Summer - Marcus Daly Memorial Hospital.

incredible imaging from Radiology
HealthLines
summer 2007
The newsletter of Marcus Daly Memorial Hospital
doctors
delivering
babies
get perfect scores
Living Healthy
Reduce the Risk
of Heart Disease
Breaking ground
Building The
new emergency
department
Hand Therapy
Helps You Get
Back to Work

Letter from Daly Hospital foundation
COMMUNITY SUPPORTED HOSPITAL
Marcus Daly Memorial Hospital is your community hospital and a vital
service to Ravalli County. With the support you provide by using the
hospital’s services, the hospital can continue to expand, hire and train
staff, and keep current with the rapid technology changes in healthcare.
Patient survey responses and other comments inform about how well
we are doing and where we need improvement. We appreciate the
communication regarding the care you have received. The Hospital is
here to serve your needs and strives to meet your expectations.
The Hospital, Hospice and Ambulance programs rely heavily upon the
dedication of volunteers who provide support for our staff and services
for our patients. The Hospital and Foundation Boards are comprised
of community members and physicians who volunteer to provide governance
and oversight for the hospital. Thanks to the many volunteers
for their time and energy.
Margaret Daly’s original donation to build the Hospital in memory of
Marcus Daly continues to support Ravalli County. Marcus Daly Memorial
Hospital’s philosophy has not changed; it was founded as a community
hospital and that continues today. For many reasons healthcare
costs continue to rise. Due to changes in how medical care is paid for,
some services are not self-supporting, such as the emergency room, ambulance,
pediatric rehab, and hospice. There are additional costs associated
with providing quality care such as replacing and upgrading equipment
and buildings, buying medicine, paying salaries and continuing
education. Also, many in our community cannot afford healthcare, adding
another financial challenge to the hospital.
The hospital is a non-profit charitable organization and is not tax supported.
Your donations help us meet our goal of being your choice for
innovative, high quality, affordable healthcare. Thank you for your financial
support of the Hospital.
Please let us know if you would like to volunteer or make a financial
contribution.
Sincerely,
A non-profit healthcare provider.
Our Mission:
We are committed to
excellence in providing
quality, accessible,
personalized healthcare.
Board of Directors
Veto J. “Sonny” LaSalle - c h a i r m a n
Carol Hinman - v i c e c h a i r m a n
Walker J. Ashcraft, MD
Donna Cooney
Stephen Ellis, MD
Jeanne Hargett
Frederick Ilgenfritz, MD
Barry Lemon
Don Lodmell
Donald Shaughnessy
Randy Stewart, MD
John M. Bartos - c e o
How are we doing?
We need your feedback for continuous
improvement and want to hear from
you. We welcome a letter or email
detailing your patient care experience.
Excellent, good, bad, indifferent, let us
know how we are doing!
If you receive a patient satisfaction
survey asking you about your hospital
stay, we would greatly appreciate it
if you would complete the survey
and return it, in the self addressed
envelope. We constantly strive to offer
the very best care and customer service
and appreciate your feedback.
Thank You.
Patient Satisfaction
Marcus Daly Memorial Hospital
1200 Westwood Drive
Hamilton, MT 59840
www.mdmh.org
Larry Johnson
President, Daly Hospital Foundation
HealthLines is published as a service
to the community. Material provided
in HealthLines is obtained from a wide
range of resources, including medical
sources and health care authorities.
Question or comments
about HealthLines:
Amy James-Linton
Marketing Director
406.375.4589
ajames@mdmh.org
2 | healthlines

contents
HealthLines
summer 2007
contents
10
Healthy Living
Prevent Heart Disease
4
FEATURE
New Emergency
Department
The future of healthcare in
Ravalli County.
12
13
Services
New Life -
Handled with Care
On the cover: Yvonne Courchesne, MD,
H. Brett Heath, MD, J. David Laraway, MD,
Marshall W. White, MD.
News
In The News
Caring for Women Program
receives Komen Grant.
6
8
new Technology
Incredible Images
Your PHysicians
Meet Your Doctors
14
Community
Daly Hospital Foundation
Building A Healthier Community
For more in-depth information about our services,
medical staff, events, health information and more;
visit www.mdmh.org
Cover photo by Thom Ainsworth
In Their Own Words.
Today, Glorian realizes that Thom is
still here because of our local hospital.
According to Thom Ainsworth, “without any warning;
chest pain radiating to my arms, clammy and a pasty gray
complexion, I knew I was having a heart attack. Dr. Hansen
and the emergency room team wasted no time in attending
to my immediate situation. I knew I was in good hands. I was
able to relax and entrust them to do their work.”
Thom and Glorian express their appreciation for the life saving
care provided by the staff at Marcus Daly Memorial Hospital.
Healthcare Close to Home
1200 Westwood Drive • Hamilton, MT • 406.363.2211 • www.mdmh.org
summer 2007 | 3

