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
This article was published in our Fall 2015 Update.
With the unique ongoing relationship primary care providers establish with patients and families, they may be among the first to recognize that someone is struggling with depression, anxiety, or even substance abuse.
This year Gifford expanded the Behavioral Health team (it now includes a psychiatrist, a master’s level psychotherapist, a licensed drug and alcohol counselor, and a psychiatric nurse practitioner) to help primary care providers identify ongoing issues and help patients get the support and care they need.
“There are people in our community who are struggling with sadness, depression, are grieving a loss, or are overwhelmed by money issues. We want them to know that they can get help,” said Gifford’s Chief Medical Officer Dr. Martin Johns.
He notes that the new Behavioral Health team will complement the work of the Clara Martin Center, which handles more long term psychotherapy needs, and offers a depth of expertise that is unusual in a small rural hospital.
“Having behavioral health expertise onsite to assist in the emergency room if needed, or to consult on inpatient and outpatient care, will allow our primary care provider to help more patients manage mental illness issues,” he said.
Behavioral Health Director Dr. Peter Thomashow says his team looks closely at how biological, psychological, and social factors influence health. They offer individual, couples, and family psychotherapy and education and also collaborate with primary care providers to help them manage depression in patients.
“We are especially interested in helping individuals having difficulty coping with chronic medical illness,” said Thomashow. “Behavioral health needs to be integrated into a primary care plan, especially when treating chronic illness.”
The Behavioral Health clinic services include comprehensive evaluation and treatment for a wide range of psychiatric disorders for adults (age 18 and older) including:
Vision for the Future co-chair experiences first-hand the importance of quality local care
This article was published in our Fall 2015 Update.
Lincoln Clark, Gifford trustee and co-chair of the Vision for the Future campaign, has been actively raising funds for the new Menig Nursing home and the subsequent private patient
room conversion at the hospital.
In an odd twist of fate, the Royalton resident recently experienced first-hand just how important quality local care and private patient rooms can be to both the patient and their family.
While on an annual fishing trip with his son in northern Maine, Clark fell and broke his hip as they were taking their boat to get the motor serviced. After a 178-mile ambulance ride to Portland, ME, he found himself facing surgery by a surgeon he’d never met.
“I spent approximately four minutes with him prior to the operation. I was doped up to the gills, and I couldn’t understand his precise and very technical description of the procedure,” Clark said. “The next day he was off-duty so his partner, a hand surgeon, looked at my wound.”
That same day a care management representative visited to say that he would be released the following morning—they were looking for a rehabilitation facility that could take him.
Clark asked if he could go home to his local hospital, and was told that Medicare would only pay for an ambulance to the closest facility (to pay for an ambulance to Vermont, would cost him thousands of dollars). He was transferred to a facility in Portland the following morning.
“The new room was sectioned off with brown curtains, the bed pushed up against a wall, and there was a 3-foot space at the bottom of the bed for my wife, Louise, to sit,” he said. “It was smaller than most prison cells! My roommate’s family (six of them) was visiting, and they were watching a quiz show on TV at full volume.” This was the low point.
Overwhelmed, the Clarks struggled to figure out the logistics of a long stretch in rehab for Lincoln, and the hours-long commute for Louise, who had to maintain their house in Royalton.
After an unimpressive start in the rehab physical therapy department, they made an unusual but obvious choice: Louise packed Lincoln into the car and they made the 4-hour drive to Randolph.
“I wanted to be at Gifford. I knew the physical therapy team was first rate, and I was confident I would get the kind of therapy I needed to get me out of the hospital,” Clark said.
Fortunately, a room was open and he spent ten days at Gifford this summer. He worked on his laptop in the Auxiliary Garden, met with people in his room, and was even wheeled to the conference center to attend board and committee meetings. Once discharged, he was able to continue his therapy as an outpatient.
