Fall 2013 - Cheshire Medical Center / Dartmouth

FALL 2013 • cheshiremed.org
Breast Cancer Surgery
at CMC/DHK:
A Patient’s Story
Hospital and
Clinic Update
Fall Calendar
Marylouise
Alther and
CMC/DHK Surgeon,
Dr. H.E. Guy
Burman
cheshiremed.org l Spring 2013 1
Marylouise Alther
and Mammography
Technologist Meloney
Hayward, RT (R)(M).
Breast Cancer Surgery at Cheshire
Medical Center–Marylouise’s Story
M
arylouise Alther, Cheshire Medical Center/
Dartmouth-Hitchcock Keene’s Director of
Volunteer Services, had faithfully received
annual mammograms in the medical center’s Dorothy
Penniman Hubbard Center for Women’s Health for 25
years - since she turned 40. They had all come back normal
until November of 2011.
“They discovered a spot on my right breast,” she
said. Within days, she visited Cheshire Medical Center/
Dartmouth-Hitchcock Keene’s (CMC/DHK’s) Radiology
department for a biopsy. The results came within a few days.
Alther was diagnosed with Stage 1 breast cancer.
“I was in shock,” said Marylouise, now 67. “I have no
family history of breast cancer.”
Soon after her mammogram, Marylouise met with
Surgeon Dr. H.E. Guy Burman, who had recently joined the
General Surgery staff at the hospital.
Before coming to CMC/DHK, Dr. Burman worked
as Chairman of the Department of Surgery at PeaceHealth
2 Fall 2013 l cheshiremed.org
Ketchikan Medical Center in Ketchikan, Alaska, where
he was presented twice with the Guardian Angel award
recognizing extraordinary skill, dedication, compassion and
attentive patient care. Prior to his work in Alaska, he was
a practicing surgeon at Columbia Memorial Hospital in
Hudson, New York, a tri-county hospital where he helped
create and oversee a breast health program that included a
support group for cancer survivors.
Marylouise said she felt comfortable with Dr. Burman
within moments of meeting him. “He looked right at me and
introduced himself,” she said. “He wasn’t looking through
charts - I didn’t feel like a number. He said, ‘Tell me what’s
going on with you.’”
She brought her husband, Glenn Davis, to that first
meeting. “He included him in the conversation,” she said
of Dr. Burman. “He was compassionate, respectful of my
opinions, thoughts and wishes - he was an excellent listener.”
Dr. Burman is one of four general surgeons on the
hospital’s breast cancer team, along with technologists
this unit that Marylouise met the anesthesiologist who would
and radiologists who perform mammograms, breast MRIs
care for her during her procedure.
and ultrasound imaging. The team also includes medical
Marylouise was impressed with how quickly the procedure
and radiation oncologists as well as staff from the Norris
Cotton Cancer Center. Another team member, a dedicated was performed and how gentle, respectful and compassionate
breast navigator, works to guide patients from the moment the Short Stay Surgery staff were. “I can’t say enough about
them,” she said. “We were laughing and joking - I wasn’t scared.
they receive an abnormal mammogram through breast
I felt so trusting of the care I was receiving. I felt like we were
cancer after-care.
all part of the same team.”
“Once a patient is identified as having a breast
The Post Anesthesia Care Unit (PACU) is the
abnormality,” Dr. Burman said, “I meet with the patient
hospital’s short-term intensive care area for postoperative
to answer their questions, examine them and discuss
care staffed by registered nurses and has specialized
treatment options.”
patient monitoring equipment. “I woke up to these angels
“There’s a lot of information about breast cancer out
in the recovery area,” Marylouise said of the PACU staff
there,” said Marylouise. “I researched, read and talked to
that cared for her after her surgery. “A positive attitude is
others who’ve been through it. Between the information
Dr. Burman shared with
me and the information I
4 essential breast tests
researched, I felt I made an
Breast cancer often makes itself known in its early stages, when there’s a good chance
informed choice about my
for a cure. The four essential screenings to detect breast cancer are:
course of treatment.”
