Scott Rodi, MD, MPH joins Gifford Medical Center

Dr. Scott Rodi

Dr. Scott Rodi

Emergency medicine physician Dr. Scott Rodi has been appointed Gifford Medical Center’s Emergency Department and Hospital Division Medical Director.

For the past 15 years Rodi has worked at Dartmouth-Hitchcock Medical Center, where he has been the Medical Director and Section Chief of Emergency Medicine. He is Associate Professor of Medicine at the Geisel School of Medicine, and since 2007 has also worked part-time in Gifford’s Emergency Department.

“I came to Gifford initially because I wanted to work in a rural community hospital and to work more directly with patients, which was difficult in a teaching hospital,” Rodi said. “Gifford’s community focus resonates with me, and I enjoy working with an administration that is so accessible.”

A native of San Diego, CA, Rodi first came to the East Coast to attend Dartmouth College, where he earned a Bachelor of Arts (BA) in Biology. He went on to Cornell University Medical College, where he earned an MD, and then returned to Dartmouth‘s Center for Evaluative Clinical Sciences for a Master of Public Health. He completed his residency in Emergency Medicine at UCLA Medical Center, and trained in Orthopedic Surgery in the Hospital for Special Surgery in New York, and in General Surgery at Cottage Hospital in Santa Barbara, CA.

While at Dartmouth Rodi founded the Center for Rural Emergency Services and Trauma (an outreach program aimed at Critical Access Hospital Emergency Departments) and was involved in the early development of tele-emergency medicine. He has been named New Hampshire Magazine’s Top ED Doctor annually since 2010, and his clinical interests include emergency department management, rural emergency care delivery, and telemedicine.

Dr. Rodi comes from a long line of doctors (his father, grandfather, and great-grandfather were all physicians), and said because of this it seemed inevitable that he would practice medicine: “I saw that it offered opportunities to do meaningful work and be steadily employed.” Married with three daughters, he lives in Lyme NH, where he is currently working on building an Annapolis Wherry rowing shell.

Quality Improvement Initiatives

This article was published in our Cancer Program 2014 Annual Report.

Rebecca O'BerryBy Rebecca O’Berry, vice president of surgery and operations

In 2014 the Cancer Program has focused on improving our screening efforts for colorectal cancer, the one cancer that can be prevented. Our two quality improvement goals for 2014 were to improve the tracking process we use for hemoccult cards given to patients and to increase the number of people screened for colorectal cancer.

Historically, less than half of the hemoccult cards given to patients are returned to the physician’s office for testing. We implemented a follow-up plan to increase our return rate and modified the system we use to track these cards. Our efforts were successful, and we were encouraged to explore bringing in a different test that is easier for patients to perform at home. This new laboratory test will be part of our quality initiative for 2015.

Throughout the organization we worked to increase the number of patients who receive some kind of colorectal screening. In the target age group of 50-75, our screening numbers increased from 59 percent (in 2013) to 90 percent (in 2014). This is a significant improvement, and shows how effective a targeted educational effort on the benefits of some form of colorectal screening can be! Unfortunately a large number of our patients still refuse to undergo colorectal screening. In 2015 we will work to improve patient access to screening by increasing the variety of our testing methods.

In 2014 we also increased our social services support for patients undergoing cancer treatment. To ensure that everyone has the help they need while moving through treatment, our patients now have easy access to a social worker and our Blueprint team. We also created a binder to collect all the information needed by someone undergoing cancer treatment.

The MagView program implemented at the end of 2013 has helped our radiology department track screening mammography in a more systematic way. This program keeps all a patient’s information in one location, and allows a much faster turnaround time for notification of results. The time a patient must wait to receive a mammography result notification letter is now less than two days!

Our providers are excellent communicators and have put a lot of time and energy into community education about prevention, early detection, and treatment of cancer. We work closely with our local senior centers to provide education sessions that are open to the public. Topics covered in these community outreach efforts include: skin cancer screenings and education (in several locations); discussions on breast cancer, bladder and prostate cancer, and colorectal cancer. We will continue to provide this education in the upcoming year.

In 2014, 53 new cancer cases were identified, with breast cancer continuing to be the most prominent followed by lung, colon, and prostate. A total of 41 of those 53 cases were discussed at Tumor Board meetings.

