Mount Desert Island Hospital Celebrating 100 Years 1897-1997 A Century of Service A Supplement To The Ellsworth American. July 17, 1997 Page 2 MDI Hospital, Celebrating 100 Years July 17, 1997 MDI Looks to the Future Wellness Means Keeping Folks Healthy By Anne Porter The newly opened diabetes AR HARBOR-Hos- education facility helps dia- B pitals used to treat betics and their families sick people. Now they learn to control the disease. spend almost as much time Even surgical patients dealing with healthy people. require a different kind of The approach to health care now, Dworak said. As care in the United States new technology makes has undergone a radical faster, less invasive proce- change in recent years, dures possible, more and and hospitals are now more patients are treated playing new roles. as outpatients, never ad- "Instead of waiting till mitted to the hospital at all. people get sick, our goal A hernia repair once would now is to help people not have meant spending sev- get sick," said Marcia eral days flat on one's back Dworak, chair of the Mount in a hospital bed, followed Desert Island Hospital by more time recovering OR board of directors. The hos- with enforced bed rest. pital still does the work it Now, the patient can go used to do-treating people home after a few hours. with serious illnesses and "It's possible for people victims of car crashes-but to feel better faster," another job has been added Dworak said. to its mission, Dworak said. The increased availability The hospital plays an im- of skilled home nursing can portant educational role also ease that transition in now. Healthy cooking class- some cases, making sure pa- es offer nutritional advice. A tients get the care they need spring and fall walking se- in a familiar, comfortable en- ries encourages Mount vironment, while freeing up Operating Room Head Nurse Brenda Smith and tic equipment. The operating room has changed a Desert Island residents to valuable hospital beds. nurse John Jastrzebski look over information de- lot over the past 100 years. get in shape. Project AS- All this means different tailing the use of some of the hospital's diagnos- SIST fights teen smoking. kinds of services, and even The Fishermen's Health a different kind of building. program, with its carefully under increased pressure To keep control of health hospitals, joining two coop- Project provides free blood "It's meant changes in the monitored exercise program from outside the communi- decisions local, the hospital erative networks, Synner- pressure and cholesterol waiting room, the way pa- and its seamless transition tients are registered," ty, from managed care pro- is helping to organize an is- net and the Maine Health screenings, among other to a life maintenance pro- grams. While these pro- land-based health plan of its Alliance, in hopes of find- services, to a segment of the Dworak said. "It really means gram at the YMCA, is an ex- grams often dovetail with own. Organizers hope the ing strength in numbers. population that often has no rethinking the way we do business in the building.' ample of the way the hospi- the hospital's own goals, plan, guided by local input, In this rapidly changing access to health insurance. The cardiac rehabilitation tal is putting increased em- making routine preventive without a large, nationwide industry, though, it may be phasis on following patients maintenance more afford- bureaucracy, will be both the changes we cannot even after they leave their able to everyone, they also more responsive and more foresee that will pose the hospital beds. impose restrictions on doc- affordable than other health The folks at greatest challenges, As the hospital rein- tors, both in use of time insurance programs. Dworak said. vents its role in the com- and resources and in the "There is a sense that "Managed care is what Hulls Cove General Store munity, it is also coming kinds of care they provide. your local physician and you we're all talking about ought to have a say in your now," she said, "but the would like to congratulate health care," Dworak said, question in my mind is, "and not someone at the what is the next thing to the Mount Desert On The Cover other end of the telephone come along? Looking into line in California or Texas." the future is a huge chal- Island Hospital on their The hospital has also lenge: it's like shooting at a The three photos on the cover depict the early days banded together with other moving target." 100th Anniversary of the Mount Desert Island Hospital, and were taken from the book "History of Mount Desert Island Hospi- tal." by Clarice Hall Hamlin. The brick wing of the hos- pital, shown in the top photo, is still used today. It re- placed a colonial style structure that more resembled a Table Of Contents Congratulations home than hospital. The bottom two photos give an idea of the early garb of health care workers: suit coats for Mount doctors and floor-length gowns for nurses. Smaller Hospitals Must Plan Carefully 4 Caring for Four Generations 5 Desert Island Hospital What Managed Care Means for MDI 6 for 100 years An Island-Wide Health Plan 7 100 Years of Nursing 8 of dedication spanning A Look at MDI's Departments 10, 11 entire generations. TEMPS Midwifery Tradition Continues 12 The Women's Clinic 13 STAFFING SERVICES Affiliated Health Centers 14 Many Hands Make Light Work 15, 16 TEMPORARY & Smaller is Better 17 PERMANENT PLACEMENT Three Doctors Look Back 18 Office Support Receptionist Countless Hours, Valuable Support 20 Medical Receptionist JORDANS Data Entry Secretarial Technical Lt. Industrial Mount Desert Island Hospital We're proud to be Celebrating Years part of that "A Complete Screening & Testing Service" is published as a supplement to The Ellsworth American, dedication! Now Serving You From Three Locations Dirk Vinlove, Editor Bangor Camden Ellsworth Tina Sullivan-Thorp, Design 209 State St., 4 Mechanic St. 41 High St. Terry L. Young, Director of Marketing Bangor ME 04402 Camden, ME 04843 Ellsworth, ME 04605 Thank you. (207) 947-7541 (207) 236-2333 (207) 667-1939 Fred Cook, Sales Development Manager Patty Davis, Mark Dubay, John Eaton, Doug Kohut, Tim McHale, "We're Here When You Need Us" Jackie Saunders, Advertising Sales Congratulations MDI Hospital on Ellsworth American. Inc., P.O. Box 509, 63 Main Street, Ellsworth, Me. 04605-0509 your 100th Year of Service! Tel: 207-667-2576 Fax: 207-667-7656 E-Mail: american@acadia.net Web page: http://www.acadiavisitor.com July 17, 1997 MDI Hospital, Celebrating 100 Years Page 3 MDI Hospital: Created by the Community By Rich Hewitt appeared to be quite low. ready had been established A hundred years ago, "Apparently the cost of and hospital officials had there was no hospi- food was negligible, be- begun making plans for an tal on Mount Desert cause patients were al- addition to the building. Island. lowed to bring their own The history of the Mount On the island towns in private nurse, with no hos- Desert Island Hospital has the 1800s, as in most pital charge for board or been one of a community, small towns around the lodging.' comprised of both summer country, the medical In addition to patient and year-round residents, needs of the islanders had charges, the trustees responding again and again been met by individual planned on various sources to its own needs. Officials doctors practicing, and of income to operate the hos- realized early on that both when necessary, operat- pital, including the annual the patients and the sup- ing, in their own private contribution from the Village port for the hospital came offices. The population Improvement Association from all corners of the is- boom toward the latter made for the care of the poor land and in 1931, changed part of the century, how- and the sick, an appropria- the name of the hospital to ever, brought with it an in- tion from the town, and do- The Mount Desert Island flux of "cottagers," with a nations from the churches Hospital. number of physicians and individuals. That first addition was among them. It also Two things became ap- completed in 1905 and was brought an awareness parent shortly after the followed by other additions that something was miss- hospital opened. It was not and improvements to the ing. self-supporting, and it was former Bar Harbor Medical The Village Improve- not large enough. and Surgical Hospital ment Association orga- According to Hamlin's through the first half of the nized a meeting on Sept. 3, history, the hospital relied 20th century. 1897, to discuss those The original Mount Desert Island Hospital building, pictured above, was a not only on financial dona- By the late 1950s, how- needs. In attendance were stately three-story colonial with white pillars out front. tions, but also donations of ever, the original wooden both year-round and sum- jars of jelly, lemonade, hospital was deemed un- mer residents, with resi- A committee to plan for some Doric columns. Dou- lighted rooms for private flowers, night shirts, safe, and hospital officials dent and summering physi- the hospital was formed at ble doors open into a wide patients. All that is possi- crutches, roast duck, veni- were beginning to discuss cians among them. They that meeting a hundred hallway which traverses ble has been done to make son blankets and sewing by the possibility of building a concluded that "some form years ago and before the end the width of the main build- the building clean, com- the local church circles. new hospital. Planning of hospital is both expedi- of the month fortable cheerful In 1903, the hospital was began officially in 1960 ent and even now neces- nearly $7,000 had and convenient." forced to turn away 11 pa- and on Sept. 3, 1961, the sary." been raised to- In addition to tients because there was trustees broke ground for A reporter for The Bar ward the goal of he hospital is the noble the five private not enough room. By that the new building. Harbor Record elaborated $10,000 for the rooms the hospital time, a building fund al- Continued on Page-4 on the need and explained hospital building. result of the labors of the had five ward beds the impact of a hospital on The hospital was summer residents and as it available. the island. incorporated just The charge for a "For many years the great a few weeks later is to be open to the public, ward patient was need of a suitable place for and the trustees the sick people, summer or began the search the blessing bestowed upon $7 a week, payable ATLANTIC in advance. In winter, in Bar Harbor and for an appropri- Bar Harbor is at once appar- TEMPORARY those days, hospi- vicinity, has been painfully ate site. tal officials could, EMPLOYMENT SERVICES ent. With the staff of noted apparent and Bangor offered At a meeting at their discretion, Mt. Desert, ME 04660 none too good accommoda- in September physicians and surgeons who reduce the charge, tions in that regard. Fre- 1898, the trustees are here in summer and who if the patient was Congratulations On quently delicate surgical op- announced they unable to pay. Your 100th Anniversary! erations are performed here, had purchased a have proffered their services, Charges for the but there has been no fit MILES K. GRINDLE s DEBORAH BROWN parcel known as the Putnam Lot, there is given an opportunity private rooms place for patients." ranged from $25 to "The hospital is the located between to Eastern Maine such as is $30 per week. The FAX 207-244-0177 PHONE 207-244-7172 noble result of the labors Main Street and not afforded outside of hospital had strict of the summer residents Wayman Lane. rules for admis- and as it is to be open to By the end of the Boston or New York." sion, which stated BEST WISHES ON YOUR 100TH the public, the blessing be- year, the island -The Bar Harbor Record that "no case of stowed upon Bar Harbor had a hospital. ANNIVERSARY FROM contagious, malig- is at once apparent. With According to nant or incurable ORTHOPADIC ASSOCIATES the staff of noted physi- The Bar Harbor disease shall be ad- of Bangor, P.A.- cians and surgeons who Record reporter: "It is built ing." mitted." Also, each patient are here in summer and in the colonial style, covers "The operating room is was required to bring two John F. Adams, Jr., M.D. The Webber Building who have proffered their an area 46 by 84 feet. The on the north side of the changes of underclothing, a Bob Gause, M.D. Suite 209 services, there is given an entrance is on the south building. A wide, easy dressing gown and slippers. Philip R. Kimball, M.D. 417 State Street opportunity to Eastern side, facing Wayman Lane. flight of stairs leads from In her "History of Maine such as is not af- A wide flight of stairs leads the main hall to the sec- Mount Desert Island Hos- James F. Lawsing, III, M.D. Bangor, ME 04401-6692 forded outside of Boston up to the portico, which is ond story. On this floor are pital," Clarice Hall Ham- John D. West, III, M.D. 207-945-6695 or New York." supported on two hand- five comfortable, well- lin noted that food costs Fax 947-7209 BODY nick's SHOP Creatyre SECTIONS Saugu For the Best in Auto Body Repair and Painting "From the smallest scratch to the 24 DOWD INDUSTRIAL PARK 71 PLEASANT HILL ROAD BANGOR, MAINE SCARBOROUGH, MAINE biggest dent Let our experts 207-947-2250 207-883-1577 repair your vehicle right!' 