Q. I am in a health care management position. I am female. I recently had a person (female) categorize me as “mean,” I thought I was being “assertive.’ She said she liked it when I worked because I would confront the problem. So here are my questions, “Why are women so afraid of using their voices and how did assertive look like mean?”

A. Managers who want to be affective at their jobs need to be assertive. It is a required skill. If you don’t have it please rethink applying for that management position. Also don’t apply if you are mean or need to micro-manage your employees.
It is interesting that this younger female found her manager to be “mean.” Women are either not being educated on the necessity of assertiveness or they are afraid to do it.
Has anyone heard the following:
When men say NO, that is the end of the conversation.
When women say NO that is the beginning of negotiation.
As a manager, NO is sometimes necessary. It is what it is. No you cannot do that, no that will not work, no you can’t take off. But a good manager knows how to deliver with assertiveness and resolve the issue.
The workplace runs much smoother if a manager really knows how to “manage.” Be assertive when you see something that needs to be addressed and please listen to issues that your employees bring to you. Don’t burn out exceptional employees because you do not take action.
All employees need to be working. Everyone is getting paid to WORK, not just SHOW UP. Take care of problems as they are developing. Remember that you are the MANAGER, that means manage. Let you employees see that you are assertive and concerned; you will earn their respect.
You may not always be popular, sometimes people may not like your decisions. Have an explanation that makes sense. One of the biggest complaints heard about ineffective managers is to deny a request for time off with a ridiculous explanation. When employees request time off and they are told NO, have a legitimate reason.
Being a manager requires assertiveness, not meanness. A female who uses her voice with direct assertiveness in an attempt to problem solve and create a positive work environment will be appreciated.

Vicki L Mayfield, M.Ed., R.N., LMFT Marriage and Family Therapy Oklahoma City

If you would like to send a question to Vicki, email us at

Kevin L. Lewis, MD, Regional President of the SSM Health Medical Group

Kevin L. Lewis, MD, has recently been named Regional President of the SSM Health Medical Group.
Dr. Lewis returns to SSM Health Oklahoma to resume the role he held previously from April, 2016 to June, 2017 as Regional President of the SSM Health Medical Group. Dr. Lewis will be responsible for the growth and management of physician practices, as well as post-acute and ambulatory operations across the system. Lewis comes to SSM Health St. Anthony from the multi-hospital Parkridge Health System based in Chattanooga, Tenn., where he was Chief Medical Officer. He received his medical degree from the University of Texas Health Science Center at San Antonio

SSM Health St. Anthony Hospital recently received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Silver Plus Quality Achievement Award. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.
SSM Health St. Anthony Hospital – Oklahoma City earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. Before discharge, patients should also receive education on managing their health, get a follow-up visit scheduled, as well as other care transition interventions.
“SSM Health St. Anthony is dedicated to improving the quality of care for our stroke patients by implementing the American Heart Association’s Get With The Guidelines-Stroke initiative,” said Tammy Powell, president of SSM Health St. Anthony Hospital. “The tools and resources provided help us track and measure our success in meeting evidenced-based clinical guidelines developed to improve patient outcomes.”
SSM Health St. Anthony additionally received the association’s Target StrokeSM Honor Roll award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.
“We are pleased to recognize SSM Health St. Anthony Hospital for their commitment to stroke care,” said Eric E. Smith, M.D., national chairman of the Get With The Guidelines Steering Committee and an associate professor of neurology at the University of Calgary in Alberta, Canada. “Research has shown that hospitals adhering to clinical measures through the Get With The Guidelines quality improvement initiative can often see fewer readmissions and lower mortality rates.”
According to the American Heart Association/American Stroke Association, stroke is the No. 5 cause of death and a leading cause of adult disability in the United States. On average, someone in the U.S. suffers a stroke every 40 seconds and nearly 795,000 people suffer a new or recurrent stroke each year.

