Abstract
In this autobiographical chapter, we have focused on the parts of our lives most likely to provide a unique perspective for health care professionals. By describing certain types of personal and professional experiences, we aim to encourage and inform medical students and physicians interested in social change. For those in the medical profession, we hope that our stories will stimulate some of you to seek innovative ways to identify and prioritize health problems and to improve medical care. In the hopes that readers may benefit, we have included not only successes but mistakes. We have never perceived our work as requiring major sacrifices. On the contrary, we have enjoyed the cross-cultural relationships with American Indians, the challenge and gratification of helping to improve medical care on a community-wide basis, and the outdoor life-style afforded by the rural locations where we have lived. We have chosen to write in the third person to enable us to express ourselves as individuals rather than as a unit.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Welty TK, Roberts EA: The effect of the attitude of examinee to examiner and the place of the exam in the casual blood pressures of Negro children aged 10–14, January 1967. Unpublished manuscript, University of Pittsburgh.
Dorris M: The Broken Cord. New York: Harper Perennial, 1990.
Duimstra C, Johnson D, Kutsch C, Wang B, Zentner M, Kellerman S, Welty TK: A fetal alcohol surveillance project in American Indian communities in the Northern Plains. Public Health Rep 1993;108:225–229.
Blendon RJ: Public health versus personal medical care; The dilemma of post-Mao China. N Engl J Med 1981;304:981–983.
Welty TK, Helgerson S, Tempest B, Gerber G, Johannes P: Control of tuberculosis among American Indians and Alaska Natives. IHS Primary Care Provider 1989;14:53–54.
Welty TK, Follas R: IHS standards of care for tuberculosis. INH preventive therapy. IHS Primary Care Provider 1989;14:54–58.
Mori MA, Leonardson G, Welty TK: The benefits of INH chemoprophylaxis and risk factors for tuberculosis among Oglala Sioux Indians. Arch Intern Med 1992;152:547–550.
Welty TK: Health survey of Sawmill, Arizona (a Navajo Indian community), summer 1967. Unpublished manuscript, University of Pittsburgh.
Van Duzen J, Carter JP, Zwagg RV: Protein and calorie malnutrition among preschool Indian children, a follow-up. Am J Clin Nutr 1976;29:657–662.
Coulehan JL, Lerner G, Helslsouer K, Welty TK, McLaughlin J: Acute myocardial infarction among Navajo Indians, 1976–83. Am J Public Health 1986;76:412–414.
Rhoades ER, Hammond J, Welty TK, Handler AO, Amler RW: The Indian burden of illness and future health interventions. Public Health Rep 1987;102:361–368.
Runkle B, Dahl R, Coulehan J, Michaels R, Welty TK, Cushing A: Summer diarrhea in an Indian population. Ariz Med 1983;40:228–230.
Tuttle J, Welty TK, Tauxe RV: Shigellosis: Treatment and prevention in Native American children. IHS Primary Care Provider 1992;117:117–121.
Welty TK, Hawk R, Rogers K: A program for correction of ear perforations in Navajo Indian children. Public Health Rep 1977;92:167–170.
Welty TK: Special Needs of the Northern Plains American Indian Population. Report on Eye Research Planning Conference, Black Hills Regional Eye Institute, Rapid City, SD. Oct. 21, 1989, pp. 16–22.
Welty TK, Grabman J, Kompare E, Welty E, Van Duzen J, Wood G, Rudd P, Poland J: Nineteen cases of plague in Arizona: A spectrum including ecthyma gangrenosum due to plague and plague in pregnancy. West J Med 1985;142:641–646.
Welty TK: Plague, method of Thomas Welty, M.D. In: Rakel RE, ed. Conn’s Current Therapy. Philadelphia: WB Saunders, 1984:44–45.
Welty TK: Plague. Am Fam Physician 1986;33:159–164.