2014 Gifford cancer statistics

Click here to read our full Cancer Program 2014 Annual Report.

Anesthesiologist Dr. Anthony Fazzone joins Gifford Medical Center

Anthony Fazzone

Anthony Fazzone, M.D., M.S.

Anesthesiologist Anthony Fazzone, M.D., M.S. has joined Gifford Medical Center in Randolph. He brings nearly 20 years of experience and has worked at several area hospitals, including the University of Vermont Health Care System, Springfield Hospital, and the Catholic Medical Center in Manchester, NH.

Dr. Fazzone attended Georgetown University (where he earned his M.D. and a master of science in Physiology) and received a master of science in Human Nutrition from Columbia University. He completed his residency in Anesthesia at Fletcher Allen Health Care, and residencies in Surgery at Abington Memorial Hospital and Dartmouth-Hitchcock Medical Center.

Board-certified by the American Society of Anesthesiologists, Fazzone was first drawn to physiology (the normal functions of living systems) and says moving on to medicine and anesthesiology was a natural extension of this interest.

“Anesthesia alters how the body functions, so understanding how the heart, lungs, and neurological systems work helps us take a personalized approach with each patient,” he says. “I can often use regional anesthesia (nerve blocks, spinal taps, and epidurals) to help patients avoid high doses of medication and provide pain relief for patients after surgery.”

Fazzone has most enjoyed his work in smaller hospitals like Gifford because he has time to meet with patients to develop ongoing relationships. After his residency at UVM he knew he wanted to settle in Vermont, and says the Randolph area reminds him of the rural part of western Connecticut where he grew up. He enjoys mountain biking, snowboarding, and in summer relaxes by kite-boarding on Lake Champlain.

Gifford Auxiliary Gives $1 Million to Hospital’s Capital Campaign

Funds raised through sales at popular volunteer-staffed community Thrift Shop

Gifford Auxiliary

Members of Gifford Medical Center’s Auxiliary at their quarterly membership luncheon on November 15, 2015. (Photo credit: Bob Eddy)

Gifford Medical Center’s Auxiliary announced a million-dollar gift to the hospital’s Vision for the Future campaign at the organizations quarterly membership luncheon on November 15, 2015.

Funds for the generous gift were raised through sales at the popular volunteer-staffed Thrift Shop in Randolph.

The Vison for the Future campaign is raising funds to support a multi-phased project that built the new Menig Nursing Home in Randolph Center (which opened last spring), 25 private inpatient rooms (which will open mid-December), and an updated and more centrally located Birthing Center in the hospital (planned to open next spring). The campaign needs just $800,000 to close the $5 million campaign, and hopes the Auxiliary’s gift—created through hard work and small-dollar sales—will inspire others to invest in the hospital’s future.

“This gift represents an overwhelming generosity of time and resources,” said Gifford Administrator Joseph Woodin, who noted that over the years the Auxiliary has supported strategic projects (including the original Menig Extended Care wing, the Philip Levesque Medical Building, and the employee day care center) as well as annual departmental “wish list” items not included in the hospital budget. “The Auxiliary is a key part of Gifford’s success, and truly adds tremendous value to our community.”

The Thrift Shop first opened its doors in 1956 and has been providing clothing and household items to bargain hunters and those in need ever since. The 148-member Auxiliary runs the Thrift Shop, with some paid staff and many dedicated volunteers who sort through donations, clean and mend clothes, price items, stock shelves, and staff the store. Each year the Auxiliary also funds scholarships for college students pursuing health careers, financial aid for students enrolled in LNA programs, and supports other community outreach programs.

Auxiliary President Margaret Osborn says the Thrift Shop’s success can be measured in terms of money raised, but also by the enthusiasm of the volunteer workers, the creativity of employees, and the many community customers and donors.

“This million dollar gift reflects our community’s enthusiasm for re-gifting their possessions through the thrift shop, helping to ensure that we have high-quality local hospital care and good merchandise at prices everyone can afford—from fire victims to frugal shoppers,” said Osborn. “We provide an effective, simplified process that gets unused goods out to those who can use them. At the same time we offer tremendous opportunities for people with vitality and skills who want to give time to community service.”

