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Elaine Herscher

Ukraine war has special meaning for Melkamu Yirgu

March 28, 2022 by Elaine Herscher Leave a Comment

By Elaine Herscher

Senior Editor

The images we see of Ukrainians fleeing for their lives as Russia wages war on their country have deep personal meaning for Melkamu Yirgu.

A survivor of three years in refugee camps in East Africa, Melkamu suffered unbearably harsh conditions and eventually came to America — the land he presumed was “like a heaven” — only to become homeless here.

“When I see this exodus now, people running away and crossing the border, that’s how I crossed the border, just running for my life,” says Melkamu who is Program Manager for Homeless Services at LifeLong. “I don’t know if it makes any sense, but you know there is something in me that just triggers some trauma when I see people fleeing their home involuntarily.”

It makes perfect sense if you know Melkamu’s story. Toward the end of the 1980s, the military overthrew the government in his native Ethiopia and, like many young people, Melkamu joined the opposition. When young protestors began getting jailed and killed, he fled south across the border to Kenya. A trip that would normally take eight hours took him 30 days. He was jailed once for two weeks and had to bribe his way out. He had to surrender to the Kenyan government, which took all of his meager belongings.

“Everything you have, your personal property, will be snatched from you,” he says. “So when I get to the refugee camp, the only thing I have is the shoes on my feet and my pants, my jacket. I don’t even have a dime in my pocket to eat.”

Below: Read LifeLong staff’s reactions to Melkamu’s story

In Kenya, he slept on a warehouse floor on nothing but a piece of cardboard. Later, the United Nations High Commissioner for Refugees supplied the group with plastic tents. Melkamu stayed in a refugee camp in Kenya for a year, where he met a woman from his country with whom he had a baby daughter. Conditions got worse when the family was transferred to a refugee camp that bordered Somalia, where they suffered 120-degree desert heat and were on constant alert for rapists and bandits, who tried to steal whatever they had.

“Life is so hard. You have to stand in line two or three days to get beans and rice. If you have to sleep, I have to sit and watch you. So we have to sleep in shifts. A lot of young people I know died from getting bitten by scorpions or snakes.”

Melkamu began working as a translator for the Red Cross and eventually negotiated asylum for his family in the U.S. In Oakland, their sponsorship fell apart and the family ended up sleeping in a dank church in Berkeley with a leaky roof. Finally entering transitional housing, Melkamu began doing odd jobs, then working for BOSS (Building Opportunities for Self Sufficiency) and at a homeless shelter in Berkeley.

His partner returned permanently to Ethiopia, and Melkamu became a single parent to their young daughter. He went to community college and got a counseling certificate, then a B.A. in psychology and started working as a case manager and housing advocate. At one point he held down three jobs, getting three hours of sleep a night.

Nearly four years ago, Melkamu came to work for LifeLong’s East Bay Community Recovery Project (EBCRP), helping to provide services for people transitioning from the criminal justice system. His daughter Gesita, born in the refugee camp, is 30 years old now and a Ph.D. candidate at Mills College, and his son Thomas, 21, attends Grand Canyon University in Arizona. Today at EBCRP he is a program manager and outreach coordinator for homeless services.

“I love it. It’s always unpredictable. You don’t know who is going to walk in your door. There are a lot of nonprofit organizations providing service, but we’re in the pocket of West Oakland. People live under the bridge, in an abandoned house, an abandoned car. And you know, we walk the streets, we put a blanket on somebody sleeping on the street, we give them a sandwich, donated clothes, hygiene supplies,” Melkamu says. At the West Oakland site people can charge their phones, receive counseling, and get connected to employment services and healthcare.

Despite, or perhaps because of, everything he went through, Melkamu describes himself as “a hopeful guy.”

“I encourage my hopes, rather than my fears,” he says, adding that his work with homeless people is his calling.

“I take this as the reason why I got brought to this country. I went to accounting school back home, and I thought I would be continuing my education and be working at a firm somewhere,” he says. “But my heart is here.”