137 BANGOR STREET 240 BALLARDVALE STREET AUGUSTA, MAINE WILMINGTON, MASSACHUSETTS FREE ESTIMATES 207-622-5259 508-694-4001 INSURANCE WORK Neighborhood Road, Northeast Harbor . 276-5550 http://www.acadia.net/creative Page 4 MDI Hospital, Celebrating 100 Years July 17, 1997 Smaller Hospitals Must Hospital Changes With Years Continued from Page 3 did the first laparoscopic surgery Define Their Missions The new construction kept part of using a miniature camera that allow the old hospital, mostly the brick wing them to operate without making major which had been built in 1937. When it incisions. opened early in 1963, the new hospital Also in that year, the hospital held 57 beds, two major operating began a major, $1.3 million capital As Costs Trend Upward rooms, a recovery room and modern campaign to update the medical-surgi- emergency facilities. In addition, there cal unit and to add a central sterile By Anne Porter on an outpatient basis, rather than being was an operative fracture room, a new supply unit. AR HARBOR-With no resources to admitted "just to be on the safe side," and larger dietary section, a solarium Although it has remained a small, Maine hospital, the MDI Hospital has B waste, a small hospital must be while those who need serious intervention on each floor and expanded adminis- clear-eyed about its mission. It can't are diagnosed more quickly. tration offices. continued to grow during the 1990s. A be all things to all people, radiology man- A comprehensive cardiac rehabilitation de- In the past 34 years, the trustees, new Women's Health Center opened ager Amber George said. partment keeps track of patients once they're backed by the community, have ex- next to the hospital in 1993. And in "There are fancy procedures I don't well enough to leave the hospital. The depart- panded and improved the building as 1995, the hospital opened community want to be doing in my ment places patients on a the area's health care needs demand- health centers in Southwest Harbor department," she said, closely monitored pro- ed. and Bass Harbor, and also incorpo- "but what I do do, gram of exercise. In 1968, for example, the Medical rated an existing center on High want to be doing better A small hospital offers Arts building was built to house doc- Street. than anyone else." the advantage of more tors' offices, and a year later, a new In January 1997, the hospital She said there is no personal contact with pa- medical surgical wing (which is still opened its new breast clinic in the point in doing tests local- tients, and Mount Desert known as the extended care wing) was Medical Arts building. The center uses ly which will involve send- Island Hospital is capital- added. In 1972, an intensive care unit the most up-to-date equipment to pro- ing the patient on to a izing on that with its opened in that wing. The year 1987 saw vide most of the hospital's mammogra- specialist for treatment. newly constructed breast a major renovation in which the hospi- phy scanning services. "The first thing the center. tal created a new emergency room, an The hospital also plans a major ex- doctors will do is repeat "That's probably one expanded intensive care unit and a re- pansion during the next few years in [the test], because they of the things we're vamped maternity unit. order to meet provide increased out- don't know how it was proudest about," George The improvements to the hospital patient services. done," she said. said. came not only through building, but "That's the way health care is head- Cases requiring long- At the breast center, also by adding equipment and pro- ing these days," spokesperson Carroll term intensive care, such a patient can walk in grams. Gordon said. "This building was built as people dependent on without an appointment In 1988, the hospital became the for inpatient care. We need to refit it ventilators for a long pe- and receive a mammo- first PATCH site in Maine. Planned for our expanding outpatient ser- riod of time, are also too STAFF PHOTO BY JOANNE ORCUTT gram, a clinical exam Approach To Community Health, con- vices." much of a burden for the and a wealth of educa- ducted local risk-factor studies with Plans now include enlarging the limited number of beds Ultrasonographer Paula Hill tional material on area residents and developed a variety emergency room and expanding the works with some of the mod- in the hospital. breast cancer and other of educational programs to meet com- physical therapy services. Instead, Mount Desert ern equipment at the hospital. health issues. munity health needs. "A lot of things will be happening Island Hospital concen- "Instead of a 15- In 1990, surgeons at the hospital here in the next couple of years." trates on doing the things minute appointment, it does best. you've got people there who have time to One of those things is the treatment of spend an hour with the patient," George said. heart problems. Since an above-average per- A self-contained unit with radiologists centage of the population served by the hos- available to interpret the tests immediately, A salute to MDI Hospital pital is elderly, heart attacks and other heart and physicians only a phone call away in the problems have been a focus of attention. main building, the new center has made get- The hospital has a state-of-the-art car- ting a mammogram both faster and friend- diopulmonary department, with life-support lier. Use has doubled since the department equipment, ventilators and a range of diag- moved into its new facility in January, indi- nostic and stress-testing equipment. The cating that the demand is out there. At hospital just upgraded from a 12-lead to a Keeping Mount Desert Island Hospital up- 15-lead EKG, something Ruth Lyons, nurse to-date requires constant, careful planning. manager for the critical care department, George is planning now for her next big pur- says many larger hospitals don't have yet. chase, a SPECT scanner. She says the scan- The 15-lead EKG gives doctors a fuller pic- ner is the "newest thing." That purchase is the heart ture of the heart from all sides, allowing them probably two or three years away in the five- to detect evidence of a heart attack which year plan she keeps in the back of her mind. would have gone unseen on older EKG's. "In a small place, you have to pay that Another recent purchase, an angio- much attention, because that's a lot of graphic ultrasound, allows doctors to money in a little place. I'd better have a track the flow of blood through different reason for wanting it. of service organs and blood vessels. She takes her time choosing equipment To guide patients through the cornu- and, when she does buy, she buys the best. copia of available technology, cardiolo- "We want to be sure it's the best possi- gists at the hospital have developed a flow ble technology," she said. "When a little chart for patients who arrive at the hospi- place buys equipment like a mammogram is a strong tal complaining of chest pain. This has for $85,000 to $100,000, you have to be made cardiac treatment much more effi- sure it's something that will stand you in cient, Lyons said. More people are treated good stead for the life of the machine." relationship. Congratulations From one 100-year-old community service institution to another, congratulations MDI Hospital on your history MDI Hospital of building the kind of strong and personal relationships that have enabled you to meet the needs of patients on Your 100th and their families for quality, concerned health care. Anniversary! Best Wishes from: BAR HARBOR BANKING AND TRUST COMPANY Lawrence Piazza, M.D. and Staff BAR HARBOR BLUE HILL DEER ELLSWORTH LUBEC MACHIAS 50 Union Street, P.O. Box 645 MILBRIDGE NORTHEAST HARBOR SOUTHWEST HARBOR WINTER HARBOR Member FDIC Ellsworth, ME 04605 Office Hours also in: Blue Hill Machias Call 207-667-6300 for an appointment!! Four Generations of the Carroll Family Were, and Still Are, Served by the Hospital By Samantha Coit pansion over the years, Carroll T he Hospital Mount has Desert proved Island tried said good she has from always friendly, received at- care a and true for the mem- tentive and professional staff. bers of the Carroll family, who "They're always very friendly have benefited from its ser- and the service has always vices for four generations. been very good." "Eighty-seven years ago I Carroll was quick to com- was born there on the 23rd of ment that the care and service May 1910," said Mary Carroll, is likely due to her health. "I'm who was also raised on Mount very healthy," she declared. Desert Island and now resides "The genes in our family are in Southwest Harbor. Carroll exceptionally good ones." was born the fifth of six sib- Celebrations of new life in lings and the only one deliv- the hospital represent a frac- ered at what was then called tion of her experience with the Bar Harbor Medical and the hospital. Carroll lost both Surgical Hospital. her husband and her daugh- Carroll said she doesn't ter to cancer there. have a birth certificate to "Neither one was there very prove it. "But I'm not a travel- long," she said matter-of-fact- er, I don't need it. It's just one ly. When her daughter was of those things," she said. treated for cancer at the hos- "My son was born there, my pital in 1995, her daughter's children's children, that's my six children were present most grandchildren, and my great of the time. Carroll said the grandchildren," said Carroll, staff was sympathetic and let adding that a total of nine the family "take over." family newborns were deliv- "They didn't have to wait ered at the hospital. for visiting hours," Carroll Carroll has seen the hospital said. "The nurses always grow in size and stature over the greet you well and offer you a years, since her first visit when cup of coffee." she gave birth to her second son, "The service has always James Richard Carroll. Born on been excellent, I've always Feb. 5, 1939, James Carroll was been greeted well and I've al- the first baby born in the new ways been taken good care wing, according to mother Mary of .maybe it's those good Carroll. Carroll's husband, a genes," Carroll added. Four generations of the Carroll mason contractor at the time, More recently, Carroll has family have patronized the helped to build the four-bedroom had an appendectomy and vis- Mount Desert Island Hospital. In brick maternity ward. ited the hospital for knee ther- the photo above, Mary Carroll Carroll remembered her first apy. "Now I can't find my way holds her great-granddaughter Mount Desert Island Hospital around the hospital with the Megan, while her son Jim experience, "I woke up at 5 a.m. elevators," she joked. "They've (upper right) and his son John and they rushed me in. They built on at different times." told me I didn't have time to get Mary Carroll has three chil- look on. In the photo below is ready. I looked at the clock when dren, 16 grandchildren and 23 Whitney Carroll, who was born I went in around 6 a.m. and by great-grandchildren. Family November 17, 1992, and is the 6:30 a.m. I was back in bed." members born at the hospital most recent addition to the ex- Her other two children were include Mary Carroll, herself on tended Carroll family to be deliv- born in local maternity wards, May 23, 1910; Jim Carroll on ered at the hospital. because the hospital then Feb. 5, 1939; John Carroll on catered to summer residents Aug. 10, 1968; Jay Carroll on who financially supported the Oct. 20, 1969; Jennifer Carroll hospital in July and August, Car- on Nov. 25, 1973; Carroll Lahaye roll said. Local obstetric cases on Feb. 18, 1954; Samantha Car- during the summer months were roll on Jan. 6, 1987; Thom Car- delivered at home or in materni- roll on July 23, 1957; Allison La- ty homes, she added. haye on July 1, 1986 and Whit- In light of the hospital's ex- ney Carroll on Nov. 17, 1992. "THE WAY WATER SHOULD TASTE" Congratulations 100% HOME, NATURAL BUSINESS, Investing for the future, SPRING OFFICE, building on the past WATER JOB SITE MOUNT DESERT FREE COOLER NATURAL DELIVERY UNION TRUST SPRING WATER RENTAL OR SALES MAIN OFFICE 1-800-660-5363 OASIS 244-5363 A PRODUCT EBCO PO BOX 166 SEAL COVE ROAD MEMBER F D I C EQUAL HOUSING SOUTHWEST HARBOR, MAINE 04679 Page 6 MDI Hospital, Celebrating 100 Years July 17, 1997 Guest Column "How Do National Health Care Trends Affect My Local Community Hospital?" By Lynda Tyson limits, or "caps," on the number of days MDI Hospital's Emergency Department is a good I t is a question heard frequently in and dollars hospitals can invest in treat- example. Remember when it was called the "Emer- our small and rural communities. ing specific medical conditions. That gency Room?" Today, the ED performs many more and Many of us take in the national means when hospitals and physicians de- more extensive treatments than the former ER. The de- news as if the headline stories are hap- cide it is in a patient's best interest to partment needs more space, equipment, patient pri- pening "out there" to people we will stay longer or to receive more treatment vacy and a more efficient traffic flow. The same is true never know. Small Maine communities than the payors allow, they are not reim- of several other now heavily utilized hospital areas. like ours, however, have