• Clinical breast exam, by a healthcare professional every three years during your
Marylouise made
20s and 30s, and annually after age 40.
the decision to have her
surgery at CMC/DHK as
• Monthly breast self-exam, starting at age 20.
she felt very comfortable
• Annual screening mammogram, starting at age 40.
with Dr. Burman and
• Annual screening MRI, for women at very high risk, as recommended by your provider.
because her family support
You should discuss with your provider what screening plan is right for you. For more
system is in Keene. “I knew
information, please contact your provider or CMC/DHK’s Dorothy Penniman Hubbard Center
I had a choice of where
for Women’s Health at (603) 354-6640.
to go for surgery, but I
will always choose to do
critical to recovery, and they helped with that.”
whatever I need done here whenever possible, because this
Nurses in the PACU provide postoperative teaching
is my hospital,” she said.
to patients and their families, conduct patient assessments
She chose to have a mastectomy, an operation to
throughout the postoperative process, and make follow-up
remove the entire breast. The operation would be done
phone calls to outpatients the day after surgery to ensure
using a technique that spares enough skin to allow the
that recovery is progressing and that questions are addressed
patient to choose whether to have reconstructive surgery
quickly and personally.
on the breast at a later time.
Marylouise met with her oncologist and good friend,
“No matter what treatment options breast cancer
Dr. Steven Larmon, at the CMC/DHK Norris Cotton
patients choose,” Dr. Burman said, “every patient deals
Cancer Center-Kingsbury Pavilion after her surgery.
with their diagnosis of cancer differently.” And he’s
During those half-dozen appointments, he checked her
prepared for that. “We have to personalize care. It can
surgery site to make sure it healed properly and ordered
be a very emotional and stressful experience for patients.
blood work to monitor her recovery. “Steve is very
Education, guidance and support are as critical as the
thorough and compassionate; he has my total trust,” said
appropriate surgery done well.”
Marylouise.
Marylouise’s surgery was January 17, 2012. Patients
As Marylouise now reflects on her experience, she
undergoing outpatient surgery, including mastectomy, are first
shares, “I encourage all women over 40 to have their annual
admitted to the hospital’s Short Stay Surgery Unit, which is
mammogram, even if they don’t have a family history of
staffed by nine registered nurses and three support staff who
breast cancer. If I hadn’t had my annual mammogram,
prepare patients for surgery. This includes working with the
I could have had a whole different outcome,” she said.
skilled anesthesiology team to insure that appropriate pre“Instead, I had the best possible outcome. Prevention is
operative testing is performed and all concerns—from both
the medical and patient perspectives—are addressed. It was in critical. It made the difference for me.”
cheshiremed.org l Fall 2013 3
Ensuring a Sustainable Health System
for our Community
An Update from Art Nichols and Don Caruso, MD, MPH
W
hat is the best way for our local medical center
to ensure a sustainable health system for its
community in this age of health care reform
and economic challenges? That’s the strategic question the
Cheshire Medical Center Board of Trustees members and
senior leaders have been studying for the past year. Although
we have taken many successful
steps to reduce expenses and
increase efficiencies while
maintaining high-quality health
care services, it is a challenge
to match state and federal
reimbursement reductions. In
2011 and 2012 we experienced our
first operating losses in over three
decades. While we returned to a
modest gain from operations in
2013, the challenges presented by the Medicaid Enhancement
Tax and changing reimbursements are daunting.
After several months of work, leadership from Cheshire
Medical Center and Dartmouth-Hitchcock in Lebanon have
agreed to formalize and proceed further with substantive
discussions regarding how a closer affiliation between our
two organizations could benefit our patients, employees
and the residents of Southwestern New Hampshire and
Southeastern Vermont.
Several strategic options for creating a sustainable health
system have been studied, including consideration of many
potential organizations with which to affiliate. Stroudwater
Associates, a New England-based healthcare consulting
firm, helped us conduct this study and we have concluded
that a closer affiliation with Dartmouth-Hitchcock could
be a natural next step. This would allow us to build on our
successful Joint Operating Agreement, in place since 1998.
We share a common vision of the future of health care
with Dartmouth-Hitchcock, one that is based on creating
a sustainable health system focusing on population health,
delivering value-based care, and embracing the opportunities
provided by new payment models.
