| MDI Hospital Celebrates Grand
Opening of Inpatient Care Unit
December 2007 Nearly one hundred members of the community and staff celebrated the grand opening of Mount Desert Island Hospital’s new Colket Inpatient Care Center on Thursday, November 29. The event marked the latest phase of an overall modernization program, funded by a recently completed capital campaign. Named for Ruth and Tristram Colket, who donated $1million to the campaign, the new Colket Inpatient Care Center provides spacious, modern facilities for MDI Hospital patients and visitors. “Because of the generosity of Ruth and Tristram Colket, the Inpatient Care Center is a beautiful facility that will assist our staff in continuing to provide quality care today and in the years to come,” said Hospital President and CEO Art Blank in his remarks. The new facility, which features private rooms for telemetry, critical care, and medical/surgical patients, as well as spacious rooms for patients undergoing short-term rehabilitation, is scheduled to receive its first patients in early January. “The design of the Colket Inpatient Care Center will provide centralized nursing care, enabling our dedicated nursing staff to provide more efficient and personalized nursing care,” added Tom Mockus, R.N., Director of Medical and Rehab Services. “High quality nursing care has always been the hallmark of our hospital and our new Inpatient Center will enhance and continue that tradition,” said Dr. Edward Gilmore, M.D. The Critical Care Unit of the new facility has been named in honor of Dr. Gilmore. In his remarks, Dr. Gilmore paid respects to the late Patricia Raynes Jackson, a former nurse of his for whom the new nursing station was named. “In 2003, a fund was established by family and friends of Patricia Raynes Jackson in her memory,” explained Dr. Gilmore. “This fund helped to support this renovation project and will recognize her contribution to and love of the nursing profession.” Board Chair Dean Read added words of appreciation for support from the business community. “We were very fortunate to have 36 members of our Business Community support the campaign, and I would like to take this opportunity to recognize them.” He added that, combined with strong support from hospital trustees, staff and the community, the campaign exceeded its original $2.5 million goal by $1.2 million. “Many of you here tonight were instrumental in making the Special Gifts Campaign such a success,” said Blank. “With your support, we will be able to continue our tradition of award-winning care long into the future.” Return to top of page |
| Colket
Nursing Fund Supports Professional Development November 2007
Thanks to a recently created endowment, nurses at Mount Desert Island Hospital are moving ahead in their pursuit of professional development. The Ruth M. and Tristram C. Colket Jr. Nursing Advancement Fund was established as a result of the Colket’s $1million donation to a recently completed capital campaign. “Quality nursing is at the core of a hospital’s ability to provide superior care,” said Hospital President and Chief Executive Officer Art Blank. “And this generous gift will enable the Hospital not only to enhance opportunities for our nurses, but to improve the quality of nursing care our patients receive.” Goals for the Fund include promoting enhance nursing expertise, elevating the practice of nursing to the highest standards, and enabling the Hospital to continue recruiting and retaining the best and brightest among nursing personnel at all levels of the organization. Melanie Modeen, RN, a nurse at MDI Hospital for 12 years in using the funds to pursue a masters degree in nursing. With the degree, Modeen will become a Family Nurse Practitioner, a professional designation that allows her to perform many of the services offered by a physician. Modeen works in several hospital departments including Oncology, a department on which she would like to focus upon graduating. With her license as a Family Nurse Practitioner, Modeen will be able to diagnose and prescribe in addition to coordinating treatments. “I feel very fortunate that the Colkets have established this fund,” said Modeen. “It allows me to pursue my career goals with much less emphasis on the cost. I’m also grateful for the Hospital for working with our generous community members to establish a fund like this that will support the quality of care for our patients.” Linda Crowell, RN, a nurse in the Hospital’s Emergency Department is also using the funds to pursue a masters degree. “I’m in the graduate program at Orono (University of Maine) and plan to become as Family Nurse Practitioner,” said Crowell. “I think it’s wonderful,” said Crowell of the available funds. “The endowment funds for a graduate program are essential.” Brenda Smith, RN, the Hospital’s current Director of Surgical and Obstetrical Services, will also be pursuing a masters degree in nursing with a focus on healthcare informatics, the use of computers and computer technology in healthcare. Having already taken four courses toward her degree, Smith can see how informatics plays an increasingly important role in healthcare. “As we continue our move toward electronic health records, and work to interface our system with larger systems beyond our hospital, this training and knowledge will be extremely important,” explained Smith. Smith also expressed appreciation for the Colket’s support. “It’s a wonderful opportunity. I really appreciate it,” said Smith. “The Colkets certainly see the importance of continuing education and how it helps not only the individual receiving the training, but the hospital and the community it serves.” |
| Local Physician Testifies Before
Senate on Gulf War Syndrome October 2007 The combination of symptoms known as “Gulf War Syndrome” affects nearly 200,000 veterans. Yet, despite a long, well-documented history of the illness, many physicians still think it’s all in the patients’ mind. But, while testifying before the Senate Committee on Veteran Affairs recently, Dr. Meryl Nass explained that the illness is real, and requires better research. A nationally renowned expert on bioterrorism, anthrax and vaccine injuries, Dr. Nass, who is also a physician with MDI Hospital, was asked to testify before the committee to help it investigate improved research and treatment of affected veterans. Symptoms of Gulf War Syndrome include muscle and joint pain, memory loss, intestinal and heart problems, fatigue, diarrhea, and rashes. “Gulf War soldiers encountered an unprecedented mix of noxious substances, which are known to cause neurological, immunologic and other adverse effects,” explained Dr. Nass in her testimony. “A very reasonable hypothesis is that those who became ill reached a tipping