LifeLong staff react to Melkamu’s story:

“The spotlight on Melkamu was really lovely! Both my parents are Vietnamese refugees and had me barely a year or so after settling in America. Pieces like this make me feel so seen, and I really loved that you gracefully described the hardships without the pity.” — Crystal Ngo

“I just read the story they wrote about you in the newsletter.  All I can say is wow!  What an amazing journey you’ve had.  I am deeply impressed and I feel extremely fortunate to know you and work with you. ” ❤️ — Rebecca Hines

“Wow!! Melkamu, thank you for sharing your story. So powerful!! Goes to show you never know what story and experiences people carry with them.” With gratitude, Kaylan Licausi

“I liked Melkamu’s story. I myself lived in two wars. The first one as a child in the 1991 Gulf War and again in the 2003 Iraq War. Both were horrific as many people lost lives from bombings and rockets, kidnaping and sectarian violence from political instability – just senseless acts where lives were lost. And then the refugee crises those wars created. I am myself migrated to the United States as a refugee. Thank you for sharing Melkamu’s story. Melkamu’s story and the Ukrainian crisis reminded me of those times I lived.” — Yousif Kady

“You are an incredible human.”  ❤️ — Erin Wengrofsky

“I read your article on the newsletter. So glad that people can truly see where you are coming from, and how devoted you are to our community.” — Karen Johnson

Filed Under: Intranet

“In The Loop” March 18 – Get in the know with this week’s “In The Loop”!

March 18, 2022 by Elaine Herscher Leave a Comment

Weekly Highlights from the Senior Leadership Team

This Week’s “In The Loop”

  1. Workforce Development Project has been launched

We are excited to announce our efforts to further support our workforce (you) through the launching of our Workforce Development Project.

Executive sponsors are David B. Vliet and Julie Sinai, with support from the Project Management Office: Erica Morse, Shad Klein, and Yadiel Plascencia. David joined LifeLong with a commitment to implement a workforce development strategy that encompassed three pillars**: Appreciation, Training and Leadership Development, with a focus on diversity, equity, inclusion, and wellness (see infographic below). This project moves us systematically toward achieving those objectives and is an important part of the LifeLong’s strategic plan.

As we embark on this planning, some initial high-level goals include:

•     Program for employee appreciation and engagement

•     Clear and transparent process for career development and advancement

•     Pay equity

•     Ongoing learning and development plan

We are excited to have Ann Elkan, LifeLong’s new Learning and Development Manager, join this effort.

Work on this began a few months ago with David launching the Employee Appreciate Committee (EAC), and we still have spots for those interested in helping to design our work or providing input on our projects.  Contact adurani@lifelongmedical.org for dates and times the committee meets.

We are also working on mapping organizational charts for our administrative departments to assess our structure for career ladders and promotional opportunities.

Lastly, we are working on a Strategic Workforce Development Plan that will analyze our opportunities and challenges over the next 3-5 years.

More to come!

The Bottom Line: We are developing new plans and strategies to support our workforce in pay equity and in advancement.

2)CyberSecurity

Because of the rapidly increasing cyber threats and because more FQHCs and nonprofits are being directly targeted by professional cyber criminals, LifeLong has contracted with a Virtual Chief Information Security Officer “vCISO” Consulting Service. 

The vCISO is a contracted service that we believe will substantially mitigate our risk. 

The vCISO’s responsibilities will include:

•     Information Security Management System Development and Readiness

•     Cybersecurity Strategic Planning and Execution

•     Cybersecurity Operational Oversight

•     Cybersecurity Risk Oversight and Support

•     Forensic Investigation Oversight and Support

•     Insurance Advisory

The contracted firm will report to COO, DL Poole.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

In the loop March 18

**The Three Pillars.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Our hope is to greatly improve communication about what is happening behind the scenes at LifeLong so we can keep you “In the Loop”!

Thank you for reading!

Sincerely,

The Senior Leadership Team

Volume 1, Issue 7

Weekly (pretty much!) Highlights from the Senior Leadership Team

Filed Under: Intranet, SLT Updates

Howard University dental students are here

March 15, 2022 by Elaine Herscher Leave a Comment

The first group of four dental students from Howard University’s College of Dentistry arrived this week for a four-week externship program created by LifeLong Chief Dental Officer Dr. Miriam Parker. The program was made possible by a grant from Delta Dental Community Care Foundation.

Top row from left: Francis Morgan and Anwar Gebremichael; bottom row from left: Ambriel Weatherly and Clarke Allen.

