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Annual Report - Mount Desert Island Hospital

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<strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong><br />

<strong>Annual</strong> <strong>Report</strong> 2011/2012<br />

Letter from the President<br />

Welcoming the new dawn of health care<br />

Arthur J. Blank, President/CEO<br />

of <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong><br />

Despite challenges,<br />

our team never<br />

ceases to excel,<br />

innovate, and serve<br />

as champions<br />

for our patients.<br />

www.mdihospital.org<br />

The one constant in health care is that change is inevitable. How we embrace, guide and adapt to the ever- changing political, technical,<br />

and social landscape of medicine is critical to fulfilling our mission to serve our community. In reviewing the past year, we see that<br />

change is neither good nor bad, but necessary.<br />

The global and local economies ask us all to do more with less while national and state-level policy influence how we allocate those<br />

shrinking resources. Yet despite the challenges, I am proud to report our team never ceases to excel, innovate, and serve as champions<br />

for our patients.<br />

For an unprecedented 10 years in a row, MDI <strong>Hospital</strong> received the Overall Best Performer Award from Avatar International and is<br />

the only hospital in the nation to hold that distinction. Our hospital was also one of only 10 critical access hospitals nationwide to<br />

earn the VHA Leadership Award for Clinical Excellence. Both of these accolades speak directly to the focus our team instills upon our<br />

patients at every opportunity.<br />

We also marked an important milestone when our Prescription Assistance Program surpassed $1 million in free medications for those<br />

who would not otherwise have had access to them.<br />

Within the year we expect to begin construction on our new Women’s Health Center, which will be a shining example of our<br />

community pulling together for the betterment of all. As the importance of outpatient care grows, this facility will be vital to meeting<br />

our current and future patient needs.<br />

Technology, especially in medicine, is all around us and we have brought it directly to patient care. Each of our Health Center exam<br />

rooms is now equipped with a computer to provide instant access to a patient’s electronic medical record for improved accuracy and<br />

efficiency. We have also joined HealthInfoNet, Maine’s statewide health information exchange to give our team and other providers<br />

access to a patient’s vital information regardless of where they receive their care.<br />

Our relationship with Penn Medicine and the University of Pennsylvania continues to evolve into a model on how to bring researchbased<br />

innovation directly to rural medicine. This summer has brought expanded opportunities for training and collaboration in the<br />

Emergency Department, Behavioral Health Center, and throughout the organization.<br />

Many of these innovative programs and facilities would not be possible were it not for the generous financial support that is bestowed<br />

upon this organization. Our <strong>Annual</strong> Fund continues to raise the bar higher, which in part, enables us to provide care for those who<br />

could not otherwise pay for it. Our new Women’s Health Center facility will be funded entirely through community support, with the<br />

Auxiliary kicking off formal fundraising with an inspiring $50,000 pledge!<br />

Cooperation makes our community stronger — which is something all of us at MDI <strong>Hospital</strong> are proud to be a part of. We hope you<br />

enjoy learning more about our organization from the proceeding pages as we look back on 2011-2012 and welcome the challenges and<br />

successes that lie ahead.<br />

1


Throughout his<br />

career, Dr. Haynes<br />

has embraced<br />

the quintessential<br />

country doctor<br />

lifestyle and<br />

methods.<br />

Thank you, Dr. Haynes, for 36 years of service<br />

Whoever said you can’t have your cake and eat it, too? When<br />

O. Lee Haynes, MD, arrived in Bar Harbor nearly four decades<br />

ago, he was looking to be “the modern equivalent of a country<br />

doctor” where he would truly know his patients and practice<br />

medicine at the highest levels.<br />

For 36 years and four generations of patients numbering in<br />

the thousands, Dr. Haynes has been exactly that, finding the<br />

community of the greater <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> area to be ideal<br />

for his personality and profession. In mid-2012, Dr. Haynes<br />

made the difficult decision to retire from his day-to-day internal<br />

medicine practice that connected him with so many families<br />

within the community.<br />

“Really being part, the immersion in the community, is one of<br />

the best parts of the experience,” Dr. Haynes said about serving<br />

his community’s medical needs. “I have had the privilege of<br />

taking care of the same patients for decades and taking care of<br />

families of patients, and extended families and really getting into<br />

the community in that way. The real joy of it is taking care of<br />

folks long-term.”<br />

Throughout his career, Dr. Haynes has embraced the<br />

quintessential country doctor lifestyle and methods. His patients<br />

give him photos to post in exam rooms, for example, and he<br />

makes house calls for those who cannot come to him. “There’s<br />

no better way to find out how someone lives than by visiting<br />

them in the home,” he said.<br />

Known for his imposing stature, trademark baritone voice, and<br />

a passion for country music, Dr. Haynes discovered Bar Harbor<br />

during a visiting residency program and practically never left.<br />

“I don’t think I’ve ever regretted coming to Bar Harbor to work<br />

and staying here. Most physicians usually go through three<br />

jobs before they find the one they settle in. Around here, that<br />

hasn’t been the case at all,” he said in reference to some of MDI<br />

2<br />

<strong>Hospital</strong>’s other long-time physicians including Ed Gilmore, MD,<br />

who he met in medical school at Harvard and helped introduce<br />

him to the area.<br />

Originally from West Virginia, Dr. Haynes’ first introduction to<br />

Maine came during his residency at Mass General <strong>Hospital</strong>. A<br />

program offered by nearby Tufts University offered new doctors<br />

the chance to visit and practice in rural Maine hospitals for two<br />

weeks in the summer in hopes of attracting the fresh physician to<br />

the area permanently. Dr. Haynes’ first stop was in Rumford in<br />

western Maine. “I liked the doctors a lot, loved the patients. I had<br />

a wonderful time. They offered me a job but I wasn’t ready to<br />

settle down yet,” he said.<br />

Dr. Haynes returned to Mass General in Boston for his final year<br />

of residency where he met Doug Collins, MD, who practiced in<br />

Caribou for 20 years before returning to Mass General. “Gosh,<br />

he was just the epitome of what you want to see as a doctor.<br />

He knew everything and he was great with patients. It was a real<br />

treat to see that you could go out and be in the community and<br />

maintain your skills,” Dr. Haynes said.<br />

“I told him how much I enjoyed my time up in Rumford and<br />

Doug said, ‘Why don’t you go up to Bar Harbor. Ed Gilmore<br />

is up there and he’s having a real good time.’ So I went back<br />

to Tufts and said ‘Hey, can I do it again?’ Later that spring, Dr.<br />

Haynes, wife, and new baby traveled back to Maine. “At the end<br />

of the week they said ‘What would you think about coming to<br />

work here?’ And I said, In a minute!”<br />

After completing his military service in 1976, Dr. Haynes and<br />

family moved to Bar Harbor where he joined medical school<br />

colleague Ed Gilmore, MD, in practice at what are now known<br />

as the Cooper-Gilmore Health Center and the Trenton Health<br />

Center. The two doctors quickly found that they connected<br />

professionally and personally. “In over 30 years, 15 years in the<br />

same office, we’ve never had as much as a cross word,”<br />

Dr. Gilmore said.<br />

In contrast to his down home demeanor, Dr. Gilmore said<br />

Dr. Haynes is a brilliant medical practitioner who was often<br />

his collaborator on challenging diagnoses, which has greatly<br />

contributed to the quality of care patients receive.<br />

Even though Dr. Haynes is retiring from internal medicine, his<br />

desire to help people is certain to continue into the next phase of<br />

his life. After taking some time off, perhaps traveling the country<br />

“in an old Toyota van” to listen to some of his favorite country<br />

music artists, Dr. Haynes sees himself in a role where he can<br />

use his listening skills and vast interpersonal experiences to offer<br />

counsel to those in need, extending his interest in the well-being<br />

of the community into the foreseeable future.<br />

He is also committed to the non-profit organization, Local<br />

Solutions, which he helped found to support children with<br />

developmental disabilities after they graduate from high school<br />

and lose the accompanying social, emotional and financial<br />

support. Created in 2010, the organization has plans to build a<br />

group home to provide a long-term, stable living situation for<br />

those who cannot live on their own.<br />

Many country music fans may also be familiar with the popular<br />

concert series Dr. Haynes created with the Austin Acadia<br />

Connection. As a way of bringing artists to town that he wanted<br />

to see perform, Dr. Haynes booked and promoted concerts, often<br />

hosted at the Neighborhood House in Northeast Harbor. For<br />

several seasons, some of the top talent from Austin, Texas, would<br />

venture to MDI, stay at Dr. Haynes’ home, and perform. “We<br />

had a fabulous time,” Dr. Haynes said of his experiences with<br />

many of his favorite artists.<br />

On behalf of the entire community, Thank You Dr. Haynes, for<br />

your contributions that continue to impact so many.


Jane Tawney, PA-C, is a provider at the<br />

Women’s Health Center at MDI <strong>Hospital</strong><br />

and one of the Center’s founders.<br />

The new Center will<br />

recognize the fact that<br />

women are different<br />

and require a different<br />

kind of care.<br />

Tina Smith, the manager of a medical office and a<br />

professional photographer, spent a couple of years feeling<br />

sluggish all the time. In April 2011, the Franklin resident<br />

was diagnosed with Type II diabetes. She was prescribed oral<br />

medication to control her blood sugar, and she radically<br />

changed her diet.<br />

Still, she said, “One day, my doctor said, ‘If we don’t do<br />

something, you’re not going to make it. You’ll be lucky if<br />

you make it to age 42.’”<br />

She began taking insulin shots four times a day. Because<br />

of her busy schedule, it was hard to keep up with the new<br />

routine. She constantly forgot to take the shots. Even when<br />

she did, and even with the change in diet, the treatment<br />

wasn’t entirely successful.<br />

In March 2012, <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong>’s Diabetes<br />

Education Program offered Smith an alternative. She<br />

was prescribed an insulin pump with continuous glucose<br />

monitor. MDI <strong>Hospital</strong> is the only facility east of Bangor<br />

that is certified to offer these devices.<br />

“I’ll tell you, it was the best thing I’ve ever done,” she said.<br />

“Now I can control my blood sugar and, when I’m starting<br />

to have a low blood sugar attack or I start to feel funny,<br />

A new home for women’s health<br />

“Twenty years ago when we started we didn’t have a patient population and we didn’t know how big we were going to get,” said Jane<br />

Tawney, PA-C, one of the founders of MDI <strong>Hospital</strong>’s Women’s Health Center, and a current provider there.<br />

Since that day back in 1993, the Center’s success has followed the classic movie mantra “build it and they will come.” Over the years,<br />

the Center has served more than 5,000 women with compassionate, patient-centered care from the quaint little house on Wayman Lane.<br />

“This seemed like the perfect little house,” Tawney said. “It met all the needs of hominess and all the things that women wanted.”<br />

For many patients and staff alike, the Wayman Lane house was the perfect place. Today, it simply cannot accommodate the volume or<br />

the personalization of patient care that is at the very core of the Center’s success.<br />

To turn the page and step into a new chapter, the Women’s Health Center needs a new, larger home — one that addresses the physical<br />

shortfalls of the old one. More space, bigger exam rooms, storage, better privacy, functional offices, and integration of technology are<br />

all on the architect’s list, but only if a new building continues to foster the openness, comfort, and safety that women have coveted for<br />

two decades. “We all love the little house in so many ways, it has such a great spirit,” Tawney said. “We want to keep that spirit and<br />

just bring it to a new place and I think we can do that.”<br />

The new Women’s Health Center will be sited on Main Street where the Cadillac Building once stood and feature nearly three times the<br />

space, accommodate more outpatient services, and embrace the technological evolution that is ever-present in modern health care.<br />

At the same time, the new Center will recognize the fact that women are different and require a different kind of care. Women are not<br />

just bodies but people whose lives and relationships — with families, partners, mothers, and daughters — all impact their physical being.<br />