feature story
The New
Emergency
Department
Summer 2008
Paving for the new
parking lot is underway
with groundbreaking
for the new
Emergency Department
on schedule for
mid-summer.
Marcus Daly Memorial Hospital
continues to look to
the future by investing in the facilities
to ensure that patients get
the right care, at the right time.
Construction has begun on the
20,000 square foot expansion that
doubles the size of the Emergency
Department. The expansion,
currently proceeding on schedule,
is due to be finished in the summer
of 2008.
Many changes have already taken
place to prepare for the construction
of MDMH’s new Emergency
Department. A cement slab
was completed just east of the
hospital’s main entrance. The
slab is for ambulance access and
MRI services at the hospital. For
safety reasons this area is not for
parking or use as a general entrance.
A chain link fence separates
the medical clinics from the
temporary ambulance entrance
to ensure patient safety. The
north parking lot is newly paved
and a ramp has been constructed
to provide access to Convenient
Care and Marcus Daly Laboratory
services. With these preliminary
changes accomplished, we
are looking forward to breaking
ground on the new Emergency
Department by mid-summer
2007.
New Facilities
& Expanded Service
The new Emergency Department
lobby will have a covered
drive-through entrance and public
patient drop-off for easy access.
The expansive lobby will
feature partitioned waiting areas
for family privacy as well as
a specifically designed area for
children. A quiet room will also
be available where doctors and
nurses can consult with family
members. Other new features
include public phones, toilets and
a vending machine area to add
convenience and comfort to visitors’
waiting time. In the new
Emergency Department lobby,
reception and control desk staff
will assist and usher patients
into an enclosed admitting area,
where the patient and/or family
member can supply vital information
privately.
Approximately 16 treatment
rooms will be located beyond the
admitting area in the new Emergency
Department. Three of
the treatment rooms will be allocated
for trauma patients and
one specifically for cardiac trauma.
Construction plans call for
two orthopedic treatment rooms,
a gynecology treatment room, a
dedicated pediatrics’ treatment
room, a room specifically for
ears, nose and throat ailments,
a secure holding and treatment
room for patients dealing with a
severe mental health crisis, a decontamination
room for treatment
of industrial accidents, and
an isolation room for treatment
of contagious diseases. To reduce
medical team orientation times,
each treatment room will have
the same floor plan. All the treatment
rooms are designed with a
state-of-the-art overhead equipment
handling system. This system
allows for more care-giving
space, improved patient access
and the smooth movement of
equipment.
In a separate unit within the department
there will be four observation
rooms. Stabilized patients
will be cared for while
appropriate follow-up care de-
4 | healthlines

feature story
cisions are made, leaving critical
emergency treatment rooms
available for other patients.
A centralized nursing station will
be constructed in the middle of
all treatment rooms for optimum
patient care. A skylight over the
nursing station will provide natural
light. A warm and pleasant
color scheme has been selected to
create a calming environment.
A Bright Future
Sonny LaSalle, Chairman of the
Board of Directors, feels strongly
about the role the hospital plays
in our community. “The Marcus
Daly Board of Directors is committed
to MDMH being the best
choice in innovative, high quality
and affordable healthcare in
our community. What’s more,
the Emergency Department expansion
project will provide even
greater economic benefits to the
Bitterroot Valley. The construction
phase of the project is already
benefiting our economy.”
As the valley’s only full service
healthcare provider, Marcus Daly
Memorial Hospital is a strong
economic contributor with nearly
500 employees. When completed,
the Emergency Department
will increase medical and support
staff. Studies show that those
employees and their families will
“The construction phase of the project
is already benefiting our economy.”
spend 70% of their dollars in
the local economy. Most importantly,
notes MDMH CEO John
Bartos, “The completion of the
new Emergency Department will
enable Marcus Daly Memorial
Hospital to continue to provide
the best care possible for Ravalli
County residents.”
Getting Around Campus
Throughout the construction process we will make every effort to ensure
the safety and convenience of patients, visitors and employees. For patients
and visitors, there is ample parking
in the spaces closest to the building on
the north, south, east and west side of the
hospital. A Marcus Daly team member is
at the main entrance 24 hours a day, seven
days a week, to greet you and assist emergency
patients. New directional signs have
been installed on the hospital campus and
all members of the Marcus Daly team are
happy to assist you in finding your way
around. Customer convenience is our
New directional signs have been
installed on the hospital campus.
main objective, and we appreciate your
support and patience during this time.
A Marcus Daly team member is at
the main entrance, 24 hours a day,
seven days a week, to greet you
and assist emergency patients.
summer 2007 | 5

