NOVEMBER 2014 Seleem Choudhury, Vice President and Chief of Nursing at NVRH Inducted into Prestigious Academy of Emergency Nursing Select group of emergency nurses recognized for enduring, substantial contributions The Emergency Nurses Association (ENA) recently announced that Seleem Choudhury, Vice President and Chief of Nursing at Northeastern Vermont Regional Hospital has been inducted into the Academy of Emergency Nursing (AEN). The AEN fellowship is a prestigious honor recognizing emergency nurses for their significant contributions to quality patient care, both in and out of the emergency department. The candidates for induction, admitted to AEN as Fellows, have made significant contributions to emergency nursing that go above and beyond being an outstanding nurse and a devoted ENA member. “It’s an honor to present this award to Seleem Choudhury because as an Academy Fellow, he represents the highest quality emergency nursing professional, and has provided visionary and ground-breaking leadership in emergency nursing, ” said ENA president Deena Brecher, MSN, RN, APN, ACNS-BC, CEN, CPEN. “He inspires us with his unparalleled dedication to his patients and colleagues.” Choudhury, MSN, MBA, RN, CEN, FAEN is Board Certified in Emergency Nursing, and received both his Masters of Nursing degree and Masters in Business Administration from the University of Phoenix. “All of us at NVRH are proud of Seleem’s induction as a Fellow in the Academy of Emergency Nursing. This is a high level recognition of his expertise in one of the most complicated areas of medical care,” said Paul Bengtson, CEO of NVRH. ENA established AEN in 2004, and the first class of Fellows was inducted in 2005. To date, 110 extraordinary emergency nurses have been inducted into the AEN and proudly list FAEN as one of their professional credentials. The Emergency Nurses Association (ENA) is the premier professional nursing association dedicated to defining the future of emergency nursing through advocacy, education, research, innovation, and leadership. Founded in 1970, ENA has proven to be an indispensable resource to the global emergency nursing community. With more than 40,000 members worldwide, ENA advocates for patient safety, develops industry-leading practice standards and guidelines, and guides emergency healthcare public policy. ENA members have expertise in triage, patient care, disaster preparedness, and nearly all aspects of emergency care. Additional information is available at www.ena.org. In this issue of The BrightLook NVRH Gray Gallery - Robert Brown Auxiliary/Volunteer News Reiki Program Wins Group Awards Pat Forest Appointed Secretary of NH/VT Healthcare Volunteer Services Association The Paul Sweeney Memorial Coat Drive LVRT Phase 1a Amenities Going In Shared Governance Keep Calm...and Keep It to Yourself Huy Le Completes Clinical Rotation Counter Balance NVRH Supports RecFit Alice Kitchel and her Wonderful Therapy Dogs Med/Surg Floor Ready for Business Read Books, Drink Coffee, Read Books Human Resources Corner Dress Down Day Community Relations Committee Welcomes Legislators Litany for Thanksgiving As if to Demonstrate an Eclipse A+ Standard of Caring - September 2014 The BrightLook is a monthly publication for NVRH employees, volunteers, physicians, corporators and board members. Our next deadline is December 18 for the December 2014 issue. Please contact Hilary De Carlo at ext. 7303 if you have an article or picture(s) to submit. New Hampshire Artist Exhibits at NVRH Gray Gallery Northeastern Vermont Regional Hospital is pleased to announce a new exhibit, featuring the work of artist Robert Brown. The show will be open to the public November 23, 2014 through January 8, 2015 in the Charles M. and Hanna H. Gray Gallery. A veteran pilot and self-taught artist, Rob flew F-16’s in the US Air Force. He credits his love of painting to that period, recalling, “I discovered that in addition to drawing, which I’ve done since childhood, painting was and is a way for me to relax and de-stress.” Born and raised in eastern Kentucky, the artist often recalls the lakes and mountains of his childhood in his paintings. An experienced mountaineering and rock climbing enthusiast, Rob has ascended some of the world’s highest peaks, inspiring many of his paintings. Rob currently lives in the mountains of New Hampshire with his family and four Precipice Point dogs, finding inspiration just outside his front door. Rob is exploring new media, such as pen and ink drawing and sculpture; he owns Happy Dogs Studio in Rumney, New Hampshire. NVRH is pleased to continue their support of local artists. The Charles M. and Hanna H. Gray Gallery is located near the lobby, on the main floor of Northeastern Vermont Regional Hospital in St. Johnsbury. For more information, contact Jennifer Layn, at 748-7313. Auxiliary/Volunteer NEWS By Pat Forest, Volunteer Coordinator On November 14, the NVRH Auxiliary held their Annual Meeting at the Elk’s Club in St. Johnsbury. In addition to the regular business meeting, the Auxiliary membership heard about Dr. Chris Danielson’s surgical service in South Sudan with Medecins Sans Frontieres (Doctors Without Borders). Paul Bengtson, CEO of NVRH spoke to the membership about NVRH and thanked the Auxiliary/Volunteers for their work on behalf of NVRH. NVRH Award Auxilians: Cassandra, Belinda and Gary Bernier all received awards for their hours of volunteer service to Northeastern Vermont Regional Hospital. Cassandra is a senior at Lyndon State College; Belinda and Gary are her grandparents. They all volunteer at the hospital’s Information Desk. Volunteers from NVRH Volunteer Services department were awarded their hour pins. The following individuals were awarded pins this year: 100 Hours: 100 Hours: Cassandra Bernier 154; Aysha Charron 164.25; Anjuli Farrington 113; Barbara Hill 131.50; Deborah Hunt 130; Sylvia James 136; Janice Powers 142.50; Jayne Rivera 138.5 and Rev. Robert Sargent 101. 200 Hours: Meredith Amsden 245; Winston Bandy 244.75; Catherine Boykin 275; Carlene Brill 214.5; Charles Bucknam 250.5; Donna Foster-Loynd 283; Angelita Galarza 247.25; Teresa Herreid 228.50; Deanne Parker 230; Thomas Robinson 265 and Muriel Wieland 210. 300 Hours: Lorraine Brunelle 313; Pam Comeau 391.5; Nancy Erickson 308; Kimberly Gilding 394; Robert Morency 373 and James Newell 369. 400 Hours: Dianne Chamberlin 432.5; Eva Emery 420.5; Sam Kempton 490.5; and Steve Nichols 404.5. 500 Hours: Ginger Aldrich 582.25 and Marilyn Harkins 572. 600 Hours: Kamie Flum 670.5; Rosina Greenwood 666 ; Irene Richardson 640 and Gary Simpson 620. 700 Hours: Leon Podgur 791.25 and Barbara 2 continued Stamm 701.25. 800 Hours: Eileen Hill 831 and Elaine Noyes 804. 900 Hours: Belinda Bernier 924.5; Gary Bernier 906.5; Michael Bradeen 918.25; Connie Doyon 961 and Carol M. Robinson 900.5. 1000 Hours: Barbara Bradeen 1034; Merlyn Courser 1239.25; Jeannette Farmer 1159; Heidi Morrison 1088.25; and Arlene Stuart 1044. 1500 Hours: Ann Creaser 1956; Wanda Hawkins 1701.5; Dona Jackson 1596.25; Laurel St. James-Long 1923.25, and Dyanna Thresher 1838.5. 2000 Hours: Joan Wollrath 2056.25 and Linda Somers 2038. 2500 Hours: Cynthia Gordon 2696.25; Toni Hart 2542.25, and Sheila Legendre 2644.75. 3000 Hours: Patricia Cutts 3260.25 and Elsie Lawrence 3082.75. 4000 Hours: Beulah McGinnis 4103.75 and 5000 Hours: Judy Harbaugh 5428 and Lana Mitchell 5088. 