The following statistics were published in our 2012 Annual Report.
Originally from Milwaukee, anesthesiologist Dr. Dennis Henzig came to Randolph 20 years ago for a position at Gifford. He has worked at the hospital since. His work, he says, is to help people get through some of the most anxious moments of their lives, including surgery.
Married with three children and one grandchild, Dr. Henzig lives in Randolph.
Below is his story as told in his own words, as featured in our 2012 Annual Report.
“Practicing anesthesia for 20 years in a small town provides unique opportunities to help people at what can be among the most stressful, painful, and joyous times of their lives, including during surgery and labor. It also affords the opportunity to form bonds and improve patient care over the years. In a community the size of ours, there’s no doubt you are going to care for the same patient more than once.
As I write this, fresh in my mind is a patient who required a caesarean section (C-section). I was her anesthetist. I also had the privilege of caring for her a few years prior when she also had a child by C-section. That first delivery was a complicated and long labor with a lot of back swelling. Giving her spinal anesthetic was consequently a challenge, but together we were successful and she had a healthy baby. As this mother reached the recovery room, however, she became violently ill.
As we readied for her C-section this second time, I knew her challenges from the past and was able to tweak her spinal ingredients a bit, skipping the morphine that I suspected made her sick. This time the spinal slipped right in without a hitch (no labor swelling helped a lot) and she was able to experience excellent pain relief without getting sick to her stomach. This also allowed her to bond with her baby right in the operating room. In her own words, she was “ecstatically happy” in the recovery room.
We both enjoyed the experience. She was happy because she had a healthy new baby. I was happy because she made my day.
Helping to give her the gift of healthy labor and birth that she envisioned is why I do what I do.”
~ Dennis Henzig, M.D.
Dr. Terry Cantlin joined the Bethel Health Center in 1987. He attended the University of Health Science in Kansas City, Missouri, and went on to an internship and residency at the Osteopathic Hospital of Maine in Portland.
He worked for the Indian Health Service on the Jicarilla Apache Reservation in Dulce, New Mexico for three years and then as emergency room director at the Downeast Community Hospital in Machias, Maine before joining the Bethel practice, which was then owned by Drs. Ronald Gadway and Edward Armstrong.
Originally from Lebanon, New Hampshire, Dr. Cantlin lives in Randolph Center with his wife, Betsy. They have two children. Dr. Cantlin is well-known outside the health center for his role as a member of the band “Jeanne and the Hi-Tops”. He also enjoys woodworking, sports, and cooking.
He went on to complete his internship at Flint Osteopathic Hospital in Michigan and his residency at the University of Massachusetts Medical Center in Worcester. He practiced at the Indian Health Service from 1985-1989, first in Chinle, Arizona on a Navajo reservation and then in Browning, Montana on a Blackfeet reservation. He joined the Bethel practice in 1989, which became part of Gifford a year later.
Dr. Seymour lives in Randolph Center with his wife, Becky. They have two children, Jane and Will. Dr. Seymour enjoys family, reading, hiking, and following Boston sports in his free time.
Below is their story as told in the words of Dr. Cantlin, as featured in our 2012 Annual Report.
Dr. Mark Seymour and I have practiced together for nearly 25 years at the Bethel Health Center. This has been an introspective and rewarding experience for each of us. We’ve enjoyed the comprehensive nature of family practice. The ability to care for patients of all ages with a wide range of problems and to be able to follow patients and families throughout their entire life span is a blessing. To be trusted with this care is an honor.
We’ve each had many interesting cases and challenging diagnoses, but the ones that are truly rewarding for us are those that have been transformational in improving someone’s life. Helping people to overcome substance abuse (tobacco, alcohol, and drugs), helping them to lose weight and exercise more, and assisting in coping with stressors and depression are extremely time and energy-consuming problems. They require persistent effort over many visits, but ultimately have the greatest impact on a patient’s overall well-being and happiness.
Even though these cases are rewarding, our most satisfying and memorable experiences have come from being long-time colleagues and friends, and working with everyone at the Bethel Health Center. All the employees at the health center are like a big family. We’ve spent many years together and all take pride in the care being delivered at our clinic.