“After this experience I really can see how important a private patient room is,” he said. “And I can attest that the letters to the board, the positive comments patients make on surveys, and the occasional letters to the editor don’t begin to describe all that it means to be cared for by Gifford’s staff. This is just a great hospital!”
This article was published in our Cancer Program 2014 Annual Report.
The providers in Gifford’s Cancer Program regularly visit senior centers, nursing homes, church meetings, and other community gatherings to offer skin cancer screenings, give free talks on cancer prevention and the importance of early detection, and host educational discussions of breast, bladder, prostate, and colorectal cancer.
In talks like “Everyone’s Got One: A Discussion of the Colon and How to Keep it Healthy,” surgeon Dr. Olveto Ciccarelli uses humor to help people learn about the importance of colorectal cancer prevention and screening.
“Everyone has these organs, but people are reluctant to talk about problems with their colon or their rectum,” said Ciccarelli. “Men especially find it difficult to discuss these matters, but this is one area where medical science has proven that cancer can be avoided, lives extended, and quality of life improved.”
This is especially true with colorectal cancer, which was a program focus for 2014. Colorectal cancer is called the only “preventable cancer” because it is the one cancer where regular screenings can help to keep cancer from forming. A colonoscopy detects any slow-growing polyps that may form in the colon so they can be removed before becoming cancerous. Because early colorectal cancer often has no symptoms, screening is even more important because it can detect existing cancer when treatment is most effective.
Still, colorectal cancer is the third most common type of cancer in men and women in the United States. The good news is that deaths from colorectal cancer have decreased as more people take advantage of screening tests like colonoscopies, specialized X-rays, and tests that check for cancer in the stool.
So far, Gifford has had significant success with our efforts to increase colorectal screening rates for our target age group of 50-75 (an increase to 90 percent in 2014 from 59 percent in 2013).
We will continue to spread the word in our community. With colon cancer, it is simple: Regular screening could save your life.
Click here to read our full Cancer Program 2014 Annual Report.
This article was published in our Cancer Program 2014 Annual Report.
Established in 1959, Gifford’s Cancer Program is accredited by the American College of Surgeons Commission on Cancer.
A dedicated cancer committee meets regularly to provide leadership for the program, including setting program goals and objectives, driving quality improvements and best outcomes for patients, and coordinating Gifford’s multidisciplinary approach to cancer treatment.
Operating out of our relaxing Ambulatory Care Unit, Gifford’s Oncology Department includes:
Cancer care from an experienced oncologist
Specially certified oncology nurses
Planning options for cancer treatment following a diagnosis
Treatments for some hematology conditions
The medical center is home to advanced diagnostic technology, including stereotactic breast biopsies; a breast care coordinator providing education and outreach; a patient care navigator; many surgical offerings; data management and quality oversight; and cancer prevention programs, including a “Prevention into Practice” model that works with patients and their health care providers to bring screenings to the forefront.
Click here to read our full Cancer Program 2014 Annual Report.
Gifford welcomes experienced primary care physician to community health center team
Dr. Laura Barber
Dr. Laura Barber, MD, has joined the Chelsea Health Center, bringing more than 20 years of experience caring for families as a primary care physician.
When the private primary care group practice she had led in Abilene, Texas recently dissolved, rather than affiliate with a larger healthcare organization, Dr. Barber saw an opportunity to move to New England, where her son and sister live.
“When I visited the Chelsea Health Center, I liked what I saw,” she said. “I like to get to know people over a period of time, to work with entire families. This is the kind of patient-centered care I want to be doing.”
Barber earned a BS from Newcomb College of Tulane University, and an MD at the University of Texas Medical School, San Antonio. She completed her family practice residency at the Hendrick Medical Center in Abilene Texas, stayed on in private practice, and has been president of Abilene Primary Care Associates since July of 1996.
Born in Fort Worth, Texas, Barber often visited a small rural Eastern Texas town that inspired her first dreams of becoming a physician.
