Annual Report - Mount Desert Island Hospital
Annual Report - Mount Desert Island Hospital
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.