This article was published in our Cancer Program 2014 Annual Report.
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.
The White River Valley Chamber of Commerce and Gifford Medical Center are collaborating to bring a local candidates’ debate to Randolph on Tuesday, Oct. 21.
Invited to the debate are Orange County senate candidates and candidates vying for two different House of Representative districts.
In the Senate race are Mark MacDonald, the Democratic incumbent, and challenger Robert Frenier, a Republican. One seat is up for grabs.
MacDonald of Williamstown is a farmer and former teacher who served a term in the Senate in the 1990s and has then held the post since 2003. Frenier is a Chelsea business owner.
Orange-Washington-Addison state representatives Patsy French and Marjorie Ryerson, both Democrats from Randolph, are facing Republican challenger Charlie Russell of Randolph Center. Two seats serving the towns of Roxbury, Granville, Brookfield, Braintree, and Randolph are on the ballot.
French has served since 2003 and is a former teacher and co-manager of rental property with her husband. Ryerson, a poet, writer and editor, was appointed by the governor a year ago following the death of former Rep. Larry Townsend. A former dairy farmer, Russell is running a write-in campaign.
In the Orange-Windsor-1 district, incumbent Democrat Sarah Buxton is facing Republican David Ainsworth, a Royalton dairy farmer who held the seat from 2007-2010. Buxton of Tunbridge, a regional coordinator for the Building Bright Futures Council, has filled the seat since 2011 – twice before beating Ainsworth in incredibly narrow races, including one election that was decided by just one vote. The lone seat represents Royalton and Tunbridge.
Buxton is trying to rearrange her work schedule to attend. All other candidates have confirmed they will be attendance.
Gifford Administrator Joseph Woodin will serve as moderator for the debate and Chamber Director Emma Schumann will assist him.
The event starts at 6 p.m. Those in attendance are invited to submit questions and enjoy refreshments from 6-6:30 p.m. The debate will be from 6:30-8 p.m. in the Route 12 hospital’s Conference Center. In addition to audience members’ questions, the debate is expected to focus on business and health care.
“Our state representatives and senator are our voices in Montpelier. As we near the election, it is important to give these individuals who are striving to represent us a chance to share their views and tell us why we should choose them on Nov. 4,” said Schumann. “We hope our communities’ members turn out to ask questions and hear our candidates’ positions on important local and state issues.”
This is the first – and possibly only – debate the candidates will face in Randolph.
The medical center is located at 44 S. Main St. in Randolph. The Conference Center is marked with a green awning. For handicapped accessibility, use the main entrance and take the elevator to the first floor.
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
Childbirth educator Nancy Clark and babies
Nancy Clark has a diverse role. She is a care manager, nurse, lactation consultant and certified childbirth educator. She helps new moms with breast feeding, organizes trainings for new families, occasionally does home visits for families with special needs and leads a free New Parents Support Group for two hours each Wednesday. Since its inception, the New Parents Group, with Nancy at its helm, has been a cherished resource for new moms and dads.
“Nancy is awesome. She’s very supportive and very knowledgeable. She makes it easier to navigate all of the perils of being a new mom. Nancy calmly validates your thoughts as a mother.”
~ Julia O’Brien
The following is an excerpt from our 2013 Annual Report: A Recipe for Success.
Janet Kittredge and cardiac rehabilitation nurse Annette Petrucelli
After having a stent placed in her heart, Janet Kittredge of Hancock did cardiac rehabilitation at Gifford. She was nervous to start, and then reluctant to leave.
“I love those ladies. They became friends and I couldn’t wait to get back to see them. I just thought they were such happy, positive people. They had (us) all feeling motivated and they made (us) all feel safe and secure … . We talked about all kinds of personal things. It was really fun. Anyone who was there was glad to come back and in no hurry to leave.”
~ Janet Kittredge
Cindy Legacy poses with Gifford registered dietitian Stacy Pelletier. Legacy of Randolph lost 110 pounds and is now starting a weight loss support group at Gifford to help maintain her own weight loss and help others on their journey to becoming healthy.
After losing 110 pounds, Cindy Legacy of Randolph is launching a weight loss support group at her workplace – Gifford Medical Center – to help keep the weight off and help others on their weight loss journeys.
The first meeting, which is free and open to all, will be Wednesday, April 9 from 6:30-7:30 p.m. in the Gifford Conference Center.
Legacy has some goals for the group, including providing educational resources, occasional speakers, discussion, support, walking and activities. There won’t be weigh-ins, or judgment, however.
“I don’t care what you weigh. It’s none of my business,” says Legacy, who rather wants to help anyone, at any stage in his or her effort to lose weight and have a healthier lifestyle.
But she is also interested in finding what participants want and what meeting times work best. That will be part of the first meeting. She’s envisioning weekly, evening meetings to follow.
