Online… Go to www.hospitalnewspaper.com Click on
Online Newspaper Subscription Form
The New England Edition www.hospitalnewspapeR.com
home subscRiption - $18/yeaR
If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See p26
Rehab Patient Success Stories! “Never Let a Setback Make You Sit Back” A Story of Courage and Determination p10 Getting back in the driver’s seat after a massive stroke p11 Amputee doesn’t stand still for long p12 Cardiac Arrest at Fenway Park p13
Cover photo: Michael Warner, who received his rehab at Fairlawn Rehabilitation Hospital in Worcester, MA and his daughters Elle and Emme.
Special Education & Career Section begins p22
CHANGE SERVICE REQUESTED
Continuing Education Opportunities see p25
Hospital Newspaper 1 Ardmore Street New Windsor NY 12553
PRESORT STANDARD U.S. POSTAGE PAID PERMIT 7246 PHILADELPHIA, PA 19143
Hospital Newspaper - NE
Alice always enjoyed Main Street. She still does.
The Village at Waveny is a unique assisted living residence designed to stimulate and engage memory impaired seniors. The familiar, comforting environment of small town Main Street is a site for interaction among residents and with staff. This community dynamic, along with specialized therapeutic programs, enriches and enhances the quality of life for older adults. The Village is located in New Canaan, Connecticut, where seniors from all areas are welcome for trial, short respite stays or long-term care. Find out more by calling Ginny Carroll at 203.594.5331 or visiting www.waveny.org.
Hospital Newspaper - NE Nov/Dec 2013
! t ou e am ab re ogr r sk F A ur B p o
H E R P
&# %! $% !&% !
! %! $ $!# + #
# ( " # !# ! "# $' &$ & # $ % ! $ "# "!$% $&# #* % #' % ! $ "#!' ' !# $&# $ # ! #$ *!&# " % %$ % !""!#%& %* %!
+ + + +
)" # ' ! % !
$$ "!$% $# # (% $% # %%
!" # % ' " ! !% ! ! $ # # % # % # ( ! % # # * %! # %&# %! ( % $
!' #* "#! "!#%
$$ $$ !# & % !
% %! %
PREHAB: Sometimes exceptional healthcare is FREE! ! "
% #* "#
%! " % %$ ( ! "# %! * %! #
!! % !#
# "!$% !" # % ' $% * ( %
Hospital Newspaper - NE
Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals By Patrick Harrigan | Syracuse, NY
Todayâ€™s medical professionals face a myriad of challenges in their efforts to provide high-quality care. Change has become an industry constant and requires SK\VLFLDQVWROHDUQDQGDGDSWRQWKHĂ€\ Much of the conversation revolves around increased healthcare regulation and compliance requirements. While its long-term effects remain to be seen, the 13,000-page Affordable Care Act promises to bring about considerable change and uncertainty. From a technology standpoint, the push is on to implement EHR systems and demonstrate meaningful use. New HIPAA rules will soon require practices to have policies and procedures in place to ensure that patient health information is secure. Change is also a major theme when it comes to patient interaction. As technology improves and information becomes more accessible, the methods by which patients gather information and interact with care providers will continue to evolve. While increased engagement can ultimately prove valuable as patients take a more active role in their health care, it will also require more time and attention from providers, not to mention DQLQFUHDVHGÂżQDQFLDOLQYHVWPHQW In addition, many practitioners still face the day-to-day business challenges of running a practice. Physicians PXVWPDQDJHÂżQDQFHVFRPPXQLFDWH effectively and delegate responsibility ZKLOHPDLQWDLQLQJDVWHDG\Ă€RZRI SDWLHQWV6WDIIPXVWIHHOIXOÂżOOHGDQG patients must feel comfortable to ensure a positive experience. The frantic pace and ever-expanding task list can often mean that things get overlooked, impacting the long-term health of the practice. Debt can accumuODWHZKLOHRIÂżFHXSJUDGHVDQGPDQGDWRU\ technology updates can get pushed down the priority list. A medical professionalâ€™s WLPHLVDOUHDG\OLPLWHGDQGÂżQGLQJWKH UHVRXUFHVWRVHHNQHFHVVDU\ÂżQDQFLQJ can seem overwhelming.
Fund-Ex, LLC was founded with the simple goal of providing medical SURIHVVLRQDOVZLWKDIIRUGDEOHÂżQDQFLQJ solutions while minimizing the disruption of their day-to-day routine. â€œHealthcare professionals have made WUHPHQGRXVVDFULÂżFHVWRJHWZKHUHWKH\ are today. They continue to work hard every day, and that means something to us,â€? said Albert Crawford, Owner and CEO of Fund-Ex. â€œThatâ€™s why we have built our business around them. We VWULYHWRSURYLGHDKDVVOHIUHHÂżQDQFLQJ experience that helps achieve business goals and allows more time to focus on the mission of medicineâ€”the patient.â€? An unwavering focus on providing capital to healthcare professionals has helped Fund-Ex develop a thorough understanding of their needs, challenges and business cycles. This knowledge allows Fund-Ex to provide smart ÂżQDQFLQJVROXWLRQVZLWKXQSDUDOOHOHG VHUYLFHDQGHIÂżFLHQF\DOORZLQJSK\VLcians to get back to practicing medicine. Fund-Ex can provide a custom, no-cost, no-obligation loan proposal in just
24 hours and healthcare professionals can get the capital they need in as few DVÂżYHEXVLQHVVGD\V7KHFRPELQDWLRQ of speed and competitive rates makes Fund-Ex an attractive and affordable option for healthcare professionals looking to put their practice in a better position looking forward. Fund-Ex provides capital for a wide variety of commercial purposes, including business debt consolidation, working capital, expansion and improvement, practice acquisition/start-up/buy-in as well as real estate.
The Funding Expert for Healthcare Professionals www.fund-ex.com
Hospital Newspaper - NE Nov/Dec 2013
Get the money you need in 5 days!
