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Pahrump Mirror
Pahrump, Nevada
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June 26, 1997     Pahrump Mirror
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June 26, 1997
 

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12 Thursday, June 26, 1997 PahrumpValley Gazette , and Fitness ,llm,,n,,m "'l I '" ii It L 2  s  or  firm-fleshed fish, 1-inch tl'ack 1/3 cup veor vegetable oil 3 tablespoons 1 juice I teastxxm onion powder I teaspoon 1 teastxxm  lmaon peel 1/2 teaspoon salt I/8 teaspoon ground black pepper 20 bay leaves .... Water Cut swordfish in l-inch cubes. In a large bowl, combine oil, lemon juice, onion powder, paprika, lemon peel, salt and black pepper. Add swordfish, stirring to coat well. Cover and refrigerate 1 to 2 hours, stirring occasionally. About 10 minutes before cooking, soak bay leaves in enough water to cover to soften slighdy. Preheat broiler, On skewers, alternately thread sword- fish and bay leaves, reserving marinade. On the end of each skewer, place alemon wedge. Place skewers on the rack of a broiling pan. Broil about 4 inches from heat source, 8 to 10 mi__nutes, g and brushing with reserved marinade occasionally, until fish flakes ly with a foil Remove and discard bay leaves. Makes 8 portions. LAMB SKEWERS WITH BALSAMIC VINEGAR I cup sweet MarsaJa 114 cup dry white wine vinegar 1 tablpoon rosemary leaves, crushed 1 tab thya leaves, crushed 2 teaspoons  minced garlic 1 1/2 teaspoons salt I14 teaspoon ground black pepl  2  ess leg  lamb, cut in 2-inch pieces 1/2  sliced pancetta, cut in l-inch pieces Balsamic vinegar In a large bowl, combine Marsala, vinegar, rose- mary, thyme, garlic, salt and blac peps. Add lamb; stir to coat. Refri, covered, 4 hours or overnight. PP broiler. Reface meat from marinade; thread onto 8 (10-inch) skewers, altemg with pancena. Place on a rack of a broiler pan; broil 3 to 4 inches from heal 10 portions; 8 skewers. Dr. Sayler 'truckin00 along' at Sumamt Healthcare by L H. Stronach Gazette Staff "\\; In 1980, when John Sayler, physician assistant-certi- fied, was stationed at Nellis Air Force Base, he decided to take a ride to see a place called Pahrump. "We drove out Highway 160 to Pahrump. As I recall we saw a few homes, a gas station and lots of gravel roads." Little did he know that 15 years and 20,000 Pahrumpians later, he would return to practice medicine. In 1973, following in his father's footsteps, he de- cided to enlist in the Air Force. From 1980-84 he worked with Red Flag Op- erations Red Flag's function was to train troops to "Fly and Fight," which included desert training for the U. S military. "This was long before the U.S. ever thought of sending our troops for Desert Storm. I shouldn't be alive today. I did a lot that was wild and dangerous in my Air Force career but as a young man I felt nothing could harm me." Sayler said. Sayler, 43, born in Syracuse, N.Y., did the usual things growing up, including Boy Scouts. That First Aid train- ing was his first exposure to medicine. Coupled with his Emergency Medical Training the seed was planted for a career in medicine. When he left the Air Force in 1986 Sayler decided he wanted to get away from medical care for a while. After his stint as an EMT and various associated duties, he felt he needed a sabastical from medicine. "I did long-haul trucking from 1986-88 just to do something totally dif- ferent." he confided. Yet, in 1987 Sayler found himself at Spokane (-Wash.) Community College, studying for an associate degree and five years later he began his career as a physician assistant. After obtaining his associate degree, Sayler went on to Eastern Washington University for his bachelors degree, which he received in 1990. The obvious progression was on to the University of California at Davis, from 1990 until June 1992, where he graduated with a physicians assistant degree. Upon leaving UC-Davis with a PA degree, Sayler worked for Hillyard Medical Family Practice Clinic, a medically underserved area, in the inner city of Spokane, from 1992-93. From 1993-95 he worked with plastic surgeons at Spokane Plastic Surgery and concurrently with orthopedic specialists at Holy Family Ortho, in Spokane. From Spokane the Saylers moved to Eureka, Nev., where he worked in the local clinic. In June 1995, Sayler spent one week in Pahrump at Family Emergency Medi- cine as a substitute physician. Coming to Palarump was still not a definite consideration as to working here full- time. In April 1996, Desert Springs offered him a posi- tion with Summit Family Healthcare as clinic director. When asked, "Why did you chose Pahrump?" he re- sponded, "They made me an offer I couldn't refuse and that's why I'm here! Plain and simple!" Sayler's main interest as a physician assistant is the ability to do primary care and