point, where their body’s ability to safely process the toxic materials they took in was exceeded,” she remarked. However, she pointed out that effective treatment is still largely unavailable to veterans. Part of the problem, she explained, is that doctors aren’t universally convinced that the syndrome exists. Dr. Nass asserted that many physicians have been convinced by the media that Gulf War Illnesses either do not exist, are psychosomatic or a result of stress. “Surprisingly, this includes physicians at VA facilities who care for affected patients,” Dr. Nass added. Dr. Nass runs a clinic at the Hospital’s Cooper Gilmore Health Center to treat patients suffering from Gulf War and other multi-symptom syndromes. “Many patients with Gulf War Syndrome meet criteria for other medically unexplained conditions, such as chronic fatigue syndrome, fibromyalgia, and multiple chemical sensitivity,” explained Dr. Nass. “These conditions are poorly understood, but have a very similar pattern of symptoms and findings as Gulf War Syndrome.” The lack of understanding, she added, is because research to-date has focused on psychiatric causes, and has failed to investigate treatment. Insurance coverage for treatment is another roadblock for those suffering from Gulf War Syndrome. “A few doctors have experimented with various detoxification strategies, and some alternative doctors use these treatments frequently, but they are not proven to be effective and are not eligible for third party reimbursement,” Dr. Nass remarked. In addition, patients with multiple symptoms require a lot of physician attention. “I am fortunate that as a salaried physician, my employer, Mount Desert Island Hospital, allows me to conduct a specialty clinic as a community service, even though I could bring in considerably more fees treating patients with standard illnesses during brief visits,” she pointed out. Her approach, like the syndromes she treats, is multifaceted. “I address treatment for each symptom individually,” she explains. “I also try to optimize patients’ overall metabolic function with diet, vitamins and supplements. Antioxidants may also be helpful.” But Dr. Nass admits that effective treatment for Gulf War and other multiple-symptom syndromes is not likely to be widely available in the foreseeable future. “Without adequately funded research and training, physicians who are knowledgeable about treating these patients will continue to be few and far between.” For an appointment with Dr. Nass, call MDI Hospital at 288-5081. Return to top of page |
Doug DuBois Named EMT of the Year September
2007  Doug Dubois (center), an Emergency Medical Technician with the Bar Harbor Fire Department receives this year’s EMT of the Year Award during MDI Hospital’s September 11th EMS Recognition Banquet at the Bar Harbor Club. The annual award recognizes the outstanding performance of an EMS professional. Shown with Mr. DuBois are (from left) MDI Hospital emergency department physician assistant Gerry Keenan, PA-C, emergency room nurse Vicky Eaton, RN, Regional EMS Coordinator Rick Petrie, and Emergency Department Medical Director Julius Krevans Jr., MD. Return to top of page  |
| MDI Hospital to Host EMS Banquet on
September 11 August 2007 Members of the local EMS community, and those who wish to honor them, are invited to MDI Hospital’s EMS Recognition Banquet, Tuesday, September 11 from 5:30pm to 7:30pm at the Bar Harbor Club on West Street in Bar Harbor. The Hospital holds the banquet each year on or near September 11th to pay tribute to those who lost their lives in the wake of that tragic day, to honor those who put forth a heroic effort in the rescue and recovery missions, and to recognize the outstanding service of local EMS personnel to our community. The evening will feature the annual EMT of the Year Award, as well as presentations by Hospital officials and colleagues within the EMS community. This year’s featured speaker will be Scott “Dusty” Warner of the National Park Service. Mr. Warner will present a firsthand account and photo essay of his experiences fighting wildfires in the western United States. Please RSVP by friday, September 7th to Brenda Hall, 288-5082, extension 198. Return to top of page |
| Dr. Heniser Adds to MDI
Hospital’s OB, Family Provider Staff
August 2007 With the addition of Dr. Michael Heniser, D.O. Mount Desert Island Hospital has bolstered its staff of family practitioners and obstetrics providers. Dr. Heniser will begin holding office hours, Monday through Friday, in September at the Community Health Center in Southwest Harbor. A 2004 graduate of Chicago College of Osteopathic Medicine, Dr. Heniser completed his internship and residency at the Fort Wayne Medical Education Program in Fort Wayne, Indiana in 2007. Dr. Heniser is certified in Advanced Trauma Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support, Neonatal Advanced Life Support, and Advanced Obstetrical Life Support. Dr. Heniser brings to his new practice professional experience in family practice, emergency medicine, surgery, osteopathic manipulation and obstetrics. “I’m a full-spectrum family practitioner with an interest in women’s health and acute care,” explains Dr. Heniser. “My experience and training have prepared me to work in communities like this. I like to be involved in every aspect of my patients’ care.” As one of three OB providers on MDI Hospital’s staff, including Dr. Mary Dudzik, and Certified Nurse Midwife Dianne Lytle, Dr. Heniser will provide prenatal care and deliver babies as well. Dr. Heniser’s wife Becky teaches third grade at Mount Desert Elementary School. They live on Mount Desert Island and enjoy outdoor recreation. “I look forward to snowmobiling, learning to sail and enjoying all of what Maine has to offer,” remarked Dr. Heniser. For an appointment with Dr. Heniser, call the Community Health Center at 244-5630. Return to top of page |
| MDI Hospital Celebrates