Spend more time with your patients and less WLPHVHHNLQJĹľQDQFLQJ As a lender that works exclusively with healthcare professionals, Fund-Ex strives to provide quick and
Custom proposal in 24 hours Loan wonâ€™t appear on personal credit
Loan amounts from $25,000 to $200,000
Call or visit ZZZIXQGH[FRP+11( IRUDQRFRVWQRREOLJDWLRQORDQSURSRVDO
Working capital, equipment, debt consolidation, expansion/improvements, emergency cash reserve
PAGE 66 PAGE
Nov/Dec 2013 January, 2009
Hospital Newspaper - NE Healthcare Newspaper - Westchester
OUR VIEW VIEW OUR
ADVERTISER INDEX INDEX ADVERTISER Company Company AdCare Hospital
Bankers Healthcare Group, Inc. Classifieds
Page Page 27 5 28
Constellation Home Care A&T Healthcare Coverys
19 19 29
EMA Barksdale Home Care Fairlawn Rehabilitation Hospital
Park Physical Therapy Executive Gaylord Specialty Healthcare GNYHA Services Fast Forward Marketing Hebrew Health Care
HospitalValley for Special Care Associates Hudson Radiology The Mercy Community
7 14 11
9 1 17,19
Keystone Financial Metro West MedicalServices Billing
32 31 15
Northeastern Medco NorthWest Seminars
25 30 24
North Broadway Salmon Family &Chiropractic Retirement
Precision Computer Services, Inc. MedExcel Resource Directory
31 3 30
Seven Hills Pediatric Center Points Medical Shrewsbury Children’s Center
21 4 25
Shrewsbury & Rehab Center Public SafetyNursing Ad Sun Home Loans Resource Directory Touchpoints
17 27 26 29 3
UMass Lowell Silverman Ctr for Gender Selection Waveny LifeCare Network
23 8 2
Upright Imaging • (fax) 845-534-0055 845-534-7500
Westchester Spinal Decompression Ctr Info@HospitalNewspaper.com
Joseph P. Belsito NEWSPAPER EALTHCARE (Joe@hospitalnewspaper.com)
THE DEFINITIVE SOURCE OF LOCAL HEALTHCARE NEWS AND INFORMATION
845-534-7500 • (fax) 845-534-0055 GENERAL MANAGER Info@HealthcareNewspaper.com James Stankiewicz
PUBLISHER Joseph •P.• •Belsito MANAGING EDITOR (Joe@hospitalnewspaper.com)
Hudson Valley Honor Flight reaches World War II Memorial in Washington Deck the Halls in this economy?
My sister, Patricia Dalton, volunteered to take part in a honor flight from Stewart Airport in New York that took 88 Veterans from the Hudson Valley to the World War II Memorial in Washington, D.C. Thanks to the volunteer-run organization and local corporate sponsors, the Honor Flight took off on September 21 and landed at Reagan National Airport. By Jim Stankiewicz The Honor program gives veterans a free trip to the memorials commemorating the wars in which they served. General Manager Also, along for the trip to the memorials was filmmaker Joe Allen. Allen filmed the trip for a full-length documentary titled, "Hudson Valley Honor Flight: Generation Bridges”. InThere a most yearthat most poised cut back on like traditional arechallenging so many heroes are people forgottenare and it is antoorganizations Honor Flight that tell everyone how important those who serve are! holiday great to see a lot of flags flying on Nov. 11. The veterans deserve it! It wouldexpenditures. or writevery to Hospital e-mail your to email@example.com I Please was recalling somethoughts memories growing up when things seemed tight Newspaper, 1 Ardmore Street, New Windsor, NY 12553. Jim Stankiewicz can be reached at 845-534-7500 ext. 219 and via email at firstname.lastname@example.org. and our family seemed to almost become closer. One such year when I was
about 11 years old I joined my three sisters and brother in the downstairs area of our home in Newburgh. We made Christmas tree decorations out of construction paper and glitter and my Mom popped a bunch of popcorn and we spray painted string of popcorn gold for garland. When I look back it was one of the most memorable Christmases we shared. There was spirit of being together. This was when I realized it wasn't about what gifts we received or who had the best light show on the block. It really is about spending quality time with people you love. It's about helping others less fortunate then your self. With the events of this year you can't help think that there is a new opportunity to enjoy the basics. Are there seniors who need a little attention? What can we do for those hospitalized around the holidays? What can we do for the troops risking their lives at holidays for our freedom? I want to thank all of our loyal customers for their support in 2008. I wish all ofMy oursister readers a very andKathleen meaningful Picture of veterans the day of the event. Patty with memorable her daughter and holiday WW II season! Navy veteran Rodger.
Don’t miss out on your personal copy of Healthcare Newspaper
Cathryn Burak • • •
GENERAL• •MANAGER • James Stankiewicz SENIOR CORRESPONDENT
Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form
•• •• •• MANAGING EDITOR SENIOR SALES CONSULTANT
Geraldine A. Collier
Cathryn BurakLinell Maureen Rafferty
•• •• •• SENIOR CORRESPONDENT MARKETING EXECUTIVE
Geraldine A.Mairo Collier Anthony
(Anthony@hospitalnewspaper.com) • • • • • CONSULTANT • SENIOR SALES CIRCULATION
Maureen Rafferty Linell Michelle Belsito (MRLinell@charter.net) (845-534-7500 • • • x220)
••• CIRCULATION SENIOR CORRESPONDENTS Heather Pillsworth Brendan Coyne • • • John Jordan CORRESPONDENTS Lisa Winn Winn Lisa
CORPORATE INFORMATION INFORMATION CORPORATE
Hospital Newspaper - New England edition - Vol. 10 No. 6 Healthcare Newspaper - Westchester, New York edition is published 6 times a year for $18 per year by Belsito Vol. 2 No. 1 - is published monthly, 12 times a year for Communications, Inc., 1 Ardmore Street, New Windsor, $36 per year by Belsito Communications, Inc., 1 Ardmore NY 12553. Postage Paid at New Windsor, NY and addiStreet, New Windsor, NY 12553. Postage Paid at New tional mailing offices. Postmaster: Send address changes Windsor, NY and additional mailing offices. Postmaster: to Hospital Newspaper, 1 Ardmore Street, New Windsor, Send address changes to Healthcare Newspaper, NY, 12553. No financial responsibility is assumed by this 1 Ardmore Street, New Windsor, NY, 12553. No financial newspaper to publish a display, classified, or legal ad or for responsibility is assumed by this newspaper to publish a distypographical errors except of reprinting that part of the ad play, classified, or legal ad or for typographical errors except which was omitted or in error. Omissions or errors must of reprinting that part of the ad which was omitted or in error. be brought to the attention of the newspaper during the Omissions or errors must be brought to the attention of the same month of publication. newspaper during the same month of publication.