The <strong>Hospital</strong> has pledged its full support to the project, rallying friends and neighbors to acquire the land and building site. Design and<br />

engineering details are now in the final stages. Funding for construction is being sought directly from the island community to ensure<br />

the right medical services are available to all who live and visit here.<br />

As of late July more than a third of the $1.1 million goal has been pledged, including a $50,000 donation from the MDI <strong>Hospital</strong><br />

Auxiliary. Fundraising is anticipated to be complete by the end of 2012, which would enable construction to begin in Spring 2013.<br />

Diabetes management technology brings new confidence<br />

I can check my sugar. Every five minutes, it gives me the<br />

most current number.”<br />

At first, she said, she was nervous about the two devices,<br />

the pump and a separate “personal sensor” that beams the<br />

blood glucose results to the pump. Worn discreetly on her<br />

person, she thought they would be uncomfortable.<br />

Instead, she found that the ability to check her sugars<br />

continuously, and to adjust her insulin if necessary, gave her<br />

great peace of mind. Data from the monitor also streams to<br />

her health care providers, who can analyze it for problems.<br />

“For a long time, I was having trouble with my sugar<br />

spiking in the middle of the night,” she said. “They were<br />

able to tweak the levels. And now that my levels are better,<br />

I feel better and I sleep so much better.”<br />

The small pump — made by Medtronic, specialists in<br />

technology for the treatment of diabetes — is worn externally<br />

and can be discreetly clipped to a belt, slipped into a<br />

pocket, or hidden under clothes. It delivers precise doses<br />

of rapid-acting insulin. The device consists of a cartridge<br />

connected to a reservoir that can hold enough insulin to last<br />

for two to three days.<br />

continued on page 5<br />

Tina Smith of Franklin, enjoys a new sense of<br />

confidence with an insulin pump she received<br />

through MDI <strong>Hospital</strong>’s diabetes education program.<br />

3


mDi <strong>Hospital</strong> Board and Committees<br />

Chosen for their special talents, Board and Committee members are volunteers and receive no compensation for the time they give to the hospital.<br />

Thousands of hours are devoted yearly by men and women who serve on MDI <strong>Hospital</strong>’s Board and Committees.<br />

BoArD of TrusTees<br />

Michael Bonsey, Chairman<br />

John Adams, MD, First Vice Chairman<br />

Julian Kuffler, MD,* Second Vice Chairman<br />

John Benson, MD<br />

Arthur J. Blank*<br />

Stewart Brecher<br />

James Bright<br />

Ray Chalifour*<br />

Mary Dudzik, MD*<br />

David Einhorn, Esq.<br />

Kathleen Field<br />

Elsie Flemings<br />

Patricia Hand, Ph.D<br />

Barbara Hannon*<br />

Chrissi Harding*<br />

O. Lee Haynes, MD*<br />

Julius Krevans, Sr., MD<br />

Ruth Lyons*<br />

Vince Messer, Ph.D<br />

Norma Murray<br />

Terry Musson<br />

Susan Ray, DHA*<br />

Dean Read<br />

Mickey Shattow<br />

Noelle Wolf<br />

DeveLoPmenT CommiTTee<br />

Vince Messer, Ph.D, Chair<br />

David Allman*<br />

Loy Andrews<br />

Arthur J. Blank*<br />

Michael Bonsey<br />

James Bright<br />

4<br />

Alix Diana<br />

Sarah Fina<br />

Mazzie Gogolak<br />

Julius Krevans, Sr., MD<br />

Lani Naihe*<br />

Noelle Wolf<br />

Jane Zirnkilton<br />

finAnCe CommiTTee<br />

Dean Read, Chair<br />

Arthur J. Blank*<br />

Michael Bonsey<br />

Stacy Brown*<br />

Nat Fenton, Esq.<br />

Kathleen Field<br />

Barbara Hannon*<br />

Chrissi Harding*<br />

Stan Harmon<br />

Terry Musson<br />

Terry O’Connell<br />

Mickey Shattow<br />

JoinT ConferenCe<br />

CommiTTee<br />

O. Lee Haynes, MD, Chair*<br />

John Benson, MD<br />

Arthur J. Blank*<br />

Michael Bonsey<br />

Mary Dudzik, MD*<br />

Kathleen Field<br />

Lou Ingrisano, PA-C*<br />

Mark Kandutsch, MD*<br />

Julian Kuffler, MD*<br />

Terry Musson<br />

Dean Read<br />

exeCuTive CommiTTee<br />

Michael Bonsey, Chair<br />

John Adams, MD<br />

Arthur J. Blank*<br />

Julian Kuffler, MD*<br />

Vince Messer<br />

Terry Musson<br />

Dean Read<br />

enDoWmenT CommiTTee<br />

Dean Read, Chair<br />

Arthur J. Blank*<br />

Michael Bonsey<br />

Chrissi Harding*<br />

Nancy Ho<br />

Andrew Shea<br />

GovernAnCe CommiTTee<br />

John Adams, MD, Chair<br />

Arthur J. Blank*<br />

Michael Bonsey<br />

William Bromley, MD<br />

David Einhorn, Esq.<br />

Terry Musson<br />

Dean Read<br />

PLAnninG CommiTTee<br />

John Adams, MD, Chair<br />

John Benson, MD<br />

Arthur J. Blank*<br />

Michael Bonsey<br />

Stewart Brecher<br />

Ray Chalifour*<br />

Kathleen Field<br />

Barbara Hannon*<br />

summary of revenues and expenses<br />

mounT DeserT isLAnD HosPiTAL year ending April 30, 2012<br />

Including Health Centers and Birch Bay Retirement Village<br />

Amounts billed to our patients for services at<br />

<strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong> and Health Centers $72,846,216<br />

Amounts that we did not receive from the Federal Medicare Program<br />

and the State of Maine Medicaid Program and other insurance companies<br />

that do not pay the full amount of their patients’ bills $17,969,253<br />

Amounts provided to our patients at <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong> and<br />

Health Centers whose bills partially or wholly exceeded their ability to pay $863,129<br />

Other revenues received to support operations $2,534,849<br />

Our total revenues were $56,548,683<br />

Our total operating expenses for salaries, benefits, supplies,<br />

interest,depreciation costs, and uncollected charges were $58,934,485<br />

Which resulted in an operating loss of $(2,385,802)<br />

We reCeiveD non-oPerATinG revenues<br />

from THe foLLoWinG:<br />

Losses from investment activities $(370,965)<br />

Other non-operating revenue $417,941<br />

Which resulted in a loss of $(2,338,826)<br />

finAnCiAL HiGHLiGHTs for THe fisCAL yeAr<br />

The MDI <strong>Hospital</strong> Organization provided 575 jobs and maintained a payroll of $26,019,018<br />

Total capital expenditures $828,086<br />

Free and uncompensated care $3,954,414<br />

Unrestricted and restricted gifts received by the MDI <strong>Hospital</strong> Organization $1,623,146<br />

