Layout 1 (Page 1) - Wentworth

WINDOWS TO
YOUR HEALTH
Visit our website,
www.wdhospital.com
for more information about us.
Winter 2009
Y O U R S O U R C E F O R H E A L T H I N F O R M AT I O N
IN THIS
ISSUE
Stroke
1
Stroke
2
3
Stroke
6
7
Stroke, Stroke, Stroke
WDH and MGH collaborate
on new Stroke Center
Managing Pain
Opening new doors to
pain relief
New Health Center
WDH opens new center
in Lee, NH
Camp Meridian Grows
Teen program added
Chest Clinic Opens
Providing care close to home
DEPARTMENTS
W
hat does a stroke feel like? Some patients say it’s like falling into a black
8
Meet Our New Physicians
hole but too often a person having a stroke doesn’t feel anything, doesn’t know
her speech is slurred, doesn’t know one side of her face is drooping or one arm
is weak or even numb.
Windows to Your Health is published
quarterly by Wentworth-Douglass Hospital.
©2009, Wentworth-Douglass Hospital.
All publication rights reserved.
Design and Printing: Imperial Company
Wentworth-Douglass Hospital is a non-profit,
charitable organization.
789 Central Avenue
Dover, NH 03820
Hospital’s primary and secondary service area, it is
likely that up to 235 patients suffer some type of
stroke on an annual basis and of these, up to 20-25
patients should receive tPA. The problem is people
don’t recognize the symptoms, delay coming to the
ED and many hospitals are not set up to expeditiously
treat these patients. Therefore, we made a commitment to meeting the American Heart/Stroke
Association standards to include education of the
EMS services and our community and making sure
we have a rapid response team organized 24/7 to
maximize the care of these patients and treat as
many eligible patients with the clot busting drugs.”
As of mid November 2008, the Hospital’s clinical
staff and local EMS personnel completed “Get with the
Guidelines” education and instituted a “Stroke Team”
activation protocol to expedite the care of stroke
patients. WDH implemented the Telestroke videoteleconferencing component of their collaboration with
Massachusetts General Hospital in January 2009.
What Are the Types of Stroke?
The following is an excerpt from the American Heart/Stroke
Association’s educational website at www.americanheart.org.
If we consider an isolated blood vessel, blood flow to
the brain tissue can be hampered in two ways:
(1) the vessel clogs within (ischemic stroke)
(2) the vessel ruptures, causing blood to leak into
the brain (hemorrhagic stroke)
continued on page 4
Non Profit Org
US Postage
PAID
Portsmouth NH
Permit No. 78
If you think someone you know is having a stroke,
don’t wait to see what happens — call 911 immediately —
TIME is the most important factor in saving a life.
A stroke occurs when a blood vessel that carries
oxygen and nutrients to the brain is either blocked by
a clot or bursts. When that happens, part of the brain
cannot get the blood (and oxygen) it needs, so it
starts to die. At Wentworth-Douglass Hospital stroke
care is more advanced than ever before, thanks to an
intense, multidisciplinary
effort, led by neurologists
Paul Cass, DO and Gary
The creation of a Stroke
Usher, MD, to enhance
the care of stroke
Center at Wentworthpatients.
Douglass Hospital is part
According to Dr. Cass,
stroke patients have been
of the Hospital’s clinical
cared for since the hospicollaboration with
tal opened in 1906. “In
the early 1980’s the medMassachusetts General
ical staff added significant
Hospital.
capability in Neurology,
Neurosurgery and
Emergency Medicine.
This enabled our patients to be evaluated and treated
by physicians with special expertise that improved
their care. In 1995 the FDA approved the first clot
busting drug (tPA) for stroke but over the years few
people have received this treatment across the country. Based on demographics in Wentworth-Douglass
areas of excellence. The first three are currently underway — Stroke, Trauma and
GYN/Oncology. The Hospital’s quality rankings were also recognized by several
national groups: Wentworth-Douglass Hospital was listed on US News Best Hospitals,
a national hospital comparison website ranked us in the top 15% of hospitals nationwide, and Harvard Pilgrim Health Care recognized the Hospital in their 2008 Hospital
Y BEST WISHES TO YOU AND YOUR FAMILIES FOR A HAPPY AND Honor Roll for excellence in clinical quality and patient safety. An independent marHEALTHY NEW YEAR. As we reflect on the past year, we thank all ket research survey of Seacoast hospitals gave Wentworth-Douglass Hospital the
medical providers, employees and volunteers for their hard work, highest scores for top-of-mind awareness, favorability, technology, and program
dedication, and commitment to the highest standards of quality care.
recognition.
