Medical Journal 2011

March 30, 2011

Medical &Health Journal A local guide to medical and health services

A supplement to The Bar Harbor Times, Capital Weekly, The Herald Gazette and The Republican Journal

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Medical & Health Journal

March 30, 2011

“It’s about helping women realize their potential.”

JENNIFER MCKENNA MD, OB/GYN

“Because I care for women over a long period of time, I can base medical interventions on the person as a whole and see their health in the context of their life.

For me it’s not about procedures, it’s about helping women realize their potential.”

I Am Pen Bay. Pen Bay has an enduring commitment to the health of our community. We are proud of what we do, and with our new dedication to partnership care-involving a patient’s family and friends more deeply in the care we provide, we know that together, we are better.

www.pbmc.org/iampenbay

March 30, 2011

Medical & Health Journal

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Page 3

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Table of Contents Family Advisory Council links PBMC, community ...................................... 4 Chronic pain: What is it? Why do I have it? Who can help me? .................. 5 Connecting Midcoast MaineCare patients with dental care ....................... 5 New specialists at Waldo County General Hospital ................................... 6 New therapist at Arthur Jewell Community Health Center, Stockton Springs Regional Health Center ................................................ 7 Kno-Wal-Lin Home Care and Hospice receives grant for tele-homecare ...... 7 Staffing changes throughout Pen Bay Healthcare ..................................... 8 Computer expertise not needed for teletherapy ....................................... 9 A different kind of ‘golden hour’ ........................................................... 10 $150,000 grant to help fight childhood obesity ..................................... 11 The power of the breath ....................................................................... 12 What makes a healthy home? .............................................................. 12 Picker Family Resource Center – a learning place for women and families ............................................... 13 Bar code technology another assistant to quality patient care................. 16 An unexpected miracle in Liberty .......................................................... 17 Eastern Maine Medical Center uses iPod for tele-trauma ........................ 17 A little less Robert Pesce in the kitchen ................................................ 18 SANE nurses are there for survivors of sexual assault ........................... 19 Students promote ‘Smokin’ is Stupid’ message ............................... 23-24 Northport conference to focus on drug abuse in elders .......................... 26

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Medical & Health Journal

March 30, 2011

Index of Advertisers & Profiles Acupuncture Various Local Practitioners ..........................10 Ambulatory Services Delta Ambulance ....................................7,20 Assisted Living & Independent Living Bartlett Woods Retirement Community ..........9 Birch Bay Retirement Village ....................3,22 Harbor Hill Assisted Living Health Care Community ..............................28 The Anderson Inn at Quarry Hill...................13 The Residence at Tall Pines ........................21 Riverside Home Inc. ................................5,22 Windward Gardens .....................................28 Audiology Acadia Hearing Center .............................6,20 Audiology Center of Maine .......................7,20 Beltone New England ..............................2,20 Banking Bangor Savings Bank .................................27 Chiropractic Care Bay Chiropractic Center ..............................21 Cosmetics Nancy Duncan/Elecktra ..............................11 Dentists Robert E. Day, DDS, FAGD ..........................20 Midcoast Family Dentistry .....................20,28 Seasons of Smiles .....................................19

Family Health Pen Bay Family Resource............................21 Food & Nutrition Fiore Artisan Olive Oils & Vinegars ..............18 Hospitals, Health Centers & Medical Centers Coastal Medical Clinic ................................18 Healthy Acadia ......................................11,25 Hope Health ................................................6 Knox County Community Health Coalition .....10 MaineGeneral Medical Center .....................25 Martin’s Point Health Care ...........................8 Mount Desert Island Hospital .....................25 Pen Bay Healthcare .......................2,21,25-27 Waldo County General Hospital ..............14-15 In-Home Health Care & Hospice Hancock County Homecare & Hospice .........22 Kno-Wal-Lin Home Care & Hospice .........22,27 PALS ......................................................3,22 Mental Health Sweetser .....................................................5

Optometry Coastal Eye Care .........................................9 Smart Eyecare Center ...........................23,25 Orthopedics Pen Bay Orthopaedics ................................25 Personal Care Air Companions ...........................................5 Pharmacy Hannaford/China ....................................3,26 Hannaford/Damariscotta & Rockland ............4 Kennebec Pharmacy & Home Care .........16,26 West End Drug Company ............................16 Physical Therapy Sheepscot Bay Physical Therapy, Inc. .....19,25 Terry Miller/Hope Health ............................18 Trade Winds - Coastal Physical Therapy .......18 Substance Abuse Counseling Acadia Family Center ..................................23 Urology Pen Bay Urology .........................................26 Vascular Health Pen Bay Vascular Health .............................21 Women’s Advocate Counseling New Hope for Women .................................21 Women’s Health Pen Bay Imaging ...................................26,27

Family Advisory Council links PBMC, community A

new committee is giving patients and families a voice in decisions affecting patient care and family experiences at Pen Bay Medical Center.

In response to patient satisfaction scores, which revealed high marks for clinical quality, patient safety and infection control, but lower scores for overall customer service, PBMC announced its commitment to a new patient- and family-centered approach to care — and a number of initiatives to implement this model.

One initiative was the creation of a family advisory group to emphasize the patient’s point of view in ensuring both high quality clinical care and an exceptional overall experience.

The Pen Bay Family Advisory Council meets monthly in the Pen Bay Physicians Building.

The council is comprised of 15 members, including 10 community representatives from Knox County, the towns of Lincolnville and Waldoboro, and five PBMC representatives.

The council’s chairman is Joanne Billington of Rockland.

Members include Dan Bookham of Rockland, Roe Chiacchio of Camden, Carolyn Montague

Members of the Pen Bay Medical Center Patient and Family Advisory Council, from left, Ron Howard of Rockport, Joanne Billington of Rockland, Paula Schuessler of Lincolnville, Carolyn Montague of Owls Head, Roe Chiacchio of Camden. Back row, from left, Marty Martens of Camden, Dan Bookham of Rockland, Burton Elliott of Waldoboro, Alan Leo of Thomaston. Not pictured: Sarah Stein of Rockport.

PBMC representatives on the of Owls Head, Burton Elliott Marty Martens of Camden, Paula of Waldoboro, Ron Howard of Schuessler of Lincolnville, and council include Dr. Dana Goldsmith, vice president of medical affairs at Rockport, Alan Leo of Thomaston, Sarah Stein of Rockport.

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the hospital; registered nurse Paula Delahanty, vice president for Pen Bay Nursing Services; Eric Waters, chief operating officer; Christopher Burke, director of marketing and communications for Pen Bay Healthcare, and Kelly Fickett, administrative assistant for nursing services.

The council is one step of many that PBMC is taking to emphasize the partnership between patients and families and the people who provide their healthcare. The core concepts of patient- and family-centered care are dignity and respect, information sharing, participation and collaboration.

“We’re looking forward to building a solid bridge of communication between the community and key decisionmakers at Pen Bay,” said Delahanty.

“We believe this group will be a constructive body that can truly help Pen Bay succeed in providing better care.”

Delahanty encourages the community to contact council members with questions or issues. For more information, visit pbmc.org/pfcc. The council can be reached by e-mail at advisorycouncil@penbayhealth care.org.

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March 30, 2011

Medical & Health Journal

Page 5

Chronic pain: What is it?

Why do I have it? Who can help me?

By Bonnie Lundquist, nurse practitioner

S

am was a handsome, valued farm workhorse who enjoyed romping with the other horses in the sunshine and eating snacks hand-fed to him by the children who lived in the farmhouse.

As a pony, he had been groomed by the little girl who lived there until his coat shined, and he proudly pranced around the show ring in the 4H competition at the county fair. Sam won prizes at several county fairs for his strength and hard work.

One day Sam broke his leg after stepping in a hole while working at the farm. He had excellent veterinary care and eventually his leg was said to be healed and that he could return to work and play.

But Sam was not better. He no longer liked to romp with the other horses: he no longer ate the snacks the children brought him. He stayed to himself in a dark corner of the pasture. He did not get up when the girl from the farmhouse came to see him: his once beautiful, shiny coat became dull. There seemed to be nothing Sam enjoyed anymore.

Sam had chronic pain.

What is chronic pain and why do I have it?

Chronic, non-cancer pain is persistent pain that lasts more than six months. It can vary in severity day to day, but does not go away.

It can be related to an old injury â&#x20AC;&#x201D; or not, to surgery â&#x20AC;&#x201D; or not, or to a chronic condition â&#x20AC;&#x201D; or not. The cause of chronic non-cancer pain is often

Bonnie Lundquist unclear or cannot be removed.

Chronic non-cancer pain differs from acute pain. Acute pain is short term; it serves a purpose by telling you something is wrong. Acute pain is usually sharp and triggered by a clear source. Treating acute pain usually brings relief. Examples of acute pain are bone fractures from trauma, or pain after surgery.

Common sites of chronic noncancer pain are lower back, head and neck, joints, muscles or nerves.

Chronic pain that is due to nerves is usually described as burning, shooting, stinging, electrical, increased sensitivity, tender or numb. An example of chronic pain due to nerve damage is diabetic neuropathy, or nerve damage.

Chronic pain of joints, muscles or bones is often described as throbbing,

sharp, a pressure, cramping, dull, aching or deep. An example of such pain is arthritis.

Untreated chronic non-cancer pain is worse if the person is tired, rundown or depressed. At the same time, chronic pain can lead to depression, anger, poor sleep, withdrawing from family and friends, decreased quality of life, a feeling of loss of control and fear of increased pain.

Everyone reacts to pain differently and the degree of injury or disease found does not always correlate with the degree of pain the person reports.

As in the example of Sam the farm workhorse, untreated chronic pain can interfere with all aspects of a personâ&#x20AC;&#x2122;s life, including eating habits, sleep, emotions, family relationships, work, exercise and activity,and for humans, finances.

What can I do about chronic pain?

If you have chronic daily pain that is affecting your function and quality of life, 1) acknowledge that you have chronic pain and need help; and 2) tell your primary care provider (physician or nurse practitioner) that you have chronic pain that is affecting your daily function and work with your provider to evaluate the pain and develop a pain treatment plan.

Recognize that the goal of treatment of chronic non-cancer pain is not to stop or erase the pain, since this cannot be done, but to develop a plan to selfmanage your pain condition to have maximum functioning in everyday life, decrease the pain and avoid negative side effects.

In partnership: Connecting Midcoast MaineCare patients with dental care

P

eople with dental pain, but without a dentist to treat it, often seek treatment in a hospitalâ&#x20AC;&#x2122;s emergency department. At Pen Bay Medical Center, those patients can now leave the hospital with an appointment for follow-up care at a local dentistâ&#x20AC;&#x2122;s office.