845-534-7500••(fax) (fax)845-534-0055 845-534-0055 845-534-7500 Info@Belsito.com Info@Belsito.com A division of:
THE DEFINITIVE SOURCE OF LOCAL HEALTHCARE NEWS AND INFORMATION
Name: _______________________________________________________ Telephone: ( ) ______________- __________________ Telephone: ( ) _________________ - ______________________ Fax: ( ) _________________ - ______________________ Address: Address: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________________
City: ____________________________________________ ___________________________________________________ State:___________________________ Zip:_______________________ City: State:________________________ Zip:_____________________________
___ $36 for one year of Healthcare Newspaper delivered to your HOME OR OFFICE!
___ NY ___ NJ ___ $36 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!
___ ___ $60$18 forfor a two yearofsubscription. Save over 17% to offyour regular price! ___ NE one year Hospital Newspaper delivered hOME Or OffiCE! ___ $60 for a two year subscription. Save over 17% off regular price!
___ $25 for a two year subscription. Save over 17% off regular price! PAYMENT METHOD PAyMEnt__ MEthOD Charge my Discover Card
__ Check __ Check __ Money Order __ Money Order __ Charge my Visa __ Charge my Visa
__ Charge my Discover Card __ Charge my Mastercard __ Charge my Mastercard __ Charge my American Express __ Charge my American Express
Card #: ________________________________________________________________________________________ Exp.: ____________________________________________________________________________________________ Exp.: ____________________________________________________________________________________________ Signature: ______________________________________________________________________________________ Signature: ______________________________________________________________________________________
Send payment to: Send payment to:
Healthcare Newspaper Hospital Newspaper 11 Ardmore Street Ardmore Street New Windsor, NY12553 12553 New Windsor, NY
Amount Amount enclosed: enclosed: ________________ ________________
For Card Orders: Orders: For Credit Credit Card faxfax thisthis form to 845-534-0055 or call form to 845-534-0055 Michelle at 845-534-7500 ext 220
Hospital Newspaper - NE Nov/Dec 2013
Emergency Medical Associates Named to Modern Healthcare’s Best Places to Work in Healthcare List for the Third Year Emergency Medical Associates is among 100 companies nationwide who have been named to the 2013 Best Places to Work in Healthcare list compiled by Modern Healthcare magazine. Emergency Medical Associates is pleased to be the highest ranked emergency medicine physician group on Modern Healthcare’s list. The recognition program, now in its sixth year, honors workplaces that enable employees to perform at the optimum level to provide patients and customers with the best possible care, products and services. This is the third year that the company has been named to the list. “Since 1977, our physicians, mid-level providers and support staff have enjoyed a work environment where quality and excellence in practice is the norm. We reward clinical acumen with competitive compensation and benefits, and opportunities for advancement,” explains Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “We’re honored to again be recognized by Modern Healthcare.” Nearly 350 healthcare companies participated in this year’s program. The program surveyed employees and analyzed their responses in eight core areas: • Leadership and planning • Culture and communications • Role satisfaction • Working environment • Relationship with supervisor • Training and development • Pay and benefits • Overall satisfaction
About Emergency Medical Associates Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.
The Sign of Excellence ence in Emergency Medicine edicine® ree Decades for More Than Three
Stuhlmiller Co-authors Article for Air Medical Journal David F.E. Stuhlmiller, MD, FACEP, CMTE, co-authored an article for Air Medical Journal. The article, which appeared in the September 2013 issue of the publication, was titled, “Critical Care Transportation by Paramedics: A Cross-Sectional Survey.” Dr. Stuhlmiller is a partner of Emergency Medical Associates and chairman of the department of emergency medicine at Newton Medical Center, Newton, N.J.
Modern Healthcare revealed the ranked order of the 100 Best Places to Work in Healthcare Oct. 24 at a banquet in Atlanta. Patel Participates in Panel Discussion at NJ-ACEP Hetal Patel, MD, participated in a panel discussion at the New Jersey chapter of the American College of Emergency Physicians Scientific Assembly held May 7 at the Princeton Marriott at Forrestal. The panel discussion topic was simulation medicine followed by simulated patient care scenarios. Residents competed in teams and involved simulation cases of traumatic rhabdomyelolysis, pediatric botulism, and intussusception. Dr. Patel is a partner of Emergency Medical Associates and is an emergency physician at Morristown (N.J.) Medical Center.
Nevins Gives Lecture at Morristown Medical Center Sol Nevins, MD, FACEP, gave a lecture to emergency medicine residents at Morristown Medical Center Aug. 6. The presentation was entitled, “Surviving a Career in Emergency Medicine.” Dr. Nevins, an attending emergency physician, was a past recipient of the “New Jersey EMS Medical Director of the Year” award from the NJ EMS Council. Dr. Nevins is a partner of Emergency Medical Associates and is a member of EMA’s Board of Directors.
