Chelsea Health Center patient Roger Sargent of Tunbridge chats with his new physician assistant, Rebecca Savidge.
The metaphorical passing of the baton at the Chelsea Health Center Thursday afternoon was reminiscent of the perfect race. There was unparalleled effort, emotion and cheers of support.
On Thursday Chelsea welcomed new caregivers Dr. Amanda Hepler and Rebecca Savidge, both family medicine providers, and said goodbye to Dr. Brian Sargent and physician assistant Starr Strong.
Dr. Sargent is transitioning to full-time Emergency Department work, something that will allow him more time for sugaring, pruning apple trees and deer hunting, he said.
Strong is retiring after 21 years.
Ernest Kennedy of Chelsea hugs retiring Chelsea Health Center physician assistant Starr Strong. To Kennedy, Strong is more than the local caregiver. She was the dear friend of his daughter Judy Alexander, who lost her battle with cancer on Sunday.
Community-owned, the health center is part of Gifford Health Care. Gifford Medicine Division Medical Director, and former Chelsea doctor, Josh Plavin introduced the outgoing and incoming teams.
Dr. Hepler comes to Chelsea from New Hampshire and, before that, a very rural practice in Maine. She was looking to find that again and has in Chelsea. “It’s been great so far. Everyone’s been very welcoming,” said the warm hearted Dr. Hepler.
“I think you grew up in this clinic,” Dr. Plavin said of Savidge.
“With Dr. Plavin,” she replied, indicating he was her caregiver.
Gifford Medicine Division Medical Director Dr. Josh Plavin introduces new Chelsea family physician Dr. Amanda Hepler.
“Which is not making me feel old at all,” he said.
Savidge practiced in Plainfield before coming home to Chelsea. “I appreciate the community letting me come back to the community as a provider,” she said to the standing room only crowd gathered in the health center’s waiting room.
Savidge thanked Dr. Sargent and Strong for building such an outstanding clinic and acknowledged that she and Dr. Hepler had some big shoes to fill.
The crowd laughs as Dr. Brian Sargent says a warm goodbye to Chelsea patients. He has transitioned to full-time Emergency Department work at Gifford.
“I want to thank you all for trusting me with your care. Like Amanda, I’ve felt very welcome,” said Dr. Sargent who has practiced in Chelsea for five years.
But even for Dr. Sargent, the day was about Strong. “She’s (Strong has) been a joy to work with and a good friend. You won’t find a more compassionate person on the planet,” he said.
“Starr taught me about community,” Dr. Plavin added. “Starr taught me about relationships, as well as medicine, and is really the rock that has been the continuous presence all of this time. Starr is the Chelsea Health Center.”
Starr Strong, retiring Chelsea physician assistant, is embraced by patient Virginia Button of Chelsea.
Her patients who were present – and there were many – agreed.
“She’s been my doctor forever,” said Roger Sargent, a Tunbridge resident who has already transitioned his care to Dr. Hepler and Savidge. “I think she (Strong) has a nice lady taking her place, two of them.”
Virginia Button embraced Strong and didn’t let go.
“I’ve been with Starr since she’s been at the health center,” she said, tearing up. “It’s like you’ve lost part of your life.”
Gifford President Joe Woodin and Starr Strong share a laugh.
But Button was optimistic.
“I’m sure the two that are here will fill her shoes,” she said, “eventually.”
Ernest Kennedy gave Strong three hugs. One for himself, one for his wife and one for his daughter, the late Judy Alexander, Strong’s dear friend and a former nurse at the Chelsea Health Center who passed away Sunday and whose loss was felt at Thursday’s gathering.
Kennedy was there to offer his support for Strong, who moved into Alexander’s home during a final days to provide constant vigil, but he wasn’t exactly supportive of Strong’s decision to retire. “She’s not old enough, and we need her.”
Strong disagreed, but not before expressing her thanks for the community’s support.
“I can’t tell you how rich I feel. I’m more grateful than I can tell you. The relationships we have when we go in and sit down and close the (exam room) door; that is a sacred spot.”
She is finally able to step away from those relationships, she says, because she is leaving her patients in the “graceful, beautiful and knowledgeable hands” of Dr. Hepler and Savidge. “It gives me joy in my heart rather than sadness in my soul,” Strong said.