The Wentworth-Douglass Hospital System, including Wentworth-Douglass
Our Hospital physician practices worked diligently and successfully to impleHospital, Wentworth-Douglass Physician Corp., The Works Family Health & Fitness
ment electronic medical records and our Information Systems’ teams are creatCenter and the Wentworth-Douglass Hospital &
ing a safe, secure and efficient hospital electronic medical record through
Health Foundation, is deeply involved in a Plan for
Soarian technology. The Works Family Health & Fitness Center received
Excellence focused on our vision, mission, values
recognition from their national association for achieving significant success
and the pillars of a strong foundation: People,
in member weight loss programs and they were environmentally conQuality & Safety, Service, Innovation, Finance
scious with the completion of new porous pavement parking lots.
Patient &
and Facility.
We begin this year challenged by a fragile economy and many
Community
The hospital has grown steadily over
Health
unknowns. We believe Wentworth-Douglass Hospital is in an
the years and now employs over 2,000
excellent position to move forward, to meet the challenges ahead,
Our Vision
people in a wide range of positions.
and continue our efforts to provide the highest quality patient
Every employee in the system is an
care. As more and more employers introduce higher
Be the highest quality
important part of a team providing
deductible health plans, it becomes even more important for
community hospital in
compassionate care and service
patients to receive the best possible care close to home
Northern New England
for patients and the community
and family.
Our
Mission
everyday.
Wentworth-Douglass Hospital will soon be extending
Gregory Walker, FACHE
WDH President & CEO
A Culture of Safety surservices into the community with the opening of two new
We help individuals and families
vey conducted in August indicated employees stronglocations this year. The Lee building project
attain their highest level of health
ly agree we provide safe patient care and patient surwill house a new physician practice and a walk-in
veys show satisfaction at high levels in many areas.
urgent care center (see story p.3). The Exit 9 building
Our Values
Quality measures at the state and national level
will open in the Spring with eight medical practices
remain high with the most recent NH Quality
moving to this convenient location on Indian
Teamwork, Integrity, Excellence, Respect and Caring
data ranking Wentworth-Douglass Hospital as
Brook Road (see story p. 4).
first in the State for the care of heart failure
I am so proud to be part of an incredible,
patients.
caring
team serving our community.
Health System Focus
Based on our high performance and
quality scores, Massachusetts General
Sincerely,
People Quality & Service Innovation Finance Facility
Safety
Hospital chose Wentworth-Douglass
Gregory J. Walker, FACHE
Hospital as a partner in a major cliniPresident & CEO
cal collaboration focused on seven
A Message from
Greg Walker
M
WENTWORTH-DOUGLASS HOSPITAL SYSTEM
Pictured in the photo are Pain Management staff (l to r)
Cathy Swasey, RN; Melissa Philippe, BSN, RN; Chris Wyrsch,
MEd, RN; Medical Director James Hay, MD; Clinical
Coordinator Donna Marie Everett, MS, RN; Grace Derosiers,
LNA, NCMA; Claudia Hunt, RN-BC and Carmel Casey, RN.
Center is to relieve pain and reduce or eliminate pain
medications the patient may be taking. Some of the
conditions treated include: pain in the arms, legs,
lower back and neck, cancer pain and pain that has
persisted despite surgery, as well as other chronic disorders such as Shingles, Fibromyalgia, and Diabetic
Neuropathy. While the majority of pain can typically
be controlled by physical therapy and non-steroidal
medications, some patients whose pain has continued
Opening up new doors to pain relief:
Center for Pain Management
T
he Center for Pain Management at WentworthDouglass Hospital now offers a new treatment
for complex regional pain syndrome (CRPS), a
chronic condition usually affecting the arm or leg.
Rarely, the disease can affect other parts of the body.
The main symptom of CRPS is intense pain often
described as “burning.” Other symptoms include an
aching pain along with swelling, skin discoloration,
altered temperature, abnormal sweating and hypersensitivity in the affected area.
Many cases of complex regional pain syndrome
occur after a forceful trauma to an arm or a leg, such
as a gunshot wound or crush injury from a vehicle
accident. Other major and minor traumas — surgery,
infections, fractures and even sprained ankles — also
can lead to complex regional pain syndrome.
2 / WINDOWS
TO
YOUR HEALTH
The new treatment, an infusion of the drug
Ketamine, can aid in reducing pain and many of the
associated symptoms.
