PROTECTING YOUR TEETH

Submitted by Dr. Li Lin

Summer is here. Kids are out playing.

Five of the Nation's top Dental Associations want to remind everyone to play it safe during

recreational and organized sports to help prevent serious, painful facial injuries that can take the

fun out of the game. Take five, and take in these five simple safety tips:

1. Mouth Guards are a Must. Mouth guards are significantly less ex-

pensive than the cost to repair an injury, and dentists and dental specialists

can make customized mouth guards that hold teeth in place and allow for

normal speech and breathing.

2. Helmets are always Helpful. Helmets absorb the energy of an impact and help pre-

vent damage to the head.

3. Have 20/20 Vision with Protective Eyewear. Eyes are extremely vulnerable to dam-

age, especially when playing sports.

4. Face Shields Save Skin…and more. Hockey pucks, footballs and racquetballs can

cause severe facial damage at any age.

5. Cheer and Shout Out Your Support for Mandatory Protective Gear. Athletes who participate in football, hockey and boxing are required to wear mouth guards. If mouth guards have been proven to significantly decrease the risk of oral injuries, why is it not mandatory in every sport for kids to wear them?

Whether your child is playing a contact sport or just monkeying around on the monkey bars, accidents happen.

3rd Quarter

Newsletter

July2019

Page 2

INDEX

1………...PROTECTING YOUR TEETH

2………...IMPORTANT DATES THIS QUARTER

3………...SUN BURNS AND MELANOMA

4………...SUMMERTIME NUTRITION TIPS

5………...8 TIPS TO CARE FOR YOUR GLASSES

6………...CONTINUEING 8 TIPS TO CARE FOR YOUR GLASSES

7…………WATER SAFETY

8…………DEALING WITH DEPRESSION

9…………MEDICATIONS UNDER PURCHASED REFERRED CARE AND INSURANCE

10………...REQUESTING A REIMBURSEMENT

11………...SAY HELLO TO OUR NEW HIRES / THANK YOU FOR CHOOSING CVIH

12………...CENTRAL VALLEY INDIAN HEALTH INC. CLINIC SYSTEM, BOARD OF DIRECTORS

Newsletter

IMPORTANT DATES THIS QUARTER

SEP. 2 - LABOR DAY - ALL CLINICS CLOSED

SEPT. 23 - FIRST DAY OF AUTUMN

SEPT. 27 - CALIFORNIA AMERICAN INDIAN DAY -

ALL CLINICS CLOSED

Newsletter Page 3

PARKING LOT SAFETY

Please reduce speed when

Entering and Exiting the Parking Lot!

Faster speeds may result in a

Injury to a pedestrian.

Sun Burns and Melanoma

It’s hard to believe that summer is here. With summer come warmer temperatures, swim suit

season, and sunburns. We all know how important wearing Sun Screen is not just during the

summer time but year round. Even on cloudy days you can get a sunburn if you’re not wearing

your sun screen. Did you know that if you have more than 5 blistering sunburns in your life

time at any age that you have doubled your risk for Melanoma? Melanoma is the most seri-

ous form of skin cancer and it can develop with brief intense sun exposure that can cause a

blistering sun burn. Melanoma can however develop on skin that is not sun exposed on a reg-

ular basis. Other risk factors for developing Melanoma is having a family history of the disease,

skin type and having a large number of sizeable moles on the body. This is why you should

examine your skin and if you see any signs of new moles or that you have moles that are grow-

ing or changing you should seek evaluation by your provider. Also during the summer the UV

index is also used. So what else can you do to prevent sunburns?