6000 Hours: Virginia Boyle 6090.75 and 7000 Hours: Betty Chase 7337. In addition to the hourly awards volunteers were awarded the Presidential Service Awards. The following awards were given: Bronze Award (100-249 hours in 12 months) Winston Bandy 189.25; Holli Fenoff 199.5; Angelita Galarza 127; Teresa Herreid 184.5; Barbara Hill 131.5; Dona Jackson 168.5; Janice Powers 142.5; Jayne Rivera 136.5, and Lawton Smith 123. Silver Award (250-499 hours in 12 months): Meredith Amsden 184; Eva Emery 351.5; Jeannette Farmer 255.5; Megan Gero 370; Robert Morency 373; and Linda Somers 372. Gold Award (Over 500 hours in 12 months): Rosina Greenwood 508 and Dyanna Thresher 671. The Lifetime Service Award is given to individuals who have accumulated over 4,000 hours in their lifetime this year the award is given to Beulah McGinnis with 4103.75. If you are interested in volunteering at NVRH, please call 748-7310. Auxiliary upcoming events: NVRH Auxiliary Memory Tree begins receiving names on December 2. Books Are Fun – Friday, December 5, 2014 Asian Silks and Silver – Friday, December 12, 2014 Memory Tree Ceremony – Friday, December 19, 2014 NVRH Reiki Program Wins NHAHA Group Award On October 16th at the New Hampshire Association of Hospital Auxiliaries & Volunteers Annual Meeting the NVRH Reiki Program was awarded the prestigious “Group Award”. This is the second group award given to an NVRH Program. In January of 2013, NVRH Volunteer Services began a Reiki Program with two Reiki Master Practitioners covering 2 days a week. Reiki is a gentle healing technique originating in the Far East. Reiki can help activate the body’s natural ability to heal. Reiki is often used in hospital settings as it compliments medical therapies and treatments and is gentle enough to offer to patients with acute or chronic conditions. In the first twelve months of the program, 362 total Reiki sessions were given, with 247 of those sessions for patients. So far this year, we have given a total of 518 sessions with 325 of those sessions for patients. We currently have 4 Reiki Master level Practitioners covering 4 days a week, and one off-site location. What started as visiting the Medical Surgical Unit now encompasses the Day Surgery Unit, the Pain Clinic, Birthing Center, and the Intensive Care Unit. Virtually, wherever a patient is in need. 3 continued The dedication of these Practitioners in not only providing the service to our patients, family members and staff members on a volunteer basis, but educating the public about Reiki has helped this program grow to the level that it has in a little over a year. Our Practitioners are Reiki Masters: Dyanna Thresher, Jayne Rivera, Michelle Stone, and Lawton Smith. They are very serious about the practice of Reiki and that this program is professional, and always improving the lives of those that they touch. We have received many compliments by way of our patient satisfaction survey speaking to the benefits of Reiki. In May, 2014, a patient stated, “I completely enjoyed the Reiki session- it was very relaxing. I would suggest expanding this service.” WCAX-TV report Julie Kelley recently did a story on our Reiki program. To see the story, please visit: http://www.wcax. com/story/27336278/celebrating-volunteers-impact-on-hospital. Also recognized at this meeting was the “Volunteer of the Year” Award candidate, Elsie Lawrence of Lyndonville. Elsie has been a volunteer for 7 years. She has acquired well over 2,700 hours of service to our organization. You will find Elsie on the main Information desk two days a week, assisting visitors, family members and guests. She provides directions and information to the public and trains new volunteers for the desk. In addition to the information desk, Elsie is a knitter for the NVRH Shawl Program, knitting close to 100 shawls. Volunteers knit shawls that go over patient’s shoulders and comfort them while in the hospital, at home, or in another facility once they leave here. These shawls mean so much to a patient and to family members. The shawls become treasured items after a loved one has passed on. Elsie also assists with the coffee cart delivering coffee, tea and muffins to individuals who are waiting in our Day Surgery, ER, Diagnostic Imaging, and Laboratory waiting areas. Mrs. Lawrence is quick with a hug, clipping a newspaper article for someone and sending it to them, and giving an encouraging word to a person in need. You will not find a more generous soul. NVRH is grateful to all of the individuals who donate over 21,000 hours annually to support our patients, staff, and visitors. If you are interested in volunteering at NVRH, please contact Volunteer Services at 748-7310. Reiki Masters Dy Thresher, Jayne Rivera and Michelle Stone NVRH’s Pat Elsie Lawrence, “Volunteer of the Year” award candidate. We’ll miss Elsie as she and her husband head to Florida for the winter, but she promises to return in the spring. Front Row: Elsie Lawrence, Dy Thresher, Jayne Rivera, Michelle Stone Back Row: Abby Pollender, Laurel St. James-Long, Pat Forest Forest Appointed Secretary of NH/VT Healthcare Volunteer Services Association Patricia Forest, Director of Volunteer Services at Northeastern Vermont Regional Hospital was recently sworn in as the secretary for the New Hampshire/Vermont Administrators of Healthcare Volunteer Services Association. Ms. Forest will serve a two year term as secretary and Board of Directors designee and will maintain records for the Association. The New Hampshire/Vermont Administrators of Healthcare Volunteer Services is an organization whose purpose is to further the professional development of administrators of volunteer services in health care by uniting both New Hampshire and Vermont those people in healthcare service with major continuing responsibility for the administration of volunteer programs. The organization is committed to promoting the use of professionals as volunteer service administrators, promoting growth and recognition of departments of volunteer services, developing knowledge and skills in sound management of volunteer services, maintaining accepted standards and ethics for volunteers, and creating a greater public interest, awareness and support for healthcare volunteer service. Volunteer Administrators from New Hampshire and Vermont meet throughout the year for association updates, benchmarking in Volunteer Services and educational opportunities. Membership is open to any Administrator of Volunteer Services in any healthcare setting whether it be hospital, long term care or day organizations. 