Anniversary, Awards, Positive Bottom Line August 2007 Mount Desert Island Hospital celebrated awards, milestones and a positive bottom line at its annual meeting, held August 6th at the Bar Harbor Club. The Hospital recently received the 2007 Outstanding Rural Health Organization Award from the National Rural Health Association. “This award is a tribute to the dedicated and talented professionals that make up our team,” said Hospital President and Chief Executive Officer, Art Blank. The Hospital also won a fifth consecutive Overall Best Performer for Patient Satisfaction award from the research firm Avatar International, Inc. The award is given to just twelve hospitals nationwide for high patient satisfaction survey scores throughout the organization. “This award underscores the patient-centered approach to care, practiced throughout our organization,” said Mr. Blank. In May, MDI Hospital received the Governor’s Council on Physical Activity Contest for Communities Award for its Spring and Fall Walking Programs. “This award reaffirms the commitment our Hospital makes to helping members of our community adopt healthy, active lifestyles,” added Mr. Blank. Wendy Fielding, the Vice President of Finance and Support Services, pointed to a 12 percent increase in doctor visits during fiscal year 2007 as a major reason for the Hospital $1.1 million overall gain. “A large piece of the increase was at the MDI Behavioral Health Center,” explained Ms. Fielding, adding that 4,000 more patients were treated in fiscal year 2007 than in the previous year, an increase of 56 percent. “Visits to our primary care practices grew by seven percent,” added Ms. Fielding. “Even the emergency department saw 5% growth in the number of services.” Adding to the Hospital’s healthier bottom line was an increase, by over $1 million, in the operating margin. Ms. Fielding also credited the generosity of donors for the Hospital’s improved financial standing. Growth in Hospital facilities was also cause for celebration. “Two weeks ago we had the pleasure to cut the ribbon on our new Gilmore Critical Care Unit,” remarked Mr. Blank. The new facility is part of the first phase in the development of the Colket Inpatient Care Center, due for completion in 2008. The evening culminated with the presentation of the Volunteer of the Year Award to Development Committee Chair Harriet Whittington, and the Employee of the Year Award to co-winners Roberta Cummings and Kay Moore. Return to top of page |
| MDI Hospital’s Walking Program
Wins Governor’s Award
June 2007 MDI Hospital’s Spring and Fall Walking Programs has received the Maine Governor’s Council on Physical Activity “Contest for Communities” award. The award, presented Wednesday, May 30, at the State House Hall of Flags, recognizes innovative programs that promote health and fitness in Maine. MDI Hospital also received recognition by the Council in 2005 for the YES, or Your Exercise Solution, a mostly seated, low-impact exercise program for seniors. The Hospital’s Wellness Department presents both programs. The Spring and Fall Walking programs take place on the scenic carriage roads of Acadia National Park. They provide an opportunity for both fitness and social interaction. The guided walks are available for those who walk at a leisurely pace and those who prefer a faster pace. Both Spring and Fall programs include walks that gradually increase in distance and difficulty. All fitness levels are welcome and participants’ fitness is monitored throughout the program to track progress. Walks are lead by CPR certified guides. “We’re honored to receive this award,” said Kathy Mulligan, MDI Hospital’s Wellness Assistant. “The Governor’s Award recognizes MDI Hospital’s commitment to finding innovative ways to improve the health of our community. Our Walking Program provides a unique way for people to get fit, develop new and lasting friendships, and enjoy the spectacular scenery that our island has to offer.” The free Spring Walks take place Mondays and Fridays, ending on June 29 with a final five-mile walk beginning at Bubble Pond. For more information on MDI Hospital’s Spring and Fall Walking Program, call 288-5082, extension 624. Also honored at the event was Pemetic Elementary’s Walking Club, organized by nurse practitioner Pilar Burmeister, who provides health care services at the school under a contractual arrangement between the Hospital and school union 98. Return to top of page |
| MDI Hospital Named Outstanding
Rural Health
Organization May 2007 MDI Hospital has been named the Outstanding Rural Health Organization of the Year by the National Rural Health Association (NRHA). The award, presented on Wednesday, May 16th at the NRHA’s Annual Conference in Anchorage, Alaska, recognizes organizations that improve access to health care for people living in rural areas. “We’re very proud to receive this prestigious award,” said MDI Hospital President and Chief Executive Officer, Art Blank. “This award acknowledges MDI Hospital’s longstanding commitment to innovation and quality, and our comprehensive approach to improving access to health care.” One of the more significant challenges to providing care in the MDI region, explained Mr. Blank, is the geography. “The MDI region includes islands and hamlets that are separated by large sections of Acadia National Park,” said Mr. Blank. Overcoming these challenges, explained Blank, often involves collaboration. “We work with the Maine Seacoast Mission to deliver care to our neighbors living on the outer islands using telemedicine two-way communications system,” stated Mr. Blank. The Hospital has also expanded access to health care through a collaborative grant-funded program called Community Cares. “Community Cares involves several regional organizations working together to improve access to health care for uninsured or underinsured residents of the island and outer islands,” explained Blank. A major component of the Community Cares program is care management, in which a nurse works closely with patients to help them manage their own health problems. The hospital also has a care management program, which Blank credits with helping reduce the incidence and severity of chronic disease. “One of our big challenges is education, and our care managers work closely with patients to help them understand and deal with the complexity of their disease.” Blank also attributes the award to the hospital’s ability to provide state-of-the-art services, which are on par with some larger, more urban hospitals. “We have been fortunate, because of the generosity of our community, to be able to provide the latest technology. But we also work hard to balance the needs of our community with the available resources. Because of our close relationship with our community, we understand where our services should begin and end.” Blank expressed pride in the fact that MDI Hospital was selected in a competitive process by a group of peers from around the country. But Blank added that the real joy of accepting the award came from its acknowledgement of the people working at MDI Hospital. “I was incredibly proud to collect this award on behalf of our staff. This award is all about the people working here. It’s a wonderful group of people who are so dedicated to their community.” Return to top of page |
| Hospital Holds Spring Health
Fair May 2007 MDI Hospital's Spring Health Fair, held Saturday, May 12 at MDI High School, was well attended despite warm, sunny weather. Islanders of all ages enjoyed the variety of presentations and demonstrations of ways to stay safe and healthy.  