1. Use sunscreen that is a SPF 15 or higher and reapply it every 2 hours, even on cloudy days! 2. Stay in the shade between 10am-4pm. 3. Avoid Tanning beds and booths. 4. Cover up when you’re outside. Wear a hat and sunglasses that block UV rays. Using these tools you can have a fun and safe summer without the burn. Moriah Bonilla Outreach Director

Summertime Nutrition Tips Ranjani Srinivasan MS RD CDE

Summer is a colorful time of the year, we generally take advantage of the high temperatures by spending more time outdoors. Summer is great for outdoor activities -- that is, until you notice the havoc all that fun in the sun has brought on your body. Find out which vitamins and minerals can counteract sun damage. Fortunately, summer also brings an abundance of tasty and nutritious foods, including berries (loaded with antioxidants), tomatoes, sweet bell peppers (good vitamin C source), and protein-filled grilled fish and burgers. And by simply choosing the right ones to add to your daily diet, you can help prevent or alleviate the following common hot-weather woes:

Dry or Damaged Skin

What causes it: You sweat more in the summer, so skin is less supple; plus, saltwater and chlorine have a drying effect. Sunburns and bug bites are also saboteurs of healthy skin.

What to eat: Help heal weathered skin with foods like raspberries, blueberries, and strawberries, which are

rich in antioxidants and vitamin C. Protein, in the form of lean meats, beans, nuts, and seeds, is also key.

Keep dryness at bay by drinking lots of water, "the forgotten nutrient." American Dietetic Association rec-

ommends that women drink 92 ounces (8-10 cups) of water in the summer and men 125 ounces to prevent

dehydration. Since calcium can also be lost through sweating, it's a good idea to replace it by eating low-fat

dairy products like skim milk, yogurt, and cottage cheese.

Yeast Infections

What causes them: Sitting around in a wet bathing suit provides a perfect environment for yeast over-growth. What to eat: To make conditions less hospitable for yeast to take hold in the first place, cut back on sugary foods and beverages.

Parched Hair

What causes it: Overexposure to sun, saltwater, and chlorine.

What to eat: Toss some burgers or shrimp kabobs on the grill, or make a three-bean salad or other protein-rich meal because hair consists of protein fibers called keratin. Eating foods rich in vitamin B-5 (found in yogurt and California avocadoes), vitamin B-8 (in liver and cooked eggs), folic acid (in fortified cereals and beans), calcium (in milk and yogurt), and zinc (in meat and fish) can reduce hair loss and replace dull hair with shiny hair. Theses nutrients also play a role in maintaining healthy skin.

Page 4 Newsletter

Top 8 Tips to Care for Your Eyeglasses Morris Hicks - Optician

You invest a lot of time in finding the right pair of eyeglasses. You

look for the right frame shape, in a pattern or color that perfectly expresses

you. You patiently wait for the lenses to be fitted and for that call telling you

that your new eyeglasses are ready for pick up.

Don't you want to do everything you can to make these glasses last as long as possible?

Tips To Maintain Eyeglasses

Here are some great tips on how to take proper care of your eyeglasses that will help make them last:

Rinse

Always rinse your glasses off with water before wiping or cleaning them. Even tiny particles of dust

or dirt can settle on your lens, and if you wipe those around on a dry lens, it can be abrasive.

Spray Carefully

If you're going to use a chemical, use sprays or cleansers that are specifically made to clean eyeglass

lenses. Never use household cleaners like Windex, because these chemicals contain ammonia,

which will actually tear off the any coating that is on the lens.

Air Dry

If you can, allow your glasses to air dry. This is another great way to keep any materials from getting

on to your lens. If you can't set them down to air dry, wipe them down with a soft, clean, lint -free

cloth.

Use the Right Cloth

NEVER use paper towels, tissue, or napkins to dry your lenses . All of these materials, regardless of

how soft they are on your skin, have a textured surface and can easily scratch your lenses.

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(Continued from page 5)

Also, refrain from using the tail of your shirt. If the clothing is not 100% cotton, the fibers in the

fabric will scratch the lens of your eyeglasses over time. The clothing can also have dirt on it,

which means the residue ends up transferred to your lenses.

Grip Firmly

Hold your frames by gripping the piece that crosses the bridge of the nose . This will keep you

from accidently bending the frame while you clean. Bent glasses can negatively affect the way you

see out of your glasses. Plus, if your frames are bent out of shape, they're more likely to feel un-

comfortable.