Dr. Daniel Schecter is one of very few accepting MaineCare acute dental care in the Midcoast region. Dr. Robert Berube, an Augusta oral surgeon who is a member of the stateâ&#x20AC;&#x2122;s MaineCare Dental Advisory Committee, praises both Schecter and Pen Bay for being the first in the Midcoast â&#x20AC;&#x201C; and one of the few in the state â&#x20AC;&#x201C; to have such an arrangement between a hospital and a general dentist. â&#x20AC;&#x153;Our patientsâ&#x20AC;&#x2122; dental care needs werenâ&#x20AC;&#x2122;t being met,â&#x20AC;? said registered nurse Roxanne Walton, director of emergency services at PBMC. â&#x20AC;&#x153;We had to worth together to find a solution.â&#x20AC;?

Walton coordinated the dental care project with Schecter and the Maine Department of Health and Human Services, which administers the MaineCare program.

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Medical & Health Journal

March 30, 2011

New specialists at Waldo County General Hospital B

what he felt was the best situation for his patients and himself.

ELFAST — Waldo County General Hospital attracted two new specialists, a family practice doctor and three internal medicine (adults only) physicians in the past year.

Dr. L. Michael Lavender, an OB-GYN, is in the Cobb Medical Building, while Dr. Andrew Dixon moved his pulmonary and sleep practice to the hospital from Bangor.

Lavendar did Dr. L Michael his residency at Lavender Ohio State University, and practiced in Kentucky and Ohio for 24 years.

With his children grown, he and his wife wanted to see different parts of the county so he Dr. Andrew signed up to work Dixon on short-term assignments across the United States.

His first assignment was to Belfast and he and his wife were hooked.

“We just fell in love with Belfast, the surrounding communities and Maine in general. The people are so welcoming and friendly and the hospital is stellar,” Lavender said.

Dixon, who practiced in Bangor for 18 years, also served as the director of the Pulmonary Rehabilitation Program and Critical Care Unit at St. Joseph Hospital.

Dixon lives in Hampden and said the stresses of managing a private practice had become too much and he wanted to become a hospital employee. He said WCGH offered

Dr. Matthew Molison spent 13 years practicing family medicine in North Carolina and vacationing in Maine. Now he’s in Maine to stay.

Molison enjoys Dr. Matthew the entire spectrum Molison of family medicine from pediatrics to geriatrics. Previously medical director of a nursing home, he has experience with geriatrics and chronic disease management, especially diabetes.

He is a certified coastal kayaking instructor who also enjoys hiking, camping and mountain biking, along with photography.

Molison is board certified with the American Board of Family Medicine.

Dr. Paul Mazur, an internal medicine physician, joined the staff at WCGH in April. His special interests are in chronic disease management and in the long-term medical effects of Dr. Paul taking medications Mazur for mental illnesses.

Mazur and his wife, Juliet Baker, moved from Boston to Bayside in August 2007, into a home that was rebuilt and winterized but had been in his wife’s family since the 1950s.

He worked at Togus VA Medical Center in Augusta from September 2007 until December 2009.

Mazur has an extensive background in working with the elderly, homeless, mentally ill, and those with substance abuse issues. He has also taught over the years in the Boston area.

Molison and Mazur are also in the Cobb Medical Building.

Dr. Jodie Hermann and Dr. Matthew Wall have opened a practice at the hospital.

Both serve one week a month as hospitalists, the doctor who oversees the care of hospitalized individuals, and sees discharged patients for follow-up visits for those who don’t have a regular doctor or can’t get in to see their doctor in a timely fashion.

Hermann, who previously worked in sports medicine, received her Doctor of Osteopathy from the University of New England and did her internship and residencies at Middlesex Hospital in Connecticut and Baystate Medical Center at Tufts Dr. Jodie University.

Hermann Wall received his medical education in Virginia and completed his residency at Maine Medical Center, where he had previously worked for three years in the clinical pharmacy. Dr. Matthew Wall

ACADIA HEARING CENTER David A. Cuthbertson, Au.D.

New physician Gerald E. Merrill III

W

aldo County General Hospital has a new physician practice manager. Gerald E. Merrill III, better known as Trey, is responsible for overseeing the management of the hospital’s five health centers and hospital-owned practices. It’s a position he has been preparing for with both his education and work experience.

Merrill, who lives in DoverFoxcroft, graduated cum laude from the University of New Hampshire with a Bachelor of Science in health Gerald E. care management and policy in 2008. Merrill III For the past two-and-a-half years, he has been the lead office coordinator at Mayo Regional Hospital in Dover-Foxcroft. In that position, he was directly responsible for management of the largest practice in the system (seven providers) and coordinated the other eight offices and assisted the director with special projects.

Merrill, who was born and raised in Maine, said he likes Maine and loves rural health care. While many of his classmates headed to Boston after graduating from college, he headed back to Dover-Foxcroft and purchased his grandparents’ farm, where he lives with his wife, Jillian, and dog, Ruger. He said he doesn’t mind the nearly hour-and-a-half drive because it gives him a chance to gear up on the way to work and to clear his mind on the way home.

Merrill believes his new position will be challenging because he will be working with so many different offices, many of which are located quite a distance apart, but need to have many of their functions standardized.

He sees it as an opportunity to “do some good.”

Merrill describes his management style as one of collaboration and empowerment, where he gives his employees the tools they need to get their work done.

Merrill and his wife are awaiting the birth of their first child in July.

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March 30, 2011

Medical & Health Journal

New therapist at Arthur Jewell Community Health Center, Stockton Springs Regional Health Center herapist Kathy Muzzy, LCSW, fice. The second benefit is the abilT hired to work at the Arthur Jew- ity of the medical and mental health ell Community Health Center in providers to treat the physical and Brooks and the Stockton Springs Regional Health Center.

Since late October when Muzzy started spending time at the two health centers, she has seen patients for a variety of issues, such as depression following a stroke or related to chronic pain; anxiety; long-term depression; sleeping problems; substance abuse; anger; grief; and feelings around being a caregiver. She also has a background in working with patients who are dealing with isolation issues following hearing loss.

While some of the patients she sees only need a visit or two to Kathy deal with a particular issue or to get a referral to another mental health professional, others need her services for longer.

Muzzy identified two clear advantages of having a therapist at the health center. The first is the heightened confidentiality, since the patient is going into the doctor’s office instead of going specifically to his or her therapist’s of-

emotional issues together. She said patients often need most to be reassured that what they are feeling is normal and to know, for example, that depression often goes along with a stroke or medical issue.

Muzzy is actually an employee of Midcoast Mental Health, which contracts with the two practices to provide on-site therapy services. The billing is done by the practices and in many cases, insurance coverage for her services is the same as for other medical services.

Muzzy, who also has a private practice in Belfast one day a week, has a master’s Muzzy degree in social work from the University of Maine, Orono, and is licensed as a therapist by the state of Maine. She has been practicing for 18 years and also previously worked as an in-house therapist in Knox County.

Muzzy said she enjoys her new position, both because of the variety of issues she sees and the positive response from patients and the doctors at the health centers.

Page 7

Kno-Wal-Lin Home Care and Hospice receives grant for tele-homecare K

no-Wal-Lin Home Care and Hospice has received a $146,903 grant to enhance home health care through telemedicine technology for residents of Knox, Lincoln and Waldo counties.

Thanks to this grant, tele-homecare units, some enabled with video, will be placed in patients’ homes to monitor vital signs and allow interaction with care providers in addressing chronic medical conditions. Specifically, Kno-Wal-Lin will purchase 76 new VitelCare tele-homecare monitors, plus peripherals that will be compatible with its new Cerner electronic medical record system.

“We are excited to receive a RUS grant from the U.S.D.A., which will provide Kno-Wal-Lin with the ability to introduce new telehealth technology to facilitate high quality homecare in our communities,” said Donna DeBlois, executive director of Kno-Wal-Lin. “This grant represents the next step in our effort to continually improve the level of care for our patients with chronic diseases.”

U.S.D.A. Rural Development State Director Virginia Manuel said, “I am delighted that Kno-Wal-Lin Home Care and Hospice has received this grant, which will benefit patients on the Midcoast as well as residents of Maine’s small island communities. The benefits from these projects will be long lasting and far-reaching, and are a testament to the quality of the Maine organizations offering the services.”

This is one of 10 projects funded in Maine by the U.S.D.A. Rural Utilities

Service for a total of $3,183,473 invested in rural communities. This is the most of any state in the country – the highest dollar amount and largest number of recipients.

Nationwide, 106 projects have been selected to receive more than $34.7 million in grants to fund educational projects and expand access to health care services in rural areas through U.S.D.A.’s Distance Learning and Telemedicine Program.

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Medical & Health Journal

March 30, 2011

Staffing changes throughout Pen Bay Healthcare Jennifer A. Dreher joins Pen Bay Internal Medicine Jennifer A. Dreher of Warren, an adult nurse practitioner, has joined Pen Bay Internal Medicine.

Dreher graduated with a degree in health and sports science from the University of Oklahoma in Norman and earned her master’s degree in nursing from the University of Southern Maine. She is board-certified as Jennifer A. both a registered nurse Dreher and an adult nurse practitioner.

Her professional interests are geriatrics and health and sports sciences. She comes to the Midcoast from Parkview Adventist Medical Center in Brunswick.

“As a new RN, my first job was at a nursing home/rehab facility and I fell in love with working with older patients,” said Dreher. “As a nurse practitioner I have enjoyed melding both my health and sport science background with my nursing to provide great care to my patients. I’m looking forward to helping patients in the Midcoast with their healthy living goals and to helping them optimize their quality of life to enjoy this beautiful place.”

Dr. Stephanie Lash joins Pen Bay Medical staff Dr. Stephanie Lash, a neurologist, has joined the active medical staff at Pen Bay Medical Center. Previously, she was on staff at Eastern Maine Medical Center, where she was director of stroke services and head of EMMC’s neurology department.

She is a past president of the Maine

Medical Association and a member of the governance committee of the American Academy of Neurology.

A native of Rockport, Mass., Lash is a graduate of Wellesley College, where she was active in varsity crew and sailing, and Dartmouth Medical School. She completed her internship and residency at the University of Washington Medical Center in Seattle before moving to Bangor in 1992.

She said she chose neurology because “it combines puzzlesolving and the opportunity to teach.”

“I also just find the human mind amazingly interesting,” she said, noting that her professional interests are stroke, general adult neurology and “making health sys- Dr. Stephanie Lash tems work better.”

She said Pen Bay’s Midcoast location offers access to the ocean, as well as being centrally located to friends in Bangor and family in Massachusetts, “and all the sailing and skiing we love here in Maine.” She and her two sons, ages 11 and 13, live in Rockport.

Dr. Jennifer McKenna joins Pen Bay Ob/Gyn Associates Dr. Jennifer C. McKenna, obstetrician/ gynecologist, has joined Pen Bay Ob/Gyn Associates, a department of Pen Bay Medical Center.

Born in Lewiston, McKenna grew up in Belmont, Mass. She and her husband and two children, ages 9 and 10, live in Camden.

