[0:11] Okay.

[0:16] » [clears throat]

[0:27] » You got 5 minutes.

[0:37] Really really appreciates you this year. I think you do a wonderful job.

[0:46] Yeah, it's nice to see her feel a little

[0:49] better for you.

[1:01] She has so much anxiety when their treatments are over because it's like

[1:05] now

[1:15] Yeah, maybe okay.

[1:42] 4 and 1/2 and 3 years >> I know, but there's

[1:47] I I didn't think they were specially Yeah, oh yeah.

[1:50] » They're fun. Yesterday was Winston was 3, so we had a

[1:54] party at Carly's and

[1:57] » So, remember one Guinness pizza We went one time and our oldest was

[2:03] maybe 15 18

[2:05] » I wouldn't do the front row unless you're going to use the podium.

[2:09] » And she said, "Yeah." And I said, "Well, that's what friends were you were

[2:12] little." >> It was SARS in West Nile virus.

[2:14] » And we were like, "Okay, you're not eating. We're going to go sit in the

[2:17] car." >> And we went to the hospital.

[2:18] » And we were in this bathroom and >> Yeah, things are a lot different

[2:22] » I know I know. >> They're not as good.

[2:23] » No, they're not. I'm still saying they're not.

[2:25] » I walked a couple times. >> Yeah.

[2:26] » Yeah. >> Yeah. How's it going?

[2:27] » It's well. >> How about you?

[2:30] » Yeah, it was SARS that went around the company and stuff.

[2:34] That's pretty good. >> They never really know.

[2:35] » Yeah, but we were playing SARS and stuff.

[2:40] » Well, the way we were doing it was that's why you didn't

[2:44] » Yeah, and then a lot of times it's like they're sick all the time with their

[2:46] cancer and stuff. Yeah, but it's my chance.

[2:50] » Yeah. >> Was that uh

[2:52] » I went to college. >> So, when you're going in

[2:54] » She's had all her treatments. >> You know, we're just waiting to go see

[2:56] her. >> Well, it goes through her whole system.

[3:00] » She's turned best down and

[3:04] » Hi Tyler. >> Hi Ian.

[3:07] » You can't walk in energy like that. >> I think they just

[3:11] » It's carefully and well I was really playing, you

[3:14] » But I guess that's how they >> Is Heather going to be here today?

[3:19] » Yeah, there's >> Okay. I got to talk to her about the

[3:21] dogs. That's interesting that someone is assuming

[3:25] » Yeah, he's talking to me. >> So, Heather had a biopsy and he said

[3:29] Every time they did a biopsy >> What was that under that?

[3:31] » I thought it was under that. I thought it was under that.

[3:33] » The other one did. >> No, this is all of Heather's survival

[3:36] day. They did it right before

[3:40] And then her lung mass and stuff. >> 12 Okay.

[3:43] » Yeah, we're Yeah, I I have grandchildren. The boys are just turning

[3:46] 12. Twin boys also.

[3:51] » Three. >> Well, they're getting

[3:52] » And it's always >> whatever

[3:56] » I didn't watch my rabbit. >> That's the first thing.

[3:58] » Really? >> One make out five to twenty.

[4:02] » Yeah, yeah, yeah, okay. >> They were

[4:04] » The other one is just like that. >> Yeah, they were always hot.

[4:06] » They just kept on going. >> They just kept

[4:07] » What if >> Yeah.

[4:08] » I actually >> I got to get caffeine.

[4:09] » I drink coffee. >> Based on what

[4:12] » Yeah, you can be our best >> places.

[4:13] » We both thought that >> She just kept cuz there's no place

[4:16] » never >> I brought her some daisies.

[4:17] » No. >> I brought her

[4:18] » I brought her >> She was really nice to

[4:20] » Oh. >> I'm taking

[4:21] » She said that stuff. >> Nothing more than that.

[4:23] » Okay. >> You can see them or something.