Breastfeeding Saves the Lives of Children and Mothers
The American Academy of Nursing (Academy) and the American Nurses Association (ANA) decry the attempt by the United States Delegation to the World Health Assembly (WHA) to use strong-arm tactics to undermine global efforts supporting and promoting breastfeeding.
Human milk is inarguably a life-saving medical intervention. As reported in a 2016 study published by The Lancet, breastfeeding could save the lives of 823,000 children and 20,000 mothers each year. Human milk and breastfeeding are critical for infant and child health, as well as for the health of mothers. Professional organizations worldwide recommend exclusive human milk/breastfeeding for the first 6 months of life and continued breastfeeding for the first year and beyond.
Globally, too few women are able to meet the recommended exclusive human milk feedings for the first six months which in turn means many women are not able to breastfeed for one year or two years as recommended by the World Health Organization. Families worldwide deserve the right to evidence-based lactation care and education.
“The Academy has long-endorsed human milk and breastfeeding as the preferred method of infant feeding, and our own Expert Panel on Breastfeeding is in agreement with the evidence-based consensus among public health professionals that breastmilk is the healthiest option for babies,” said Academy President Karen Cox, PhD, RN, FAAN. “While access to formula for women who, for a variety of reasons, are unable to breastfeed is important, we find it irresponsible for any government to oppose a resolution which promotes affordable, basic nutrition that is the best for infants and young children.”
“The health benefits of breast milk for children are unparalleled. Additionally, women who breastfeed experience a lower risk of breast cancer, depression and other diseases,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “For decades, international and national health care organizations have worked to educate women about the benefits of and reduce the barriers to breastfeeding. It is unconscionable that any government would act in opposition to these goals.”
Despite the undisputed benefits of breastfeeding, the United States delegation to the WHA opposed two provisions of the breastfeeding resolution. The first opposed provision urged member states to protect, support, and promote breastfeeding; the second opposed provision urged member states to continue to implement the recommendations of WHO’s International Code of Marketing of Breast-milk Substitutes to end inappropriate promotion of foods for infants and young children.
Ultimately, the U.S. delegation signed on to the resolution, but not before successfully eliminating the provision to end inappropriate promotion of foods for infants and children. Contrary to U.S. claims that the issue surrounding the elimination of the ‘inappropriate promotion of foods’ provision was to ensure women who are unable to breastfeed are equally supported with information and access to alternatives for themselves and their babies, the resolution in no way restricted access to formula and, in fact, already included a separate provision promoting the timely and adequate complementary feeding of the non-breastfed child between 6 and 24 months of age. As evidenced by the language of the eliminated provision, its aim was to end “inappropriate” promotion of foods for infants and children, not the availability of alternatives for women who are unable to breastfeed.
The American Academy of Nursing and the American Nurses Association urge the Administration to fully support, protect, and promote breastfeeding, nationally and internationally, so that all infants, children, and mothers may receive the undisputed life-saving benefits that breastfeeding provides


The Oklahoma AIDS Care Fund board of directors recently approved $120,000 in grants to 13 nonprofit organizations providing HIV/AIDS prevention, education, testing, and social services in the state of Oklahoma.
This year’s funding priorities were focused on reducing new HIV transmissions and AIDS-related deaths. Oklahoma is still one of 10 southern states experiencing an HIV/AIDS epidemic with an estimated 6,000 Oklahomans currently living with HIV. Last year, 90 Oklahomans died of AIDS-related complications and nearly 300 individuals were newly diagnosed and linked to care. Of these, 80 percent are still engaged in care and have a suppressed viral load. However, lifetime medical costs for a person living with HIV are more than $350,000 and extend well beyond the medical domain, including social services, housing, patient time, lost productivity, and physical and emotional distress to patients and their families.
“The programs supported by the Red Tie Night gala are extremely important in addressing the public health issue of HIV and AIDS in Oklahoma,” said Paula Love, President of the Oklahoma AIDS Care Fund. “Without these vital services for prevention and care, far more new HIV transmissions and AIDS-related deaths would occur. Investing in HIV prevention and protecting the health of Oklahomans is our top priority.”
The following grants were awarded:
Be the Change: funding for the OACF Youth Impact Project that provides evidence-based curriculum for HIV prevention among youth and young adults who are homeless, at risk of homelessness or are otherwise marginalized who are engaged in Injection Drug Use (IDU).
Expressions Community Center: to offset the costs of rent and utilities for an HIV/STI case management office.
Grateful Day: to cover the operational costs and provide scholarships for the 2018 HIV Wellness Retreat. The Retreat provides healing arts, therapies, and workshops focusing on advances in treatment and care. The retreat is designed to foster community with people living with HIV and to help educate them on nutrition, new medications and public services available.
Guiding Right: to provide linkage to medical treatment, HIV Prevention Education and Risk Reduction services for individuals newly and previously diagnosed as HIV-positive in Tulsa and to provide Medical Nutrition Therapy (MNT) with the use of farmers market days in Oklahoma City.
HeartLine: to support ongoing operations of the Heartline 2-1-1 program and service related to the HIV/AIDS and LGBT communities.
H.O.P.E.: to support IMPACT program that addresses the challenges of anonymous testing and treatment in rural communities and meets clients when and where it is most convenient including via online dating sites, social media and other nonconventional outreach measure.
Latino Community Development Agency: to support the HIV/AIDS prevention program targeted to under-served, uninsured high-risk communities in Central Oklahoma. Funding will allow the HIV prevention program to continue offering education, counseling and testing to the high-risk youth community for HIV in Central Oklahoma. Education will be conducted to young adults, children, and Hispanic parents; with an emphasis oriented to LGBTQ youth in our community.
MAMA Knows: to support HIV counseling, testing and referral program; continue the condom distribution program in southern Oklahoma; provide culturally relevant support services and education to the constituents, especially black and American Indian/Alaskan natives in and around southern Oklahoma and throughout our state through outreach; implementation of ARTAS linkage to care program.
NorthCare: to support of the Q Space, providing LGBTQ youth at risk for HIV/STD infection and/or coping with infection a specific space for support, psychoeducation, and referrals for services and testing.
Other Options: to provide food, nutritional support, resources and services to people living with HIV/AIDS and or other debilitating terminally ill diseases or disabilities in the state of Oklahoma.
OU Foundation: to underwrite transportation costs for HIV-positive children, as well as School of Community Medicine physicians who serve as chaperones for children to Camp Hope in summer 2019. Camp Hope is a camp for HIV-positive children where all additional costs, including registration, are underwritten by the AIDS Foundation of Houston.
RAIN: to support expansion of prevention education, support for non-reimbursed case management, supportive services and urgent client needs which are unavailable through other resources.
Teen emPower!: to provide personal experience presentations by those living with HIV and STI/HIV Prevention Lessons for eighth-grade students within the schools they teach sexual health education classes.
Since its inception in 1991, the Oklahoma AIDS Care Fund has awarded more than $12.5 million for HIV/AIDS services across Oklahoma. One hundred percent of the proceeds of the Oklahoma AIDS Care Fund’s annual gala, Red Tie Night, make this possible. To learn more about the Oklahoma AIDS Care Fund and Red Tie Night, please visit