4 (Left) Lana Mitchell, long time employee and prayer shawl knitter holds several of the 13 scarves she knit for the Paul Sweeney Memorial Coat Drive. Lana has volunteered 5,088 hours to knitting prayer shawls; she spent her nights for the past 3 weeks busily knitting, using leftover yarn from past projects. Thank you for your heart of gold, Lana! (Right) Judy Harbaugh holds her recent 5,000 hour pin received from the Auxiliary for her 5,428 hours of voluntary service knitting prayer shawls for patients, families, employees and anyone who might need comfort, warmth and love. Amy Gendron (right) works for Green Mountain Power and coordinated the efforts on behalf of the Paul Sweeney Memorial Coat Drive. With her at the Salvation Army collecting donated coats and outerwear are Evan and Bonnie O’Rourke. Bonnie is the Community Outreach Coordinator for the Rutland GMP office and Evan is her son. The effort collected over 600 coats, with numerous hats, mittens, blankets, sweaters and scarves. As usual, NVRH employees were extremely generous and donated a great deal of warmth to the effort. Thank you all! LVRT Phase 1a Amenities Going In Informational kiosks were recently installed at both ends of Phase 1a of the Lamoille Valley Rail Trail. Northeastern Vermont Regional Hospital received a grant last year from the Vermont Recreation Trails Program to provide kiosks and signage along Phase 1a which runs about 15 miles from St. Johnsbury to West Danville. The kiosks, built by local contractor David Cloutier, were installed last week at the trailhead at the St. Johnsbury Recreation Path near Bay and South Main Streets in St. Johnsbury and at the Joe’s Pond public beach access in West Danville. Labor and materials to install the kiosks was donated by Pete Hopkins of HS Supply in Lyndon and by the towns of St. Johnsbury and Danville. “Our grant is to provide some of the amenities valued by non-motorized users of the LVRT,” said Laural Ruggles, VP Marketing and Community Health Improvement at NVRH. The kiosks will feature a trail map and information about local services like restaurants, lodging, and points of interest in the towns and along the St. Johnsbury to West Danville section of the trail. Trailhead signage and some road intersection signage, as well as a portable trail map are also funded by the grant. “The LVRT will provide a safe place for people of all ages and abilities to be active”, said Ruggles. “Trails like this contribute to a healthy community. We are so lucky to have the LVRT here in our region.” Phase 1a of the LVRT is expected to be completed by early next summer. Most of the ditching and some of the surfacing has already been completed. Two large bridge structures, one over Mt Vernon Street in St. Johnsbury and another at the Cahoon’s Washout in Danville were installed in 2013. The entire LVRT runs almost 100 miles east to west from St. Johnsbury to Swanton. The LVRT is leased by the State to the Vermont Association of Snow Travelers (VAST). The LVRT is expected to be completed in stages. Phase 1b runs from Morrisville to Johnson and is also expected to be completed next summer. For more information about the Lamoille Valley Rail Trail visit www.lvrt.org. West Danville Kiosk – Kiosks located at trailheads in St Johnsbury and West Danville will house useful information about local amenities to residents and visitors using the Phase 1a section of the Lamoille Valley Rail Trail. The kiosks are part of a Vermont Recreation Grant received by NVRH. 5 Shared Governance Shall Rise Again Jodi Campbell, RN As nurses, we all desire some level of autonomy in our practice. Not only does this serve to validate the years, money and energy spent in our educational process, but it also serves to make our careers a more enriched experience and helps us to feel as though we are a substantive part of the process of helping our patients realize better health. This is the essence of what “Shared Governance” is. It is a way that we as staff are able to give our input to create what will hopefully be smoother and ultimately more efficient ways of performing our jobs. We all have the same goals: we want the best for the patients we serve. Therefore, we all have valuable input on how that can be done. In the past, the idea of “Shared Governance” has not quite rendered its true philosophy in this institution, resulting in some mixed feelings about the philosophy and in some cases strong emotions. As a result, there has been a decline in the enthusiasm that it takes to fully create this system and see it through to fruition. There have been obstacles. There have been mistakes. For some, the effort has seemed futile. This is no longer the case! This is a time in our facility of great change. There have been transitions in leadership, there are more people involved in the process, and there is an awakening of awareness of this process. This is the time when we need every nurse out there to step forward and say “I am willing to step forward and take part.” This is the perfect time to really put all of our heads together to build this philosophy in a way that is meaningful to our institution and the way we serve our demographic. Feel free to join us: we meet in the morning of the first Wednesday of every month. Keep in mind, this is a process. As with the building of all structures, there will be hammered thumbs, toe stumps, and generalized growing pains. We will make mistakes. Administration will make mistakes. There will be bumps in the road. However, administration is very dedicated to seeing this come to full fruition. It is our time to respond and say, “We are ready to help steer the care of our community, because we care strongly about what we do!” We all care about the patients that we serve. We all have ideas on how to make it better. Now we are going to build the structure we need to have more autonomy in this process. The building process is going to take some work. Many of us may think “Oh great, not another commitment.” Really and truly, the only commitment that will be asked of everyone is that you come forward with your voice once the lines and methods of communication are put into place. There is going to be a need for representatives from each unit and from the external clinics as well. These positions will most likely be an elected position and no one has to accept a nomination who feels that they cannot fulfill the position. We all want this to work, so we want people who want to be in the positions to fill them. The details on how many of these positions and the structure of them as well as their functionality are yet to come, as input from everyone is needed to form this correctly from the ground up. Keep a look out for upcoming surveys. This will most likely be the way we ask everyone to help make decisions on how to form “Shared Governance” in our facility. FILL THESE OUT!! Send them back!! This is your voice, your chance to have a say in the changes made in the future. No one knows what your thoughts are unless you let them be known. Believe it when you hear that your opinion matters, because it does. Thank you all in advance for your participation and patience. This is your voice, your chance to have a say in the changes made in the future. KEEP CALM…AND KEEP IT TO YOURSELF Jim Coulson, MT, CHC NVRH Compliance Officer As the NVRH Compliance Officer, I have several volumes on my bookshelves with numerous chapters dedicated to HIPAA. Officially titled the Health Insurance Portability and Accountability Act of 1996, this federal regulation contains provisions for a privacy rule as well as a security rule. According to the Health and Human Services website describing the regulations, the privacy rule “…provides federal protections for individually identifiable health information…” that hospital and other healthcare institutions accumulate in the course of caring for patients. These provisions “… give patients an array of rights with respect to that information.” The description goes on to say that “… the Privacy Rule is balanced so that it permits the disclosure of health information needed for patient care and other important purposes. “ The Security Rule goes into more detail about how there are “technical safeguards” that are set in place that will “… assure the confidentiality, integrity, and availability of electronic protected health information.” These rules were put into place as electronic health information was becoming more prevalent as a way to ensure that the private data had safeguards that prevented it from being available to people that have no clinical reason to access it. In today’s world, we are all too familiar with infringements on our personal information be it health, financial or other forms. 