[4:25] » We were done through the whole ordeal. >> So, now he's telling

[4:29] » That's about >> They're really

[4:30] » Good. >> Very good.

[4:32] » So, >> But, we don't live over six miles from

[4:35] where they live, so you know, whatever. We have we have no influence, so we're

[4:39] » How are you? >> Good. How are you doing?

[4:40] » I'm good.

[4:45] » We're closed.

[4:54] Let's call the meeting to order.

[4:59] Is everybody ready to announce themselves?

[5:03] » Sure. >> Sure.

[5:04] » No, you can start. >> Yeah.

[5:05] » Start with you. >> Uh Dr. Amy Slaughter.

[5:07] » Grace Slaughter. >> Bob Sassaman.

[5:10] » Mike Mayhew order. >> Russell William.

[5:12] » Carrie Crofford. >> Okay.

[5:16] First thing is the approval of the minutes. If everybody's had a chance to

[5:19] look at that.

[5:23] » I move we approve the minutes. >> Second.

[5:26] » Is there any discussion? Anybody have any other issues?

[5:29] » I had a couple things, but I gave them to Laura. Just Just type them up.

[5:33] » Okay. Yeah, there is one of those.

[5:36] Uh okay. Everybody in favor of the minutes being passed, say I.

[5:41] » I. >> Opposed?

[5:43] » Nay. >> Minutes are passed.

[5:47] Uh any old business at all? There's nothing

[5:50] on here. >> We can talk about the budget really

[5:52] quick. Um

[5:57] the um

[6:00] health funds uh for Indiana health funding uh we're going to have some

[6:05] carryover in this year's budget for 2026.

[6:09] So, even though we're getting the 178,000

[6:13] plus for health first and we're giving that to partners, we're going to try to

[6:17] carry over some money in that fund and do more with that. Up to five partners

[6:23] now uh confirmed for health first funding with the carryover and the one

[6:28] money we're getting in January. So, um

[6:32] when the uh you'll hear in January's meeting if the council approves it, then

[6:38] I'll be able to give you a a better layout of who's getting what for the

[6:41] year. You know, we have two school systems that applied. We have the

[6:46] clinic, we have Hope Center, and we have um

[6:52] I can't remember the other one, but yes. So, we're doing our best to

[6:57] We're doing our best to get um everybody

[7:00] uh all their needs and wishes as best as we can. So, I'll bring I'll be more uh

[7:05] forthcoming when that gets detailed. But, we're trying to use as

[7:09] much as we can of that fund to continue. Other than that, that should be the

[7:14] biggest old business. >> Okay.

[7:16] » I have a question. >> Yeah.

[7:17] » Um oftentimes with government funding, if it's not used in one year, it's lost.

[7:23] And so, that is that's obviously then not the case with this fund?

[7:27] » No, so uh the the health department and the

[7:31] assessor's office and some other couple few things in the county are specially

[7:35] we're not through the county general. We have our own tax levy. So, if you look

[7:40] at a of pie, there's certain slices. We get a slice every year no matter what

[7:44] cuz of state code. And so we get a small percentage. Now,

[7:48] the council can change that percentage every year, but we get a small

[7:52] percentage, and that stays in our levy no matter what. They can't take it back

[7:56] out. So, whatever they give to us, it stays

[7:59] there, and if we don't use it, it stays there for the next year. So, I don't

[8:02] even have to go back and ask for what's the word where we keep it from

[8:07] one year to the next. It just goes back in the fund.

[8:10] » Yeah. >> So, we'll go back and

[8:12] reappropriate the budget for a different budget in January carryover money that

[8:17] we would forward to the state. And then we can use that funds going forward from

[8:22] there. >> Thank you.

[8:23] » Yep.

[8:27] » Is there any new business anybody has?