  
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| Lifespan of Today's Youth
Shortened by Metabolic Syndrome May 2007 “Today’s generation of youth may be the first in American history to have a shorter lifespan than their parents,” says Edward Gilmore, M.D. A longtime medical staff member of MDI Hospital, Dr. Gilmore attributes the decline in longevity, in part, to an increasingly common group of risk factors that, when combined, foreshadow an abbreviated life. Metabolic syndrome, so named because it is tied to the body’s metabolism, is a collection of unhealthy conditions that are powerful predictors of type 2 diabetes and cardiovascular disease. Currently, it is estimated that over 50 million Americans have it. The characteristics of metabolic syndrome include abdominal obesity, high triglycerides, elevated blood pressure, reduced “good” cholesterol (HDL), and an elevated fasting glucose. “Patients with three or more of these conditions are considered to have metabolic syndrome,” explains Dr. Gilmore. “As a powerful predictor of diabetes and cardiovascular disease, the metabolic syndrome provides doctors with the opportunity to intervene and help their patients,” Dr. Gilmore adds. “Treatment of the metabolic syndrome includes increased physical activity and weight reduction. Drugs play only a minor role,” says Dr. Gilmore. Experts agree that moderate physical activity for an average of at least 30 minutes a day at least 5 days a week will help maintain a healthy weight. More may be needed for significant weight loss. “People should consult with their physician before beginning any exercise program,” cautions Dr. Gilmore. In addition to exercise, Dr. Gilmore points out that weight loss is more a function of the amount of calories we take in than the type of food we eat. “What we eat is not as important as how much we eat,” stresses Dr. Gilmore. One pound of fat contains approximately 3,500 calories. So to lose one pound per week a person should consume approximately 3,500 fewer calories per week than he or she burns. “This can be done by reducing daily intake by 500 calories per day. If this seems impossible, remember that physical activity also contributes significantly to weight loss,” adds Dr. Gilmore. “The problems of physical inactivity and obesity often begin in childhood,” explains Dr. Gilmore. “Sixteen percent of all children and teens in the U.S. are overweight. Alarmingly, public health experts fear that today’s generation may be the first in recorded history whose lifespan may be shorter than their parents.” The bottom line, says Dr. Gilmore is that Americans need to exercise more and eat less. However, he adds that lifestyle changes are major challenges that involve more than just the patients and their doctors. “We need widespread social changes, including parental education and commitment from the food industry, schools, and health care providers in an effort to prevent and treat the metabolic syndrome, and improve the prospects of a long life for our young.” Return to top of page |
| MDI Hospital Crew Cleans Up
During Earth Day May 2007 On Saturday, April 28, MDI Hospital employees, friends and family members gathered for the Friends of Acadia Earth Day Roadside Clean-up to clean Route 3 from the Tarn to Otter Creek. Below are photos of the group doing their part for the planet.  
   
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| Waging War Against Drug
Resistant Germs May 2007 “There is a war going on between us and germs,” says Julius Krevans, Jr. M.D., Medical Director of MDI Hospital’s emergency department. This war, which has been called one of the world’s most pressing public health issues, pits scientists, healthcare providers, and their patients against germs that can mutate and become resistant to what has, for over 50 years, been the first line of defense – antibiotics. Since their introduction in the 1940s, antibiotics have helped control the spread of infectious disease by killing bacteria that trigger illness. But bacteria, because they are simple organisms, can easily adapt and become resistant to antibiotics. And as antibiotic usage has become more widespread, bacteria have become more resistant. A significant reason for the increase in resistant bacteria has been over-prescription. “Historically, some providers have prescribed antibiotics because their patients want them, not necessarily because they’re indicated,” explains Dr. Krevans. Bacteria’s ability to adapt easily, combined with a history of over prescription, has increased the number of resistant bacteria. Fortunately, many institutions like MDI Hospital have systems and procedures in place to ensure the appropriate prescription of antibiotics. At MDI Hospital, two committees oversee the safe, therapeutic and effective prescription of medications. Hospital personnel also review the latest information on appropriate antibiotic prescriptions on a case-by-case basis. “The emergency department conducts case reviews to address best practices, as well,” adds Dr. Krevans. Patients often assume that an antibiotic is called for when, in fact, it is not. Certain kinds of infections, including colds, the flu, and most coughs and bronchitis are caused by viruses which should not be treated with antibiotics. “By doing more education with our providers, patients are also getting the message that we will only prescribe antibiotics when they are called for,” states Dr. Krevans. “If antibiotics are clearly going to make you better, we prescribe them. But if there is little or no chance of the antibiotic helping, there is a definite downside for the patient, and the community.” Another cause of the growth in resistant bacteria is misuse of antibiotics by the patient. “When you take an antibiotic, it is important that you take them as prescribed,” explains Dr. Krevans. “Do not skip doses, and complete the prescribed course of treatment, even if you’re feeling better,” he emphasizes. “If you don’t take enough to kill the germ, stronger, more resistant germs will survive.” Dr. Krevans also recommends against saving antibiotics for the next time you are sick, or taking antibiotics that are prescribed for someone else. “Taking the wrong medicine may delay the appropriate treatment and allow bacteria to multiply.” The consequences of the growth of resistant bacteria are severe. “Illnesses last longer, the risk of complications and death increase, and the cost of care increases,” explains Dr. Krevans. “And with the emergence of superbugs that are resistant to a variety of drugs, the stakes are high.” Dr. Krevans emphasizes that the war against germs must be fought on several fronts. “Patients must follow the advice and instructions of their providers, and providers must also be vigilant. It is imperative that we all be part of the fight.” Return to top of page |
| MDI Hospital to Hold Spring