begun re- bursed for that "extra" investment in pa- MDI Hospital is committed to responding to the sponding to the wake-up call of national tient care. The hospitals, however, still health care needs of all who live and work in, and visit trends affecting our hospitals. Changes have to pay for medications, tests, food, our greater community. While continuing to provide in the national health care system are utilities, employee salaries and benefits, the services that require overnight hospitalization, MDI having an impact on us, here and now. and other costs related to the patient's Hospital plans to retool some of the less used inpatient Hospitals across the country, small treatment, whether or not Medicare, Med- spaces and renovate areas that are no longer used as and large, are being forced to convert icaid, private insurance or the patients they were originally. from primarily inpatient to predomi- themselves pay for what the payors be- These essential changes will mean that members of nantly outpatient centers for health lieve to be extra treatment. Hospitals that the greater MDI community will continue to have excel- care. MDI Hospital is no exception. have been unable to bear the burden have lent primary care close to home. Our hospital will be Bear in mind that this is a hospital that been forced to merge or close. easier and more convenient to use. Patients will have data shows is serving over 70 percent In addition to the day-to-day clinical more privacy. Our doctors, nurses and other care of greater MDI residents, a compara- Lynda Tyson and financial challenges, hospitals are providers will be able to offer us more services, more tively high market share versus other facing the need to upgrade aging facilities efficiently and more cost effectively. hospitals in Maine and the U.S. In just or abandon them. Unless built in the last The good news is that MDI Hospital and its family two years, MDI Hospital has seen a shift in revenues few years, the typical hospital was designed with of health care providers recognize that the national from 71 percent inpatient and 29 percent outpatient spaces for lots of beds for overnight inpatients and trends are already affecting us here. Their response to services in 1995 to 60 percent inpatient and 40 percent comparatively little space for the outpatient depart- the wake-up call for transition will ensure the viability outpatient services in 1997. All the indicators signal ments that are now seeing the majority of patients: am- of this facility for the benefit of our children and grand- that this is not a fad, but a trend that calls for our at- bulatory or day surgery, radiology, physical therapy, children. tention. laboratories, chemical dependency and expanded Lynda Tyson, past chairman of MDI Hospital's What is causing this transition? Simply stated, most emergency departments. The result is under-utilization Board of Trustees and current member of the MDI hospital charges are paid by Medicare, Medicaid or pri- of some spaces while others may be crowded, ineffi- Hospital Executive Committee, resides on Mount vate insurance. Those entities, or "payors," are putting cient and lacking in patient privacy. Desert Island. A Century of Commitment to the People You Serve is a Remarkable Milestone! Congratulations! MAINE COAST MEMORIAL HOSPITAL 50 Union Street, Ellsworth 667-5311 Serving Our Community Since 1956 ELEANOR WIDENER DIXON SOUTHWEST HARBOR MEMORIAL CLINIC MEDICAL CENTER Gouldsboro Southwest Harbor 963-4066 244-5513 July 17, 1997 MDI Hospital, Celebrating 100 Years Page 7 Island Health Plan Keeps Services Responsive, Relevant and Reasonable By Anne Porter the participants. That Salaries and employee aging a chronic illness," B AR HARBOR-Your is because conventional benefits represent 60 per- Soucy asked. She said the local doctor is better managed care is an ap- cent of the hospital bud- plan's steering committee qualified to make de- proach to health insur- get. Soucy said some posi- was discussing the degree cisions about your health ance in which the insur- tions will be eliminated by to which patients must than the chief executive of- ance company takes a attrition. She said she is also be responsible for ficer of an insurance com- more active role in de- also looking for ways to keeping costs down by pany in Boston or New ciding what care a sub- save money on benefits taking precautions and York. That is the premise scriber should get, who without losing quality. living healthy lives. behind the Mount Desert should deliver it, and what Doctors are also draw- In case of a dispute, a Island health plan. it should cost, in return ing up "pathways" which review board will decide if Under increasing pres- for lower premiums and set out what care a patient care is necessary, Stra- sure from the rise of man- deductibles. To provide with a certain set of symp- nova said. The plan's or- aged care insurance, is- quality health care at a toms should be given, and ganizers have not yet de- land health care providers low price, Soucy said, plan when. The pathways make cided if that board will be decided to band together participants will have treatments more efficient, made up of local physi- and create their own man- to regulate themselves eliminating wasted time, cians or if it will be con- aged care plan. strictly. unnecessary tests and tracted out to an outside As many rural hospitals "It's going to require a costly delays, Soucy said. group, he said. close down, consolidate or lot of cost control and A hip replacement used to The idea, however, is limit their services, the some utilization control," mean a two-week hospital not to cut costs by cutting plan's architects want to Soucy said. "You're still stay. Now, with more services, Soucy said. be sure the Mount Desert not going to get a carte preparations done before That principle-saving Island Hospital stays fi- blanche of health care. but the patient checks in and a money by keeping people nancially healthy and in- now the limits are going to quicker transition to a re- healthy-was behind the dependent, said The Jack- be decided locally by our habilitation facility, the pa- creation of managed care son Laboratory's chief own physicians." tient may spend only three originally. While some operating officer, Tom The hospital is working or four days in a hospital critics say managed care Stranova, a member of the hard to cut costs, Soucy bed. Better for the patient, insurers have lost sight of plan's steering committee. said. Group purchasing a short stay is also far less their goals in the struggle Because the nonprofit agreements with other expensive. to keep costs down, Soucy plan will not have to pay hospitals keep supply Keeping costs down said the island plan would dividends to stockholders costs down. Staff is spend- may require facing some cling to its vision. or support a large bureau- ing more time on Medicare difficult issues. "The important role of cracy, organizers hope it and other insurance forms, "For example, how the steering committee is will be cheaper than other making sure the hospital much do we want to put to remember that we want health insurance plans. STAFF PHOTO BY ANNE PORTER gets all the money it is en- into hospitalization for to stick to that vision," "As a community," titled to. people who are not man- she said. Stranova said, "we're not Louise Soucy, Mount Desert Island Hospital's making decisions as a cor- vice president of finance, says she hopes the Is- poration responsible for land Health Plan fills a need in the community for paying shareholders." Congratulations affordable health care. Louise Soucy, MDI Hos- pital's vice president of fi- "What we want is to surance and reserves in nance, pointed to media have health care for case of a sudden spike in reports that put the sala- everybody on the island," claims which would not be Mt. Desert Island Hospital ries of some health insur- she said. She said she did- financially supportable ance CEO's at more than n't know how to guarantee for a small local plan. on 100 years of serving $15 million. that kind of comprehen- Soucy said tasks like "That's frustrating to sive access, but that low- claim processing and your community. physicians and frustrating ering premiums is a good billing might also be con- to hospitals," she said, first start. tracted out to a larger "because you know it's The plan will be offered company if that turned coming out of premiums." first to employers, and out to be cheaper. The de- Soucy hopes that lower will have to hold its own ciding power, however, premiums will put the plan on the open market. would stay with local Dr. Peter Just, D.A.B.P.M. within reach of people who "It would be just one people, she said. could not afford other other product employers "We're going to buy Pain Specialist health insurance. Many is- would look at," Soucy some other services, but 50 Union St., Suite 3100 landers have no insur- said. we're not at their dis- ance, especially in the win- Organizers are looking posal," Soucy said. Ellsworth, ME 04605 ter, she said, or they have for an established insur- Independence from out- insurance with such a high ance plan to "partner side companies is appeal- (207)667-6434 deductible that it does with." The larger insurer ing, but it places addi- them little good. would provide liability in- tional responsibility on Dr. Nicholas S. Vachon, D.P.M. Podiatrist P.O. Box 662 Information Center 318 E. Main St. Ellsworth, ME 04605 ROUTE 3, TRENTON (207) 667-2523 FOR COMPLETE INFORMATION ON: Down East Orthopedic Associates, P.A. Orthopedic Surgeons ACCOMMODATIONS DINING ACTIVITIES Jordan J. Shubert, M.D. FREE BROCHURES PUBLICATIONS TV Garret R. Martin, M.D. WHALE WATCHING TOUCH-SCREEN COMPUTERS P. Gregory Askins, M.D. BACKLIT DISPLAYS FREE PHONES John I. B. Pyne, M.D. 404 State Street Family-Friendly Service Bangor, ME 04401 7 DAYS A (207) 947-8381 667-8550 WEEK 10-6 Page 8 MDI Hospital, Celebrating 100 Years July 17, 1997 MDI Nurses Trace 100 Years of Caring By Rebecca Pollard the days of nurses caring for 90 patients, as nurse 1973, wrote, "I've worked all over the country; we gave the B AR HARBOR-From working in a wooden building Dorothy Worcester remembered doing in 1947, are over. best nursing care at MDI Hospital. Tourists get better and being paid only $1 a day 100 years ago, to danc- Sharp noted an increase in outpatient procedures and care here than they ever see in the big cities. The food, the ing the macarena to cheer up a young patient in in the services ambulance personnel now OR [operating room], the floor. this is the way hospitals modern times, Mount Desert Island Hospital nurses have provide. should be.' been the facility's source of stability. Due to the hospital's close proximity Catering to the tourists was the norm in The technical capabilities of the hospital grew with the to Acadia National Park, during the 1926, Nurse Minnie Heath wrote. times, and SO did the role of the nurses. 1980s nurses accompanied rescue units "Babies weren't al- This summer, nurse Roberta Sharp reflected on her into the park to serve as "traumettes." lowed to be born in the years at the hospital while sitting on the deck of her camp Nurse Sid Salvatore "climbed the hospital during the overlooking Newbury Neck. Precipice to stabilize a climber with summer months because Growing up in Bar Harbor, her first experience at the multiple trauma before he was air-lift- their crying would dis- hospital was as a candy striper in 1967. ed by helicopter," Sharp wrote in the turb the summer resi- She also recalled staying at the hospital when diag- booklet. dents." nosed with mononucleosis. Her friends crept in through a Sharp herself recalled an experi- Working at a rural, is- back door to visit her, violating the strict hospital policies ence in the park. land hospital has advan- of the time. But Sharp said she always wanted to be a "I was called to Otter Cliffs one tages and disadvantages, nurse, and began working at the hospital in 1980. dreary, dark night to help with a Sharp said. To celebrate the hospital's centennial anniversary, rescue that turned out to be a "You really get to know Sharp and other members of the Nursing Care Committee murder. Little did I suspect that the patients; there's a connec- traced the hospital's evolution, compiling a series of mem- the man I had tried so hard to tion to the community," she ories and anecdotes in a booklet titled "One Hundred console, because his wife had said. Years of Nursing." fallen off the cliff, turned out to Yet, at the same time, the "It gives nurses a chance to tell their story," Sharp be the murderer!" close-knit environment also said. Although those days are makes the hardest part of the The nurses published memories, recalling changes in gone; the nurses still handle job even more difficult. For the hospital and in their profession. telephone calls from some of Sharp, tragedies and illnesses Gone are the days when gender lines dictated the nurs- the isolated islands off the that occur in the families of her es' assignments and codes of conduct. coast of MDI. They must friends and co-workers affect her "Nurses used to stand when doctors entered the sta- help individuals decide personally. tion. Everyone was spoken to using last names. Nurses