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10 Broadcaster Press April 30, 2019 www.broadcasteronline.com SD Guard, Suriname Partner Together To Provide Medical, Dental Services ALBINA, Suriname - Soldiers from the South Dakota Army National Guard traveled to the South American county of Suriname to provide medical and dental services to the local population of Albina, April 10-12. The mission was part of a medical/dental readiness education and training exercise to assist with ongoing efforts of improving systemic and oral health in the region. Nine Soldiers from the SDARNG's Medical Command and 730th Area Support Medical Company worked alongside Suriname Defense Force medics, a local doctor and pharmacy personnel to provide services to residents in the rural community. The mission was conducted as part of the Suriname and South Dakota State Partnership Program, which seeks to strengthen ties through engagement activities and share experiences and best practices through a variety of military training exchanges. "A significant need for rural dental care, as well as medical care, was identified as part of an ongoing exchange with South Dakota's partner country," said Maj. Ronovan Ottenbacher, a field surgeon in the 730th ASMC and provider in Medical Command. "This was a first-ever 'ground-up' mission for the SDARNG medical-dental community in Suriname." The SDARNG team was comprised of two medical providers, two medics, three dentists and two dental technicians, some of which have been to Suriname before. "This is now my third trip to the area and working with the SDF has always been very rewarding," said Col. Murray Thompson, a dentist and officer in charge of SDARNG team. "We were able to see different methods of medical care unique to that area. We do not get a lot of exposure to jungle medicine in South Dakota, so I know the medical team learned and saw unique and challenging situations." Once the team arrived to Suriname's capital city of Paramaribo, they had only one day to plan and prepare equipment and supplies for the daily trips to Albina, about 90 miles away. "This mission was put together in a hurry," said Thompson. "In fact, we were not exactly sure of which equipment we had available as it had to be shipped down early without us being able to look at it due to a blizzard and moving drill that weekend. "We had to find and borrow local dental instruments, supplies and disposable gloves," continued Thompson. "Basically, everything we were doing had never been done before in that area. We did not even know exactly what the facility looked like until one hour before we began seeing patients. "This was an excellent exercise in mission planning on the fly and execution of that mission with minimal supplies," he added. According to Ottenbacher, each day they linked up with the Surinamese team at the local military base then traveled together to a newly constructed medical facility in Albina, a town of approximately 5,000 people. "The local military would assist in organizing the patients and sorting those who needed dental vs. medical care," said Ottenbacher. "There were lines waiting for the team every morning. Organization was a critically necessary step." Over the three days, the team saw nearly 300 patients for a variety of medical needs - from minor body aches and pains to more severe cases. "One of the last and strangest patients I seen was a middle aged gentleman who came with an extremely swollen leg, walking in on sandals expanded and held together with rope," said Ottenbacher. "The patient had severe lymphedema (swelling), which may have been secondary to elephantiasis, a condition which can be caused by parasites living in the lymphatic system. "The patient had a large ulcer on his leg related to the swelling and was infested with [parasites]," continued Ottenbacher. "These were removed and then the wound bandaged by the team's medic. The patient had future surgical care arranged via the Surinamese team." In contrast to these unusual cases, Ottenbacher said the vast majority of patients came for simple