Mark and I have a lot in common. We each have close ties to Maine, where we have both lived and trained. As osteopathic physicians, we share a similar education and philosophy toward patient care. We both served a number of years in the Indian Health Service and had many common experiences, or “war stories”. Finally, we have shared an office space, back to back, for 20 years. It has been extremely helpful and enjoyable having a colleague and friend to discuss difficult cases and other issues with all of these years. It is this comaraderie that will be our lasting impression.”
~ Terry Cantlin, D.O.
Bethel Health Center family medicine physician
By Brad Salzmann, PA-C
This September marks the 10th annual National Preparedness Month. Sponsored by the Federal Emergency Management Agency (FEMA) and endorsed by the president of the United States, the month urges all Americans to recognize the importance of preparedness and working together to enhance national security, resilience and readiness.
All disasters are first and foremost local, and all emergency response starts locally. Individuals, families, communities, and businesses that are even somewhat prepared fare far better than those who are not prepared. While it’s impractical to prepare for all possible scenarios, every bit of preplanning and preparedness does make a difference. Outside help is not always immediately available. Think back to past emergency events you were involved in, or talk to someone who has been affected; what were some of the things you wished you had thought of and prepared for ahead of time?
The basic mantra is: Be informed, make a plan, build a kit, and get involved.
Being informed means staying updated on local situations and information and knowing what to do before, during, and after an emergency. All types of media, including social media sites, are used now for news, information, and directions. VT 211 (Get connected, Get answers) is a free, confidential, 24/7, reference to access hundreds of community resources, sponsored by the Vermont United Way (www.vermont211.org); it is not for emergencies (911), nor is it directory assistance (411). VT 511 (www.511vt.com) is free reference sponsored by the Vermont Agency of Transportation with updated road information.
Making a plan starts with where to meet; how to communicate with loved ones; evacuation and shelter-in-place options; plans for pets and livestock; plans for infants, elderly and those with special needs; obtaining important medications; and retrieval of important documents. Businesses and communities should also plan for identifying and preparing for alternate ways to continue crucial operations, and recovery. Plans really should be tested, updated, and adjusted periodically. September is a great time to do this!
Kits are generally divided into three categories: Personal “go” kits are in a backpack or duffle that can be easily grabbed and carried. They should have sufficient supplies for you to survive for 24 hours. Mobile kits are in a larger container that can be put or kept in a vehicle. Supplies should be adequate for three days of survival for you and your family. Home kits contain enough supplies and equipment needed in event of an extended shelter-in-place situation.
Getting involved means working with family, friends, community or larger organizations in planning for, preparing for, responding to, and mitigating for emergency events. There are a variety of organizations and groups that are always looking for volunteers.
You may have heard of the survival rule of threes: three minutes without oxygen, three days without water, and three weeks without food. My rule of threes has to do with redundancy. One should strive for three ways to obtain water, shelter, food, and light, as well as three methods of communication, three routes of evacuation, three alternate places to go, and methods to get there, and so on.
There is an abundance of good information available on emergency preparedness. For those of you with Internet access, there are excellent sources from FEMA (www.ready.gov), the Centers for Disease Control and Prevention (http://emergency.cdc.gov/preparedness or http://bt.cdc.gov/planning), the Red Cross (http://redcross.org/prepare/location/home-family, or http://redcross.org/prepare/nationalpreparednessmonth), the Vermont Department of Public Safety, and many others. The Vermont Department of Emergency Management has printed an excellent Family Emergency Preparedness Workbook, which is available online at http://vem.vermont.gov, as well as by calling 1-800-347-0488 or writing to 103 South Main Street, Waterbury, VT 05671-2101. There are even smart phone apps now available with vital emergency preparedness information. If this all seems overwhelming, check out Do1Thing, at http://do1thing.com. This breaks down preparedness into monthly doable and affordable projects.
Finally, watch out for scams and fraud. Unfortunately, there are a few individuals who prey on the misfortunes of others. Never give out your account numbers or Social Security number, or pay in advance for anything unless you are 100 percent sure it is safe.
Please, take this opportunity to enhance your preparedness for emergencies, even if it’s just to make a few lists and jot down a few ideas.