whether traveling by boat The nurses' recollections ac- wore white uniforms, white nylons, nursing shoes, caps to the hospital is neces- knowledge that times have and pins," wrote nurse Jeanne Wescott, who began work- sary. changed-mostly for the better. ing at the hospital in 1960. Mount Desert Island's "It's not like you just go to work "Nurses are much more respected now," Sharp said. appeal as a tourist spot has also af- and take care of patients. There's The position itself has perhaps undergone the most fected the hospital through the years. Sharp es- much more," Sharp said. change. Nurses now practice in a specific area, such as timated the number of patients needing emergency care Recent years have brought an in- the emergency room or the intensive care unit, rather (her department) nearly doubles in the summer months. crease in the amount of paperwork and than covering any and all departments. She said tourists are often skeptical of the small hospi- documentation nurses are required to handle. They serve Sharp noted a substantial change in the number of pa- tal's capabilities, but are surprised with the resources on various hospital committees and most belong to a pro- tients the hospital provides care to. Technical advances available and the personal attention the hospital provides. fessional association. These are statewide organizations have decreased the length of a standard hospital stay, SO Nurse Ellie Tabb, who began working at the hospital in Continued on Page 9 W Nursing Memories were happy to The following is taken from "One cause their crying would disturb the Hundred Years of Nursing," published by summer residents. the Nursing Care Committee of the Minnie Heath, R.N., 1926 Mount Desert Island Hospital. give you a face lift "During a delivery, husbands "We worked 12 hour shifts (7 a.m. to weren't allowed in the room and fami- 7 p.m.) with a four-hour break to sleep lies weren't allowed to come onto the when we could take it. We had one obstetric ward. Mothers wore breast on your 100th night off a month. I don't remember binders. Babies had 50 cent pieces the wage, but we received room, taped on the belly buttons and board and laundry. The summer nurs- wrapped with binders. When children birthday! es were paid a higher wage. We dread- were admitted, parents couldn't stay ed Saturday nights because there with them.. would be drinking accidents brought Jeanne Wescott, L.P.N., 1960 to the hospital. Since there was no emergency room, the cases were just the hospital purchased a defibril- brought to the general floor. lator. Dr. W. Stewart was the only one Babies weren't allowed to be born who knew how to use it. One evening in the hospital during the summer be- Continued on Page 9 the crew at C.A. Lewis Mason Contractors Best Wishes Chet Lewis Cliff Noyes On Your Tim Lewis Jeff Reed 100th Anniversary! Andy Butler Grant Baldwin Look to the Swan Agency Chris Tracey Keith Higgins To Fill Your Insurance Needs. HOME AUTOMOBILE Ralph (Buzz) Sawyer LIFE COMMERCIAL Wesley Ave. - Southwest Harbor The Swan Agency 207-244-3428 Insurance (207) 288-5044 Fax (207) 288-2502 43 COTTAGE ST., BAR HARBOR, ME 04609 97 MDI Hospital, Celebrating 100 Years Page 9 100 Years of Nursing Continued from Page 8 against substance abuse. separated by specialty and designed to Though the daily chores of a nurse provide nurses with further training in have changed through the years, Sharp their specific fields. said the overall qualities a nurse should "It keeps nurses motivated and keeps have are essentially the same. They have us on top of our field," Sharp said. to be "caring, supportive, their skills have Many nurses are also deciding to up- to be current and they have to love it." grade their skills by returning to college The major addition, she said, is that a for their master's degrees. nurse must also now be involved political- Sharp will be starting ly "to protect the profession." such a program in the Since the unionization of the fall when she en- nurses in the early ters a Rural Nurse 1980s, Sharp said the Practitioner's morale has been boost- Program. ed, wages and bene- In addi- fits have increased tion, she's also and they have a been an advocate higher level of for preventive pro- job security. grams, including a drive urging children "The best part of my job is being part to wear helmets while riding bicycles of a team," Sharp said. "I don't have to do and a parent/community task force anything alone." Nursing Memories Continued from Page 8 Head waitress!" we had a "code," and he brought it A nude, confused elderly man into the room. When he hollered walked down the hall at 4 a.m. "May I "stand clear," we got way back to the help you?" I asked. He said in an irri- wall and braced ourselves - thinking tated voice, "Well, for one thing, I'm we were going to get zapped!" completely naked!" Norma Spurling, R.N., 1967 Confused patient refused an injec- tion of Thorazine. I wasn't going to Random notes from "The Journal of hold her down to give it when she said, Doris Plummer," R.N., 1974 to present: "You try it, sister, and you'll be Confused patient yelled out as I sorry." She was armed with an um- walked past his room: "Hey you! brella and a cane. h Tech rta Cum- s, top photo, rmacy tech- n at MDI tal, readies daily pre- tions from Congratulations ore of medi- at the hos- pharmacy. v, medical nologist n Witham MOUNT some tests e hospital DESERT ISLAND HOSPITAL STAFF PHOTOS BY JOANNE ORCUTT On Providing Quality Maine Health Health Care for ALLIANCE 100 Years! ating Maine's Healthy Future Communities Just Like Yours From Your Friends at 2 hospitals and more than 250 physicians throughout the State of committed to helping you manage your good health. We know are is a local issue. That's why we work to ensure decisions MAINE X-RAY ing your health care are made by local physicians and other health fessionals. (a division of E.M. Parker, Co., Inc.) proud to congratulate our most recent member, Mount Desert INDUSTRIAL PARK RD., PITTSFIELD, ME Hospital, on its 100th anniversary of service to the people of Desert Island. 207-487-3272 e Health Alliance 80 Broadway Bangor, ME 04401. Page 10 MDI Hospital, Celebrating 100 Years July 17, 1997 Here's a Look at the Services MDI Hospital Provides Mount Desert Island Hos- the state of Maine. Educa- volunteer will get in touch walking series for MDI resi- pital is licensed for 49 beds, tion, clinical exam and mam- with the person named as a dents and visitors take has a three-bed critical care mograms are available. contact. The contact person place. There is also Project unit with four telemetry will then try to reach you ASSIST, a program de- Cardiopulmonary beds, a five-bed maternity Initially named the and arrange for any assis- signed to curb youth access unit and a negative pressure tance needed. to tobacco and the Fisher- heart/lung department, car- room. Other services include: diopulmonary care includes men's Health Project, oper- Chemical Dependency Ambulatory Surgery Unit control of life support ated by memorial donations Provides outpatient coun- to local fisherman Snicker The unit opened in 1987 equipment in the critically seling for people dealing with Damon, and free health with four beds, was remod- ill, diagnostic evaluation of substance abuse problems eled in 1993 to add six beds; cardiopulmonary disease, screenings to members of and those affected by anoth- provides care for all types of mechanical ventilation, car- the commercial fishing in- er's use. Detoxification for patients having all types of diac and cardiopulmonary dustry and their families. drug and alcohol abuse on outpatient procedures and stress testing, pulmonary an inpatient basis is also Critical Care Services ensures smooth transition function testing, electrocar- provided. It is staffed by li- The unit, opened in 1971, from home to surgery or diography, oxygen adminis- censed substance abuse cares for critically ill med- from procedure to home tration, Holter monitoring, counselors. In addition to ical, surgical and cardiac pa- again. airway management of car- counseling, training, preven- tients, as well as after-hours diopulmonary arrest, asth- Anesthesia tion and referral services are recovery for the operating Anesthesia is available 24 ma education, pulmonary provided; a lending library is room, including ventilator, rehabilitation and noninva- hours a day, seven days a maintained for public use. transvenous pacemakers sive vascular studies. week for patients requiring and lines to monitor pres- Community Health surgery, for labor and delivery Cardiac Rehabilitation sure around the heart. The Program analgesia and emergent situa- Opened in 1988, cardiac unit is staffed by registered Formerly P.A.T.C.H. tions anywhere in the hospi- rehab assists the patient in nurses certified for advanced (Planned Approach to Com- tal. Staffed by two specially the recovery process and cardiac life support. munity Health), the pro- trained nurses who have com- continues care in our moni- gram sustains extensive Diabetes Education pleted advanced training in tored exercise program and educational efforts focused Opened in 1996, this Am- anesthesia and passed na- then in a YMCA life-mainte- on health risks to communi- bulatory Diabetes Education tional certification exams. nance program. ty residents, provides blood Facility provides education STAFF PHOTO BY JOANNE ORCUTT Breast Center Care Call pressure and cholesterol and counseling for the dia- Medical technologist Pam Farrar works in a hos- The hospital's mammog- A free, safety reassurance screenings each year, con- betic patient. It is staffed by pital lab. raphy services opened in a program, made up of volun- ducts healthy cooking a registered nurse and a reg- new location adjacent to the teers who will call you or a classes, healthy heart lec- istered dietitian. room who then will dispatch community care. They are: hospital in January 1997, loved one at home, at a pre- ture series and other Emergency Room help. The MDI Hospital Aux- the Community Health Cen- with the only GE Senographe arranged time each day. If health-related presenta- Treats everything from iliary sponsors the Lifeline ter in Southwest Harbor, the 800 mammography unit in no one answers the call, the tions. Also, spring and fall major trauma to minor ill- program. Family Health Center, High nesses. The ER has cared Obstetrics Street Health Center and the for babies who are minutes Many babies have been Women's Health Center, all MEDICAL old to 107-year-old patients, born during the 100 years in Bar Harbor, and the people from all over the MDI Hospital has been in op- Northeast Harbor Clinic, world and for neighbors eration, only the labor and open in the summer in and friends. The ER ser- delivery methods have Northeast Harbor. The ASSOCIATES OF vices have grown from changed. The mother's care health centers are staffed by 2,000 patients a year to begins during her pregnancy physicians, physician assis- more than 6,000 a year. with childbirth classes, and tants, a certified nurse mid- Staffed with physician as- wife, a nurse practitioner BAR HARBOR "Beginnings," a course in sistants, registered nurses basic child care that includes and other nursing staff. and CNA's, with physicians infant CPR. Nursing care on call. continues through labor and Medical/Surgical Floor PA Since the founding of delivery giving the mother in- Lifeline Mount Desert Island Hospi- dividualized one-on-one at- This emergency response tal, the medical/surgical floor system allows people to live tention and, after childbirth, has been an integral part of independently, preferably in with education for the pa- caring for inpatients. Llewellyn W. Cooper, MD their own homes, with a link tient and baby. OB is staffed Med/surg cares for all age at all times to the hospital's by registered nurses and patients ranging from infant General Practice emergency room through LPN's, all certified in neona- to geriatric. It is staffed tal resuscitation. their telephones or a person- around the clock, 365 days a Edward B. Gilmore, MD al help button worn by the MDI Health Centers year, by qualified registered Internal Medicine client. The Lifeline system To reflect the growing em- nurses, LPN's, nurses aides, initiates a call for help and phasis on primary care, the orderlies and ward clerks the client is able to talk to hospital's five satellite health and uses the services of O. Lee Haynes, MD someone in the emergency centers give new options in Continued on Next Page Internal Medicine & Geriatrics Brian J. Caine, MD INING ROOM- Family Practice / Geriatrics annabelle's SEAWALL:A D We've been here since 1959! We must be doing something right. Charles E. Hendricks, MD Family oriented, daily specials, home cooking, DINING ROOM friendly service, A-1+ seafood specialties with General Surgery our own special preparation. Serving hours: 11-9 Daily 244-3020 Lynn L. McRoy, MD General Surgery ODERN MOTEL- Julian P. Kuffler, MD/MPH M Electric Heat, Zenith color T.V., full bath & shower, 2 double beds. Family Practice/Obstetrics Mark O. Brown, MD 1-800-248-9250 Internal Medicine In-State: 244-9250 288-5024 244-5630 667-2445 BAR HARBOR OFFICE SOUTHWEST HARBOR ELLSWORTH OFFICE 17 Hancock Street, Village Green Way, 50 Union St., Suite 