35 yyears ears of expertise exper x tise
SServing er ving pa patients tie ents in Rhode Rhode Island, Island, New York, York, New Jersey ey and P ennsylvania, as w ell as North Nor th Carolina Carolina Pennsylvania, well
D Dedicated edicated bo board-certified oard-cer tified emergency emerge ency physicians physicians integrate integ gra te iinto nto yyour our hos spital’ss cultur e hospital’s culture
R Recognized ecognized for for clinical e excellence, xcellence, quality quality service ser vice and high patient satisfaction pa tient sa tisffaction
(877) 692-4665 5
www.EMA.net www .EMA A.net
Hospital Newspaper - NE
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
The Password to Access Strategic IT Solutions? Try G-P-O. To succeed in today’s healthcare system, information sharing across provider types and locations is essential—a task made easier by information technology. For years, hospitals have funneled resources into cutting-edge medical technology, but lagged behind in using IT to streamline processes and disseminate information. Hospitals are now challenged to bolster their IT systems—both hardware and software—to link the people and processes that affect cost, quality, and outcomes. With the capability to share data quickly and securely, as well as perform complex analytics, IT is vital to every hospital’s strategic plan. The high price tag of IT investments warrants a clearly defined methodology to assess the value of the technology. However, when making that assessment, the way in which the technology affects the organization’s overall healthcare delivery, not just the efficacy of a specific function (such as network management), should also be considered. IT projects are more likely to succeed when the following organizational and project features are in place: 1. A set framework to regularly assess organization-wide IT capabilities and investments 2. Realistic expectations and timelines for IT project implementation 3. Deployment strategies that include ample testing, training, and input from stakeholders other than IT (supply chain, clinicians, etc.) 4. Availability of baseline process performance measurements 5. Plans for ongoing IT measurement and reporting processes One of the reasons that IT implementation is complex is that oftentimes more than just internal factors are involved. IT may require compatibility across systems and industries. There are also usage and security restrictions to be considered. That's where a group purchasing organization can be indispensable. A GPO can help health organizations streamline the process of meeting their information technology needs, whether by aggregating volume to get the most competitive prices on personal computers or tablets, or by identifying the best data storage solutions that comply with essential regulatory standards. At GNYHA Services, in addition to offering contracts for services ranging from IT consulting to image management, we provide access to strategic technology solutions for e-procurement, staff scheduling, and even mobile device recycling. And our members can rest assured that their IT services meet HIPAA and other regulatory requirements. Our IT vendors provide secure data delivery and storage solutions (such as encrypted email)—all HIPAA compliant for data exchanged over the Internet—with detailed tracking and reporting capabilities for auditing purposes. By providing the means for patients, providers, and other organizations to access vital data and communicate with each other, IT has the potential to impact all of healthcare’s main components, including clinical, financial, and operational processes. But you don’t have to wade into the deep end of IT alone: your GPO, with a strategic IT portfolio, can help hospitals and health systems access the most relevant, innovative, and secure IT services at the greatest possible savings. Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM).
Hospital Newspaper - NE Nov/Dec 2013
Achieve Optimal ITâ€”SYNC to SAVE
From iPads to EHRs, hospitals are placing renewed focus on IT capital investments. GNYHA Services helps providers keep pace with this dynamically changing industry. Our contract portfolio is built using member feedback to ensure that members achieve savings in every healthcare IT category.
Turn to GNYHA Services to sync systems with savings. Call us today at (212) 246-7100.
555 West 57th St. I New York, NY 10019
Hospital Newspaper - NE
“Never Let a Setback Make You Sit Back” A Story of Courage and Determination
miracles of rehab
Within only five weeks, Carlton had progressed from being completely bed-bound to walking even stronger and steadier than he did before the second accident. “I had faith that I’d recover,” he said. “I just didn’t realize that they would have me up and walking so quickly.” Today, Carlton continues to receive Gaylord out-patient care with a group of therapists he considers to be friends. “They all love me in there,” he joked. Never one to let a challenge slow him down, Carlton said that he looks forward to helping others facing
traumatic injuries like his. Weeks ago, Carlton was invited to speak at Gaylord’s Spinal Cord Injury Support Group where he shared his story through an aptly entitled presentation, “Don’t Let a Setback Make You Sit Back.” “I just hope that I can encourage them the same way that Gaylord encouraged me throughout my own journey.” It’s a journey, Carlton said, that he likens to a miracle. “I’ve got God on my side,” he explained, “and Gaylord.” “Both of them were there with me every step of the way.”
By Joy Savulak It was a miracle that Carlton Crooks made it through the night. For seventeen hours, the 29year-old lay unconscious in the woods along route 691 after his motorcycle lost control and clipped the guard rail, launching him and his bike down an embankment - and out of the sight of passersby. The force of hard, unforgiving metal against flesh completely sheared off Carlton’s left leg. As he lay there unnoticed, Carlton bled profusely, his body barely clinging to life. The next morning, an observant passenger gazing out of the window spotted something unusual in the woods and urged his friend to turn around. Something, he felt, was wrong, an instinct that would ultimately make the difference between life and death. The commuters got off at the nearest exit and doubled back to the scene. Only steps away from the shoulder the two found a telling trail of evidence pointing to something terribly awry. First, they saw a helmet. Next, the back end of a motorcycle. Finally, they came upon the motorcyclist himself, bloodied, in shock, and slowly but deliberately crawling towards the road. The stunned men called 911. Within minutes LifeStar arrived to transport the barely responsive young man to Hartford Hospital. Though Carlton’s body was out of the woods, his life certainly was not.
He had lost a critical amount of blood and doctors were amazed that he had survived. His dislocated arm was severely injured and would remain frozen in place for months to come. Ligaments in his remaining leg were torn from his ankle. To make matters worse, doctors discovered a life-threatening blood clot in Carlton’s heart that was working its way to his lungs. He was immediately rushed into open-heart surgery. Carlton woke up in a hospital room disoriented and unaware of what had transpired six days earlier. “I had no idea why my leg was hurting so badly,” he said. “I asked the nurse, but she didn’t want to tell me about the amputation.” The doctor stood by Carlton’s bed side to reveal the stark reality of his situation. “In that moment, I knew that I had two choices: scream and cry, or accept it for what it was. Crying wasn’t going to change what had already happened, so I was determined to make the best of it and go on with my life.” After a 39-day stay at the hospital, Carlton returned home with visiting nurse services and commenced outpatient therapy at a facility that was not equipped to handle his rehabilitative needs. His doctor instead referred him to outpatient rehab at Gaylord Hospital, a decision that Carlton believes has made all the difference in his recovery. Carlton was immediately struck by the facility’s state-of-the-art equipment, its “amazing” therapy pool, and most of all, the “kindhearted” and “motivational” staff.
“Everyone was fabulous,” he recalled. “Each therapist had the same uplifting spirit and pushed me to give a little more.” That encouragement, coupled with Carlton’s innate drive and determination, helped the young man quickly regain his strength, gain mobility in his injured arm, and learn how to walk with his new prosthetic. But just as he was making significant strides in his recovery, a small patch of ice on a cold January night brought his progress back to square one in an instant. Carlton was traveling with a friend on I-91 when the vehicle hit black ice, spun around, and flipped onto its side. The impact ejected him through the driver’s side window and onto the highway, instantly breaking his lower back. “It was excruciating,” he recalled. “I felt every bit of it.” After three weeks in the hospital, Carlton was admitted to Gaylord Hospital for in-patient care. Though wracked with severe pain and unable to move, Carlton faced his recovery with the same optimism and stoic determination that helped him only months before. The father of two eagerly looked forward to each therapy session as an opportunity to recover and often sought out extra time in the gym. He fondly recalled how all of the staff encouraged him when he was feeling disappointed with his progress. “They pushed me when I didn’t feel like pushing myself. I really appreciated that,” he said.