“I loved science and working with people, and medicine combined these interests. As it turned out, I can’t imagine doing anything else,” she said. “My first dream was to set up a practice over the post office in that small rural town I’d come to love as a child.”
That Texan town was later ruined by strip mining, but Barber and her sister, who has owned a cabin in Tunbridge since the early 80’s, say the area around Chelsea brings back memories of the rural community they had loved as children and “feels like home.”
The move cross-country makes sense in other ways as well. One of Barber’s three sons is working with a technology firm in Nashua, NH. And Barber and her husband, avid history buffs, have purchased the historic Federal-style Denison house in Royalton Village.
“I was up until midnight the night we purchased it, rubbing orange oil and bees wax on the dry, old wood paneling!” she said.
Dr. Barber is board-certified by the American Board of Family Practice and a fellow of the American Academy of Family Practice. At the Chelsea Health Center she joins physician assistant and Chelsea native Rebecca Savidge, and is now seeing new patients. Call for an appointment at 802-685-4400.
Podiatrist Jonathan Bjork has joined Gifford Medical Center’s Randolph and Sharon clinics.
A board-certified podiatrist, he received a BS from St. Olaf College, a Doctor of Podiatric Medicine from Des Moines University, and completed his Podiatric Medicine and Surgery Residency at the William S. Middleton VA hospital in Madison, Wisconsin.
While in medical school, Bjork chose to specialize in podiatry because it would offer opportunities for a varied practice: performing surgery, working in a clinic, helping patients with rehabilitation, and treating sports injuries. He brings widespread clinical interests to his work, from rear foot and ankle surgery, flat foot reconstruction, and heel spur resection to diabetes-related infections, sports injuries, and treatment for bunions and hammertoes.
“I like to develop good, ongoing relationships with patients so I can get to know their needs and expectations,” said Bjork. “This allows me to consider a patient’s specific concerns when treating injuries or infections.”
Bjork and his wife have family near Boston and were looking to settle in a small town where they could raise their 4-month-old son. They have purchased a home near the hospital with a yard (space for a golden retriever) and easy access to the outdoor activities they love: skiing, mountain biking, and hiking.
“Randolph is a very warm and welcoming community,” said Bjork. “It is smaller than Platteville, Wisconsin, where I grew up, but it reminds me of my home.”
Bjork is the newest member of Gifford’s team of podiatrists, which includes Dr. Nicolas Benoit (Randolph), Dr. Samantha Harris (Berlin), and Dr. Paul Smith (Sharon). He is now accepting new patients at our Randolph and Sharon locations—call 728-2777 to schedule an appointment.
Vermont Combat Veteran road guard leader and top LMR fundraiser Reg Mongeur, ride leader Orange County Sheriff Bill Bohnyak, and LMR co-founder and former road guard leader Charlie Amico.
More than 385 Last Mile Ride participants joined together to raise $104,000 to support Gifford Medical Center’s end-of-life services on Friday and Saturday, exceeding the event’s ambitious 2015 goal of $100,000.
“The enthusiasm, spirit, and selfless efforts of all of you—volunteers, staff, participants, donors, and Combat Vet road guards who keep our event safe—have helped us to raise more than $300,000 over the years for end-of-life services,” Gifford’s Director of Development Ashley Lincoln told the crowd as she announced this year’s record-breaking figure. “Thanks to you we’ve exceeded our $100,000 goal allowing us to provide comfort and support to families when they are feeling most vulnerable.”
Lincoln went on to share that there will be a second garden room suite created during the hospital’s current renovations.
Started in 2006 with just 74 motorcyclists, the Last Mile Ride has grown into two days of fundraising activities that include a timed 5K, a one-mile walk, a 35-mile bicycle ride, and an 87-mile motorcycle ride. Last Mile Ride funds bring patients alternative therapies like Reiki, massage, and music therapy to help with pain management. They also provide unique services to support family members: providing meals for those spending last moments with loved ones in the hospital’s Garden Room, helping with transportation costs for far-away family, or arranging for photographs or a patient’s special last wish.