“The Midcoast and Pen Bay are just the right fit – for my career and for my

family,” said McKenna.

McKenna received a degree in biological sciences from Stanford University and her medical degree from the University of Southern California. Her residency and internship were Dr. Jennifer McKenna at Baylor University Medical Center in Dallas. From there, she moved to Georgia, working at women’s health practices outside of Atlanta, in Lawrenceville and in rural Carrollton.

She is a member and fellow of the American College of Obstetricians and Gynecologists. Her medical interests include adolescent health and working with women with disabilities. She chose obstetrics and gynecology because she wanted to focus on the entire range of women’s health issues.

Outside of work, McKenna enjoys spending time with her family as well as taking piano lessons (baroque and classical music are favorites), quilting and gardening. She was a season ticket holder to the Atlanta opera and is looking forward to discovering the many cultural opportunities in the Midcoast.

Dr. Julie White joins Pen Bay Healthcare Dr. Julie White has joined Pen Bay Surgery, the only vascular surgeon in the Midcoast.

Vascular surgery is a specialty in which diseases of the vascular system – arteries and veins – are managed by medical therapy, minimally invasive catheter procedures and surgical reconstruction. The specialty

evolved from general and cardiac surgery.

Among other conditions, vascular surgery addresses peripheral arterial disease, carotid artery disease, abdominal aortic aneurysm and spider and varicose veins.

A native of Framingham, Mass., White is a graduate of Colgate University and the Boston University School of Medicine.

She completed her residency in general surgery at Boston University Medical Center and a fellowship in vascular surgery at Boston Medical Center. She comes to Pen Bay from Brockton Hospital in Brockton, Mass. She has been an assistant clinical professor in surgery at both Boston University School of Medicine and Tufts University Medical School.

Certified by the American Board of Surgery in both genDr. Julie eral surgery and vasWhite cular surgery, White is a member of the American College of Surgeons, the Society of Clinical Vascular Surgery and the American Society of Breast Surgeons.

“We have sailed the coast almost every summer for the last 20 years,” she said.

“We love the coast and we love the people there.” She and her husband have a college-age daughter.

Dr. Robert Merrill joins Pen Bay Physicians & Associates

Dr. Robert N. Merrill has joined Pen Bay Physicians & Associates. He has been a physician in Maine since 1988 and in the Midcoast area since 1990.

“Becoming a part of Pen Bay ensures the future success of my practice and allows me to focus on caring for my patients rather than on the business of running a practice,” said Merrill. “After 20 years of solo practice, the time has come to move forward in a system that is becoming more integrated and complex, but that offers a higher level of coordination between physicians and other providers and, ultimately, better and less costly health care.”

Merrill is joined in his office

by Diane J. Batley, a family nurse practitioner. Batley received her master’s degree in nursing at the You’re looking for Medicare coverage University of Southern Maine in 2005. Since that time she has been you can count on—coverage you know practicing at Merrill’s office. She will be there when you need it. But you is certified by the American Acaddon’t want to pay more than you have emy of Nurse Practitioners.

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The freedom to choose out-of-network doctors at a premium less than any Medicare supplement in the state.*

to. We get that. With Martin’s Point Generations Advantage, you get:

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Call 1-866-653-5345 (TTY/TDD: 1-866-544-7502), Monday–Friday, 8 am–8 pm or visit www.MartinsPoint.org/medicare today to receive a free information kit about these Medicare Advantage options. *You may pay more for out-of-network services. **Source: Medicare gov, Medicare’s 2011 Plan Quality and Performance Ratings.

Martin’s Point Generations, LLC, is a Medicare Advantage organization with a Medicare contract.

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Dr. Robert Merrill and nurse practitioner Diane J. Batley.

GENERATIONS ADVANTAGE

Online.

All the time.

March 30, 2011

Medical & Health Journal

Page 9

Computer expertise not needed for teletherapy C

harlie Bradford of Southwest Harbor, like many senior citizens, has always been intimidated by computer technology. So when his doctor in Ellsworth recommended he get speech therapy in Belfast to help with Parkinson’s symptoms, Bradford figured he and his wife Ann were going to be spending a lot of time on the road.

When the couple arrived to meet with Speech Language Pathologist Erica Ricker at Waldo County General Hospital the first time, she recommended they consider doing some of the therapy using their home computer with a web cam. The couple found the suggestion “a bit scary” but since the therapy was four times a week for four weeks and with nearly two hours of travel involved,

one-way, for each session, they decided they should give it a try.

“I didn’t know anything about computers,” said Bradford, adding his wife knew more than him but “not a lot.” Ann Bradford quickly adds, “I just knew it wasn’t going to work and that I would do something wrong.”

There were a couple of glitches to work out during the first session but then “I was really surprised,” says Ann. “It worked fine.”

“I could hear her (Erica) good,” says Charlie. “It was very pleasant. I was comfortable and more relaxed at home and I could talk louder without bothering anyone. After one session, I forgot it was telemedicine. I was just talking to Erica.”

Parkinson’s Disease can result in

Speech Language Pathologist Erica Ricker at Waldo County General Hospital works with another patient who has Parkinson’s.

Lawrence Piazza, M.D.

Walter Muth, M.D.

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Charlie and Ann Bradford reduced volume, understandability and facial expressions and often the person with the disease speaks in a monotone.

The intensive 4-week therapy, called LSVT, can help with all those issues and is scientifically designed for individuals with Parkinson’s Disease. Ricker is one of the few speech therapists in the area certified in the LSVT therapy.

In Bradford’s case, he comes to Belfast once a week and stays home for his therapy for the three other sessions.

He likes the combination.

“I liked being here (in Belfast) in person to see Erica but I was also comfortable at home,” he said.

Charlie says the telemedicine sessions were “fabulous” and seemed almost the same as sitting right beside Erica.

“I forgot about the computer and I was just talking to Erica,” he says.

Ann says it was nice for her to be able to give Charlie privacy when he was having his therapy but still be able to keep tabs on him to make sure he was all right.

“It felt nice,” she says, adding that she also didn’t miss the long drives.

In fact, the Bradfords got so comfortable with the computer and small camera they used for therapy that Ann walked in during one session and asked Erica if she could smell the muffins she had cooling.

And not too long ago, the Bradfords used the web cam to watch their granddaughter in Arkansas open birthday presents.

As for the actual LSVT therapy, Bradford says it helped and he continues to do his “homework” exercises, working to keep his voice loud and understandable.

Page 10

Medical & Health Journal

March 30, 2011

A different kind of ‘golden hour’ A

Imaging technician Danielle Wight prepares Carrie Bacon for her cardiac CT angiography.

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s far as nurse Carrie Bacon is concerned, being the first person to have a cardiac CT angiography on Waldo County General Hospital’s latest piece of equipment may have saved her life.

In January, Bacon had a cholesterol test. The overall result wasn’t all that bad, but her triglycerides were over 1,000 — higher than 150 is considered unhealthy.

With a family history of hypercholesterolemia, she knew she had to do something. With that much plaque buildup in her arteries, “I was a walking heart attack or stroke,” she said.

Step one was to quit smoking, which she did, cold turkey. Three months later her triglycerides were down to around 600 but that was still too high.

As she was pondering her next step, she received an e-mail that had been sent to all hospital employees seeking volunteers to test the new cardiac CT angiography equipment. To Bacon that seemed like a message from a higher power, and she put her name on the list of candidates for the test. Following an interview, she was selected to be the first volunteer.

The test involved an IV with contrast administered. In the CT scan room, the area in and around her heart

was scanned. The contrast dye allowed for better visualization of her coronary arteries and veins.

The CT scan showed partial blockages in her circulatory systems and she was referred to a cardiologist to discuss the findings. The doctor put her on a statin drug to lower her triglycerides and cholesterol, and another drug to reduce the workload on her heart. He also recommended that she develop an exercise regimen after checking with her primary care doctor about the right one.

Bacon said getting the CT test results was an eye-opener that “allowed me to be more in control of how I view and care for my health.

It was very fortunate that the e-mail about the test came at a very relevant time.”

She said she is now focusing on making healthier choices when it comes to her diet as well.

About the procedure, Bacon said afterward that she felt “a warm, flushed feeling” but no pain at all.

When asked how long the test took, she said the actual time with the cardiac CT angiography was around 15 to 20 minutes, but with the prep time, it probably took an hour.

“But it was an hour that saved my life,” said Bacon.

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• Freshstart Smoke Cessation Program • Maine Tobacco HelpLine 1-800-207-1230 Adrienne Gallant, Nancy Laite, Connie Putnam • Maine TEEN Tobacco HelpLine 1-800-NEW-CHOICE ■ Chronic Disease Education - Prevention • Tobacco-Free Playgrounds and and Self-Management Recreation Areas • 211 • No Buts! and Star Store - Tobacco • Universal Wellness Retailer Education ■ Lead Poisoning Prevention Information ■ Substance Abuse Prevention and Support • Alcohol Retailer Education - for • The Childhood Lead Poisoning restaurants and convenience stores Prevention Program for families, • Collaboration with Law Enforcement childcare providers, schools, to enforce underage drinking laws contractors, landlords, and • Prescription Drug Misuse and Abuse maintenance and property Education managers.

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March 30, 2011

Medical & Health Journal

Page 11

$150,000 grant to help fight childhood obesity W

aldo County General Hospital has been awarded a $50,000 grant for each of the next three years to help expand the 5-2-1-0 Let’s Go! program, which has been championed by Dr. Tori Rogers of MaineHealth to help fight the epidemic of childhood obesity.

Over the past 30 years, the number of overweight children, ages 6 to 11, has nearly tripled. Rogers, who spoke in the fall at the hospital’s annual Advisory Committee meeting, said approximately 30 percent of the children she sees in her pediatric practice in Saco are carrying extra weight. Statistics for Waldo County show that 36 percent of the students in Regional School Union 20 are overweight or obese, while that figure jumps to 47 percent in RSU 3. And for the first time, this generation is expected to have a shorter life expectancy than their parents.

In the Let’s Go! program, 5-2-10 stands for five servings of fruits and vegetables per day; no more than two hours of recreational screen time; at least one hour of physical activity per day and zero soda or sugary drinks.

Rogers said one of the most overlooked parts of these may be the push for zero soda and sugary drinks for children.

For example, a bottle of Mountain Dew contains 16 teaspoons of sugar and is significantly larger than it used to be.

Many fruit “juices” have less than 5 percent juice and lots of sugar, while even 100 percent apple juice has nearly 7 teaspoons of sugar. A raw apple has less than half of that, along with beneficial fiber.

The Let’s Go! portion of the program, which was piloted in the Portland area, also seeks to increase healthy eating and physical activity for youth and their families, and focuses on six areas, including health care, schools, after-school, children, workplace, and communities.

Rogers said the obesity epidemic got to this point through many factors.

• Low-cost food has more calories.

• Portion sizes have increased, such the size of bagels.