Whatever Your Activity...
We can help.
Frequently treated diagnoses include: • ACL reconstruction and/or meniscal repairs • Rotator cuff repairs • Ligamentous sprains/strains • Ankle sprains and Achilles repairs • Joint replacement • Sports injuries • Back and neck injuries • Tendinitis/bursitis • SI/pelvic dysfunction
8 Devine Street, North Haven, CT
Hospital Newspaper - NE Nov/Dec 2013
Getting back in the driver’s seat after a massive stroke “Helen, help me!” Larry Malone’s wife, Helen, remembers the events of that spring night earlier this year as if they took place yesterday, temporarily speaking for her husband due to cysts on his vocal chords. The couple had watched the Boston Red Sox game on TV at their Arlington, Massachusetts, home before turning in. She was wakened at midnight to find 76-year-old Larry soaking wet and in distress. Larry tried to get up, but found his world was spinning out of control. Helen called 911, and Larry was whisked to Lahey Hospital & Medical Center in nearby Burlington, where he was admitted on May 17th. At first, doctors thought that the retired auto body shop owner might be experiencing vertigo. Soon, however, they detected evidence of a massive stroke within his right cerebellum, affecting his right side, confirmed by imaging. Larry’s condition was touch and go. But doctors were able to stabilize him and he was transferred to New England Rehabilitation Hospital (NERH), in Woburn, on May 24th to begin intensive rehabilitation therapy. An avid outdoorsman, Larry arrived at NERH determined to get back on his feet. It was going to take hard work. The stroke had left Larry with a significant right lateral lean with no sense of where his midline was. As a result, he had poor balance leaving him unable to sit up in a wheelchair unless strapped in and needing maximum assistance for walking. He also couldn’t pay attention to the right side of his environment. Larry began a regimen combining physical, occupational, and speech therapy. He received a minimum of three hours of therapy a day, five days per week. After four weeks, he had regained enough ground to go return home and continue therapy on an outpatient basis at NERH. “Larry wanted to get back to his regular life,” said Occupational Therapist Kerry Flatley. “So we made it a priority to not only get him walking, but to get him used to different surfaces so he could go outside and mow the lawn.” Over three months, Larry moved from wheelchair, to walker, to cane. He also began therapy using
the Dynavision, a technological marvel that uses a light training board to help those with visual and visuomotor impairments. “We can scale the Dynavision to make tasks progressively more difficult,” explained OT Flatley. “Larry progressed to where he could read a book while attending to light prompts.” Larry was ready to get back behind the wheel. He participated in the hospital’s Driving Program, successfully completing the two-part program, which culminates in a behind-the-wheel test.
He passed with flying colors – a testament to the power of hard work and intensive therapy.
miracles of rehab provided
Paralyzed at 21, Michael Warner received intensive rehabilitation at Fairlawn. Today, he is a lawyer, a husband, and, most importantly,
Elle and Emme’s dad. dad
FAIRLAWN REHABILITATION HOSPITAL Providing comprehensive acute rehabilitation since1987. Specialty Programs x x x
Stroke Brain Injury Spinal Cord Injury
x Multiple Sclerosis x x
Fairlawn is the only acute rehabilitation hospital in Central Massachusetts 189 May Street, Worcester, MA ~ 508-791-6351
Hospital Newspaper - NE
Amputee doesn’t stand still for long
miracles of rehab
BY MARY HERMAN-CAPPOLI
Although she and her husband Carl have 10 grandchildren, Peg Kirby is far from your typical grandmother. A risk taker by nature, she is a licensed pilot who’s dabbled in sea kayaking and hanggliding. She and Carl even lived in Alaska for a year just for the experience of it all. “I guess I’ve always enjoyed the adrenaline rush of doing adventurous things. It makes me feel alive,” says Peg, who is also an avid motorcyclist. And it was during an end-ofsummer ride on her Yamaha, that Peg’s adventurous lifestyle took an unforeseen turn. Hit broadside by a car while en route to the Worcester Airport to go flying with a friend, Peg suffered multiple injuries, including broken ribs, a broken arm, and serious lacerations. But the worst injury by far was to her left leg. “I remember looking down and seeing my leg barely attached to the rest of my body,” she recalls. Brought to the trauma unit at UMass Medical Center, Peg remained fully awake and fairly confident that she would need to have her left leg amputated. She was right. Following the amputation, pain and fear were Peg’s most frequent visitors. “Pain was by far the hardest part,” she says, explaining that she vacillated between that pain and “feeling out of it” due to the medications she was taking. “I was scared. I didn’t know anyone who was an amputee, so I didn’t know what to expect,” she says. “I worried about what my life would be like. I worried about my husband wanting me anymore. And I worried about returning to work.”
Peg’s work as a child psychologist had long been her life’s passion. Specializing in treating children who have experienced trauma, most of them adopted, she worried about “what would happen to my families if I didn’t return to work,” she says. Once medially stable, Peg was transferred to Fairlawn Rehabilitation Hospital in Worcester, MA. “When I was admitted to Fairlawn, I couldn’t do much of anything,” she recalls. “I couldn’t get out of bed, stand, walk or even dress myself. As a psychologist, I am used to taking care of other people, and now I was in the position of needing to be taken care of. It was not a comfortable situation for me.” The day after her admission, Peg had her first therapy session. “It wasn’t fun. Standing up that day felt impossible, and it took me a while to like that physical therapist, but I did by the time I left. I had fantastic therapists who balanced support with persuasion,” she says. While therapists worked with Peg for three to five hours a day, Fairlawn’s physicians and nurses tended to her complex medical needs. “The nurses really cared about me. They had a tough job. I had a lot of serious wounds, and my amputation site was still very raw,” she says. “They provided excellent pain management and wound care, spending a great deal of time changing my dressings and always taking care to keep a sterile field so there was no threat of infection.” By discharge from Fairlawn, Peg had made great strides. “I was in the hospital a month and learned to take care of myself in a wheel chair using only one arm and one leg. After I got my prosthesis, I went back to Fairlawn for outpatient therapy.”