Health Fair April 2007 A wide array of health, safety and wellness services will be on display at Mount Desert Island Hospital’s Spring Health Fair, on May 12th from 10am to 2pm at the MDI High School gymnasium. This free event is open to the public and will showcase many Hospital services as well as those of local, regional, state and national organizations. Nutritious refreshments will be available, courtesy of the Hospital’s nutrition services department. Several health screenings will be offered, including bone density, blood pressure, and cholesterol. “These tests are all important tools that can help people and their doctors assess and maintain their health,” explained Kathy Mulligan, MDI Hospital’s Wellness Assistant and coordinator of this event. Also offered will be pulmonary function tests by Dr. Kathy Pelkey, eye exams by Dr. Timber Gorman, and skin checks by physician assistant Jane Tawney. “We encourage people to take advantage of this unique opportunity to have these tests done for free,” Ms. Mulligan added. MDI Hospital providers and others will conduct presentations on a variety of health-related topics, from immunizations to hearing loss. “We’re covering a broad spectrum of information to make this event as dynamic and useful as possible,” state Ms. Mulligan. Demonstrations and information will be provided by several local and regional agencies as well. The Mount Desert Island Police Department will perform child safety seat checks, while the American Red Cross will exhibit an interactive mannequin for CPR training. The Maine Brain Injury Association will offer free bike helmets and fittings for children, and the MDI YMCA will demonstrate exercise equipment. Unique technology will be a particularly interesting feature of the event. The Penobscot Count Sheriff’s Department in conjunction with the Bar Harbor PD will provide iris scans, an identification method for children and seniors with Alzheimer’s disease that is considered better than fingerprinting. Pharmaceutical company Glaxo Smith Kline will demonstrate age enhancement software that shows the effects of smoking. Organizations on-hand will also include Habitat for Humanity, Hospice of Hancock County, Island Connections, Acadia Senior College, Birch Bay Retirement Village, Hancock County Homecare, the Maine Poison Center, Life Line, the Surry Music Therapy Center, and Somesville Rehabilitation Services. “We’re making every effort to present a wide variety of interesting, useful information at this event,” said Ms. Mulligan. “This Spring Health Fair is one more way MDI Hospital is providing its community with the information and tools it needs to get healthy, and stay healthy.” For more information on MDI Hospital’s Spring Health Fair, call 288-5082, extension 624. Return to top of page |
| Hospital Offers Free Wireless
Internet Access April
2007 Mount Desert Island Hospital has begun offering free wireless internet access to patients and visitors in specific areas of the Hospital. With installation completed on April 12th, the system became available on the 13th “We’ve been providing internet access to our patients for a while via a dial-up connection, but now patients and visitors can surf the web or retrieve their e-mail with the convenience and speed of a wireless connection,” said Information Technology Division Director Tim Zeiher. Patients with wireless internet compatible laptop computers will be able to connect to the internet within 150 to 200 feet of wireless access points located in and around patient rooms and the Hospital’s emergency department. Instructions and tech support will be provided by the Hospital. “More and more of our patients are asking for internet access while they are here,” explained Zeiher. “Although we provide patient e-mail through our website and internet access via a dial-up connection, wireless technology will provide a high-speed, broadband connection that will allow much faster surfing and downloads than dial-up,” explained Zeiher. “Some patients even need to bring work with them and this will provide an important tool for conducting business while they’re with us,” added Zeiher. The installation of wireless internet infrastructure coincides with construction currently underway to modernize the Hospital’s inpatient facilities. Funded by a recently completed capital campaign, the modernization project will result in private, more spacious patient rooms. “Our goal is to make the patient experience at MDI Hospital comfortable in every way,” added Zeiher. “Staying connected to friends, family, or the workplace is important to our patients, and free wireless internet access is just one more way we’re working to ensure that.” Return to top of page |
| Hospital to Hold Open House for
Children April 2007 In celebration of TV Turn Off Week, MDI Hospital invites all children and parents to a special behind-the-scenes tour on Thursday, April 26th from 4:30pm to 6:00 pm. Children are encouraged to bring along a favorite stuffed animal “patient.” The tour will begin at the Hospital’s main entrance where children and their “patient” will receive a name badge and personalized wristband. After registering, guests will visit the Infection Control Department where staff will explain the importance of hand washing and good hygiene, especially in a hospital environment. Each child will receive a pair of gloves to wear throughout the visit. Next, children, their parents and “patients” can choose to visit any or all of several participating departments. Hospital volunteers will act as guides, leading guests to the department of their choice, where personnel will provide an entertaining, educational presentation. At the Emergency Department, a nurse will demonstrate what happens to patients when they need emergency care, from having their blood pressure taken to their hearts and lungs listened to. In the Physical and Occupational Therapy department, visitors will see the various pieces of equipment that are used to help patients recuperate and get stronger after injury or illness. A Medical Imaging department staff member will explain how technology such as x-rays and ultrasound can help doctors see inside the body. Guests can test their identification skills by playing a “Guess the Animal” game using x-rays of various species. A Laboratory staff member will explain how the lab helps diagnose illnesses, and will demonstrate some of the fascinating science involved in their work. Guests will have a hands-on opportunity to look at cells under a microscope. Guests will don surgical caps, boots and masks to visit Surgical Services. Staff will display various surgical tools, including an endoscope—a tiny camera that doctors use to look inside a patient’s body. The tour will end with a healthy snack and a presentation by MDI Hospital Wellness Programs about the importance of a balanced diet and exercise. Children must be accompanied by an adult during the tour. Interested parents should pre-register their children for this event by contacting Anne West in the Hospital’s Public Affairs Department at 288-5082, ext. 421 or via email at anne.west@mdihospital.org. Return to top of page |
| Prolotherapy Uses Body’s Own
Healing Power April 2007 “Much of what we do in the practice of medicine has to do with reducing inflammation, especially when we are treating arthritis, or relieving pain,” says Dr. Mark Kandutsch of Cadillac Family Practice. “So it is somewhat ironic that one of the more effective treatments, called prolotherapy, actually relies on inflammation to promote healing.” “Prolotherapy has been around for more than sixty years, however it remains outside the mainstream of medical practice,” explains Dr. Kandtutsch, a family practitioner who offers the procedure. Currently, MDI Hospital is one of only a few hospitals in the U.S. with official clinical privileges for prolotherapy. “For some patients with damaged tendons and ligaments, prolotherapy is an alternative to surgery, or it is used when more traditional therapies like cortisone injections have failed,” Dr. Kandtusch points out. “When they are injured, tendons and ligaments often don’t heal completely because of poor blood supply,” explains Dr. Kandutsch. “So these normally taut, strong bands of connective tissue become relaxed, weak, and painful.” Prolotherapy involves a series of injections, made into connective tissue, especially where ligaments and tendons attach to bones. A solution is injected that causes a localized inflammatory reaction. The inflammation “turns on” the body’s natural healing response, which causes the ligament or tendon to tighten and become stronger. Because prolotherapy is an alternative to surgery in some