6 continued Those chapters on my bookshelf and the websites, blogs, magazine articles and other writings go into a lot of detail about a somewhat complex system that attempts to protect your personal health information. As healthcare employees we are held to those regulations. We are required to learn about the rules when we are hired and as employers we are mandated to show evidence of annual review. NVRH uses the Elsevier program that has modules related to HIPAA rules for our annual review. While those websites, books and articles all have their place in describing the nuances of the complex world of HIPAA, I want to distill the part that is related to us on a daily basis to a few simple thoughts for you. Every day we come upon personal health information about our patients. For some of us those patients are also our neighbors, friends, co-workers and sometimes even family. We have to be exceedingly careful that we are not allowing that data to leak out into an environment where it does not belong. We know that we cannot release any health information that we come across to our acquaintances. We should not share information about patients we are treating in the hospital or offices or anything about their condition with anyone else. This protection of health information is exactly what is meant by the rules that assure the confidentiality of a patient and their condition. As part of receiving your Notice of Privacy at a healthcare office or hospital, you have the right on the HIPAA Directive form to designate who you are willing to share your health information with. You can designate spouses, children, siblings, friends or whoever you wish. If a person is not on that list, your health information can only be shared with those individuals that are involved in your care. A nurse is expected to share information about the care of a patient with a doctor, technician or another nurse that is also involved in the direct care of that patient. A nurse should not share information with another healthcare worker that is not involved in the care of a patient. Provisions are made for health information to be shared on a limited basis (hence all those books and articles that go into detail about how that can or cannot be done) for the purposes of finances (billing) and research. As difficult as it may seem during particularly stressful events, information should only be shared with those that are involved in the direct care of the patient. Those friends and acquaintances that you think should know about the condition of a patient will find out as they should- either because they are on the list of designated receivers of health information or through the sharing of information that families choose to do with friends and loved ones. HIPAA rules were not made to stand in the way of health information being shared with families and friends. They are made to protect the very basic and private health information that we have a privilege and necessity to access in the course of the jobs and careers we have chosen as health professionals. If we are not using any of that information in the care of a patient, we should keep it to ourselves. Dartmouth Medical Student, Huy Le, Completes Clinical Rotation at Corner Medical Huy Le is currently in his family medicine clinical rotation at Northeastern Regional Hospital’s Corner Medical practice. He is starting his third year at Dartmouth Medical School; his first rotation was at NH Hospital, New Hampshire’s state psychiatric hospital; his second rotation was at California Pacific Medical Center in San Francisco, in OB/GYN. Huy was born in Saigon, Vietnam and immigrated to the United States as a child; California is home. He received his BS from UCLA in 2010 in Bioengineering, Huy Le, Mary Howard, LPN and Tom Broderick, MD and his Masters Degree in Biomedical Engineering in 2011. Huy had planned on becoming an engineer. His aspiration to become a physician began when he worked at a free clinic for the uninsured in the inner city of Los Angeles. He then volunteered in Nicaragua and Panama, primarily doing patient education around chronic diseases like diabetes and obesity. He is enjoying his rotation at Corner Medical, working with Drs. Tom Broderick and Joyce Dobbertin, especially the “people aspect.” Impressed with the physician’s broad knowledge of medicine and how close they are to patients and their family, Huy enjoys working and learning in the variety of medical venues, from the office to the nursing home and the hospitalist role at NVRH. Tom Broderick commented about how “the patients love Huy.” Huy and a fellow medical student are collaborating on a project which would automatically enter dermatology allergen patch test results (which contain 70 allergens per patient) from a scantron, in order to decrease the potential of human error and save time as compared to entering data by hand. His next rotations include general surgery in Concord, NH and vascular surgery at Dartmouth Hitchcock. At this point, he is most interested in Emergency Medicine or surgery. When afforded free time, Huy enjoys watching horror films and reading science fiction. 7 Counter Balance Because of the harm that tobacco products cause, the industry is bound by limitations on advertising, marketing, and promotion of cigarettes and other tobacco products. However, retail stores are the primary place where tobacco companies recruit new tobacco users, and nearly 90% of those new users are underage youth. According to their own internal documents, tobacco companies try to attract new young smokers by targeting retail stores near schools and playgrounds. Every day in the United States, more than 3,000 youth under the age of 18 smoke their first cigarette – and over 400 Vermont youth become daily smokers every year. In fact, 88% of adult smokers began smoking by the age of 18. Smoking and using other tobacco products are harming Vermont’s kids. Youth exposure to tobacco marketing is directly correlated to youth tobacco use, with an estimated one-third of teenage smoking experimentation resulting from tobacco advertising. The bottom line is that the more often kids are exposed to tobacco advertising, the more likely they are to start smoking. Vermont is working to counter the tobacco industry’s influence on Vermont’s youth through the Counter Balance initiative. Launched this month by the Vermont Department of Health, Counter Balance is a resource to help parents and communities talk to kids about the influence of the tobacco industry in retail stores. Visit www.counterbalancevt.com to understand the influence of tobacco marketing on youth, and take advantage of opportunities to help spread the word to prevent the next generation of