This information appeared in our Fall 2013 Update Community Newsletter.
This story appeared in our Fall 2013 Update Community Newsletter.
Dairy farmer Dawn Blodgett has struggled with foot pain her whole life. But when a lump formed on the bottom of her left foot last summer, what was a daily ache turned into sharper pain.
“I felt like I was stepping on a marble,” says 33-year-old Dawn of Brookfield.
Gifford podiatrist Dr. Robert Rinaldi diagnosed the nodule as plantar fibromatosis. Dawn tried orthotic shoe inserts and wearing sneakers instead of barn boots, but still the pain persisted. Dr. Rinaldi offered another possible solution. On the day before Thanksgiving, he performed a new procedure – a Tenex Health TX.
The procedure is aimed at relieving tendon pain – a problem for millions of Americans. Tendon pain is often the result of damage or overuse injuries. The body attempts to heal itself, causing scar tissue. Scar tissue can be painful because it doesn’t stretch and function as a tendon should, explains Dr. Rinaldi.
The Tenex procedure removes and breaks up the scar tissue, or in Dawn’s case the nodule. It is a procedure that doesn’t require general anesthesia or even a single stitch. Patients are given local anesthesia, or an injection. The doctor then makes a very small incision and inserts a device the size of a needle. The device is used to make holes in the scar tissue and delivers ultrasound energy designed to break down and remove damaged tissue. Saline solution helps keep tissues cool during the procedure.
The procedure takes about 20 minutes.
For Dawn, the relief was immediate.
“As soon as the procedure was done, there was an immediate difference,” she says. “I cooked Thanksgiving dinner the next day.”
Today, Dawn is back to milking cows, mucking stalls, doing fieldwork and putting up fencing with much less pain. She’s spending more time with her horses, chasing her kids, and running for exercise.
In fact, she’s 20 pounds lighter than she was before the procedure, which she recommends to others suffering from tendon pain.
The Tenex procedure is new and available for use in orthopedics, sports medicine and podiatry. Gifford is the first hospital in Vermont to offer the technology.
BERLIN – Physician assistant Jayne Collins of Greensboro has joined orthopedic surgeon Dr. Stephanie Landvater in practice at the Gifford Health Center at Berlin.
A Montpelier native and graduate of Franklin Pierce University, Collins brings her extensive knowledge of anatomy and body mechanics to outpatients, including through injury evaluation, during pre- and post-operative appointments and more.
Orthopedists provide non-surgical and surgical care for people with injuries, diseases and abnormalities of the bones, joints and tendons, or musculoskeletal system. Collins has 25 years of experience as an athletic trainer and physical therapist.
In addition to her physician assistant master’s degree from Franklin Pierce, Collins has a master’s in sports medicine from Springfield College in Massachusetts and bachelor’s degrees in physical therapy from SUNY (The State University of New York) at Stony Brook and physical education/athletic training from Springfield College.
She spent several years as an athletic trainer in New York before returning to Vermont and launching a decades’ long career in physical therapy. She worked at Central Vermont Medical Center as a physical therapist and managed Green Mountain Sports Physical Therapy II in Montpelier before opening her own practice in Waterbury in 1990. She was the owner, director and a senior therapist at Family Physical Therapy Inc. in Waterbury for 20 years prior to realizing her dream of becoming a physician assistant.
“It was the next step in my medical education and career goals. In addition to still helping people heal, I would be able to help manage their orthopedic health care,” Collins says.
And she wanted to work with Dr. Landvater.
“From my years of experience as a physical therapist working with Dr. Landvater’s patients, one of my loftiest goals was to work as Dr. Landvater’s physician assistant because of her practice ethics, how much her patients mean to her and the quality of health care she gives her patients,” says Collins.
Working with Dr. Landvater at the Gifford Health Center at Berlin also means giving back to the area.
“I’m native to central Vermont and it’s nice to be able to continue to work in the community that I was raised in, raised my family in and worked in for years.”
Collins goals came to fruition in September when she became a member of the Berlin team. In addition to her work at Gifford, she is a family medicine physician assistant at a small practice in Swanton.
Collins is certified by the National Commission on Certification of Physician Assistants and a member of the American Academy of Physician Assistants, the Physician Assistant Academy of Vermont, Vermont and national physical therapy and athletic training organizations, the American Diabetes Association and the Vermont Association of Diabetes Educators.
Her clinical interests include general orthopedics, sports medicine and injury prevention.
Collins is married with two adult sons, who serve in the U.S. Air Force and the U.S. Army. In her free time, she enjoys spending time with her horse, photography and scrapbooking.
Call Collins and Dr. Stephanie Landvater at the Gifford Health Center at 229-2325. The health center is located at 82 East View Lane, just off the Airport Road.
Gifford also provides orthopedics care in Randolph.
Vermont native Dr. Jesse Hahn has joined the orthopedic surgery team at Gifford Medical Center in Randolph, providing surgical and non-surgical care for injuries and diseases of the musculoskeletal system.