cases, patients don’t endure scars and lengthy rehabilitation. “But the biggest benefit of prolotherapy,” explains Dr. Kandtusch, “is that it produces long-lasting relief using the body’s own healing mechanisms.” Persistent pain due to ligament laxity, or damage, is common in the spine, Sacroiliac and other joints such as the ankle. “Sometimes, despite the physician’s best effort, these problems return,” explained Dr. Kandutsch. “These patients are often ideal prolotherapy candidates.” “There are few other definitive therapies available for back pain that is the result of ligament laxity,” Dr. Kandtusch points out. “I have also had success treating Achilles tendonitis and certain cases of osteoarthritis with prolotherapy,” he adds. While prolotherapy is still considered an alternative to more traditional therapies, its proponents are growing. “There is a steady growth in the number of doctors who practice prolotherapy, and it has gained some traction in recent years because of the successful treatment of several prominent sports and public figures,” Dr, Kandtusch points out. “In general, prolotherapy should be considered an additional option for a carefully selected group of patients whose troubles can be traced to stretched ligaments, osteoarthritis, or tendonitis,” says Dr. Kandutsch. “Prolotherapy should be used to supplement a basic strategy of exercises and stretches,” Dr. Kandtusch emphasizes. For more information on prolotherapy, contact Cadillac Family Practice at 288-5119, or visit the web site of the American Association of Orthopaedic Medicine at www.aaomed.org. Return to top of page |
| Breast MRI Recommended for Some
Women April 2007 Certain women with an especially high risk of breast cancer should get magnetic resonance imaging scans along with their yearly screening mammograms according to a recent recommendation from the American Cancer Society (ACS). The ACS reports that the two tests together give doctors a better chance of detecting breast cancer early in these women, when it is easier to treat and the chance of survival is highest. The recommendation is aimed at symptomless women age 30 and older who have a mutation in specific cancer suppressor genes, those who were treated for Hodgkin’s disease by radiation therapy to the chest, or those with a strong family history of the disease, such as women with two or more close relatives who had breast or ovarian cancer or who have a close relative who developed breast cancer before age 50. The American Cancer Society reports that as many as 1.4 million women fall into the high-risk group. The Breast Center at MDI Hospital offers free risk assessments. Call 288-8435 for an appointment. Doctors usually screen for breast cancer using mammography, an X-ray technique that can spot dense masses like tumors. MRI, or magnetic resonance imaging, makes images with a magnet and radio waves and has been used in the past as a diagnostic tool to provide more detailed images of suspect breast masses revealed by screening mammograms. In recent studies comparing breast imaging technology, MRI scans were slightly better at finding invasive cancers in younger women and those with dense breasts. MRI was also better at finding multiple sites of breast cancer in the same breast. Mammography was better at finding small calcifications associated with non-invasive cancers, which means that both types of screening are useful and complementary. “Breast MRI is not recommended as a screening test for women with an average or low risk for breast cancer,” stated John Benson, M.D., Medical Director of Medical Imaging at MDI Hospital. MRI as a screening tool for breast cancer is currently covered by some insurances. “As this recommendation becomes better understood, hopefully more insurances will cover breast MRI as a screening tool for high-risk women,” added Dr. Benson. On a related topic, a study recently published in the New England Journal of Medicine also indicates that MRI used on women with newly diagnosed breast cancer is more effective at finding tumors in the opposite breast. “As many as 10% of women with breast cancer develop a new tumor in the opposite breast,” said Dr. Benson. “Finding these cancers earlier provides additional treatment options.” “This is good news for our patients,” added Dr. Benson. “We have been providing breast MRI services since 2002, and with on-site MRI along with our Breast Center, our patients can access this lifesaving technology in one convenient location. We recommend that women talk to their provider about this exciting new development.” Return to top of page |
| Popular Exercise Program Receives
Funding for Equipment March 2007 With funding from a Healthy Acadia Coalition Mini Grant, MDI Hospital’s Wellness and Prevention program has gained a little weight. Thanks to a $500 grant, the popular YES, or Your Exercise Solution program will now incorporate weights as well as resistance bands into its mostly seated, low impact routine. “We decided to incorporate the weights and bands to add a little resistance to the exercises we were already doing,” explained Wellness Assistant Kathy Mulligan. “Resistance training is an important part of an overall fitness program,” added Ms. Mulligan. YES combines strength and cardiovascular exercise under the guidance of a trainer. Participants are lead through high-energy, low-impact routines by Ms. Mulligan or Wellness Specialist Laurie Jones. “The weights are light but there are a lot of ways to use them to build upper and lower body strength,” explained Ms. Mulligan. “And the bands will allow us to work on range of motion and to safely target muscles that we could not otherwise.” “The benefits of this kind of training, especially for seniors, are many,” said Ms. Mulligan. “With strength comes better balance, increased mobility and flexibility, and decreased likelihood of injury.” The YES program is currently offered at the Maple Lane Apartments in Northeast Harbor, at Malvern Belmont Estates in Bar Harbor, and at Ridge Apartments in Southwest Harbor. “By offering the class in different locations, we make it easy for community members to participate,” explained Ms. Mulligan. Because it is still relatively new, the Southwest Harbor class at Ridge Apartments has plenty of room for new participants, explains Ms. Mulligan. “We hope to see more members of Southwest Harbor and surrounding communities at the Ridge Apartment classes. “These classes also provide an opportunity to socialize and just have fun,” added Ms. Mulligan. “We play music and joke around. It really is fun to exercise!” Classes at the Ridge Apartments in Southwest Harbor are held Mondays at 9:00am. Malvern Belmont classes are Tuesdays and Thursdays at 9:00am. In Northeast Harbor, classes are held at Maple Lane Apartments the first Wednesday of each Month at 11:00am. For more information on the YES exercise classes, call 288-5082, extension 624. Return to top of page |
| Local Administrators Help
Establish Statewide Health Network March