3400 Located on the ocean, 1 1/2 miles beyond Southwest Harbor on Rte. 102A. Bar Harbor Southwest Harbor Adjoining Acadia National Park and Seawall Campground, Box 435, Manset, ME 04656. July 17, 1997 MDI Hospital, Celebrating 100 Years Page 11 Myriad of Services Offered Continued from Page 10 and injury management ical technologists, med- by a radiologist and regis- many other hospital depart- (focuses on an early, safe ical laboratory techni- tered radiologic technicians. ments for the needs of the return to work program). cians and certified phle- Social Services patients. botomists. Oncology Functions as part of a Nutrition Services Since 1991, chemothera- Pharmacy multidisciplinary team to Provides food service to py patients have been able Maintains and manages provide patient care that patients, guests, staff as to receive their treatments an active formulary of provides support to pa- well as satellite food ser- on the island rather than medications for all inpa- tients and their family vice for Malvern-Belmont traveling to Bangor. The tients and outpatients that members in accepting and and Rodick Lorraine, oncology unit is staffed by includes standard IV infu- understanding their ill- seven days a week. Nutri- specially trained regis- sions and protocol specific ness, helping with prob- tion services also provides tered nurses who adminis- IV medications. lems precipitated by the inpatient and outpatient ter chemotherapy, blood Physical Therapy illness and hospital stay, consultations for various products and antibiotics to Provides physical reha- encouraging optimum uti- medical conditions. The patients while focusing on lization of medical care bilitation needs for inpa- on-site registered dietitian patient teaching and quali- tient, outpatient, home and assisting with post- is part of the diabetes edu- ty of life issues. Oncolo- health and area nursing hospital plans as needed. cation team and also pro- gists/hematologists from Social Services also as- home patients. Treatments vides counseling for car- Eastern Maine Medical sists with advance direc- provided vary from pain diac rehabilitation pa- Center see patients in Bar tives and financial con- relief and strengthening tients. The department Harbor three days a after an accident or cerns including Medicaid, also caters hospital meet- month. surgery to ambulation and Social Security and dis- ings and functions. Staff Pathology activities of daily living ability, and financial aid. includes a registered di- and retraining. PT also Surgical Services etitian, a registered dietet- No one escapes having The operating room pro- ic technician, cooks and some form of laboratory sees patients two mornings a week in Southwest Har- test performed while an vides 24-hour coverage for nutrition services aides. inpatient-nearly all pa- bor at the Community patients requiring surgery Occupational Health tients have at least one Health Center. during the hours the OR is A new program, identi- blood test drawn. The lab Radiology not staffed (after 3 p.m. on fied as a needed service by provides physicians with weekdays, weekends and Offers nuclear medicine, the business community, timely, accurate test re- holidays). Surgical Services whole body CT scan, bone Mount Desert Island Hos- sults to aid in the diagno- also includes the recovery mineral analysis (CT), pital's Worksite Medical sis, monitoring and/or room, ambulatory surgery mammography, sonography works to help businesses treatment of disease and suite and central supply. including abdomen, STAFF PHOTO BY JOANNE ORCUTT keep their employees safe illness, 24 hours a day. Staffed by registered nurs- OB/GYN, vascular, cardiac and healthy, while reduc- Additionally, the lab vis- es and surgery technicians. and pediatric, and diagnos- Sabine Ander, a physical therapist at the MDI ing their worker's compen- its area nursing homes tic and fluoroscopic radiog- Utilization Review/Dis- Hospital, demonstrates one form of her rehabili- sation expenses. Services and hospital-sponsored raphy, 40 hours Monday charge Planning tation program. Physical therapy treatments include education, well- clinics for specimen col- through Friday and on call Part of an interdiscipli- vary from pain relief and strengthening after an ness programs, ergonomic lection each week. It is for emergencies on week- nary team involved in assess- accident or surgery to ambulation and retrain- reviews, immunizations staffed by licensed med- ends. Radiology is staffed Continued on Page 14 ing for activities of daily living. Mount Desert Island Hospital- 100 YEARS OF CARING. Congratulations to Mount Desert Island Hospital on their 100th Anniversary. At the First, we are proud to share the same community, and the same community spirit, as Mount Desert Island Hospital FIRST NATIONAL BANK of Bar Harbor BAR HARBOR CALAIS EASTPORT ELLSWORTH HOLDEN SOUTHWEST HARBOR A Full Service Bank Member FDIC http://www.fnbbh.com Page 12 MDI Hospital, Celebrating 100 Years July 17, 1997 Midwife Tradition Continues on MDI By Penny-Jo Smith Clark Rachael and Jordan, who lies first and don't take care ca B AR HARBOR-Mid- were born "while I was in of themselves." wifery has been midwifery school." Taking care of women, practiced by women Robinson and her hus- not only includes their to help other women for band had a dream to live and physical health, but also centuries. Linda Robinson, work in the Bar Harbor area. their spiritual and emotion- certified nurse midwife So, it was really serendipi- al well-being. For example, from Town Hill, is a proof tous that when they finally Robinson said, if one of her that the midwifery tradi- made the move to Maine in patients is in an abusive re- tion continues today, even 1993, The Women's Health lationship, she helps her in Downeast Maine. Center was getting ready to find appropriate services. "I've been a midwife for open its doors. She applied If she finds a medical prob- 10 years and I've been a for a job, got it, and the lem that isn't "the norm" nurse for almost 20 years," Mount Desert Island Hospi- for women, the patient is Robinson said. tal's affilate got a midwife. referred to the appropriate Robinson received her Being a midwife isn't specialist. education at Case Western just about delivering ba- "I don't do home deliver- University in Cleveland. She bies. "I do a full scope of ies. It's legal and I support is a registered nurse with a care in my practice with them but my practice isn't bachelor's degree. Robinson primary care and general set up that way," Robinson completed a two-year mas- health maintenance, well- said. Hancock County is ter's program with a con- women gynocological ser- lucky, she said, because it centration in midwifery. vices, pre-natal care, deliv- has certifed nurse midwives Robinson and her hus- ery, post-partum care- at every major hospital. Deb band, Joseph, are world care for women that goes Parent practices at the travelers. She served near- straight through to Maine Coast Memorial Hos- ly three years in the Peace menopause," Robinson pital and Henrietta Clews, Corps in Malawi in central said. She also has pre- the first midwife in the coun- Midwife Linda Robinson presents newborn Erin Wheat Connery to her mom, eastern Africa from 1979 to scription priviledges. ty, practices in Blue Hill. Judy Connery. Connery is a ranger at Acadia National Park. The photo al- 1981. Her son, Matthew, Midwives, she said, "are "Our roles haven't bums at the Women's Health Center in Bar Harbor are filled with fresh young was born in Africa. Robin- kind of the experts in the changed in all the years faces of proud parents admiring the results of nine months of waiting. son was a public health what is normal for women's we've been practicing here. nurse at the time. health and are geared to- We still offer the same ser- "That's when I decided I ward keeping them healthy. vices but I feel we have more big difference in that popula- to get reimbursed equally for tle's won. And high-profile wanted to be a midwife," One of the biggest differ- respect within the medical tion. Nationally, the statistics the services we provide," people, like Cheryl Tiegs, she said. ences is we focus on teach- community. Up until the mid- showed we helped to im- Robinson said. who have used midwives From there, Robinson ing: educating women on 1980s, midwives were taking prove statistics on low-birth "Historically, women, in and have said SO publicly, did a two-year stint deliv- diet, nutrition, exercise and, all of the clinic people, the weight, improved infant and general don't promote them- that has also made a big dif- ering babies in American overall, having a healthy ones on Medicaid or ones pre-natal outcomes and selves well. Midwives never ference for us," she said. Samoa. The Robinsons had lifestyle, whatever that is for with no insurance, all the pa- helped to lower the C-Section have. But once you get And the doctors at "our hos- four more children, Jacob, the individual woman. So tients the doctors didn't want rates. But we still have to someone in your office, ex- pital give wonderful care" Zachary, and their twins, many women put their fami- to serve. Midwives made a battle insurance companies plain what you do, the bat- and work well with us. WE SALUTE COA to Show Midwifery Film MDI HOSPITAL By Penny-Jo Smith Clark BAR HARBOR-A documentary about Martha Moore Ballard of Hallowell, ON THEIR 100TH ANNIVERSARY! Maine's most famous midwife, will be shown at the College of the Atlantic in Bar Harbor on Saturday, Aug. 24. Shows are at 4 and 7:30 p.m. Between the Congratulations on providing quality showings, from about 5:30 to 7:30 p.m., there will be a reception and panel dis- cussions on the film and midwifery. Tickets are $12 for adults and $6 for students. Proceeds benefit the MDI His- hospital care to Mount Desert Island. torical Society and the Women's Health Care Center. Information: 288-8100. The documentary, "The Midwife's Tale," was written by Laurel Ulrich and produced by Laurie Kahn-Leavitt. The film is based on Ballard's personal diary Summit House as she lived and worked in Maine. Ballard was born in 1735 and died in 1812. According to Linda Robinson, RN, a certified nurse midwife at the Women's Health Care Center, the documentary "focuses on Ballard's day-to-day activi- Health Care Center ties. It just shows what a healer she was. She did primary care, even back then. So when someone got sick, they always went and got the midwife to treat them." NORMAN ROAD, BAR HARBOR, ME 04609 The number of certified nurse midwives practicing in Maine is growing. They (207) 288-5211 OR 288-5856 belong to the Maine Chapter of the national organization of the American Col- lege of Nurse Midwives. FAMILY OWNED AND OPERATED FACILITY HAROLD Celebrating 21 Years of Quality Healthcare Services Providing a Comfortable and Pleasant MacQUINN, Inc. Environment to Residents. INC Established 1933 We Congratulate M.D.I. Hospital on its 100th Year SKILLED AND IMMEDIATE CARE and its Continuing Excellence of Delivering PRIVATE & SEMI-PRIVATE ACCOMMODATIONS Quality Health Care to the Region. PHYSICAL, OCCUPATIONAL & SPEECH THERAPY SERVING EASTERN MAINE LONG-TERM AND RESPITE CARE SERVICE QUALITY CONCRETE CONTRACTORS FOR OVER 60 YEARS! COMMERCIAL MEDICARE AND MEDICAID ACCEPTED FOUNDATION REPAIRS SLABS REPL LACEMENTS INDUSTRIAL RETAINING WALLS BASEMENTS CONCRETE SAWING WALLS FLOORS/ MUNICIPAL WALKS/TERRACES RESIDENTIAL Please Come In for a Visit! Concrete Division EXPERIENCED EARTH WORK It's a family atmosphere with a friendly staff. Hulls Cove, Maine DRIVEWAYS AND PARKING LOTS GRADING 288-5021 HIGHWAYS EXCAVATIONS SEPTIC TANKS SERVICE & We Care Earth Work TENNIS BLOCK ASPHALT PAVING COURTS Hancock, Maine CRUSHED PROCESSING GRANITE ROCK 667-4563 BONDED FREE ESTIMATES July 17, 1997 MDI Hospital, Celebrating 100 Years Page 13 Women's Health Center Aims for Cozy Look By Penny-Jo Smith Clark graines, depression, any ed in working with the public B AR HARBOR-The kind of aches and pains," to find out what works best door opened into a Sanford said. A full-range for them," Sanford said. cheerful living room, of services for women, from "When someone comes in the sun streaming through puberty to old age, are also for the first time, we give wide windows. Original art- offered at the center. them a whole hour. We try to work hung on the walls. An The medical staff does fol- build a relationship. That's overstuffed sofa and chair lowups on patients and what they are really re- jockeyed for space with a makes referrals to appropri- sponding to. The center is a coffee table loaded with chil- ate outside services to meet house, not a threatening at- dren's books, magazines the needs of the individual. mosphere. It's not a sterile and a photo album crammed with images of the latest crop of babies born at the Mount Desert Island Hospi- For a complete list of tal. A basket of toys rested health centers affiliated in a corner next to a plant. This is the room patients with MDI Hospital, see first see when they come to The Women's Health Cen- page 14. ter at 8 Wayman Lane. The center operates in an old home. The medical staff and support personnel "And we have a nice re- atmosphere. Most offices are arranged the space for the source guide for alternate set up