Humidity was high and temperatures were in the 80’s for both evening and day events, but participants remained spirited and energetic. Some came to honor a friend or loved one, many came to “give back” for a Garden Room or special end-of-life experience, wanting to make sure others will have the same support and comfort during “life’s last mile.”
Firefighters Nick Benson and Ryan Kennedy braved the heat in full gear to honor Benson’s mother Roxanne Benson (a long-time LMR supporter who died last May) and Kennedy’s father-in-law Jimmy Boulter (who died in the garden room in 2011). Kennedy is a member of the Chelsea Fire Department. Benson grew up in Chelsea but now works for the Barre Fire Department. Benson explained their outfits: “My mom was big into getting me into fire services. She was a first responder with First Branch Ambulance and also a big supporter of Last Mile ride. I’m not mature enough to own a motorcycle,” Benson joked, “but I’m confident I can walk in this gear. I think we’re going to make this a tradition!”
After the race Friday evening, rain showers helped to cool the 179 hot runners and walkers as they gathered for prizes awarded to top fundraisers: Lindsay Haupt (5K) and Louise Clark (walk) received a gift card to Dick’s Sporting Goods and a Stateline Sports sneaker voucher. Chris Gish was the top male 5K finisher and Sara Lewis was the top female 5K finisher. Total race results are listed at http://www.begoodsports.com/results-gifford-last-mile-ride-5k-2015/.
On Saturday, heavy rain held off until after the famous outdoor barbeque lunch, where 206 bicyclists and motorcyclists sat at long tables to share stories, welcome newcomers to the Last Mile Ride community, and receive raffle, door, and fundraising prizes.
Lincoln honored Randolph volunteer Reg Mongeur. A Vermont Combat Veteran’s road guard for all ten years of the event, he took over organizing the guards when co-founder Charlie Amico stepped down. Mongeur came to the event after several of his relatives died in the Garden Room, and soon became a top fundraiser, often sitting at a table in front of Shaw’s to spread the word about Last Mile Ride services and solicit donations.
“Reg has done phenomenal work for Last Mile Ride,” Lincoln said. “He served his country in Viet Nam, came home, worked hard, raised a family, and now works hard serving our community.” Poking fun at Mongeur, Lincoln shared that he is well-known as he “hounds us on Facebook and Shaw’s” raising awareness and support for the event. “Reg will be turning his motorcycle keys in, but thankfully remains committed to our event.”
Last Mile Ride Raffle prize winners were:
• Annette Sargent of Roxbury, who won the Harley-Davidson donated by Wilkins Harley-Davidson in South Barre
• Dr. Josh Plavin of Randolph, who won the bicycle donated by Green Mountain Bicycle Express in Northfield
• Wendy Wells of Randolph Center, who won the quilt made by Gifford nursing staff
• Ronald Warner of Randolph, who won the toolbox donated by Randolph Auto Supply
Ten riders raised over $1,000, with the top fundraisers being Reg Mongeur, Linda Chugkowski and Robert Martin, Chip Milnor, and Todd Winslow. Top fundraiser prizes were: four tickets to NH Speedway, four tickets to The Great Escape, a Gondola Ride and lunch at Stowe Mountain Resort, and the Local Prize Package (two tickets to the New World Festival, one-night stay at the Three Stallion Inn, and a gift certificate to Saap Restaurant).
Generous business support played a huge role in the event’s success. Forty-six businesses sponsored this year’s event, with major sponsors including Be Good Sports, The Frankenburg Agency, Froggy 100.9, Gillespie Fuels and Propane, HP Cummings, Lucky’s Trailer Sales, Mascoma Savings Bank, Northfield Savings Bank, and Wilkins Harley-Davidson.