Vermont tobacco users. NVRH Supports RecFit: Lew Apgar, Community Health Worker at Community Connections greets Cynthia, Chelsea and Barry Waldner at the Grand Opening of RecFit on Friday, November 14th. Lew handed out complimentary “No Sugar Added” water bottles and hospital frisbees, while educating people on the amount of sugar in soda and juice. NVRH committed a significant amount of money to RecFit to purchase memberships for employees who want to use the facilities. Cynthia Waldner, RN, has been a hospital employee for many years. Said NVRH CEO, Paul Bengtson, “This is an important investment in health and wellness for our employees.” NVRH employees can enjoy the membership and use the facilities. There are also many other classes (zumba, spinning, yoga, etc.) that employees could enjoy and pay a fee for. For further information, contact RecFit at 751-2305 or visit the website at www.recfitstj.org. Alice Kitchel from Danville, arrives at the hospital with her wonderful therapy dogs Belle and Sebastian. “It is the intuitive power of animals that can help us heal hurts, lessen stress, feel needed, and express our caring side.” Marty Becker, DVM 8 On Monday, November 3rd, during National Medical Surgical Nurses week, the nurses’ station on the Med/Surg floor was ready for business, after being closed for repairs after the October 5th flooding. As this picture was being taken, the nurses asked that both Plant Operations and Environmental Services get extra kudos and gratitude for their hard work and dedication to getting patients returned to rooms and nurses returned to their station and familiar work flow. Kurt Eschmann, Plant Operations works on one of the remaining rooms that needed additional work. Julie Kelley, reporter for WCAX TV in Burlington, originally did a story on the flood as it unfolded on October 5th. She returned to do a follow-up report during National Medical-Surgical Nurses Week. Kathleen Killary, RN with Med/Surg had the great idea to ask Julie back. Here is the link to Julie’s story: http://www.wcax.com/category/166239/video-landing-page?clipld=10821469&autostart=true. “Read books, drink coffee, read books” ….seen as graffiti on an overpass in North Carolina “A book is a device to ignite the imagination…” Attributed to Alan Bennett Readers everywhere share a notion that books will abound, no matter where we are, or the age at which we find ourselves. Books truly are devices best aided by imagination; if you, the reader, want to have the sky green, so be it. It is interesting that Bennett refers to books as devices, begging the question: is he referencing bound or electronic books? Makes no never mind, as long as the story holds true. Bookstores are where I go to play (libraries are their only equal). Cicero is credited with saying, “a room without books is like a body without a soul.” He would have loved being in my house; using his description, it is joyously soulful. I spend a lot of time perusing books, of all types. Over the course of a year, I have often put together a list of titles that I look forward to reading, and this year is no exception, some older, some out this year, but all beg to be cracked and devoured. It is my hope that you will also find a title to gift yourself or others…. All the Light We Cannot See (2014); Anthony Doerr. YA/ historical fiction. In lyrical chapters of alternating characters, a blind French girl and a German boy whose paths collide in occupied France try to survive. Ape House (2010); Sara Gruen. Fiction, by the author of Water for Elephants. Bringing her many talents to the book, the author explores science and information about the Great Ape Trust, revealing an immaculately researched work about linguistics and cognition in Great Apes. (Do you remember Koko, the American Sign Language-speaking gorilla, with the kitten? She was one of these Great Apes.) The Girls of Atomic City (2014); Denise Kiernan. Historic fiction/ WWII. The author tells the story of Oak Ridge, TN, during the Manhattan Project with unusual insight, through the eyes of nine young women from many walks of life, who worked on this secret project. Gray Mountain: A Novel (2014); John Grisham. Suspense. With all the characteristics of a Grisham classic, this novel does not disappoint as it twists and turns. 9 continued Half Broke Horses (2010); Jeanette Walls. Biographical novel. From the author of The Glass Castle comes a tale of the Southwest at the beginning of the Twentieth Century, as we get to know an irrepressible woman who carved her own destiny… Lily Casey Smith, the author’s grandmother. In the Kingdom of Ice: the Grand and Terrible Polar Voyage of the USS Jeannette (2014); Hampton Sides. Historical novel/ Adventure. A white knuckle tale of polar exploration and survival, during the Gilded Age. The story of the Jeanette is, like many other polar adventures, one of heroism, heartbreak, and high adventure for those of us who venture forth from the comfort of our armchairs. The Mockingbird Next Door: Life with Harper Lee (2014); Marja Mills. The only authorized biography of Harper Nelle Lee, author of To Kill a Mockingbird. Charming and compelling, the author brings this gentle biographical memoir to life, considerately and with great care. Painted Horses (2014); Malcolm Brooks. Fiction. This debut novel paints a picture of a love story of the West, singing a song to the horseman’s vanishing way of life, in the modern age. A tale that points out that tradition and future often go hand in hand, this is reminiscent of works by Wallace Stegner, Thomas McGuane, and Annie Proulx. Extraordinary. Polly and the One and Only World (2014); Don Bredes (Local Vermont Author). YA/Fiction. The former USA has become the Christian Protectorates, in a post-nuclear holocaust/climate change disaster. 15-year- old Polly Lightfoot, a maiden witch of deep heritage and young ability sets out from what we know as Florida, to join her people in Vermont, with her brave companion, Leon, and steadfast familiar, a raven named Balthazar. Magic allows for some surreal escapes from the predicaments that follow each other like water down a hillside. Meant not only for Young Adults, but for those who enjoy a good story, crafted to surprise you with its twists and turns. Revival (2014). Stephen King. Horror/ Suspense. Dark and electrifying novel about fanaticism, what might be found on life’s other side, and addictions. It’s Steven King; need I say more? Somewhere Safe with Somebody Good (2014); Jan Karon. Fiction. The newest of the Mitford series. The only hints I’ll share are two: Father Tim retires. Father Tim takes a wife. What If: Serious Scientific Answers to Absurd Hypothetical Questions. (2014); Randall Munro. Science/ Trivia. A former NASA roboticist, the author has provided us with a work that seems astounding yet whimsical at the same time. “Q: What is the farthest one human being has ever been from every other living person? Were they lonely? A: It’s hard to know for sure. The most likely suspects are the six Apollo command module pilots who stayed in lunar orbit during a moon landing: Mike Collins, Dick Gordon, Stu Roosa, Al Worden, Ken Mattingly and Ron Evans. Each of these astronauts stayed alone in the command module while two others landed on the moon. At the highest point in their orbit, they were about 3585 kilometers from their fellow astronauts.” It’s a truly fun read. I can’t leave you without a book about the Africa of my childhood…before 24 hour news, before cable (before we even had a TV station, or electricity, or telephones), family life “across the seas” could be delightful or terrifying, always exciting. African Creeks I Have Been Up: With a Mining Engineer and Three Male Minors (1964), by author Sue Spencer will take you there, through that window into a long time gone. A must-read for ex-pats and ex-pat wanna-be’s. Hilarious, with good memories of the land, people, animals, and culture. East and West Africa might be closer that you think, if gauged by the riotous adventures enjoyed by both families, hers and mine. I could regale you with stories about everyday bits from mambas to mongooses, but I leave that to the author. “I have so much to learn,” became Sue Spencer’s mantra; I hope you enjoy this. . 