Randolph Pediatrician Expands Practice to Berlin

This article appeared in our Fall 2013 Update Community Newsletter.

Dr. Pam Udomprasert

Pediatrician Dr. Pam Udomprasert with a young patient

Family health center now meeting even more of community’s needs for care

Pediatrician Dr. Pam Udomprasert joins the family medicine team at the Gifford Health Center at Berlin beginning this October.

“Dr. Pam,” as patients affectionately know her, is a graduate of SUNY Downstate College of Medicine in Brooklyn and completed her three-year residency at the University of Connecticut School of Medicine and Connecticut Children’s Medical Center in Hartford.

She worked in Connecticut before joining Gifford and moving with her family to Randolph in 2011.

Board certified by the American Board of Pediatrics and the National Board of Medical Examiners, she is a member of the American Academy of Pediatrics and the Academy of Breastfeeding Medicine. She has a special interest in lactation support as well as asthma and allergies.

Personable and responsive, Dr. Pam continues to see patients in Randolph part of the week. In Berlin, she joins family nurse practitioners Sheri Brown and Tara Meyer as well as internal medicine physician/infection control practitioner Dr. Jim Currie.

The diverse team is available to care for all of your primary care needs, from birth through end-of-life.

The clinic is also home to Gifford’s remarkable team of certified nurse-midwives providing prenatal and well-woman care, neurologist Dr. Robin Schwartz, orthopedist Dr. Stephanie Landvater and podiatrist Dr. Kevin McNamara.

To schedule an appointment with Dr. Pam or another member of the Berlin team, call 229-2325.

Get Help Signing Up for an Insurance Plan from ‘Navigators’

Vermont Health Connect

Beginning Jan. 1, federal law requires all Americans to have health insurance or face a tax penalty. Gifford has specially-trained staff called “navigators” available to help you sign-up for a health plan.

This information appeared in our
Fall 2013 Update Community Newsletter.

Beginning on Jan. 1, federal law requires all Americans to have health insurance or face a tax penalty.

In the Green Mountain State, Vermont Health Connect is the new online marketplace where individuals, families and businesses with 50 or fewer employees can shop for, compare and purchase insurance plans.

Open enrollment for these plans began this October. Vermonters can determine their eligibility and enroll online. For those without computer access or needing in-person support, Gifford has resources to help.

Across the state, “navigators” have been trained and taken rigorous exams to provide one-on-one assistance with the Vermont Health Connect marketplace.

Gifford has three navigators through its Health Connections office, a part of the Vermont Coalition of Clinics for the Uninsured, as well as the medical center’s Blueprint for Health team.

If you’re:

  • A Vermonter without health insurance,
  • A Vermonter who currently purchases insurance yourself,
  • A Vermonter with Medicaid or Dr. Dynasaur,
  • A Vermonter with Catamount or the Vermont Health Access Program,
  • A Vermonter with “unaffordable” coverage provided by your employer, or
  • A small business with 50 or fewer people

and you need help understanding the exchange, get help by calling Gifford Health Connections at 728-2323.

Individuals who are fully enrolled by Dec. 16 will have health coverage starting Jan. 1.

Under Vermont Health Connect, an employer-sponsored plan is considered “unaffordable” if your premium for yourself is more than 9.5 percent of your household income. To learn more, call (855) 899-9600 or visit www.healthconnect.vermont.gov.

Experienced Emergency Medicine Physician Joins Gifford

Dr.  A. Nicole Thran

RANDOLPH – Emergency medicine physician Dr. A. Nicole Thran has joined Gifford Medical Center full-time, providing care in the Randolph hospital’s 24-hour Emergency Department.

A native of New York City, Dr. Than attended Tufts University in Medford, Mass., earning her bachelor’s degree in biology. She went on to medical school at Vanderbilt University in Nashville. Her internship and residency in emergency medicine were at the University of Massachusetts in Worcester.