Woodin also notes the many layers of the Thrift Shop’s community contributions. “We are so fortunate to have this unique community resource,” he said. “It helps the hospital, it helps people with limited resources, it keeps unused items from cluttering homes and out of the landfill, and it offers everyone the joy that comes with finding a good bargain. That’s a universal gratification!”

To volunteer or learn more about the Thrift shop, call (802) 728-2185. For more information about Gifford’s Vision for the Future campaign, call Ashley Lincoln at 728-2380 or visit

Finding Patient-Friendly Colorectal Cancer Screening Options

This article was published in our Cancer Program 2014 Annual Report.

Gifford cancer program

One of our program goals for 2014 was to screen more people for colon cancer to help decrease the number of later-staged colon cancers found in our patients. Providers and nursing staff talk with patients during office visits about cancer screening services available at Gifford, and the benefits of detecting cancer early—especially with colon cancer, the “preventable cancer.”

A typical colorectal cancer starts as a slow-growing polyp in the lining of the colon or the rectum. These precancerous polyps and early cancers can be detected (and removed) during a colonoscopy, which is the preferred colon cancer screening test. But many patients delay or refuse colonoscopy screening, and we still want to encourage those people to at least have a fecal blood cancer detection test with their annual physical.

The hemoccult cards traditionally used for this screening required a patient to collect multiple samples at home and bring them back to their provider’s office. Even with an improved follow-up system to remind people to return their cards, less than half of the tests made it back to Gifford. Many patients reported that the dietary restrictions, multiple sample collecting, and the embarrassment of having to carry the card back to their provider caused them not to complete the test.

Cancer program staff explored other screening options and found a test that detects blood in the stool more accurately, is easier for patients to use and, more importantly, can be discretely mailed back to the lab for analysis. The FIT (Fecal Immunochemical Testing) cancer detection test is now offered as part of annual physicals at Gifford.

Click here to read our full Cancer Program 2014 Annual Report.

Expertise, Personalized Care, and Comprehensive Support Close to Home

This article was published in our Cancer Program 2014 Annual Report.

Brenda CaswellWhen someone is given a cancer diagnosis, their world is turned upside down. Suddenly there is a lot of information to absorb, many tests to take, and hard decisions that have to be made quickly—all when people are feeling most vulnerable.

Travelling to receive treatment and follow-up cancer care can be expensive, exhausting, and complicated to organize. At Gifford patients with cancer have treatment options that can relieve these stresses.

Most cancers—especially breast, colon, prostate, and bladder cancers—can be treated here in our community hospital with caregivers that patients know and trust, close to the family and friends who will support them during treatment.

“Our goal is to make sure people know that they can receive the same quality of care offered at larger hospitals close to home, with a support network they know,” said Rebecca O’Berry, vice-president of Surgery and Operations at Gifford. “Battling a cancer diagnosis is hard enough—I’m thankful that we can provide quality cancer care locally and decrease our patient’s travel time during treatment.”

First accredited by the American College of Surgeons Commission on Cancer in 1965 (we received our most recent 3-year accreditation in December of 2014), our cancer program has been delivering quality cancer care to our community for nearly fifty years. Our oncology services include cancer care from an experienced oncologist, hospital specialists and surgeons, and specially certified oncology nurses; lab and diagnostic services; advanced diagnostic services, including stereotactic breast imaging; outpatient chemotherapy; preventive cancer screenings; and a strong palliative care program. Our multidisciplinary approach to each patient’s care includes identifying social service needs as well as appropriate medical expertise.

Experience, expertise, and compassionate care close to home

“With cancer, making the right diagnosis and getting the right treatment is key,” says Dr. Richard Graham, a Gifford urologist who treats prostate, bladder, and renal cancers. “Experience with specific cancers is also important. We have the expertise and technology to diagnose a lot of rare cancers, but we are small enough to see patients as individuals: You are not a number here.”

Graham notes that he saw an increase in patients whose small cancers were treated with cryosurgery and laparoscopic surgery in 2014.

Personalized support for the cancer care each patient chooses

When a patient chooses cancer treatment that is not offered here, our providers make referrals and collaborate with outside oncologists so things go smoothly. Patients have the option to receive post-operative care and chemo treatments close to home.