10 Human Resources Corner Tis the Season for Open Enrollment The Human Resources Department held a Benefits Fair in early November. Employees from all departments came to learn more about the new health plans for 2015, ask questions and meet with representatives from Prudential, Casey & Associates, Great West Financial, Edward Jones, Aflac, Delta Dental, the Richards Group and Health Plans, Inc. Dy Thresher was also on hand with her Reiki expertise. Information sessions occurred each hour to explain the details of the new plans and the reason for the changes. The new plans have higher deductibles, co-pays and out of pocket maximums, but the rates you pay per pay period are the same. As Betty Ann Gwatkin, VP of Human Resources, explained at the start of each session, the changes are necessary to avoid the federal “Cadillac tax”, a provision of the Affordable Care Act. This tax will be imposed on employers who offer too rich of a health benefit plan for their employees. “As a result of new federal healthcare laws, NVRH had to make changes now, or we would have owed a yearly tax of $300,000, starting in 2018,” Betty Ann explained. The new plans are a result of months of configuring numbers and working with our insurance broker, The Richards Group, to come up with a solution that would lower the “Cadillac tax” to a more reasonable $17,000. To help offset the cost of the higher deductibles, all employees (except those with the highest salaries) will see an additional $1,000 in wages paid per pay period in 2015. Said Betty Ann, “Employees can avoid paying taxes on this $1,000 by putting the extra money in a pre-tax Flexible Spending Account or Health Savings Account, to help pay the higher deductibles.” Only the Medical Plans have changed for 2015. All other benefits, including Dental and Vision Plans, remain the same and a new benefit is also offered for next year. The 529 College Savings Plan is a tax-advantaged way to invest in the future of your child, a nephew, grandchild or even yourself. Payroll Deductions are available for the plan. As a reminder, ALL NVRH Employees, including per diem or part time staff, receive the benefit of a 401K Retirement Plan which NVRH contributes to. Now is a good time to log on to the Great West website, www.gwrs.com and make sure you’ve added a beneficiary. Open Enrollment is until November 29th and it is until then that you can make changes to your benefits with the changes taking effect on January 1, 2015. You can add dependents, beneficiaries, select amounts for earned time cash in, switch or drop plans as you choose. Written information about all NVRH Benefits is available 24/7 outside of the HR offices on the first floor Business/Administrative building and you can also find updated information and plan summaries on The Employee Benefits Center on The Pulse. You’ll need to log on to www.nvrh.bswift.com by November 29th to make your selections for 2015. You can do this on your own or call to make an appointment with someone in Human Resources. We are ready and waiting with laptops to help you with enrollment. Feel free to contact any one of us with questions or if you need help enrolling in 2015 benefits. Chris Allsop, Benefits Manager: [email protected] or 748-7415 Carol Chmura, HR Manager: [email protected] 0r 748-7525 Laura Malieswski, HR Coordinator: [email protected] or 748-7312 Betty Ann Gwatkin, VP of Human Resources: [email protected] or 748-7416 11 continued We are pleased to welcome 8 new employees to NVRH this month! Pictured left to right: Ky Duong, Registered Nurse Apprentice (Birth Center), Terri Schoolcraft, Accounting Manager (Finance), Britta Swanson-Gear, Registered Nurse (Birth Center), Kayla Therrien, Access Specialist (Access), Daniel Jackson, Access Specialist (Access), Kelly Colgrove, Registered Nurse (Med/Surg), Meghan Fortier, Licensed Nursing Assistant (Cardio Lab) and Miranda Buck, Tray Server (Nutrition & Food Services) NVRH Diagnostic Imaging Department Supports Circle of Care Boutique: Employees of the Diagnostic Imaging Department requested a hospital-wide dress down day to support Breast Cancer Month. The money raised was donated to the Circle of Care Boutique, located in the Richard A. Bloch Building. Proceeds will support cancer patients who need bras and post-operative garments and may have high deductibles or are under insured. Shown here are some members of the Diagnostic Imaging staff: Linda Bangs, Jessica Placey, Konnie Perkins and Steven Stowell. The Circle of Care Boutique provides one-stop shopping for cancer patients for specialty haircuts and wigs, breast prostheses and edema fittings, skin and haircare products, hats, jewelry, nausea medications and other items. It is the only shop of its kind in Vermont and Northern New Hampshire. The Community Relations Committee, a committee of the Board of Trustees of Northeastern Vermont Regional Hospital, welcomed local (and newly elected) Legislators to their recent meeting to talk about priorities and concerns on behalf of the people they’re representing. Areas of concern included housing problems, addiction, property taxes and healthcare. Representatives from The Area Agency on Aging, RuralEdge, Northern Counties Healthcare, Northeast Kingdom Human Services and the Vermont Association of Hospitals and Health Systems were there as well. Pam Smart, Care Integration Coordinator from Community Connections at NVRH spoke about the collaboration between organizations in the area and how grateful she is for the community-wide commitment on behalf of people in the Northeast Kingdom. 