Brad Salzmann is an orthopedics physician assistant at Gifford in Randolph. He also has a master’s degree in disaster medicine and management, and serves as part of the national Disaster Medical Assistance Team based in Worcester, Mass.
Born in New Jersey, Dr. Lou DiNicola moved to Randolph in June of 1976 to become a local pediatrician. Passing up job offers in much larger areas then and since, he chose to stay in Randolph because he’s been able to able to practice medicine as he always envisioned. He has been able to affect change on a state level; create unique, trend-setting models of health care; and demonstrate his love of the community through his work.
Married to his wife Joann for 43 years, the couple has two grown children, two grandchildren, and a third on the way. Dr. DiNicola is an outdoor enthusiast, enjoying hiking, snowshoeing, walking, and gardening. He’s also a photographer and works with his artist wife, framing her paintings.
Dr. DiNicola has spent his entire career in Randolph while also working in Rochester from 1977-1992 with internal medicine physicians Drs. Mark Jewett and Milt Fowler.
Below is his story as told in his own words, as featured in our 2012 Annual Report.
Thirty-six years ago I was fresh out of residency and looking for job opportunities when I saw an ad in a magazine for a pediatrician in rural Vermont. Vermont was where I wanted to work, so I sent in my curriculum vitae, the medical equivalent of a resume, but never heard a word back. I called but the response was less than enthusiastic. I was basically told “thanks, but no thanks.”
I had three job offers in Pittsburgh and was literally sitting down to take a job at Children’s Hospital of Pittsburgh where I’d just completed my internship and residency when my pager went off. It was Gifford President Phil Levesque’s secretary, wondering if I could come up in a couple of weeks for an interview. “I’ll come this weekend, or I’m not coming at all” was my response. The secretary covered the phone, relaying my message to Phil. “Hell, let him come” was his reply.
Needless to say, I came, and stayed.
More than three decades later I hope I have made a positive impact on the community and my patients, and know they have made a remarkable impact on me – teaching me how to communicate care, respect, and love.
It’s amazing how much you can love your patients. Also amazing is the window being a pediatrician gives you to see the love between a parent and a child. No more clearly is that demonstrated than in the unconditional love between a parent and a special needs child. More than once, parents of special needs children have amazed me and inspired me, as have the children themselves. I’ve seen parents of special needs children go on to adopt more children with special needs. Those are the moments that touch you most; those, and loss.
There is no greater loss than the loss of a child. Throughout my career, there have been car accidents, disease, malignancies, and newborn deaths. I think of two patients I lost to cancer, both of whom I visited at their bedsides at home as they were dying. As I reflect on my career, I think of them not with tears but fondness because of the relationships I have had with their families.
At Gifford, we are small enough to have that closeness with our patients and courageous enough to get up the next day and reflect on what we did or didn’t do, what we could have done differently, and how we can improve care. This ability to affect change is one of the things that has kept me practicing – happily – in this community and state for so many years.
One of the biggest changes Gifford has been able to enact in health care is around childbirth. When I first came to Gifford, I kept hearing about this guy Thurmond Knight, a local physician who was delivering babies in people’s homes. I met Thurmond at a Medical Staff meeting. He was knitting. I asked him what it would take for him to deliver babies at the hospital. He answered “a Birthing Center”. We opened the Birthing Center (the first in the state of Vermont) 35 years ago in 1977.
I’ve also been fortunate to be part of and help form organizations that were decades ahead of their time, in many ways laying the foundation for today’s medical home and Vermont Blueprint for Health models as well as utilizing computers for communication at the advent of the computer revolution. Additionally, Vermont has provided me with the opportunity to work on important legislation, such as child abuse laws, outlawing corporal punishment in schools, mandatory kindergarten, and the recent immunization law. These opportunities along with the privilege of making a difference in kids’ and families’ lives keep me going.
One of the things I find incredibly rewarding is living and working in the same town. I don’t mind if I run into someone downtown and they ask me a question. And I feel it’s so important that we recognize and talk to kids. One way I have been able to successfully converse and care for kids for so long is through humor. I try to infuse that in my appointments with children and often am treated – sometimes at unexpected moments – to humor in return.