The Center’s Medical Director, James Hay, MD, states,
“This new, state-of-the-art treatment for CRPS and
other neuropathic pain conditions is being offered in
only a few hospitals across the country. WentworthDouglass is fortunate to be one of the few hospitals
where Ketamine infusion therapy is available. “
The Center offers patients privacy in a spacious setting, including private rooms with flat-screen television. Natural light fills the rooms through windows,
providing a relaxing atmosphere.
Open five days a week, Monday through Friday, the
Center offers multiple therapies to relieve chronic pain
beginning with the least invasive. The goal of the
This new, state-of-the-art treatment
for CRPS and other neuropathic pain
conditions is being offered in only
a few hospitals across the country.
Wentworth-Douglass is fortunate
to be one of the few hospitals where
Ketamine infusion therapy is available.
— Dr. James Hay, Medical Director,
Center for Pain Management
despite these measures may find relief with more
aggressive treatment offered at the Center.
Interventional pain management services for
inpatients and outpatients include Epidural Steroid
Injections, Nerve blocks, Radiofrequency and
Cryoablation treatments, Trial Spinal Stimulators, and
a variety of joint injections all in collaboration with
the physicians from Seacoast Pain Institute.
For more information about the Center for Pain
Management, please call (603) 740-2276.
The Center will be open seven days a week,
from 11:00 am – 9:00 pm. Walk-in care will
be provided for minor health emergencies
New Year welcomes new
medical practice and walk-in
urgent care center in Lee, NH
Paved areas
W
entworth-Douglass Hospital is in the process of putting
the final touches on the new Wentworth-Douglass
Professional Center, located at 65 Calef Highway in Lee,
NH (across from Market Basket) on Rt. 125. The 2-story building will
house the new Lee Family Practice, a Walk-In Urgent Care Center,
Lab, Imaging and Rehab Services plus additional medical office space.
Lee Family Practice Opens January 2009
A new primary care office, Lee Family Practice, opened in January
2009. Dr. Matthew Goldberg transferred from the Barrington Health
Center to this new practice and began seeing his patients in January
at this location. Joining Dr. Goldberg is Kelly Laprade, ARNP, who is
accepting new patients. Lee Family Practice is open 8 a.m. to 5 p.m.,
Monday through Friday. For an appointment call (603) 868-3300.
Walk-In Urgent Care Center Opens March 2009
A Walk-In Urgent Care Center will open at the Lee location in
March 2009 for the care and treatment of minor injuries and
illnesses. No appointments are necessary. The center will be staffed
by Seacoast Emergency Physicians’ providers and support staff —
the same quality medical group caring for patients at WentworthDouglass Hospital’s emergency department at lower Walk-In
Center pricing.
The Walk-In Urgent Care Center is not appropriate for life-threatening conditions such as heart attack/chest pain, stroke, severe
bleeding, head injury or other major trauma that needs immediate
attention. Patients with these conditions should go directly to the
nearest hospital or call 911.
at the
Wentworth-
such as:
Colds, Flu, Sore throat, Fever
Sinus infections, Respiratory infections
Difficult or painful urination
Earaches, Eye infections
Insect bites, Rashes
Minor burns, Minor cuts/Lacerations
Sprains/Strains/Minor Fractures
Upset stomach, Vomiting/Diarrhea
Work related injuries
Douglass
Professional
Immunizations
School/Sports/Camp physicals
Center
feature
environmentally
friendly
porous pavement
technology
developed
Lab, Imaging and Rehab Services
Opening March 2009
A point-of-care testing Laboratory and X-ray services will open at the
Lee site in March 2009. Services will be available during the hours of
the Walk-In Urgent Care Center. Mobile MRI and CT services will be
added at a future date based on growth in patient volume.
Rehab Services at Lee will include Physical Therapy and
Occupational Therapy services for scheduled patients beginning in
March 2009. The Center features a large gym and all new equipment. Appointments will be made through Wentworth-Douglass
Hospital’s Rehab Services Department.
by the
Environmentally Friendly
University
of New
Hampshire.
The Wentworth-Douglass Professional Center at Lee features an
environmentally friendly, porous pavement technology, developed
at the University of New Hampshire, that absorbs storm water and
snow melt at a rapid rate eliminating surface runoff and erosion
issues while recharging the aquifer.