12 As If to Demonstrate an Eclipse – Billy Collins Litany for Thanksgiving By Rev. Max Coots I pick an orange from a wicker basket and place it on the table to represent the sun. Then down at the other end a blue and white marble becomes the earth and nearby I lay the little moon of an aspirin. (Minister Emeritus of the Universalist Unitarian Church of Canton, NY) Let us give thanks for a bounty of people. For our children, who are our second planting, and though they grow like weeds, and the wind too soon blows them away, may they forgive their cultivation and remember fondly where their roots are. For generous friends, with hearts as big as hubbards and smiles as bright as their blossoms: For feisty friends as tart as apples; For continuous friends, who, like scallions and cucumbers, keep reminding us that we’ve had them; For crotchety friends, as sour as rhubarb, and as indestructible; For handsome friends who are as gorgeous as eggplants and as elegant as a row of corn, and the other, as plain as potatoes, and as good for you; For funny friends, who are as silly as Brussels sprouts and as amusing as Jerusalem artichokes, and serious friends, as complex as cauliflowers and as intricate as onions; For friends as unpretentious as cabbages, as subtle as summer squash, as persistent as parsley, as delightful as dill, as endless as zucchini, and who, like parsnips, can be counted on to see you through the long winter; For old friends, nodding like sunflowers in the evening time, and young friends, coming on as fast as radishes; For loving friends, who wind around us like tendrils, and hold us despite our blights, wilts, and witherings; And, finally for those friends, now gone, like gardens past that have been harvested, but who fed us in their times that we might have life thereafter; For all these we give thanks. Amen I get a glass from a cabinet, open a bottle of wine, then I sit in a ladder-back chair, a benevolent god presiding over a miniature creation myth, and I begin to sing a homemade canticle of thanks for not making the earth too hot or cold not making it spin too fast or slow so that the grove of orange trees and the owl became possible, not to mention the rolling wave, the play of clouds, geese in flight, and the Z of lightning on a dark lake. Then I fill my glass again and give thanks for the trout, the oak, and the yellow feather, singing the room full of shadows, as sun and earth and moon circle one another in their impeccable orbits and I get more and more cockeyed with gratitude. A+ Standard of Caring + Everyone had a job & they worked together like a WELL OILED MACHINE! You’re all wonderful & I’m still alive! Ha ha!!!! + Marie RN/excellent care! + Excellent doctor & nurse. + Good doctor & nurses. + Just plain excellent - everything. + No pain, excellent experience. Everything excellent. + Dr. C. Danielson, nurses & other staff were very professional, inspired confidence & were a pleasure to deal with. Having a colonoscopy was not something I was looking forward to, but they made it much easier than expected! + Barb Jarvis was very kind and helpful. Deb Yonkers was very good in my after care. + Brenda did an EXCELLENT job. + The attending nurse was very attentive and eager to make my visit pleasant. + Nurses - Top notch! SEPTEMBER 2014 Ambulatory Surgery + The people were very professional, helpful, and showed much concern. + My experience was very good, everyone was courteous, friendly and concerned. + My confidence in the nurses was excellent. My doctor was also very confident in what she does. + I would highly recommend Northeastern Vermont Regional Hospital, because of their nurses, and doctors and staff. + Had no pain what so ever. Thank you. + My nurse was Linda Comfort, she was spectacular! + The nurse who was putting all my information into the computer was so pleasant & made me feel comfortable. Every time the potassium drip was burning, she made it better for me. + Again, I was very comfortable with the nurse that spent 90% of my time there just caring & taking care of my need. Dr. Larsen is the best!!! I was impressed. Emergency Department + Doctor was AMAZINGLY helpful and supportive during a very scary moment in my pregnancy. 13 + Thank you to Dr. Dege for his talk and service. Also for getting appointment with doctors. + Thanks to the nurse who took my blood and did an excellent job. She had a very nice attitude. + Were very polite and I really appreciated that. I felt like they really cared about me and the treatment I received helped relatively quickly. + A place I know I can trust to go to for future problems that may arise. + Everyone on the staff was outstanding, caring & professional. + Nurses were very kind and thoughtful for my comfort. + The doctor was exceptionally good about explaining everything and being very thorough. + I was very happy with the thoughtfulness and care I received all while at the emergency room. + Nurse did everything she could. + Fantastic - I think I was the only person there! + Only one nurse involved. She was A-1 (Marlene). + These people were wonderful! Was treated very well in both cases. Thank you ALL! + Thank you - I felt completely supported and well taken care of. + The technician who did my ultrasound was EXTREMELY thoughtful, caring, professional and reassuring!! + I was seen right away and the doctor was SO kind and helpful. + This was a Boy Scout bike trek accident. My son answered the questions. He was very pleased with your hospital. Thank you for taking care of him! His stitches did not stay in but he is a very busy boy. Thank you! + Dr. Jay Dege was exemplary! I was very grateful for his care - my blood pressure returned to normal from 180/90 when it had been an hour before from aggravation over treatment I received in Newport. + I had Doc Merrick who was WONDERFUL along with the nurses. No complaints. + All involved were professional and very courteous. + Excellent - kept me informed and was very professional. + All persons involved were exceptionally professional and very courteous. I’d highly recommend others to your emergency room if they needed one. + MEL was fantastic and wonderful. + The care was exceptional and the results excellent - . Outstanding!! + Sandy was wonderful. + We are from So. California so we hope we don’t have to visit again. The whole experience was wonderful; the staff took great care of me. + The staff took care of me immediately upon arrival by ambulance and proceeded to take great care of me. + Excellent job by Dr. Rodgers. + Excellent job by Monica Dimick. + Your whole process is exemplary. Everyone is caring & professional. My visit was never rushed but moved along at a satisfactory pace. I remain very impressed. + Overall, the care I received was exceptional. I would definitely recommend the emergency dept. + Under the circumstances the nurses and Dr. Ajamie made me feel at ease and were wonderful to me at such a scary time. Thank you! + I was treated very well as a retired RN. I was very watchful. + Excellent! Very professional, yet personal. Margi. Dr. Rodgers and Margi were excellent! + This was the quickest emergency room visit I have ever experienced. I’m not sure if the process is going better or if the day was just not very busy with ER visits this day. Either way great job! + Great job! Keep up the great service! + Very good all- around experience. + Thanks to nurse for good attitude and excellent care. Inpatient Department + The hot plates were great as were the cold plates. The lady giving the menu was always pleasant and descriptive. + Very impressed with physician’s knowledge of my history. + The RN’s who were on duty 3 p.m. to 3 a.m. also 3 p.m. to discharge were very thoughtful and very knowledgeable about their job. + Wonderful nurses: Yvette, Stephanie, Kara, Tony. + Excellent, care, encouragement, and skills provided by nursing & surgical staff + Ladies admitting me were very nice and helpful. + Fresh delicious food! Amazing! Salmon was incredible, loved fresh green beans! + Nutritionist was very helpful in getting my meals modified to meet my needs. + Excellent PT - great people. + I could not have been more satisfied with my stay and care! + The person serving food was very courteous. + I have never had