In 2012, when he was just 5 years old, Caleb Hines, along with his mother Marcie, decided it was time for young Caleb to learn the importance of helping others and giving back to his community. Searching for ways to get involved, Marcie quickly discovered there were very limited opportunities for children his age to volunteer and become engaged. So, the seed was planted to create an avenue where children could help other children, with a focus to provide basic necessities.
In her search for opportunities, one fateful visit led Marcie to the epiphany moment that would lead to the creation of Caleb’s Cause Foundation. While visiting a friend’s non-profit, All Things Baby, a local organization offering assistance to expectant mothers and children in need, the phone rang three times, all with the same request for diapers. With each call, the reply was regretfully the same, “I’m sorry, no we don’t have any”. As Marcie tells it, “It was at that moment I asked her about the requests and she explained the need for diapers, the lack of funding for diapers and the abuse that comes from lack of diapers. From there we did our homework and decided diapers was the #1 focus for us.” And Caleb’s Cause Foundation was born.
Did You Know…
• There are no government programs that provide diapers or cover the cost.
• An infant needs an average of 12 diapers a day, while a toddler needs 8.
• Some low-income families are forced to keep their children in one diaper a day!
• Statistics reveal not having enough diapers for daily changes causes:
– Increased health problems
– Child abuse is more likely to occur due to non-stop crying from continually wearing soiled diapers
– Parent’s often miss work and keep their children out of daycare due to the lack of diapers
• Some children with disabilities never outgrow the need for diapers, placing additional financial and emotional strain on struggling parents.
So Caleb and Marcie rolled up their sleeves and got busy. Very busy! Drawing on his love for all things Superheroes, Caleb decided to call on his Superhero friends to pitch in. And they did just that, hosting diaper drives during their own parties, requesting guests bring diapers to donate to Caleb’s Cause Foundation, instead of gifts for themselves. One remarkable friend, 11-year old Billy Vega has hosted an annual Christmas party for the last three years requesting diapers in lieu of presents. Friends, family and schoolmates all volunteering to support Caleb and the children of Oklahoma.
Caleb’s Cause Foundation also engages the community-at-large by hosting its annual fundraising event, 5K and 1 Mile Fun Run each August. Now in it’s seventh year, the race is expected to draw over 300 Superheroes who each donate diapers of any size or brand, providing enough diapers to serve 10,000 Oklahoma children! The run is an all-ages event offering music, entertainment, a photobooth and even a Superhero Closet whereas partcipants can throw on their own Superhero cape and Run for a Cause.
Diapers are currently distributed to nine community partners throughout the State of Oklahoma. Each distribution location is carefully selected by Caleb and Marcie through an application process, site visit and annual assessment of needs. With the growing awareness of the need for diapers, Caleb’s Cause Foundation is expected to add five additional statewide distribution locations in 2018, with the goal of one day providing diapers to every Oklahoma child in need.
When asked what motivates Marcie to keep pushing forward, Marcie states “Getting to serve next to my son is priceless. Getting to go to our locations and seeing families there picking up our diapers is the most humbling experience. Hearing over and over again that mothers are bringing their children in soiled diapers to our locations and able to change their babies immediately, providing instant relief to both mom and baby is a heavy feeling that brings you to the very core of why we do this.”
And to young Caleb, the enormity of what they have embarked upon is not lost on him. Caleb says, “The government won’t do it and the schools can’t do it, so it has to be us.” Caleb goes on to say, “I believe we CAN make a difference because we already ARE making a difference.” To see and hear Caleb in his own words, visit him on FACEBOOK AT .
But it’s not enough. Caleb’s Cause Foundation won’t stop until every child in Oklahoma, and beyond, have the basic necessities they need. Next on Caleb and Marcie’s To-Do list, they’re setting their sites on a partnership with a diaper manufacturer to become a distributor, so as to serve even more children and families in desperate need. They also plan to lobby federal legislatures to change the food stamp laws which prohibit the purchase of diapers, directly affecting the health, safety and well being for millions of children around the country.
For more information about Caleb, Marcie, the remarkable work of Caleb’s Cause Foundation and the children they serve, please visit

RNs and LPNs, part-time. Sign on Bonus for experience.
Best Choice Home Health
Call 405-286-9140