Manchester Urology Associates
at Dover
Sandy Chin, MD, joins Roger Evans, MD,
at Manchester Urology Associates
at Dover, located in WentworthDouglass Hospital. The staff at
Manchester Urology are dedicated
to providing state-of-the-art
diagnosis and treatment of urological
conditions. They treat each patient
as a partner and make patient education a central component of medical
care. Because urological conditions
may be accompanied by social
discomfort or embarrassment, they
emphasize sensitivity and discretion
when dealing with patients' concerns.
Urologists treat disorders of the male
and female urinary tract (bladder,
ureter, kidney, and urethra) and the
male reproductive system. Some
common conditions treated include
enlarged prostate (BPH), erectile dysfunction, prostate cancer and urinary
incontinence.
Dr. Chin and John Munoz, MD, of
Manchester Urology Associates,
recently performed the first radical
prostatectomy at WDH using the
DaVinci Robotic Surgical System.
For more information about
Manchester Urology Associates at
Dover, please call (603) 742-1444.
Sandy Chin, MD, (l) joins Roger Evans, MD in the Dover practice
WINDOWS
TO
YOUR HEALTH /
3
Stroke, Stroke, Stroke
(continued from page 1)
What are the risk factors for stroke?
Ischemic
Ischemic stroke accounts for about 83 percent
of all cases.
Ischemic strokes occur as a result of an obstruction
within a blood vessel supplying blood to the brain.
The underlying condition for this type of obstruction
is the development of fatty deposits lining the vessel
walls. This condition is called atherosclerosis. These
fatty deposits can cause two types of obstruction:
Cerebral thrombosis refers to a thrombus (blood clot)
that develops at the clogged part of the vessel.
Cerebral embolism refers generally to a blood clot that
forms at another location in the circulatory system, usually the heart and large arteries of the upper chest and
neck. A portion of the blood clot breaks loose, enters
the bloodstream and travels through the brain’s blood
vessels until it reaches vessels too small to let it pass.
A second important cause of embolism is an irregular
heartbeat, known as atrial fibrillation. It creates conditions where clots can form in the heart, dislodge and
travel to the brain.
Wentworth-Douglass Hospital's emergency room physician Lukas Kolm, MD, and nurse Nicole Connors, RN, BSN,
tend to a stroke patient. The Telestroke monitor remains
at the end of the patients bed to be used for teleconferencing with Massachusetts General Hospital neurologists
if necessary.
Some stroke risk factors can’t be changed
such as age (risk doubles after age 55), heredity
(African Americans have a higher risk of death
from stroke) and gender (more common in
women). Others risk factors that result from
lifestyle or environment can be modified.
The following risk factors can be changed,
treated or controlled:
•
•
•
•
•
•
•
High blood pressure
Cigarette smoking
Diabetes
High blood cholesterol
Poor diet
Physical inactivity
Obesity
Hemorrhagic
Hemorrhagic stroke accounts for about 17 percent
of stroke cases.
It results from a weakened vessel that ruptures and
bleeds into the surrounding brain. The blood accumulates and compresses the surrounding brain tissue. The
two types of hemorrhagic strokes are intracerebral
hemorrhage or subarachnoid hemorrhage.
Hemorrhagic stroke occurs when a weakened blood
vessel ruptures. Two types of weakened blood vessels
usually cause hemorrhagic stroke: aneurysms and
arteriovenous malformations (AVMs).
An aneurysm is a ballooning of a weakened region
of a blood vessel. If left untreated, the aneurysm continues to weaken until it ruptures and bleeds into the
brain. An arteriovenous malformation (AVM) is a
cluster of abnormally formed blood vessels. Any one
of these vessels can rupture, also causing bleeding into
the brain.
Transient ischemic attacks
Also called TIAs, transient ischemic attacks are
minor or warning strokes. In a TIA, conditions indica-
What can you do?
• Discuss your risk factors with your healthcare
provider.
• Eat a healthy diet, low in saturated fats, trans
fats and cholesterol.
• Eat five or more servings of fruits and vegetables everyday.
• Get active! Talk a walk, take the stairs, try to
get at lease 30 minutes of activity on most or all
days.
For more information on stroke and heart disease
visit: www.americanheart.org.
tive of an ischemic stroke are present and the typical
stroke warning signs develop. However, the obstruction (blood clot) occurs for a short time and tends to
resolve itself through normal mechanisms.
Even though the symptoms disappear after a short
time, TIAs are strong indicators of a possible major
stroke. Steps should be taken immediately to prevent
a stroke.