• Soda and sugary drink sizes have increased.

• Working families are dining out more.

• Time spent in front of the television and computers is up.

• Cuts to recess and physical activity time in schools.

• Many communities are not made for walking and more people are living in rural areas, out of walking distance of essential services.

Rogers said the epidemic is costing the nation billions economically, in increased health care costs and even in National Security. She said the number one reason applicants fail to qualify for the military is obesity.

She said what works to help bring about change is focusing on prevention, creating walkable communities, giving consistent messages about obesity, and policy changes— “small steps” that will add up, she said.

“We also need to stop rewarding people with food and incorporating physical activity into every day,” said Rogers.

As of June 2010, she said 84,154 students in 263 schools and 38 childcare centers have been introduced to 5-2-1-0.

Among the changes that have been made at Waldo County General Hospital are removing soda and unhealthy snacks from the vending machines, offering fresh fruit and a salad bar at all meals, purchasing local foods to the extent practical, and offering programs such as Journey to Health, which is serving nearly 500 individuals in the community by offering tips, classes and exercise opportunities to help community members get and stay healthy. Doctors at the hospital attended training on 52-1-0 last spring and a number of them committed to providing information about the program to their patients and family members.

While the 5-2-1-0 Let’s Go! program in this area has been focusing on children for the past couple of years, the current effort is to expand that to adults in workplaces and the community. To help with that, the hospital recently hired Hester Kohl as its 5-2-1-0 Coordinator.

Her primary responsibilities will be to oversee community health and wellness programs. Kohl, who is a health educator, plans to develop a list of community resources already in place to help with healthy eating and fun ways to exercise.

She will also provide counseling and education, along with referral services, to encourage healthy choices.

Speaking at Waldo County General Hospital’s annual Advisory Committee meeting in the fall, Dr. Tori Rogers holds up a bottle of soda to show the 16 teaspoons of sugar it contains.

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Page 12

Medical & Health Journal

March 30, 2011

The power of the breath

By Terr y-A nne Miller

T

he Breath. It is the force that begins our life and it is the force that ends it. The newborn’s first inhale sparks the start of this miraculous journey and when the last breath is taken, the journey ends.

Our health and well-being largely depends on the quality of care we give life between the first and last breath.

We often take breathing for granted, expecting the lungs to perform their job, inhaling vital oxygen to fuel the body and exhaling the gaseous waste products of carbon dioxide. This rhythm of expansion and contraction normally happens on an average of 16-20 times per minute. It is autonomic, in that it functions on its own involuntarily, yet our thoughts, beliefs and actions directly affect the conditions of breath and breathing. Living in high level alert, as society is today, triggers the body/ mind’s response of fear by freeze, flight, or fight.

Even in moments of relatively calm and low level stress, these survival reflexes remain on guard. Breathing patterns begin to normalize as shallow, quick, holding, restricted, and conscious awareness is minimal or ignored. Pain, low energy, depression, anxiety and metabolic dysfunction can begin to dominate. When breathing becomes rapid, shallow or restricted, it diminishes energy supply to vital organs and tissue.

The breath is responsible for eliminating about 70 percent of wastes from the body, so a limited threshold means less toxic waste is removed from the body. More waste becomes metabolic imbalances leading to chronic disease. Breathing difficulties will show where resistance is our body and mind.

The body’s most basic of functions can give clues to these dysfunctions. Notice your sleep pattern.

Ease of digestion and elimination. Morning energy.

How mobile are muscles and joints? How often are thoughts based on negativity, anger or anxiety?

What happens to our breathing when we feel tense, fearful or excited! Our systems are taxed the more we overeat, don’t sleep, don’t move and stress. This wear and tear decreases breathing threshold.

The good news is, with the help of a breathing

therapist, one can discover the dysfunction or limitation in their breathing patterns, and learn simple techniques to move, strengthen and deepen the breath. Many breathing specialists utilize the science of pranayama.

Pranayama, translated to “the science and practice of breath control”, is a 5,000-year-old system, part of the yogic tradition. Medical studies have shown the effectiveness of conscious breath control. Programs are personalized for individual goals. There are prescribed breathing exercises to address specific issues to bring desired results.

Our breath is with us where ever we go, so these techniques can be experienced anywhere, anytime.

Utilizing a teacher of pranayama to personalize, monitor and encourage one’s practice is a valuable asset.

The science of breath has shown that optimizing our respiratory capacity has significant and broad reaching effects to our health. One can experience from a regular practice the following: deep relaxation and inner calm, increase vital energy, focus and clarity, easier range of motion and mobility, strengthened lung capacity, improved overall circulation. This means a reduction in pain, anxiety and depression, decreased inflammation and congestion and need for pharmaceuticals and a happier outlook in life.

Here’s to your health, breathe easy and live well.

What makes a healthy home?

By Healthy Acadia

A

healthy home is designed, constructed, maintained, and rehabilitated in a manner that supports the health of residents. Most people spend at least half of every day inside their homes. A healthy, safe, affordable, and accessible home supports our basic needs and protects us from illness and injury.

Most common indoor health hazards – such as unclean well water, radon in the air, and lead paint contamination – can be reduced or avoided altogether if we are aware of potential problems and take a few precautionary measures. A little bit of extra knowledge, care and cleaning can make a big difference in your health and safety as well as the health and safety of your family and loved ones.

Seven tips for keeping a healthy home: 1) Keep it dry: Prevent water from entering your home through leaks in the roof and check your plumbing for leaks.

2) Keep it clean: Control the source of dust and contaminants, reduce clutter, and use effective wet cleaning methods.

3) Keep it safe: Store poisons out of the reach of children.

4) Keep it well-ventilated: Ventilate bathrooms and kitchens.

5) Keep it pest-free: Seal cracks and openings throughout the home; store food in pest-resistant containers.

6) Keep it contaminant-free: Reduce lead-related hazards in pre-1978 homes by fixing deteriorated paint, and keeping floors and window areas clean using a wetcleaning approach. Test your home for radon, a naturally occurring dangerous gas that enters homes through the soil, crawlspaces, and foundation cracks.

7) Keep it well-maintained: Inspect, clean and repair your home routinely.

An unhealthy home is connected to poor health.

Homes built before 1978 may and often still do contain lead paint. Homeowners should look for peeling paint

and take precautions when rehabilitating a property with lead.

Smoking and secondhand smoke can cause asthma, respiratory problems, lung cancer and deaths from fires.

Play it safe and don’t allow yourself or anyone else smoke in your home.

Moisture and mold can also cause asthma and other

respiratory problems. Fix water leaks and keep the house well ventilated.

Radon can cause lung cancer. Be sure to test for radon, and if found high install a fan system that can successfully remove the radon.

Pesticides cause acute poisonings and possible chronic conditions such as cancer, low birth weight and prematurity. Keep pests out by cutting off their food and water supply and store pesticides safely.

The lack of working smoke detectors can cause fire injuries and deaths. Be sure to install smoke detectors on every floor of the home, test all alarms periodically and change batteries twice yearly.

A healthy home prevents injury and disease. A healthy home has good indoor air, it is smoke-free, carbon monoxide-free, has good ventilation and safe drinking well water. A healthy home is free from lead, radon, and excess chemicals. A solid structure keeps out pests, moisture, noise and pollution. A healthy home is safe from injuries—it has smooth floor surfaces, proper stair handrails, adequate lighting, and safety devices.

Multiple resources exist to help you with testing in your home and to provide you with more information.

• For radon testing, contact the Maine Center for Disease Control and Prevention by visiting maineradiationcontrol.org or calling 1-800-232-0842.

• For well water testing, contact the Maine Center for Disease Control and Prevention at wellwater.maine.gov or by calling 1-866-292-3474.

• For smoke-free homes information, resources include the Smoke-Free Housing Coalition online at smokefreeforme.org or by call 874-8774 or the Maine Tobacco Helpline at 1-800-207-1230.

• For lead paint testing and information, contact the Maine Center for Disease Control and Prevention at maine.gov/healthyhomes or call 1-866-292-3474.

For more information about any of these resources, or for questions regarding healthy homes, contact Healthy Acadia, your community health coalition serving the Downeast and Acadia region by calling 288-5331 or by visiting healthyacadia.org.

March 30, 2011

Medical & Health Journal

Page 13

Picker Family Resource Center – a learning place for women and families T

he new Picker Family Resource Center celebrated its founding at an open house event in December 2010, with refreshments, speakers, demonstrations and tours.

This new learning place for women and families is made possible through a gift from the Branta Foundation to Pen Bay Healthcare. The Picker Family Resource Center is committed to encouraging wellness and preventive care, improving the health of the community and respecting women’s wisdom in making healthy choices for themselves and their families.

“We feel deep gratitude to the generous donors that made this center possible and great appreciation for the local architect, designer, contractors and craftspeople who built it,” said Wendelanne Augunas, co-director of the center.

The center provides health and wellness information, a lending library with books and DVDs, pamphlets and brochures on a wide variety of health topics, and computer and Internet access for health care research — all at no cost. Diverse classes and programs are offered with the goal to help women and their families find the information and support they need.

The center is located in the expansion site between the Pen Bay Women’s Health and Urology buildings. Even though the center is on the PBH campus, community outreach education and many of the programs will take place beyond its walls.

There is a self-contained classroom with a library/conference area with computer and teleconferencing capacity and a small demonstration kitchen for cooking and nutrition classes. The Picker Center staff consists of co-directors augunas and Linda Zeigler, RNC, as well as Corinne Willis, administrative assistant/data specialist.

The Picker Center offers an opportunity to blend wellness and prevention with cutting-edge health education and prevention.

“We’re excited to share this beautiful space and highlight the many talented and caring professionals in the Midcoast community,” said Zeigler.

“This is a long-held dream that is now a reality.”

The Picker Family Resource Center is located at 3 Glen Cove Drive in Rockport. The center’s hours are 9 a.m. to 4:30 p.m., Monday through Friday. For more information, call 5968950 or visit penbayhealthcare.org/ pickercenter.

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Jeff Space, director of nutritional services at Pen Bay Medical Center, shared his recipes for making healthy snacks at the Picker Family Resource Center open house in December.

Page 14

Medical & Health Journal

March 30, 2011

March 30, 2011

Medical & Health Journal

Page 15

Quality Care, Close to Home

You don’t have to travel far from home to get quality health care.

Waldo County General Hospital operates a number of primary care offices, including five health centers, where dedicated, friendly staff can help you get the care you need, when you need it. Take advantage of special services, such as priority sick visits and on-site lab work. If you qualify, we also offer programs that can help you pay for doctor visits or prescriptions. For help finding a doctor, please call our physician referral line: 207-930-6766.