Stehr-Green P, Welty E, Burse V: Human exposure to polychlorinated biphenyls at toxic waste sites: Investigations in the United States. Arch Environ Health 1988;43:420–424.
Amler RW, Dull HB (eds.): Closing the Gap — the Burden of Unnecessary Illness. New York: Oxford University Press, 1987.
Welty TK, Freni LW, Zack MM, Weber P, Sippel J, Huete N, Justice J, Dever D, Murphy MA: Effects of exposure to salty drinking water in an Arizona community. Cardiovascular mortality, hypertension prevalence, and relationships between blood pressure and sodium intake. JAMA 1986;255:622–626.
Welty TK (ed.): Indian Health Conditions. Rockville, MD: Department of Health and Human Services, Public Health Service, Indian Health Service.
Oxen N, Bulterys M, Welty TK, Kraus JF: Sudden infant death among American Indians and whites in North and South Dakota. Paediatr Perinat Epidemiol 1990;4:177–185.
Welty TK: Cancer and cancer prevention and control programs in the Aberdeen Area Indian Health Service. Am Indian Culture Res J 1992;16:117–137.
Welty TK, Zephier N, Schweigman K, Blake B, Leonardson G: Cancer risk factors in three Sioux tribes: Use of the Indian-specific health risk appraisal for data collection and analysis. Alaska Med 1993,35:265–272.
Welty TK, Tanaka ES, Leonard B, Rhoades ER, Hurlburt WB, Fairbanks L: Indian Health Service facilities become smoke-free. Morbid Mortal Week Rep 1987;36:348–350.
Hrabovsky S, Welty TK, Coulehan J: Acute myocardial infarction and sudden death in Sioux Indians. West J Med 1989;150:420–422.
Welty TK, Lee ET, Yeh J, Cowen L, Fabsetz R, Le NA, Robbins D, Oopik A, Howard BV: Cardiovascular disease risk factors in American Indians. The Strong Heart Study. Am J Epidemiol 1995;142:269–287.
Welty TK: Health implictions of obesity in American Indians and Alaska Natives. Am J Clin Nutr 1991;53:1616S-1621S.
Welty TK, Coulehan JL: Cardiovascular disease among American Indians and Alaska Natives. Diabetes Care 1993;16(Suppl 1):277–283.
Welty TK: Indian-specific health risk appraisal developed. IHS Primary Care Provider 1988;13:65.
Welty TK: Finding the way — Indian-specific HRA released. IHS Primary Care Provider 1989;14:64–65.
Hammond J, Welty TK, Whirl Wind Soldier C, Condon R: Health promotion for Indian community leaders. IHS Primary Care Provider 1989;14:35–58.
Stanford Health Promotion Center and the Indian Health Service: Restoring Balance — Community-Directed Health Promotion for American Indians and Alaska Natives. Stanford: Stanford University Press, 1992.
Lee ET, Welty TK, Fabsitz R, Cowan LD, Le NA, Oopik AJ, Cucchiava AV, Savage PJ, Howard BV: The Strong Heart Study — A study of cardiovascular disease in American Indians: Design and methods. Am J. Epidemiol 1990;132:1141–1145.
Welty TK, Lee ET, Fabsitz R, Cowan LD, Le NA, Oopik AJ, Howard BV. The Strong Heart Study: A study of cardiovascular disease and its risk factors in American Indians. IHS Primary Care Provider 1992;17:32–33.
Welty ER: A potential solution for IHS problems in ob/gyn recruitment, retention and service delivery IHS Primary Care Provider 1994;19:85–89.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer Science+Business Media New York
About this chapter
Cite this chapter
Welty, E.R., Welty, T.K. (1996). Improving American Indian Health. In: Bassuk, E.L. (eds) The Doctor-Activist. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-6032-0_8
Download citation
DOI: https://doi.org/10.1007/978-1-4899-6032-0_8
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-306-45267-3
Online ISBN: 978-1-4899-6032-0
eBook Packages: Springer Book Archive