4 Fall 2013 l cheshiremed.org
Our shared vision for a health system that focuses on
keeping people healthy and out of the hospital emphasizes
the importance of our community’s Healthy Monadnock
2020 initiative (formerly Vision 2020). Community health
and wellness is now a national conversation, and our
commitment to Healthy Monadnock 2020 shows that it is
one of our top priorities.
Over the next four months,
a working group of Trustees
and senior leaders from both
organizations will discuss
the potential benefits for our
communities that a closer
affiliation could provide. If
discussions and negotiations
are favorable, Cheshire Medical
Center and DartmouthHitchcock could then enter into a comprehensive
agreement that would define the scope and nature of a
closer affiliation. Any proposed agreement would be subject
to review and approval by the New Hampshire Director
of Charitable Trusts and the New Hampshire Attorney
General’s Office, the receipt of any other necessary
approvals, and the completion of a comprehensive due
diligence investigation by both parties. We will also reach
out to community members to gather input as we continue
to build a sustainable health system.
As these discussions proceed and more information
becomes available in the months ahead, we will keep
you informed of our progress towards our goal of
ensuring a sustainable health system for our patients,
families and neighbors.
Same Goal, New Name
To learn more, go to www.healthiestcommunity.org
Gifts to Cheshire Health Foundation Made In Honor, Tribute and Memory (January 1 to June 30, 2013)
Honor,
Tribute and Memory
Gifts Made In
In Honor of:
All the poor and needy
Kenneth and Lisa Dicesare
Carol & Russ Austin’s 50th
Wedding Anniversary
Sandra and David Raabe
Tom Stewart and Cindy
Rodenhauser Stewart
Janet Aventi, RN for her
outstanding service and caring
In Recognition of:
Dr. David Lein and his nurse
Christine Kruse for
the exemplary care I received
Anonymous
In Memory of:
Michele Belletete, RN
John Bradshaw
Clinical & Support Division
Leaders: B. Glinka, F. Girard,
A. Howe, E. Perkins, D. Secore,
M. Wood, J. Wright, &
K. Butcher
Paul and Sharon Pezone
Dr. Arthur Cohen
Jan and Rick Cohen
Marc P. Tieger
Alix Dorfman’s time and talent
as a volunteer in CMC’s ER
& Medical-Surgical Unit
“Dollars for Doers”
C&S Wholesale Grocers
Sue Doyle
Keene High School Tennis
Boosters
The Dubriske-Secore Families
Dennis and Gail Secore
Dr. Steven Larmon
Helen Altman
Denise Meadows
Carolyn K. DeBell
Dawn M. Whitney
Our nine employees who
participated in the Sports
Medicine 5K “team up & make
strides”
C&S Wholesale Grocers
Frank and Sara Sloat’s 65th
Wedding Anniversary
Robert and Jill Antonucci
Carol and Gale Shelley
Martha and David Landry
Jim Melhorn
Cynthia Davis-Melhorn
Janice Miner
Dr. Tina and Errold Nelson
Therese Oberg
Betty Bousquet
Ann Dennis
Kay B. McCarten
Noonan Energy Corp
Carol Van Voorhis
Thomas A. Girard
Lynn and Jack Barney, in honor
of Father’s day
Mr. and Mrs. Stuart F. Bevis
Shirley P. Bohannon
Susan Bohannon
Bottomline Technologies, Inc
Kristine Butcher
Clarke Distributors Inc
Jeff, Cindy and Steph Clarke
Mr. and Mrs. Rich Clarke and
Family
Arthur Cohen
John Doolin
Jeananna and Robert Farrar
Frank and Mary Gline, Jr.
Judith Griffin and Family
Linwood and Ellie Hurd
Margaret Lavigne and Family
Liberty Mutual Insurance
Sylvia and Craig McBeth
Larry and Jan Muchmore
Marjorie and Arthur O’Neil
Angela Seaver
Dr. and Mrs. Arthur Simington
Mark and Jen Symonds
The Senior Team of Cheshire
Medical Center/DartmouthHitchcock Keene
Heather and Kevin Watterson
Dennis and Joann Young
Wilma Fairbrother
Barbara M. Paige
Daniel Harris
Harvey Perkins
Donna-Mae Higley
Marguerite Pinger
Robert Bohannon
Sally Bulger, RN for her
helpfulness
Andre P. Cote
Alexander William Matson and
Catherine Cushing Thompson
Elizabeth Zinn
Michael and Kathryn Blair
David and Carol Buchdahl
Nancy Carlson
Paul Coran
Janet and David Grzybowski
Frank Massin Agency, Inc
Upstream Animal Healing
Center PLLC
Raymond “Moose” Despres
George Kendall Bemis, Sr.