[8:32] » Well, just I'll use do it now instead of later, but I brought an interesting

[8:36] editorial in uh by a

[8:39] a health official, and he teaches, and it's just interesting

[8:44] uh summarizing the the general view of the United States on the health

[8:49] departments and overall health. Um along with that, which it's just

[8:55] interesting contrary, we really have to be proud of our staff

[8:58] here in our county. They do an exceptional job with limited resources

[9:02] just like Scott was discussing this balancing act with the budget, but they

[9:08] all do a great job. They're very devoted and dedicated. And uh we're fortunate to

[9:13] have them all.

[9:16] The unsung heroes of our county. >> I fully agree with that.

[9:22] » Well, then let's go to the reports, Dr. Burkett.

[9:26] » I have lots of reports, but again, just kind of going along with that theme,

[9:31] Scott has spent a lot of time trying to look over the of

[9:35] from these different departments and trying to figure out how to shuffle

[9:40] the funds in you know what I mean in different directions and set up

[9:44] budgets for for those different partners.

[9:48] We in particular we met with

[9:54] the administration for the free clinic. Um

[9:59] they have been funded um quite a few dollars particularly to look

[10:05] at or to treat um early prenatal visits. Um and

[10:12] that being said, they've had very few prenatal visits. I can probably count

[10:16] them on one hand the number that they have seen and record what they've done

[10:23] and report that back to us. Um so we try to

[10:28] figure out with them how to use that funding and moving forward, how much

[10:34] funding to give them again. Um it's been I don't want to call it a nightmare, but

[10:39] kind of a nightmare for for Scott and everybody here to try and

[10:44] direct those funds and and then prove to the state that we're getting outcomes.

[10:50] We've We've now they now are wanting to see the outcomes of

[10:54] the funding that's been handed out. Um so that takes a lot of time to

[11:00] for them to report the numbers back to us and then for Scott to pass them on to

[11:05] the state. So the original uh terminology that the state

[11:11] gave us was that this is just money, no strings attached.

[11:15] Um but

[11:18] as as we've seen there's a lot of strings attached and

[11:22] it's taken a lot of time and um at least several of the partners have

[11:28] not actually spent that money on what it's been funded for. So that's as the

[11:33] reason you have extra money carried over into the next year and possibly into the

[11:37] new year on that. Um,

[11:40] otherwise, you know, everybody you can see in their reports

[11:43] as well have been pretty busy and

[11:49] » What are they looking for in terms of outcome?

[11:51] » [clears throat] >> They're They're very specific

[11:56] um data points that that they look at um

[12:02] for each for each amount of dollars we've handed

[12:06] out they've they've wanted uh the partners to to record numbers

[12:12] like again with the with the free clinic um it was it was directed towards

[12:17] prenatal care. So, they wanted them to record the exact

[12:22] number of of patients ladies that they've seen uh for prenatal

[12:26] care. But, they don't do much prenatal care.

[12:30] And probably the majority of the county doesn't even know that that clinic

[12:33] exists. Um, so in order to document um that they've used this money

[12:41] for the the fine reason I'm very difficult. The Boone Center um

[12:47] funding we gave them quite a few dollars actually was

[12:51] uh designed to look at smoking cessation.

[12:55] Well, all of a sudden um when the legislature met

[13:00] that went away. So, the Boone Center actually had to

[13:03] give us money back because it had to stop right at that point

[13:07] uh and they hadn't seen very many people. They'd only gotten what one

[13:11] quarter's worth of two quarters' worth of the funding

[13:14] anyway, so they actually gave um money back. So, I mean

[13:19] and and now um all those numbers they changed the terminology so that they

[13:24] want to look at outcomes. So, we're looking at numbers Um

[13:29] and all those get reported to the state. State's got a whole bunch of

[13:34] I don't want to say young college kids, but

[13:37] they've got a lot of young kids straight out of college that are looking at all

[13:40] this data and recording it and then we have to try to figure out at what point

[13:45] does that data mean something. Does that Does that answer your

[13:48] question? I don't know. There's There are a lot of

[13:51] We can We can come up with lists for these things if you want to see them,

[13:55] but very complicated.