Dr. Thran has worked in emergency medicine since 1991 at hospitals in Connecticut, Virginia, Rhode Island, Oklahoma and, since 2012, in Vermont at Rutland Regional Medical Center and Brattleboro Memorial Hospital. There she was what is known as a locums tenens physician. Continue reading

Cardiac Rehabilitation Gave Janet Kittredge Her Life Back

cardiac rehabilitation

Cardiac rehabilitation nurse Annette Petrucelli shares a smile with patient Janet Kittredge. Besides getting stronger, one of Janet’s favorite parts of cardiac rehabilitation was the good times she had with staff. “I love those ladies,” says Janet. “They became friends and I couldn’t wait to get back to see them.”

This story appeared in our
Fall 2013 Update Community Newsletter.

Janet Kittredge of Hancock struggled to breathe for two years before miserably failing a cardiac stress test and being diagnosed with a 90 percent blockage of one of the arteries in her heart.

In April, she had a stent placed in the blocked artery at Fletcher Allen Health Care. Part of her follow-up care plan was cardiac rehabilitation at her home hospital, Gifford.

Janet remembers the day she started cardiac rehabilitation vividly. She was nervous. “It had been so long since I had been able to do anything,” she says.

For Janet, a walk out to the garage meant sitting and resting before returning to the house. Carrying in groceries meant pausing between trips. “I completely stopped walking. I just stayed in and pretty much all I did was watch TV.”

So faced with the treadmills, recumbent bike and arm ergometer that make up the cardiac rehabilitation gym, Janet was worried.

A welcoming staff and consistent monitoring of her pulse and heart rate put Janet more at ease and quickly she discovered that not only could she do some exercise, the more she came, the more she could do.

“I just got so excited. It made me feel so good. I walked taller. I felt younger. I just wanted to do more and more and get stronger,” says Janet, who found herself raising the difficulty level on her workouts before even being prompted by staff.

Janet finished her program in August. The 67-year-old Stanley Tool retiree is now back to the active life she once enjoyed. She is walking a mile and a half or more a day, shopping with her granddaughters and impressing her friends with the bounce in her step.

“I have totally gotten my life back. I feel 100 percent better. I have energy. I feel like doing things.”

“I can’t say it enough how much this changed my life. If I hadn’t had this rehab, I never would have gotten myself to this point.”

Cardiac rehabilitation is a 12-week outpatient exercise, education and nutrition program for people with coronary heart disease, angina, recovering from a heart attack or heart surgery, stent placement or other heart conditions. It is offered in a special gym space at Gifford and overseen by specially trained registered nurses. To learn more, call 728-2222 or ask your health care provider for a referral.

Generations of Caring in Rochester – Dr. Mark Jewett

Dr. Mark Jewett

Dr. Mark Jewett has been an internal medicine physician at Gifford Medical Center for his entire 36-year career. Originally from Pennsylvania, Dr. Jewett came to Randolph in 1976, where he has lived since with his wife, Gifford pediatrician Dr. Elizabeth Jewett. Together they have three grown children and one grandchild. In his free time, Dr. Jewett maintains a healthy lifestyle – hiking, biking, running, skiing, and sailing.

Except for a nine-month sailing trip in 2005, Dr. Jewett has worked at the Rochester Health Center. From 1976-2005, he also saw patients in Randolph.

Outpatient medicine is a passion for Dr. Jewett because it provides him an opportunity to interact with and help others. Sometimes that help comes in a cure. Sometimes it is with coping. Sometimes it is just to be understanding.

Below is his story as told in his own words, as featured in our 2012 Annual Report.

“Mitt Fowler and I were in residency together in Massachusetts when Gifford advertised for an internal medicine physician in the underserved Rochester area. We had come to Vermont to ski and liked the rural lifestyle. In fact, my role model as a child was an uncle who was a doctor in a town of 5,000 people, much like Randolph. That is what I envisioned for my life. So we convinced then hospital administrator Phil Levesque that it wasn’t one internal medicine physician that he needed, but two.