April Vanderveer, a certified nurse-midwife and women’s health nurse practitioner, has joined the Gifford Ob/Gyn & Midwifery team.
Vanderveer is an experienced birthing center nurse who went on to nurse midwifery school at Georgetown University in Washington, D.C. She also has a bachelor’s of science degree from the University of Vermont and a bachelor’s in nursing degree from the Medical University of South Carolina in Charleston.
It was her own Vermont birthing experience that prompted Vanderveer to pursue a nursing and then a midwifery degree. “I had an absolutely wonderful midwife, and she inspired me to look into it,” said Vanderveer, a native of California who moved to Vermont in 1991.
Vanderveer worked for 11 years at Copley Hospital in Morrisville as a Birthing Center nurse learning to care for moms and babies before and while in midwifery school.
As part of her schooling, she did nine months of clinical training at Gifford. “I just really liked the culture here. The midwives and the Ob nurses were really fantastic, and I just felt like this is where I wanted to work,” she said.
She realized that dream this month when she joined certified nurse-midwives Meghan Sperry, Kathryn Saunders and Maggie Gardner in practice at Gifford in Randolph and the Gifford Health Center at Berlin.
Vanderveer calls Gifford’s midwifery team a “cohesive group.” “I’m really excited to join a team of excellent practitioners,” she said.
Vanderveer is board certified by the American Midwifery Certification Board. Because of her unique training as a women’s health nurse practitioner, her clinical interests include women’s care across the lifespan.
She describes her approach as collaborative, where the patient is a member of the care team. She also strives to incorporate evidence-based practices (best standards of care) into patient’s individualized needs and goals.
Vanderveer lives in Waterville. She is married to a chef, Chase Vanderveer, and previously owned Winding Brook Bistro in Johnson with him. Together they have three children, ages 13, 14 and 17. Vanderveer enjoys the outdoors, kayaking and downhill skiing, as well as cross-country skiing, hiking, gardening and playing Frisbee golf on the family’s property.
Call Vanderveer or another member of the Gifford midwifery team in Randolph at (802) 728-2401 or in Berlin at (802) 229-2325.
Naturopathic physician Dr. Erica Koch leads a Prenatal Health Series at Gifford for pregnant women and expectant families beginning May 15.
The series includes four Thursday classes that participants can take individually or as a whole. They are “Nutrition during Pregnancy” on May 15, “Herbal Medicine, Vitamins and Minerals during Pregnancy” on May 22, “Movement and Regeneration” on May 29 and “Mind/Body Medicine” on June 5.
“Nutrition during Pregnancy” covers eating well, meeting nutritional needs, food as medicine, environmental toxins and chemicals to avoid, food cravings and how to address them, and how to shop for food.
“Herbal Medicine, Vitamins and Minerals during Pregnancy” looks at nutrients to promote and maintain good health, and manage symptoms such as headaches, muscle spasms, fatigue, nausea and constipation. It also looks at herbs to avoid during pregnancy and breastfeeding.
“Movement and Regeneration”with guest teacher Amy LePage focuses on yoga sequences to improve energy, relieve discomfort, aid in digestion and prepare for birth. The class also teaches breathing exercises to encourage relaxation and reduce stress.
Finally, “Mind/Body Medicine” teaches stress reduction and how to build resilience, increase awareness and support labor. It gives participants the tools to begin a daily self-care practice.
“These classes are for anyone who is interested in promoting health during pregnancy and managing symptoms naturally. The goal is to empower people with the knowledge and practices of a healthy lifestyle. Pregnant women have different needs and knowing how to address them in a safe and effective way is important. Women who are trying to conceive, who are pregnant, their partners and practitioners are all welcome to attend,” said Dr. Koch.
Dr. Koch is an experienced naturopathic doctor, educator, gardener and co-founder of Whole Systems Health, a non-profit organization focusing on nature-based education, health and resilience. She earned her doctor of naturopathic medicine degree from the National College of Natural Medicine, where she completed advanced training in women’s health and midwifery. She also holds a master’s degree from Rutgers University.