[13:59] » Sounds like a moving target. >> It is.

[14:02] Absolutely. Um and but the bottom line is if they

[14:06] can't record numbers of you know those data points

[14:10] for each amount of funding, then it's difficult to justify them getting more

[14:15] money for this next year. Um and

[14:22] Okay. Thanks.

[14:25] » Any other questions?

[14:28] Thank you, Dr. Burken. Didn't you just have a work anniversary,

[14:32] Scott? >> Uh

[14:33] coming up uh this next week, I will be here uh 29

[14:38] years. So. Yeah.

[14:42] » Impressive. >> [laughter]

[14:48] » Yeah, 29 years on next uh the 29th. So. >> Congratulations.

[14:53] » Thanks. >> Heather.

[14:56] » So, 11 is my normal duties. Um

[14:59] so, the main thing this quarter is that all of our captains rising.

[15:05] Pretty much uh not over five. That's the higher

[15:09] range when Scott has to go to the home and do an assessment.

[15:13] Um they're between 3.5 and 4.9. So, um

[15:19] trying to get those parents back into the doctors to get

[15:23] a recheck or another

[15:26] We we like to have a venous draw, but a lot of the parents won't do that.

[15:30] So it just it's constant waiting, checking

[15:34] to see have they been back? Is the lead level back down?

[15:39] I think I have probably 20 20-some that's what's levels between the 3.5 and

[15:46] the 4.5. >> And there's one more number so we get

[15:50] them from the finger sticks samples. Um which are notoriously

[15:55] higher. Um so if we get a venous sample typically it's

[15:59] » My grandson had a little bit higher like that

[16:04] » I don't I'll call the

[16:06] » [clears throat] >> leave them a message, they don't call

[16:08] back.

[16:11] So it's it's a struggle trying to get them to

[16:14] come back in. >> Is somebody suing for a dog bite for

[16:17] $90? >> They are.

[16:20] » Somebody suing somebody? Was there a bad injury or just somebody mad?

[16:23] » I I would say honestly it was an average injury compared to all my other bites.

[16:29] I've had worse. Um

[16:31] I believe the individual

[16:35] thought that this dog I only have one other documented case

[16:39] from this dog that they have been told that the dog has bit somebody three

[16:43] other times, three other people. So

[16:48] I >> Dangerous.

[16:50] » It's kind of outrageous,

[16:53] » Any other questions for her? >> Do you have any thoughts about why the

[16:57] lead levels are higher now? >> No, um honestly

[17:03] when the state raised the value I feel that's why we're getting all of

[17:08] these lower. I mean they're they're very low.

[17:11] » Sure. >> Usually they're just right over

[17:15] 3.5. And the the value used to be five, so we

[17:20] wouldn't have all of these. >> I think it's probably something that

[17:23] » Well, you speak but five years ago state mandated that any kid child on Medicaid

[17:28] had to be tested by age two. So, that jumped us up and then they changed the

[17:32] level from five down to 3.5 and that jumped us up again.

[17:37] So, it's not like all of a sudden they're getting they

[17:39] have consistently been poisoned over the years. We're just now identifying

[17:43] » like sampling bias. >> Yeah, exactly.

[17:46] » Yep. >> Makes more sense.

[17:50] » Anything else? So, it's similar to yours though. I

[17:52] think we [clears throat] had discussed that all

[17:55] some of this lead the source of lead was from toys from China and some of these

[18:00] cribs that were painted. So, that was kind of interesting.

[18:05] » I'm still concerned about the toys from China.

[18:11] » I wonder if we were ever checked when we were kids. We had lead-based paint

[18:14] everywhere.

[18:17] » Anything else? Thank you, Heather.

[18:20] Uh Tracy? >> The only thing that I need to add to my

[18:23] report is Dollar Tree, Dollar General, and Dunkin' Donuts all got remodeled.

[18:28] Um and then other than that, I've just been

[18:31] busy with the year end renewals.