new technology
Seeing
is Believing.
Incredible Images. Astonishing Detail.
Images from the GE Lightspeed VCT
GE Lightspeed VCT
Marcus Daly Memorial Hospital
is one of the first
medical facilities in Western
Montana to offer patients the GE
Healthcare Lightspeed VCT CT
Imaging system. According to
John Bartos, Hospital Administrator,
“The addition of the GE
Healthcare Lightspeed VCT CT
Imaging system and an Acuson
Antares Ultrasound System complements
the advanced technology
in the Radiology Department
and extends the
range of quality diagnostic
services that Marcus
Daly Memorial Hospital
offers to Ravalli
County residents.”
The LightSpeed VCT
and Acuson Antares
Ultrasound provide
incredibly detailed
images. The new
LightSpeed VCT
system provides
“The improved image quality enables us
to make accurate diagnoses more quickly,
often helping us to avoid referring our
patients to more expensive modalities.”
outstanding image details for virtually
any exam, including cardiac,
head, spine, abdominal and
vascular studies. This technology
allows us to image smaller structures
and see greater detail in
even the most challenging applications.
The LightSpeed VCT
allows us to perform studies
faster, with better resolution and
lower radiation dosage.
The Acuson Antares Ultrasound
provides dramatically
improved image
quality for patients,
helping radiologists
to make faster, more
confident diagnoses,
and improved overall
patient care. According
to Lance
4D baby image from
the Acuson Antares
Ultrasound
Pysher, MD, Marcus
Daly Staff Radiologist,
“This new system
provides us with exciting
new levels of detail especially
when trying to capture diagnostic
information from criticalcase
patients or those considered
more difficult-to-image.” He
continues, “The improved image
quality enables us to make accurate
diagnoses more quickly, often
helping us to avoid referring
our patients to more expensive
modalities.” The Acuson Antares
Ultrasound enables clinicians to
capture clearer, sharper images
that previously were unattainable
with a non-invasive exam. Other
features include MultiHertz
and directional
power Doppler
imaging for use in
abdominal, obstetrical,
gynecological,
vascular, shared service
cardiac and urology
applications and
3 and 4 dimensional.
With 4D imaging, we
are able to image fetal
anatomy which is very
helpful to illustrate and explain
the development of the fetus.
6 | healthlines

new technology
According to industry analysts,
ultrasound is second in use to X-
ray. In addition, the cost is approximately
one half to one fifth
the cost of other imaging modalities.
Ultrasound and CT Scan
are both non-invasive modalities.
“At Marcus Daly Memorial Hospital
we are committed to improving
patient care,” said Dr.
Pysher. “The addition of this advanced
medical technology to our
existing state-of-the-art Radiology
Department will keep us at the
forefront of the medical community
while allowing us to provide
better, more efficient care for our
patients in Ravalli County at lower
costs,” Mr. Bartos added.
Above: Marie Watson RT (R) CT,
Marla Holcomb RT (R) CT and
Drew Hayward RT (R) CT.
Technology Training
As medicine and technology continue to
evolve, it is important that healthcare professionals
continue learning. At Marcus Daly
Memorial Hospital, continuing education is
considered a key component of care quality
and a necessity as new equipment continues
to arrive. According to Scott McCormick,
Director of Radiology, “All technologists at
MDMH have attended an approved training
program and have passed national registry
exams, which makes them Registered Radiologic
Technologist – R.T. Each technologist
at Marcus Daly Memorial Hospital is
required to attain 12 continuing education
credits annually to maintain certification.”
All disciplines offered at MDMH require certifications:
Ultrasound, MRI, Mammography,
X-Ray and CT. Physician and staff received
GE Site and local training for operation of
the new LightSpeed VCT CT Imaging system,
as well as specialty training for advanced
coronary artery evaluations and other heart
related studies.
EMS
June 2007 marks the fifteenth
month of Marcus Daly’s renewed
ambulance service.
In December 2005 the hospital governing
board resolved once again to
provide ambulance service in Ravalli
County. The previous service was
experiencing multiple problems at
that time. Now the service is stable
and the quality of care is improving.
Serving Ravalli County
Dr. Clint Adkins, service Medical Director
and Donna Rennaker, EMTP,
Director of Ambulance Services,
provide invaluable leadership to the
continued improvement of carequality.
Also, the hospital contributes
financial support to the Ravalli
County EMS Council. The Council
sponsors educational offerings
around the county and supplies important
operations feedback to the
hospital.
The Ambulance Service is financially
stable. A continuing challenge
the hospital faces is the replacement
of the ambulance fleet as it
ages. Last month the hospital purchased
a new and a used ambulance
and retired two ambulances
built in 1985.
Our continuing goals include:
• Improving Care-Quality
• Building a Seamless Ambulance Service
• Improving Public and Staff Safety
• Improving Standardization of Operations
• Improving Cooperation with QRU and Fire and
Law Enforcement agencies
summer 2007 | 7