One such humorous moment came from a 5-year-old. I try to end all my appointments by asking if patients have any questions for me. This 5-year-old’s question: “Why do frogs jump so high?” Should I ever write a book, I think this will be the title.
~ Lou DiNicola, M.D.
RANDOLPH – Nearly 300 motorcyclists, cyclists and runners/walkers participated in Gifford Medical Center’s eighth annual Last Mile Ride on Saturday, raising a record $56,000 for end-of-life care.
Beneath sunny skies, the day juxtaposed heart-wrenching, yet inspiring, stories of loss with a celebration featuring the high tempo sounds of “Jeanne and The Hi-Tops,” food, fun and prize awards.
Earning the top prize for his fund-raising efforts was Reg Mongeur of Randolph, who collected $3,458 from generous friends, family and strangers alike. A much-anticipated Harley/$5,000 cash raffle was won by Carol Bushey of Brookfield. A quilt made by Gifford nursing staff and a patient went to Martha Howe of Randolph.
Palliative care physicians Dr. Cristine Maloney and Dr. Jonna Goulding along with rider/founder and Gifford nurse Lynda McDermott all addressed the crowds, offering thanks for riders’ efforts to make the hospital’s dream of providing alternative therapies, special wishes and more for free for patients in the last mile of life.
“Everyone has arrived here today for unique personal reasons to unite in a larger, common cause. Many are motivated to be here to honor the loss of a loved one and to ensure that future families shepherding someone to the end of life are granted gifts or services … ,” Gifford Director of Development Ashley Lincoln said.
“The enthusiasm of this crowd and the building excitement of riders garners more and more sponsors, gives me and the staff at Gifford … not only financial reserves but emotional reserves to walk alongside our friends and neighbors on some of their longest days,” Lincoln continued.
Shelly Pearce knows how long those days can be. Her husband Kevin died in the Garden Room on July 4. On Saturday, Shelly Pearce offered an emotional, personal thanks to riders.
“The Last Mile Ride funds helped us as a family in numerous ways,” said Pearce, describing massages for pain management, meals for the family, a gas card and a special family celebration. “So whether this is your first or your eighth time participating in the Last Mile Ride, I want you all to know what a difference you making in a patient and their family’s life. Keep participating or volunteering even if it seems like a small thing, because it is very important and appreciated.”
The Last Mile Ride began in 2006 when McDermott brought the idea forward to help provide comfort measures for people in life’s last mile. The first ride was held in 2006, and since its number of participants, funds raised and impact have all grown.
The event now includes a 5K and cycle ride in addition to the popular motorcycle ride. And this year’s event featured a Friday night “Kick-Off Rally” of dinner and dancing at the Three Stallion Inn with more than 80 community members and Last Mile participants in attendance.
The Randolph Area Chamber of Commerce made the event possible.
The Last Mile Ride was made possible by a huge group of volunteers, who were mostly Gifford employees who gave up their Saturday to support the cause, as well as volunteers from the Combat Veterans Motorcycle Association, Orange County Sheriff Bill Bohnyak, the Green Mountain Bike Patrol, police support in multiple towns, and Terry Heath and Erin Bianchi of Massage Professionals of Randolph.
Significant community involvement came in the forms of people lining the event routes to show support and many, many sponsors. Among this year’s sponsors were the Frankenburg Agency Inc., Froggy 100.9, Lucky’s Trailer Sales, Northfield Savings Bank, Wilkins Harley-Davidson, Booth Brothers Dairy, Connor Contracting, E-Management Associates, Mascoma Savings Bank, Aubuchon Hardware, Barry T. Chouinard Inc., Dimmik Wastewater Service, Gillespie Fuels and Propane, Infinitt North America, K&R Rentals and Storage, Kleen Inc., Magee Office Products, MetLife, Rain or Shine Tent and Events Company, Schiring Radiographic Imaging, Superior Development and many others.
Next year’s Last Mile Ride will be Aug. 16, or the third Saturday in August.
A Randolph resident, Dr. Milt Fowler had been an internal medicine physician in the region for 36 years. Originally from Indianapolis, Dr. Fowler helped create the Rochester Health Center. He practiced there and in Randolph for 29 years. In 2005, he transitioned to practicing only at Gifford internal medicine in Randolph.