Diagnosis
Tests
When someone has shown symptoms of a stroke or
a TIA (transient ischemic attack), a doctor will gather
information and make a diagnosis. He or she will
review the events that have occurred and will:
• get a medical history
• do a physical and neurological examination
• have certain laboratory (blood) tests done
• get a CT scan of the patient
• study the results of other diagnostic tests
that might be needed
continued on next page
Presenting...
The Wentworth-Douglass Professional Center at Exit 9 in Dover
The Wentworth-Douglass Professional Center
at Exit 9 in Dover will open in the Spring 2009.
The 5-story structure will house medical
practices, lab and imaging services.
Practices moving to the new location between
April and June 2009 include:
• Dover Family Practice
• Primary Care of Dover
• Adult and Children’s Medicine
• Strafford Medical Associates
• Dover Internal and Geriatric Medicine
• Wentworth Internal Medicine
• Manchester Urology at Dover
• Endocrinology & Diabetes Consultants
All practices are affiliated with
Wentworth-Douglass Hospital.
The Wentworth-Douglass Professional Center at Exit 9 off the Spaulding Turnpike in Dover
4 / WINDOWS
TO
YOUR HEALTH
Treatments
Hemorrhagic Stroke
Ischemic Stroke
• Surgical Intervention
For hemorrhagic stroke, surgical treatment is often
recommended to either place a metal clip at the base,
called the neck, of the aneurysm or to remove the
abnormal vessels comprising an Arteriovenous
Malformation (AVM).
Acute Treatment
• Clot-busters, e.g., tPA
The most promising treatment for ischemic stroke
is the FDA-approved clot-busting drug tPA, which must
be administered within a three-hour window from the
onset of symptoms to work best. Generally, only 3 to 5
percent of those who suffer a stroke reach the hospital
in time to be considered for this treatment.
Preventative Treatment
• Anticoagulants/Antiplatelets
Antiplatelet agents such as aspirin, and anticoagulants such
as warfarin interfere with the blood’s ability to clot and
can play an important role in preventing stroke.
• Carotid Endarterectomy
Carotid endarterectomy is a procedure in which blood vessel blockage is surgically removed from the carotid artery.
• Angioplasty/Stents
Doctors sometimes use balloon angioplasty and
implantable steel screens called stents to treat cardiovascular disease in which mechanical devices are used
to remedy fatty buildup clogging the vessel.
• Endovascular Procedures, e.g., “coils”
Endovascular procedures are less invasive and
involve the use of a catheter introduced through
a major artery in the leg or arm, guided to the
aneurysm or AVM where it deposits a mechanical
agent, such as a coil, to prevent rupture.
Impact of Stroke
• About 780,000 Americans each year suffer a new
or recurrent stroke. That means, on average, a stroke
occurs every 40 seconds.
• Stroke kills more than 150,000 people a year. That’s
about 1 of every 16 deaths. It’s the No. 3 cause of
death behind diseases of the heart and cancer.
• On average, every 3 to 4 minutes someone dies of
stroke.
Stroke is an Emergency—Every Minute Counts.
Act F.A.S.T.
FACE
ARMS
Does one side of the
Is one arm weak
face droop?
or numb?
Ask the person to smile. Ask the person to raise
both arms. Does one
arm drift downward?
SPEECH
TIME
Is speech slurred?
Ask the person to repeat
a simple sentence.
Is the sentence repeated
correctly?
If the person shows
any of these symptoms,
call 911 or get to the
hospital immediately
Healthy New Year
Recipe
Roasted Cod with tomatoes,
oranges, and onions
• Of every 5 deaths from stroke, 2 occur in men and
3 in women.
• The 2004 stroke death rates per 100,000 population for
specific groups were 48.1 for white males, 47.2 for white
females, 74.9 for black males and 65.5 for black females.
• Americans will pay about $65.5 billion in 2008 for
stroke-related medical costs and disability.
The Stroke Program at WentworthDouglass has helped standardize
patient care across the continuum
for Stroke. We began our initiative
with EMS education and hospitalwide education on recognizing signs
and symptoms of stroke. All of our
patients experiencing a stroke receive
a very high level of care. Partnering
with Mass General is a great tool for
WDH and our patients because they
can receive the same care at WDH
with the additional expertise of a
MGH neurologist, via Telestroke,
if necessary. With our new program
we expedite patients through testing
since a stroke is very time sensitive.
Stroke patients will receive a number
of therapies to improve their outcome
and decrease disability with a focus
on acute rehabilitation after discharge,
if appropriate, to reach their highest
quality of life.