Free health fair and diabetes expo focuses on chronic illness
Gifford chefs Ed Striebe, left, and Steve Morgan present at a past Diabetes Education Expo. The annual, free event is expanded this year to all with chronic illnesses and includes a health fair as well as presentations, including a cooking demonstration by Morgan.
Gifford Medical Center will hold a free Health Fair and Diabetes Education Expo on Friday, March 14 from 10 a.m. to 2 p.m. in the Randolph hospital’s Conference Center and visitors’ entrance.
The fair, redesigned from past years, is open to anyone with a chronic condition, not just those with diabetes. It does not require registration, and puts a strong emphasis on “Creating a Healthy Lifestyle” – the fair’s theme.
Gifford has held a Diabetes Education Expo for eight prior years. While the diabetes epidemic remains, organizers from Gifford’s Blueprint for Health team decided to expand the event this year to other conditions because so much of what is being discussed is applicable, explained Jennifer Stratton, Gifford certified diabetes educator.
“Most people who have chronic conditions have something in common,” Stratton said. “I also wanted to open it up to those with pre-diabetes to help prevent diabetes from actually happening.”
The day includes vendor booths and a health fair open throughout the 10 a.m. to 2 p.m. event. Vendor booths are located in the hospital’s visitors’ entrance south of the hospital near the Gift Shop. Vendors this year are local community resource agencies and organizations talking about services and help available locally.
Health fair booths are in one of the hospital’s conference rooms and include blood pressure checks, foot checks, glucose monitoring, goal-setting guidance and guidance on healthy lifestyle choices, physical therapy exercises, tobacco cessation help, diabetes education, information on support groups, and more. The booths are operated by experts from Gifford as well as local dentist Dr. John Westbook and local optometrist Dr. Dean Barelow.
Special presentations will also be offered in a second conference room, including a 10-10:45 a.m. talk by Stratton on “Advances in Diabetes Management;” an 11-11:30 a.m. talk on “Using Herbs to Complement Your Diabetes Wellness Plan” by Sylvia Gaboriault, a registered dietitian and certified diabetes educator; and a 1-1:30 p.m. cooking demonstration on “Sugar ‘Less’ Baking” with Gifford chef Steve Morgan.
Participants may drop in or stay all day. A couple of raffle drawings will be offered and the hospitals’ cafeteria will be open for those wishing to buy lunch.
Learn more by calling Gifford’s Blueprint team at (802) 728-7710. Gifford Medical Center is located at 44 S. Main St. (Route 12) in Randolph. Drive past the hospital, south on Route 12, and take the entrance just after the medical center to access the visitors’ entrance. The Conference Center is marked with a green awning. For handicapped accessibility, go in the main entrance marked “Registration” and take the elevator to the first floor.
In between birth and death there is a dash. You know: the diminutive line on a tombstone or obituary indicating all those years of life between birth and death.
Linda Morse made “The Dash” famous in a poem by the name that challenges us to reflect on how we live our dash.
On Dec. 5, Gifford Medical Center picks up the discussion with “The Dash: Quality of Life Matters.”
The free discussion open to all is a continuation of last winter’s popular education series on death and dying and reopens a new series expected to last into the spring, explains organizer Cory Gould, a mental health practitioner and member of Gifford’s Advanced Illness Care Team.
The talk will include interviews with pre-selected participants on their quality of life. For example, Dr. Daniel Stadler, assistant professor of medicine and an internist with special interests in geriatrics and palliative care at Dartmouth-Hitchcock Medical Center, will interview a woman in her 90s about her life experiences.
Other discussion points during the 5-6:30 p.m. event will focus on:
What do we mean by “quality of life?”
How do you measure it?
Is your quality of life different than someone else’s quality of life?
Does quality of life change over time?
How does one’s quality of life relate to the quality of one’s death?
“There’s a truism that’s been repeated over and over again and that is that people die as they lived,” says Gould. “We want to involve participants in a discussion of the question: ‘What gives life meaning for you?’”
Following this free talk, other talks are planned on advance directives; what dying looks like; a “death café” or open discussion about death; and a discussion on death with dignity versus assisted suicide.
Speakers will explore the concepts but there will be ample opportunity for group discussion and sharing.
Last year, the popular series included sessions on starting the conversation of end of life and preparing for death, such as through Advance Directives; what is a “good” death; and various aspects of grief.
Prior attendance at discussions is not required and all are welcome.
No registration is required for this free educational discussion. Gould can be reached at (802) 728-7713 to answer questions.
The talk will be held in the Gifford Conference Center. The Conference Center is on the first floor of the hospital and marked with a green awning from the patient parking area. For handicapped access, take the elevator from the main lobby to the first floor. For directions to the medical center and more, visit www.giffordmed.org.
RANDOLPH – Gifford Medical Center’s Blueprint Community Health Team is offering a non-certification CPR course, called Family and Friends CPR.
The class is Wednesday, Nov. 20 from 6-8 p.m. in the Randolph hospital’s Conference Center.