Married with two sons and two grandchildren, Dr. Fowler enjoys traveling and woodworking. It is his relationships with patients that have kept him serving the community where he lives and works for more than three decades.
Below is his story as told in his own words, as featured in our 2012 Annual Report.
“Nearing the end of my medical training and beginning the search for practice opportunities brought my attention to a medical journal ad placed by Phil Levesque, then CEO of Gifford. During the recruitment process, Phil and his wife Sandy’s hospitality and vision for Gifford were all the convincing I needed. That was more than 36 years ago, and we (my family along with the Jewetts and DiNicolas, who all came at the same time) are still here. None of us could have anticipated being here this long, or enjoying the richness of the Gifford family, or the beauty and talent of the people of central Vermont as much as we have.
During those years, we have had the rare privilege of being part of the joy and sometimes tragedy of so many lives. All of our lives are connected in some way in this community, and the honor of caring for your neighbors and friends is difficult to fully articulate. It is a privilege. An office visit isn’t just caring for an illness in a stranger. In a small town, you are caring for someone whose family you know and about whose life history you are familiar.
Donald Dustin of Braintree is just one example. A furniture maker, he had donated a beautiful Shaker clock to a local church auction. The craftsmanship was notable and at the end of his next office appointment, I asked him if he would mentor me on woodworking. “Of course I would. When do we start?” was his reply. Then followed months of his tutoring, nudging, and pushing. It was during this time that he developed terminal cancer. We kept working together in his shop, and he often called asking, “Where the heck are you? We’ve got work to do.” We continued our clock project with Donald sitting in his wheelchair, barking orders, cigar smoke swirling around his head. The clock’s face was painted by Bill Olivet, another talented patient. “Our clock” is at my home in my study.
Unforgettable was also Rochester summer resident and professional violist 90-year-old Marguerite Schenkman who fell and sustained a large laceration to her scalp just before a concert at the Park House. At the Rochester clinic, she refused to be sutured before the concert. We wrapped her head in a gauze turban to control the bleeding, attended her concert, then repaired the wound after the Beethoven pieces were complete.
Or how could one forget 90-year-old Priscilla Carpenter walking to her appointment the afternoon of the famous Valentine’s Day snowstorm? She climbed over snow banks to get to her visit with a warm pecan pie in hand, which she slyly placed on my office desk.
It is experiences like these that make the daily stress of practicing so rich. It is what drew us and has kept us here. What a privilege.”
~ Milt Fowler, M.D.
Gifford Internal Medicine Physician
On Saturday, Aug. 17, hundreds of motorcyclists, cyclists, and runners/walkers will take to the streets of the Randolph area for the Last Mile Ride. The ride raises money for special services for Gifford Medical Center patients in advanced illness and at the end of life.
This is one patient’s story.
A native of Waitsfield, Kevin Pearce was born in Vermont in 1960. He moved to Massachusetts with his family when he was just 3. He grew up in Charlemont and Ashfield, Mass., dropping out of high school to work on a potato farm during a time when dyslexia was less understood and Kevin found himself labeled as “dumb” for his inability to read.
He went on to run heavy equipment, assembling and disassembling ski area chair lifts in Massachusetts, until tragedy brought him back to Vermont.
Kevin had been married, divorced, was engaged, and moving in with his fiancée when she was killed in an automobile accident by a drunk driver on her way to bring her final carload of belongings to what was to be their shared home.
Immediately following the funeral, Kevin packed a bag and took a bus to his native Vermont. Continue reading
Crawford is a self-taught artist who has been a graphics professional for nearly fifty years. His father was an artist too, and Crawford was determined to be one from the time he could hold a pencil.
While still a junior in high school, he sold a cartoon about the Beatles to the Saturday Evening Post. The issue appeared the week the group appeared on the “Ed Sullivan Show,” in February of 1964. As a result, Crawford was a celebrity of sorts for a while, and then went back to being the “weird kid” who drew pictures in algebra class, he says.