Chrissi Harding*<br />

Michael Heniser, DO*<br />

Julius Krevans, Sr., MD<br />

Ruth Lyons*<br />

Vince Messer, Ph.D<br />

Terry Musson<br />

Susan Ray, DHA*<br />

fACiLiTies suBCommiTTee<br />

Stewart Brecher, Chair<br />

Arthur J. Blank*<br />

Mark Brown, MD*<br />

Ray Chalifour*<br />

Greg Corrow*<br />

Barbara Hannon*<br />

Chrissi Harding*<br />

Joe Hasselbrack*<br />

Mark Kandutsch, MD*<br />

Ruth Lyons*<br />

Terry Musson<br />

Susan Ray, DHA*<br />

HeALTH CenTers CommiTTee<br />

Terry Musson, Chair<br />

James Bright<br />

Michael Healy<br />

Lou Ingrisano, PA-C*<br />

Diehl Snyder, MD*<br />

QuALiTy AnD sAfeTy<br />

CommiTTee<br />

Patricia Hand, PhD, Chair<br />

John Benson, MD, Co-Chair<br />

Rob Shea, Co-Chair<br />

John Adams, MD<br />

Arthur J. Blank*<br />

Elsie Flemings<br />

Barbara Hannon*<br />

Lou Ingrisano, PA-C*<br />

Ruth Lyons*<br />

BirCH BAy BoArD of TrusTees<br />

Dean Read, Chair<br />

Sherri Dyer, Vice Chairman<br />

Arthur J. Blank*<br />

Betty Bryer<br />

Patricia Curtis<br />

Gail Gee<br />

Rob Shea<br />

Bill Weir<br />

HonorAry TrusTees<br />

(lifetime appointment in recognition of their<br />

outstanding service to MDI <strong>Hospital</strong>)<br />

Loy Andrews<br />

David Benson<br />

Leslie Brewer<br />

William Bromley, MD<br />

Henry Brown<br />

Roger Chagnon<br />

Dwight Eaton<br />

Donald Hobbs<br />

George McVety<br />

Erwin Soule<br />

Helmut Weber<br />

*MDI <strong>Hospital</strong> Staff<br />

Board Chairman and CEO<br />

are ex-officio members<br />

of all committees


mDi HosPiTAL LeADersHiP<br />

ARTHUR J. BLAnk<br />

President & CEO<br />

MICHAEL W. BOnSEy<br />

Chair, Board of Trustees<br />

STACy BROWn<br />

Director, Fiscal Services<br />

RAy CHALIFOUR<br />

Vice President, Physician Services<br />

FRAnCO COLELLA<br />

Director, Revenue Cycle<br />

SHIRLEy COnkLIn<br />

President, MDI <strong>Hospital</strong> Auxiliary<br />

GREG CORROW<br />

Director, Physical Plant and Nutrition Services<br />

CHRISTInA COSTELLO, BS, Rn, CEn<br />

Director, Emergency and OB Services<br />

BARBARA HAnnOn, Rn, MSn,<br />

M.ED, nE-BC, CEnP<br />

Vice President, Nursing<br />

JOAnnE HARRIS, SPHR<br />

Director, Human Resources<br />

JOSEPH HASSELBRACk<br />

Director, Health Centers Operations<br />

Lynn LEIGHTOn, Rn<br />

Director, Health Centers Clinical Operations<br />

LEOnARD LyAkHOVICH<br />

Director, Surgical Services<br />

RUTH LyOnS, Rn<br />

Vice President, Quality and Safety<br />

CHRISTInA MAGUIRE-HARDInG<br />

Vice President, Finance and Support<br />

MIkE MAHAn<br />

Executive Director, Birch Bay Retirement Village<br />

THOMAS MOCkUS, Rn<br />

Director, Medical and Rehabiliation Services<br />

JEFFERy M. MURAD<br />

Director, Laboratory and Medical Imaging<br />

SUSAn RAy, Rn, BSM, MBA/MHCM, DHA<br />

Vice President, Ancillary and Support Services<br />

DEAn S. READ<br />

Chair, Birch Bay Retirement Village<br />

AIMEE B. WALLS, Rn<br />

Director, Care Management<br />

MARk WHITE<br />

Director, Information Technology<br />

ACTive meDiCAL sTAff<br />

Stephanie Abbuhl, MD (UPenn-2012)<br />

Tariku Ayalew, MD (locum tenens)<br />

John M. Benson, MD<br />

Kendra Blount, DO<br />

Mark O. Brown, MD<br />

Brian J. Caine, MD<br />

Elizabeth M. Datner, MD (UPenn-2011)<br />

Stuart L. Davidson, MD<br />

Edward T. Dickinson, MD, NREMT-P, FACEP<br />

(UPenn-2011)<br />

Mary E. Dudzik, MD<br />

David Gaieski, MD (UPenn-2012)<br />

Edward B. Gilmore, MD, MACP<br />

David J. Goodenough, MD<br />

Timber H. Gorman, MD<br />

O. Lee Haynes, Jr., MD<br />

Charles E. Hendricks, MD<br />

Michael A. Heniser, DO<br />

Mark A. Kandutsch, MD<br />

Kathleen M. Kotas, MD<br />

Julius R. Krevans, Jr., MD<br />

Julian P. Kuffler, MD, MPH<br />

Michael J. Mason, MD<br />

Zachary Meisel, MD (UPenn-2012)<br />

Angela Mills, MD (UPenn-2012)<br />

Mayur K. Movalia, MD<br />

Meryl J. Nass, MD<br />

David M. Painter, MD<br />

Burton W. Pearl, MD<br />

Ronald H. Prokopius, MD<br />

Surapaneni Ramanadha Rao, MD<br />

Silvio Saidemberg, MD<br />

Mandeep Singh, MD (locum tenens)<br />

Diehl M. Snyder, MD<br />

Gregory Stahl, MD (locum)<br />

Norman L. Sykes, MD<br />

Elizabeth Videlock, MD (locum hospitalist)<br />

Edward R. White, MD<br />

ALLieD HeALTH<br />

ProfessionAL sTAff<br />

Lynne M. Assaf, LCSW, CADC<br />

Cortland P. Bassett, PA-C<br />

Brenda J. Beckett, PA-C<br />

Martha Bucklin, LMSW-CC<br />

Pilar S. Burmeister, FNP<br />

Beverly J. Chasse, PMHCNS-BC<br />

Linda T. Crowell, FNP<br />

Angela Del Vecchio, APRN<br />

Kati DeRevere, PMHNP<br />

Ann M. Dundon, PA-C<br />

Ralph A. Erickson, CRNA<br />

Kathleen A. Garcia, PhD<br />

Alan Graff, LCPC, CADC<br />

Jesse Greenbaum, CMT<br />

Irene M. Greene-Murphy, LCSW<br />

R. David Heath, PA-C<br />

Laura E.F. Hendricks, PMHNP, CNS<br />

Mary D. Hopkins, M.A.C<br />

Sylvia I. Ingerson, PMHNP, CNS, LADC<br />

Louis A. Ingrisano, PA-C<br />

Cecily P. Judd, LCSW<br />

Gerry R. Keenan, Jr., PA-C<br />

Reid Kincaid, PA-C<br />

Stephen Koscherak, PHD, CADC<br />

Rosamond Kreilkamp, LCSW, CADC<br />

Virginia R. Lanning, FNP-C<br />

Katherine (Katy) Lawson, FNP-C<br />

Barbara F. Logue, FNP<br />

Daniel E. Lorey, LCSW-CCS<br />

Bonnie B. Lundquist, ANP<br />

Edith S. Lyman, LCSW, CADC<br />

W. Guy Mahan, PA-C<br />

Elaine R. Mangini, PA-C<br />

Albert G. Marian, PA-C<br />

Betty Massie, PhD, CADC<br />

Diabetes management, continued from page 3<br />

MDI <strong>Hospital</strong>’s recent training and certification in the use of the device means the area’s<br />

patients no longer have to travel to Bangor, said Linda Beaudoin, RN, MDI <strong>Hospital</strong>’s<br />

diabetes education coordinator. Diabetes specialists provide training and follow-up for<br />

patients, who aim for a better quality of life and better control of their blood sugar.<br />

“We showed them the pump would be easier,” Beaudoin said. “They just need to know how<br />

to fill up the syringe with insulin and pop it into the pump.”<br />

Linda S. Maxwell, PA-C<br />

Terri L. Neer, PA-C<br />

Janice I. Nicholson, FNP<br />

Suzanne B. Norgang, CNM<br />

Christopher W. Price, CRNA<br />

Amie Quirion, LCSW-CCS<br />

Patricia A. Riley, FNP<br />

Linda J. Robinson, CNM<br />

Rachael F. Sharp, CRNA<br />

Chris P. Schleif, FNP<br />

Sally J. Smith, ANP, GNP<br />

Richard Sutherlin, CRNA<br />

Jude I. Tardy, PA-C<br />

Jane E. Tawney, PA-C<br />

Diane A. Tennies, PhD, LADC<br />

ConsuLTinG sTAff<br />

Astrid Andreescu, MD<br />

Suzanne Aquino, MD<br />

Stephen Austin, MD<br />

Dean Batten, MD<br />

Keith H. Brodie, MD<br />

James Brull, DO<br />

Marissa A. Camrud, MD<br />

Steven Ciabattoni, MD<br />

Michael J. Cooney, MD<br />

Phoebe H. Dann, MD<br />

Susan A. Dinges, MD<br />

Scott Dufresne, MD<br />

George J.A. Eyerer, MD<br />

John T. Frankland, Jr., MD<br />

A. Merrill Garrett, MD<br />

Anne Glaser, MD<br />

Britta M. Gooding, MD<br />

David Greatorex, MD<br />

Laurie L. Gutstein, MD<br />

Edward M. Harrow, MD<br />

Eric Hartz, MD<br />

Andrew G. Hinkens, MD<br />

Thomas B. Jones, MD<br />

John S. Kaiser, MD<br />

Margaret Kang, MD<br />

Karen B. Krigman, MD<br />

Ruth M. Lamdan, MD<br />

Garrett R. Martin, MD<br />

Richard J. Mazzei, MD<br />

Christopher J. Miller, MD<br />

Thomas H. Openshaw, MD<br />

Linda Petrovich, MD<br />

Stephen J. Pfister, MD<br />

Leonard Poirier, MD<br />

Thomas Rachner, MD<br />

David E. Renedo, MD<br />

Richard R. Riemersma, MD<br />

Guy Ross, MD<br />

Lawrence Sanders, MD<br />

Russ M. Savit, MD<br />

Jordan J. Shubert, MD<br />

Chung Shum, MD<br />

Marek Skacel, MD<br />

Bradley Snyder, MD<br />

Stephanie Swope, MD<br />

Paul Tisher, MD<br />

Carol E. Trask, MD<br />

Thomas H. Vreeland, MD<br />

support Team<br />

statistics<br />

Roger M. Wilson, MD<br />

Robin Wood, MD<br />

Douglas Woolard, MD<br />

Matthew Yates, MD<br />

Jay J. Ye, MD<br />

CourTesy meDiCAL sTAff<br />

Sigrid E. Berg, MD<br />

Philip L. Brooks, MD<br />

Mary V. Collins, MD<br />

Guillermo J. Crespo, MD<br />

Thomas E. Flynn, MD<br />

Jane W. Garfield, MD<br />

Walter N. Muth, MD<br />

Lawrence Piazza, MD<br />

Robert Pinsky, MD<br />

Jens Rueter, MD<br />

Donald L. Schassberger, MD<br />

Paul F. Stewart, MD<br />

Amy E. Tan, MD<br />

Nicholas S. Vachon, DPM<br />

Alan H. Wiseman, MD<br />

TeLemeDiCine sTAff<br />

Amy J. Movius, MD<br />

George B. Payne, MD<br />

Johnathan P. Wood, MD<br />

Mark Grant, MD<br />

resiDenT-in-TrAininG sTAff<br />

Alysia Cirona, MD<br />

Nora Hymowitz, MD<br />

Pamela Bannon, MD<br />

Virginia Harvey, MD<br />

Michael Orland, MD<br />

Kevin Scott, MD<br />

Outpatient health center visits<br />

Images taken (radiology, CT scan,<br />

72,663<br />

nuclear medicine, ultrasound) 13,670<br />

Emergency room visits 6,812<br />

Cases of ambulatory surgery 1,368<br />

Mammograms 1,647<br />

Discharges 1,368<br />

Employees 575<br />

Births 112<br />

nurses 87<br />

Acute care admissions 1,029<br />

Acute patient days 3,146<br />

Average stay 3.06<br />

Swing bed admissions 227<br />

Swing bed patient days 1,774<br />

In-patient surgeries 255<br />

Out-patient surgeries 1,354<br />

Total surgeries 1,609<br />

Lab tests 118,238<br />

Smith said the pump has freed her from much of her fear of diabetes. “I feel confident with<br />

controlling it,” she said. “Before, just by doing the injections, I didn’t feel like it was making<br />

a difference. The pump, for me, makes a difference, because I get to see the results quickly.”<br />

That sense of control has even allowed her to pursue new activities. She recently joined the<br />

fire department, doing support and photography. “I don’t feel like diabetes is hanging over<br />

my head anymore,” she said. “I feel sort of like I’m walking hand in hand with it now. I have<br />

more understanding.”<br />

5


After two months,<br />

rose iuro-Damon<br />

was well back into<br />

her work, and was<br />

back to kayaking<br />

and swimming.<br />

Rose Iuro-Damon is back in her kayak and doing the things she loves after knee replacement surgery.<br />

Knee replacement: Getting back to enjoying life<br />

Rose Iuro-Damon of Northeast Harbor has had pain in her<br />

knees, due to arthritis, for many years. The condition was<br />

treated with steroid injections and other therapies that provided<br />

symptomatic relief. But by late summer of 2011, the pain in her<br />

right knee was “screaming,” as she said, and caused a precipitous<br />

decline in mobility.<br />

“What happened was, the things I enjoy doing, I couldn’t do,”<br />

she said. “Last year, I didn’t get out in my kayak as much because<br />

it was an ordeal to load the kayak.”<br />

She had always been the type of person who would choose<br />

stairs over elevators, and she enjoyed hiking. But all of that had<br />

become excruciating. She realized she had to go for the knee<br />

replacement surgery that she had been putting off.<br />

She had the surgery in early March and promptly began physical<br />

therapy and has continued PT at home since then. “Now, my<br />

mobility is really good,” she said. “I feel like it’s a new lease on<br />

life. My favorite thing to do is go up and down stairs.”<br />

According to Stuart Davidson, MD, the orthopedic specialist who<br />

performed Iuro-Damon’s surgery, “When all conservative therapies<br />

6<br />

have failed to give patients relief, and the problem with their joint<br />

interferes with activities of daily living or recreational activities or<br />

gainful employment, then we take the next step, which is to do<br />

the surgical procedure.”<br />

Dr. Davidson is with MDI Orthopedics, which provides<br />

assessment, medical and surgical treatment of the joints,<br />

bones and connective tissue. Surgical procedures include adult<br />

reconstruction, sports medicine and arthroscopy, and trauma care.<br />

The patient spectrum spans infants to geriatrics.<br />

Joint replacement is often appropriate for “wear and tear”<br />

osteoarthritis and for other inflammatory diseases such as<br />

rheumatoid and psoriatic arthritis, Dr. Davidson said.<br />

The procedure involves chamfering bone that is no longer<br />

healthy and resurfacing the joint with metal or plastic<br />

components. The surgery can be performed as a partial or a<br />

total knee replacement.<br />

Knee replacement technology continues to evolve, he said.<br />

“Incisions are getting smaller. The instrumentation we use allows<br />

for less invasive approaches for putting the joints in place.<br />

The materials have improved so that joints last a little longer.<br />

And there have been design changes; they function better than<br />

joints in years previous,” he said.<br />

Dr. Davidson said the key to the success of the surgery is the<br />

time and effort that patients invest afterward in physical therapy.<br />

After two months, Iuro-Damon was well back into her work as<br />

a nurse at MDI <strong>Hospital</strong> and an independent massage therapist,<br />

and was back to kayaking and swimming.<br />

Her left knee is getting worse, and she plans to have that one<br />

replaced in the fall.<br />

Her affiliation with the hospital, and her acquaintance with the<br />

staff, made her choice of MDI for treatment a given, she said.<br />

But, she said, that makes her all the more aware of the excellent<br />

service and attention to patients to MDI provides.<br />

“They’re our neighbors, our friends and, in this case, our coworkers<br />

taking care of us,” she said. “I’ve always liked that about<br />

the community hospital. It’s the personal piece.”<br />

The emr<br />

What’s in it for patients and providers<br />

If you’ve had an office visit at any of MDI <strong>Hospital</strong>’s Health Centers in the past few weeks, you may have noticed the addition<br />

of a computer in the exam room.<br />

Moving patient files to an electronic medical record or EMR is part of a national initiative to improve access to lifesaving<br />

information, reduce errors based on misinterpreted handwriting, and ultimately improve efficiency and lower costs throughout<br />

a medical practice. And while few would dispute the accuracy of the EMR, some thought it could depersonalize the patient<br />

experience. In reality, the exact opposite is occurring.<br />

Kathleen Kotas, MD, is a family physician at Trenton Health Center who, after 30 years of practicing medicine using a paper<br />

file and a clipboard, was hesitant about the EMR at first. Today, she appreciates how quickly she can see details about the<br />

whole person, beyond the specific ailment or injury that brought the patient to the health center. “From a patient point of<br />

view, it collects important information (such as lifestyle, hobbies, employment, family, etc.). That makes my job of taking care<br />

of the patient easier because it’s a more thorough history. I’m a family doctor. We’re taught to look at the whole person, not<br />

just an ear or other problem area,” Dr. Kotas said. “I even like to know if they have pets because to me that’s a medical thing.<br />