Milt and I opened the Rochester Health Center in 1976 and soon Dr. Lou DiNicola joined us. We were all fresh out of our residencies. A federal grant helped support the launch of the health center – called the Green Valley Health Center at that time – and its first three years of operations. While we “worked” for Gifford, as was the standard at the time, Milt, Lou, and I and the health center were a private practice. It wasn’t until about two decades later that we became employees of the medical center.

Dr. Mark Jewett

Drs. Mark Jewett, Lou DiNicola, and Milt Fowler in the early years shortly after coming to the Randolph area. The three physicians have spent the entirety of their careers providing medical care to the rural communities in central Vermont.

Initially I spent two days a week in Rochester, working in Randolph as well. In addition to Milt and Lou, other providers, including physician assistant Sue Burgos and family medicine provider Dr. Mark Seymour, rotated through Rochester throughout the years. But except for the nine months I took off in 2005 for my other passion – sailing – my trip from home in Randolph, over the mountain to Rochester, has been a constant for 36 years.

The road has changed over that time. In the early years when the top was a narrow dirt lane, I left a few mufflers behind. Since then it has been modernized, as has medicine. Initially as rural doctors, we took care of everything. There were far fewer specialists for referrals, we didn’t yet have CT scans or MRIs, and a radiologist’s availability to read X-rays was much more sporadic.

While I know today we’re taking better care of people thanks to these advances, I miss being able to do it all. I believe in the primary care medicine model where doctors know everything about their patients and coordinate all aspects of their care.

What’s nice about being in a community for 36 years is you get to see people over time. You see how people grow up in a community. You see how people grow old in a community. You see how people sometimes die in a community.

As an internal medicine physician, I see only adults. But even without youngsters in the mix, I still take care of up to four generations of the same family over time. To lose a patient – especially after decades of care – is painful for me as a doctor. It’s painful because of the relationships formed. Those relationships are what allow me to help families because I too am feeling the loss.

In a couple more years I will retire. While I won’t be driving over the mountain four days a week as I do now, I won’t stop caring – for the people of the Rochester area who have entrusted me with their care for so many years or for people in need of health care. While this area will always be with me in spirit, it’s my goal, if I’m still able, to sail my sailboat to the Caribbean and work in another underserved area, such as Haiti, providing care to new generations in need.”

~ Mark Jewett, M.D.
Rochester Health Center Internal Medicine Physician

generations of caring in Rochester

Above left: Madison Fuller and Kristi Fuller of Granville and Carol McLoughlin of Rochester “examine” Dr. Mark Jewett. Dr. Jewett has been providing care at the Rochester Health Center for 36 years and cares for generations of area residents, including this fun-loving grandmother, mother, and daughter trio. Dr. Jewett also cared for Carol’s late mother, Lilla Clancy. Carol shares that her mother used to bring Dr. Jewett cookies in the early days because she thought he was too skinny. Above right: Dr. Jewett in 1979 a few years after joining Gifford.

“…of the 50 Doctors in the Room, None Had Ever Attempted This Before…” – Dr. Christopher Soares

Dr. Christopher SoaresA Randolph Center resident, husband, and father, Dr. Christopher Soares joined the Gifford Medical Staff in 1993, spending his entire career to date in Randolph. Initially a Dartmouth-Hitchcock Medical Center provider, Dr. Soares opened his own practice, Soares Ocular Surgery, in 2007. In addition to caring for adults, he is also a pediatric ophthalmologist.

An avid cyclist, he has biked more than 40,000 miles, including from Canada to both the Grand Canyon and Mexico along the Pacific Coast Highway. Dr. Soares also enjoys kayaking, water skiing, boogie boarding, cross country and downhill skiing, ice skating, and more. He is originally from Massachusetts.

Below is his story as told in his own words, as featured in our 2012 Annual Report.

Raising a family of three children has tremendous rewards. After 20 years my last child is finishing college and preparing to enter an exciting new phase in her life. My two boys are finished with college and have started careers. All three have expressed their gratitude for the opportunities they were given while growing up. All three realize my wife and I love them unconditionally and we gave our all raising them the best way we knew how.