As the rumble of the bikes rang through the towns, riders enjoyed support along the route from cheering community members, including local fire departments and the White River Valley Ambulance. Rider safety was ensured by volunteers from the Green Mountain Bike Patrol, the Combat Veterans Motorcycle Association, and ride leader Orange County Sheriff Bill Bohnyak.
Read More about Gifford’s Last Mile ride on Gifford’s website at www.giffordmed.org/lastmileride. The 2016 Last Mile Ride will be Friday August 19, and Saturday August 20.
Randolph hospital joins list of top 25 percent of energy-efficient hospitals nationwide
Gifford Medical Center was notified this week that it has earned the U.S. Environmental Protection Agency’s (EPA’s) ENERGY STAR certification. The national certification signifies that the building meets strict energy efficiency performance levels set by the EPA and performs in the top 25 percent of similar facilities nationwide for energy efficiency.
Gifford’s Director of Facilities Doug Pfohl notes that while this EPA ranking does not include buildings outside of the main medical center campus in Randolph, energy efficiency has been incorporated into all improvements and new building projects at Gifford since the 1980’s. The hospital has previously ranked high in the national Healthier Hospitals Greenhealth program.
“It was a hospital goal to achieve ENERGY STAR rating this year, and we are very excited to be one of the first in Vermont to do so,” said Pfohl. “We needed an EPA rating of 75 or higher to qualify, and we actually achieved a rating of 81.”
Hospitals apply for the EPA rating by looking at energy use per square foot, taking into account factors such as number of hospital beds, number of employees, and climate. They are then ranked nationwide. Gifford’s ENERGY STAR rating was given after much coordination with Efficiency Vermont, creative design staff, and conservative energy upgrades. A detailed on-site inspection in July proved successful, with a rating above 75.
“I’d like to congratulate Gifford for achieving this prestigious certification,” said Liz Gamache, director of Efficiency Vermont. “We were pleased to work closely with them to help identify ways to reduce their energy costs and consumption; they are setting a great example for other medical facilities in the state.”
While Gifford has steadily improved energy efficiency throughout the entire organization through low-occupancy settings for heat and electricity, improving kitchen ventilation equipment, and installing internal and external LED lighting, Pfohl said two recent large improvements contributed significantly to the hospital’s high rating:
• A new energy-efficient 90-ton chiller replaced an aging 50-ton unit, and structures were put in place for three new chillers to accommodate future air-conditioning upgrades; and
• An energy recovery unit was installed to capture return air and recondition it for re-use; this “climatized” air requires less energy to re-heat or re-cool.
ENERGY STAR was introduced by the EPA in 1992 as a voluntary, market-based partnership to reduce greenhouse gas emissions through energy efficiency. Facilities with ENERGY STAR certification use an average of 35 percent less energy than typical buildings and release 35 percent less carbon dioxide into the atmosphere. For more information about ENERGY STAR Certification for Commercial Buildings, visit www.energystar.gov/labeledbuildings
The following article appeared in our 2014 Annual Report.
Dr. Martin Johns
One evening when I was on duty, a 911-call patient was brought into the emergency room. The patient was unresponsive and unable to communicate.
I pulled up the electronic medical record and was able to see that he had been given a new medication when seen at a Gifford clinic earlier that day.
Clearly he was having a delayed allergic reaction, and because I could see exactly what medication he was given, I could immediately give him the appropriate antidote. If I had not had access to the information in EMR, I would have had to guess and start trying different medicines to counteract the reaction.
When another patient was confused about what medications they were taking, I pulled up their most immediate office note on EMR and made adjustments based on what had been done within the previous 24-hour period.
An important aspect of the new EMR system is that it allows medical information to follow the patient through transitions of care across all Gifford platforms: inpatient care, outpatient care in community clinics, radiology, and emergency room visits.
In the past, important information could be unavailable or even lost during these transitions—a clinic might be closed for the day, or important information not yet added to a patient’s record. Now, anyone caring for a patient can view important information and also update the record (adding a newly developed allergy or immunization) or note changes in clinical status.