Welcome New Clinics!
Bitterroot Valley
Eye Associates
“We perform high
quality surgery
with small town
caring”
This year Bitterroot Valley Eye Associates
(BVEA) was acquired by Marcus Daly Memorial
Hospital and Mark A. Calderwood, MD, PC,
joined other physicians already affiliated with the
hospital. Dr. Calderwood, the only Board Certified
Ophthalmologist in Ravalli County, practices
in the Hamilton and Stevensville locations.
According to Dr. Calderwood, “I asked Marcus
Daly Memorial Hospital to acquire my
practice. Performing cataract surgery is what
I enjoy most about my profession.” He continued,
“Surgery continues to advance and offers
tremendous opportunity for achieving
good visual outcomes in the vast majority
of patients. This surgery is a value to
many in our local community. I believe
the partnership between the Hospital
and me furthers our effort and commitment
to providing the very best care possible
here in Hamilton.” Today, eye surgery is safe,
faster, and has quicker recovery with better results
than ever before. He continued, “Ravalli
County is lucky to have advanced cataract technology
and we pride ourselves in providing
high quality, reliable and convenient surgery
Ravalli Urology
Matthew Munding, MD, joined the Hamilton
Medical Staff and opened Ravalli Urology
in January of this year. Urology is the field of
medicine that focuses on the urinary tracts of
males and females, and on the reproductive system
of males. The organs covered by urology
include the kidneys, ureters, urinary bladder,
urethra, and the male reproductive organs.
Dr. Munding stated, “Thus far it has been a
wonderful experience; the medical staff, Marcus
Daly Memorial Hospital and the community has
supported my practice
and it is great to be a
part of a growing community
and expanding
1224 West Main Street
(Inside Bitterroot Clinic Building)
Hamilton, MT 59840
406-375-4888
8 | healthlines
medical staff. There
are many patients here
who can benefit from
seeing a urologist and
I’m happy to provide
them care.”
Dr. Munding is a Diplomate of the American
Board of Urology and a member of The
American Urological Association. According
to Dr. Munding, “My approach as a physician
is to educate the patient as best as I can, so that
we can make a well informed decision together
for their treatment.” Dr. Munding continues,
“My goal for Ravalli Urology is to support the
primary care providers and the hospital in
their care for their patients. Bringing
the surgical subspecialty of urology
to Hamilton will increase the depth
of medical care as well as enhance
it. This is important as the hospital
grows to support the community that
it serves.”
Dr. Munding provides a variety of
urology related diagnostic and radiographic
procedures. Call for information
or an appointment today!
with small town caring.” The eye surgeries are
performed in Marcus Daly Memorial Hospital’s
state-of-the art outpatient surgery center.
Bitterroot Valley Eye Associates offers comprehensive
eye exams, cataract surgery, laser, contact
lenses, diabetic exams, glaucoma care, and a glass
and contact retail outlet, Eagle Eyewear.
For more information, to schedule an appointment
in either Hamilton or Stevensville, and/or
purchase glasses or contacts, contact the location
nearest you.
Bitterroot Valley Eye Associates
300 N. 10 th St., Suite A
Hamilton, MT 59840
(406) 363-5435
Eagle Eyewear
Located inside BVEA – Hamilton
(406) 363-1550
Bitterroot Valley Eye Associates
& Eagle Eyewear
401 Main St., Suite A
Stevensville, MT 59870
(406) 777-3107
“Matt Munding is a great
addition to MDMH!”
- from patient survey card

your physicians
medical
clinics
Internal Medicine
& Family medicine
Bitterroot Clinic
Family Medicine & Internal Medicine
John R. Courchesne, MD
Lisa J. Milch, MD
Michael Moran, MD
Gary L. Smith, MD
1224 West Main Street
Hamilton, MT 59840
Phone: 363.1100 Fax: 363.2148
Walk-In Medical Services
Corvallis Family Medicine
Family Medicine & Women’s Care
Yvonne Courchesne, MD
Teresa Smith, FNP
1037 Main Street
PO Box 1119 (Mail Here)
Corvallis, MT 59828
Phone: 961.4661 Fax: 961.4260
Family Medicine Center
of the Bitterroot
Family Medicine
Teresa Borino, MD
H. Brett Heath, MD
Randy Stewart, MD
1201 Westwood Drive, Suite A
Hamilton, MT 59840
Phone: 363.3627 Fax: 363.3638
Life Span Family
Medicine Specialists
Kirk Crews, MD
715 Main Street, Suite A
Stevensville, MT 59870
Phone: 777.5522 Fax: 777.1175
Physicians Clinic
Family Medicine & Internal Medicine
Walker J. Ashcraft, MD
John P. Moreland, MD
1170 Westwood Drive, Suite B
Hamilton, MT 59840
Phone: 363.5101 Fax: 363.7652
Walk-Ins Welcome
Ravalli Family Medicine
Lawrence D. Brouwer, MD
Kathleen A. Harder-Brouwer, MD
411 West Main Street
Hamilton, MT 59840
Phone: 363.5104 Fax: 363.2894
Specialties
Bitterroot Cosmetic Surgery
Robert Alexander, MD
715 Main Street, Suite B
Stevensville, MT 59870
Phone: 777.4477 Fax: same
Bitterroot Foot & Ankle Clinic
Chad Dickemore, DPM
299 Fairgrounds Road, Suite 1
Hamilton, MT 59840
Phone: 363.4214
Bitterroot Neurology
Stuart N. Kieran, MD
1019 Main Street
PO Box 2218 (Mail Here)
Hamilton, MT 59840
Phone: 375.9310
Bitterroot Valley
Eye Associates
Mark Calderwood, MD
300 North 10th Street, Suite A
Hamilton, MT 59840
Phone: 363.5434 Fax: 363.5210
Hamilton General Surgery
Luke T. Channer, MD
Frederick Ilgenfritz, MD
1150 Westwood Drive, Suite D
Hamilton, MT 59840
Phone: 363.0345 Fax: 375.4525
Ravalli Orthopedics
& Sports Medicine
Gregory Behm, MD
David Nolan, PA
1150 Westwood Drive, Suite C
Hamilton, MT 59840
Phone: 363.2391 Fax: 375.0966
Ravalli Urology
Matthew Munding, MD
1224 West Main Street
Hamilton, MT 59840
(located inside Bitterroot Clinic)
Phone: 375.4888
Obstetrics & Gynecology
Bitterroot Gynecology
Marshall W. White, MD
1019 West Main Street
PO Box 576 (Mail Here)
Hamilton, MT 59840
Phone: 363.4602 Fax: 363.4604
Hamilton Obstetrics
& Gynecology
J. David Laraway, MD
1150 Westwood Drive, Suite G
Hamilton, MT 59840
Phone: 375.4777 Fax: 375.4778
Urgent Care
Convenient Care Clinic
Carol Calderwood, MD
Amy Knight, FNP
Kathleen Mauer, FNP
Teresa Smith, FNP
1200 Westwood Drive, Suite H
Hamilton, MT 59840
Phone: 363.0597 Fax: 375.4858
Monday - Friday: 11am-6pm
Saturday & Sunday: 10am-3pm
No Appointment Necessary
Emergency Services
Clint Adkins, DO
William L. Doyle, MD
James G. Hansen, MD
Brian M. Kelleher, MD
Robert Naef, MD
1200 Westwood Drive
Hamilton, MT 59840
Phone: 375.4440
summer 2007 | 9