The classes will be held from 5-8 p.m. at Gifford in The Family Center beside Gifford Ob/Gyn and Midwifery at 38 S. Main St. (off Route 12) in Randolph.
Dr. Koch offers a sliding scale fee of $50-$75 for each class plus a $10 materials fee. E-mail her at email@example.com to sign up or with questions.
Starr Strong blazed a new role for 21 years at Chelsea Health Center
Starr with a baby
Physician assistant Starr Strong retires on May 1 after 21 years at the Chelsea Health Center. Robin Palmer, a former journalist who now does marketing at Gifford, sat down with Strong this week to get her reflections on her career and two decades of commitment to the Chelsea community.
CHELSEA – Starr Strong took a meandering path to health care.
Raised in Connecticut, she studied eastern religion at Beloit College in Wisconsin and went on to travel in India and Nepal and work a variety of jobs, including for a childhood lead prevention program in Massachusetts and counseling troubled teens.
A self-described hippie, wherever she went she found a cabin in the woods to live with her dog, usually with no electricity. She “played pioneer,” she said.
She contemplated a career in social work, but after traveling found herself drawn to a relatively new career – that of a physician assistant.
Despite a complete lack of experience in medicine, as a white person traveling in India and Nepal she was often called upon by villagers to help with illness, she said. “They bring you their wounds. They bring you their sickness. I found that I loved it.”
Duke University had started the first physician assistant program following the Vietnam War for returning medics looking to put their skills to work, Strong recalled. Wake Forest University in North Carolina was one of the schools to follow. Strong entered physician assistant school at Wake Forest in 1979.
Coming home to Vermont
Starr with a patient in 1996
She came to Vermont in 1981 while in physician assistant school to do what the industry calls a clinical rotation – like an internship – with local ob/gyn Dr. Thurmond Knight and midwife Karen O’Dato. It was not her first experience in Vermont, however.
Strong calls growing up in Connecticut “a mistake.” “I knew that I was so supposed to be here,” she said.
Strong’s family came from Brookfield. As a child they would visit the family homestead several times a year. Strong recalls her mother telling at her the end of one trip when she was 5 or 6 that is time to go home. “But I am home” was Strong’s reply.
Strong is the sixth generation to own that Brookfield property, where she still lives with husband John Button and one of her two children, Dylan, 28. Twenty-four-year-old daughter Maylee lives in Chelsea.
When she first came home to that old farmhouse with no running water, Strong envisioned a job at Gifford in Randolph, but long-time hospital Chief Executive Officer Phil Levesque told her no, repeatedly.
“I knocked on Gifford’s door every year,” said Strong. She repeatedly heard that the Medical Staff just wasn’t ready for a physician assistant, and might never be.
The hospital had just one private practice nurse practitioner affiliated with it at the time. The concept of a physician assistant – now commonplace in the industry – was completely new.
Starr in 1996
Strong went to work for Planned Parenthood for a dozen years. She worked mostly in Barre doing gynecological exams and talking about birth control. But still she knocked on the door.
The door to Gifford edges open
In early 1993, the door creaked ajar. The hospital agreed to trial Strong in Chelsea a day and a half a week alongside new physician Dr. George Terwilliger, who had replaced retiring physician Dr. Brewster Martin.
Strong was Gifford’s first physician assistant and the first female health care provider at the Chelsea Health Center.
Martin made sure Strong stuck.
“He was incredible,” she recalled. He introduced her around time, advocated for her and he came during many a lunch hour to the Route 110 health center to chat.
The duo formed a mentor-mentee relationship and a strong friendship. They’d save up stories and thoughts to share. They talked about suffering and loss, life and death, and whatever they found funny.
“He was the wisest person I’ve known in my life. It was quite a blessing and I don’t use that word very often,” said Strong.
What she remembers most was that he would ask her thoughts on a subject.
“He gave me confidence,” she said. “I had so much respect for him that him asking me what I thought was enormous.”
Starr in 2008
Soon Strong was working at other Gifford health centers, including in Bethel, at the student health center at Vermont Technical College, in Randolph and recently in Berlin. Chelsea, however, has been a constant.
She promised Martin she would stay in Chelsea for 20 years. This year marks 21.