A native of Essex, Dr. Hahn is a graduate of Essex High School and the University of Richmond in Virginia. He went on to earn his doctor of medicine degree from the University of Vermont College of Medicine, where he also completed his residency and served on the faculty as a clinical instructor.
Dr. Hahn has now joined Gifford full-time, is staying in Randolph and is relishing the opportunity to provide local care.
“I am now a neighbor,” Dr. Hahn says. “That’s what I enjoy, taking care of neighbors.”
The ability to help people is what drew Dr. Hahn to medicine.
He offers a friendly, comforting, patient-focused approach.
Seeing a doctor shouldn’t be nerve-wracking, he notes, likening his job to that of a mechanic. He is providing a service. But the service he provides goes beyond that of technician. He is also caring for an individual, and partnering with that individual to meet his or her unique goals.
Sometimes meeting those goals takes surgery. Sometimes more conservative approaches, such as physical therapy and time, work best.
“I am eager to help in any way I can,” says this modest caregiver with up-to-date training.
Dr. Hahn provides care for all types of bone, joint and tendon injuries. Early in his medical education, he contemplated a career in pediatrics. Orthopedic care for children and adolescents consequently remains a special interest of Dr. Hahn’s along with trauma, fractures and upper extremity ailments.
Dr. Hahn is a member of the Orthopedic Trauma Association and AOTrauma, an international community of trauma and orthopedic surgeons, researchers and operating room personnel. In the spring, he begins a trauma fellowship, first in Germany and then in California.
Dr. Hahn is accepting new patients at Gifford’s orthopedics practice in Randolph. Call Gifford’s central scheduling office at (802) 728-2777.
Dr. Hahn works with orthopedics physician assistant Brad Salzmann in Randolph.
Orthopedic surgeon Dr. Stephanie Landvater works out of Gifford’s Berlin practice, the Gifford Health Center at Berlin, and provides surgery in Randolph.
In his free time, Dr. Hahn enjoys the outdoors, including hiking and skiing, as well as auto repair.
This information appeared in our Spring 2013 Update publication.
Dr. Barbara Lazar
Family physician Dr. Barbara Lazar has joined Gifford in Randolph, providing care to all ages, especially older Vermonters.
A graduate of the University of Pennsylvania School of Medicine, Dr. Lazar did her internship and residency at Thomas Jefferson University Hospital in Philadelphia. She is board certified by the American Board of Family Practice.
She began her career in 1996 at the Indian Health Service at Northern Navajo Medical Center in New Mexico. Moving to Vermont in 2003, she worked as medical director at Genesis Elder Care in Lebanon, N.H., and as part of the family medicine department at Dartmouth-Hitchcock Medical Center. She has also worked at Brookside Nursing Home in
White River Junction and most recently at the Program for All-inclusive Care of the Elderly (PACE) in Rutland.
A Sharon resident, wife and mother, Dr. Lazar joined Gifford for the opportunity to work close to home and at a small medical center committed to family care.
Call her at Gifford Family Medicine at 728-2445.
Tara Meyer, APRN
Family nurse practitioner Tara Meyer is the newest member of the family medicine team at the Gifford Health Center at Berlin.
Board-certified by the American Nurses Credentialing Center and a graduate of the University of Vermont, Tara has both nursing and family nurse practitioner experience. She worked as an inpatient nurse at Fletcher Allen Health Care, as a nurse practitioner to children and adults with traumatic brain and spinal cord injuries at Dartmouth-Hitchcock Medical Center, and most recently as a primary care nurse practitioner for the Program
for All-inclusive Care of the Elderly (PACE) in Colchester.
A Montpelier resident and wife, she calls her position at Gifford her “dream job.” “I’m very happy. I just love Gifford. A lot of my friends come to Gifford. A lot of my friends have had babies at Gifford,” Tara says. “It feels really great to work in a place where I’m proud of, that’s really invested in the community and has a great reputation.”
Tara provides care to all ages and also works in area nursing homes on Gifford’s
behalf. Call her at the Berlin Health Center at 229-2325.
Brad Salzmann, PA-C
Experienced orthopedics physician assistant Bradford “Brad” Salzmann has
joined Gifford’s orthopedics team in Randolph, providing office care and assisting
A graduate of Springfield College in Massachusetts, Brad is certified by the National
Commission on Certification of Physician Assistants. He’s worked since 1996 in
orthopedics at Saint Vincent Hospital in Worcester, Mass., and Wing Memorial
Hospital in Palmer, Mass. He also worked in hospitalist medicine at IPC Hospitalist
of New England.
In addition, he has a master’s degree in disaster medicine and management and serves as part of a disaster medical assistance team that responds to national crises.
Now a Royalton resident, this outdoor enthusiast has joined Gifford for the opportunity to work in Vermont and in a small hospital setting. “I’m really excited to be at Gifford. It’s personable. You get to know people and make more of a difference,” he says.
Call Brad in Gifford’s Randolph orthopedics practice at 728-2455. Orthopedics is also offered at the Gifford Health Center at Berlin.