healthy living
HEART
DISEASE
Reduce Your Risk.
A
A lot of us don’t like thinking about our or our family’s risk of heart problems.
However, doing so could save lives. By taking a proactive approach to your health
and detecting potential problems before there are symptoms or a heart attack,
you could stop, even reverse, their effects.
What is heart disease?
One of the most common diseases to
affect the heart is coronary heart disease
(CHD). It’s usually caused by atherosclerosis,
a build up of fatty materials within
the walls of the arteries.
Did you know…
Coronary artery disease is the leading cause of
death in the United States.
Coronary artery disease claims more lives than
lung, colon, prostate and breast cancer combined.
45% of all heart attacks occur in people under the
age of 65.
Women are 10 times more likely to die of heart
disease than of breast cancer.
What are
the risk factors?
• High blood pressure
• Diabetes
• Family history of heart disease
• Smoker
• Inactive lifestyle
• Being Overweight
*According to the American Heart Association
Over 33 percent of all Americans who
have a heart attack each year show no
symptoms beforehand.
85% of sudden heart attacks may be prevented
if the conditions that lead to the attack
are diagnosed early enough to prescribe treatment
to correct the problems.
Cigarette smoking has been associated with sudden
cardiac death of all types in both men and women.
Excessive alcohol use increases the risk of high
blood pressure, heart attack, and stroke.
Learn and Live!
It is best to prevent disease and preventing disease
requires information.
It is recommended that you know the risk factors
and consult with your physician.
To obtain the next level of information, diagnostic
screenings are required. The diagnostic screenings
vary depending on the disease but for heart disease
the options at Marcus Daly Memorial Hospital are:
Check cholesterol level, blood pressure and in
some cases your physician may recommend a stress
ECG (treadmill test). In addition, advanced CT
(Computed Tomography) scanning is now available
and it is a simple, safe and a quick way to evaluate
coronary arteries for blockage.
If you believe you are at risk, talk to your doctor
and find out more about heart disease and the different
diagnostic screenings.
10 | healthlines