2007 Two local administrators, Art Blank, President and Chief Executive Officer of MDI Hospital, and Charles Hewett, Ph.D., Vice President and Chief Operating Officer of The Jackson Laboratory, have been chosen to help oversee the development of a statewide health information network. The two are serving on the board of HealthInfoNet, a non-profit organization formed in 2006 to develop a data network that will permit rapid access to patient-specific healthcare information. The board is comprised of a cross-section of stakeholders, including representatives from large health systems and small hospitals, private insurance, the physician community, consumer groups, employers, public health, and state government. “The development of this network will connect silos of information currently in place,” explained Mr. Blank. Those “silos” include the electronic patient information that already exists in many healthcare systems but is unavailable to providers outside each system due to the lack of a statewide network. “We’re already at the forefront of collecting and analyzing healthcare information,” said Mr. Blank, adding that Maine is one of only three states establishing such a system. Many healthcare organizations have implemented electronic medical records, and organizations such as the Maine Healthcare Management Coalition are using health information to promote best practices, safety, quality and cost savings. When completed, the system will be designed to integrate with an emerging regional and national health information infrastructure. “With an interconnected system in place, physicians throughout the state will have access to the right information at the right time,” explained Mr. Blank. Information gathered through the system will be used with the patient’s consent, and rigorous security measures will be implemented to prevent unauthorized access. The benefits of such a system include cost savings, improved patient safety, enhanced public health, and improved quality. “Large employers like the Hospital and The Jackson Laboratory that spend millions of dollars on health insurance have a vested interest in the development of a system that will provide such savings,” said Mr. Blank. “And because this system has the potential to reduce business expenses, it is invaluable to the economic development of our state.” Cost savings, according to a recent study, could be over $50 million per year. This includes $40 million from a reduction in unnecessary prescriptions, $3.8 million from fewer unwarranted laboratory tests, $7.5 million in savings from reduced needless diagnostic studies, and $2.72 million from a reduction in adverse drug events. In addition, a reduction in adverse drug reactions will improve patient safety, while the ability to track infectious disease will improve public safety efforts. And, by helping to ensure the provision of evidence-based treatment, the system will improve the quality of care. One significant challenge in implementing the system is funding. Financial support for HealthInfoNet’s start-up was provided in part by the state and grants. A pilot project, which will connect the four major healthcare systems in the state and other smaller organizations will begin this year at a cost of approximately $7 million. “We have a budget request into the legislature of $2 million in the next biennium,” explained Mr. Blank. “We’re also looking at federal grants and other sources for funding.” However, Mr. Blank points out that implementation on a statewide level will require support from those who will benefit financially from the system, including insurers, the government, and others who pay for health insurance. “We have to find a way to get those who will most benefit from this system to help pay for it,” emphasized Mr. Blank. Return to top of page |
| New Phlebotomy Service on Swans
Island Makes Life Easier March 2007 At 88, Swans Island resident John Wheaton enjoys the peace and quiet of island living. What he does not like however is the time and money it takes to run a simple errand to the mainland. But thanks to a new service offered at the island’s health clinic, one important errand that Mr. Wheaton runs can be done in a matter of minutes versus the daylong expedition he previously had to undertake. Mr. Wheaton, like a significant number of Swans Island residents, needs his blood drawn for health tests. Blood testing is done on patients with conditions such as diabetes, high-cholesterol, and for patients on blood thinners. Until recently, if they needed blood drawn more than twice a month when MDI Hospital physicians visit, islanders had to catch a ferry to MDI. The cost of the ferry tickets, gas, and food, not to mention the time, are no small inconvenience for islanders. "The expense of a trip to the mainland is a lot, but more so, at my age, 88 years old, going to the mainland is very tiring,” said Mr. Wheaton. Last year, however, Swans Island conducted a survey of its residents to determine what healthcare services would be of the greatest benefit to the island. The survey was conducted in preparation for a new clinic, which will not be open until early next year. “The number one response was blood draws,” said island resident Donna Wiegle, who as a Medical Technologist is volunteering her time to provide the service. After a conversation with MDI Hospital representatives, Ms. Wiegle arranged to receive training from Hospital Lab Manager Doug Dufault to renew her phlebotomy skills. “We talked about obstacles and logistics and he helped me figure out how best to make this happen.” Phlebotomy service is now offered every Tuesday from 7:30 am to 9 am at the island clinic located in Atlantic Apartments. Blood is sent via ferry and courier to MDI Hospital where it is tested in the lab and results are sent to back to the patient via his or her physician. “Just the convenience the service will offer to those who use it, makes it worthwhile,” added Ms. Wiegle. For patients on blood thinners, the results are sent to the Hospital’s new “Coag,” or anticoagulation clinic, where registered nurse Jean Bell provides consultation to the patients by phone. Because of the challenge of maintaining proper blood levels, this clinic was established to help patients on blood thinners understand and manage their own health. “Word is getting around the island about the service and I think it will continue to increase over time, especially as we get into the summer season,” said Ms. Wiegle. “I already have 3 more patients lined up for blood work. I feel that it will be a successful endeavor.” Swans Island residents like Mr. Wheaton agree. “Being able to have my blood drawn on the island is a wonderful thing.” Return to top of page |
| Women’s Health Center Benefit to
Feature Silent Films, Auction March 2007 Silence will be golden at the second annual Women’s Health Center benefit on Saturday, March 24th. The event, held at Reel Pizza, will feature silent films and a silent auction. Proceeds will support the development of community education and outreach programs presented by the Women’s Health Center. A 2:30 matinee comedy, “Seven Chances” featuring Buster Keaton, will be followed by a 5:00pm showing of the melodrama “Sparrows” with Mary Pickford. Both films will include a live piano accompaniment. The silent auction will run from 2:00pm to 5:00pm. An array of items donated by area businesses and local artisans will be available for bidding. Tickets for each show are six dollars for adults, four dollars for children. The public is welcome to enjoy a fun filled evening to benefit a great cause. Return to top of page |
| MDI Hospital Opens Clinic to