Brenda Caswell, a Randolph mother of five, regularly comes to Gifford for medical care and annual mammogram screenings. She missed three years of annual visits because of her pregnancy and the birth of her youngest child, and when she resumed her check-in’s her provider insisted that she get a mammogram.

“My provider didn’t let me out of the office without scheduling a mammogram,” Caswell says. “She knew me, knew that my mom had had breast cancer, and knew that regular screening was especially important for me.”

A small tumor was detected, and after a biopsy and two consultations with Dr. Ciccarelli, she decided to have mastectomy and reconstructive breast surgery through a program offered at a larger hospital. Dr. Ciccarelli’s team made referrals and helped her arrange treatment. When her cancer was found to be more invasive than originally thought, she had to plan for chemotherapy after surgery. Then, when post-operative complications required a week of inpatient care right before the holidays, she knew she wanted to be close to home and with her family.

“I was able to be at Gifford, just down the street from my home,” Caswell said. “The doctors were wonderful—they collaborated with the oncologists who were treating me, sharing blood counts and test results. It was a very smooth process.”

Click here to read our full Cancer Program 2014 Annual Report.

Wiemann Lamphere Architects to Design Gifford Senior Living Project

Wiemann Lamphere Architects

(L to R) Gifford Retirement Community Executive Director Linda Minsinger, VP of Operations and Surgical Services Rebecca O’Berry, and Facilities Director Doug Pfohl

Gifford will work with Wiemann Lamphere Architects as they move into the second stage of building independent living apartments at the new Morgan Orchards Senior Living Community in Randolph Center, Vermont.

The Colchester, Vermont design firm will build on Gifford’s original design concept to create a vibrant neighborhood for the 25-acre campus, which includes the new Menig Nursing home and planned future assisted living.

“Wiemann Lamphere has worked on many housing projects and brings specific expertise in designing for seniors in independent living facilities,” said Gifford’s Vice President of Operations and Surgical Services Rebecca O’Berry. “They are an energetic and enthusiastic team who approached our project with creative ideas on how to encourage community interaction while incorporating nature and energy conservation into the design.”

The three-story, 49-apartment building will use internal common spaces (including a proposed dining room, library, fitness area, lounges, and sunroom) to encourage community interaction, and external gathering spots (a proposed campus green, orchard, gardens, and extensive nature trails) to strengthen the neighborhood feel of the campus.

Groundbreaking for the independent living apartments is anticipated in the spring of 2016, with an anticipated move-in date in late spring 2017.

“We are pleased to be working with Gifford to develop much needed senior housing opportunities in central Vermont and look forward to making the most of the wonderful views on the site,” said Weimann Lamphere President David P. Roy. “We have a passion for sustainability, and a drive to create healthy, invigorating spaces for people to live their lives to the fullest.”

To learn more about the Morgan Orchards Senior Living Community, visit or call 802-728-2787.

Erica Sears Exhibit at Gifford Medical Center’s Art Gallery

Erica Sears exhibit

“Goodbye to the Sun,” an abstract in acrylic by Randolph artist Erica Sears

Eleven new pieces by Randolph artist Erica Sears will be displayed in the Gifford Gallery in a month-long show that will run through December 12, 2015.

Sears, who graduated from Randolph Union High School in 1985, received her bachelor’s degree in fine arts from Otis Art Institute of Parsons School of Design in Los Angeles, where she lived for 15 years before returning to Randolph in 2000.

Sears has been making, selling, and teaching art for over 25 years. Her work has been displayed in Los Angeles and throughout the region at Chandler, First Light Studios, Gifford, in Bethel, and at the White River Craft Center. Currently a large three-panel painting of hers hangs in the Upper Ester Mesh Gallery at Chandler (part of its permanent collection), and her work is on display at the Black Krim Tavern on Merchants Row in Randolph. You can see more of Erica’s work at at her shop “Erica Sears Art”.

“I love color and texture, so when I create I get to play and let my imagination run wild,” says Sears. “I will make art with pretty much anything. This show is a selection of paintings with and without collage that range in size from 5″x10″ to 4′x5′.”