complaints such as head to toe body pain for many years. Others simply wanted to be seen and get vitamins. Many parents also requested anti-parasite/ de-worming medication for their children. Common viral illnesses and skin conditions were also some of the most frequent concerns. "Other patients had relatively atypical Spring is in the air! Time to plan your building project! and long-standing symptoms and wanted a review by an American doctor," said Ottenbacher. "The translators played a critical role in helping the Dutch and local-dialect speaking Surinamese." However the main emphasis for medical care was for oral health. The dental team performed nearly 400 adult and pediatric tooth extractions. "The dental team undoubtedly saw a tremendous dental need," said Thompson. "Like the rural population of South Dakota, Suriname also struggles with accessing a dental provider, ability to pay for treatment and challenges in traveling long distances for dental care. "As the community had almost no access to dental care, the dentists had an immediate impact on the patients' pain and issues," Thompson added. "Although restorative dental care is something important to dentists, we recognized the utility of extractions in a mission like this. The time required for extractions is significantly less than other dental work and the reduction in pain can be tremendous." In addition to the medical and dental care, the mission created a collaborative multi-national team. A key member of the South DakotaSuriname team was Dr. Paul Aikman, medical director of the Paramaribo Military Hospital. For this mission, he was the lead Surinamese doctor on site, as required by their Ministry of Health. Aikman advised the team on treatment options and effects common drugs and medications can have on the local populous. "Due to certain infections and GI (gastrointestinal) parasites, Dr. Aikman noted that Surinamese providers will not use over the counter medication from the United States at the full dose," said Ottenbacher. "As he put it, the aspirin can potentially make the patients die! This was one of several examples where common medical treatments had to be tailored to the local needs." "I think [the mission] went very well the medical and dental care were very helpful," said Aikman. "There was a need for the care, because in the case of dentistry there isn't much availability because of the local conditions with no dentist on location. "We saw some interesting patients, like one we suspected of lung cancer," added Parker Fifth Grader Wins SD Arbor Day Poster Contest PIERRE, S.D. – Mara Mohr, a fifth grade student at Parker Elementary School, is the winner of the 2019 South Dakota Arbor Day Poster Contest. Mara Mohr’s poster was chosen out of 817 entries from fifth graders all over the state. Mohr’s first place poster was selected for its interpretation of the contest theme Specialists in Steel Building Construction Serving: South Dakota, "Trees Are Terrific…From Acorn to Oak!” Northeast Nebraska & Mohr has received a $125 cash prize, a Call us for your FREE |Estimate: Size: 30 pt of achievement and her poster Northwest Iowa for 3.5” x 2.5” Maximum Font certificate 3.5” x 2.5” | Maximum Font Size: 30 pt be featured on the South Dakota will 605-689-7321 over 40 Years! Book 67 Easy Sudoku Puzzles by KrazyDad Department of Agriculture’s Resource Conservation and Sudoku #5 Sudoku #6 Forestry 3 9 7 9 7 8 5 Division’s (RCF) post9 3 1 6 3 2 9 4 er contest Curt Curt Robinson Robinson promotional Financial 4 1 6 3 9 5 6 . Robinson 5 Patrick M 3 M Higgins Curt Financial Advisor CurtCurt Robinson Advisor Robinson Patrick MHiggins flyer. Higgins Patrick . Financial Advisor Financial Advisor Advisor Financial 23 MarketMarket Street Advisor Financial Advisor Financial 23 Street Advisor Mohr’s Vermillion, Vermillion, 2 SD 8 7 3 2 1 5Market StreetSD 57069 57069 3W.CherryFinancialStreet teacher, Ka6 W. Cherry 9 23 Market Street 77 CherryStreet W. 23 Market Street 605-624-2028 23 605-624-2028 7 Street Coverage of a unique Earth Day event scheduled for Monday, April Vermillion, SDSD