—
Nicole Connors, RN, BSN
Stroke Program Co-Coordinator
Makes 4 servings
Ingredients:
1 pound ripe but firm small round or plum
tomatoes, cut into 1/2-inch-thick wedges
2 medium yellow onions, cut into 1/4-inchthick wedges
1 tablespoon finely slivered orange zest
(see Tip)
1 tablespoon extra-virgin olive oil
1 tablespoon chopped fresh thyme leaves,
plus sprigs for garnish
1/2 teaspoon kosher salt, divided
Freshly ground pepper to taste
1 pound boneless, skinless cod or other thickcut, firm-fleshed fish, cut into 4 equal portions
minutes. Remove from the oven. Increase
oven temperature to 450º F.
4. Push the vegetables aside, add fish and
season with the remaining 1/4 teaspoon salt
and pepper; spoon the vegetables over the fish.
5. Return the baking dish to the oven and
bake until the fish is opaque in the center,
about 10 to 12 minutes. To serve, divide
the fish and vegetables among 4 plates and
garnish with thyme sprigs.
1. Preheat oven to 400ºF.
2. Combine tomatoes, onions, orange zest, oil
and chopped thyme in a 3-quart glass or
ceramic baking dish. Sprinkle with 1/4 teaspoon salt and pepper; stir to combine.
3. Roast, stirring occasionally, until the onions
are golden and brown on the edges, about 45
Nutrition bonus: Vitamin C (60% daily value),
Selenium (42% dv), Potassium (15% dv).
NUTRITION INFORMATION: Per serving:
160 calories; 5 g fat (1 g sat, 3 g mono); 43 mg
cholesterol; 11 g carbohydrate; 20 g protein;
2 g fiber; 308 mg sodium; 2110 mg potassium.
TIP: Using a vegetable peeler, remove 3 or 4
pieces of zest from a large orange. Stack the
pieces on top of each other and slice into
1/8-inch-wide strips.
WINDOWS
TO
YOUR HEALTH /
5
Thank You!
Thanks to generosity
and support,
Camp Meridian adds
a Teen program
Camp Meridian, a special camp for children with cardiac disease, expanded this year to include 13 and 14-year-olds.
The camp is partially funded through donations to Wentworth-Douglass Hospital & Health Foundation.
An anonymous donation of $25,000 funded the expansion in 2008. The following letter expresses
the committee's gratitude for the donation.
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s
teen
to perfo
f
s united again
m
ra
g
nce for many o
ro
p
ie
o
er
p
tw
ex
e
h
T
ew
.
n
s
a
er
camp
oeing —
teens went can
s”
e
h
T
.
re
fi
le
c
ir
ook “pita pizza
c
d
n
a
re
fi
the Council C
a
ild
to bu
topped on shore
d cheered each
s
n
a
en
er
ev
w
to
ey
h
r
T
o
.
o
them
e outd
k climbing on th
c
ro
t
en
w
ey
h
T
and s’mores.
hat
new heights.
ed
h
c
a
re
know exactly w
ll
o
a
h
w
ey
rs
th
s
ee
a
p
n
h
o
it
w
other
e to be
gain
ays been a plac
lw
a
s
a
over and over a
h
r
n
ea
ia
h
id
e
er
w
M
s
p
A
m
.
a
C
through
ve”
continue to go
r
o
h
g
u
rough what I ha
ro
th
th
n
n
ee
ee
b
b
ve
ve
a
a
h
h
you
kids
r
knew that other
er
ev
n
“I
e.” At camp, ou
,
s
m
e
er
p
lik
m
t
a
c
es
h
c
ew
n
r
ei
from
r on th
else with a sca
e
n
yo
n
ore than their
a
m
n
r
ee
s
fa
er
re
a
ev
n
ey
e
’v
th
or “I
d that
n to understan
re
pand
ild
h
c
e
es
th
portunity to ex
p
o
e
th
dream is for
r
fo
l
fu
grate
t of this
. We are deeply
is
s
o
n
g
ia
d
l
get so much ou
a
ll
ic
ti
s
o
med
h
w
n
re
child
clude the older
in
to
m
ra
g
ro
p
this
experience.
nks,
Our sincere tha
ian Committee
The Camp Merid
6 / WINDOWS
TO
YOUR HEALTH
The Chest Clinic provides comprehensive
care close to home
T
he Chest Clinic at Wentworth-Douglass Hospital
provides a comprehensive multidisciplinary
approach to care for patients with a known or
suspected malignancy of the chest. The Chest Clinic
also provides a forum for a multidisciplinary team second opinion.