ARTHUR JEWELL COMMUNITY HEALTH CENTER 55 Reynolds Rd., Brooks PH: 207-722-3488

SEARSPORT HEALTH CENTER 37 Mortland Rd., Searsport PH: 207-548-2475

DONALD S. WALKER HEALTH CENTER 43 W. Main St., Liberty PH: 207-589-4509

STOCKTON SPRINGS REGIONAL HEALTH CENTER 11 Cape Jellison Rd., Stockton Springs PH: 207-567-4000

LINCOLNVILLE REGIONAL HEALTH CENTER 2399 Atlantic Highway, Lincolnville PH: 207-236-4851

HOSPITAL-BASED DOCTORS 118 Northport Ave., Belfast PH: 207-930-6766

qualitycare.wcgh.org 118 Northport Ave | Belfast, Maine 04915 207-338-2500 | 1-800-649-2536 Departments of Waldo County General Hospital

Page 16

Medical & Health Journal

March 30, 2011

Bar code technology another assistant to quality patient care P

en Bay Medical Center recently implemented a new system to administer patient medications in the safest manner possible.

PBMC’s Bedside Medication Verification system uses bar code scanning technology and important safety checks to assist the nurse in ensuring that patients receive the correct medications during their hospital stay.

Using a handheld, non-laser digital imager, a hospital caregiver scans the patient’s identification bracelet and medications. Bedside computers then verify that the ID bracelet information matches the medications the physician has ordered for that patient.

“Our Bedside Medication Verification process is another example of the importance that Pen Bay places on safe, quality patient care,” said Paula Delahanty, vice president of nursing services at Pen Bay Healthcare. “We will continue to seek out the latest clinical advancements for our community. This is our commitment as part of our safe patientand family-centered model of care.”

Pen Bay Medical Center nurse Jan Blackington demonstrates the bar code scanning technology that is at the heart of the hospital’s new Bedside Medication Verification system.

Kennebec Pharmacy & Home Care was designed to address the pharmaceutical, durable medical equipment and home health care needs of the community. We are committed to provide an unparalleled level of service with the highest level of care, compassion and understanding. Our focus will be to provide quality products and services with special emphasis on education and support. All operations will be conducted in an ethical manner with the utmost integrity. Our goal is not merely to be the best of the best, but to be perceived as the only ones who do what we do.

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March 30, 2011

Medical & Health Journal

Page 17

An unexpected miracle in Liberty D

r. James Stevenson, a neurologist at Waldo County General Hospital, has a special interest in working with patients with multiple sclerosis. And he knows there is no such thing as a typical MS patient, or a medication that works the same way for every patient.

That means he needs to get to know each patient and develop a close relationship so they can work at lessening the activity of the disease together. In the case of Nancy Soule of Liberty, Stevenson’s approach has been key.

In the summer of 2004, Nancy lost the sight in her right eye. She immediately went to an eye doctor, who, after an examination, sent her for an MRI. Two months later, after more tests, she got a diagnosis — she had multiple sclerosis.

As someone who had never been sick and wasn’t used to limitations — she had been a whitewater guide for 25 years — she was devastated. Nancy started doing research to see if there was a medication that could help. Her neurologist at the time mentioned Tysabri, but before she could start on it, it was withdrawn from the market by the drug company. So she tried another therapy, and it did nothing for her.

When her first neurologist moved out of the area, Nancy went looking for a replacement who was willing to talk about the restricted drug, Tysabri, and she found Stevenson, who was new to the community.

Tysabri had been approved for use in December 2004, then voluntarily pulled from the market in February 2005, just three months after being approved by the Federal Drug Administration. This came after it was discovered that two people had died from a brain infection blamed on Tysabri. In June 2006, the FDA re-approved Tysabri for use in MS, under the condition that all Tysabri prescribers and infusion centers, as well as patients, be enrolled in a special program involving extensive education and careful monitoring of the patients.

Nancy Soule of Liberty and Waldo County General Hospital neurologist Dr. James Stevenson.

After discussing the possible benefits and infection risks with Nancy, Stevenson decided she was a good candidate to try the infusion drug.

Among the considerations were that Nancy had tried other therapies that had been unsuccessful, and she had studied the drug enough on her own and with Stevenson, to know the possible negative side effects.

So on May 25, 2007, Nancy had her first IV infusion of Tysabri in the Oncology and Infusion Department at Waldo County General Hospital. The entire process took about three hours and Nancy knew she would have to return for treatments once a month.

She and her doctor immediately began to watch for any negative side

effects, and there were none. And within a relatively short time, Nancy started to notice improvements, including that her vision was not as blurry and she was able to focus both eyes. Then she noticed that she could see out of her right eye as well as her left one and her vision was back to what it had been in 2003.

Nancy has had 44 infusions since the spring of 2007. She is back to whitewater paddling and has no restrictions on her activities. “I raft and kayak and swim and sometimes just jump in the rivers here in Maine and ride a tube or just bodysurf. In short, I am back to me. I am very happy with the drug I’m on,” says Nancy.

“It’s not magic and it’s not for everyone,” said Stevenson. “Everyone

responds differently. There is no typical MS response to any treatment.” He also emphasized that across the country there have been serious infections and even deaths associated with the use of Tysabri.

In addition to praising Stevenson, Nancy gives credit for her successes to the staff in the infusion department who “put up with me every month” and to Dr. Steve Wilson at WCGH, her primary care doctor, who “lets me know when I need to watch things and when I need to change things.”

Nancy knows the drug is designed to slow the progression of MS and decrease the number of relapses and she said, “The rest is gravy. I’ve got a lot of gravy on my plate.”

Eastern Maine Medical Center uses iPod for tele-trauma B

ANGOR — The call came in just after midnight from The Aroostook Medical Center. A skiing accident had caused significant craniofacial injuries in a young patient. Such injuries usually involve a referral to a maxillofacial surgeon in Bangor, and the physician on the scene wanted a consultation with a trauma surgeon.

With this call, a pilot program at Eastern Maine Medical Center, the first-of-its-kind, to use hand-held devices for teletrauma got its first real-time application.

Using an iPod Touch, Rafael J. Grossmann Zamora, MD, a trauma surgeon at EMMC, talked with the physician who is participating in the EMMC m-health (mobile health) pilot project and also had an iPod, quickly discussed the circumstances of the injury. “I was able to see very clearly the examination of the patient, including the patient’s pupils during the neurological examination. The high definition video was crystal clear; in fact, both the audio and video were even better than we had hoped.”

Not only was the physician in Presque Isle able to confer with Dr. Grossmann, but the patient and her mother were able to see and hear every part of the consultation. This

gave them confidence that the plan to remain in Presque Isle for her care was the right choice.

“We believe EMMC is the first hospital to use this technology for teletrauma,” reports Dr. Grossmann.

According to Mary McCarthy, RN, manager of EMMC’s Telemedicine Center, “this technology is incredibly portable, accessible, affordable, and easy to use, as Dr. Grossmann demonstrated last night.”

“In this particular case, there was an added advantage,” notes Dr. Grossmann, “ because with pediatric patients you can give the parent that extra reassurance that their child is getting the right care. In her case, there was no need to transport her in the middle of the night, saving time and expense. We are very excited that we’ve been able to lead the nation in the practical use of this technology to improve service to our patients,” adds Dr. Grossmann.

In addition to the Aroostook County Medical Center, Blue Hill Memorial Hospital, Inland Hospital, Mayo Regional Hospital, Sebasticook Valley Hospital, Penobscot Bay Medical Center, and LifeFlight of Maine’s Bangor-based aircraft are also participating in the pilot.

Page 18

Medical & Health Journal

March 30, 2011

A little less Robert Pesce in the kitchen It’s a good thing...

R

Robert Pesce at work in Waldo County General Hospital’s kitchen.

Coastal Medical Clinic 1103 Commercial St., Rockport, ME 04856 Open Mon, Tues, Thurs & Fri 10 to 5

207-593-7925 Our Mission Statement: To provide the highest standard of care while keeping the cost affordable.

See us online at Coastal Medical Clinic New address as of June 1st 2011 32 Birch St. Rockland ( across from EBS @ the stop sign).

ATTENTION SMALL BUSINESS OWNERS Coastal Medical Clinic is now offering a health care plan for small business owners (20 employees or less) This plan includes 1 physical exam & 8 office visits annually.The cost is $50.00/month (Which could be through payroll deduction or pay the total annual fee of $600.00) Join now and take advantage of this unbelievable offer!

Charlotte Mazzeo ~ CLINIC SERVICES ~ Campbell, an Independent Primary/Preventative Care Nurse Practitioner, has Diagnose and treat acute illnesses full prescriptive privileges Treat acute injuries • Sprains – Strains and is credited to order Suture minor lacerations • Treat minor burns lab and diagnostic tests as Foreign body removal; splinters indicated. Referrals when Incise and drain wounds appropriate. 25 years Occupational Health Services ER experience.

Foot/Nail Care

~Coastal Physical Therapy~ ♦ Ergonomic Assessment ♦ Physical Therapy ♦ Aquatic Therapy ♦ Sports Rehabilitation ♦ Work Related Injuries ♦ Adults and Children ♦ Auto Injuries ♦ All Insurances Accepted ♦ Post Surgical Rehabilitation 2 Park Drive, Rockland, ME 04841

207.596.6889

obert Pesce of Stockton Springs, a dietary aide at Waldo County General Hospital, is one of those people you just can’t help but like.

But there’s a lot less of him to like these days, and he couldn’t be more pleased about it.

In February 2009, workers in the hospital food service started a weight-loss challenge.

And while Pesce didn’t win that challenge, that’s when he decided it was time for him to break his bad eating habits and get in shape. He wasn’t fat, he said, but he was selfconscious about his body and was scared that if he continued as he was going, he would become obese. There was also a history of diabetes in his family and he didn’t want that to happen to him.

“I believe obesity is one of the main risk factors in America, and I didn’t want to get like that. I needed to get out of my comfort zone,” Pesce said.

He started with some simple rules: keep a clear head, stay positive and, don’t let temptation get the best of you.

As for his poor eating habits, he decided it was time to give up macaroni and cheese and fattening pizza, two of his favorites. He has also given up going to McDonald’s and eating Hostess cupcakes, peanut butter and jelly sandwiches, and fried foods.

Instead, Robert now eats fruits, vegetables, grains, including whole grain rice, cereals and granola, nuts (almonds are his favorite), and chicken. And he learned how to do a healthy pizza with a whole grain crust, low-fat cheese and veggies piled high.

He said one of his overall goals was to cut back on his portion sizes so he would feel comfortable after eating, not stuffed. So even with the healthy version of pizza, “I allow myself three pieces. I don’t want to get in the habit of big portions. I used to be a big eater and I can overdo on portion sizes,” Pesce said.

“I eat small meals so I don’t feel like I’m going to explode.”

And to help with the portions, he stopped eating off china plates and instead uses small bowls.

Pesce still has a sweet tooth though and now and then, he’ll buy a tub of ice cream, lots of hot fudge and whipped cream and make an ice cream sundae as a reward. But he starts fresh the next day.