People who have pets tend to have less depression and live longer.”<br />

continued on next page<br />

kathleen kotas, MD, has found that the EMR gives her a more complete picture of her patients’ health.


using the body’s own resources to promote healing<br />

Deb Suter, of Seal Cove, can now “do just about anything” after<br />

Platelet Rich Plasma therapy for a shattered patella.<br />

In 2010, Suter, who is a long-time nurse case manager at The<br />

Jackson Laboratory’s on-site clinic, was in Chicago for a case<br />

management conference. That evening, she went to the theater.<br />

It was pretty dark and, as she walked back to her hotel room, she<br />

tripped over an uneven edge of the sidewalk, fell, and couldn’t get<br />

up. Her knee was in extreme pain.<br />

She managed to get back to the hotel, where a lot of folks worked<br />

hard to get her back home to MDI. Met at the Trenton airport<br />

by her son’s girlfriend, she was in tears by the time she arrived at<br />

the emergency room at <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong>. “I’d gone<br />

from the night before and I couldn’t walk, I couldn’t put any<br />

pressure on my leg at all,” she said.<br />

She immediately started treatment for a left fractured patella. “The<br />

patella was shattered,” she said. “It was awful.” She was in a cast<br />

for six months, and then was told she needed a knee replacement.<br />

“I didn’t want a knee replacement,” she said.<br />

Still, she was desperate. So her physician, Mark Kandutsch, MD,<br />

started her on Platelet Rich Plasma (PRP) therapy. Since about<br />

a week or so from the first injection, Suter, who at 53 is an<br />

active person who loves to hike and be on the water, has had no<br />

symptoms of the injury at all.<br />

“I can go up and down stairs, I don’t have a limp, I can do<br />

just about everything,” she said. “To date, I have not had any<br />

symptoms. No pain, no swelling, no trouble hiking. I don’t have<br />

any problems. I’m feeling like I was really lucky.”<br />

At MDI <strong>Hospital</strong>’s Cadillac Family Practice, Dr. Kandutsch has a<br />

particular interest in sports medicine and orthopedic medicine.<br />

Among the practice’s services — which include family medicine,<br />

sports medicine, orthopedic medicine, osteopathic manipulation,<br />

pediatric services, preventative health care, and routine OB/<br />

GYN services — PRP is a type of injection therapy that was<br />

relatively recently introduced into the mainstream treatment of<br />

musculoskeletal problems. Cadillac was one of the first practices<br />

in Maine to adopt PRP therapy, Dr. Kandutsch said.<br />

The treatment involves using the patient’s own blood, taken<br />

from the arm, then concentrating the platelets via centrifuge. The<br />

concentrated platelets are injected into the site of a chronic injury<br />

of the joint, tendon or ligament.<br />

continued from previous page<br />

PRP therapy has made it possible for Deb Suter to get back into her garden without the need for additional surgery.<br />

“The reason it works is interesting,” Dr. Kandutsch said. “Platelets<br />

of the blood are involved in clotting. But what is less well known<br />

is that, aside from clotting factors, platelets also contain tissue<br />

growth factors.”<br />

Injecting the platelet concentration stimulates a process in the<br />

damaged tissue that he called “remodeling.”<br />

“I like to call it remodeling because all our connective tissues<br />

are constantly undergoing a remodeling, where a new substance<br />

is created all the time in response to chronic wear and tear,” he<br />

said. “But in certain types of tissues, it’s slower than others — for<br />

example, in the cartilage. That’s why those tissues heal slowly.<br />

They don’t have much in the way of blood supply.”<br />

Certain types of “wear and tear” problems and certain body<br />

areas are amenable to PRP therapy, he said. These tend to be<br />

areas where tendons or ligaments become overloaded and people<br />

have chronic problems such as tennis elbow, Plantar fasciitis, and<br />

Achilles tendinitis. It’s useful for osteoarthritis of the joints but<br />

not indicated for inflammatory conditions such as rheumatoid<br />

arthritis or gout.<br />

The record system prompts providers with questions to build a thorough personal history. On subsequent visits, those details<br />

are available for updating. The software also gives providers the ability to graph test results, which can be helpful to demonstrate<br />

trends in a positive or negative direction. For many patients, seeing their results presented visually can be more effective than a<br />

set of numbers on a page or screen.<br />

Early in the planning stages, concerns were raised about the pitfalls of placing a computer between a doctor and their patient:<br />

both literally and figuratively. To address the physical barrier issue, MDI <strong>Hospital</strong> Health Centers selected dexterous wall<br />

mounts that enable the computer to be located where it is functional but not front-and-center. “They can be moved around<br />

so I can look at the screen and the patient at the same time,” Dr. Kotas said. “You pick up visual cues from a patient. How<br />

they sit, how they cross their arms. Part of my worry was that I’d have my head in a laptop and be missing the patient or the<br />

patient would feel unimportant.” Instead, Kotas said, she has a tool that gives her easy access to the finer details about each<br />

patient she sees, to which she can tailor the care she provides in a way that works best for the individual.<br />

Electronic medical records at MDI <strong>Hospital</strong> are designed to incorporate the latest in digital security measures to ensure patient<br />