[18:37] » Any questions for Tracy?

[18:41] Thank you. And we'll go to April.

[18:45] » I don't remember my report. I will be going out to do another screening at um

[18:51] Blue River here in town. Um It was a poor turnout and

[18:58] that was arranged by their so

[19:01] activity kind of person and

[19:05] the lady who was in charge of

[19:08] getting the housing filled and stuff there and

[19:10] she was not happy. So, she called and asked us if we could

[19:15] come back out because when she takes care of it, there's a list and she'll go

[19:19] around and knock on doors and say, "Hey, they're here."

[19:22] So, we are going to go back out, redo that clinic.

[19:26] I am going to do a flu clinic at Sherburne School

[19:29] next week. They called and asked if we would come back and do just flu, so

[19:34] we're going to do that.

[19:39] Other than that, um this week and next week I am taking a

[19:42] peer certified peer recovery coaching course.

[19:47] So, that's maybe something that we'll be able to offer here in the county and I

[19:51] want to work with the J-CAP program and work release

[19:55] on that. Just helping Darcy with

[20:00] uh CPR,

[20:03] car seat safety stuff. We've got a couple of

[20:06] events coming up.

[20:11] » It look like you've been busy. >> Any questions for

[20:15] Thank you. Then on to Scott.

[20:21] » Um it was really busy until it rained. I was

[20:26] You know, it's been extremely dry, so it's great for septic system

[20:29] installation, so I was busy every day with that. That's slowed down a little

[20:32] bit since then. I had a couple coroner interactions for

[20:36] homes. Uh it's slowed down slightly for them,

[20:40] but it's still a big issue of um

[20:44] men, single men dying in homes, especially over the age of 65. So,

[20:49] that's something that we're looking at, trying to address with the uh

[20:53] the senior center about maybe doing something like a morning coffee

[20:57] uh for gentlemen that are widowed and uh could come in and

[21:03] be around other people, maybe get a better meal, things like that. That's

[21:06] what we're finding issues there. So, um just the normal things uh that end of

[21:11] the year is a lot because of the health first funding. Uh there's many things we

[21:16] have to go in online and complete uh budgets to finish, uh paperwork to sign

[21:23] off on. So, we're trying to do that when they open up the portal for

[21:27] me to go in take a look. So, there's a lot involved in that.

[21:31] Like Dr. Burke was saying, there's now 14 key performance outcomes uh that they

[21:36] want us to track. And that's why we choose the certain partners that we

[21:40] choose because they take care of certain things that we can trace back to those

[21:45] outcomes. And so, that's why we choose them because they're doing clinical work

[21:49] that we don't do so that we can follow that throughout the county. And so,

[21:53] that's the partners that we try to choose to do some of those things.

[21:57] And um then we have three specific key performance outcomes that we've been

[22:02] assigned to Whitley County, which would be uh maternal child care, um

[22:07] opioid and mental health issues, and um chronic disease, which we focus on

[22:12] diabetes at that point. So, there are certain

[22:16] um like

[22:18] how many cases of diabetes, you know, or can we be referred to programs? You

[22:23] know, how many mothers and child things like that that we're trying to they sign

[22:27] specifically. And if you go to our website, uh you can see on the health

[22:31] plan there what uh it is for this year, then it'll change for 2026.

[22:37] Uh as they refine those numbers, we look at different things, they take different

[22:40] data points, and go from there. Um a lot of data's

[22:44] not available locally, so they have to use CDC or state data.

[22:49] Sometimes that's 3 4 years off. And so, sometimes you don't get a lot

[22:55] right down good data with that. Um and then every quarter or half a

[22:59] year, depending on what partner we're using, uh they have to report their

[23:03] numbers to us. So, we give them money to use for their project, but then they got

[23:07] to give us numbers back. How many people they see, what are they spending their

[23:10] money on, things like that. So, all that's sent back to me and I put stick

[23:15] it in the computer and then I'll spin it back out to the state when they want it.