Ed Bergeron
Stanley J. Cohen
Betty Merritt
John Bradshaw
Bill Barrett
We would like to thank those donors
who have made gifts in memory
or tribute and acknowledge the
meaningfulness of the sentiment.
Joyce Boufford
Bea and Arthur Boufford
Harold Buttrick and Cathy
Russell
Margaret Buttrick
Julio & Josephine Caruso
Nancy Johnson and Don
Caruso, MDs
Warren Little
Diane Tisdale
Gerry Chandler
Sally Dixon
Robert Kenney
Mary Smith
Gwen Smith
Christy Frazier
Inez Laskowski
Karly W. Hill
Baldwin Clancy Rogan
Advertising, LLC
Eagles Ladies Auxiliary
Robert Paige
Erin Perkins
Dawn Cole
Lena Rader
Patti and Mike Schuman
Anonymous
Patricia DiSilva
Scott and Lisa Hill
Tom Shillington
Josephine Staresinich
Peter Sugarman
Lorraine M. Reed
Marci Richards
CYD Cheryl Sullivan
Carolyn Isaak
Todd Walier
Robert Kenney
Jane Wamser
Peter Howe and
Elizabeth Brown
Sylvia and Craig McBeth
Eleanor Webster
Anna G. Laffond
Bob Wesley
William Lambert
Marilyn & Winston Whitney
Winifred Skeates
Charles Woods, Sr.
Ellen T. Adams
Tracy Beam
Debra Zitta
Krista Hulslander
Nicholas Isaak, Jr.
Maurice Kelly
H. Thayer Kingsbury
Fred Laffond
Catherine K. Lambert
Eric Lewtas, husband
Loved Ones
Janet Lacroix
Richard Reynells
Peter Schenck
Jean Slobodnjak
Mirella Scully
Paul and Sharon Pezone
Anonymous
Joe & Judith Walier
Paula Gulo
Charles Bolick
Walter Welkowitz
Larry A. Welkowitz
Robin Wesley-Bond
Anonymous
Paul and Sharon Pezone
Katherine and Edwin Zitta
cheshiremed.org l Fall 2013 5
Fall 2013 >
Calendar of Classes and Events
Cheshire Medical Center/Dartmouth-Hitchcock Keene (CMC/DHK)
Classes are free unless otherwise noted. All programs are held at CMC/DHK, 580-590 Court St., Keene, NH, unless otherwise noted.
> FALL PROGRAMS
> Ongoing Programs
To register for programs, call
(603) 354-5460 or visit events.cheshiremed.com unless noted with different
instructions.
CHESHIRE WALKERS
> For more information about upcoming walks
or to join our mailing list, call the Cheshire
Walkers Program Coordinator at
(603) 354-5454, ext. 2322.
SUPERFOODS: HEALTHY OR HYPE?
> Tuesday, October 15, 6-7:30 p.m.
Mia Hulslander, Natural Health Solutions
Central Conference Room 6
NURSING HOME, MEDICAID &
ELDER LAW
> Thursday, October 31, 6-7:30 p.m.
Edward “Ted” Beasley, Beasley & Ferber
Auditorium A & B
MINDFUL EATING
> Tuesday, November 5, 3:30-5 p.m.
Samantha Fitzsimmons and Mary Gates,
Keene State College Dietetic Interns
Central Conference Room 6
DIABETES PREVENTION CLASS
> Monday, November 18, 6-7:30 p.m.
Registered Dietitian/Diabetes Educator &
Exercise Physiologist, CMC/DHK
North Conference Room 1 & 2
GASTRIC BANDING INFORMATION
SESSION
> Tuesday, December 3, 6:30 p.m.