better care than this visit. + I felt that I could not have been more satisfied with any other physician. + At discharge time the nurse went out of her way to be sure I understood everything. + ER staff is second to none!! 14 + Cleaner was super friendly & talkative. When asked to cool room down, nurse adjusted heat. + Excellent food & courteous help. + From ER nurse Logan to ICU nurses Eric & Mitya, I was very impressed & grateful to have them. + Excellent test turn-around times!! + Coming from Plattsburgh I had a bad “taste” for hospitals, your staff was the entire opposite. Friendly, fast, supportive, answered my questions promptly & were very attentive. + Staff is the best in the North Country!! + The food was the best hospital food I’ve ever had! I was also amazed that my frozen yogurt was still frozen by the time I finished my meal! + George and Gloria were amazing! It was a busy day in Labor & Delivery and Gloria literally saved the day! + I was amazed at how well my husband was treated the whole time. He was not allowed to stay with me postpartum for my first birth (at a different hospital), so it was really nice that he could not only stay with me but he got meals too! + Gloria was the highlight of my experience at the hospital. I can’t thank her enough for everything she did for me! + The entire staff was wonderful. The leadership of the hospital was evident in the way everyone was helpful, competent & pleasant. Everyone worked together - it was amazing. + Again - the level of care was excellent. + Dr. Rousse was so helpful & concerned. He called my son from his home to explain what was going on. He went out of his way to address my health issues. I was going to write a letter to commend the staff for working together to ensure patient care. It is outstanding. The entire staff worked together cheerfully & completely. EXCELLENT. + All very humane & considerate. + In general, given the emergency that brought me to the hospital. I was treated with care and concern ~ a very humane presence to be valued (if one must go to a hospital!). (Your survey oversimplified the evaluation of the experience - like “some nurses” & “some doctors” - not “nurses” & “doctors” - though in general all were fine to care for me.) + NVRH is one of the best hospitals around - I would choose it over the bigger ones. + Don’t know if blood was taken in ER due to concussion. Blood drawn in room done very well & courteously. #1. For MRI! + Anea was amazing! + The desserts were great! + My husband & I felt very comfortable with our nurses, and felt we were all treated very well. + Very welcoming & family friendly environment. + Dr. O’Connor was fantastic! I hope she is there when we have our next one (baby)! + Though I live closer to another hospital, I wouldn’t consider switching from NVRH. The quality of care I & my family receive here is unbeatable! + I appreciate the maple syrup. Kingdom Internal Medicine + Dr Z and staff are very courteous and friendly. + Couldn’t be better!! + If I have a question it is answered where I can understand the explanation. + The staff and doctors are all very good at putting you at ease and accommodating. + Kudos to all at KIM, NVRH. + Very prompt and courteous manner by all personal. + Very good about giving ideas about problems that you ask. + Very friendly staff and helpful - Corner Medical + I am an adult and my doctor respects my own decisions. + Also interacted w/Dr. Nisbit - real team effort! + Very prompt these days. + I have been treated very well each time I go. Thank you. + Pam is wonderful and has been during the 10 years I have been at Corner Medical. + Dr. Dargis is excellent - very happy to have another GP as good as Dr. Thompson. + Corner Medical is a great place. Better treatment and care than in Boston area! + Dr. Erisman is friendly, professional, extremely competent in many fields and communicates very clearly. She is very sensitive to my needs and feelings and not afraid to make a referral. The best! + Miriam Simon is great!! She’s caring, attentive, easy to talk to. She listens! + Corner Medical I would recommend to everyone. I am very grateful you are my care provider! + I really appreciated getting in to see Ashley Gerrish because I was sick, even though my new patient intake isn’t until October.+ Ashley was compassionate and helpful. + No wait time! + Miriam Simon took the time to listen... and explain. 15 + She is a terrific doctor. + Always A+. + Corner Medical has always treated me very well. St. Johnsbury Pediatrics + Dr. Josh is very thorough and speaks to my 6 year old in way that respects her & makes her laugh. His demeanor was nothing less than perfect! + Our doctor was very thorough and had us come back to check in on our daughter’s condition, and also checked back later by phone. We felt very well taken care of. + They were all very helpful, especially the people at the desk. + I love the staff - always courteous- have been since I was a kid and went here. + The provider was thoughtful, patient and knowledgeable. We are so thankful for the excellent care. + Dr. Stasny is amazing and so caring. I love that I never feel rushed, even when we are behind schedule. + The doctor is very thorough w/all of her patients and I appreciate her hard work. It’s OK that we spent so long here. Womens Wellness + Cindy is excellent! + Dr. Anne O’Connor was very nice. I’ve been telling all my friends, if you want a nice doctor. Go to Dr. O’Connor. + Professional, courteous, informative, caring, thorough. + Dr. Karen Kenny is the best. + I really appreciate Women’s Wellness and am thankful they are available to me & my community. + Again, it was an annual exam. I like Margaret and appreciate the time she takes, but explanations, decisions about treatment we didn’t have. I do have every confidence in her if I ever need those things, which is why the annual is so important - relationship building. + Sara is amazing!! Outpatient Departments + Sec’y & lab - Technician both very kind and helpful, putting me at ease. + Seemed to be very caring hospital, I would go again if need be. + Quick and professional, polite & caring. + Did not seem like a hospital visit. Excellent service, friendly, knowledgeable. + Best I’ve had. + Very thrilled with your facility!! + Everyone was very helpful & cheerful. 16 + Lovely people - all around from phone to the person doing the testing. + I have never had a better experience - elsewhere - consistent - over the years. + The technician was OUTSTANDING in skill & communication. Keep this guy! + As always NVRH staff is professional/kind/warm & friendly. + The technician who provided my mammogram is always extremely pleasant. She speaks to me like we’re old friends. She makes the experience a positive! + NVRH provides excellent professional care. Thank you. + Awesome job! + Staff was amazing! + The ultrasound tech was wonderful. + Dr. Dreisbach is excellent. + Lynn is the only Lab tech I feel comfortable allowing to draw my blood. + Pre-registered over phone - great! + Pre-reg. - great. + Pat and Gretchen were very professional and caring. + Sue was wonderful at scheduling and processing my orders. + My PCP had results and had contacted me in the same day that I had my exam. This is wonderful turn-around time. Great patient care. Thanks NVRH Radiology.
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