Exhibit Features Art and Photographs by Joann and Lou DiNicola
Provided courtesy of artist; “Lincoln Farm Pumpkins,” by Randolph artist Joann DiNicola
An exhibit of works by artist Joann DiNicola and photographer Lou DiNicola is on display through January 6, 2016, at the Gifford Medical Center art gallery.
Joann “Rig” DiNicola taught art in the public schools for 29 years and now works out of The Arte di Luna Studio in Randolph. She is a signature member of the Vermont Watercolor Society and a member of the Northern Vermont Artists Association, the Valley Arts Foundation, and the Bryan Memorial Gallery in Jeffersonville, VT
“Portraits of people, animals, and old vehicles are favorite subjects for me, but I am always on the watch for inspiration wherever it may be found,” she said. “I work in a variety of media: transparent watercolor, pastels and acrylic paint, and photography.”
Provided courtesy of artist; “Waiting,” by Randolph photographer Lou DiNicola
Lou DiNicola, who is also a pediatrician at Gifford, had his first camera at 13 and has been taking pictures ever since. After moving to Vermont in 1976 to begin his career in medicine, he continued with photography in his spare time. For more than 40 years he worked with film, mostly in landscape and nature photography, but now works exclusively in digital format.
“With digital format I have control over the entire process, and in composing, editing, printing, and framing I can present something that is my own work,” he said. “My passion is to use my camera to capture a moment in time that will linger in the minds of the viewer, hopefully evoking a renewed sense of wonder of the world around us.”
This exhibit is free and open to the public, and will be displayed through January 6, 2016. 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.
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.
This article was published in our Cancer Program 2014 Annual Report.
By 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.
Click here to read our full Cancer Program 2014 Annual Report.
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.
Funds raised through sales at popular volunteer-staffed community Thrift Shop
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 http://www.giffordmed.org/VisionfortheFuture.
This article was published in our Cancer Program 2014 Annual Report.
When 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.
This article was published in our Cancer Program 2014 Annual Report.
Cancer 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.
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.
Two certified nurse midwives have joined Gifford’s Birthing Center team: Ali Swanson, who comes to Randolph from a practice in Winnipeg, Manitoba, and Vermont native Susan Paris. Established in 1977, Gifford’s Birthing Center was the first in Vermont to offer an alternative to traditional hospital-based deliveries, and continues to be a leader in midwifery and family-centered care.
Ali Swanson grew up just north of Chicago and received a BA from the University of Wisconsin at Madison, and a Bachelor of Science in Nursing, and a Master of Science in Nursing from the University of Illinois at Chicago. Her clinical interests include adolescent health and waterbirth.
After working as a midwife in the inner city of Chicago for two years, she was attracted to the Canadian midwifery model (where midwives function as autonomous providers who assist in childbirth in homes, hospitals, and free standing birthing centers) and obtained her Canadian licensure. She most recently was a registered midwife at the Winnipeg Regional Health Authority. Wanting to relocate to Vermont, she is excited to have found a community hospital where she can draw on her experiences in both hospital and out-of-hospital settings.
“Birth is a life-changing event and a very unique experience,” says Swanson. “It is all about trust and a woman’s relationship to her body, her family, and her midwife. I want to help a woman experience it in a way that is supportive and comfortable for her.”
Susan Paris, raised in Jeffersonville, Vermont, always knew she wanted to help women with labor and delivery. “Midwifery is in my bones,” she says.
She received a BS from Johnson State College, an Associate in Nursing from VTC, and a Master of Science in Midwifery from the Midwifery Institute of Philadelphia. She most recently worked as a labor, delivery, recovery, and postpartum nurse at Martin Memorial Health Center in Florida, and has also worked at Copley Hospital and the University Medical Center of Vermont. Paris says she brings a supportive and friendly approach to her work, and also a sense of humor—“It’s supposed to be fun too!” Her clinical interests include the prenatal and birthing experience, well-women care, and adolescent care. She is pleased to be back in Vermont and part of a team that offers women a broad skill set and choices in style as well as personality.
“With childbirth you need to have many ‘tools,’ available and consider many options –you never can predict how the process will go,” said Swanson. “I want to help women along the path they’ve chosen, but I’m always prepared to adapt and be ready to move in a different direction when needed.”
The Birthing Center team brings extensive knowledge and skill to their work: four licensed midwives and three board-certified obstetricians/gynecologists with expertise in high-risk pregnancy and birth collaborate when needed to provide compassionate, 24-hour care. At each step of the process they work to personalize the process, helping women choose their best options for a positive and rewarding birth experience.
Ali Swanson and Susan Paris are currently accepting new patients. To learn more about the Birthing Center, please call 728-2257.
This article was published in our Fall 2015 Update.
Anyone who has suffered chronic muscle and bone pain knows that it can be difficult to find a treatment that relieves the discomfort. Sometime these injuries can significantly impair mobility, or your ability to enjoy daily activities.
“We’re always looking for new ways to treat these conditions because one person’s response can differ from that of someone else who has the same condition,” said Sharon Health Center Sports Medicine Specialist Dr. Peter Loescher.
Loescher suffers from chronic tendonitis of the knee himself, so he was especially open to trying out a new technology that might help similar conditions. He recently tested the EPAT (extracorporeal pulse activation technology) tool, a hand held device that looks like a small hairdryer, which uses pressure waves to increase blood flow to regenerate damaged tissue and promote healing. He liked that the tool offered a non-invasive treatment option to traditional cortisone injections or plasma replacement needle therapy.
“EPAT is especially good with repetitive injuries—carpenters elbow, tennis elbow, and some knee conditions,” Loescher said. “The body has long since given up trying to heal these daily repetitive injuries, and EPAT can help restart the body’s own healing process.”
After successfully using the technology on himself and other staff members at the Sharon Health Center, Loescher began a 3-month trial with patients who had not found a successful treatment plan and were willing to try something new.
Chronic shoulder pain interfered with work, limited daily routines
Randolph Personal Fitness Trainer Ginger Potwin came to see Dr. Loescher when the exercises and anti-inflammatory medication prescribed by an orthopedist failed to ease increasing pain in her shoulders. Over the course of a year, her daily activities caused flare-ups, and each time her symptoms worsened. She worried that she would be unable to continue working as a trainer.
“The flare-ups in both shoulders prevented me from doing outside activities like raking the lawn, shoveling, and gardening. Also, doing household chores such as mopping and folding laundry proved challenging,” she said. “I was unable to demonstrate exercises to clients.”
Initially Loescher used a needle to break up significant calcium deposits in both of Potwin’s shoulders. He mentioned that EPAT therapy might help her condition, and Potwin decided to try it.
I felt immediate results,” said Potwin, who has had four EPAT treatment sessions. “Following each session I noticed increased range of motion in my shoulders and the pain significantly subsided—including the flare-ups with regular activities.”
Potwin says that the EPAT session lasted about seven minutes (her needle therapy sessions were about 40 minutes), with a post-treatment recovery time of a few days compared to the two weeks she had previously experienced. When she first began EPAT she had about 20 percent use of her shoulders—this increased to about 70 percent after the first treatment. Very quickly she was once again able to demonstrate exercises to her clients, which is critical for her work.
“I am back to my normal routines: I am able to rake my yard, garden, and fold clothes without pain or potential flare ups,” says Potwin. “I am also training for a thirteen mile obstacle race (Spartan Beast Race) in Killington this fall. I would have not been able to participate in this race if my shoulders were in the condition they were in prior to the EPAT treatment!”
To learn more about EPAT therapy, call the Sharon Health Center at