Store Properly

Store your glasses when you're not wearing them. This isn't just a great way to keep dust and

dirt away from your eyeglasses, but it also protects your specs from getting scratched, bent or bro-

ken.

If you don't want a big, bulky case, sleeker ones are available. Microfiber pouches are also great to

keep at your office desk or on your night stand for glasses you don't necessarily wear all the time,

like reading glasses.

Place Carefully

Don't lay your glasses lens down. This is just asking for scratched lenses.

Wash Often

Washing your glasses at least once a day will keep your lenses in their optimal state. The cleaner

your glasses, the less your eyes have to strain to see through smudges, dirt and dust.

Follow these great tips, and we are sure you'll never want to leave your super clean specs behind.

References: America's Best Contacts & Eyeglasses

Water Safety

When the weather is hot most people look

for fun ways to cool down. Swimming and water

sports are a very popular way to cool off. Here

are some tips to help everyone stay safe while

cooling off.

Supervise when in or around water – desig-

nate a responsible adult to watch young children while swimming or playing in/

around water. While watching preschool children or children who don’t know

how to swim you should be close enough to reach the child at all times. Drown-

ing occurs quickly and quietly, adults should not be distracted (reading, talking

on the phone, etc.) while supervising children.

Learn cardiopulmonary resuscitation (CPR) – it takes time for the paramedics to

arrive, your CPR skills may save someone’s life.

Avoid alcohol – avoid drinking alcohol before or during swimming, boating, or

water skiing. Do not drink alcohol while supervising children. Alcohol influences

balance, coordination, and judgement, and its effects are heightened by sun ex-

posure and heat.

Know local weather conditions and forecast – strong winds and thunderstorms

with lightning strikes are dangerous.

The hot summer months are a great time to get out and enjoy the swimming pool,

lakes, and beaches. Just be sure to enjoy them safely!

Sarah Goulart, RN, BSN, PHN

CVIH Public Health Nurse

Newsletter Page 7

Dealing With Depression

Lynette Bassman, Ph.D.

Almost everybody has felt sad or depressed at some time in their life. It’s normal

to feel down for a while when something bad happens, like a breakup, being bullied, or

the loss of a loved one. Those feelings will eventually pass. With clinical depression, it

goes on and on, sometimes for years. There are two parts to it: physical symptoms like being tired, feeling

heavy or lazy, having trouble sleeping or sleeping too much, changes in your appetite and weight, and you

might have aches and pains as well. Then there are the emotional symptoms. In addition to feeling down,

people with clinical depression often feel pessimistic and can’t get rid of negative thoughts. They might be

irritable or angry, feel guilty and they don’t enjoy things that they used to enjoy. They might have difficul-

ty concentrating and will likely also have low self-esteem. Some people with depression have thoughts of

suicide.

If any of this this describes you or a loved one, it’s important to know that although it’s very painful, and

might have gone on for a very long time already, it’s not a life sentence. There are many treatments that

work:

Psychotherapy can provide support and help you change your thinking so the bad feelings will change,

too. Psychotherapy can also help you make lifestyle changes that make a big difference. We can work

at whatever pace is right for you and tailor a plan to your preferences and your life. Call 559-374-2240

to make an appointment with us here at CVIH Behavioral Health Services.

Medication is sometimes helpful in getting you through the worst of it so you are able to function and

can do the rest of the things that help, such as the following:

Since depression is a deeply physical experience, not just emotional, it’s crucial that you eat healthy

foods. This will help your body to make all of the brain chemicals that maintain a healthy mood. The

emphasis should be on lots of vegetables, some fruits, clean proteins (meat, fish, eggs, dairy, and beans)

and healthy fats (like olive oil, avocadoes, nuts and seeds). And it’s equally important to avoid eating

highly processed foods that have ingredients made in a lab rather than grown in nature. Avoiding sugar

is very important, since it unbalances your blood sugar and moods.