Vermillion,Vermillion, SD SD 57069 Vermillion, SD 57069 57069 www.edwardjones.com Vermillion, 57069 www.edwardjones.com Vermillion, SD 57069 57069 tie Juhnke, 22 that included a lecture by Winona LaDuke and original music 605-624-2028 605-658-0205 605-624-20289 605-658-0205 8 5 7 605-658-0205 will receive 605-624-2028 www.edwardjones.com www.edwardjones.com performed by Annie Humphrey. www.edwardjones.com www.edwardjones.com $175 for the 9challenges awaiting Clay County officials this 2 5 4 1 6 1 3 4 8 A report detailing the purchase of spring to deal with roads that have deteriorated due to flooding and 9 educational 2 this spring.Answers 8 4 67: 7 6 8 Sudoku Puzzles by KrazyDad 3 9 Member SIPC SIPC Book Challenging freezing weather earlier Member supplies. MKT-58941-A #2 Sudoku Sudoku Joselyn 1 99 7 3#15 action 1 8 7 6 2 8 3 MEMBER SIPC 6 5 4 1 3 7 2 9 8 2 A report detailing the Vermillion City Council’s 8 6 4 on April 15 to Pearson 2 8 6 7 8 3 2 4 9 6 1 5 7 finalize a change in Vermillion’s Bed, Board4 1 9 3 (BBB)9 85 661and Booze 5 8 7ordinance. 9 6 2 4 of Beadle 2 4 9 3 1 2 9 6 8 5 7 3 4 © 2008 KrazyDad.com Elementary 6 and field 2 4 8 9 7 1 3 5 6 8 3 5 9 1 7 2 4 © 2008 KrazyDad.com The latest coverage of Vermillion Tanagers tennis, golf, track 7 1 9 6 2 4 8 3 5 3 9 6 8 5 4 1 7 2 School in and baseball. 6 4 2 3 5 8 9 7 1 5 7 1 3 6 2 roadcaster ress 8 4 9 Yankton 1 9 7 8 3 2 6 5 4 4 6 5 7 2 3 9 8 1 Fill the puzzle so that every row, every column, and every 4 2 8 7 6 5 1 9 3 9 3 2 4 1 8 5 6 7 section7contain6the numbers 1-9 without repeating a number. 8 1 5 9 3 5 6 4 9 1 7 2 8 Sudoku #7 Sudoku #8 4 2 3 Have 403(b) Have 403(b) Financial strategies. Financial strategies. questions? Let’s talk. questions? Let’s talk. Stories you missed this week because you’re not a Plain Talk subscriber One-on-one advice. One-on-one advice. bpp b Since 1934 Since 1934 And if you want to see: 9 4 8 6 9 8 5 6 8 7 53 6 1 2 8 2 Coverage of the sixth annual Fun5Run 1 4 Friday, April926 at the held 2 5 6 3 1 7 2 Vermillion High School track. Students in9junior kindergarten through 2 6 5 2 3 4 6 third grade participated in the run throughout 2 9 afternoon. The the 3 1 8 7 5 run is held to encourage fitness39 teamwork while fundraising for and 2 1 1 5 97 6 8 school activities and supplies. 7 3 5 8 6 4 2 4 1 8 1 6 2 7 4 3 A story following a ribbon cutting ceremony and team send-off event for Robotics of Vermillion on April 26 in downtown Vermillion. The event 9 Sudoku #5 7 5 offered the Robotics of Vermillion teams6a chance to show off what 7 1 3 9 2 they’ve been working on in preparation5 the8World Championships for 1 1 6 9 4 3 7 that they’ll soon be heading to in Louisville, Kentucky. 6 1 5 3 8 2 4 7 9 6 4 5Fame8 9 1 7 1 6 7 2 6 Coverage of the fifth Athletic Hall of 9 2 4Event sponsored by the 3 1 9 27. 2 VHS Athletic Booster Club3 Saturday, April 7 5 2 8 4 on 6 8 5 2 3 4 9 3 3 4 6 8 7 9 8 1 6 2 3 9 8 9 5 4 2 3 5 7 1 7 Pick up this Friday’s Plain Talk! Local news since 1884! 9 3 2 7 1 5 9 6 9 4 8 3 5 2 4 7 1 3 8 6 8 9 2 4 5 7 6 1 3 8 3 1 7 4 6 5 9 3 1 4 2 7 6 9 3 1 6 8 7 5 8 2 4 3 7 9 4 2 5 1 4 3 5 6 9 6 8 1 2 2 7 5 9 8 5 2 8 9 6 1 7 3 4 201 W. Cherry, Vermillion, SD 57069 605-624-2695 bp Broadcaster 7 5 8 3 5 8 6 2 © 2008 KrazyDad.com 7 6 4 9 1 5 8 Sudoku #7 Here for you yesterday, today and tomorrow. 1 5 3 4 9 Press 8 5 2 4 5 3 1 6 7 3 8 9 2 8 9 2 6 1 5 5 7 1 4 2 7 1 4 4 7 P1ress 4 2 7 8 39 385 6 2 4 6 7 5 2 8 3 8 3 9 2 1 7 5 41 66 4 2 3 6 7 2 4 7 81 9 5 2 1 6 Sudoku #6 8 5 9 3 4 7 2 1 8 6 23 5 23 9 8 4 9 4 8 4 1 6 7 6 1 42 8 9 7 3 6 96 7 8 8 2 3 5 7 9 4 2 8 8 1 7 598 3 7 1 Sudoku #4 6 3 9 7 8 4 1 5 2 6 2 8 7 4 1 1 7 2 Since 1934 9 3 5 4 6 1 7 8 9 3 6 5 7 2 8 3 9 9 5 1 8 4 3 6 4 5 2 Since 1934 4 7 Broadcaster Press P B bp Broadcaster 8 A report from the city’s Arbor Day activities on Friday, April 26. The Sudoku #3 city Park and Recreation Department planted a tree in Prentis Park 6 9 2 1 students. that day with help from Vermillion elementary 8 3 5 4 7 1 8 2 9 3 5 4 4 3 5 5 7 1 6 4 6 2 9 9 7 8 5 4 3 1 2 6 EASY 2 3 5 9 6 1 8 7 4 Last Tuesday’s Sudoku