Gastric Banding Team, CMC/DHK
North Conference Room 1 & 2
TURN DOWN THE HEAT ON
INFLAMMATION:
A COOKING DEMO
> Thursday, December 12, noon-1:30 p.m.
Samantha Fitzsimmons and Mary Gates,
Keene State College Dietetic Interns
Keene Senior Center, 70 Court St., Keene
CARDIAC REHABILITATION PHASE II
> Physician referral needed. Fees may apply.
Cardiac Rehabilitation Center, South Building,
fourth level
Call: (603) 354-6565.
COLON CANCER SCREENING
INFO SESSION
> First Tuesday and third Thursday of
the month, 3:30–4:30 p.m.
Central Conference Room 6
Call: (603) 354-5454, ext. 8579.
DANCING WITH PARKINSON’S
> First Monday and third Friday of
the month, 10:30–11:45 a.m.
Fee: $5 suggested donation
Call: Kathleen Michel at (802) 869-3695 or
[email protected].
DIABETES SELF-MANAGEMENT EDUCATION
SERIES: FOUR-PART CLASS SERIES
> A pre-class evaluation is needed prior
to attending. For info or to schedule an
appointment with a diabetes educator, call
the Diabetes Network Receptionist at
(603) 354-6570, option 3.
HOW TO LOWER BLOOD PRESSURE
NATURALLY!
> Blood pressure education, healthy lifestyle
telephone coaching, and Dietitian-guided
Hannaford shopping tour. For more info
and to register for this program, please call
(603) 354-6638.
A Benefit for the Cheshire Health Foundation
Please join the Cheshire Health Foundation for an evening of
Caring, Candlelight and Community:
Celebrating our Health Care Legacy
To honor Audrey Hadcock and Dr. Arthur Cohen
and 40 years of Cheshire Medical Center/Dartmouth-Hitchcock Keene on Court Street.
SATURDAY, NOVEMBER 16, 2013
Keene Country Club
Dinner, Dancing and Cash Bar
$80 per person, 6 PM
Please contact Cindy Rodenhauser Stewart, Director of Development at 603.354.6810 or [email protected].
Please contact Cindy Rodenhauser Stewart, Director of Development at
603.354.6810 or [email protected]
If special accommodations are required for you to attend one of our programs, please call (603) 354-5460.
6 Fall 2013 l cheshiremed.org
PARENTING, BIRTHING AND PREGNANCY
> Childbirth, nursing and prenatal support
and education classes.
Call: (603) 354-5454, ext. 4641.
PULMONARY REHABILITATION
> Tuesdays, Thursdays and Fridays
Physician referral needed. Fees may apply.
Call: (603) 354-6730.
> SUPPORT GROUPS
BARIATRIC SUPPORT GROUP
> First Tuesday of the month, 5:15-6:15 p.m.
Team F Group Meeting Room
Call: (603) 354-6405.
BRAIN INJURY SUPPORT GROUP
> Fourth Tuesday of the month, 6-7:30 p.m.
Call: Sandy Forest at (603) 355-9970
or Cindy Carney after 5:30 pm at (603)
352-6556.
CANCER SUPPORT GROUP
> Every Wednesday, 1-2:30 p.m.
For individuals with a diagnosis of cancer.
Call: Gary Wehrwein, D. Min of MAPS
Counseling Services (603) 355-2244
ext. 8103.
EDUCATIONAL, PROBLEM SOLVING
and SUPPORT GROUPS OVER THE
TELEPHONE FOR PEOPLE LIVING
WITH & BEYOND CANCER
> Monday-Thursday, multiple times
Visit the Norris Cotton Cancer
Center’s website at http://cancer.
dartmouth.edu/support or call
toll free (800) 639-6918 to register.
LEUKEMIA, MYELOMA & LYMPHOMA
SUPPORT GROUP
> Second Wednesday of the month, 3:30-5 p.m.
For patients, family members, and friends.
Dartmouth Hitchcock Medical Center One Medical Center Dr., Lebanon, NH Call: Lynne Morin, (800) 688-6572 or
[email protected].
PARENT NETWORKING GROUP
> Third Tuesday of the month, noon-1 p.m.
Drop-in group for parents of children with complex
medical and/or developmental diagnoses. (Check
CMC/DHK info desk for room location.)