privacy is protected at all times.<br />

“And the actual improvement is quite slow, measured in months,<br />

because we’re talking about remodeling tissues,” said Dr.<br />

Kandutsch. “So it’s not a quick fix.”<br />

But unlike quick fixes, such as cortisone shots that mainly treat<br />

symptoms, PRP’s unique remodeling process actually stimulates<br />

repair and regeneration of the tissue for long-lasting benefits.<br />

The use of PRP therapy was a natural extension of Dr.<br />

Kandutsch’s interest in musculoskeletal medicine. The ability to<br />

practice PRP was cinched when the practice obtained its own<br />

ultrasound scanner, which allows practitioners to see where to<br />

place the injection.<br />

“Just this past year, we were given a brand new one by a very<br />

generous donor,” said Dr. Kandutsch. Ultimately, the portable<br />

scanner will be shared with the hospital’s Women’s Health Center.<br />

For Suter, returning to MDI for treatment was the only way to go.<br />

“I really wanted to come home,” she said of her push to return,<br />

rather than stay in Chicago for treatment.<br />

in early 2012, mDi <strong>Hospital</strong><br />

joined maine’s innovative<br />

statewide health information<br />

exchange known as<br />

Healthinfonet. This exchange<br />

enables medical providers<br />

to review health records of<br />

patients regardless of where<br />

they were seen, which can be<br />

lifesaving in emergencies and<br />

can lead to better coordination<br />

of care. for more information,<br />

visit www.hinfonet.org.<br />

7


<strong>Annual</strong> fund and Campaign support<br />

$10,000 AnD over<br />

Anonymous (2)<br />

Mrs. Charlotte Bordeaux<br />

Mr. Charles C. Butt<br />

Mr. and Mrs. Tristram C. Colket, Jr.<br />

Cornelia Cogswell Rossi Foundation, Inc.<br />

Mrs. Sylvia Y. Cough<br />

The David Rockefeller Fund, Inc.<br />

Mr. and Mrs. Shelby M.C. Davis<br />

Estate of Elizabeth B. Ketterlinus<br />

Dianna K. Emory and Benjamin R. Emory<br />

Mr. and Mrs. Joseph G. Fogg, III<br />

Mr. Alfred B. Ford<br />

Mr. and Mrs. Paul Fremont-Smith, Jr.<br />

The Gerrish H. Milliken Foundation<br />

Dr. and Mrs. Thomas K. Glenn, II<br />

Mr. and Mrs. John W. Ingle, Jr.<br />

Mr. and Mrs. Gilbert H. Kinney<br />

Mr. and Mrs. Robert P. Kogod<br />

Maine Community Foundation<br />

Margaret Dorrance Strawbridge<br />

Foundation of PA, II<br />

Mr. and Mrs. Arthur C. Martinez<br />

Mr. and Mrs. James L. McCabe<br />

Mr. and Mrs. Gerrish H. Milliken<br />

Mitchell P. Rales Family Foundation<br />

Mr. and Mrs. Mitchell P. Rales<br />

Mr. R. Anderson Pew<br />

David and Donna Reis<br />

Robert P. and Arlene R. Kogod<br />

Family Foundation<br />

Mr. David Rockefeller<br />

The Shelby Cullom Davis Charitable Fund Inc.<br />

Mr. and Mrs. John M. Sullivan, Jr.<br />

Mr. Hans Utsch<br />

The Wilbur and Hilda Glenn Family Foundation<br />

Mr. and Mrs. William R. Wister, III<br />

Noelle and Dick Wolf<br />

Mr. and Mrs. Morris E. Zukerman<br />

$5,000 To $9,999<br />

Mr. and Mrs. P. Hamilton Clark, lll<br />

Ms. Barbara Danielson<br />

Fred C. Lynam Trust<br />

Mrs. Henry F. Harris<br />

Mrs. Marcia MacKinnon<br />

Mr. Harry R. Madeira, Sr.<br />

Mr. and Mrs. Clement E. McGillicuddy<br />

Mr. and Mrs. Harald Paumgarten<br />

Mr. and Mrs. Winthrop Short<br />

Ms. Martha Stewart<br />

Jane S. Zirnkilton<br />

$2,500 To $4,999<br />

Anonymous<br />

B.D. and Jane E. McIntyre Foundation<br />

Bar Harbor (MDI) Rotary Club<br />

Ms. Lydia M. Barnes<br />

Mr. and Mrs. Curtis L. Blake<br />

Mr. and Mrs. Frederic A. Bourke, III<br />

The Curtis and Patricia Blake Foundation<br />

Mr. and Mrs. Phillip S. Dennis<br />

Ed and Patsy Fogarty<br />

Irving S. and Ada H. Ray Memorial Fund<br />

Barbara Kent Ph.D.<br />

Mrs. Paul L. Miller<br />

Mr. and Mrs. Gerry Milliken, III<br />

Nancy Milliken and Sergei Smirnoff<br />

Nancy and George Putnam<br />

Mr. and Mrs. Michael Rindler<br />

W.P. Carey Foundation Inc.<br />

$1,000 To $2,499<br />

Roger and Maureen Ackerman<br />

Mr. and Mrs. Donald Allen<br />

Mr. and Mrs. Stockton A. Andrews<br />

Anonymous (2)<br />

Mr. Stevens Belknap<br />

Mr. and Mrs. Charles Benore<br />

8<br />

Bessemer Trust Company<br />

Joan S. and James G. Blaine<br />

Mr. and Mrs. Arthur J. Blank<br />

Mr. and Mrs. Robert W. Calcagni<br />

John Cochran<br />

Dahl-Chase Pathology Associates, P.A.<br />

Dr. and Mrs. Stuart L. Davidson<br />

Mrs. Douglas Dillon<br />

E. Newbold and Margaret DuPont<br />

Smith Foundation<br />

Kathleen Field<br />

Mrs. Ruth Fraley<br />

Annie and Gary Galyean<br />

Dr. and Mrs. Edward B. Gilmore<br />

Mr. and Mrs. Temple Grassi<br />

Mr. and Mrs. John H. J. Guth<br />

Hoyt Hamor<br />

Mrs. Nancy G. Harris<br />

Mrs. Margaretta Iselin<br />

Mr. and Mrs. Orton P. Jackson, Jr.<br />

Robert and Nannerl Keohane<br />

Mr. and Mrs. David S. Kirkland<br />

Dr. and Mrs. Julius R. Krevans, Sr.<br />

Dr. and Mrs. Leung Lee<br />

Mr. and Mrs. John C. Maxwell, Jr.<br />

Mr. and Mrs. Alan McIlhenny<br />

MDI High School<br />

Charles H. Merriman, III<br />

<strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong>er<br />

Dr. Mayer Movalia<br />

Frank Moya, MD<br />

Jim and Lynn Nobil<br />

O’Donnell Iselin Foundation<br />

Anne and Craig Patterson<br />

Mr. and Mrs. Ferguson E. Peters<br />

Mr. and Mrs. Daniel Pierce<br />

Poor Boy’s Gourmet<br />

Mrs. Eben W. Pyne<br />

Edith and William Rudolf<br />

Mr. and Mrs. William Russell<br />

Mr. and Mrs. John C. Smith<br />

Diana Davis Spencer<br />

Mrs. Patricia R. Sweeney<br />

The Woodcock P. Foundation<br />

$500 To $999<br />

Anonymous (4)<br />

Atwater Kent Foundation, Inc.<br />

Bar Harbor Bank & Trust<br />

Bar Harbor Campground<br />

Drs. John and Lynn Benson<br />

Michael and Diane Bonsey<br />

Mr. and Mrs. Earl Brechlin<br />

James R. Bright and Harriet Whittington<br />

Mr. and Mrs. Henry W. Brown<br />

Roc and Helen Caivano<br />

John and Linda Carman<br />

College of the Atlantic<br />

Mr. Jonathan B. Conant<br />

and Dr. Emily R. Conant<br />

Peggy J. Danneman<br />

Alix C. Diana<br />

Ellen L. Dohmen<br />

Ross Dworman and Jennifer Coll<br />

The First, N.A.<br />

Mrs. Margaret F. Grace<br />

Gordon s and Dorothy Erikson<br />

Dr. Patricia H. Hand and Mr. Victor Hand<br />

Mr. and Mrs. Charles A. Heimbold, Jr.<br />

Mr. and Mrs. John B. Henry<br />

The Irving Foundation<br />

Dr. Mark Kandutsch<br />

Mr. and Mrs. K. Prescott Low<br />

Mrs. Barbara MacQuinn<br />

Paul and Lacey MacQuinn<br />

Senator and Mrs. George J. Mitchell<br />

Mr. Albert P. Neilson<br />

Ms. Helen Porter and Mr. James T. Dyke<br />

Mrs. Barbara N. Rappaport<br />

The RD Foundation, Inc.<br />

Dean and Penny Read<br />

Carol S. Rush<br />

S & G Foundation<br />

Mickey Shattow and Linda Jensen<br />

Mr. and Mrs. Clyde E. Shorey, Jr.<br />

Mr. William C. Trimble, Jr.<br />

Mr. Caspar Weinberger<br />

The Weinberger Foundation<br />

Mark and Sarah Williamson<br />

David J. Witham<br />

$250 To $499<br />

Anonymous (3)<br />

Bar Harbor Motel<br />

Bruce and Pam Bicknell<br />

Ms. Gayley Blaine<br />

Stewart and Melita Brecher<br />

William C. Bromley, MD and Julie N. Bromley<br />

Mr. and Mrs. Charles Bucklin<br />

Ms. Mary R. Morgan and Mr. David J. Callard<br />

Francis G. Coleman<br />

Mr. and Mrs. Richard V. Collier<br />

Mrs. Bradley Collins<br />

T.A. Cox<br />

Mr. and Mrs. Charles D. Dickey, Jr.<br />

Mr. David Einhorn, Esq. and Ms. Marilyn Baum<br />

Lauri E. Fernald<br />

Thomas and Carroll Fernald<br />

Mr. and Mrs. Robert J. Flynn<br />

Dr. Samuel M. Fox, III<br />

Mrs. Heather T. Frazer<br />

John and Marion D. Gay<br />

Mr. and Mrs. Carroll L. Gilliam<br />

Mr. and Mrs. Charles Gogolak<br />

John Goodson and Patricia Willard<br />

Margie Grace Shethar<br />

H.E. Callahan Construction Co.<br />

Mr. Stanley W. Harmon<br />

Dr. Ormond L. Haynes and Ms. Dee Karnofsky<br />

Henry Flagler Harris Charitable<br />

Remainder Annuity Trust<br />

Stephen, Naoko and Kye Hesse<br />

Robert s and Nancy Ho<br />

Betsey Holtzmann<br />

James and Sally Anne Kellogg<br />

Dr. and Mrs. Victor Kelmenson<br />

Leslie and Lew Leathersich<br />

Susan S. Leiter<br />

Rosalind W. Lewis<br />

Mr. Martin M. Lyons<br />

Mr. James C. MacLeod s<br />

Carol and Rick Malone<br />

Emily H. Maren<br />

David and Audrey Mills<br />

Mr. Creighton B. Murch and Ms. Janice Smith<br />

The New York Community Trust<br />

- The Octagon Fund<br />

Dr. Burton W. Pearl<br />

Mr. and Mrs. John P. Reeves<br />

Andrew and Susan Roberts<br />

Mr. William B. Ruger, Jr.<br />

Mr. Steve Rush and Ms. Nancy O’Connor<br />

Dr. and Mrs. Dennis Shubert<br />

Mr. and Mrs. George R. Sinnett<br />

Mr. David B. Smith and Ms. Ilene T. Weinreich<br />

Stephen and Brenda Sprague<br />

Valley Foundation, Inc.<br />

Mr. Roy T. Van Vleck<br />

Mr. and Mrs. Samuel Vaughan<br />

Mrs. Susanne Weast Wheat<br />

Emmet and Betty Whittlesey<br />

Mr. and Mrs. Rufus M. Williams<br />

$100 To $249<br />

Mr. and Mrs. Henri Agnese<br />

Schofield and Elly Andrews<br />

Anonymous (8)<br />

Mr. and Mrs. Chris Arapoglou<br />

Mr. Steven E. Barkan<br />

and Ms. Barbara J. Tennent<br />

Patricia Barton<br />

Mr. and Mrs. Robert R. Batt<br />

Drs. Wesley and Terrie Beamer<br />

Mr. Ronald E. Beard and Ms. Sandi Read<br />

Katherine Bell<br />

Mr. and Mrs. William E. Benjamin, II<br />

Mr. and Mrs. David B. Benson<br />

Rick and Rita Berndt<br />

Mr. Christopher T. Bever<br />

and Ms. Patricia A. Thomas<br />

Ms. Sallie S. Boggs<br />

Florence Borda<br />

Jim and Phoebe Boyer<br />

Mr. and Mrs. Harry Brawley<br />

Mr. and Mrs. Richard A. Broom<br />

Gernon and Linda Brown<br />

Mr. and Mrs. William N. Buchala<br />

Burt Associates<br />

Mr. and Mrs. David E. Butler<br />

Mr. and Mrs. Neil Butler<br />

Sara and Marcus Byruck<br />

Bob Cantwell and Lydia Wegman<br />

Mr. and Mrs. Minturn V. Chace<br />

The Chart Room<br />

Constance M. Clark<br />

Sarah L. Clark<br />

Coston & McIssac<br />

Arthur and Heather Davis<br />

Val Davis and Les Harbour<br />

Lyle and Pauline Dever<br />

The Breast Imaging Center, <strong>Hospital</strong><br />

of the University of Pennsylvania<br />

Mary Drury<br />

Dr. Mary Dudzik and Dr. David Painter<br />

Mr. and Mrs. Walter R. Dunton, Sr.<br />

Deborah M. Dyer<br />

Mr. and Mrs. Edward R. Dysart<br />

William and Helen Eisele<br />

Mr. and Mrs. Thomas R. Elkins<br />

Ellsworth Duplicate Bridge Club<br />

F.T. Brown, Co.<br />

Mr. and Mrs. Nathaniel R. Fenton, Esq.<br />

Anna Fernald<br />

Mr. and Mrs. Redmond S. Finney<br />

David and Judith Fischer<br />

Dr. and Mrs. Richard Fox<br />

Gary and Glenon Friedmann<br />

Sylvia H. Garrett<br />

Geddy’s Pub<br />

Mr. and Mrs. Robert L. Gilfillan<br />

Mr. Peter Godfrey<br />

Jill and Sheldon Goldthwait<br />

Linda Goodman<br />

Ms. Neva Goodwin<br />

Mr. Arthur J. Greif and Ms. Donna M. Karlson<br />

Mr. and Mrs. G. Bernard Hamilton<br />

Teresa Hanafin<br />

Mrs. Jeany Hanscom<br />

Gordon and Margy Hargraves<br />

Ben Harper<br />

Seth s and Gwen Harper<br />

Mrs. Lawrie R. Harris<br />

Mr. and Mrs. John S.C. Harvey, III<br />

Dr. Richard and Susan Hays<br />

Fritz and Joann Heimann<br />

Mr. and Mrs. John Hewlett<br />

Shirley L. Hiller<br />

Don and Martha Hobbs<br />

Mr. and Mrs. Melville Hodder<br />

Judy Holmes and James A. Progin<br />

Mr. and Mrs. Stephen Homer<br />

Mrs. Elizabeth H. Hufnagel<br />

David Tollerud and Suzanne Ildstad<br />

Paula M. S. Ingalls<br />

Margaret Jeffery, Esq.<br />

Paul M. Jellison<br />

Michael V. and Flora L. Jenkins


Mr. Kenneth R. Johnson<br />

and Ms. Jane E. Disney<br />

Mary Ellen Johnson<br />

Grace L. Jones<br />

Michael J. Karabin<br />

Dr. and Mrs. Jeffery D. Kashin<br />

Dr. and Mrs. Leon D. Katz<br />

Mr. and Mrs. Morris C. Kellett<br />