for the comfort of the comfort of patients, making medicine which we use very practitioners not necessarily it cozy and personal. The often. We have an acupunc- to make the patients com- atmosphere is unlike that of turist, a herbalist, massage fortable. Here, your humani- many health-care facilities. therapist, sports medicine ty is not stripped away," No white-washed sterile practitioner, and counselors Robinson said. walls and long corridors The friendly faces of the staff greet patients when they walk through the door and therapists who see our The Women's Health here, according to Linda of the Women's Health Center in Bar Harbor. They include Linda Robinson, patients if they want alterna- Center is open Monday Robinson, certified nurse tive options. In fact, many through Friday from 9 a.m. midwife at the center. certified nurse midwife; Ann Smith and Carmen Sanford, care coordinators; representatives from the al- to 5 p.m. and on Tuesday "It's a big old house. It's Jane Tawney, physician's assistant and Dr. Mary Dudzik, medical director. ternative medical community evenings until 8 p.m. The homey. It's like coming to are on our steering commit- medical staff also offers visit with friends. You can tient as she came in the ob-gyn; and Robinson, mid- "We're a full-scope of- tee just SO we don't get too classes and workshops and hang out in the living room front door. The woman set- wife, provide a full range of fice. We do general health straight-minded. More and a resource library with and you feel like everybody tled on the couch to wait. services at the center. The maintenance for anything. more people today want al- books and videotapes on a is taking care of you, not just Carmen Sanford, who, center opened on April 1, Whether it's sprains, ternative medical options. All variety of women's health your practitioner. We've along with Smith, serves as 1993, and works closely strains, earaches, mi- of our providers are interest- and life issues. even had some new mom's care coordinator at The with the hospital, Robinson come in just to sit, nurse said. their babies in the waiting According to the room because they were staff, every feeling lonely. It's a woman is treat- MDI HOSPITAL supportive atmos- ed with con- phere here," Robin- sideration son said. and respect, The Women's regardless of "We Salute You Health Center is af- age, race, filiated with Mount creed, educa- Desert Island Hospi- HEALTH CENTER tion, marital tal, located next door. status, sexual On Your Many of the women seen at orientation, physi- the center delivered-or will cal ability or financial deliver-their babies at the situation. Traditional and 100th Birthday!" hospital. Health Center, asked her if nontraditional practices "We have well over 1,000 she'd like a cup of tea or are used to nurture and patients now. They come water while she waited. A heal bodies, minds and from all over Downeast, pregnant woman and her spirits. And the center's Visit Our FULL Service Pharmacy and from Stuben and Cherry- husband came down the staff freely refers clients to field. We've grown through stairs, finished with a appropriate care providers Don't Forget Our ONE HOUR Photo Center word of mouth. That's been checkup. outside the practice." our biggest promotion," Dr. Mary Dudzik, family Treatment at The Wom- Robinson said. practitioner and the cen- en's Health Center is RITE For Ann Smith looked up your life, Rite Aids ter's medical director; Jane geared to deal with a range AID got from her keyboard, smiled Tawney, physician's assis- of health issues and prob- and greeted the next pa- tant; Dr. Robert Walker, lems, according to Sanford. 38 Cottage St., Bar Harbor 288-2222 Congratulations MDI Hospital... BEST WISHES ON YOUR MDI Hospital: 100TH ANNIVERSARY! and thanks for serving Mount Desert Island for 100 years! From Your Friends at the FUEL OILS KEROSENE Bar Harbor Chamber of Commerce OIL BURNER SERVICING SYSTEMS INSTALLED & SERVICED -Enjoy Art this Summer in Bar Harbor!- Artists and photographers from Maine and New England will be showing their works on the Village Green. 24-HOUR EVERETT EMERGENCY SERVICE JORDAN Plumbing INC. Heating DISCOUNTS FOR CASH 288-5515 July 25-27 PROMPT, FRIENDLY SERVICE Bar Harbor 9 a.m.-7 p.m. BUDGET PLANS CHAMBER OF COMMERCE August 22-24 For More Information 9 a.m.-7 p.m. 288 MAIN STREET BAR HARBOR call 288-5103 Page 14 MDI Hospital, Celebrating 100 Years July 17, 1997 MDI Hospital's Affiliated Centers Serve Community Family Health Center family practice physician, Both screening and diagnos- An affiliate of MDI Hospital certified nurse midwife and tic mammograms are avail- 9 Hancock St. physician's assistant. Nu- able by appointment. Bar Harbor merous community educa- 288-5606 tional offerings throughout Services Offered Two family practice the year; resource library physicians and a physician on-site; information about assistant staff this full-ser- and referral to alterna- Continued from Page 11 vice hospital-based health tive/holistic therapies. ing the patient's needs out- center, providing primary side the hospital. After as- Community Health Center care for the entire family sessment, UR/DP helps the An affiliate of MDI Hospital from infants to senior citi- patient obtain the services 9 Village Green Way zens, including orthopedic needed, such as home health Southwest Harbor services. Walk-in emergen- and nursing home place- 244-5630 cies always taken. ment. Hospital admissions State-of-the-art urgent are closely monitored by High Street Health Center care center staffed by Med- Medicare and private insur- An affiliate of MDI Hospital ical Associates physicians ance companies. The utiliza- 3 High St. and a physician assistant, tion reviewer works with Bar Harbor offering primary care for physicians, hospital staff, 288-5119 the entire family, including Medicare and private insur- Formerly Kandutsch chemical dependency coun- ers to ensure that the appro- Health Center, offering pri- seling, physical therapy priate level of care is given. mary care to the entire and occupational health Other departments not family. Practitioners in- services. Walk-in emergen- dealing with patient care but clude physician and family cies always accepted. all equally important in the nurse practitioner. The Breast Center smooth operation of the hos- Women's Health Center An affiliate of MDI Hospital pital include accounting, ac- An affiliate of MDI Hospital 15 Hancock St. counts payable, administra- Hospital 8 Wayman Lane Bar Harbor tion, admissions, business of- Bar Harbor 288-8435 fice, community relations/de- 288-8100 MDI Hospital's new mam- velopment, engineering and Faces Providing general routine mography center, located be- environmental services, exams, including pap hind the Hospital on Han- health information manage- Laura Neal, in the smears and urinalysis, preg- cock Street, is home to a new ment, human resources, in- nancy testing, birth-control state-of-the-art GE Seno- formation services, materials top photo, Commu- counseling and Norplant in- graph 800 mammogram unit, management, payroll, quality nity Health Direc- sertion. Obstetrical/gyneco- that offers the highest quali- management and staff devel- tor for MDI, and logical providers include ty image with low radiation. opment. Lou Ingrisano, a physician's assis- tant, look over the schedule for the day. In the photo at right Audrey Reed, CONGRATULATIONS who handles outpa- tient registration at ON YOUR MDI Hospital, en- ters patient infor- 100TH BIRTHDAY! mation into the hos- pital's computer system. Many of the patients at MDI For gifts Hospital are re- & other ferred to the affili- ated clinics listed fine things! above. the Kimball Shop & Boutique Northeast Harbor 276-3300 STAFF PHOTOS BY JOANNE ORCUTT 1-800-673-3754 Congratulations MDI Hospital on your 100th Anniversary from your friends at COUNTY AMBULANCE ADVANCED LIFE SUPPORT Your EMS Team, Serving the People of Hancock County for 25 Years! Lynam Agency Insurance Since 1884 227 Main St. Bar Harbor Door to Door or Bedside to Bedside Emergency Medical Care WHEELCHAIR And Transport Service VAN TRANSPORT 24 Hours A Day, Seven 288-3334 FAX 288-3550 For Medical or Personal Appointments Days a Week ANYTIME / ANYWHERE Local and Long Distance lynam@acadia.net COUNTY AMBULANCE, INC. ELLSWORTH (207) 667-3200/ 1-800-644-2000 July 17, 1997 MDI Hospital, Celebrating 100 Years Page 15 Many Hands Make the Hospital Work Administration and Evelyn Bishop Ellen Dacorte Jean Fosillo Clinical Managers Rita Blair Forrest Davis Leslie Hawkins, Presi- Mission Statement Susan Boisvert Keith Davis Rosemary Garcia dent and CEO Laurie Braley-Kandutsch Virginia Davis Janine Gardner Louise Soucy, VP, Fi- Julie Bridges-Howley David De Haas Nancy Gavelek Mount Desert Island Hospital has served the nance Michelle Bright Joseph Delaite Gayle Gaynor Jeanne Fortier, VP, Nurs- people of Mount Desert Island and coastal Maine with Helen Browne Shirley Dennison Elizabeth Geiger ing Services quality healthcare since 1897. Today we continue to Albert Brushaber Ann Dionne Stacey Gilfillan Jeany Hanscom, Admin- serve by: Susan Bryer James Dixon Marguerite Gilley istrative Assistant providing acute and primary care services, Rachael Budwine Heather Dority Mary Glass Brian Bannerman, Fiscal careful stewardship of resources, Jennifer Bull Eileen Drummond Jill Goldthwait and a commitment to service excellence. Services Debra Bumbaugh Mary Dudzik Kim Gourley Mary Beal, Medical/Sur- Catherine Bunker Vision Statement Glenn Dupuis Rosemary Graffius gical Merrill Bunker Deana Dyer Sheila Gray Pam Bourque, OB/New- Eric Busby Carmen Greene born Nursery Mount Desert Island Hospital and its subsidiary, Christopher Eaton Jeffrey Grey Chris Brown, Cardio-Pul- Mount Desert Island Regional Healthcare Corpora- Gale Caddoo Ellen Eaton Cynthia Grindal monary tion, will be an integrated service system partnered Pamela Caine Victoria Eaton Mary Grindle Casey Conner, Engineer- with our communities and other healthcare providers Earline Calabrese Frederick Eversole Amy Guillan ing/Environmental Services to improve the health of our population. We envision David Caron Susan Rose Eversole Barry Gutradt Stephen Daly, Laboratory an environment of care that is patient-centered. Our Frances Carr Henri DesRosiers, Anes- Kelsea Carr Lisa Farley Sean Hall goals are to promote wellness and improve access to thesia care through a community-based health payment Sherri Clarke Pamela Farrar Jeany Hanscom Penny Evans, Human Re- plan. Shannon Colson Diane Fehrenbach Jeffrey Hanson sources Sally Cottle Kathleen Feid Patricia Hanson David Frongillo, Pharma- Values Linda Crowell Wanda Fernald Dale Harding cy Roberta Cummings Amanda Floyd Elizabeth Harding Amberann George, Radi- Philip Forst Continued on Page 16 ology Compassion, Community, Improvement, Integrity, Carroll Gordon, Develop- Respect, Teamwork. ment/Community Relations Marcia Gordon, Business Congratulations to MDI Hospital Office members are volunteers and Kenneth Salvatore Vicki Lewis, Nutrition receive no remuneration for Robert Shea Services on 100 years of caring the time they give to the hos- Tom Stranova Ruth Lyons, Critical Care pital. Thousands of hours Gretchen Strong Services are donated yearly by the David Waldron for the people of Mount Desert Island Ronald Madore, Materiel men and women who serve Jane Zirnkilton Management on the board and its commit- Employees Andree Mason, Occupa- tees. Richard Abbott tional Health Mount Desert Island YMCA Marcia Dworak, Chair- Susan Abbott Laura Neal, Community man Dorothy Adams building strong children, strong families and a strong community Health Ed Bonenfant Sabine Ander Joe Niemczura, Staff De- George Corkum Kalli Anderson velopment Paul Coston Regina Archer Helena Peterson, Quality James Fernald Management O. L. Haynes, MD Nanette Beal Congratulations on 100 Janice Rodick, Admis- Charles Hendricks, MD Ellen Beauchaine sions Nancy Ho Philip Beaudoin Sidney Salvatore, Emer- Mark Kandutsch, MD Amy Bedard gency Room Years of Caring from Claire Lambert Alison Bell Brenda Smith, Surgical Daniel Lay John Benton Services Marty Lyons Patsy Berboth Andre Valenti, Chemical Peter Madeira Darleene Bickford Dependency Richard Vander Zanden, The Eastern Maine MDI Regional Health Cen- BEST WISHES AND CONGRATULATIONS ters Jean Wolf, Health Infor- ON YOUR 100TH ANNIVERSARY mation Management From Healthcare Family Jean Young, On- cology/Breast Center THE DEACON SEAT Board of Trustees As the governing board Restaurant Working together with you to for the Hospital, the board is BREAKFAST / LUNCH responsible for assembling Clark Pt. Road provide care when needed- the resources needed to pro- SOUTHWEST HARBOR vide care. Chosen for their OPEN MON.