Call: Anna Lake, MDS, at (603) 352-1304.
PERINATAL LOSS SUPPORT GROUP
> Third Thursday of the month, 7-9 p.m.
Call: Linda Hakala, RN, RTS Counselor at
(603) 354-6641 if you plan to attend.
PROSTATE CANCER EDUCATION &
SUPPORT GROUP
> Second Tuesday of the month,
7-8:30 p.m.
Facilitated by G. Forrest Quimby, M.D.,
Urologist at DHK.
Call: Urology at (603) 354-5454, ext.
6020.
TALKIN’ DIABETES DISCUSSION GROUP
> Second Thursday of the month,
6:30-7:30 p.m.
Informal monthly discussion group regarding
diabetes self-care. The group is facilitated
by a certified diabetes educator or other
qualified individual. Updates on diabetes care
are regularly shared at meetings. (Check
CMC/DHK info desk for room location.)
Call: Diabetes Network Receptionist at
(603) 354-6570, option 3. TOBACCO FREE OR TRYING TO BE
SUPPORT GROUP
> First Wednesday of the month,
5:30-6:30 p.m.
Central Conference Room 6
Call: Kate McNally, (603) 354-6513.
BALD IS
BEAUTIFUL!!
Thank you to our
121 participants and
more than 900 donors
who helped us raise over
$40,000 in support of
Cheshire Medical Center’s
Norris Cotton Cancer Center,
Kingsbury Pavilion cancer patients!
For more classes, events and groups, visit Health and Wellness at cheshiremed.org.
cheshiremed.org l Fall 2013 7
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Keene, NH 03431
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PROVIDER SPOTLIGHT
Cheshire Medical Center/Dartmouth-Hitchcock Keene would like to
introduce you to the newest members of our medical staff
Barbara Bates, MD
Family Medicine
(603) 354-5400
> Board Certified, Family
Practice, American
Board of Family Medicine
> Residency, Medical
College of Wisconsin,
Milwaukee, WI
> Doctor of Medicine, University of
Vermont, Burlington, VT
> Bachelor of Arts in Psychology,
University of Vermont, Burlington, VT
Carrie Cocklin, MD
Pathology
(603) 354-5470
> Board Certified,
Pathology - AP/CP,
American Board of
Pathology
> Residency, Co-Chief
Resident, Pathology, Indiana University
School of Medicine, Indianapolis, IN
> Doctor of Medicine, Indiana University
School of Medicine, Indianapolis, IN
> Bachelor of Science, Davidson College,
Davidson, NC
Valerie Gendron, MD
Neurology
(603) 354-5400
> Fellowship, Rhode
Island Hospital – Brown
University, Providence, RI
> Residency, Rhode
Island Hospital – Brown
University, Providence, RI
> Doctor of Medicine, University of Virginia
School of Medicine, Charlottesville, VA
> Bachelor of Science in Biology
and Neuroscience, University of
Massachusetts, Amherst, MA
JoAnn Hertford, MD, FAAFP, ESQ.
Family Medicine
(603) 354-5400
> Board Certified, Family
Practice, American Board
of Family Medicine
> Fellowship, American
Academy of Family Practice
> Residency, Family
Practice, The Medical Center, Beaver, PA
> Doctor of Medicine, Rutgers Medical School,
UMDNH, Piscataway, NJ
> Juris Doctor, Vermont Law School, South
Royalton, VT
> Bachelor of Science, Biology, Cook College,
Rutgers University, Piscataway, NJ
Bernard Vinoski, MD
Gastroenterology
(603) 354-6515
> Fellowship,
Gastroenterology,
University of
Connecticut,
Farmington, CT
> Chief Medical Resident, Internal
Medicine, New Britain General
Hospital, New Britain, CT
> Doctor of Medicine, American
University of the Caribbean, Coral
Gables, FL
> Bachelor of Medicine, University of
Florida, Gainesville, FL
> Bachelor of Science in Zoology,
University of Florida, Gainesville, FL
>
Making a Difference
Cheshire Medical Center/DartmouthHitchcock Keene is a not-for-profit
community hospital and clinic.
To make a charitable donation, visit
cheshiremed.org/ways_to_give or
contact the Development Office at
(603) 354-6810.