The purpose of The Chest Clinic is to make the
process easier for patients. The patient will be seen by
multiple specialty physicians in one visit and in one
location. They have a
single-point contact to
guide them and their
Having all the
family throughout
latest technologies
their visit and followup care. At The Chest
available to our
Clinic, the patient
community is a big
leaves with a plan
of care the same day
convenience for our
of the consultation.
patients who will
“It is rewarding to
see the patient benefit
no longer have to
from the collaboration
travel long distances
of the multidisciplinary
team. Collectively, this
to get the right care.
group of skilled profes—Dr. Shubhra Ray
sionals strives to provide comprehensive
and efficient care to patients and their families,” said
Adrienne Hayes, RN, OCN, Nurse Navigator.
The patients’ multidisciplinary team consists of the
following: medical oncologist, radiation oncologist,
pulmonologist, thoracic surgeon, radiologist, pathologist, Nurse Navigator (an RN), social services, clinical
nutrition and clinical trials.
Patients will also have access to the most innovative
and least invasive procedures including Video-Assisted
(l to r) Robert Harrell, MD; Shubhra Ray, MD; Andrea McKee, MD; Adrienne Hayes, RN and Barbara (Shea) Civiello, MD.
Thoracoscopic Surgery (VATS), Endobronchial
Ultrasound (EBUS), Pleuroscopy and EMN bronchoscopy
(SuperDimension)—using GPS-like technology for
lung biopsy.
“To have all the latest technologies available to our
community is a big convenience for our patients who
will no longer have to travel long distances to get the
right care. We are also proud to be one of very few
Seacoast General Surgery welcomes
Dr. Joseph Rodriguez
hospitals in the nation to offer these procedures. To tie
together cutting edge technology with compassion and
dedication is what makes this clinic unique and an
asset to our hospital and community,” said Shubhra
Ray, MD, FCCP, Medical Director of The Chest Clinic.
For more information about The Chest Clinic at
Wentworth-Douglass Hospital, please call the Nurse
Navigator at 1 (877) 777-2530 or (603) 740-2212.
Wentworth-Douglass Hospital’s
President’s Award
Seacoast General Surgery physicians David
Coppola, MD (top left), Patricia Auty, MD (top
right) and Paul Butler, MD (bottom right)
welcome Joseph Rodriguez, MD to their
practice in the Central Commons on Central
Avenue in Dover. Dr. Rodriguez completed his
residency in general surgery at the Hospital of
the University of Pennsylvania. He completed
a fellowship in Surgical Critical Care at
Washington University in St. Louis, Missouri
and another in Trauma at John H. Stroger Jr.
Hospital of Cook County in Chicago.
Their practice specializes in all aspects of
general surgery including: biliary (gall bladder), endocrine (thyroid/parathyroid), gastrointestinal, specialized breast surgery, hernia and
advanced, minimally invasive laparoscopic and
robotic procedures. For more information
about Dr. Rodriguez or Seacoast General
Surgery, please call the office at (603) 749-2266.
Beata Umugwangwali, RN, receives hug from co-worker
at WDH’s President’s Award Ceremony.
C
ongratulations to this year’s President’s Award
winner, Beata Umugwangwali, RN, in the
Endoscopy Department. A Native of Rwanda,
Beata came to the United States 13 years ago,
speaking very little English. She worked as a
housekeeper while continuing her education and
is now a resource for the staff in Endoscopy, a
positive role-model and an educator in her field.
In addition to her hospital contributions, she volunteers for her church and is helping to build a
school in Rwanda with Habitat for Humanity.
Beata exemplifies the extraordinary value of
giving to others.
WINDOWS
TO
YOUR HEALTH /
7
Community
Events
Meet Our
New Physicians
Health Screening Series at The Works
This winter and spring, Wentworth-Douglass Hospital (WDH) is offering
monthly health screenings at The Works Family Health & Fitness Center on
Rt. 108 in Somersworth, NH. Screenings are held on the second Tuesday of
every month from 5:30 to 7:30 p.m. Registration is required. Visit our website at www.WDHOSPITAL.com or by calling (603) 740-2817.
February 10, 2009:
Cholesterol Screening with WDH Heart Care Center staff
March 10, 2009:
Nutrition Screening (one-on-one) with Leigh Davenport, RD, LD, WDH
Outpatient Dietitian
April 14, 2009:
Physical Therapy screening with therapist from Rehab 3
Joint Pain Seminar at The Works
WDH will offer a Joint Pain Seminar at The Works Family Health & Fitness
Center on Rt. 108 in Somersworth on Friday, February 13 (with a snow
date of Feb. 20) from 11:30 a.m. to 12:30 p.m. Attend the free seminar
and learn what you can do about knee or hip pain. Learn about some of
the causes and some of the latest treatments, including information about
medications, nutrition and exercise. Register by calling (603) 740-2818.
