective against preventing COVID-19 infections, and even better for preventing severe illness and hospitalization. This level of immunity is remarkable. Still, we know that the body takes time to build its immune response and that full immunity is achieved about seven days after the second dose. I know some families are tempted to “wait and see,” and to put off the decision to vaccinate children for a few months. However, as we head into the holiday season and winter gatherings, vaccination offers the best protection – now and in the first months of the New Year.  When children are immunized, not only are they better equipped to fight off infection, but they’re less likely to need to miss school or social activities that are important to their well-being. They’re also less likely to spread the virus to others, including grandparents, aunts and uncles, neighbours or people with compromised immune systems. Don’t delay the benefits by waiting longer than necessary.  Now is the time to consider the reasons that are important to your family and to register your children to be vaccinated at gov.bc.ca/vaccineforkids and if you have any questions or concerns, please speak with your family’s care provider, call 8-1-1 or learn about COVID-19 vaccines for children 5-11 at interiorhealth.ca.     About the author Dr. Sue Pollock is Interior Health's interim chief medical health officer.

We are IH is a recognition campaign to spotlight Interior Health employees and medical staff – through pictures and stories. Name: Tracey Thoss  Job Title: Administrative Services  Years of Service: 3 Years Worksite: Kamloops Mental Health and Substance Use Community: Kamloops Ancestral Territory: Tk’emlúps te Secwépemc (TteS) territory Favourite Quote: "In a world where you can be anything, be kind.”- Unknown The last three years working in mental health and substance use has been very rewarding for Tracey. She has found a great deal of fulfilment through helping people and has a strong belief that one small kind gesture can make a large difference in someone's life. Tracey is overwhelmed by the dedication of her co-workers throughout the pandemic and it has reinforced how proud she is to work with this team! “I receive tremendous job satisfaction when I see a client that has struggled in the past transition from crisis to living a purposeful, happy, and fulfilled life because of the support we have provided them.”  Tracey visiting her home country of South Africa. Born in Johannesburg, South Africa, her family soon moved across the ocean to Canada. Growing up in beautiful British Columbia, Tracey continues to call Kamloops home. She loves the outdoors and enjoys the unmatched scenery, plentiful lakes, and the abundance of hiking and biking trails. In the summer, you can find her paddle boarding with her husband or skiing and snowshoeing in the winter. Tracey and her husband travelling. She loves to express her creativity through mixed media paintings and collecting antique tin toys. We are so lucky to have Tracey’s loving, friendly and quirky personality as part of our team. Thank you for all that you do! Stay updated with careers at Interior Health Facebook  |   Instagram  |   LinkedIn

After working for 40 years in health care, and volunteering for a number of health-related organizations, Maria Klement knows both sides of health-care delivery. “I remember what it’s like to be a health-care worker and trying to care for everyone – it can be hard to see the forest for the trees,” says Maria. “Meanwhile, patients and volunteers bring different ideas. They have a unique voice that complements the decision-making process.”

Charlotte is proud of her mixed heritage – her ancestors are Cree and Shuswap, as well as Japanese and Irish. As someone who is homeless herself, she is a fiery advocate for people without homes living in Kamloops. She is also passionate about her Indigenous culture and participates in traditional ceremonies with singing and dancing. As fiercely independent as Charlotte is, she also has chronic health conditions including depression, social anxiety and HIV, and her journey has not been easy.  That’s why her relationship with Tamyla Laing, a Life Skills Worker from Kamloops, is so important. Charlotte says she can’t imagine where she’d be without Tamyla, with whom she has worked for about three years as part of Interior Health’s Intensive Case Management team. “Tamyla has given me hope when I had none. She’s given me strength when I had none. She always makes me accountable, which is great. She is a remarkable worker. Really she is phenomenal,” Charlotte says.  Tamyla is quick to interject: “It’s Charlotte who has done all the work. It really is all about Charlotte and her commitment to recovery.” Life skills workers play a unique role in the mental health and substance use care continuum. They aren’t social workers, clinicians or counsellors. Rather, they work with individuals on developing day-to-day skills such as obtaining identification, opening bank accounts, doing taxes, and finding stable housing, food and clothing. They support people in managing interpersonal relationships, and in taking care of important medical and dental needs. For example, Tamyla will attend appointments with Charlotte to help her manage complex information and schedules related to her HIV treatment.  “Life skills workers often have a window into people’s lives in a way that other health-care workers don’t, and have the privilege of witnessing both the day-to-day struggles as well as growth and successes of the people they serve,” says Jessica Mensinger, manager of mental health and substance use services in Kamloops.  In addition, they provide harm reduction, support in accessing Opioid Agonist Treatment medications for opioid use disorder, and wound care. They do wellness checks and, when people are struggling, they reach out to help. “Tamyla comes to me, which is remarkable. Not a lot of professionals leave their office,” Charlotte says.  To learn more, check out Interior Health's substance use services.   