Just the right fit in Chelsea
Strong found a home at the Chelsea Health Center.
“Chelsea’s an old time family community and people are fiercely independent and have a lot of pride. If they don’t have anything, it doesn’t matter. It’s down to earth,” Strong said.
For a woman loath to “lipstick and high heels,” it was just perfect.
And like with Martin, she formed relationships there.
“Medicine is not just a science. Medicine is an art and it’s about relationships and it’s about developing relationships with people,” she said.
Those relationships have come with generations of patients and with co-workers like nurse Judy Alexander, who became the closest of friend.
“She just made me laugh. I could call her at 4 o’clock in the morning and she would be at my house at 4:30, and you don’t get that in life often.”
Starr with friend and patient Judy Alexander in 2012
Alexander is also a patient of Strong’s – a patient who is in the very end stage of terminal cancer. Like so many of her patients, Strong has been at Alexander’s bedside.
“At the beginning of my career, I thought birthing was my ticket and then I took care of a dying person and found that that is really where the juice is,” she said, noting the courage one witnesses in illness and death.
Alexander’s illness and waiting for just the right new providers to join the Chelsea Health Center in her place have in part kept Strong working past that 20 years she promised Martin.
A new chapter
But now she is ready.
Strong is 62, struggles with pain caused from arthritis in her spine and is slowing down. “I don’t have that vitality anymore,” she said.
And she wants to be home. Her husband has been building a new house on that family homestead in Brookfield. “I want to be there to finish it, and have the time to move in.”
She wants to travel and ski and kayak and garden and make stained glass and spend more time with her 95-year-old mom.
She can do all this because of family medicine providers Dr. Amanda Hepler and physician assistant Rebecca Savidge. Like Strong did 21 years ago, they have joined the Chelsea Health Center.
Dr. Hepler comes from Maine and has a passion for rural medicine and Savidge is a Chelsea native. They’re skilled and compassionate and plan on staying for a very long time. Strong couldn’t be happier.
“Once patients meet them, they’re going to love them,” Strong said.
In fact, they’re so great to be around that Strong anticipates a few visits to Chelsea of her own.
“Now I’m going to be the lunchtime girl,” she said, thinking back to those lunches with the retired Martin.
Wish Strong well in her retirement and meet Dr. Hepler and Savidge at a May 1 open house being held from 4-6 p.m. at the Chelsea Health Center that is open to all.
Gifford Medical Center is offering a handful of upcoming trainings aimed at children and families.
On Thursday, May 8, the Randolph hospital will offer a non-certification Infant and Child CPR course for families, friends and caregivers of babies and children. Classes are presented by an instructor certified by the American Heart Association. The free class is from 6-8 p.m. Call 728-7710 to sign up.
On Saturday, May 10 from 9:30 a.m. to noon will be a training for children ages 8-11 called “Home Alone and Safe.”
Designed by chapters of the American Red Cross, this course is offered by instructor Jude Powers and teaches children how to respond to home alone situations, including Internet safety, family communications, telephone safety, sibling care, personal and gun safety, and basic emergency care. Children will role play, brainstorm, watch a video, take home a workbooks and handouts, and earn a certification upon completion.
The cost to participate is $15. Call Powers at 649-1841 to join.
And then on Saturday, May 17 from 9:30 a.m. to 1 p.m. a Babysitter’s Training Course will be offered. Again offered by Powers, the course teaches budding babysitters how to be safe, responsible and successful. It covers good business practices, basic care, diapering, safety, play, proper hand washing, handling infants, responding to injuries, decision making in emergencies, action plans and much more.
Communication skills are emphasized along with being a good role model, and participants receive a certification card upon completion of the course and reference notebook to take home.
There is a $20 fee to participant and participants should bring their lunch. Call Powers at 649-1841 to join.
All these events are being held in The Family Center, beside Gifford Ob/Gyn and Midwifery at 38 S. Main St. (Route 12) in Randolph. Registration is required as seating is limited.
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
Cindy Legacy and dietitian Stacy Pelletier
For six months leading up to her bariatric surgery, Cindy Legacy of Randolph met with registered dietitian Stacy Pelletier and has kept in touch in person and via e-mail since. Cindy lost 30 pounds before her surgery and another 80 pounds since, for a total 110 pounds of weight loss. More importantly, she experienced a major improvement in her
health, in part thanks to Stacy’s continued help.