surgery. Being able to work in these areas and the family care concept is very reward- ing. His reason for choosing this field: "It's a fulfilling occupation." The Saylers family consists of wife Emma, office manager at a physical therapy clinic, son, Jay, 15 attends Pahrump Valley High School, daughter, Denise and three grandchildren. When he is not being dad, husband or physician assistant, Sayler does what he calls his "physical therapy," which is working his 1937 Chevy coupe. He is definitely in to "street rods" and is cruise director for the Pahrump A Valley Cruisers. J When asked what his greatest accomplishment was, Sayler proudly stated, "Raising my children and a good family support system," and yes, then his PA degree, as he motioned to the certifcate on his office wall. Sayler's opinion of health care plans such as Managed Care, Health Maintenance Organizations and conven- tional fee for service plans, were brief but definite. "Man- aged Care and HMO are in the same category. They work well for those people that are generally healthy; giving them good preventative, health care. Chronically ill pa- tients are expensive for the provider because of capitation. Managed Care is driven by insurance companies and they are in business to make money. Comprehensive and com- plete care tend to be secondary considerations. Fee for service plans give the consumer the ability to choose a broader individualized referral base." On the subject of principle health problems among middle-agers and seniors, Sayler feels those areas are hypertension, diabetes and cardiovascular disease. Sayler believes "a young person's indestructible nature" sets him, or her, up for injury and disease." Sayler feels that rural Americans suffer more from hypertension and diabetes. "The PA is cost-efficient. In rural Nevada, the parameters are one physician and two PAs versus urban Nevada, where you have one physician and one PA. You get the biggest bang for the buck, Sayler believes, and PAs can see, treat and care for the under served. That is another reason why he feels Pahrump's community needs are 1.) Building a hospital (even if it means more taxes or incorporation); 2) More general practice provid- ers in the community; (3) Specialties that are resident: (4) Serious consideration to form a relationship with Univer- sity Medical Center or University of Nevada, Reno for resident and intern capability and (5) Upgrading trauma technology. In a nutshell, Sayler feels that by the turn of the century, if not before, there will be 100 percent changein health care delivery. "As the population gets older and lives longer, Managed Care will pervade the healthcare delivery system for the majority unless the public gets on the bandwagon and pursues alternatives for the problem of quality health care vs. adequate care." The issue of the under-served magnifies his desire that Summit Family Healthcare will continue to grow and expand as well as adding the necessary providers beyond the three that they are operating with at present. This subject is also a contributing factor to his feeling that, "We, as a community of medical provciders, should work together; forget competition and egos. Let's just work as a team." Physician assistants are vital to medical facilities What is a Physician assistant? PAs emerged in the mid 1960s to alleviate a lack of available physicians and increase high quality health care accessibility. PA students are educated at more than 70 accredited programs throughout the U.S. and are affiliated with several college or university schools of medicine. Their education is designed to complement that of physician education. After graduation from an accredited program PAs are eligible to take the national certifying exam administered by the National Commission on Certification of Physician Assistants. Only those that pass, keeping up with medical advances through Continuing Medical Education courses, completing 100 hours every two years and a re-examina- tion every six years, can continue to practice with a licensed physician's supervision. PAs traditionally serve in areas of need, especially rural areas providing care for those with little or no access to quality health care. The majority of PAs provide pri- mary care services, 37 percent in family practice, and 22 percent in general surgery or a surgical subspecialty. In some rural communities PAs serve as the only providers of health care conferring with supervising phy- sicians and other, medical professionals as required by law. Without physician assistants there is a segment of population citizens that would receive at best little, if not inadequate, or no health care. The medical communit), could not and would not be able to provide needed care. Many would suffer needlessly and ultimately die from what began initially as treatable disease processes.