Working as an ophthalmologist in Randolph for nearly 20 years has similar rewards. In the early years, just like parenting, you are learning and developing your skills. People are glad that you are in town and they do not have to travel a great distance to get eye care. You develop a friendship with the patients. This friendship grows with the years. As the years go by, your skill sets expand and more patients come for care. All the while, friendships continue to grow. As a doctor’s experience and confidence grows, so do the positive outcomes. Challenging cares are taken on and the outcomes are even more rewarding.

Dr. Christopher Soares

At left – Dr. Soares, dressed in scrubs, is often seen riding his bicycle through Randolph. Right – an updated portrait of Dr. Soares.

That is certainly true in the case of Nathan Wheeler.

Nathan is a young man who last year tripped, fell, and hit his head on a piece of furniture, severely injuring his left eye. He had torn an essential eye muscle in half. Nathan had already been seen by two ophthalmologists and an oculoplastic specialist after an emergency room visit, and was finally referred to my practice three days after the injury. I explained to him and his family the seriousness of the injury and that several surgeries might be required. The first surgery was performed that very night in a Gifford operating room. It lasted four hours. I’ll spare you the details, but I was able to locate the muscle stumps and sew them back together.

A month later, Nathan was seeing well but required one more surgery to align his vision when looking down. This second surgery was also a success. Nathan’s vision was restored and he was able to return to work with no restrictions.

In Vermont fashion, I had done the job before me, to the best of my ability, but when I came home after that first surgery, I was distraught. In fact, I was nearly in tears. I had been in that OR for hours and I wasn’t sure if I had even helped Nathan. At the time, I didn’t know what I had accomplished.

Later, I researched more on the procedure and found that what I had accomplished was rarely, if ever, done by others. My case was so unique that I was asked to present it to a group of pediatric and adult strabismus specialists at the Massachusetts Eye and Ear Hospital. Of the 50 doctors in the room, none had ever attempted to find a ruptured muscle and suture it back to the remaining muscle.

Needless to say, Nathan was thrilled with the results and has sent patients to me ever since, some looking for “miracles”. I can’t perform miracles, but every week I am blessed to receive the gratitude of at least one patient. This appreciation for what I do energizes me and keeps me committed to offering the best eye care possible.

~ Christopher Soares, M.D.
Soares Ocular Surgery ophthalmologist

Dr. Christopher Soares

Dr. Soares examines patient Nathan Wheeler, whose injured eye he restored through a series of tough and rarely attempted surgeries. And a grateful Nathan has been referring patients to Dr. Soares ever since.

 

Message from the Development Director

The following was published in our 2012 Annual Report.

Development Department

Above left – Robin Palmer, Tammy Hooker and Ashley Lincoln – the team lucky enough to be charged with coordinating the Last Mile Ride each August, post for a photo. Above right – Jack Cowdrey, Chair of the Development Committee and one of the chase-truck drivers for the Last Mile Ride.

In this year’s Annual Report, we are fortunate to read stories from our long-time providers. Gifford is also fortunate to have many long-term supporters. Many of their names follow, but it is hard not to pull out one group for its remarkably long-standing relationship. That group is the Gifford Medical Center Auxiliary.

In 2012, the now 106-year-old Auxiliary continued its support of Gifford programs and services, including “wish list” items awarded to individual hospital departments looking to improve care through new technology or training materials.

As these “wish list” gifts are distributed, there are often tears of thanks and happiness from the receiving department staff members. This speaks volumes to how much these gifts – and the Gifford Auxiliary – mean to the medical center and its patients.

Other major supporters in 2012 included those who gave to the Last Mile Ride. Now in its seventh year, this charity motorcycle ride raised a record $54,000 for end-of-life care and services. This year’s event brought a new run/walk and thus many new participants. Top among them was Todd Winslow and Lu Beaudry who raised more than $5,000 in memory of Todd’s mother, Joyce (read more about the Winslow family in our Donor Profile). The event was our largest individual fund-raiser to date.

The motorcycle ride is just one way to support Gifford. Many offer their community medical center financial support each year through an annual gift to the hospital or a special purpose fund. Others include Gifford in their will or trust, while still others choose a charitable gift annuity where they receive a predictable return on their investment.