Henry Pallatroni III, MD
Ronald Reodica, MD
Coastal New Hampshire Neurosurgeons
Seacoast Pulmonary Medicine
330 Borthwick Ave., Suite 108
Wentworth-Douglass Hospital
Portsmouth, NH 03801
789 Central Ave.
(603) 433-4666
Dover, NH 03820
Degree: MD, Tufts University School of
(603) 740-9713
Medicine, Boston, MA
Degree: MD, University of the Philippines
Internship/Residency: Dartmouth-
College of Medicine, Manila, Philippines
Hitchcock Medical Center, Lebanon, NH
Residency: SUNY Health Science Center at
Board Certification: American Board of
Brooklyn, Brooklyn, NY
Neurological Surgery
Fellowship: Pulmonary Medicine and
Critical Care Medicine at SUNY Health
Science Center at Brooklyn, Brooklyn, NY
Kentucky Derby Raffle Tickets on Sale
Purchase a raffle ticket from the
Wentworth-Douglass Hospital &
Health Foundation and enter to win
an Oval Shaped Diamond Pendant
valued at $3,400. Proceeds from the
raffle of the necklace, donated by
Jewelry Creations, will benefit
the Level II Neonatal Nursery at
Wentworth-Douglass Hospital.
Raffle tickets are $20 each or six for
$100. You can purchase tickets with cash
or check (payable to WDH & HF), or call
the Foundation Office to charge to a credit
card at (603) 740-2687.
The necklace will be raffled at the
Kentucky Derby Gala, May 2, 2009 at
The Red Barn at Outlook Farm, South
Berwick, Maine. You do not need to be
present to win.
Board Certification: Internal Medicine,
Pulmonary Disease, Critical Care Medicine
and Sleep Medicine from the American
Board of Internal Medicine
Geoffrey Starr, MD
Neurology
330 Borthwick Ave., Suite 111
Portsmouth, NH 03801
(603) 319-1577
Degree: MD, University of Vermont,
Jodie-Marie Voishnis, PA-C
Burlington, VT
Head & Neck Specialty Group of NH
Internship/Residency: Fletcher Allen
361 High St.
Health Care, Burlington, VT
Somersworth, NH 03878
Board Certification: American Board of
(603) 692-4500
Psychiatry & Neurology
Professional School: Long Island
Prostate Cancer
Group
2nd Monday of the month, 5:30-7:00 pm
Light Refreshments Provided
Anyone diagnosed with Prostate Cancer and their guest are
welcome to attend. This group provides education about Prostate
Cancer diagnosis and treatment as
well as a supportive environment
to meet others with similar concerns
and experiences.
All groups will be held at
Wentworth-Douglass Hospital.
Please call for specific room
location and for speaker/topics:
Anne Daugherty, LICSW (603) 740-2830
8 / WINDOWS
TO
YOUR HEALTH
University, Brooklyn, NY
Certification: National Commission of
Certification of Physician Assistants
WDH Listed in
U.S.News Best Hospitals
W
entworth-Douglass Hospital is the
only Seacoast hospital and one of
1,569 hospitals nationwide listed on the
19th annual U.S.News Best Hospitals list.
According to US News.com, 5,453
hospitals were initially “put through
a rigorous statistical mill” to determine
rankings in 12 specialty areas. “To be
considered,” US News.com reported,
“a hospital had to meet at least one of
three requirements: membership in the
Council of Teaching Hospitals, affiliation
with a medical school, or availability of
a least six of 13 key technologies such as
robotic surgery. This year, nearly two-thirds
of all hospitals failed the first test.”
Wentworth-Douglass Hospital made
the first cut with 1,569 hospitals on the list.
Hospital President & CEO Gregory Walker,
FACHE, is grateful for the hard work of so
many employees and members of the medical staff who contributed to the hospital’s
achievement.
“It is truly an honor to be recognized
on this national list of best hospitals,” he
said. “Our staff have worked diligently to
bring truly sophisticated technology to
Wentworth-Douglass Hospital. We introduced the daVinci robotic surgical system
a few years ago and this month opened
our new addition to the Seacoast Cancer
Center. Technology is only part of our
success. The special skills and compassion
of our caregivers makes the difference
everyday for our patients.”