Ernestine E. King<br />

Dr. and Mrs. Julius Krevans, Jr.<br />

Mrs. Priscilla W. Lane<br />

Hope Whitney Lapsley<br />

Richard and Gail Leiser<br />

Gay Ann Lindenmeyer<br />

Muriel T. Lindquist<br />

Ralph and Roberta Longsworth<br />

Ms. Joan W. Mackie<br />

Edward Madara<br />

Mrs. Constance B. Madeira<br />

Robert and Kathleen Malaney<br />

Maude and John P. March, Jr.<br />

Rev. Abigail Marsh<br />

Marilyn M. Mays<br />

Mr. Bruce Mazlish<br />

Mr. Wayne C. McGarvey<br />

Mrs. Nancy W. McKelvy<br />

Beverly M. McNeal<br />

Mrs. Dorothea Mead<br />

Mrs. John L. Merrill, Jr.<br />

Mr. and Mrs. Helmut Meyerbach<br />

Mr. and Mrs. Edward A. Mitchell<br />

Mr. and Mrs. Robert W. Mitchell<br />

Marina Morgan<br />

Mr. and Mrs. Donal B. Murphy<br />

Christopher and Heidi Murphy<br />

Victoria T. Murphy<br />

Terry and Linda Musson<br />

National Park Tours & Transport, Inc.<br />

Jeffrey and Terri Needham<br />

John H. Newhall<br />

Heidi Nitze<br />

Marie G. Nolf<br />

Terry O’Connell and Norah O’Brien<br />

Mr. W. Kent Olson<br />

Oop’s LLC<br />

Mr. and Mrs. C.W. Eliot Paine<br />

Linda M. Palfrey<br />

Mrs. Susan B. Parker<br />

Mrs. Stephen Pearson<br />

People’s United Bank<br />

Mr. and Mrs. Frederick C. Phillips<br />

Dr. and Mrs. Richard Pierson<br />

Mr. and Mrs. John M. Power<br />

Charles L. and Patricia D. Pugh<br />

Rev. Bob and Fran Raymond<br />

Deborah L. Rechholtz<br />

Judy Reemtsma<br />

Ken and Esther Revis-Wagner<br />

Dr. and Mrs. Charles H. Richman<br />

Betsy and Frank Roberts<br />

Ike and Debra Roberts<br />

Owen and Janet Roberts<br />

Dr. Hamilton Robinson<br />

and Dr. Roxana Robinson<br />

Hilda K. and Thomas H. Roderick<br />

Jack Rourke<br />

Jack Russell<br />

Rachel Russell<br />

Joseph P. Ryan<br />

S.R. Tracy, Inc.<br />

Nancy L. Sawyer<br />

Mr. and Mrs. John H. Schafer<br />

Mr. and Mrs. Charles P. Schutt, Jr.<br />

Valerie E. Scott<br />

Mr. and Mrs. William C. Scott<br />

The Scranton Family<br />

Mr. and Mrs. Jay D. Scribner<br />

Dr. and Mrs. Peter Sellers<br />

Delores M. Shields<br />

Mr. and Mrs. Harold J. Shields<br />

Barbara S. Shirey<br />

Backside LLC<br />

Dr. and Mrs. Jordan J. Shubert<br />

Irving I. Silverman<br />

Laura E. Smallidge<br />

Mr. and Mrs. Donald E. Smith<br />

Edith V. Sontag<br />

Mr. Christopher B. Swan<br />

Mrs. Hope O. Sweet<br />

Mrs. Elizabeth H. Tappan-deFrees<br />

Esther C. Testa<br />

Leslie and Mildred Thurston<br />

Mr. Kim Tomlinson and Ms. Laura Stanton<br />

Mr. Monty Trainer<br />

Caroline Urvater<br />

Marian Vafiades s<br />

Gregory and Julie Veilleux<br />

Mrs. Barbara Waldron<br />

Anne and Robert Walmsley<br />

Mr. William H. Webster<br />

Harlan J. Wechsler<br />

Kim and Finn Wentworth<br />

Penn medicine brings innovative care<br />

techniques for sepsis to mDi <strong>Hospital</strong><br />

When a patient arrives at any hospital emergency room with a gunshot wound, the<br />

response is immediate, aggressive and choreographed to address the most critical aspects of<br />

the injury. Taking that same kind of approach to treating patients without obvious trauma<br />

or injury may seem overzealous but in cases of sepsis, it can often mean the difference<br />

between life and death.<br />

A new protocol for sepsis treatment was developed in part at Penn Medicine and<br />

brought to <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong> through a groundbreaking partnership. MDI<br />

<strong>Hospital</strong>’s physicians and nurses, along<br />

The importance of<br />

early intervention<br />

makes this advanced<br />

training especially<br />

valuable in rural<br />

areas that are<br />

distanced from a<br />

trauma station.<br />

with paramedics from all ambulance<br />

services on the <strong>Island</strong>, are learning the<br />

techniques and protocols as part of this<br />

year’s specialized training component<br />

of the MDI <strong>Hospital</strong>-Penn Medicine<br />

collaboration. The program enables MDI<br />

medical providers to receive training<br />

in specialized topics that come out of<br />

research at Penn Medicine.<br />

“The similarities between trauma and<br />

sepsis care are really important,” said<br />

Rakesh Mistry, MD, a Penn Medicine<br />

pediatric emergency physician and researcher. “Most of us recognize with trauma the<br />

sooner you get to it and the sooner you fix it, the better the outcome.” Approaching sepsis<br />

in the same manner can improve outcomes. Nationally, as many as 25 percent of patients<br />

with sepsis die from the illness. Utilizing this latest protocol, that number can be reduced<br />

by half or more.<br />

The crux of the new protocol is to begin aggressive treatment at the earliest indication<br />

of symptoms. Many EMS services on MDI are acquiring meters to test lactate levels,<br />

one indication of potential sepsis, as soon as a patient is on board an ambulance. That<br />

knowledge can help prepare ER staff so they can begin treatment as soon as the patient<br />

arrives. It’s also something that is at the leading edge of EMS practice. “That’s a step in a<br />

<strong>Annual</strong> fund<br />

Dr. and Mrs. Edward R. White<br />

Mr. and Mrs. Holyoke L. Whitney<br />

Mr. and Mrs. James W. Wilmerding<br />

John Wilmerding<br />

Window Panes<br />

Mr. Richard C. Wolff and Ms. Kathy A. Grant<br />

Stuart Woods<br />

Mr. and Mrs. David B. Woodside<br />

Ms. Carol E. Woolman<br />

and Mr. Richard H. Bullock<br />

Mr. Jonathan M. Zeitler<br />

and Ms. Cynthia L. Baker<br />

Erwin B. Zimmermann<br />

Mr. and Mrs. Robert H. Zinn<br />

Mr. and Mrs. Stephen M. Zirnkilton<br />

$1 To $99<br />

Virginia Pratt Agar and Helmut Weber<br />

Mr. and Mrs. J. Walter Allen<br />

Mr. and Mrs. Lee H. Alley<br />

Alan and Diane Amendt<br />

Florence H. Ames<br />

John and Karen Anderson<br />

Mr. and Mrs. Joseph R. Anghinetti<br />

Charles Donnelly and Janet Anker<br />

Anonymous (14)<br />

Mr. and Mrs. Larry L. Augsburger<br />

Ann Axtmann and Tibor J. Pusztai<br />

Edward B. Babcock, MD<br />

James B. Baldwin<br />

Mr. and Mrs. Elwood Banfill<br />

Bass Harbor Inn<br />

Mr. and Mrs. Harold R. Beal<br />

JoAnne Ivory and Todd Beckerman<br />

direction that we haven’t been able to do yet (at Penn),” said Sarah Perman, MD, a Penn<br />

emergency physician and research collaborator.<br />

The goal-based treatment establishes a set of benchmarks for a patient’s vital signs such<br />

as blood pressure, oxygen saturation, and other blood chemistry and attaches appropriate<br />

actions to achieve and maintain those levels. It also calls for many patients to receive large<br />

amounts of intravenous fluids and antibiotics at the earliest indications of sepsis.<br />

In some cases, this technique departs from conventional wisdom and training, especially<br />

when it comes to the extremely high volumes of fluids that are given. “It is a paradigm<br />

shift and change in mentality across all of medicine,” Dr. Mistry said. “I think that the<br />

fear you have to overcome is that it’s still the right thing to do even though it’s out of the<br />

usual spectrum of care that people have had ingrained in their memory for many, many<br />

years. What you learned in medical school doesn’t apply anymore.”<br />

A second component of the paradigm is to consider this type of treatment as a<br />

resuscitation as opposed to an evaluation. This provides “an almost algorithmic approach<br />

so that the patient gets the immediate care they need,” Dr. Perman said.<br />

The importance of early intervention makes this training especially valuable in rural areas<br />

that are distant from a trauma center. At MDI <strong>Hospital</strong>, patients with varying degrees of<br />

sepsis are seen every week, according to JR Krevans, Jr., MD, MDI <strong>Hospital</strong>’s Emergency<br />

Department medical director. Starting this aggressive treatment early could mean the<br />

difference between a few hours in the emergency room or days in the hospital.<br />

The MDI <strong>Hospital</strong>-Penn Medicine collaboration is a privately funded initiative that provides<br />

a direct link to leading-edge medical practices as they emerge from academia. Additionally,<br />

the program enables professional exchanges between staffs at both organizations. For July<br />

and August Penn physicians, resident physicians, and nurses travel to Bar Harbor to work<br />

in MDI <strong>Hospital</strong>’s Emergency Department to enhance their skills and knowledge of rural<br />

health care delivery. During the winter months, registered nurses join the Penn staff in one<br />

of their facilities in Philadelphia to advance their knowledge in topics such as trauma and<br />

emergency care in a high patient volume setting. The program is currently in year two of a<br />

three-year pilot program.<br />

9


<strong>Annual</strong> fund<br />

Mr. George J. Bender, Jr.<br />

David and Muriel Billings<br />

Dr. Julia Birnbaum<br />

Susan Thomas Blaisdell<br />

Mr. and Mrs. Michael Bleshman<br />

Mr. Michael Boland<br />

Alan and Olive Bond<br />

William R. Booth<br />

Mr. and Mrs. George Boyd, II<br />

Matthew E. Bratzler<br />

Ms. Milja Brecher-DeMuro<br />

Mr. and Mrs. Daniel L. Bridgers<br />

Horace and Mary Ann Briggs<br />

Ken and Ellen Brookes<br />

Becky Brush<br />

Ashley Bryan<br />

Richard H. Burgin<br />

Lucille L. Campbell<br />

Jo Ann Cantwell<br />

Sara Carroll<br />

Mrs. Alice G. Carter<br />

Robert P. Chaplin<br />

Shirley M. Chase<br />

Cecily G. Clark<br />

Janet P. Clarke<br />

Don E. Coates<br />

Joanne and Elliott Cohen<br />

Mr. Lawrence A. Cole<br />

and Ms. Dawn L. Carros<br />

Mr. and Mrs. Stephen H. Collier<br />

Mr. and Mrs. Douglass M. Compton, Jr.<br />

Ms. Shirley Conklin<br />

Marjorie W. Cough<br />

Dr. Lucy E. Creevey<br />

Deborah Cressler and Susan L. Haggstrom<br />

Mr. and Mrs. William Culleton<br />

Stefan H. Cushman<br />

Anne Czechanski<br />

Mary D’Alessandro<br />

Sandra Daley<br />

Mr. and Mrs. James C. Davidian<br />

Gary and Judy DeLong<br />

Mr. and Mrs. John A. DeTurris<br />

10<br />

Mr. and Mrs. Stephen H. Dolley<br />

Mr. and Mrs. Leo J. Doreika<br />

Mr. and Mrs. Philip Dow<br />

Mr. and Mrs. Richard E. Dow<br />

Elinor Dulit MD<br />

Mary “Gussie” Dunbar<br />

Lt. Col. and Mrs. Donald E. Dyer, Jr.<br />

Sherri J. Dyer<br />

Sharon and Laurel Eisenhauer<br />

Mr. and Mrs. William English<br />

Mrs. Sherrie Epstein<br />

Mr. and Mrs. Spencer Ervin<br />

Mr. and Mrs. William O. Evans<br />

Mrs. Margaret Finlay<br />

Representative Elsie Flemings<br />

Catherine and John Forrest<br />

Mr. and Mrs. William E. Fowler<br />

Ms. Alison Fox<br />

Ms. Katie A. Freedman<br />

Mr. and Mrs. Ignazio Frigerio<br />

Anne and Lance Funderburk<br />

David Gallup and Kyuson Yun<br />

Mary and Phil Galperin<br />

Bruce and Deborah Gardner<br />

Holly Gay<br />

Mr. and Mrs. William G. Geel<br />

Mr. and Mrs. Kenneth Getz<br />

Mr. John B. Gibb<br />

Mrs. Ann F. Gilkes<br />

Ellen Gilmore<br />

Barbara L. Glezen<br />

Mr. Lawrence Goldfarb<br />

and Ms. Gerda Paumgarten<br />

Melody D. Gooden<br />

Elizabeth D. Gordon<br />

Dr. Robert M. Gossart<br />

and Ms. Judith Burger-Gossart<br />

James and Eliza Gowen<br />

Alan and Barbara Graff<br />

Dr. and Mrs. Ralph J. Graff<br />

Mr. and Mrs. George Graham<br />

Jeffrey and Linda Grey<br />

Ms. Julu Grindle<br />

Sheila Hall of Southwest Harbor has her eyesight today not as a result of a cutting-edge<br />

medical procedure but because of a creative approach to paying for her prescriptions. “I’d go<br />

blind if I didn’t have it” she said of <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong>’s Prescription Assistance<br />

Program that connects patients with a variety of pharmaceutical assistance programs.<br />