Peg’s amputation does not keep her from enjoying her favorite pastimes, including canoeing on the pond behind her home.
Along with helping her to regain independence, Peg credits Fairlawn with helping her to reach a higher level of physical fitness. “There is a huge correlation between my improved fitness and what I learned at Fairlawn. They taught me what muscle groups to use for certain activities and how to improve my core body strength.” These days, Peg relies on that strength to enjoy nearly all the activities she did prior to her accident.
Still traveling, canoeing, and flying, she returned to work just weeks after her inpatient stay at Fairlawn. Returning to work was a defining moment in her recovery. Helping families continues to bring her great satisfaction. “It feels like important work,” she says. “Fairlawn brought me back, and now I can continue the work I really love.” To see Peg’s story on film, visit fairlawnbroughtmeback.com.
Mural Brings Fairlawn’s Unique History Alive
It did not take long for Peg’s dog Dolce to get his walking partner back.
A mural tracing Fairlawn Rehabilitation Hospital’s unique history was recently unveiled in the hospital’s main lobby. A year in the making, the pictorial-textual mural tells the story of how the 120 year-old brownstone mansion that once served as the family home of prominent local builder transitioned to a small community hospital and then to the area’s first and only acute rehabilitation hospital. The mural includes photographs dating back to the late 1880’s through present day. The unveiling marked the culmination of Fairlawn’s year-long celebration of its 25th anniversary as an acute rehabilitation hospital.
Hospital Newspaper - NE Nov/Dec 2013
miracles of rehab Cardiac Arrest at Fenway Park
If you’d like to reach the health and hospital communities of New England each month, there is no more cost-effective way than the Hospital Newspaper. Call Maureen Linell to place your advertisement: 508-869-6201
Five decades, one philosophy...
Unparalleled Care. Unparalleled Caring. IT’S
A PROMISE THE S ALMON FAMILY HAS BEEN FULFILLING AT B EAUMONT FOR THREE GENERATIONS .
WE SPECIALIZE IN COMPLEX MEDICAL AND POST-SURGICAL CARE IN A WARM, PATIENT-CENTERED ENVIRONMENT:
“I never saw it coming,” said 58-year-old Joseph Brill of Quincy, Massachusetts, describing his cardiac arrest at Fenway Park. The year before, Joe had been successfully treated for cancer with the removal of one kidney, serendipitously found during imaging for a back injury. So on September 15th as the Massachusetts State Lottery employee entered Boston’s Fenway Park to watch his beloved Red Sox play, it was with a spring in his step. Five minutes later, instead of enjoying the game, he was receiving Cardiopulmonary Resuscitation (CPR); he would have to be defibrillated five times to restore his heartbeat. Joe was raced to Beth Israel Deaconess Medical Center. There, a skilled team induced a coma, placed him on a ventilator, and inserted a feeding tube to help stabilize him. It would be almost three weeks before he was well enough to take the next step on his journey to recovery – intensive rehabilitation at Braintree Rehabilitation Hospital, a world-class rehabilitative facility where he would receive a minimum of three hours of therapy a day, five days per week. A Fan of Braintree Rehab Joe arrived at Braintree Rehab on October 4th, able to breathe on his own but experiencing other cardiac arrest-related issues. While he could walk with moderate assistance, he needed help getting in and out of bed and making other transfers, and maximum assistance for bathing, grooming, and dressing. Oxygen deprivation had caused
confusion and impaired cognition. And while the feeding tube had been removed, Joe would have to relearn how to swallow accommodate different types of foods. “We thoroughly evaluated Joe upon admission to determine his deficits and develop an individualized treatment plan,” said Physical Therapist and Neurologic Certified Specialist Dan Coughlan. “Our goal was to help him successfully reintegrate into the environment.” Joe began an intensive regimen of physical and occupational therapy to improve balance and walking and help with the activities of daily living. A speech therapist worked with him to address cognitive issues, including loss of memory and executive function. And he relearned how to eat a typical diet. “Braintree Rehab was great. They got me going up steps, showering by myself, and doing all of the little things you need to be able to do to go home,” said Joe. A Homecoming to Remember Braintree Rehab discharged Joe on October 16th. He left needing little to no assistance with functional tasks and with improved cognitive ability. Little did Joe know he would experience the homecoming of a life time. Joe went to the final World Series game, was reunited with the emergency medical service team that saved his life, watched the Red Sox win, and was invited onto the field where he was interviewed by a television news reporter.
• Orthopedic Recovery • Neurological Rehabilitation
• Amputation & Prosthetic Care
• Skin/Wound Management
• Cardiac & Pulmonary Recovery
• Palliative Care • Oncology Management • Pain Management • Diabetic Management • Enterostomal Care
Hospital Newspaper - NE
Center for Hospice Care’s creates a garden for healing grief Center for Hospice Care will create a Healing Garden on its campus in Norwich, which will provide people in New London County a sanctuary of tranquility and rejuvenation where they can work through their loss and grief. As the organization’s President/CEO Carol Mahier notes, “Center for Hospice Care considers the whole family to be our unit of care, which means that in addition to providing hospice and palliative care to our patients, we support their families in grieving their passing. Our Community Bereavement Center annually serves more than 500 people in Southeast Connecticut, including those whose loved ones were not in our care. For this rapidly growing part ofour work, the Healing Garden will be an important resource, providing a place where people can obtain comfort and uplift.”Research studies have shown thatspending time outside in a garden or healing landscape positively affects a person’s emotions and improves their sense of wellbeing -- results born-out by measurements of lowered blood pressure, increased absorption of
Vitamin D, and improved balance in circadian rhythms. As designed by Kelly Sisk of Oasis Gardens, Center for Hospice Care’s Healing Garden will engage all the senses -- with colorful flowers and Zen-garden sand patterns for the eye, aromatic herbs and traditionally therapeutic plants for the nose, and a centerpiece waterfallsculpture for the ear. In addition to these traditional elements, the garden will have unique features that address the special needs of people in the community. For children in Hospice’s bereavement programs, there will be a lawn for gathering in play, which will also feature a large xylophone/chimes for them to make music –kids in Hospice’s Expressive Arts program will help select the instrument. There will also be a small vegetable garden for adults and children to learn and harvest from. And to honor veterans,the garden will feature a Vets Commemorative Rock with an inscribed plaque, beside a flagpole. For help in planting and maintaining the garden, Hospice plans to engage the region’s Master Gardeners, garden clubs, and other volunteers.