This is her third Gifford show, and is a vibrant collection of abstract works in paint and collage that visually express the colors and emotions of the seasons and daily experiences of the artist.

This exhibit is free and open to the public, and will be displayed through December 12, 2015. The gallery is located just inside the hospital’s main entrance at 44 S, Main St. (Route 12) in Randolph. Call Gifford at (802) 728-7000 for more information.

Customized Support for Patients Receiving Cancer Treatment

This article was published in our Cancer Program 2014 Annual Report.

patient information bindersCancer treatment can be a complicated and lengthy process. It takes time to absorb and process information, and most patients find it helpful to return to reports, schedules, and resource listings at home, so they can bring back questions they didn’t ask when meeting with their provider.

Since cancer patients often see multiple specialists, a lot of paperwork is accumulated along the way. Patients who feel informed and involved in their treatment are less stressed, but things can quickly feel overwhelming.

This year Gifford’s Cancer Program initiated new efforts to improve communication, personalize support services, and simplify processes so patients will have the help they need at a time when life can feel out of control.

Patient Information Binder: Each patient starting cancer treatment at Gifford is given an 11 x 13 inch zippered binder with five multicolored section dividers to organize care team contact information, treatment plans, information on care at home, support services available at Gifford, and general cancer information and community resources. Other folders and pockets can store reports, medication lists, appointment schedules, and important treatment information.

“It helps keep life-with-cancer organized,” said Jessica Spencer, an oncology nurse who helped design the binder. “It also has lots of information and resource listings, so patients have a place to turn to when they are not at the hospital.”

Our oncology nurses have also found that using the binder with patients can help identify support services a patient may need earlier in their treatment process.

New Psychosocial Screening Tool: There are aspects of cancer care that go beyond actual medical treatment and oncology nurses, who establish ongoing relationships with patients as they take blood tests, administer medication or chemotherapy, and monitor treatment, are often the first to learn about patients who need extra support.

A new psychosocial screening discussion with patients at their initial treatment session now helps nurses identify and track these needs more effectively. The completed forms are reviewed and referred to a social worker for further follow up if needed. Patients have received assistance with insurance issues, finances, transportation or housing needs, or emotionally adjusting to their illness.

Click here to read our full Cancer Program 2014 Annual Report.

Physician Assistant Ellen Bando Joins Gifford Health Care Pediatrics Team

Ellen Bando

Ellen Bando

Ellen Bando, PA-C has joined Gifford’s Pediatrics team, bringing 15 years of experience with pediatric and adolescent patients.

She most recently worked at the Winslow Indian Health Care Center in AZ, where she spent 5 years as part of a medical team providing outpatient care for Native American patients, and working a mobile medical van that brought preventive and screening services to remote communities on the Navajo Reservation.

Bando knew when she graduated from college that she wanted to help underserved rural communities, and first worked in hospital administration.

“I was disturbed by the inequality I saw in access to medical care, and decided that I wanted to make a difference by taking care of patients directly,” said Bando. “I began as a lab technician, and then at age 30 decided to train to be a physician assistant.”

She received a master of Medical Science from the Emory University School of Medicine Physician Assistant Program, completing rotations in pediatrics, family medicine, ob/gyn, inpatient and outpatient internal medicine, emergency medicine, and surgery. She also completed elective clinical service in rheumatology, newborn medicine, and pediatrics, and worked on the Navajo Reservation.

An NCCPA-certified physician assistant, Bando has provided a wide spectrum of primary care services to children and their families, and she has a special interest in pediatric and adolescent care. Other clinical interests include pediatric obesity, adolescent health, and cross-cultural medicine.

Bando practiced at Upper Valley Pediatrics in Bradford VT before accepting her most recent position in Arizona. Wanting to be closer to family in Hartford, VT, she began to look for a position in a rural Vermont community where she could settle with her family. The position at Gifford was a good fit, and she has already purchased a home nearby.

“Patient-centered care is the heart of medicine—I’ve always practiced in a small community where people can get to know you and you can get to know them,” says Bando. “My work with Navajos taught me to be a good listener. I listen to what my patients say and then try to be their advocate.”

To schedule an appointment, please call 802-728-2777.