“She is a wonderful, wonderful , wonderful support person. I wanted to succeed. She wanted me to succeed. She listened to what I had to say and made me feel like she really cared about what I was trying to do. There was no judgment. She’s like a security blanket. I can go and say, ‘What do I do?’”
~ Cindy Legacy
Pictured here, from left, are volunteers Irene Schaefer and Phyllis Roberts.
Gifford Medical Center’s hats were off, well technically on, in recognition of its volunteers at an annual appreciation luncheon Monday. The “Hats Off to You” hat-themed event welcomed 70 of Gifford’s hospital and Auxiliary volunteers.
In all, Gifford had 120 volunteers in 2013 who gave 16,678 hours to the non-profit medical center, or 2,085 eight-hour days. Auxiliary volunteers working at the Thrift Shop gave another 6,489 hours, or 811 eight-hour days.
Volunteer Coordinator Julie Fischer noted that the number of volunteers and volunteer hours was remarkable. “We are amazing,” she said.
Pictured here, from left, are volunteers Beth Kittel and Joan Granter.
In recognition of their year of service, volunteers were treated to a delicious lunch, door prizes from 17 area businesses, favors, accolades, a presentation from hospital president Joseph Woodin and even an impromptu round of singing “You Are My Sunshine” from managers working as servers at the event.
Managers, wearing hats in appreciation of the volunteers, came from different areas of the hospital and offered heartfelt thanks.
“Thank you for helping to enrich the lives of the residents,” said Terry MacDougal, Menig Extended Care Facility activities director. Menig is Gifford’s nursing home.
Pictured here, from left, are volunteers Donna Bosworth, Shirley Russell and Elizabeth Mahaffy.
“What you bring is just enormous,” agreed Menig Director of Nursing Brooks Chapin.
Volunteers were thanked for their remarkable gift of time, for offering support to staff as well as patients, for their warm smiles and for their hugs. “You bring peace, comfort and stability to the organization,” Woodin said.
Woodin went on to share the latest on Gifford’s plans to build a senior living community in Randolph Center and private inpatient rooms at the medical center. Gifford hopes to break ground on the first phase of the project, a new nursing home in Randolph Center, next month.
Pictured here, from left, are volunteers David and Lori Peirce.
Volunteers were enthusiastic about the plans, which have already garnered remarkable support from the Gifford Auxiliary. The Auxiliary has pledged $650,000 to the project.
One other remarkable achievement of 2013 for Gifford volunteers was the recognition of Major Melvin McLaughlin as Vermont’s and the nation’s Outstanding Senior Volunteer. McLaughlin earned a round of applause from his fellow volunteers.
Businesses generously donating door prizes and favors to the volunteers were Belmains, Blue Moon, Central Supplies, Chef’s Market, Cockadoodle Pizza Café, Dandelion Acres, Holiday Beauty Salon, Onion Flats, Randolph Village Pizza, The Harrington House, Tozier’s, One Main Tap and Grill, Bethel Village Sandwich Shop, Sidewalk Florist, Drop Dead Gorgeous hair salon, the Aiken family of Bethel and Freedom Foods.
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
When Donna Shephard of Rochester came with her husband, Dick, for an appointment at Gifford primary care on her 72nd birthday in April, nurse Dorothy Jamieson had cake, cupcakes, a crown and lei waiting as a surprise. Donna, who has Parkison’s and regularly visits Gifford, was appreciative of the birthday surprise but more so of the care that Dot
“I love her. She’s the best nurse that you (could) ever see. You don’t get them like that. She’s so gentle and nice and friendly. She puts a smile on anyone’s face.”
~ Donna Shepard
Nurse Dorothy Jamieson with Dick and Donna Shepard
Members of Gifford’s breast care team pose in this file photo. They are, from left, certified breast sonographer Terri Hodgdon, certified mammogram technologist Cheryl Jewkes, board certified radiologist Dr. Scott Smith, certified breast sonographer Kim Nelson and patient care navigator Brittany Kelton.