Increasingly, community members are also expressing tremendous interest in our planned senior living community. That interest and enthusiasm has come in the form of financial support as well as interested residents. This project shows so much promise, and it is our utmost honor to be working to provide a solution to a serious problem in our region – a lack of local housing alternatives for those wanting to age in place, in their communities, rather than having to travel great distances.

As always, the Development Department is available by calling 728-2380 to discuss the many ways to support Gifford. Your investment truly makes a difference and the impact is far-reaching. Please don’t hesitate to ask us your questions or visit our website, www.giffordmed.org, to discover ways you can leave your legacy. New this year, we have included an option for online giving opportunities.

On behalf of Gifford, thank you. We appreciate your friendship.

~ Ashley Lincoln
Director of Development

Volunteer Profile: Elaine Soule

volunteer profileElaine Soule’s relationship with Gifford began at birth, and possibly before. Her mother graduated from the nursing school in 1923 and worked under hospital founder Dr. John P. Gifford. Elaine was born at the Randolph hospital in 1933.

Raised in Randolph Center, she attended local schools and married the summer following high school graduation. His career in the U.S. Air Force took them around the country and beyond. Elaine’s own six children were born on military bases in New York, Oklahoma, New Hampshire, Bermuda, Louisiana, and Maryland.

In 1971, after 20 years of military life, the family returned to Randolph. Before the families’ furniture had even arrived, Elaine had landed a job at Randolph National Bank. She started out typing signature cards and eventually became a branch manager of what was Randolph Savings and Loan, then Vermont Federal and finally Vermont National over her 28-year career.

Along the way, Elaine worked at Gifford on weekends from 1990-1995 in patient registration. After retiring from the bank in 1998, she came to work at Gifford in 2001 as the volunteer services coordinator.

“I have always felt close to Gifford,” says Elaine, who served on the hospital Board of Trustees for nine years in the 1990s.

So when Elaine retired in 2006 after five years as volunteer services coordinator to undergo cancer treatment, she knew she’d be back. “I knew I’d come back to volunteer, because I wanted to be part of this place,” says Elaine. “I just loved the Gift Shop. I’d loved volunteering. I thought it was a way to continue to be involved with Gifford after I retired.”

For months, Elaine came to Gifford as a patient for chemotherapy treatments. “My cancer treatments were wonderful,” Elaine says, calling the staff “so compassionate”. When her treatments ended in early 2007, Elaine continued her trips to Gifford – this time as a volunteer two days a week in the Gift Shop.

“Now I don’t have to be here, but I choose to be here,” she says from her post behind the desk of the boutique. “I think the volunteers at the Gift Shop are great. I hope we serve a purpose. I think we do.”

For Elaine, now 79, it is about staying active and connected in her community and at her community hospital. “I love it because it gets me out of the house to meet people and I feel that I am contributing to Gifford in a small way,” she says.

A Message from the Medical Staff President

The following was featured in our 2012 Annual Report.

Marcus Coxon

Marcus Coxon

Our effectiveness as a medical home has grown this year with the expansion of health care teams and our collaboration with the Vermont Blueprint for Health. But at the heart of these teams are Gifford’s long-established primary care practices. In each of our health team locations, we have providers and support staff whose relationships with the community run deep.

Take Starr Strong, for example. For 19 years, Starr has committed herself to the people of Chelsea – first under the mentorship of Dr. Brewster Martin and now as a mentor in her own right.

With humility and compassion, family physician Dr. Ken Borie has cared for the people of Randolph for 32 years. The humanity he brings to medicine is an example for all, including the many medical students who he guides through the family medicine portion of their clinical studies.

And Dr. Lou DiNicola, a local pediatrician for 36 years, has been among the foremost leaders in this state when it comes to children, advocating at every turn for their health, safety, and welfare.

Those of us enjoying long-standing relationships with Gifford and with our central Vermont community consider ourselves fortunate to know and work with these practitioners and their support teams. Such stability, and depth, builds our medical homes into more effective tools for helping our patients.