-FRI 6AM-4:30 SAT. 7AM-3PM CLOSED SUN. Eastern Maine Medical Center individual talents, board Air Conditioned Non-Smoking members and committee The Acadia Hospital CONGRATULATIONS Affiliated Healthcare Systems JORDAN FUNERAL HOME 113 Franklin St., Ellsworth MDI Hospice of Eastern Maine 667-2521 HOSPITAL Bangor Area Visiting Nurses FERNALD FUNERAL CHAPEL P.O. Box 99, Mt. Desert Rosscare 244-3183 HEALEY FUNERAL HOME ON YOUR Eastern Maine Charities South St., Blue Hill 374-2144 100TH Norumbega Medical TRADITIONAL AND MEMORIAL SERVICES PRE-NEED ARRANGEMENTS CREMATION CONSULTATION ANNIVERSARYI Community Relations - 973-6167 A Tradition of Caring Visit us on the internet at 1-800-677-2521 http://www.emh.org Page 16 MDI Hospital, Celebrating 100 Years July 17, 1997 MDI's Team of Excellence Continued from Page 15 Wilma Levesque Robert Myers Karen Harding Heather Lewis Leroy Harding Stephanie Lewis Marie Nichols Karen Haskell Ellen Lind Patricia Nickels Vivian Hatch Leanne Linscott Mertelle Morton Karen Hatton Cynthia Litchfield Jessica Nunes Robert David Heath Barbara Logue Nourival Nunes Beverly Henion Joan Loy-Baxter Linda Herrick Michael Luck Kristen Oldershaw Darcey Higgins Katherine Olson Paul Hill Maria Maatman Sharon Hobbs Jacqueline Mace Patricia Paine Bonnie Hoeper Patricia Mace David Painter Janice Horton Laurie MacLeod Shelagh Pappas Barbara Howard William Mahan Catherine Phillips Jane Howard Tracy Mahaney Eileen Phillips James Husson Deanna Mark Anita Pierce Andree Mason Doris Plumer Lou Ingrisano Linda Maxwell Suzanne Poirer Rosemarie Iuro-Damon Colleen Maynard Amy Pollien Kathleen Maynard Judith Potter Lura Jarvie Sally McCadden John Jastrzebski Ann McDonnell Audrey Reed Maria Jastrzebski Sarah McEachern Shirley Reed-Alley Kevin Johnson Larry McGarr Amy Reisman STAFF PHOTO BY JOANNE ORCUTT Donna McInnis Fran Richard Mark Kandutsch Marilyn McIntire Kristie Richard Hospital ward clerks Earline Calabrese, at left, and Anita Pierce discuss Phyllis Kane Joyce McIntosh Cheryl Rioux medical information on one of the hospital's many computer workstations. Dee Karnofsky Amy McVety Janice Roberts Lucille Kelley Ed Miller Lynda Robertson Amy Shaw Helen Strout Elaine Voluz Julie Kennedy John Miller Trudy Robertson Ida Smallidge Patricia Strout Fran Wade Leila King Neal Miller Linda Robinson Sandra Smallidge Laura Sullivan Andrea Walker Christine Kirk Teresa Miller Raymond Rodger Ann Smith Rosemarie Suzon Kathleen Klausky Scott Rudolf Susan Swana Joanne Webber Samuel Mitchell Diane Smith Deborah Russell Gilbert Welch Robert Klick Carey Mitchell Meredith Snelling Carolyn Swazey Jeanne Wescott Mari Knowles Melanie Modeen Ann Spear Lily Sweeney Sarah Whalen Sheila Knowles Michelle Moore Doris Salisbury Thomas Spiers Gale Swope Daniel Morrell Carmen Sanford Valerie Wilson Norma Spurling Heather Winters Jennifer Lambert Jennifer Morrell Rose Sargent Kathleen St. Germain Jane Tawney David Witham Deborah Lamson Sheryll Morse Joanna Sarty Edith Stanwood Susie Thompson Michael Leavitt Cynthia Muir Donna Scott Jean Starr Cynthia Thurston Karen Witham Ann Lee Anna Murphy Susan Seavey Donna Stern Raymond Turner Ramona York, David Leeman Becky Murphy Rachael Sharp Steven Straubel Renee Letourneau Sean Murphy Roberta Sharp Denise Strout Robert Voisine Carol Zdziarski Mount Desert Island DAHL-CHASE Hospital PATHOLOGY ASSOCIATES, P.A. Teri L. Cooper, M.D. Holly L. McDaniel, M.D. on Your 100th George J.A. Eyerer, M.D. Stephen J. Pfister, M.D. Irwin Gross, M.D. David E. Renedo, M.D. Lewis A. Hassell, M.D. Richard R. Riemersma, M.D. Anniversary! John S. Kaiser, M.D. Michael L. Talbert, M.D. David P. Marmaduke, M.D. Fred M. Wlodarski, M.D. from all of us at David Easler, M.T. (ASCP) Martha Wiebe, M.S., M.T. (ASCP) Sonia Russell, M.T. (ASCP) Stephen Hardy, M.T. (ASCP) Coastal Med Tech Inc. Mark Illingworth, M.B.A. Your Independent Local Home Care Provider Ruth E. White, G.M.T. "FREE" Denise M. Sjogren We provide: Direct Insurance Billing To Providing Anatomic and Clinical Pathology Services, All Insurance Companies For Our Customers. 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Congratulations from Ostomy Supplies Dahl-Chase Pathology Associates Crest Professional Uniforms on your 100th Phone (207) 667-2508 or 1-800-544-1113 Anniversary Coastal Med Tech Inc. is a participating Medicare Provider July 17, 1997 MDI Hospital, Celebrating 100 Years Page 17 Urban Refugees Concur: At MDI Hospital, Smaller Is Better By Jeff Tuttle this is not necessarily the ments have to share infor- AR HARBOR-The B case in larger hospitals, mation so everybody knows old Texas adage that where members of the staff patient histories and what "bigger is better" has sometimes remain isolated in the next step should be." never really applied to the their specific areas, whether Sharing information is Northeast, a region whose it be nursing, cardiology or easier in a small hospital, ac- penchant for smaller things radiology, or any one of the cording to Fortier, and gain- permeates its culture. It many divisions within those ing information from outside has certainly never applied specialties. sources and implementing to Mount Desert Island, a "At bigger hospitals, if that information is a less vacation retreat whose res- you needed to pry them out burdensome process. As an idents like to keep things of their areas, it was like example of the staff's creativ- simple. pulling teeth," Fortier said. ity and the institution's effi- The MDI Hospital has "In our smaller hospital, our ciency, Fortier cited, among thrived on the island for nurses can go from area to other projects, the develop- that very reason. It has area comfortably and com- ment of the Breast Health created an environment in petently." Center, which came about which its employees can Amber George, manager because a physician at the get to know their patients of the radiology department, hospital wanted to improve while pursuing innovative came to the hospital from mammography service. The medical techniques with a Mid-Maine Medical Center in center's implementation was minimum of bureaucratic Waterville, where she worked not hindered by repetitive red tape. in the larger hospital's radiol- and purely bureaucratic pro- Jean Fortier, vice presi- ogy department for 23 years. cedures, as would have been dent of nursing services, Ten years ago, George set the case in many larger hos- once worked at a larger hos- foot in the basement hallway pitals, Fortier said. pital in the Boston area and that currently houses the ra- "In our hospital, there's a initially thought moving to diology department, but not lot of room for people to take the small facility would have without reservations. While initiative and be innovative," its disadvantages. Coming the department's area is Fortier said. "If we want to from the 250-bed Goddard slated for expansion, the make things happen, we Memorial Hospital in Stough- basic principles that keep make it happen." ton, Mass., Fortier said she the department running "Because we are small, has come to realize in her 10 smoothly must stay the same, there is better access to years at MDI Hospital that according to George. people who can make deci- smaller is, indeed, better. "You have to have an ex- sions," she continued. "If cellent staff and big trust to somebody wants an answer make this work, George to a question, they don't need "I somebody said of the efficiency at the to go through seven different MDI facility. "All the depart- committees to get one." wants an answer to a question, they ACADIA don't need to FAMILY CENTER OFFERING TREATMENT FOR CHEMICAL go through STAFF PHOTO BY JOANNE ORCUTT DEPENDENCY / CODEPENDENCY SINCE 1990 seven different 244-4012 Jean Fortier, vice president of nurs- smaller hospital would have disad- committees to ing services at MDI Hospital, has vantages. She said she has come to M.D.I. get one." worked at a larger hospital and realize, however, that smaller is Supporting education originally thought moving to a better. ALCOHOL & Jean Fortier, about and treatment for care they receive, but be- vices, said the advanced DRUG ABUSE of being shipped from one chemical dependency vice president of cause many are familiar technology available at the hospital to another. GROUP, INC. since 1979. nursing services with the entire staff. hospital allows its patients "The patients are always "Smaller is better from a to remain at the facility for with people who care about patient's perspective be- much of their treatment, SO them and who know them,' Congratulations, MDI Hospital! "When I came here from cause we know our clien- they rarely have to make the Lyons said. "The patients a larger hospital 10 years tele and we're part of the trip to larger hospitals in the here want to stay here and ago, I couldn't imagine how community," Fortier said. area. She said that the vari- not be moved up the road." a small hospital functioned "We live next door to, or ety of services provided at The staff members at the HAPPY 100th ANNIVERSARY! and who did all that needed work with our patients." the hospital lets patients set- hospital have to be proficient to be done," Fortier said. Ruth Lyons, nurse man- tle in and get to know the in many different areas with- "But, that's what makes a ager for critical care ser- people treating them instead in their fields. Fortier said MDIHOSPITAL small hospital unique, that's what makes it better." Fortier said patients are comfortable at the 39-bed island hospital, not only be- BD Berry, Dunn, McNeil & Parker cause of the quality of the M&3 Certified Public Accountants Congratulations P Management Consultants From all of us at on your 100th Machias Savings Bank. Anniversary! "For All Your Mount Desert Island Hospital Rental Needs" Congratulations on Your Centennial May you celebrate another one hundred years. TOOLS EQUIPMENT 100 Middle Street -PARTY GOODS 36 Pleasant Street MACHIAS PO Box 1100 Bangor, ME 04401-6494 Portland, ME 04104-1100 SAVINGS (207) 942-1600 HANCOCK (207) 775-2387 FAX (207) 942-9278 BANK FAX (207) 774-2375 THE TOTAL SERVICE BANK RENT-ALL Machias Calais Columbia Ellsworth Woodland Princeton Houlton Bar Harbor Other Offices Located in Lebanon and Manchester, New Hampshire Bar Harbor Rd., 1-800-339-3347 667-3378 288-5826 Internet Address http://www.bdmp.com Ellsworth 667-RENT MEMBER FDIC Page 18 MDI Hospital, Celebrating 100 Years July 17, 1997 Change Defines Hospital's 100 Years By Jean Holstein any other doctor in the vate rooms. For everyone Special to The Ellsworth American area. of every social and eco- AR HARBOR-The Both Cooper and Gil- nomic stratum, MDI was B combined service of more remember the days THE hospital. the three senior when doctors rode in the "We were it for most of members of the medical ambulance with patients. Hancock and Washington staff of MDI Hospital totals In Gilmore's time, it was counties. There were 70- 89 years. Nearly half that necessary only occasional- plus beds, often all full. number, 41 years, repre- ly-for people with heart And we gave good care." sent the career of Dr. Llew- attacks or in respiratory There was no emer- ellyn C. Cooper, general distress. In Cooper's time, gency room, however. The surgeon. it was every time the am- Weymouth-Cooper office, Internists Drs. Edward bulance went on the road. only two blocks from the Gilmore and O.L. Haynes The hospital had ac- hospital, was an unofficial have been in Bar Harbor quired its first real ambu- emergency room. Sick or 27 and 21 years, respec- lance, replacing the funeral injured patients coming in tively. parlor hearses used previ- the door were directed to When they are reminisc- ously, just a few months the doctors' offices. ing, the one theme brought before the young doctor ar- "There was no obliga- up over and over is change: rived. The hospital owned tion for doctors to cover how the hospital, the staff the town's only ambulance the hospital then," said and medical practice have then, the first and second Cooper. changed since the '50s and gifts from a wealthy sum- One summer the Wey- since the '70s. This is no mer resident. mouth-Cooper team de- nostalgia bash or wish to "We had to go out to ac- cided to make a change. turn back the clock. It is, cidents and to homes to "We took over a patient rather, a proud look at pick up the patients," room on the first floor and what has been accom- Cooper said, "and traveled designated it the emer- plished and their roles in with those being transport- gency room." bringing about change. ed to another hospital." That did not make much In 1956, arriving fresh This service was taken difference in responsibility, from his surgical residency over by the Bar Harbor for the room had only a to join the practice of an- Fire Department in the late nurse for staff and the doc- other surgeon, Dr. Ray- 1960s and now trained and tors had to rush from their mond Weymouth, Dr. licensed emergency med- offices to the hospital for Llewellyn C. Cooper was ical technicians ride the emergencies. "the young Dr. Cooper." ambulances. "Weymouth took off all "All the other docs An addition was put on of May and all of November around were of the older the original wooden hospi- every year," said his for- Doctors, from left, Llewellyn Cooper, O. L. Haynes and Edward Gilmore generation," Cooper re- tal building in 1938-a mer partner "and some- called. Now he is the senior two-story brick wing that times I was left all alone on After Weymouth died in Gilmore was the first in- first innovations was an in- member on the medical extended from the back of the island for several 1965, his junior partner ternist on the medical staff. tensive care unit, something staff, and senior not only at the building toward Han- days." formed Medical Associates "Back then the empha- relatively new in hospital MDIH. Although he no cock Street. It had private This was not due to a and recruited Drs. Nancy sis in all small hospitals care in 1971. Only large longer performs surgery, rooms on the second floor, shortage of doctors. There and Winston Stewart, she was on surgery," he said. teaching medical centers except for assisting occa- which were usually closed were three other MD's in an obstetrician-gynecolo- But the chief surgeon had them and Mass General sionally, he still sees pa- in the winter, Cooper re- Bar Harbor, two in North- gist and he a general prac- knew what the staff needed had had an ICU only since tients and has been in ac- called, because only sum- east Harbor and two in titioner. Both practiced in and the new internist came 1967-time enough for the tive practice longer than mer people demanded pri- Southwest Harbor. Bar Harbor for many years. highly recommended. new MDI internist to have Cooper remembers that had experience there. long-time hospital trustee, These units became pos- Congratulations on 100 Thank You M.D.I. Hospital the late Albert Cunningham, sible after the development For 100 Years of Caring came back from Massachu- of heart monitors, Gilmore years of wonderful service! setts General Hospital in explained. from the folks at CAR Boston after cardiac treat- "Before that, a heart at- Apex ment and said: "There's a tack patient was put in a SAWYER'S RENTALS young fellow down there dark room, given pheno- @ Autohaus you ought to get." barbital and aspirin and Gilmore, then complet- rest. The use of monitors If you have not rented from APEX you probably paid MARKET ing his residency, had been quickly cut cardiac mortali- too much. APEX features late model Mazda vehicles. one of Cunningham's doc- ty in half." 344 Main St. Southwest Harbor, ME 04679 Call 1-800-439-APEX (2739) tors and had impressed the He thought MDI Hospital or 667-7360 Bar Harbor banker. 