[23:18] So, I think a lot of why we're doing a lot of this, why Health First Indiana's

[23:24] here, uh you know, Indiana's reported as being

[23:26] the 45th worst state when it comes to health.

[23:30] And I think most of it's a numbers game. The state didn't really get a lot of

[23:35] good feedback on really what's going on for health in with in Indiana.

[23:40] And so, this is an attempt to get real-time numbers, see how we really

[23:45] that bad or we just have a bad reporting system. You can only be gauged on what

[23:51] level you're at depending on what the information is. So, I think it's a

[23:55] better choice, you know, going county by

[23:57] county, trying to get better data so that we can actually see where Indiana

[24:01] is truly health-wise. So, I think uh end of this year will be 2 full years

[24:08] of it. They'll have to report to the state and so, hopefully or to the

[24:11] legislator and the governor. So, hopefully

[24:14] we'll see a better increase in where Indiana ranks health-wise.

[24:19] Uh last thing, uh next Thursday, if you didn't get the invite, uh 30th,

[24:24] upstairs, we're having the state come in. Unfortunately, Dr. Weaver can't

[24:28] attend. Uh the governor took her away, but the deputy

[24:32] commissioner, Pam Patonus, who's been with the state for 35 years, will be

[24:36] here in her place. But they're still going to come in. We'll have everybody

[24:39] that's been invited. So, if you can make it at 11:00

[24:42] on the 30th, we'll be upstairs.

[24:47] » Any questions for Scott?

[24:51] Thank you very much and then we're going to Danielle.

[24:56] » I had a busy quarter. So, it was full of breastfeeding week in

[25:00] August. So, the first Friday of the downtown.

[25:04] Um I did a couple classes at the hospital on nutrition.

[25:08] And then, my food to table class started solids.

[25:12] Um I also have a class at the library. Attended a baby fair at the library and

[25:17] the hospital. Um Darcy and I started with Laura Tucker

[25:23] at Baby Started the Circle to close part of the group support group

[25:28] twice a month and it's been fabulous.

[25:32] We definitely needed Um

[25:35] it's just really fun.

[25:38] Um and that's most, I guess, of what I've

[25:41] done. We have also >> [snorts]

[25:44] » started going around to the providers in the area.

[25:48] We visited Dr. Sadler. So, um we're going to get through all of

[25:51] them, hopefully, through November, I

[25:56] So.

[25:58] » Any questions? >> Thank you.

[26:03] And then, Darcy. >> So, I need to clarify. Jacob doesn't

[26:08] help me with CPR and car seats. I help April with CPR and car seats. I just got

[26:13] to make that clear.

[26:15] Um So,

[26:17] for the next few weeks, I'm really going to focus on grant writing just so we

[26:21] have, hopefully, funds available for programming and just because

[26:25] everything's so limited. Um when Danielle and I go out, we're

[26:29] visiting all the providers with a resource guide that we put together. I

[26:32] hope it's beneficial. >> It's amazing.

[26:34] » Yeah. Um so,

[26:37] we just found that there were so many things available to people in the

[26:40] Whatcom County, but we didn't They don't know about them. So, it's a a notebook

[26:46] with There's probably 25 resources in it that

[26:50] And most of it is free to individuals in the county. So, we still

[26:54] have two more weeks of visits to get in, but every provider and Dr. Lee, if you

[26:59] would like one, I have an extra up in the office for

[27:03] you. >> I know.

[27:04] » I have it scheduled to come visit you. Or we haven't.

[27:08] As far as the prenatal visits are concerned,

[27:12] I don't [clears throat] know if I shared this with you that last time, but we I

[27:15] have a bachelor's in nursing and public health student

[27:19] with me. And she is working on it. How do we get the word out to let women know

[27:24] here are some resources available? Um

[27:27] and so she has been going around to the retailers that sell pregnancy tests and

[27:33] asking them if we can either hang a flyer or wrap the pregnancy test with

[27:39] information because they have been finding women are coming in and they're

[27:43] 5-6 months along and they have had no prenatal care. And that puts women at

[27:48] higher risk of a poor outcome. So, um she is working on that and a lot of the

[27:52] retailers have been agreeable. Dollar General said yes, the IGA and Sherbusco

[27:57] said yes. Um I was at a Kroger this week, they

[28:00] were very supportive. So, um she's working on that.