The course will cover CPR for infants, children and adults and is designed to provide anyone with the basic skills needed to keep someone alive in the event that his or her breathing or heartbeat has stopped.
All are welcome to the course. There is a $5 fee. It is for the instructional booklet, which participants take home.
Attendance is limited to 12. Register by calling the Blueprint team at the Kingwood Health Center at (802) 728-7100, ext. 3.
The Gifford Conference Center is at the main medical center on Route 12 in Randolph. Park and look for the green awning marked “Conference Center.” For handicap accessibility, take the elevator from the main lobby to the first floor and follow signs.
Blueprint Community Health Team now certified to offer American Heart Association courses
RANDOLPH – Gifford Medical Center’s Blueprint Community Health Team is offering a Heartsaver CPR certification course to the public for the first time.
The course will be held Oct. 15 from 6-8 p.m. in the Randolph hospital’s conference center. Register by Oct. 4 by calling Keith Marino at 728-2499.
Participants will receive hands on training in CPR for infants, children and adults and rescue breathing. The course is designed to provide anyone with the basic skills needed to keep someone alive in the event that his or her breathing or heartbeat has stopped.
“Knowledge is a very important part of being a concerned citizen,” says Marino, a member of Gifford’s Blueprint team, a certified American Heart Association CPR instructor and an emergency medical technician. “If you come upon someone having a heart attack or with a blocked airway, knowing CPR will assist you in saving that person’s life.”
All are welcome to the course. However, space is limited to 12 participants.
Gifford is on Route 12, or 44 South Main Street in Randolph. From South Main Street take Maple Street to the patient parking area. The Conference Center is marked with a green awning or for handicapped accessibility use the main entrance and take the elevator to the first floor.
Learn more online at www.giffordmed.org. Like Gifford on Facebook to receive notifications of classes like these.
Originally from Pennsylvania, Dr. Ken Borie has been a family physician in Randolph since 1980. Married with two grown sons and a teenage daughter, Dr. Borie lives a few doors down the street from Gifford, walking to work – even on his day off. His wife, Mary, is a registered nurse in Gifford’s Birthing Center.
In his free time, Dr. Borie is an oil and watercolor portrait painter and enjoys gardening, reading, jogging, whale and bird watching, and golfing. He studies history and medical history, teaches Civil War medicine to schoolchildren, and often has Dartmouth Medical School students with him as he shares his passion for family medicine and his compassion for patients.
Below is his story as told in his own words, as featured in our 2012 Annual Report.
“My journey to Randolph began when I was just 8 years old. I grew up in a neighborhood surrounded by doctors. I saw them as mentors and role models, and knew – even then – that is what I wanted to do with my life.
After acceptance to medical school, I spent my first year in awe of the anatomy of the human body. The summer after my freshman year, I hiked the Long Trail end to end and then went to Waterville, Maine for a six-week medical externship. That summer showed me the beauty of Vermont and where I wanted to practice. It also showed me my future specialty: family medicine, as I worked with an amazing family doctor who “did it all”.
The two sides of Dr. Borie – top, an early ’90s portrait shows the dedicated physician hard at work and bottom, Dr. Borie in 1989 sharing a smile.
I came to Randolph in July of 1980, right out of my family medicine residency. Peter Frankenburg was my real estate broker and sold me the house I live in today. One of his selling pitches included “…and the Fourth of July parade goes right past the house.” Dr. Ron Gadway and Dr. Ed Armstrong initially hired me at Medical Associates, but very soon I was able to open my own practice as Phil Levesque, the CEO at Gifford at the time, was looking for a family doctor in Randolph. I worked as an independent and solo practitioner in Randolph until Gifford officially hired me in 1994.
Thirty-two years of practice later, I can tell you first-hand that being a physician is a blessing. I feel honored to have patients put their trust and faith in me. There is no greater honor than to have a young woman ask me to take care of her newborn baby or after caring for an elderly woman for 25 years, sitting with her and her family as she dies in Gifford’s Garden Room.
I’m not alone in this work. Exceptional physicians, like Drs. Milt Fowler, Mark and Elizabeth Jewett, Lou DiNicola, Terry Cantlin, Mark Seymour, Bill Minsinger, and Dennis Henzig, along with many others on Gifford’s staff, have worked at my side for decades. Together we have helped keep the people of central Vermont healthy.
We’ve incorporated many strategies to achieve that goal, but there is a saying on a statue at Gifford that says it best. The statue is of two birds and is crafted by the talented Jim Sardonis. It reads: “Science has provided many tools for fighting disease, but the oldest tool, compassion, is still the most important.” These words help guide me through each day.”
~ Ken Borie, D.O.
Gifford family physician
Above left: an undated portrait of Dr. Borie. Above right: Dr. Borie chats with Joe and Lois Mulderig of Randolph. Joe and Lois, ages 88 and 85 respectively, have been married for 65 years and have been patients of Dr. Borie’s since moving to Vermont about 20 years ago.