services
Helping Hands
When hair stylist Toni Clark
seriously fractured her
right humerus in an accident on
her new Harley-Davidson motorcycle
on May 23, 2006, the injury
was “devastating for my career
and family,” she says. Fortunately,
Clark has recovered from her injury,
thanks in part to the “great
medical care and superior hand
therapy” at Marcus Daly Rehab
Services, she reports.
A certified hand therapist
(CHT) is a therapist who has acquired
advanced training in the
specialty of upper extremity rehabilitation.
Before obtaining
certification, a therapist must acquire
over 4,000 hours of experience
working with patients who
require some type of specialized
therapy for their hands or arms,
and must be recertified every five
years.
Marcus Daly Rehab Services
has the only comprehensive rehabilitation
team in Ravalli County
offering all three disciplines of
physical, occupational and speech
therapies. In 2006, some 881 new
patients were seen in MDMH’s
outpatient rehab department and
at the Canyons Sports Rehab facility,
benefiting those diagnosed
with stroke, spinal cord injury,
developmental delays, orthopedic
sports injuries, fibromyalgia,
burns and more. MDMH also
has the county’s only CHT, who
specializes in traumatic hand injuries
and arthritic joints, overuse
syndromes, carpal tunnel, tendonitis,
ergonomics and custom
splint fabrication.
Toni Clark’s post surgery rehabilitation
program lasted from
June through November 2006.
It was overseen by DJ Wilson,
OTR/L, CHT, at Marcus Daly
Rehab Services, who has worked
in occupational and hand therapy
for 23 years. In the early weeks of
Toni Clark gets a chance
to work on DJ Wilson.
Clark’s rehab, Wilson performed
gentle range of motion exercises
and fitted Clark with a custom elbow
splint to help rehabilitate the
“radial nerve palsy” she had sustained
from the injury. Because
of this palsy, Clark initially could
not move her
right wrist, fingers
or thumb.
“I enjoy making
custom
splints, and I’m
most satisfied
when patients
like Toni tell me
they worked,”
Wilson says. “The most important
part of my career is helping
people be independent and
achieve pain-free days.” As Clark’s
rehab continued, Wilson worked
to rebuild the range of motion
“DJ was amazing,” Clark says.
“He gives you hope when you’re
having a really hard time.”
and muscle strength throughout
her arm. “DJ was amazing,” Clark
says. “He gives you hope when
you’re having a really hard time.”
Clark returned to her hair stylist
job just six weeks after her
injury, which Wilson called “remarkable!”
She wore a wrist support
splint to keep her right wrist
neutralized while she cut hair.
Since the palsy affected Clark’s
ability to open scissors after closing
them, her husband cleverly
added a spring to help her complete
the task.
DJ Wilson, OTR/L,
CHT has worked in
occupational and hand
therapy for 23 years.
A custom brace
allowed Clark to
return to work.
Hospital Directory
Marcus Daly
Memorial Hospital.............363.2211
Daly Hospital
Foundation......................375.4764
Services
Cardiology/Cardiac
Rehab Services................375.4665
Dietary Services.................375.4576
Education Services........... 375.4654
Emergency Services..........375.4440
Home Care Services...........363.6503
Home Infusion.................... 363.6503
Home Oxygen......................363.2211
Hospice center...................375.4707
Human Resources..............375.4407
laboratory..........................375.4428
Lactation Services............ 375.4680
Mammography................... 375.4426
Marketing Services...........375.4675
Medical Social Services...375.4436
Pharmacy Service............. 375.4462
Professional Health
Services............................375.4775
Radiology Services............375.4426
Rehab Services.................... 375.4570
Canyons Sports Rehab.... 363.2816
Surgery Center..................375.4688
summer 2007 | 11

services
New Life
Handled with Care
OB Services provides extensive
offerings for soon-to-be-moms
and their newborns including:
• Birthing Classes
• Pain Management
• Lactation Training
• Post-partum Follow-up
• Free Car Seat
left: Isabella Kanenwisher at 3 months
above: with her mother Annemarie
Babies receive a hand-knitted beanie
and teddy bear when discharged!
W“We are ready when you are” is part
of the pledge that Marcus Daly Memorial
Hospital’s Obstetric Services staff
offers expectant parents in the Bitterroot
Valley. When preparing to welcome
their new bundles of joy, an ever-increasing
number of Valley parents-to-be
are relying on MDMH’s caring, highly
trained and dedicated OB Services staff.
In addition, the hospital’s convenient location
allows babies to be born within
a few miles of home in a quality setting
with a friendly atmosphere.
Over the past three years, OB Services
has delivered nearly 200 infants per
year. Isabella Kanenwisher, fifth child of
Bitterroot residents Annemarie and Ken
Kanenwisher, was born at MDMH on
March 5, 2007. She is the fourth child
the couple has delivered here. What is
even more amazing is that many of their
children’s 20 or so cousins have also
been born at MDMH!
“Having my first baby in Missoula,
I knew the difference between a bigger
hospital and our local hospital,” said
Annemarie Kanenwisher. “Bigger is not
always better.” While at MDMH, she
added, “I felt I was of top priority. Cindy
Wolverton, the delivery nurse, was very
calm, knowledgeable and nice.” Kanenwisher
was also impressed with her OB/
Gyn: “I found Dr. Heath to be very nurturing
and supportive.” The greatest
benefit to using the services of MDMH,
she adds, is that your physicians offer
quality care from the time of birth
through adult life.
OB Services Physicians
Get Perfect Scores for
Friendliness, Courtesy and Skill
Press Ganey Associates, Inc., an
Indiana-based health care consulting
firm, recently released the results of a
“Physician Satisfaction Solution” survey
of MDMH’s OB Services. The doctors
that deliver babies attained a perfect,
or 100 percent, score in the areas of
“Friendliness/Courtesy of Physician”
and “Skill of Physician.” John Bartos,
Hospital Administrator stated, “The
dedication and care provided by
these physicians, to their patients, is
reflected in the patient satisfaction and
the scores they received. Great work!”
• Yvonne Courchesne, MD
• H. Brett Heath, MD
• J. David Laraway, MD
• Marshall W. White, MD
From left: Dr. David Laraway with baby Beau Munson, less than 24 hours after his birth
on May 8, 2007. Cindy Wolverton, RN, BSN, OB Unit Manager, Linda Egglebrecht, RN,
Gary Rodewald, CRNA (Anesthetist). Beau was delivered by Dr. David Laraway.
In addition to four physicians, MDMH
OB Services’ Staff includes eight
expert and compassionate RNs, three
committed and caring Anesthetists and
the OB Unit Manager Cindy Wolverton,
RN, BSN.
12 | healthlines