207-244-3315 should have one. Soon it did. Route 1 at the Triangle, Ellsworth One of the new internist's Continued on Page 19 CONGRATULATIONS ON YOUR 100TH Congratulations on 100 Years of Caring! REHABILITATION & ANNIVERSARY! Sonogee LIVING CENTER PROVIDING Short-term Rehabilitation: Physical, Short- and Long-Term Respite Care Rodney A. Rozario, M.D. Occupational, Speech and Adult Day Care Dennis L. Shubert, M.D., Ph.D. Respiratory Therapy, Skilled Nursing Alzheimer's Care including I.V. Therapy Medicare and Medicaid Certified. James W. Turner, M.D. Diplomates, American Board of Neurological Surgery 131 Eden Street Bar Harbor 288-5800 July 17, 1997 MDI Hospital, Celebrating 100 Years Page 19 Three Doctors Reminisce About Generations of Change Continued from Page 18 all medical activities, from ER to office to bedside. this is related to the increase in patients of middle age or Gilmore recalls sitting in the medical library with the After Rattner died suddenly there were only the three older, Haynes pointed out. late Harold "Tubby" Collier, who headed a construction of them for a year (they sighed at this point) working "Doctors' practices age with them," he said. "Young company, and sketching the ICU. seven-day weeks, covering the ER, as much as five days a people think they don't need doctors. At 30 you may be "Then we went upstairs and paced it off. That first ICU, week. treating people who are 50 to 60. You age together and including the monitors, cost $10,000." The addition of another wing in 1968 had brought no you learn SO much from them." Then it became Gilmore's turn to find another internist expansion in acute care space. The first floor was an ex- A few years ago, Haynes took time off to study and be- and Haynes, who also did his postgraduate training at tended-care facility for several years, and the second floor come certified in gerontology. He is one of only two with Mass General, joined the staff. had been left an empty shell. By the mid-'70s, however, the this certification in Hancock County but all the doctors "One of the biggest changes since the late '70s has been two internists said it was obvious that expansion was see people in their practices growing older. in number of staff," the latter said. "Then, besides the sur- badly needed. The whole rural medical scene has changed, not just geons, there were just Gilmore and myself, Jeffrey Rattner It took some time and a period of tension between the the patients, Gilmore said. When he first came to Bar Har- and Winston Stewart who were always on hand, covering doctors and the hospital administration and board before bor, heart patients went to Boston, later to Portland but construction could begin. now to Bangor. "The doctors thought the "We have to send a nurse with the patient and a trip to building should reflect local Portland would take her away a whole day." needs," Gilmore explained, Nurses are the linchpin in patient care and the doctors "not merely the ideas of ar- are aware how much their roles have changed. In the old chitects from thousands of days, there was more laying on of hands by RN's, Cooper miles away." said. Gilmore's impression as a young doctor was that When the issue was fi- nurses were doctors' handmaids, and not only at MDI Hos- nally settled and construc- pital. There has been a lot more specialization, they agreed, tion complete, very little by RN's and nurse practitioners, with aides and technicians had been added in square providing the personal services, including touching. feet but the interior of the The physician assistant is a relatively new kind of care- patient areas was com- giver and a much appreciated one, the three MDIH docs pletely changed. A new agreed. Physician assistants give doctors more time to do ICU, now called the Critical more. Because they staff the Emergency Department 24 Care Unit, telemetry rooms hours a day, there is always someone trained there when for cardiac patients and an a patient comes in. obstetrics department OC- Cooper commented on the change in the number of cupied the formerly empty non-medical employees. second floor area. "Back then a full hospital-maybe 60 or more pa- "But the expansion then tients-was run by one administrator and two secre- was-and continues to taries." be-in services, not beds," Neither he nor his colleagues mentioned the increase in said Gilmore, "Shorter hos- paperwork that has come with the increase in services pital stays began long be- provided, driving the need for more workers. fore managed care was on The older doctor regrets that today's diagnostic knowl- the horizon." edge and machines weren't available when he started An increase in outpa- practicing. Even so, "The care in those early years was tient facilities and services great because we worked hard. So do those who work has come to all hospitals with patients today. large small. A good deal of "We still make the patients happy." Congratulations, MDI Hospital On Your 100th Anniversary! STAFF PHOTO BY JOANNE ORCUTT Healthy Cooking David Witham, a cook with Nutrition Services at MDI Hospital, peels carrots in preparation for one of the many meals the hospital pro- vides. Nutrition Services provides food service to patients, guests and staff seven days a week as well as outpatient consultations for various medical conditions. Staff includes a registered dietitian, a registered dietetic technician, cooks and nutrition services aides. WEST END DRUG CO. 105 MAIN ST. The Rexall In Business Since 1917 BAR HARBOR STORE 207-288-3318 We would like to congratulate the ASTHMA TRAINING Mount Desert Island Hospital on BLOOD PRESSURE MEASUREMENTS GLUCOSE MONITOR TRAINING its 100th anniversary. DIABETES TRAINING CHOLESTEROL TRAINING We pledge our continuing support in your superior service to the hospital community. Come and See How We Can Work With You! - Mount Desert Island Hospital Auxiliary WORKING WITH YOU AND YOUR PHYSICIAN FOR A POSITIVE OUTCOME. We Put the "Care" in Pharmaceutical Care. Page 20 MDI Hospital, Celebrating 100 Years July 17, 1997 From Bandages to Fund-Raising, The Auxiliary Has Helped for 49 Years By Kathryn Ritchie $8,000. Lambert said the T he Mount Desert Is- organization examines land Hospital Auxil- each hospital depart- iary has evolved in ment's "wish list" to pick 49 years from sewing out items it can both af- bandages for patients to ford to buy and will bene- purchasing thousands of fit the largest number of MOUNT ISLAND dollars worth of equip- people. HOSPI ment. Last year's funds Honor Past "I can't imagine any- bought the hospital such body today that would do items as a plasma thaw- that," said President ing system, patient teach- Claire Lambert. "That ing software and a non- was when life was a little invasive blood pressure slower, calmer and eas- monitor. This year's items ier." include a pediatric cart "Gray Ladies" may not for the Emergency Room, be meeting anymore to a Stryker swing stool for sew bandages and clothes the Operating Room and for newborns, but their weights for the Cardiac spirit of philanthropy has Rehab. certainly lived on. This Additionally, each year year alone, three mem- the organization provides bers volunteered more shirts for newborn babies than 756 hours filing and and funds the "Life Line" microfilming medical program. Life Line allows records. over 90 island residents to "We have done a tre- remain in constant con- mendous amount for the tact with the hospital by hospital," Debbie Dyer, a wearing either a necklace former president, said. or a bracelet with a but- Since its official begin- ton that can be pressed ning in 1948, the MDI and talked into. When the STAFF PHOTO BY KATHRYN RITCHIE Hospital Auxiliary has button is pressed an iden- given more than $165,000 tifying buzzer sounds at Claire Lambert, President of the MDI Hospital 1948. The charitable organization raises thou- to the hospital. The the hospital and a staff Auxiliary, stands in front of a plaque commemo- sands of dollars every year to help buy needed yearly donation usually member promptly calls rating past presidents of the organization back to equipment at the hospital. ranges from $7,000 to the person back. The auxiliary raises equipment for the hospi- high school students organizations are," Lam- Harbor Variety funds for the hospital in tal, auxiliary members graduating from MDI who bert said. "Members are several different ways. donate their time. Forty are seeking health-re- getting older and older The annual Christmas members donated 54 lated education. The and the young people Fair, with a boutique, hours of their time to two trust fund was set up in don't seem to be inter- 207-244-9076 food tables, a raffle and a blood drives this year. 1972 by Barbara Allen ested." Village Green Way white elephant table, is "We have a philosophy: Joy in honor of Morse, She said she under- Our Thanks Southwest Harbor the biggest fund-raiser. we're born and we take a her mother, who was the stands that young people For $5 people can have a lot out and sometimes we auxiliary's first presi- are busy these days, but To MDI Hospital Christmas star hung on a don't get a chance to give dent. she encourages them to For 100 Years of tree in front of the hospi- back," said Howard Glef- "We do not deny any- become more active in tal either in memory of a key, who has been volun- body if they meet our re- the hospital for a logical Service to Our loved one or for an island teering for 11 years. He quirements," Scholarship reason. Communities. family. After the stars and his wife Carol were Chair Dyer said of the "The hospital is a are hung and the tree is two of the volunteers who $1,000 awards. "And we place that, sooner or lit, local Boy and Girl donated the 756 hours will continue with them later, every member of Scout troops sing Christ- this past year. Lambert as long as they're in the family will have to The Convenient Health Center mas carols around it. was the third. school." take advantage of," Lam- 194 High Street, Ellsworth, ME 04605 The auxiliary also sells Lambert said the aux- The auxiliary handed bert said. 667-4655 greeting and phone cards iliary is very proud of the out over 40 scholarships Membership is $5 a at the hospital. Marion Joy Morse Schol- this year, six of which year and the public is As well as buying arship Fund awarded to were to new high school also welcome to four MedNow Clinic graduates. meetings. Though the organiza- Officers for 1997-1998 tion opened its doors to are: Claire Lambert, presi- GORDIUS GARAGE & men a few years ago, Lam- dent; Karen Dillon, first bert said island men don't vice president; Mary Lou ISLAND MOTORS seem to be interested in Alley, second vice presi- the auxiliary. Only two of dent; Cherie Belsan, sec- At the Triangle, Bass Harbor 244-3122 the organization's 175 retary; Dianne Nadeau, members are men. Like- treasurer/membership; wise, the club has also Debbie Dyer, scholarship Wishing faced a challenge encour- chair; Karen Dillon, volun- Mount Desert Island Hospital aging younger people to teer chair; and Mary join. Grindle; publicity chair. another 100 years of care giving "We're having the Information: 288-5642 same problems a lot of or 288-3614. Congratulations On Your HAPPY 100th, 100th Complimento MDI HOSPITÁL! Anniversary of C.K. Foster Co., Inc. East Maple St. REED DISTRIBUTORS Blue Hill Memorial Hospital Ellsworth, Maine Saratoga St., Lewiston, Maine A national model of preventive and primary health care