Hall and many others in the community receive their prescriptions free of charge directly<br />

from pharmaceutical manufacturers. Since its inception in 2007, 1,959 prescriptions have been<br />

acquired through the program with a wholesale value of $1,001,525. The retail value of these<br />

prescriptions is estimated at two to three times the wholesale value for a total retail savings to<br />

patients of $2-3 million.<br />

MDI <strong>Hospital</strong>’s prescription assistance program helps patients navigate free or discounted<br />

drug programs at more than 400 pharmaceutical manufacturers and retailers. Because each<br />

manufacturer has different eligibility and application requirements, the process to receive free<br />

medication can be daunting for patients. That’s where MDI <strong>Hospital</strong>’s prescription assistance<br />

coordinator Pat Buccello can help. “It’s a very paperwork intensive program,” she said.<br />

“We work with the patient and their doctor to find medications that are covered by a free<br />

program.” Although television ads for many pharmaceuticals end with a line ‘if you need help<br />

paying for your medications, XYZ Pharmaceuticals may be able to help,’ Buccello says some<br />

companies work exclusively with hospitals or provider-based patient advocates.<br />

Prescription assistance is typically offered for long-term medications that are used for diabetic<br />

care, cardiac conditions, blood pressure, behavioral health management, or other chronic<br />

conditions. Short-term medications such as antibiotics or pain medications are not available<br />

through the assistance program. Drug companies provide the medications free of charge, but<br />

Sophia C. Guidi<br />

John B. Guillan<br />

Donald and Karol Hagberg<br />

Mr. and Mrs. George B.E. Hambleton<br />

Rosamond G. Hamlin<br />

Mr. and Mrs. Albert L. Hamor<br />

Maryiln Handel<br />

Scott Hanscom<br />

Mr. and Mrs. Gerard E. Haraden<br />

Mr. and Mrs. Alvin U. Hatch, Jr.<br />

Donna C. Hazen<br />

Mr. and Mrs. Michael E. Healy<br />

Penelope and Walter Heiges<br />

Mr. and Mrs. Phillip Heimann<br />

Mr. and Mrs. Michael Hellum<br />

Wilda M. Higgins<br />

Mr. and Mrs. Bruce W. Hill<br />

Thomas and Suzanne Hitchcock<br />

Mrs. Eleanor E. Hodgkins<br />

Carolyn and Dave Hollenbeck<br />

Mr. and Mrs. Milton Hutchins<br />

<strong>Island</strong> Designs<br />

Raymond Iverson<br />

Charles D. Jacobi<br />

Ms. Dina A. Jellison<br />

and Mr. John J. Wall, III<br />

Constance Jordan<br />

Mrs. Jennifer Judd-McGee<br />

Hellmut J. Juretschke<br />

Ed Kaelber<br />

David and Cynthia Kahler<br />

Steven Katona and Susan Lerner<br />

John M. Kauffmann<br />

Mr. and Mrs. James W. Kelly<br />

Ms. Amanda Kendall<br />

Mr. and Mrs. Francis E. Kinsey<br />

Mr. and Mrs. Allan Kleinman<br />

Jeffrey S. Klueter and Tobie Bernstein<br />

Wendy Knickerbocker<br />

The Knowles Company Real Estate<br />

Mr. and Mrs. Walter Knudsen, Jr.<br />

Mr. and Mrs. Arthur Kohrman<br />

Ms. Diane R. Kopec<br />

mDi <strong>Hospital</strong> prescription assistance<br />

provides $1 million in free medication<br />

Vesta Kowalski<br />

Ms. Anne Kozak<br />

Arnold Krommenohl<br />

John L. Nicholas Kuczynski, IV<br />

Lea Lane<br />

Ms. Emily Leeser<br />

Russell C. Lewis<br />

Mrs. Virginia B. Libhart<br />

Mrs. Martha E. Limeburner<br />

Mrs. Elizabeth E. Liscomb<br />

E.M. Loebl<br />

Ms. Barbara Logue<br />

Jeff and Beth Longcope<br />

Mr. and Mrs. Charles T. Lotreck<br />

Stan and Binnie MacDonald<br />

Mr. Ray C. Magoon<br />

Joel Magyar<br />

Stephen W. Magyar<br />

Stephen and Mary Ann Mahoney<br />

Stephen Marburg<br />

Paula and George Marcus<br />

David and Margery Matlack<br />

Mr. and Mrs. Wesley G. Matthei<br />

Diane Mayer<br />

Anne A. Mazlish<br />

Mrs. Elizabeth McCarter<br />

Mrs. Marion J. McDevitt<br />

Mr. and Mrs. Roy W. McFarland<br />

Mr. and Mrs. Robert E. McGrath<br />

Mr. and Mrs. Andrew McInnes, Jr.<br />

Mr. Maurice J. McIsaac<br />

and Ms. Trisha L. Rhodes<br />

Mrs. M. June McMullen<br />

Mr. Douglas Michael<br />

and Ms. Kimberly D. Childs<br />

Mr. and Mrs. George Millett<br />

Mr. and Mrs. Kelton E. Muise<br />

Michael and Elizabeth Mulshine<br />

Mr. and Mrs. Michael C. Musetti<br />

Mr. and Mrs. Douglas O. Naegele<br />

Debra A. Nale<br />

Mr. and Mrs. Grover P. Nevells<br />

Mrs. A. Corkran Nimick<br />

staffing and administration of the program is funded entirely by MDI <strong>Hospital</strong> as part of its<br />

overall commitment to health and wellness of the community.<br />

According to Buccello, many of her clients might skip their medication, split pills, or take less<br />

than the prescribed amount because of the cost of the drugs, which could have dire effects on<br />

their health. “If some of these patients didn’t take their medication, they could end up in the<br />

emergency room,” she said. “This program helps keep them healthier.” In Sheila Hall’s case,<br />

the medications she receives through the program help prevent her vision and other health<br />

maladies from worsening.<br />

Many patients in the program are referred by their primary care physicians, as was the case<br />

for Hall. The program was just getting off the ground, she said, when her physician, Dr. Lee<br />

Haynes, gave her an application. “Dr. Haynes realized that I may be eligible and I appreciate it<br />

so much,” she said. “When it happened I actually cried. It’s just wonderful.”<br />

In addition to referrals from patients’ primary care physicians, Buccello meets with groups<br />

and individuals at area churches and food pantries and is a frequent presenter at community<br />

organizations to help get the word out about options for eligible patients. She guides them<br />

through the process to complete insurance, income, and other eligibility requirements. Once<br />

accepted, patients typically are enrolled for one year. After that time she helps patients<br />

coordinate refills, which may or may not be through the free program. “If we can’t get it<br />

through the free program we can direct them to the best price.”<br />

To learn more about M DI <strong>Hospital</strong>’s prescription assistance program,<br />

contact Pat Buccello at 801-5011.


Mr. and Mrs. William E. Null<br />

Lisbeth O’Connell and Mark Hubley<br />

Dennis O’Donnell<br />

Norman L. O’Halloran<br />

Edward and Christine O’Leary<br />

Matthew and Lisa Orlowski<br />

Antoinette Osvai<br />

Jeffery A. Oxman<br />

Mr. and Mrs. Joseph Paolino, III<br />

Kimberly J. Parady<br />

Phyllis S. Partridge<br />

Mr. and Mrs. Robert F. Pennington<br />

Mr. and Mrs. Dennis R. Perham<br />

Monica N. Phillips<br />

Robert W. Pomeroy, III<br />

John R. Potter, Jr.<br />

Mary E. Purvis<br />

Mr. and Mrs. Roger Rand<br />

Christopher D. Rawls<br />

Mrs. Rosalie A. Rechholtz<br />

Carolyn Reed<br />

Mr. Bruce Regimbal<br />

Mr. and Mrs. Paul S. Richardson<br />

Mr. and Mrs. Aldene Robbins<br />

Ms. Dorothy Robins<br />

Sydney Roberts Rockefeller<br />

Jeannine C. Ross<br />

Sally Rowan and Ralph “Skip” Stevens<br />

Rupununi - An American Bar & Grill<br />

Dr. Walter D. Salisbury<br />

Helen E. Sanborn<br />

Nancy Schafer<br />

Shirley Schmitke<br />

Irving and Loretta Severance<br />

Brenda Shacklett<br />

Gerald and Laurie Shencavitz<br />

Ms. Charlotte M. Sinnett<br />

Jack Slomback<br />

Mr. and Mrs. David R. Smart<br />

Tyrone M. Smith<br />

Dr. and Mrs. Richard W. Snodgrass<br />

Edward F. Snyder<br />

Howard and Dee Solomon<br />

Mrs. June B. Spencer<br />

Mr. and Mrs. Carroll O. Spooner<br />

Lester and Harriet Sprague<br />

Mr. and Mrs. Terry E. Stanley<br />

Marguerite E. Staples<br />

Mr. and Mrs. Ken Stephens<br />

Mr. and Mrs. William P. Sterling<br />

Mrs. Willard Stewart and Mr. Matthew Stewart<br />

John L. Stewart<br />

Gretchen K. Strong<br />

Evelyn A. Sullivan<br />

Mark and Peggy Sullivan<br />

Kathryn K. Suminsby<br />

Ms. Bonnie H. Tai<br />

Rosa and Dudbride T. Taylor<br />

Bob and Elaine Theriault<br />

Laura W. Thomas<br />

Mrs. Rosemary Tilden<br />

Ann Tracy<br />

Mr. and Mrs. Maurice S. Tuchman<br />

L. Lionell and Joan Tucker<br />

Victor and Karen Voydock<br />

Ann S. Waldron<br />

Mrs. Mary Wanamaker Watriss<br />

Mr. and Mrs. Miles W. Weaver<br />

Mr. Christopher J. Webster<br />

and Ms. Heather A. Weir<br />

Warwick S. Wheeler<br />

Martha E. White<br />

Mr. and Mrs. Carl J. Wiebrecht<br />

Raymond and Laurie Williams<br />

Gloria F. and James W. Wood, Jr.<br />

Ms. Margaret A. Woolley<br />

Ms. Belinda L. Yalin<br />

David and Terri Zabala<br />

Mrs. Anne Zaslau<br />

Baby gift provides baby care<br />

A reAson To smiLe<br />

emPLoyee CAmPAiGn<br />

Gale Abbott<br />

Jennifer Abbott<br />

Jane Adelmann<br />

Ronda Alley<br />

David Allman<br />

Domingo Alvarado<br />

Danielle Anderson<br />

Greg Berry<br />

Arthur Blank<br />

Jeff Boal<br />

Jacqueline Bolt<br />

Daniel Breen<br />

Michelle Bright<br />

Stacy Brown<br />

Debra Bambaugh<br />

Ray Chalifour<br />

Nicole Clark<br />

Beth Closson<br />

Franco Colella<br />

Christina Costello<br />

Karen Craig<br />

Ann Louise d’Entremont<br />

Vanessa Dalton<br />

Cynthia Darling<br />

Dr. Stuart Davidson<br />

Nawal-Randa Dekkaki<br />

Joe Delaite<br />

Joan DeLaittre<br />

Angela DelVecchio<br />

Kati DeRevere<br />

Lisa Dewitt<br />

Michelle DeWitt<br />

Lori DiGuardia<br />

Marianne DiMauro<br />

Meredith Donovan<br />

Tracy Downing<br />

Chalsi Dupirack<br />

Frank Evans<br />

Michelle Farley<br />

Tracy Farnsworth<br />

Thomas Fischer<br />

Paula Foster<br />

Theresa Fronczak<br />

Kasey Geter<br />

Dr. Edward Gilmore<br />

Judy Goodwin<br />

Jennifer Gott<br />

Kim Gourley<br />

Sherry Gray<br />

Kelton Hallett<br />

Kristina Hamblen<br />

Barbara Hannon<br />

Joanne Harris<br />

Joseph Hasselbrack<br />

Karen Hawes<br />

Kathy Hawes<br />

Amy Henderson<br />

Caitlin Henrikson<br />

Melany Hessert<br />

Melinda Hill<br />

Linda Hodgkins<br />

Scott Hughes<br />

Debra Innes<br />

Debra Ireland<br />

Catherine Jones<br />

Michelle Kane<br />

<strong>Annual</strong> fund<br />

Philanthropy plays a critical and unique role in a hospital. Nobody knows this more than Pam Bourque, MDI <strong>Hospital</strong> Obstetrics Senior<br />