in the news
Caring for Women Program Receives Grant
We are proud to announce that the
Susan G. Komen Foundation Grant
in the amount of $44,947 for 2007-
2008 was approved. This is a significant
increase from last years grant.
Through the Marcus Daly Caring
for Women Program funded by the
Susan G. Komen Foundation Grant,
last year 86 women received screening
mammograms, 9 received diagnostic
only, 7 received an additional
ultrasound study and one patient required
needle localization. With the
financial support from The Susan G.
Komen Foundation, Soroptimist International
and First Security Bank,
we continue to make a difference in
the lives of Ravalli County women.
Breast cancer is the most frequently
diagnosed cancer in American
women. If you have not had a mammogram
in the past 12 months, are
under-insured and are low-income,
call Marcus Daly Mammography
Services at 375-4656 to schedule
your mammogram today.
Volunteer Appreciation
Luncheon 2007
Smiles, laughter and few tears were all a
part of the celebration at the 2007 Marcus
Daly Memorial Hospital Volunteer
Appreciation luncheon. The celebration
held during National Volunteer Week
brought together some 85 Marcus Daly
Auxiliary and Hospice volunteers for a
mid-day meal aboard the cruise ship the
“S.S. Marcus Daly.” The cruise theme
inspired many flags and splashes of nautical
color to create the festive atmosphere.
The MDMH Dietary staff created a remarkable
feast, from hors d’oeuvres to
delectable desserts and everything in between.
The assembled group of volunteers
selected the ship’s King and Queen
for the day, crowning Auxiliary Volunteer
Carroll Dyer, King and Bobbie McCauley,
Queen. All volunteers were presented
with gifts of appreciation.
The MDMH Administration and Staff
greatly appreciate the hospital’s wonderful
volunteers and thoroughly enjoy hosting
this annual celebration. The hospital
is honored to have such caring volunteers
who choose to dedicate time and effort to
support and raise money for the hospital.
Hospital volunteers add special charm
and personality and fill much needed positions
throughout the Hospital.
Home Health Keeps
Perfect Record
Marcus Daly Home Care has
received “No Deficiencies” on
their state survey by the Department
of Public Health &
Human Services. The Home
Health Program has had no
deficiencies for 12 years. The
state survey reviews the quality
of care and services provided
in accordance with the Federal
Conditions of Participation
and regulations for a home
health provider. We are very
proud of our excellent record
and the high quality service our
employees provide.
Community Takes Advantage of Lipid Screening
To encourage good health, Marcus Daly Memorial
Hospital recently offered a Free Lipid Profile/Cholesterol
Screening to all community members. Early
Saturday morning, 279 residents from Florence
to Darby came to have their Cholesterol checked.
After fasting for over 8 hours, the participants were
pleased to find fresh fruit, bagels, coffee and juice to
enjoy before leaving.
More than half of the U.S. adult population has
blood cholesterol levels higher than the desirable
range. A Cholesterol/Lipid Screening can help determine
your chances of having a heart attack, especially
if you have other risk factors for heart disease
or symptoms that suggest heart disease is present.
MDMH encourages you to talk to your health care
provider about what your cholesterol levels mean.
Watch for the next cholesterol screening in the fall.
summer 2007 | 13

community
Working Together to Build a
Healthier Community
The Daly Hospital Foundation
(DHF) was created to help
Marcus Daly Memorial Hospital
(MDMH) meet the needs of our
community. The Foundation depends
upon gifts from individuals,
families, corporations and foundations,
as well as financial endowments
to ensure the DHF can continue
to help MDMH provide the
best up-to-date patient care.
As the sole hospital for Ravalli
County, Marcus Daly Memorial
Hospital faces constant pressure to
provide effective, fast and affordable
treatment to the growing population.
As the main entry point for many
who need emergent and urgent
healthcare, the Emergency Department
and Ambulance Service both
respond to patients’ needs 24/7.
Prizes:
Your support is making a
difference in your community!
It was 32 years ago that Marcus Daly
Memorial Hospital moved into the
current facility. Since then Ravalli
County’s population has more than
doubled, to over 40,000 people.
Today, at your local hospital as
well as nationwide, the most pressing
need in health care is improved
emergency service. Emergency departments
across the country receive
more than 100 million patient
visits each year, and this number is
expected to grow as our population
increases and age and health care
costs continue to rise. More than
half of emergency department patients
are admitted to the hospital,
and a high percentage have limited
access to medical care and no health
insurance. Over the past decade,
the practice of using the Emergency
Department for primary care has increased
dramatically.
Educational Raffle
The Daly Hospital Foundation in conjunction with local
banks is selling raffle tickets to raise money for community
health education classes and employee continuing
education. Visit Farmers State Bank, Ravalli County
Federal Credit Union, First Security Bank, First Interstate
Bank and Heritage State Bank, or contact the Daly Hospital
Foundation office at 375-4764 and ASK ABOUT THE SADDLE!
1st - Custom made roping saddle valued at $2500
2nd- Daly Dollars Health Basket $150 value
3rd - $25 gift certificate for services at MDMH
The drawing will take place Sept. 1st at the Ravalli County Fair.
Purchase your raffle tickets today!
The Emergency
Department expansion
project is underway.
Marcus Daly Memorial Hospital is
one of the few rural hospitals expanding
its facility. The new 20,000
sq-ft facility is funded by a $7.4 million
bond approved by the Montana
Facility Finance Authority. The
bond approval depended upon: efficient
operations, strong financials,
quality care, hospital community image,
and growing population. Ravalli
County citizens purchased $2 million
of the Marcus Daly Memorial
Hospital bonds. This strong community
support has been critical to
the outcome of the project.
All gifts, both large and small are
significant and greatly appreciated.
Daly Hospital Foundation
Board of Directors - 2007
Larry Johnson
– President
Brett D. Bender, M.D.
- Vice President
Charles Petty, M.D.
– Secretary
Elizabeth Kehmeier
Jay Milligan
Robert House
Bennielee Horton
14 | healthlines