Behind the scenes at a busy Kamloops hospital, support people, clinicians and doctors continue to work on improving care for patients by participating in simulation training for major medical procedures.  This November, staff at Royal Inland Hospital spent a day in simulation training for systems improvement and training in the care of stroke patients. Participants included Emergency Department, Medical Imaging, switchboard, shift co-ordinators, physician leads and stroke patient care co-ordinators.  Dr. Aleks Tkach, a vascular neurologist and medical director of stroke services for Interior Health, congratulated all the participants for supporting and raising awareness of simulation training. He noted the excellent leadership of stroke patient care co-ordinator Lindsay Marriott who demonstrated improvement in organization, roles, flow, and communication to participants in new stroke protocol development. “I cannot over emphasize the importance of nursing leadership for systems improvement and change. Lindsay is a perfect example of this in action at Royal Inland Hospital at a time where everything is stretched thin,” said Dr. Tkach. Jaime Gallaher, regional knowledge co-ordinator, at the Rae Fawcett Simulation Centre, expressed her appreciation for the event with a tweet recognizing the “fabulous day” for developing a protocol that will make such a difference in recovery for stroke patients when they first arrive at the hospital. Lindsay praised the willingness of the Emergency Department team to participate in the stroke simulations, as well as their open-minded approach in implementing the new stroke protocol. “I am so thankful for their support and continued enthusiasm to use this new protocol and am eager to see first hand the benefits it provides for our stroke patient population,” said Lindsay.  Cory Bendall, Interior Health Stroke Network director, stressed the importance of practising these procedures that bring several teams and disciplines together for an urgent response. “With stroke, every moment matters,” she said.

Devon is a peer worker who provides overdose prevention and harm reduction supports to those living in shelters and supportive housing. As someone who had his own life saved at an overdose prevention site, he understands the value of these services and it’s important to him that others understand the facts.

The health-care professionals at the Cranbrook Urgent and Primary Care Centre will provide a team-based care approach at the new clinic, located in the Baker Street Professional Centre in Cranbrook. Nurse practitioner Tara Fiedler-Graham is pictured second from right.   Having been a nurse for nearly 30 years and a nurse practitioner for 10 more, Tara Fiedler-Graham is used to caring for people.  For most of her career, that’s happened in Cranbrook, where she has worked directly with vulnerable populations and helped people suffering from mental health or substance use issues.  And now she is putting her considerable experience towards a new health centre as a nurse practitioner at the new Cranbrook Urgent and Primary Care Centre (UPCC), opening Dec. 8. 2021. The clinic, located in the Baker Street Professional Centre, will feature a team of skilled health-care professionals, from nurse practitioners and family physicians to social workers, physiotherapists and more. It’s the team aspect of the new Urgent and Primary Care Centre that has Tara feeling optimistic for her hometown. Once a patient attends the centre, it will be determined which health-care professional is best to support their care. “I’m most excited about the team-based care aspect, recognizing that people have many different needs when they come to access care,” she says. “We have lots of very skilled health-care professionals who can treat people. It’s going to be good to see.”     The Cranbrook UPCC is the seventh such centre to open in Interior Health, joining those already established in Castlegar, Penticton, Vernon, West Kelowna, Kelowna and Kamloops.  The Cranbrook centre will open in a phased approach. As more staff are hired, the hours of operation will increase. Eventually the UPCC will be open seven days a week including weekends and holidays.  “Providing more access to health care, especially some extended hours beyond the traditional 9 to 5 coverage we have in Cranbrook, will be great for the community,” says Tara, who went to elementary and high school in Cranbrook and started her nursing training in the community as well. Urgent and primary care centres are designed with input from local health-care professionals and are tailored to the community in which they operate. In Cranbrook, there are plans to have maternity care offered in the future, something that is needed in the area, says Tara. It will also look to connect people to a primary care provider once it is fully up and running. The Cranbrook UPCC came together with the support of partners from the East Kootenay Division of Family Practice, the Kootenay East Regional Hospital District, and the Ktunaxa Nation along with the Ministry of Health and Interior Health. Completing the centre on time was challenging due to the damage caused to B.C. travel routes in the recent flooding and the impact on the flow of goods throughout the province. But IH capital projects teams worked through the night in the weeks leading up to the opening, to be sure everything was in place for IH’s seventh UPCC to open. The new centre will treat people with urgent health concerns, issues that needs to be treated within 12 to 24 hours but do not require a trip to the emergency department. In Cranbrook, appointments upon opening will be by drop in. Learn more about urgent and primary care centres here.