“Feeling guilty doesn’t pay and you can’t get stressed out. I haven’t given up sweets, I just have them in moderation and only occasionally,” he said. Most of the time, though, dessert consists of fresh fruit mixed in yogurt.

He said it’s also important to be creative.

Robert makes chicken stir fries with many different kinds of vegetables. He also adds beans, corn or chickpeas to a big salad, for example. He didn’t like vegetables when he was younger and said, “I feel like I’m making up for what I didn’t do as a kid.”

Exercise has also become a part of Pesce’s routine. He has six Richard Simmons aerobic videos and he exercises with one each day. On the days he has off, he walks — all over Sandy Point.

“I used to hate to exercise but now I love it. I feel a sense of accomplishment,” he said.

Robert has lost around 45 pounds and is now in the maintenance phase of his diet.

He said some people tell him he should allow himself a few more calories now, but he’s afraid he wouldn’t be able to stop at “a few.”

“I feel 100 percent better and I’m not going back to my old ways. The old me is gone and this is the new me,” he said.

As for his biggest piece of advice for others looking to get healthier, Pesce said, “Never give up. It will always be a challenge but keep your eye on the prize,” And he said, “If I can do it, anyone can do it.”

March 30, 2011

Medical & Health Journal

Page 19

SANE nurses are there for survivors of sexual assault B

ELFAST — For years, Teri Blackadar, a registered nurse, worked in an emergency room in an inner city hospital.

She knew she and other medical personnel weren’t doing the right things for those who came to the ER after being sexually assaulted — “But we had 50 other patients waiting and there wasn’t time,” Blackadar said. “We could not take the time to handle the situation with the consideration we should have…I knew I wanted to do it differently.”

And she is. Blackadar is now a certified Sexual Assault Nurse Examiner (SANE), along with registered nurse Sue Young Dupler, who was the first certified nurse to do a sexual assault examination in the state of Maine in 1998. Waldo County General Hospital now has four SANEs and a fifth is completing the training.

Dupler got her training in the first SANE class in Maine, which she completed in the summer of 1997. But for SANE nurses to be able to do pelvic examinations, a change was needed in the law, which only allowed doctors to do those exams. ThenER Director Dr. John Gage and Rep. David Lindahl pushed through emergency legislation to change the law.

While WCGH’s SANE program has seen people transition out, it has seen them transition in. The program has never ceased, but there was less emphasis from 2005-2008 due to the lack of availability of examiners.

“We’re rebuilding the fire again,” said Dupler recently. “We have nurses who want to do it.”

Dupler, Blackadar and Mary Ann Ordelt, who is currently in training, want the message to be that the emergency room is “a safe place and a nonjudgmental place.” In many cases, the person who has been sexually assaulted is afraid and ashamed, especially if there was alcohol or drugs involved.

But the SANE nurses said, “They have nothing to be ashamed of. They did their job by surviving. They are not victims; they are survivors.”

The exam can be done anonymously and the evidence will be held for 90 days with just a number attached unless the survivor decides to pursue criminal charges. The cost of the exam can be paid for from the state’s Witness Compensation Fund. The SANE nurses do not work for law enforcement, although they work with them and with prosecutors if criminal charges are brought.

The nurses also can offer referrals for survivors to receive services they might need for sexually transmitted diseases, pregnancy and tetanus, as well as HIV, or Hepatitis B. But for many survivors, what they need most is a friendly face, willing

From left, Sexual Assault Nurse Examiners Mary Ann Ordelt, Sue Dupler and Teri Blackadar. to listen, and not pushing for details of the assault or being judgmental.

And contrary to public belief, a forensic exam can provide evidence up to two weeks after the assault and/or after the survivor has taken a shower.

The SANE nurses each carry a pager and when someone checks into the ER after being sexually assaulted, one is called in, along with an advocate. Advocates currently come to Waldo County from the Augusta area, and there is a need for some local people to take the training. Dupler said the hospital probably averages three to 10 sexual assaults a year; although they have had three in the past two months.

The nurses are worried that there are many sexual assaults that are not reported, especially with date rape drugs making

an appearance in this area. They urge people who can only remember having one drink and then not remember anything until the next day to consider that they may have been drugged and to seek help.

“Don’t think ‘I may have been asking for it.’ Nobody deserves to be sexually assaulted. It doesn’t matter how you were behaving,” said Ordelt. “You don’t owe anyone anything.”

“Sexual assault is trauma and there are effects if you don’t deal with it. We will not leave you hanging or unsafe.

We will not judge you and the exam will not be part of your medical file or you can refuse to have the exam. We will not report you to law enforcement. We will give you clean clothes to wear home and a shower and you will be in a safe place,” said the nurses.

New Patients Welcome!

Wants you to know that YOU CAN CHOOSE where to go for your therapy.

We are a ‘therapist owned’ practice with offices in Wiscasset and Waldoboro. Dr. Jean Beattie has over 25 years of experience as a therapist and her practice specializes in the evaluation and treatment of pain, injury and disability including neck pain, low back pain, joint pain and post operative rehabilitation.

Sheepscot Bay Physical Therapy has a PT Assistant, two Licensed Massage Therapists and two Physical Therapists on staff to guide you along in your recovery.

Recently we have added a program to treat urinary incontinence in women that involves assessment of the pelvic floor muscles and use of bio-feedback.

REMEMBER...

You make the choice of where you go for therapy.

Make Sheepscot Bay Physical Therapy your choice.

We want to welcome you to our practice and we look forward to building a relationship with you as your family’s dental care provider. A visit to our office will make your smile brighter! Come on in, sit in the chair, and talk with Dr. Medina about your dental concerns. You’ll be treated with respect, friendliness, care and the skill you expect and deserve.

Our objective as your dental professional is to serve you and make each visit a very positive experience from your first telephone conversation to your next appointment and beyond. The philosophy and focus of our practice is “your comfort is our main concern.” We provide comfortable care through our skilled service with a friendly, courteous touch.

Family Dentistry Adults and Children Exams and Cleanings Whitening Cosmetic Restorations Crown and Bridge Root Canals Dental Implants Denture Services Extractions Nitrous Oxide available Emergency Services

We accept all insurances.

Mainelysmiles.com WALDOBORO 235 Jefferson Street (207) 832-5544

WISCASSET 49 Churchill Street (207)882-9944

207-236-4740 100 Elm St., Camden

Page 20

Medical & Health Journal

March 30, 2011

Ambulatory Services

Audiology

DELTA AMBULANCE ■ Description of

■ Location and Telephone

services/products: Delta Ambulance is an Award Winning full service, not-for-profit Paramedic Ambulance Service providing communities in Central Maine with Paramedic level emergency 911 response & care, critical care and routine transfers, wheelchair van transport services and medical/safety education, from offices in both Augusta and Waterville. Delta utilizes state of the art medical and communication technology, maintains leading edge quality improvement and education programs, and has an on-staff medical control physician.

Delta earned the Margaret Chase Smith Maine Quality Award for Commitment to Quality. Quality Patient Care is our primary focus.

PO Box 747 Waterville, Maine 04903 207-872-4000 207-623-4900 ■ Chief Executive:

Timothy A. Beals Executive Director Simons Photographic

■ Year Founded: 1972 ■ Number of

Employees: 120 ■ Web Address:

www.deltaambulance.org

ACADIA HEARING CENTER DR. DAVID A. CUTHBERTSON ■ Location and Telephone

■ Description of services

18 High Street, Ellsworth 667-4014 277 State Street, Bangor 942-4433 Treworgy Pharmacy, Calais Toll Free: 1-888-667-4014

Hearing evaluations - by a state licensed and nationally certified Doctor of Audiology Hearing aids Recommendations based on your needs, lifestyle and budget.

We sell and service all makes/ models. Free 45 day trial period.

■ Audiologist/Owner:

David A. Cuthbertson, Au.D., CCC-A, FAAA Doctor of Audiology

We participate with Medicare and all major insurances/group benefit plans. Bank financing available/1 year same as cash.

■ Number of Employees: 5 ■ On the web at:

AcadiaHearing.com

Dentistry MIDCOAST FAMILY DENTISTRY ■ Location and Telephone

■ Description of

services/products: Midcoast Family Dentistry offers comprehensive patient care for every age. Sleep Apnea Appliances most insurances billed. Gentle exams and cleanings. Advanced cavity detection equipment, Low Dose Digital X-Rays, Head, Neck and Facial Pain Therapy, Veneers, and Oral Cancer Screenings are a few services we offer.

Welcoming new patients.

625 Rockland Street Rockport, Maine 207-236-3100 Hours; Mon.-Thurs. 7:30 - 4:30 ■ Year Founded: 1984

■ Number of

Employees: 12 ■ Web Address:

AUDIOLOGY CENTER OF MAINE, LLC, PA ■ Description of

■ Location and Telephone

77 Beechland Rd. Ellsworth, ME 04605 (207) 664-2123 ■ Audiologists:

Mary Bromley Toothaker, M.A. CCC-A Patricia Gosselin, Au.D., CCC-A Kimberly Starkey, Au.D., CCC-A

Mary Bromley Toothaker, M.A., CCC-A, Owner

■ Year Founded: 2005

Please see our ad in this issue for more information.

■ Number of

www.midcoastfamilydentistry.com

Cosmetic & Family Dentistry Robert E. Day, DDS, FAGD Committed to Excellence . . . Because We Care

Employees: 6+

BELTONE ■ Location and Telephone

625 Rockland Street, Rt. 17 West Rockport Maine 04856 207-593-3239 ■ Chief Executive:

Bobbi Barrows Hearing Instrument License # 155

Standing from left to right are: Kris Summers, Ellen Wallingford, Hope Creighton RDH, Dr. Robert Day, Tammy Gibson RDH, Abby Bellmore RDH, Kim Leidenroth RDH. Not pictured is Becky Ruggieri.

Most Insurance Accepted

236-8891 • 44 Mechanic St., Camden • www.DrRobertDay.com

services/products: As professional audiologists, Mary, Patricia, and Kimberly have extensive education, training, and experience in the diagnosis and management of hearing disorders. They are committed to providing exceptional hearing care for adults and children, offering comprehensive hearing evaluations and intervention strategies.

They have the knowledge and skills necessary for fitting the latest hearing aid technologies.

■ Web Address:

www.BeltoneNE.com ■ E-mail: bbarrows@beltonene.com

■ Description of

services/products: Bobbi was first licensed by the state of Maine in April of 1985.

She has lived in the CamdenRockport area her whole life and has been working with the elderly since she was 16 years old. Bobbi is devoted to providing her patients with the best, personalized care she can offer. She is proud to be a part of the Beltone New England family and feels that she can better serve the hearing impaired public with the most trusted name in hearing healthcare.

March 30, 2011

Medical & Health Journal

Page 21

Chiropractic Care BAY CHIROPRACTIC CENTER ■ Description of

■ Location and Telephone

services/products: Complete chiropractic care. Physiotherapy and Rehabilitation. Massage therapy. Therapy provided

by Ainslee Pine, LMT. Xray on site. Office hours: Monday,Tuesday and Friday 8-12 and 2-5, Wednesday 8-12 and Thursday 1-6.