calendar of events
Community Calendar
For All Classes Contact:
Kelly Schrammeck • 375.4654
Childbirth Class
Every Monday
July 9-30, 2007
7-9 pm
First time parents or parents
that are a long time
in-between their last child,
get ready. Learn about preparing
for labor and the
stages of labor and delivery.
Practice breathing
and relaxation exercise that
help you through labor.
Pain-relief options, medical
interventions, feeding
and welcoming baby into
your home will also be
presented, as well as a tour
the MDMH Obstetrics
Department. $60.
Health Care Provider
Jun. 7, 2007 6-10 pm
July 12, 2007 6-10 pm
Aug. 6, 2007 6-10 pm
Sept. 11, 2007 6-10 pm
Basic Life Support for
Health Care Provider-This
class focuses on healthcare
providers who respond to
cardiovascular and respiratory
emergencies. This
class includes the skills
needed for adult, child and
infant cardiopulmonary
resuscitation, how to treat
cardiac arrest with an automated
external defibrillator
(AED), the recognition
and treatment of choking,
and the safety factors in
training and actual rescue.
$30.
Heartsaver First Aid
With CPR and AED
Jun. 25 & Jun. 26, 2007
July 23 & July 25, 2007
Aug. 20 & Aug. 21, 2007
Sept. 24 & Sept. 26, 2007
6-10 pm
The 2007 Heartsaver First
Aid and CPR class provides
a course with the
general principles of first
aid, medical emergencies
and injury emergencies.
This class includes adult,
child and infant CPR and
the AED skills information.
The course provides
critical lifesaving information
on caring for a victim
of an illness or injury until
EMS arrives. $32.
Sports Physicals
Aug. 2 & Aug. 8, 2007
6-8:30 pm
Medical staff at Marcus
Daly Memorial Hospital
are offering sports physicals
for all male and female
valley athletes in high
school and middle school
at Marcus Daly Memorial
Hospital. The physicals
will cost $25 per student.
Payment is due at the time
of the visit. Cash or check
only. All fees collected will
be donated back to the student’s
athletic department.
Blood Drive
July 19, 2007 • 12:30-5:30 pm
Marcus Daly Memorial Hospital
Conference Room C
Opportunities
for
Giving
For additional donation options and questions,
call the Marcus Daly Memorial Hospital
Administration at 375-4408.
Hospital and Foundation Funds available:
• Emergency Department Capital Improvement Fund
Donations provide for state-of-the-art equipment and other
improvements to better serve our community.
• Ambulance Fund
Donations are used to operate, update and expand current ambulance service.
• Daly Hospital Foundation Pediatric Rehabilitation Endowment Fund
Donations are invested to support the future of the Pediatric Rehabilitation program.
• Marcus Daly Memorial Hospital Hospice General Fund
Donations help to pay the Hospice Center and program expenses
and insure that no hospice patient goes without treatment.
• Daly Hospital Foundation Hospice Endowment
Donations are invested to ensure the future of the Hospice Center.
• Neighbors Helping Neighbors (Charity Care Program)
Donations are used towards assisting patients with demonstrated financial hardship.
• Marcus Daly Memorial Hospital General Fund
Donations help to defray the day-to-day Hospital operating expenses.
• Daly Hospital Foundation Endowment
Donations are invested to support the future of the Marcus Daly Memorial Hospital.
• Daly Hospital Foundation General Fund
Donations provide general support for the Foundation
and Marcus Daly Memorial Hospital.
Naming opportunities are available to donors interested in making a significant contribution
toward the New Emergency Department, Ambulance Services or to endowments.
Donations can be made through Cash - Stock Transfer - Planned Gift.
Make checks payable to: Daly Hospital Foundation • 1200 Westwood Drive • Hamilton MT 59840.
summer 2007 | 15

Here’s the future...
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With our broad range of comprehensive healthcare
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state-of-the-art technology, you’ll be pleasantly
surprised to find the future of healthcare right
here in the Bitterroot Valley.
left: Lance Pysher, MD, Radiologist.
far right: Drew Hayward RT(R) CT, Technologist,
Marcus Daly Radiology Department.
Healthcare Close to Home
1200 Westwood Drive • Hamilton, MT • 406.363.2211 • www.mdmh.org
Marcus Daly Memorial Hospital
1200 Westwood Drive
Hamilton, MT 59840
non-profit ORG
US postage
paid
missoula, mt
permit #569
**ECRWSS**
Postal Customer