A rich and varied career as an illustrator and graphic designer that started right out of high school provided him with the opportunity to work in nearly every medium there is, but his first love has always been watercolor.
“Watercolor can be an unforgiving medium; you cannot cover up a mistake as easily as oils or acrylics might permit,” Crawford says. “Ah, but the ‘happy accidents’ one occasionally encounters can be gratifying, indeed.
“Juxtaposing detailed subjects with loose, washy backgrounds can yield dramatic results. The subtle transitions that can be achieved when blending colors are unique to watercolor.”
Crawford has illustrated several books and covers and has a few children’s books to his credit, some of which he wrote as well. He is currently illustrating “The Flying Mouse,” which will be followed by a book he wrote and illustrated called “Hill Farm.”
When illustrating a book, Crawford researches his subjects thoroughly and takes many reference photos so light, shadow, fabric and reflections are accurately rendered.
Crawford has also enjoyed taking part in community theater for more than two decades, and has portrayed many well-known characters in musical theater. He designed and helped to build sets for many productions. For the past six years, he has designed and built the sets for Chandler Center for the Arts children’s theater camp productions that are presented over the Fourth of July weekend every year.
Not content to simply paint, illustrate, design, and act, Greg also writes the occasional theater review for The Herald of Randolph. He wrote a short play called “Finding Earl” and well over a hundred articles for The Mountain Times of Killington.
Crawford was not born in Vermont, but he says he got here as fast as he could, sometime back in the 1970s.
See his free show in the Gifford Gallery, located just left of the main lobby of the medical center at 44 S. Main St. (Route 12) in Randolph. To learn more about the Gallery, call (802) 728-2324.
Our 2012 Annual Report included a month-by-month “Year in Review” section. Here is the fourth quarter excerpt.
Food choices in the Gifford cafeteria get even healthier as the hospital transitions to a healthy breakfast bar; healthier, lower salt meats; less butter and heavy cream in foods; and more grains and legumes as starches.
Lt. Gov. Phil Scott stops at Gifford on his “Cycling Vermont’s 14″ 500-mile bicycle tour of the state’s 14 counties. He tours Menig as part of his stop.
Dr. Josh Plavin, a National Health Service Corps scholarship recipient, speaks out for the federal program supporting primary care providers on Corps Community Day on Oct. 11, and for the need for more primary care providers, especially in rural regions.
Two local women, Krista Warner and Teresa Bradley, organize a bowling tournament in support of Gifford’s Woman to Woman fund and raise $1,485 for breast cancer awareness.
The CT scanner is upgraded from a 40-slice model to a 64-slice model, offering patients faster service, clearer imaging, and less radiation.
A new system, a CAREpoint Workstation, for transmitting EKGs from ambulances in the field to the Gifford Emergency Department is brought online. The system, generously paid for by the Gifford Auxiliary, is for use with heart attack patients to determine if they should be brought to Gifford or directly to a cardiac catheterization lab at Dartmouth-Hitchcock Medical Center or Fletcher Allen Health Care.
Working with Connor Contracting Inc., Gifford staff and community members Stuff a Truck for Hurricane Sandy survivors in the Rockaway neighborhood of Long Island, New York.
The first patient is seen in the Radiology Department’s new fluoroscopy room. The room is utilized for interventional radiology procedures, which have grown in number.
Gifford’s Annual Craft Fair raises funds for the Adult Day Program.
Married couple Elvira Dana and Jason Kass travel 36 hours from their home in Armenia to give birth at Gifford, for a second time.
Visiting Nurse and Hospice of Vermont and New Hampshire, the Vermont Ethics Network, and Gifford’s Advanced Illness Care team join together to offer a community discussion around end-of-life care planning. Other talks on death and dying continue at Gifford in the months that follow.
Family physician Barbara Lazar joins Gifford, bringing a love of geriatrics to the Randolph team.
Chef Wendell Fowler leads a free talk on the pitfalls of the American diet. He suggests cutting the food additives, chemicals, hydrogenated oils, and high fructose corn syrup in favor of fresher, less-processed foods to improve our health.
Gifford once again supports the community through its holiday gift certificate program – a buy local program where employees receive “gift certificates” redeemable only at regional, locally-owned businesses.