Filed Under: Intranet

Biden’s push to ‘test to treat’ COVID on the spot already under way in Bay Area

March 2, 2022 by Elaine Herscher Leave a Comment

By Catherine Ho | San Francisco Chronicle

A central part of President Biden’s new COVID strategy — the so-called “test to treat” initiative to enable pharmacies, long-term care facilities and community health centers to test patients and give out antiviral pills on the spot if they test positive — is already under way at many Bay Area health care providers.

Doctors and pharmacists have essentially been operating this way for the past few months, since pills first became available, local clinics and long-term care facilities say. However, their ability to do so has been limited by scarce supply of pills, particularly the Pfizer drug Paxlovid, and the very short window of time between symptom onset and when patients must start taking the drug. So Biden’s “test to treat” plan would ostensibly expand these operations, which are still relatively small, to more locations and improve access to the medication for more people.

San Francisco’s largest skilled nursing facility, Laguna Honda, for instance, tests residents and starts them on antiviral treatment immediately if they test positive and have symptoms, said spokesperson Zoe Harris of the San Francisco Department of Public Health, which runs the facility.

“Laguna Honda is not an official ‘test to treat’ center but that’s how we’ve been operating for our residents,” she said. “We’re not part of Biden’s plan, but we’re hoping what we do here is what we’re going to be seeing in other settings.”

Other local providers have similarly been prescribing Paxlovid and molnupiravir, the antiviral pill made by Merck, to patients who have tested positive. But some caution that the “on the spot” administration of the pills proposed by Biden could gloss over a critical step: reviewing a patient’s other medications to ensure they are not taking drugs that could interact poorly with Paxlovid.

Many commonly prescribed drugs for seizures and heart conditions should be paused while taking Paxlovid, or are reason not to take Paxlovid at all, since the antiviral may render some of those medications less effective or even harmful.

To make sure this doesn’t happen, providers like Oakland’s La Clinica test their patients at one location — an outdoor testing site at the Fruitvale BART station — and send them home in case they’re infectious. Then, if patients do test positive and are a good fit for Paxlovid, a doctor or pharmacist reviews their medical history and medications and has them send a friend or family member to one of two La Clinica pharmacies to pick up the prescription. This process must be done quickly because a course of Paxlovid has to start within the first five days of symptom onset, under federal emergency use authorization guidelines.

Dr. Paul Bayard, La Clinica’s chief medical officer, said he applauds the federal push to make antiviral pills more accessible and available faster. But he is concerned not every retail pharmacy will have every patient’s full list of medications to be able to perform this critical step, especially if the patient doesn’t typically get his or her prescriptions there.

“We love the idea of getting patients medications quickly,” he said. “We don’t want there to be barriers. We applaud the intent, we just want to be careful we don’t hurt people. You absolutely have to have access to the patient’s medications list and have to have someone who understands the importance of those interactions.”

The first COVID oral antiviral prescription Bayard wrote was for an elderly patient who was on medication that should not be taken with Paxlovid, so he prescribed molnupiravir instead, he said.

For now, because of supply constraints, only high-risk patients are eligible for Paxlovid, such as those who are unvaccinated, immunocompromised, or have underlying medical conditions. This means that just dozens of patients at some Bay Area clinics have gotten the drug. During the height of the omicron surge in January, many people had to wait a few days to get their test results, which pushed them past the five-day window to start Paxlovid, further limiting its use.

But as Pfizer’s manufacturing of the pills picks up in the coming months, testing gets faster, and doctors and pharmacists get more familiar with the drug, providers hope more people will be able to get antivirals.

“I think it’s going to get better,” said Dr. Michael Stacey, chief medical officer of LifeLong Medical Care, a network of East Bay community health centers that has been administering antiviral pills to some high-risk patients.

“Because of the limited supply of those medications, the focus has been to use those medications for those that are the most complex patients,” he said. “As the supply becomes more available, you’ll be able to treat people that don’t have a lot of other medications they’re taking, and it’d be easier to make that happen quickly. And as providers become more familiar with this medication, their comfort level will increase and it’ll be easier to get it to even the most complex patients.”

Original article

Filed Under: LifeLong in the News

LifeLine – February 2022

February 23, 2022 by Elaine Herscher Leave a Comment

Filed Under: Intranet, LifeLine

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