~ Marcus Coxon
Medical Staff President & family physician

Carrying on the Tradition of Accessible Care

The following article was published in our 2012 Annual Report.

carrying on the tradition

Above left – One of Gifford’s newer providers, internal medicine physician Dr. Cristine Maloney, lives in Randolph and brings special training in palliative care to Gifford’s already robust advanced illness care program. Here she is pictured with patient David Wark of West Topsham. Above right – Emergency Department physician and clinical director Dr. Saul Nurok joined Gifford in 2010. Here he is shown with patient George Carr of Bethel.

Gifford is fortunate to have many long-serving health care providers, but the medical center would not be successful without the providers who have joined Gifford in more recent years.

Lured in part by the stability and quality provided by the very individuals highlighted in this year’s report, Gifford has welcomed new providers in almost every area of medicine.

For example, joining long-time pediatricians Dr. Lou DiNicola and Dr. Elizabeth Jewett, who have both been at Gifford for 36 years, are Dr. Joe Pelletier, now with Gifford for 10 years, and Dr. Pam Udomprasert, who joined more recently in 2011.

“Joe is now the cornerstone of pediatrics here,” says Dr. DiNicola.

At the Chelsea Health Center, long-time U.S. Navy family physician Dr. Brian Sargent joined physician assistant Starr Strong in practice in 2008. “I am especially appreciative of Brian,” Starr states, “and his commitment to the folks of this valley and the joy he takes in developing relationships in this unique place.”

In Bethel, family nurse practitioner and former emergency department nurse Emily LeVan joined long-time family physicians Dr. Mark Seymour and Dr. Terry Cantlin just this year. “Emily brings her wealth of emergency room experience and a firm commitment to primary care. She also has a strong tie to the area, working with her husband and family running a local farm,” Medicine Division Medical Director Dr. Josh Plavin says.

In the Emergency Department, Drs. Steven Fisher, Josh White, and Saul Nurok have filled the shoes of long-term physicians like Dr. Lucy Wollaeger, who retired from full-time work in 2012 after 21 years at Gifford.

“Often people’s first opinion of the hospital is through the emergency room, and Steve, Saul, and Josh are amazing,” Dr. Ken Borie, a family physician at Gifford for 32 years, says.

Anesthesiologist Dr. Dennis Henzig, a 20-year veteran of Gifford, has been joined by Drs. Jon-Richard Knoff in 2007 and Nazek Shabayek in 2012. Both of Gifford’s orthopedists, Dr. Stephanie Landvater and Dr. Bess Brackett, have come to Gifford within the last decade as Dr. Bill Minsinger prepared to retire.

Hospitalist medicine is a newer specialty. Consequently, it melds newer doctors and mid-level providers with experienced ones who have transitioned from another area of medicine, such as family care. Gifford’s certified nurse-midwifery team additionally melds newer and more experienced members. Ob/gyn physicians Dr. Anne Galante and Dr. Dina Levin have both joined Dr. Brent Burgee, a 27-year veteran of Gifford, and experienced gynecologist Dr. Ellamarie Russo-DeMara.

The most recent addition in the Randolph primary care office is family physician Dr. Barbara Lazar. “Barb brings a wealth of experience, particularly in geriatrics, and is an extremely competent and kind provider. She is an excellent long-term fit for our community-focused practice,” adds Dr. Plavin, who is also among those providers who have committed themselves to the community.

Most of Gifford’s newer providers – of which there are many more – are from the immediate area or have made it their home, raising children here and engrossing themselves in the community in a variety of ways.

Together – even as health care changes and recruitment, particularly of primary care physicians, becomes more and more challenging – they are carrying on the tradition of neighbors helping neighbors and of high-quality, accessible care in our communities.

carrying on the tradition of accessible care

Above left: Family physician Barbara Lazar joined Gifford in 2012, bringing a background in geriatric care. Above right – Certified nurse midwife Donna Butler, pictured here with a patient and her baby, only joined Gifford in 2010, but this Vermont native has more than 25 years of experience.