Number 279 Main St., Suite 4 Rockland, ME 04841 207-596-6700 Fax: 207-596-0858 ■ Chief Executive:

Dr. Blaine Curtis ■ Year Founded: 1996 ■ Number of Employees: 3 ■ Web Address:

New Hope for Women’s services include:

Interested in educational presentations?

• • • •

Medical practices, service organizations and businesses interested in trainings, presentations or policy development may call 594-2128

Emergency Shelter Support Groups School Programs Information, Referral and Legal Services

doc@baychiro.net

Although 96 percent of patients believe physicians should inquire about family conflict, two-thirds report that their physician has never asked them about intimate partner violence.

Family Resource

Sandra K. Burge et al., “Patients’ Advice to Physicians about Intervening in Family Court,” Annals of Family Medicine 3 (2005): 3

PICKER FAMILY RESOURCE CENTER A learning place for Women and Families

THE CENTER promotes building community by providing health resources and support for women and their families.

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YES, We’re PROUD.....

As we SHOULD be!

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PARTICIPANTS LEARNING TOGETHER AT ONE OF OUR LIVING WELL WORKSHOPS

WWW.PBMC.ORG/PICKERCENTER

207-596-8950

PBMC CAMPUS, ROCKPORT

Health - Vascular VASCULAR SERVICES NOW AVAILABLE IN MIDCOAST MAINE Treating diseases of arteries and veins outside of the heart, including: t $BSPUJE "SUFSZ %JTFBTF t 1FSJQIFSBM "SUFSJBM %JTFBTF 1"%

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We offer so much MORE to our Community Not only do we have Independent AND Assisted Living, but Respite Care, Skilled Nursing Care, Long-term Rehabilitation, Residential Care, Physical and Occupational Therapies, and even an Adult Day Program!

Come see what The Residence can do for you, today!

Call 207-930-7031 for more information

JULIE WHITE, MD VASCULAR SURGEON

WWW.PBMC.ORG/VASCULAR

VASCULAR LAB AT PEN BAY

207-593-5737

24 Martin Lane, Belfast, Maine 04915 www.tallpinesliving.com

Page 22

Medical & Health Journal

March 30, 2011

Hospice & In-Home Care

Independent & Assisted Living

Hospice Volunteers of Hancock County

STRAUS CENTER ADULT DAY PROGRAM â&#x2013; Location and Telephone

â&#x2013; Location and Telephone

16 Community Lane PO Box 1130 Southwest Harbor 04679 (207) 244-3267

14 McKenzie Avenue Ellsworth, ME 04605 207-667-2531 www.hospiceofhancock.org â&#x2013; Executive Director:

â&#x2013; Year Founded: 2009

Jody Wolford-Tucker, Ph.D.

â&#x2013; Chief Executive 1:

â&#x2013; Year Founded: 1980 â&#x2013; Number of Employees: 4

â&#x2013; Description of

150 Volunteers

â&#x2013; Photo: Mary-Carol

services/products Volunteer Hospice Patient Care, Bereavement Support, Community Outreach and Education.

Independent, Free Services.

GrifďŹ n, Bereavement Services Coordinator; Jody Wolford-Tucker, Executive Director; Kathryn Booth, OfďŹ ce Manager; Gerry Gregersen, Program Director

Mike Mahan â&#x2013; Chief Executive 2: Debra Chalmers

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OUR HOSPICE TEAM )FMQT QBUJFOUT GBNJMJFT FYQFSJFODF DPNGPSU QFBDF FOIBODFE RVBMJUZ PG MJGF CALL FOR INFO

800-540-9561

Provides seniors with memory loss a vibrant and nurturing environment.

Services include, enriched social activities, hair and nail care, medication administration, nutritious meals and wellness support. The Center is open Monday - Friday 8:30am- 4:30pm.

â&#x2013; Number of

Employees: 3 â&#x2013; Web Address:

www.birchbayvillage.us

HOME CARE AND HOSPICE FOR ENHANCED QUALITY OF LIFE OUR SKILLED HOME HEALTH CARE IN KNOX, WALDO & LINCOLN COUNTIES INCLUDES:

â&#x2013; Description of services/products:

RIVERSIDE HOME, LLC â&#x2013; Location and Telephone

10 Brooklyn Heights Thomaston, ME 04861 207-354-6665 Hours; Mon.-Thurs. 7:30 - 4:30 â&#x2013; Description of services/products:

â&#x2013; Year Founded: 2009

â&#x2013; Chief Executive:

Dagmar Decker â&#x2013; Web Address:

knox.villagesoup.com/business/el/Riverside-Home-Inc/206223

WWW.KNO-WAL-LIN.ORG

PALS PALS (Partners to Assist in Living Services) encourages independent living for Midcoast families through cheerful, competent and dependable care.

As a Maine registered personal care agency we provide assistance 24-hours a day, 7-days a week with a variety of non-medical and daily living activities including: Call For A Free Private Consultation:

(207) 594.5805 info@palsforliving.com www.palsforliving.com

individualized care, companionship, light housekeeping, meal preparation, feeding, bathing & dressing, errands, transportation, laundry, respite for caregivers, morning wake up and evening tuck-in.

Provides eldercare services and safety supervision when living alone is not safe.

Providing housekeeping, laundry, three home cooked meals, snacks and baked goods; medication reminders/assistance; large deck with view of harbor birds and manicured landscape. â&#x20AC;&#x153;Age in Placeâ&#x20AC;? is the affordable way to contain costs in providing eldercare in an environment that is both nurturing and loving.

Birch Bay Village Lifeline Medical Alert Service Only one medical alert pendant can call for help even when you canâ&#x20AC;&#x2122;t.

When you experience a fall, medical issue, or other emergency, every second counts. If you are alone, delayed medical care can jeopardize your independence! The Birch Bay Lifeline Medical Alert Service provides simple, fast access to help 24 hours a day, 365 day a year.

Getting help quickly can reduce unnecessary suffering and could make a real difference in recovery.

25 Village Inn Road, Bar Harbor, ME 04609 www.birchbayvillage.us

March 30, 2011

Medical & Health Journal

Page 23

Students promote ‘Smokin’ is Stupid’ message My mind is Mine Some people in the world Are messin’ up their minds, They’re messin’ up their lives with All that JUNK! The stuff Is in control, It’s takin’ all the Souls of people who were once like YOU and Me. Got to stand my Ground. Lookin’ all around.

Pressure comes from people Not my Real Friends.

I’m in charge of me. No one else Can be. Smokin’ is Stupid.

Say no! (No!) My mind is mine (5 times) I respect myself.

My mind is mine (5 times) I respect myself My mind is mine (5 times) I am in control. NO!!!

• SMOKIN’ Page 24

Elementary guidance counselor Cynthia Martell discusses how candy cigarettes can be used by advertisers to try to start young people on the road to smoking.

Carrie Walker of Searsmont runs her leg of a relay race wearing a weighted vest and carrying weights to feel how smoking affects a person’s lungs.

Help is Available

m

yecare Ce E t nt ar

Complete Family Eyecare

Individual, Family & Group Counseling

er

S

Addiction Treatment

www.smarteyecare.com 255 Western Ave., Augusta 622-5800 1-800-459-5800

210 Maine Ave., Farmingdale 582-5800 1-877-860-5800

824 Stillwater Ave., Bangor 947-7554 1-877-427-1291

Voted best eyecare practice in greater Augusta and Bangor Welcoming new patients.

Evenings and weekend appointments available.

Dr. Richard Smart • Dr. Lyn Desjardins • Dr. Philip Savage Dr. Sarah Gladstone • Dr. Kerry Kaplan • Dr. Lesley Sobeck • Dr. Helen Le We accept care credit at all locations.

Southwest Harbor 207.244.4012 www.AcadiaFamilyCenter.org

Page 24

Dave Cross, a district tobacco coordinator, warns students about the dangers of smokeless tobacco.

• SMOKIN’ from page 23 Fourth- and fifth-grade classes in RSU 20 recently attended a district-wide health fair called, “Tobacco Free…A Passport to Health.” Among the things they did was to sing and dance to the words above, designed to increase their self-esteem and refusal skills.

The second annual fair was based on the tobacco/drug unit from the

Medical & Health Journal

March 30, 2011

RSU 20 music teacher Amy Gardner talks with students about the anti-smoking and personal empowerment song they are about to learn at a recent workshop.

Great Body Shop curriculum used in the school. During the day, students visited seven stations that focused on various aspects of tobacco and on ways to make healthy choices. Those stations were: • Health effects of tobacco • Addiction • Tobacco advertising • Second- and third-hand smoke • Smokeless tobacco • Empowering students through music • Raising self-esteem through art The event was put together by

Regional School Union 20, Waldo County YMCA and Healthy Waldo County, with assistance from Athena Health, Hannaford and Organic Valley.

Students attended for one day with the fair running for three days to accommodate all the students. Students from schools in different areas of the region were put together on small teams to give them an opportunity to meet students with whom they will be attending middle school.

Linda Hartkopf, the school health coordinator in RSU 20, said, “The

timing for the fair is perfect. Recently, reports were released about tobacco usage among Maine youth. The numbers are alarming and climbing.

The State of Tobacco Control 2009 report shows that between 2007 and 2008, self-reported rates of smoking in Maine adolescents and teens rose from 14 percent to more than 18 percent, which is the first increase since 1997, when the rate was more than 39 percent. We look forward to providing students strategies for making good, healthy choices around tobacco.”

Brandon Hurd of Waldo County YMCA and register nurse Barbara Crowley of Healthy Waldo County ask students about ways to protect themselves from secondhand smoke during a recent workshop.

March 30, 2011

Medical & Health Journal

Page 25

Hospitals & Medical Centers

Orthopedics

MaineGeneral Health

KNEE SURGERY? SPORTS INJURY? YOUR EXPERTS ARE HERE.

■ Location and Telephone

6 East Chestnut Street Augusta, ME 04330 207-626-1000 149 North Street 30 Chase Avenue Waterville, ME 04901 207-872-1000 ■ Chief Executive:

Scott B. Bullock ■ Year Founded: 1898 ■ Number of

services/products: The largest private employer in the Kennebec Valley region, MaineGeneral Health is a comprehensive, non-profit, integrated organization with a range of services that includes a medical center with three campuses in Augusta and Waterville, a free-standing outpatient cancer center, physician practices, nursing homes, rehabilitation programs, home health care and hospice services, special care for patients with memory loss, community outreach programs and retirement living options.