Help Patients on Blood Thinners March 2007 For people who are prescribed blood thinners, or anticoagulants, such as Coumadin®/warfarin, life becomes a balancing act. If the blood becomes too thin, trimming a toenail too close can mean a visit to the ER. If the blood is too thick, clots can form causing serious medical problems such as heart attacks and strokes. To help manage the delicate balance, MDI Hospital now offers an anticoagulant or “Coag” Clinic. The clinic, located in the Hospital’s Cooper-Gilmore Health Center, is open Monday through Friday from 8am to 4pm. Blood thinners are often prescribed for patients with atrial fibrillation (an irregular heart rhythm), pulmonary embolism, and after artificial heart valve surgery or orthopedic procedures. They are prescribed because the body may be making blood clots or the patient’s medical condition promotes unwanted blood clots. “The goal of anticoagulation therapy is to achieve therapeutic blood levels through careful administration of blood thinners,” explained Jean Bell, RN, who runs the Hospital’s Coag Clinic. She explains that “therapeutic” levels are attained when the blood is thin enough to avoid clotting, but not so thin that the patient is at risk of heavy bleeding, which can come from something as seemingly harmless as a small nick or cut. Many things can cause blood levels to go out of therapeutic range, from interactions with over-the-counter medications to missed doses, so achieving and maintaining therapeutic blood levels requires careful oversight of a trained professional. To develop the knowledge and skill required to provide this type of care, Ms. Bell, a registered nurse, underwent an 8-week Anticoagulation Therapy Management Certification Program. Her colleague, Pam Caine, Coordinator of the Hospital’s Care Management Department is also certified, and provides backup to Ms. Bell. Most oral anticoagulation therapy in the United States is managed by the patient’s physician. Having a clinic devoted solely to management of anticoagulants ensures that the patient not only receives the necessary supervision, but the education and follow-up that helps them understand and more effectively participate in their own care. In addition, “several studies have shown that dedicate anticoagulation clinics provide better treatment, resulting in fewer complications than anticoagulation managed in physician’s offices,” stated Edward Gilmore, M.D., the clinic’s Medical Director. “A clinic that is dedicated to education and management allows the patient and provider to become proactive in anticoagulation management,” added Ms. Bell. “The patients also like knowing that someone is focusing on this crucial aspect of their health care, ” explained Ms. Bell. “We’re able to develop a relationship that encourages open, honest communication. In that environment, we can help them understand and problem solve.” The clinic, which officially opened in December 2006, is a service of the Hospital’s Care Management department, which provides care support for patients inside and outside the Hospital. For more information on MDI Hospital’s Coag Clinic, call 288-5082, extension 656. Return to top of page |
| MDI Hospital Nurse Practitioner
Improves Acceess to Healthcare at Tremont Elementary February 2007 In its continuing effort to make healthcare more accessible, Mount Desert Island Hospital is now providing a Family Nurse Practitioner to Tremont Elementary, Wednesday mornings during the school year. Through a contractual arrangement between School Union 98 and the Hospital, Pilar Burmeister, FNP, provides students of the school with convenient access to many of the services offered by a physician. While school nurse Terri Lanpher, RN, provides on-site nursing during the rest of the week, Ms. Burmeister is able to offer a deeper level of services because of her licensure. “I can conduct physicals, diagnose health problems, and prescribe medications,” explained Ms. Burmeister. Ms. Burmeister is a familiar face to many students and parents of Tremont Elementary, having worked as the school nurse from 2001 to 2002. “Many parents tell me that having a clinic with a provider they know is a benefit,” added Ms. Burmeister. Another benefit for parents and students is convenience. “Because I can offer many of the same services offered by doctors, parents don’t have to miss work, or delay important health care appointments,” said Ms. Burmeister. “One of the more important benefits of this program,” explained Dr. Julian Kuffler, Medical Director of the school-based clinics, “is the follow-up for chronic illness that Nurse Practitioners can provide – from diabetes to mental illness. Nurse Practitioners can work with primary care physicians to monitor and care for these students, which will greatly reduce the impact of chronic disease.” Through a similar contractual arrangement, Ms. Burmeister provides health care services at Pemetic Elementary School when she is not at Tremont, and Family Nurse Practitioner Barbara Logue conducts a clinic at the High School. “This is part of MDI Hospital’s expanded commitment to get healthcare to those who need it,” emphasized Dr. Kuffler. “We’re taking the practitioner to the patients. Not the other way around.” All insurances are accepted for the services at Tremont Elementary school-based clinic. For those without insurance, a $10 fee is charged for unlimited visits through the end of the current school year. Return to top of page |
| Betty Mitchell Certified As
Clinical Breast Examiner February 2007 Betty Mitchell, a Registered Nurse with the Breast Center at Mount Desert Island Hospital, has successfully completed the requirements to become a Certified MammaCare Clinical Breast Examiner. The MammaCare method of clinical breast examination is the recognized standard for teaching and performing clinical breast examinations. Through one-on-one training, the MammaCare method of clinical breast exam provides women’s health care professionals the tactile training needed to enhance sensitivity of the clinician’s fingers. The method involves a palpation and search procedure that is designed to ensure contact of the trained fingers with every cubic millimeter of breast tissue. MammaCare began in 1974 as a research project of the National Cancer Institute to develop a program for efficient manual breast exams. Training includes the use of tactually accurate breast models with simulated lesions that feel similar to the types of lumps surgeons consider suspicious. The method involves using the pads of the middle three fingers, three levels of pressure, and an organized search pattern on the breast. MammaCare techniques have been extensively studied and reported in medical journals, and have been found to produce significantly more thorough and sensitive manual breast exams. To ensure that all Breast Center patients benefit from the thorough examination technique she has learned, Ms. Mitchell has conducted training for the other members of the Breast Center nursing staff in the MammaCare method. “Patients here are so grateful,” said Ms. Mitchell. “They often say how pleased they are with such a thorough breast exam. They feel that when they’ve left the Breast Center, they’ve had a pretty comprehensive exam.” Ms. Mitchell not only provides thorough exams to her patients, she teaches them to conduct effective self-exams. “Most women are familiar with their own breasts,” explained Ms. Mitchell. “The training we provide to them helps more them accurately identify suspicious lumps earlier. And we now know that many breast cancers detected early can be cured.” Dr. John Benson, the Breast Center's Medical Director, added that the detailed documentation from the exam is very helpful to radiologists interpreting mammograms. “It helps the interpreting radiologist correlate imaging findings with the clinical breast exam. I would encourage all women that come to the breast center to avail themselves of this wonderful service. It is provided at no additional charge." Located on the Hospital’s second floor, the Breast Center at MDI Hospital provides breast health services including mammography, clinical breast exams, and education. The Breast Center at MDI Hospital is open Tuesdays, Thursdays, and Fridays. For information or to schedule an appointment, call 288-8435. Return to top of page |
First Baby of 2007 Born at MDI
Hospital January 2007 New parents Sara Murray and Matt Hougan of Bar Harbor are all smiles as they pose with their new baby, Magnolia, born January 5th, at MDI Hospital. As the first baby born at MDI Hospital in 2007, Magnolia and her parents received a gift basket of items donated by local businesses. Return to top of page |