(L to R) Lenny Winkler (incoming Board President), Carol Mahier (President/CEO) and Bethany Haslam (outgoing Board President) dig in to start work on Center for Hospice Care’s Healing Garden
Mahier points out that “We want the Healing Garden to be a community resource, open to everyone who needs a place to find peace or
meditate on the loss of a loved one.” To pay for the Healing Garden, Center for Hospice Care will raise $100,000 in a mini-capital campaign.
St. Luke's School donates to Waveny
Plans call for completion and opening of the Healing Garden next summer, with a community celebration and blessing.
The Mercy Community
CEO Fiocchetta elected Vice Chair of LeadingAge Connecticut
Students from St. Luke’s Middle School Art Club presented Waveny LifeCare Network with custom designed, hand-made velour pillows. From left to right: Art teacher, Nancy Arno; students, Alex Awad; Ellie Hobbs; Leo Van Munching; Elise Scott; Cate Brown and Waveny’s Director of Volunteer, Debbie Perron.
The Mercy Community, West Hartford’s premier continuing care retirement community is pleased to announce President and CEO, William J. Fiocchetta of Granby, has been elected as an Officer for LeadingAge Connecticut. Fiocchetta will serve a oneyear term as Vice Chair for the statewide organization. LeadingAge Connecticut is a membership organization representing more than 130 non-for-profit mission driven provider organizations serving elderly and disabled individuals across the continuum of care, including nursing homes, residential care homes, housing for the elderly, continuing care retirement communities, adult day centers, home care agencies and assisted living. To find out more about The Mercy Community, its full range of services and senior living options for residents please visit, www.TheMercyCommunity.org.
Hospital Newspaper - NE Nov/Dec 2013
Cleary appointed to State of Connecticut Alzheimer’s Disease and Dementia Task Force The Mercy Community, West Hartford’s premier continuing care retirement community, is proud to announce that Director of Dementia Education & Programming, Eileen Cleary of Wolcott, has been appointed to the State of Connecticut Alzheimer’s Disease and Dementia Task Force. The appointment was made by Connecticut State House Majority Leader Joe Aresimowicz (D30th Assembly District- Berlin, Southington) as a representative from an organization that advocates for persons with Alzheimer’s Disease and Dementia who are living in long-term care facilities. “We are so proud of Eileen and our growing special care community for the memory impaired at Saint Mary Home,” said The Mercy Community’s President & CEO, Bill Fiocchetta. “Eileen’s commitment to the families and patients afflicted with these diseases is truly second to none, and this appointment to the State’s Task Force is not just a tremendous honor, but also a testament to her years of service to those living with Alzheimer’s and dementia,” added Fiocchetta. In June 2013, the Connecticut Chapter of the Alzheimer’s Association helped to see through the successful passage of House Bill 5979 that establishes a Task Force on Alzheimer’s and Dementia to analyze and make recommendations to improve services and care provided to persons with Alzheimer’s disease and dementia in our state. Cleary joins 22 other members on the Task Force who will be charged with establishing and developing a comprehensive state plan on Alzheimer’s Disease. This plan will in part be focused on boosting public awareness; improving care management; increasing early detection and diagnosis; improving training and workforce development; furthering research; and improving public safety for those with Alzheimer’s and related dementia. To find out more about The Mercy Community, its full range of services and care to families affected by Alzheimer’s and dementia please visit, www.TheMercyCommunity.org.
About The Mercy Community The Mercy Community offers a comprehensive and integrated continuum of senior care and services, including: SAINT MARY HOME, which provides skilled nursing, short- and long-term rehabilitation, dementia, hospice, palliative, subacute, residential and adult day services. THE McAULEY, a Continuing Care Retirement Community, which promotes and fosters an independent lifestyle within a life care setting. In addition, The McAuley offers an Assisted Living Program for those residents who require more assistance with the tasks of daily living. For more information about The Mercy Community, The McAuley, Saint Mary Home, rehabilitation services, or any of our other programs, please visit www.TheMercyCommunity.org. provided
back on my feet.
Couldn’t C ouldn’t h have ave d done one it it aanywhere ny where else. else. Th That’s at’s b because ecause the the Short-Term Short-Term Rehab Rehab tteam eam aatt Sa Saint int Ma Mary r y Home, Home, a part part ooff Th ercy C ommunit y, always always puts puts my my needs needs fi rst. The The doctors doctors aand nd n urses aare re great, great, aand nd I was was b ack home home Thee M Mercy Community, first. nurses back ffaster aster than than I iimagined. magined.
Ask A sk your your doctor doctor ab aabout bout o our ur S Short-Term hor t-Ter m R Rehab ehab program. prog ra m. Two T wo ccutting-edge ut t ing-edge therapy t herapy gyms g y ms • Physical, Physica l, occupational occupat iona l aand nd speech speech ttherapies herapies P Post-surgical ost-surg ica l ccare a re • Pulmonary Pu lmona r y ccare a re • St Stroke roke rehabilitation rehabi litation
GPS A GPS Address: d d r e s s: 2 9 1 Steele S t e e l e Road, Road , W e s t Hartford H a r t ford 291 West www .T h e M e r c y C om m u n it y. or g w.TheMercyCommunity.org 8 6 0-570- 8 4 0 0 860-570-8400 Founded F ounded by by thee S Sisters isters of Mercy Mercy
Hospital Newspaper - NE
“Waveny Walkers” raise funds for Alzheimer’s Disease research Waveny LifeCare Network employees, volunteers and family members helped fight Alzheimer’s disease by participating in this year’s annual Memory Walk at Calf Pasture Beach in Norwalk on Sunday, September 29. Waveny’s team, which has participated in the three-mile walk since its inception 17 years ago, raised over $4,000 for the Alzheimer’s Association Connecticut Chapter through donations and sponsorships. The funds collected will stay in the community to fund essential care and support services for people with the disease. The Waveny team joined scores of walkers from throughout Fairfield County at Calf Pasture Beach in support of medical research to improve treatments and find a cure for Alzheimer’s disease. Waveny’s team is especially passionate about this mission given the dedicated care Waveny provides to patients and residents with Alzheimer’s disease at both the Care Center and The Village at Waveny, Waveny’s assisted living residence for people with memory loss. “Every year, the Memory Walk brings hundreds of people together to raise funds to research and combat a disease that presents enormous challenges to the people it affects directly, their families and friends,” said Ilene Sumberg, director of Waveny’s Adult Day Program and Waveny team captain. “We were proud to have such strong representation and to raise a significant amount of money for the cause.” The Alzheimer’s Association Connecticut Chapter is dedicated to enhancing the quality of life of all people affected by Alzheimer’s
Members of Waveny LifeCare Network’s 2013 Memory Walk team, the “Waveny Walkers,” raised more than $4,000 in contributions for the Alzheimer’s Association that will be used to fund essential care and support services for people with Alzheimer’s disease.