Solution #8 8 7 6 4 1 5 9 1 3 9 6 2 7 5 2 5 4 8 3 9 7 6 8 7 3 5 2 4 9 2 5 1 6 4 8 4 1 3 7 9 8 2 7 6 8 2 4 1 3 3 9 2 5 7 6 1 5 4 1 9 8 3 6 © 2008 KrazyDad.com EA BOOK 67 #8 su do ku 2 KRAZYDAD.COM/PUZZLES 4 8 3 6 1 7 5 9 8 2 1 9 3 6 5 4 7 Aikman. "What was notable was that we as medical personnel think alike, and we approach patients more or less the same way." Even with the mission's successes, the teams had their challenges. While the dental team was able to take some unit equipment and use some local dental school equipment, this needed to be set up and tested. On-site sterilization was another obstacle that needed to be accounted for, said Ottenbacher. Although known issues such as electrical outlet types and voltage were taken into consideration, other difficulties arose. "During set up, there did not seem to be enough electrical power to run the sterilization equipment sufficiently to achieve appropriate temperatures." Ottenbacher said. "Thankfully, when the equipment was used at the newer facility in Albina with better electrical wiring, everything went well." Overall, the mission was an experience that all members of the team, and likely the hundreds of people who were helped, will not soon forget, said Ottenbacher and Thompson. "As a physician and as a Soldier my goal is to help others, and with this population, many times that could be accomplished with the simplest of things," said Ottenbacher. "Handing out bags of vitamins, giving patients the opportunity to discuss their problems, handing out stickers and small toys such as sunglasses for girls and cars for boys - all these impacted their lives. Seeing a young child leave the clinic smiling from ear to ear holding a new toy car is an amazingly rewarding experience!" "No matter where you go in the world, even in the U.S., people need medical and dental care," said Thompson. "Providing care to local citizens is very rewarding." "The providers, dentists, technicians and medics that were brought on this mission are some of South Dakota's finest civilian providers outside of the National Guard," Thompson added. "Being able to put on the U.S. Army uniform and provide top-notched professional care to those in need shows the world that the U.S. and the SDARNG cares for humanity and desires a world where pain decreases and dignity and comfort increases." was selected as the second place winner. Pearson receives a $100 cash prize and a certificate of achievement. The third place winner, Carter Fanning of Miller Elementary School in Miller, will receive a certificate and a $75 cash prize. The top 12 artists’ posters will also be featured in the annual Arbor Day Poster Contest Calendar. The annual Arbor Day Poster Contest is designed to help promote the importance of Arbor Day and tree planting, and is open to all South Dakota fifth graders. The RCF, the South Dakota Society of American Foresters, Aspen Arboriculture Solutions, LLC and the South Dakota Arborists Association sponsor the state contest. For more information on Arbor Day, please contact Rachel Ormseth with RCF at 605.773.3594 or Rachel.ormseth@state. sd.us. To view the winning posters, visit http://sdda.sd.gov/conservation-forestry/ educational-programs/arbor-day-postercontest/. Agriculture is a major contributor to South Dakota’s economy, generating $25.6 billion in annual economic activity and employing over 115,000 South Dakotans. The South Dakota Department of Agriculture's mission is to promote, protect and preserve this industry for today and tomorrow. Visit us online at sdda.sd.gov or find us on Facebook, Twitter and Instagram. YOUR RADIATOR HEADQUARTERS! • Great Parts • Great Warranty On-Hand & In-Stock! NO WAITING! Cox Auto 1007 Broadway Ave Yankton, SD 605•665•4494 You deliver. We deliver. EARN EXTRA CASH! Yankton routes now available. (Enjoy short early morning hours Monday–Saturday) © 2008 KrazyDad.com Check next Tuesday’s paper for the solution to today’s puzzle. CH BOOK 67 #7 319 Walnut Street, Yankton, SD • www.yankton.net Call Steve at 605-665-7811
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