by Darren J. Crowe (Western Shoshone/Sicangu Lakota), MBA-Health Care Management
As the 2024 year ends, I am reminded of the countless moments and colleagues that have shaped my experiences serving in the variety of progressive leadership roles I have accepted over the course of my healthcare career.
Let me share why I am grateful for my first mentor, Sister Mary, in my Radiographic Science Degree externship site at the Eastern Idaho Regional Medical Center. I was twenty years old, my first year of clinical rotation in the medical imaging department. I was too scared of her to sit down for my eight-hour rotations and kept busy stocking rooms and wiping everything down twice in between patients. I dreaded my one-on-one x-ray film critiques with her, as she grilled my limited intellect at the time. I often joke with my wife that I was born with small tear ducts, therefore, I cannot ugly cry easily.
However, Sister Mary could make me feel an emotional swell. I got teary eyed because of her toughness and how she stared into my soul waiting for me to answer her questions. Six months later, I finally found the courage to stand up for myself and asked her a hard question, to which she replied, “That is a great question – now go look it up!”
At that moment, our relationship changed, and I realized this was her style of weeding out the students who were not committed to both the art and science of diagnostic imaging. That day was insightful for my future. I committed to providing the best diagnostic radiographic images for the sake of the sick patients we served until I graduated. Gratitude is the best word for Sister Mary for shaping my young future which has provided me with success, joy, and appreciation for all the people I have served with over my 35-year career in healthcare.
Moving forward to the present, to healthcare providers and licensed support staff in Indian Health Service (IHS), Tribal, and urban facilities. Amidst the daily hustle of caring for others, it is easy to lose sight of how much we have accomplished—not just in our professional roles but in the personal growth these challenges have inspired. 2024 has been a year of resilience and adaptation. From navigating staffing shortages to managing complex health disparities, we have been tested in ways that have deepened our commitment to the communities we serve. Yet, as we prepare to welcome the new year, it is worth pausing to reflect not only on the hurdles overcome but also on the positive outcomes we have achieved together.
Gratitude is the thread that ties these moments together, reminding us of the strength we gain through connection, perseverance, and purpose.
Gratitude for Each Other
Healthcare is a team effort, and no one knows this better than those who have worked in the unique environments of IHS, Tribal, and urban healthcare. Whether you are a physician, nurse, pharmacist, behavioral health counselor, or administrative support, each of us brings unique skills and perspectives to the table.
This year, many of us faced immense personal and professional challenges. You worked tirelessly to ensure your clinic remained open during unexpected weather closures or you took on extra shifts to meet the needs of your community. You found yourself mentoring a new colleague on how to use the Electronic Health Record system or you stepped into a leadership role despite feeling unsure of your capacity. Every challenge overcome is a testament to our collective strength and commitment.
Take a moment to reflect on those around you—the colleague who stayed late to assist with a patient, the staff member who brought humor to a tough day, the leadership team that fought for resources to improve care delivery. Each act, big or small, is a reminder that we are not alone in this work.
Gratitude for the Communities We Serve
Working in IHS, Tribal, and urban healthcare settings is not just a job; it is a calling. Our patients often come to us with unique needs shaped by historical, cultural, and social contexts. In 2024, we had stories of triumph: patients managing chronic illnesses more effectively, families embracing healthier lifestyles, and communities rallying together to address long-standing healthcare disparities.
As providers and support staff, we are privileged to witness these moments of progress. They are a powerful reminder of why we do what we do. The trust our Native communities place in us is both a responsibility and an honor. In reflecting on the past year, let us express gratitude for the opportunity to make a meaningful difference, even when the work feels overwhelming.
Gratitude for Personal Growth
Every challenge we faced this year has shaped us in some way. It was the frustration of learning a new system or the heartbreak of losing a patient despite our best efforts. It was finding the courage to speak up in a meeting or learning to set boundaries to protect our well-being. These moments, though difficult, are the seeds of growth. We all must commit first, then find the courage along the way to face our own Sister Mary to grow personally.
Reflect on how you have grown in 2024. Have you become more compassionate, resilient, or resourceful? Have you found new ways to connect with patients or support your team? Each step forward, no matter how small, is a victory worth celebrating.
Looking Ahead: Carrying Gratitude into 2025
As we enter the new year, 2025 let us carry this spirit of gratitude with us. Make it a habit to acknowledge the successes—both yours and those of your colleagues. Take a moment during your day to pause and reflect on the positives, even when things feel hectic.
Consider starting a gratitude practice in your workplace. This could be as simple as sharing a “win of the week” in team meetings or leaving notes of appreciation for colleagues. Gratitude has a ripple effect, fostering stronger connections and a more positive work environment.
Finally, remember to extend gratitude to yourself. Healthcare providers and support staff often put others’ needs before their own, but self-compassion is just as important. Celebrate your achievements, acknowledge your challenges, and give yourself permission to rest and recharge.
A Heartfelt Thank You
To everyone who has dedicated themselves to improving the lives of patients in IHS, Tribal, and urban healthcare settings: We thank you. Your work matters deeply, you matter. Together, we have faced the difficulties of 2024 and emerged stronger for it.
As we step into 2025, let us embrace the lessons learned, the growth achieved, and the gratitude that binds us together. Here is to another year of service, connection, and shared purpose.
Happy New Year!
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