disease and related disorders through advocacy, education and support systems, while promoting research efforts. According to the Association, Alzheimer's disease is the most common cause of dementia and affects as many as 5.4 million Americans. It is a degenerative disease that attacks the brain
and progresses at a variable rate. It results in impaired memory, thinking, and behavior and can last from eight to 20 years from the time of onset of symptoms. Waveny Life Care Network provides a comprehensive continuum of care – now including skilled Home Healthcare – to serve the growing
needs of older adults from all areas. Waveny is a not-for-profit organization that offers independent living at New Canaan Inn, assisted living for people with Alzheimer’s and memory loss at The Village, and skilled nursing at Waveny Care Center. It also includes the Brown Geriatric Evaluation Clinic, a Geriatric Care
Management team that provides 24hour coverage, an Adult Day Program that offers flexible hours and transportation six days a week, inpatient and outpatient Rehabilitation Services, and respite programs at both The Village and Care Center. For information call (203) 594-5200 or visit www.waveny.org.
Hebrew Health Care’s Resident Council President collects eyeglasses for the less fortunate Paula Dunn, Hebrew Health Care’s Resident Council President, has been on a mission for the past several months to collect as many used pairs of eyeglasses as she can for the Lion’s Club; reaching out to family members, friends, staff, volunteers and board members of Hebrew Health Care to assist her. Driven to help those less fortunate by giving them the gift of sight, her hard work paid off when she was able to collect a box of glasses and present it to a member of the local Lion’s Club, Christopher Wicke. Hebrew Health Care is a nonprofit, non-sectarian health care
provider featuring a full spectrum of integrated and seamless in-patient; out-patient and community based geriatric services to meet the needs of older adults in the Greater Hartford community. Hebrew Health Care is committed to providing comprehensive care of the elderly. Not simply saying it, not simply building it, HHC does it – every day, every week, every year, for over 100 years. Hebrew Health Care’s commitment to the elderly in the Greater Hartford area is unparalleled and is the foundation on which our reputation for excellence is based.
Hospital Newspaper - NE Nov/Dec 2013
Hospital for Special Care to open Parkinson’s Disease and Movement Center; appoints Adam Simmons, M.D. as Director
Hospital for Special Care (HSC) offers comprehensive evaluation and treatment for patients diagnosed with Parkinson’s disease and related neurological disorders. Staff Neurologist and Movement Disorder Specialist Adam D. Simmons M.D., DABIHM will head the program. More than one million people have Parkinson’s disease in the United States, and 50,000-60,000 new cases are diagnosed each year. Parkinson’s disease can affect gait, balance, flexibility, coordination, speech, voice and swallowing which affects activities of daily living and overall quality of life. “It is our mission at Hospital for Special to provide treatment for all stages of the disease process, from onset and early symptoms, to later-stage disease,” said Adam D. Simmons, M.D., DABIHM, director, Parkinson Disease and Movement Disorders Center, Hospital for Special Care. “We emphasize active patient involvement in their own care, to include exercise, physical therapy, medications, and lifestyle changes,” Simmons said. Certified by the American Board of Psychiatry and the American Board of Integrative Holistic Medicine, Dr. Simmons received his medical degree from University of Pennsylvania School of Medicine. He completed his residency and received a fellowship in movement disorders at Beth Israel Deaconess Medical Center, Harvard University.
Dr. Simmons joins HSC from Springfield Neurology Associates, Springfield, Mass. where he was a neurologist and acupuncturist. Prior to that, he was Assistant Professor of Neurology at the University Of Connecticut School Of Medicine where he also served as Medical Director of the Neuromodulator Program. The HSC program features the Lee Silverman Voice Treatment (LSVT) BIG and LOUD Program that was developed in 1987 and incorporates LOUD specialists in speech pathology and BIG-certified physical therapists. With the LSVT LOUD, the muscles used for voice and speech are stimulated through a systematic hierarchy of exercises. Treatment improves respiratory, laryngeal and articulatory function to improve speech intelligibility with improvements shown to last up to two years following treatment. With LSVT BIG, the scientifically proven principles of LSVT LOUD can be applied to limb movement, and training results in improved motor functioning including faster walking with bigger steps, improvement in balance and increased trunk rotation.
Other offerings through our speech and swallowing center include swallowing (clinical dysphagia) evaluations, expiratory muscle strength training (EMST) and
Madison Oral Strengthening Therapeutic (MOST) device application to assess tongue muscle strength and guide isometric progressive resistance training to improve tongue
strength necessary for swallowing. For more information on HSC’s comprehensive Parkinson’s disease program, please call 860.832.6258 or visit www.hfsc.org.
Providing Premier Rehabilitation Services
Celebrating our partnership
with Jewish Healthcare Center providing physical therapy, occupational therapy, and speech therapy.
Jewish Healthcare Center
s DPH Survey Performance Tool Score 132/132 s Now Accepting Fallon, Tufts, Harvard Pilgrim, and BMC – Health Net Insurances s Wound Management s Peritoneal Dialysis Therapy s Post-Surgical Care s IV Therapy s A Caring and Compassionate Center Since 1969 2%(!"),)4!4)/. s 3+),,%$ .523).'