Gifford Medical Center’s mammography and nuclear medicine departments have both been awarded three-year reaccreditations by the American College of Radiology.
The American College of Radiology calls their recognition the “gold seal of accreditation” and notes it represents the highest level of image quality and patient safety.
The accreditation is awarded only to facilities meeting American College of Radiology practice guidelines and technical standards after a peer-review evaluation by board certified physicians and medical physicists who are experts in the field. Assessed are image quality from actual patient images taken (without sharing patient names), personnel qualifications, facility equipment, quality control procedures and quality assurance programs.
Quality control procedures include daily, weekly and monthly checks of machines to determine they are functioning optimally.
Gifford submitted its records for review for reaccreditation for both mammography and nuclear medicine in January and heard back on March 26.
The recognition, says Nuclear Medicine Manager Tera Benson, tells patients “we’re dedicated to providing the best quality image.”
In addition, it ensures that Gifford is following not just what it deems the best standards for care, but national standards for care.
“We are fortunate to receive a lot of positive feedback from patients regarding the courtesy of our staff or the speed with which we complete exams like mammograms. This accreditation is a recognition of all the work that occurs behind the scenes to ensure patients not only have a great experience, but the highest quality imaging as well,” said Director of Ancillary Services Pam Caron, who praised her team’s hard work.
According to the American College of Radiology’s Web site, Gifford is one of seven Vermont facilities with an accredited nuclear medicine program. The closest other programs are larger hospitals in Burlington and Rutland, as well as Dartmouth-Hitchcock Medical Center in New Hampshire. A greater number of mammography programs are accredited.
Pennsylvania native Amanda Hepler knew from a young age that she would become a doctor.
“Pretty much from when I was very little, I wanted to be a doctor,” says Hepler, whose mother was a radiology technologist and often the go-to person for medical questions.
At Grove City College in Pennsylvania, Hepler studied molecular biology. Medical school at Jefferson Medical College of Thomas Jefferson University in Philadelphia followed. Her residency in family medicine was at Latrobe Family Medicine Residency, also in Pennsylvania.
When it came time to start work, Dr. Hepler looked for a rural practice and found it at Rangeley Family Medicine in a community of 1,200 in Maine. There for four years, Dr. Hepler was the lone physician, caring for all ages, doing home visits and addressing emergencies as they arose.
From Maine, Dr. Hepler went to work at Cheshire Medical Center, part of Dartmouth-Hitchcock Keene, in New Hampshire. The role meant working in a multi-physician practice, overseeing nurse practitioners and physician assistants, caring for patients in a skilled nursing facility and working to meet quality goals as part of an Accountable Care Organization. It lacked one thing, however: rural roots.
It’s Dr. Hepler’s passion to care for whole families.
“I always pictured myself working in a rural area,” Dr. Hepler said. “Family medicine is called family medicine because you’re supposed to be taking care of a whole family. You can learn a lot more about a person from first-hand experience with a family. You have a true family history.”
Dr. Hepler is now rediscovering her passion for rural medicine as the latest member of the Chelsea Health Center team.
The rural clinic is part of Gifford Health Care and was recently named a Federally Qualified Health Center by the Health Resources and Services Administration, part of the U.S. Department of Health and Human Services.
“It just felt right,” says Dr. Hepler of joining the Chelsea team, which includes physician assistant and Chelsea native Rebecca Savidge and physician assistant Starr Strong, a veteran Chelsea caregiver who will soon retire.
Dr. Hepler is board certified by the American Board of Family Medicine and a member of the American Medical Association and the American Academy of Family Physicians.
A kind and compassionate caregiver who quickly creates a relaxing environment, Dr. Hepler works hard to listen to patients, get to know them and help them make the best decisions to improve their health. She has special clinical interests in caring for whole families, women’s health, diabetes management and caring for children.
Dr. Hepler is currently living in Randolph while she searches for a home for her and her dog, Cosmo, closer to Chelsea. (She notes patients have already been helpful and welcoming as they call with leads on rentals.) In her free time she enjoys snowshoeing and hiking with her dog, kayaking, and flower and vegetable gardening.
Dr. Hepler is now seeing new patients. Call her at the Chelsea Health Center at (802) 685-4400.