A regular sleep schedule can help in overcoming depression. Getting a full 8 hours of sleep in a quiet,

dark, and cool room at the same time every night will help your body and mind regulate your mood.

Getting out of bed and outside in the sunlight in the morning helps you re-set your moods, too.

Exercise has been found to work as well as medication for depression in many cases, and in addition to

directly helping the depression, it also improves self-esteem. If you exercise outdoors, you get a lift

from seeing trees and flowers and the sky. The best kind of exercise is anything you enjoy that gets you

moving.

Ask trusted loved ones for whatever help you need from them. They don’t know

how to help if you don’t tell them. Group support online with organizations like

NAMI or Psych Central can help you feel less alone and you can share practical

strategies for recovery from depression.

Alcohol has a depressive effect in the body, so avoid it. Though alcohol and

drugs might seem to give you a short break from your feelings, in the long run, it

makes it worse and causes other problems in your life.

Page 8 Newsletter

Newsletter Page 9

Medications under Purchased Referred Care

(Contract Care) and Insurance

Medications are such a big part of health care, whether they are over-the-counter medication or

prescribed by your doctor. What is covered by insurance can be confusing and can often change for

patients when trying to get their medications.

Over-the-Counter Medications: CVIH clinics have a few that we keep on hand and can give out,

but most are simply recommended by the doctor and must be purchased by the patient themselves. Pur-

chased Referred Care and most insurances do not cover over-the-counter medications.

Prescriptions – Insurance covered: If you have any of the following: private insurance, Medicaid,

Anthem or Cal Viva Medi-Cal, a Medicare Part D or Medicare Advantage or other similar plan and

Purchased Referred Care (Contract Care), we must follow your insurance’s formulary. The formulary

is a list of approved medications that your insurance will cover. In this instance, PRC will pick up

any co-pay that your insurance has if you are using a CVIH contracted pharmacy.

Prescriptions – Purchased Referred Care: If you don’t have any other insurance but are covered

under PRC and your doctor prescribes a medication, it will have to be an approved prescription under

the CVIH PRC formulary.

All insurances, even PRC have rules and guidelines that are in place that can dictate what medications

are approved for your doctor to prescribe. Most require that the doctors prescribe a generic medication

first. Only if the generic doesn’t work will they allow coverage for a “brand name” medication. Many

insurances require a doctor to try lower cost medications before they will approve higher cost medica-

tions and there must be documentation as to why the lower cost medication does not work.

Some times patients come in and want a particular medication, but the insurance will not cover that

medication. Patients get mad at the doctor or staff for not giving them the medication they requested,

but if an insurance will not cover the medication, then the staff can only prescribe what the insurance

covers. Most insurances, even PRC, review formularies at least four times per year. A medication that

was covered the last time, may not be on the formulary the next time you come in to be seen.

The doctors have a difficult job working within insurance guidelines to take care of your health care

needs. If you have Purchased Referred Care, that does not mean it will cover what your insurance does

not. The doctors will always do their best to get you the medication that will work best for you and

your needs, but they must also work within the insurance guidelines.

Your patience and consideration when working with the providers and staff regarding your medication coverage is greatly appreciated.

Page 10 Newsletter

$$$ REQUESTING A

REIMBURSEMENT $$$

It takes approximately 3 weeks to fully process the request and mail the check

Please include the following information:

Who the reimbursement is for: Name and date of birth

What the reimbursement is for: Glasses, contacts, medication, office visit, etc…

Who the reimbursement check should go to: Parents name if for a child

Where the check should be sent to: Current or preferred mailing address

Your phone number: For any questions regarding the reimbursement

You can bring your receipts to any CVIH clinic or use one of the following methods:

EMAIL: PRC@cvih.org

FAX: 559.299.8543

MAIL: CVIH, 2740 Herndon Avenue, Clovis CA 93611

DON’T WAIT FOR A COLLECTION NOTICE!!!