■ Email Address:

Employees: 3,835

Fellowship-trained Orthopaedic Surgeons and Staff work with Pen Bay’s network of services to offer integrative care from diagnosis to rehabilitation, including:

■ Description of

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SUSIE BAT T Y ORTHOPAEDIC LPN, 10 YRS

public@mainegeneral.org

PBMC CAMPUS, ROCKPORT

■ Web Address:

www.mainegeneral.org

207-593-5454

WWW.PBMC.ORG/ORTHOSURGERY

Optometry MOUNT DESERT ISLAND HOSPITAL ■ Location and Telephone

Number: 10 Wayman Lane, PO Box 8 Bar Harbor, ME 04609 207-288-5081 ■ Chief Executive:

Arthur J. Blank ■ Year Founded: 1897

■ Number of

Employees: 461

SMART EYECARE CENTER

■ Description of Services:

Mount Desert Island Hospital is a 25-bed Critical Access Hospital founded in 1897.

Our services include 24-hour ER, medical imaging; physical therapy, speech therapy, orthopedics, nutrition counseling, laboratory, wellness and prevention services, cardiopulmonary rehab, cardiac rehab; medical/surgical beds, care management, oncology, breast center, surgical services, ICU/telemetry, obstetrics, women’s health services, dermatology, behavioral health services, family medicine, neurology, cardiology, internal medicine, ophthalmology, occupational medicine, urology, pulmonology, pediatrics.

We also have eight regional health centers that provide convenient access to primary and specialty health care services throughout the Mount Desert Island region.

■ Location and Telephone

255 Western Avenue Augusta, Maine 04330 (207)622-5800 824 Stillwater Avenue Bangor, Maine 04401 (207)947-7554 210 Maine Avenue Farmingdale, Maine 04344 (207)582-5800 ■ Chief Executive:

■ Description of

services/products: Full-service family eye care.

Complete eye examinations including treatment of injury, diseases and low vision.

Contact lenses--all types and styles--large optical dispensary with on-site optical lab for same-day service. Ophthalmology consultation/care available in office.

Richard J. Smart, O.D. ■ Year Founded: 1990 ■ Number of

■ Web Address:

Employees: 45

www.smarteyecare.com

General Health

Physical Therapy

HEALTHY ACADIA

SHEEPSCOT BAY PHYSICAL THERAPY

■ Location and Telephone

1366 State Highway 102, Suite 4 Bar Harbor, ME 04609 207-288-5331 ■ Chief Executive:

Doug Michael ■ Year Founded: 2001 ■ Number of Employees: 5 ■ Web Address:

■ Description of services/products

Healthy Acadia is a non-profit community healthy coalition serving the Downeast, Acadia region. Our mission is to empower people and organizations to build healthy communities. Our Coalition includes more than 100 partner organizations and citizens working together to make it possible for people to lead healthier lives. Our vision is of vibrant communities where people thrive and healthful resources are easily accessible.

■ Locations

235 Jefferson St., Waldoboro, ME 04572 832-5544 49 Churchill St., Wiscasset, ME 04578 882-9944 ■ Chief Executive:

Dr. Jean Beattie PT, DPT ■ Year Founded: 2005

www.healthyacadia.org ■ Number of

Employees: 7

■ Description of

services/products: Sheepscot Bay Physical Therapy is a physical therapist owned private practice. Physical therapists specialize in the diagnosis and treatment of movement dysfunction. We do offer treatment programs for female incontinence as well as post operative rehabilitation, balance problems, back and neck pain, joint pain and sprains and strains.

Page 26

Medical & Health Journal

March 30, 2011

Northport conference to focus on drug abuse in elders N

ORTHPORT — The sixth annual University of Maine Geriatric Colloquium on Friday, April 1 at Point Lookout in Northport will explore “Substance Abuse in Older Adults: An Invisible Epidemic.”

Seminars and panel discussions begin at 8 a.m. and end at 4 p.m. The public and professionals working with older people are invited to attend.

Topics to be addressed include: - Underdiagnosed and Misunderstood: An Overview of Substance Abuse in Older Adults (morning plenary) - Substance Abuse in Older Mainers: What Are We Seeing?

- Medical Aspects of Substance Abuse in Older Age: Why Is It Different?

- Treating the Older Substance Abuser: How Is It Different?

- Recognizing Substance Abuse in Our Clients: Assessment and Screening - Understanding Prescription and OTC Drug Abuse in Older Adults - And Addressing the Problem in Maine: What Next?

Speakers include Mark Publicker, MD, Mercy Recovery Center; Clifford

Singer, MD, Acadia Hospital; Patricia A. Kimball, LADC, CCS, Wellspring; William Lowenstein, AdCare and New England Institute of Addiction Studies; Anne Rogers, Maine Office of Substance Abuse; Lenard Kaye, DSW/Ph.D., UMaine Center on Aging; Mary D. Moore, LCSW, LADC, Wellspring; Marjie Harris, LCSW, and Nancy Kelly, MSW, of the UMaine School of Social Work.

Colloquium sponsors and supporters include the Hartford Partnership Program for Aging Education at the University of Maine, which includes the UMaine School of Social Work, UMaine Center on Aging, Maine Gerontological Society, Wellspring, RossCare, Acadia Hospital and AdCare Educational Institute.

Contact Prudence Searl at 262-7925 or e-mail prudence.searl@umit.maine. edu or Lenard Kaye at 262-7922 or e-mail len.kaye@umit.maine.ed for additional information. A copy of the full program and registration materials are available on the Center on Aging website umaine.edu/ mainecenteronaging/documents/Geriatric ColloquiumProgram.pdf.

Pharmacy

Urology

KENNEBEC PHARMACY & HOME CARE

UROLOGY EXPERTS OFFER LEADING-EDGE TREATMENTS

■ Location and Telephone

839 Commercial Street Rockport, ME 04856 (207) 594-0888 Fax: (207) 594-0889 Mon.-Fri. 9am-6pm Sat. 9am-12pm

■ Description of

Kennebec

43 Leighton Road Pharmacy & Augusta, ME 04330 Home Care (207) 626-2726 888-463-8083 Fax: (207) 623-1960 Mon.-Fri. 8am-5pm Sat. 9am-1pm Emergency on call service 24/7 ■ Chief Executive: Mike Nowak ■ Year Founded: 1995 ■ Number of Employees: 54

services/products: Kennebec Pharmacy & Home Care has been providing quality specialty pharmaceutical and home care services in Maine for the past 16 years. This includes home medical equipment such as hospital beds, wheelchairs, scooters, seat lift chairs, diabetic, ostomy, incontinent supplies and a full range of other home medical products. KPHC also provides home IV therapy, customized compounded medications and a full range of home respiratory products, including home oxygen, sleep apnea equipment and supplies, nebulizers and full clinic support from our registered respiratory therapist.

■ Web Address: www.kpprx.com

Three Board-Certified Urologists Perform Full Spectrum of Services in the Midcoast: t -BQBSPTDPQJD 4VSHFSZ .JOJNBMMZ *OWBTJWF 4VSHFSZ GPS EJTFBTFT PG UIF LJEOFZ VSFUFS CMBEEFS QSPTUBUF t 5IFSBQZ GPS VSJOBSZ JODPOUJOFODF t $SZPTVSHFSZ GPS QSPTUBUF DBODFS

LARS ELLISON, MD JOHN KAROD, MD MARTYN VICKERS, MD

PBMC CAMPUS, ROCKPORT

207-593-5400

WWW.PBMC.ORG/UROLOGY

Women’s Health CHINA HANNAFORD PHARMACY ■ Location and Telephone

33 Hannaford Drive China, Maine 04358 ■ Pharmacy Phone:

207-445-3389 ■ Pharmacy Fax:

207-445-3393 ■ Pharmacy Hours:

Mon.-Fri. 8am-8pm Sat. 8am-6pm Sun. 9am-6pm

PEN BAY WOMEN’S IMAGING

Transferring your prescription is easy!

Double Read Digital Mammography Every Mammogram is Independently Reviewed by Two Board-Certified Radiologists and Additionally Evaluated with Computer Analysis.

Call our pharmacist with the info on your prescription bottle and we’ll do the rest. Your script will be ready for pick-up when your arrive

OR Drop your current prescription bottle off at our pharmacy and yoru order will be filled while you shop.

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60+ Years Combined Experience Am. College of Radiology Accredited Computer-Aided Diagnosis Stereotactic Biopsy Ultrasound Diagnosis & Biopsy MRI Referral

Schedule An Appointment Today:

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(207) 596.8500

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Pen Bay Medical Center Radiology 6 Glen Cove Drive, Rockport

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www.penbaywomensimaging.com

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March 30, 2011

Medical & Health Journal

https://www.bangor.com/online

Page 27

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See all your accounts at a glance and track spending better with FinanceWorks™ powered by Quicken®. Save money at local stores by selecting deals online with Purchase Rewards.

Pay your bills effortlessly with Bangor BillPay. Check out a demo at bangor.com/online

Member FDIC

“The staff are so kind... you can see it in their eyes.”

KNO-WAL-LIN HOME HOSPICE PATIENT PEG GOLDEN WITH HER DAUGHTER JOANNE BILLINGTON

Double Read Digital Mammography Every Mammogram is Independently Reviewed by Two Board-Certified Radiologists and Additionally Evaluated with Computer Analysis. s s s s

“I am so grateful for the care my mother has received. She enjoys hearing stories from staff who visit our home. My mother has told me, ‘the staff are so kind…you can see it in their eyes.’ ” www.pbmc.org/iampenbay

Pen Bay’s new dedication to PARTNERSHIP CARE involves a patient’s family and friends more deeply in the care we provide. We know that TOGETHER, we are BETTER.

s s

60+ Years Combined Experience Am. College of Radiology Accredited Computer-Aided Diagnosis Stereotactic Biopsy Ultrasound Diagnosis & Biopsy MRI Referral

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Call today for an appointment (207) 596.8500 Pen Bay Medical Center Radiology

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Rockport

Page 28

Medical & Health Journal

March 30, 2011

Comprehensive Patient Care Low Dose Digital X-rays Oral Cancer Screening Advanced Cavity Detection Restorative Care Crowns and Veneers

Welcoming New Patients

Teeth Whitening Head, Neck & Facial Pain Therapy Sleep Apnea Appliance Therapy Gentle exams and cleanings for your family We work with Insurance companies

www.midcoastfamilydentistry.com

The road to recovery now has a fast lane.

We know youâ&#x20AC;&#x2122;re eager to get back home to the daily activities and routines you enjoy. With our ShortStay services, staff members are focused on your speedy recovery. They can identify and meet your post-hospital needs and will collaborate with your personal physicians to provide therapies best suited to your unique needs. Our comfortable rooms, dining and common areas even bring a little bit of home to your stay. We know youâ&#x20AC;&#x2122;ve been through a lot. Let us help you with your speedy recovery.

Harbor Hill Center 2 Footbridge Road Belfast, ME 04915 207-338-5307

Windward Gardens 105 Mechanic Street Camden, ME 04843 207-236-4197

We understand care, we practice compassion.

www.genesishcc.com