[28:04] Um the American Heart Association, our um service member we had Ashley. We were

[28:10] We're approved, right Scott, to bring somebody back full time for another

[28:14] year. So, that was up in the air. It's it's going to look a little bit

[28:18] different, but there's still lots of work to do there. I don't know if I put

[28:22] this on my report, we launched NeighborLink. Um and that Sonya Rubrake

[28:28] um that works with April kind of took that on, but that's a program. So, if a

[28:33] older adult needs their light bulbs changed or they need a ramp, um

[28:39] there's volunteers that will do those services for free. So, we're going to um

[28:44] hopefully get some individuals that will utilize those

[28:48] And then we wrap up the Women's Wellness next week and I did start teaching at

[28:52] JCAP this week, um which is a great program. Statistically, individuals that

[28:57] go through JCAP have a 37% chance of not re-offending. And so I've just been

[29:02] working with them on um this week we did um

[29:07] you know, when you're when you leave the jail, what your health care will look

[29:12] like. And um interestingly, none of them had a

[29:15] provider before they were um incarcerated. So, that was one thing I

[29:20] really encouraged them, find a health care provider when you leave. So, you

[29:24] have that safety net. And then as far as the resource guides,

[29:27] everybody gets credit for that because the entire department helps put that

[29:31] together. So, I appreciate that.

[29:35] Any questions? I just keep finding new things to do.

[29:40] » [laughter]

[29:44] » Looks pretty busy, so. Um thank you and then we're down to

[29:50] Laura. >> Um my report pretty much speaks for

[29:53] itself. We have had two home births uh this week. I did get a phone call from a

[29:58] father who delivered on 30. So, we're trying to figure out how that birth will

[30:03] be recorded. I think it's going to have to be recorded as a home birth

[30:07] unintended. Um however, he did tell me he had a midwife. The midwife was the

[30:13] one who sent him on to Fort Wayne after 3 hours of labor. So, I did send

[30:18] him back to the midwife. I talked to Allen County and they said send him back

[30:21] to the midwife to see if she'll start the process because most of the

[30:25] questions that need to be answered in the form are from the provider. Um and

[30:30] then she would just file it as a um home birth unintended with the

[30:35] address that he provides. He would be the sort of the um attending.

[30:40] If she won't do that, then he's to come back to me and get the packet and we'll

[30:44] do that through the health department. I was fearing that we would start to have

[30:48] births on 30 because they're going to Fort Wayne, they're not

[30:52] going to Kosciusko. Um deaths have remained high. Um if you could keep the

[30:57] staff at Smith's in in your prayers, they are overwhelmed. They're not

[31:03] getting a break. They're just doing one funeral right after another. They've

[31:07] worked, I think, >> 17 days.

[31:09] » 17 days without break. Um so, they are overwhelmed. Um I'm

[31:14] seeing that we have an increase in prostate cancer

[31:19] um in our deaths. And then we did have two suicides and three car crash

[31:24] victims. We just had a car crash victim yesterday though. It's not in the

[31:28] statistics. It'll be in next my next report, so.

[31:36] » Any questions for Laura?

[31:40] » Thank you. I think everybody does a great job. It

[31:44] looks like there's a lot going on, so. Anything else to come before the board

[31:50] with anybody?

[31:53] Well, is there a motion to adjourn now? >> So moved.

[31:58] » A second? >> Second.

[32:01] » Okay. Uh

[32:03] then all in favor say aye. >> Aye.

[32:06] » Opposed, nay. Motion carried.

[32:46] » I

Health Board, October 23, 2025

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