TURN YOUR BILLS IN AS SOON AS YOU GET THEM!!!

THE PAYMENT PROCESS TAKES ABOUT A MONTH FROM THE TIME YOU TURN IN A PAYMENT REQUEST:

THE PRC OFFICE SENDS PAYMENT REQUESTS TO THE FISCAL DEPARTMENT ON A WEEKLY BASIS.

THE FISCAL DEPARTMENT PROCESSES PAYMENTS AND SENDS THEM OUT AP-PROXIMATELY EVERY TWO WEEKS.

THE SPECIALTY PROVIDERS RECEIVE PAYMENTS AND THEN PROCESS THEM FOR POSTING TO EACH ACCOUNT. AMOUNT OF TIME UNKNOWN.

Submitted by: Carla Esterline, Purchased Referred Care

THANK YOU FOR CHOOSING CENTRAL VALLEY

INDIAN HEALTH, INC. AS YOUR PRIMARY HEALTH CARE PROVIDER.

WE LOOK FORWARD TO SERVING YOU

IN THE MOST THOROUGH AND

PROFESSIONAL MANNER POSSIBLE.

Newsletter Page 11

Matthew Salanitro

Security /

Maintenance

North Fork

Brenda Beltran

Human Resource

Manager

Clovis

Amanda Romero

Billing Clerk

Clovis

Area 1:

Shawn Hatfield & Lynnell Shaffer

Area 2:

Irene Roan & Ruby Peterson

Area 3:

Dixie Jackson & Pearl Hutchins

Area 4:

Misty Ortega & Jenifer Philley

Area 5:

Shelby Charley & Brenda Sorondo

Area 6:

James Lewis & Donna Lewis

BOARD OF DIRECTORS

Central Valley Indian Health, Inc. Clinic System

►Central Valley Indian Health, Inc., Clovis

Open: Monday-Friday

8:00-12:00 & 1:00-5:00

Medical Phone: 559-299-2608 Fax: 559-299-1341

Dental Phone: 559-299-2570 Fax: 559-299-2391

►Central Valley Indian Health Clinic Prather

29369 Auberry Road, Suite 102, Prather, CA. 93651-9784

Open: Monday - Friday

8:00– 12:00 & 1:00– 5:00

Phone: 559-855-5390 Fax: 559-855-5395

►North Fork Indian & Community Health Center

32938 Road 222, Suite 2, North Fork, CA. 93643-9562

Open: Monday, Tuesday, Thursday & Friday

8:00-12:00 & 1:00-5:00 Closed: Wednesday

Phone: 559-877-4676 Fax: 559-877-7788

►Tachi Medical Center

16835 Alkali Drive, Suite M, P.O. Box 8, Lemoore, CA. 93245-9643

Medical Open: Monday-Friday Dental Open: Tuesday and Thursday

8:00-12:00 & 1:00-5:00 8:00 –12:00 & 1:00-5:00

Medical Phone: 559-924-1541 Dental Phone: 559-924-0460

Medical Fax: 559-924-2197 Dental Fax: 559-924-0790

►Central Valley Indian Health Behavioral Health

2565 Alluvial Ave., Suite 172, Clovis, CA. 93611-9515

Open: Monday-Friday

8:00-12:00 & 1:00-5:00

Phone: 559-374-2240 Fax: 559-415-1492

►Central Valley Indian Health, Bullard

255 W. Bullard Ave., Suite 109, Clovis, CA. 93612-0861

Open: Monday-Friday

9:00 - 6:00

Phone: 559-325-5715 Fax: 559-325-5735

2740 HERNDON AVE.

CLOVIS, CA. 93611

Phone: 559-299-2578

Fax: 559-299-0245

E-mail: cvih@cvih.org

Cen t r a l Va l ley Ind ian Hea l th , I nc .

Serving the American Indian people of the Central Valley since 1971

The CVIH Mission: To Improve the quality

and quantity of health care services to the

Indian people of the Fresno, Madera &

Kings counties.

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