Charge Nurse.<br />

“Our only isolette, which we use to treat newborn jaundice, was becoming obsolete,” Bourque said. “We had taken such good care of it<br />

that it lasted us for over 25 years, but we found we could no longer get parts for it. I knew time was running out and it needed to be<br />

replaced.” With a new isolette costing upwards of $12,000, Bourque knew replacing the current one would be a challenge. “It was not an<br />

item we budgeted.”<br />

Then, something miraculous happened. An anonymous donor with family ties to MDI <strong>Hospital</strong> stepped forward to fund the isolette and<br />

other equipment. “We were all so excited when we got the news,” Bourque said.<br />

An isolette is a clear plastic enclosed crib that maintains a warm environment for a new baby and can also provide oxygen therapy if needed.<br />

It is primarily used at MDI <strong>Hospital</strong> to provide phototherapy by way of bili lights to treat babies with jaundice, a common condition in<br />

newborns which occurs when there is a build-up of a naturally occurring substance in the blood called bilirubin.<br />

“The bili lights have to hit as much skin as possible, so babies are just in diapers with eye shields on and need to be in a thermo-regulated<br />

environment—thus the isolette provides a comfortable, warm place for the babies getting this treatment,” says Bourque.<br />

Without treatment, babies with higher levels of bilirubin can develop serious complications, ranging from cerebral palsy to hearing and<br />

sight problems.<br />

“For all of our babies born at MDI <strong>Hospital</strong> and their families, this donor is most definitely their hero,” says Bourque. “We can continue<br />

providing the best care possible, close to home.” That is a precious gift, indeed.<br />

Susan Kelley<br />

Candace Kerley<br />

Kelly Kohute<br />

Dr. Julian Kuffler<br />

Ann Marie Larendeau<br />

Meghan Leen<br />

Shannon Lehto-Adams<br />

Lynn Leighton<br />

Heather Lewis<br />

Lindsey Lewis<br />

Cyndi Litchfield<br />

Laura Lounder<br />

Lenny Lyakhovich<br />

Edith Lyman<br />

Ruth Lyons<br />

Christina Maguire-Harding<br />

Mike Mahan<br />

Elaine Mangini<br />

Diane Mann<br />

Sam Markie<br />

Sarah McEachern<br />

Gayle McKeige<br />

Linda Mejia<br />

John Miller<br />

Todd Miner<br />

Jon Mitchell<br />

Kelli Mitchell<br />

Thomas Mockus<br />

Sandy Mosher<br />

Kathy Mulligan<br />

Jeffery Murad<br />

Lani Naihe<br />

Patricia Nickels<br />

Martha Nordstrom<br />

11


<strong>Annual</strong> fund<br />

Katie Norwood<br />

Ezra O’Connor<br />

Elise O’Neil<br />

Lindsay Ouellette<br />

Susan Pearson<br />

Gail Pennartz<br />

Marty Pennartz<br />

Kimberly Peterson<br />

Jennie Poirier<br />

Susan Ray<br />

Audrey Reed<br />

Taylor Reed<br />

Patricia Riley<br />

Michelle Rollins<br />

Rachel Russell<br />

Sid Salvatore<br />

Carmen Sanford<br />

Chris Schleif<br />

Kristen Shriro<br />

Brenda Smith<br />

Brenda Sprague<br />

Bryan Stevens<br />

Denise Strout<br />

Bill Swain<br />

V. Yvonne Tabb<br />

Jane Tawney<br />

Tom Thompson<br />

Kimberly Tupper<br />

Lois Wade<br />

Aimee Walls<br />

April Wenger<br />

Althea Wentworth<br />

Roberta Wessel<br />

Denise White<br />

Jay White<br />

Mark White<br />

Michala White<br />

Michelle White<br />

Nicole Witherly<br />

Rena Wrobel<br />

Kimberly Yeo<br />

Cheryl Young<br />

Jean Young<br />

Lisa Young<br />

Carol Zdziarski<br />

Jody Zeisloft<br />

TrusTs AnD BeQuesTs<br />

Henry Flagler Harris Charitable<br />

Remainder Annuity Trust<br />

Estate of Elizabeth B. Ketterlinus<br />

Fred C. Lynam Trust<br />

Irving S. & Ada H. Ray Memorial Fund<br />

in Honor of<br />

We received gifts in<br />

honor of the following:<br />

Dr. John Benson<br />

Dr. Mark Brown<br />

Dr. Brian J. Caine<br />

Chip Dugans<br />

Dr. Mary Dudzik<br />

Dr. Edward B. Gilmore<br />

Dr. David Goodenough<br />

Dr. Timber H. Gorman<br />

Dr. O. Lee Haynes<br />

Dr. Charles E. Hendricks<br />

Dr. Michael A. Heniser<br />

Dr. Mark Kandutsch<br />

Dr. Julius Krevans, Jr.<br />

Dr. Michael Mason<br />

Kay Moore<br />

Dr. David Painter<br />

Dr. Burton W. Pearl<br />

Dr. Ronald Prokopius<br />

Linda Robinson<br />

Sally Smith<br />

V. Yvonne Tabb<br />

Jane Tawney<br />

The Community Health Center<br />

The birth of a child is a celebration of life and something<br />

that <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong> obstetrics nurse Susan<br />

Abbott Christie dearly loved being a part of. When cancer<br />

took her prematurely last April, her daughter, Julia, felt the<br />

need to continue to be a part of the celebration.<br />

Julia, who graduated from MDI High School in June, decided<br />

to combine her mother’s passions — working with mothers<br />

and their newborn children, and fl ower arranging — as a way of<br />

honoring her mother’s legacy. As a result most newborn babies<br />

and their mothers receive a small bouquet of fl owers that Julia<br />

arranges and delivers to the Obstetrics Department at MDI<br />

<strong>Hospital</strong>. “It helps me cope [with the loss of my mother] just<br />

by seeing how much mothers appreciate it,” she said.<br />

Over the past few months, this small, yet heartfelt, token of<br />

celebration has allowed Julia to grieve her mother’s passing<br />

and at the same time bring smiles and happiness to people<br />

she doesn’t even know.<br />

Julia turned her project into her Senior Expo, in which she<br />

sought to answer the essential question, “How can I honor<br />

someone by doing the things they love and sharing with the<br />

community?” To fi gure out the logistics of her project she<br />

researched the average number of births at MDI <strong>Hospital</strong><br />

(80), fi gured out the business part of it (how to pay for the<br />

fl owers — donations are always welcome, she said), and then<br />

learned how to arrange fl owers.<br />

Julia’s mother, Susan, worked part-time at Westside Florist in<br />

Southwest Harbor in part to feed her love of fl owers. Before<br />

this project, Julia said her own experience with fl owers was<br />

in memoriAm<br />

We received gifts in<br />

memory of the following:<br />

Violet Dudzik<br />

Gordon I. Erikson<br />

Dr. Mary Alice V. Fox<br />

John N. Guidi<br />

Albert “Raymond” Hanscom<br />

Joshua Sprague<br />

Lisa Stewart<br />

GifTs in KinD<br />

A & B Naturals<br />

Acadia Shops<br />

Bar Harbor Bank & Trust<br />

The Bud Connection<br />

Celtic Rainbow Gifts<br />

Christmas Spirit Shop<br />

Cottage Flowers<br />

Creative Print Services, Inc.<br />

The First, N.A.<br />

Hatched on MDI<br />

House Wine<br />

Ms. Rose Iuro-Damon<br />

Jesup Memorial Library<br />

The Kimball Shop<br />

Ms. Ruth Lyons<br />

MDI <strong>Hospital</strong> Auxiliary<br />

Ocean Properties, Ltd.<br />

Queen Anne’s Flower Shop<br />

Raising Readers<br />

Reel Pizza Cinerama<br />

Betsy and Frank Roberts<br />

Ruth Foster’s<br />

Sherman’s Books and Stationery<br />

Stitches From The Heart<br />

Stone Soup<br />

Ms. Noella Voisine<br />

Westside Florist<br />

Window Panes<br />

s Deceased<br />

BirCH BAy<br />

reTiremenT viLLAGe<br />

25 Village Inn Road<br />

Bar Harbor | 288.8014<br />

THe BreAsT CenTer<br />

AT mDi HosPiTAL<br />

10 Wayman Lane<br />

Bar Harbor | 288.8435<br />

CADiLLAC fAmiLy PrACTiCe<br />

322 Main Street<br />

Bar Harbor | 288.5119<br />

CommuniTy HeALTH CenTer<br />

16 Community Lane<br />

Southwest Harbor | 244.5630<br />

CooPer GiLmore<br />

HeALTH CenTer<br />

17 Hancock Street<br />

Bar Harbor | 288.5024<br />

DoWn eAsT DermAToLoGy<br />

322 Main Street<br />

Bar Harbor | 288.4177<br />

fAmiLy HeALTH CenTer<br />

9 Hancock Street<br />

Bar Harbor | 288.5606<br />

mDi BeHAviorAL<br />

HeALTH CenTer<br />

322 Main Street<br />

Bar Harbor | 288.8604<br />

mDi HosPiTAL<br />

meDiCAL imAGinG<br />

10 Wayman Lane<br />

Bar Harbor | 288.5081<br />

limited to watching her mother and making a few wreaths<br />

at Christmastime. With help from Gail Royal, the owner<br />

of Westside Florist, Julia is now mastering the craft her<br />

mother loved and joining in the celebration of new parents<br />

in the community.<br />

10 Wayman Lane | P.O. Box 8<br />

Bar Harbor, Maine 04609<br />

207.288.5081<br />

www.mdihospital.org<br />

mDi orTHoPeDiCs<br />

10 Wayman Lane<br />

Bar Harbor | 288.0242<br />

mDi PHysiCAL THerAPy<br />

16 Community Lane<br />

Southwest Harbor | 244.9716<br />

norTHeAsT HArBor CLiniC<br />

(seasonal) Kimball Road<br />

Northeast Harbor | 276.3331<br />

Don AnD BeTH<br />

sTrAus CenTer<br />

16 Community Lane<br />

Southwest Harbor | 244.3267<br />

TrenTon HeALTH CenTer<br />

394 Bar Harbor Road<br />

Trenton | 667.5899<br />

Women’s HeALTH CenTer<br />

8 Wayman Lane<br />

Bar Harbor | 288.8100<br />

The <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong><br />

<strong>Annual</strong> <strong>Report</strong> is a publication<br />

of <strong>Mount</strong> <strong>Desert</strong> <strong>Island</strong> <strong>Hospital</strong>.<br />

Edited by Bill Swain, MDI <strong>Hospital</strong><br />

Public Affairs Offi cer.<br />

Editorial contributions by Lani Naihe,<br />

Brenda Sprague, and Laurie Schreiber.<br />

Design by Z Studio<br />

Sunrise and select portrait photos<br />

by Kelton Hallett. Additional photos<br />

by Laurie Schreiber.<br />

Copyright 2012.<br />

Teen honors her mother’s memory by sharing smiles<br />

MDI <strong>Hospital</strong> OB nurse Ellen DaCorte, Rn, (left) worked with Julia’s mother, Susan Abbott Christie,<br />

and now makes sure Julia’s fl owers get to every new mother.<br />

Even though she graduated this spring and has plans to<br />

attend the University of Maine at Farmington this fall,<br />

Julia hopes to continue the tradition as long as possible by<br />

working with her friends at Westside Florist and hopefully do<br />

her own arrangements while she is home on breaks.

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