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Community Volunteers In Medicine

Providing Healthcare, Hope and Healing

FALL 2011 Dear Friends, As is always the case as we close the fiscal year, the summer months are filled with numbers and facts, budgets and planning and patient volume analysis. We continue to experience the trend of rising volumes across all departments—this past year ended with yet another double digit increase of 11% over the previous year. While the business of running one of the largest Volunteers in Medicine clinics in our country could easily consume volunteer and staff leaders, we need only to walk by an exam room or dental chair to be reminded of the human factor. Dr. Albert Schweitzer said of the human element, “In everyone’s life, at some time, our inner fire goes out. It is then burst into flame by an encounter with another human being. We should all be thankful for those people who rekindle the inner spirit.” This is the essence of everything we do at CVIM. The patients receive nurturing, quality care during every visit. In turn, the staff and volunteers draw much reward from each patient’s unique strength and courage as they navigate their complex lives. We also benefit significantly from the community and corporate relationships we have enjoyed throughout our 13-year history. Each relationship becomes a true partnership, serving many purposes – making all who participate better, stronger, and more complete. At CVIM the community comes together-donors, corporate friends, community-based organizations, volunteers, staff and fellow healthcare providers—to ensure that the healthcare needs of the most vulnerable are met. Thanks to the ongoing and increased support of our partners, we have had a positive impact on the harsh, human reality of the growing numbers of uninsured families in Chester County. This newsletter highlights just a few of our partners who represent the whole of a community that comes together to heal a community. You rekindle our spirit every day! Cordially,

Maureen Tomoschuk President and CEO

Dr. Susan Ward, volunteer rheumatologist, exams Carol’s hands for continuing signs of joint pain and swelling from her chronic rheumatoid arthritis.

Working with her hands... and her Heart Carol Lawrence, of West Chester, worked as a hairdresser for many years. She was on her tired feet long hours and using her hands until they hurt, but never really knowing why they hurt. Probably just from working hard. So she thought. Then the pain and tiredness became too much to bear. Without insurance she was not one to run to the doctor for every little ache. But, this was different. She went to her family doctor who was kind enough to see her and allow her to pay what she could for her care. Ultimately she was diagnosed with rheumatoid arthritis. RA is a chronic, long-term autoimmune disease that leads to joint pain, stiffness and fatigue. Without proper treatment the joints can become permanently damaged; a fact that would certainly keep Carol from making a living. Because of the chronic and severe nature of the disease, Carol’s doctor referred her to CVIM where he knew she would receive the ongoing treatment, prescription medications and disease management education she needed. “If it wasn’t for CVIM, beams Carol, I would not be working today. They helped me with my arthritis, my weight and even gave me a pre-employment physical for my new job.” Carol has reinvented herself by eating better, losing nearly 40 pounds, and becoming a home health aide. She brings to her new job the same enthusiasm and love of people as she had as a hairdresser. Helping elderly or house-bound clients get the care and friendship they deserve is a natural calling for Carol. “I hold them all in my heart. And that is where I hold all of the CVIM people too. “ Carol does not reflect on the challenges she faced while she was working her way back to better health. Instead she attributes her success to CVIM. “Dr. Mary (the clinic’s medical director) calls me after hours to discuss my lab results. Jody (nurse practitioner) keeps me straight and makes sure I am doing what I am supposed to be doing in between visits. And, Dr. Ward has been so helpful and caring.” Dr. Susan Ward, volunteer rheumatologist, returns the compliment by stating, “Carol is doing very well and has come a long way from the first time we met. She is a compliant patient and truly wants to control her disease so she can be active and work.” Like many of the patients at CVIM, Carol also sees the volunteers and staff in the CVIM dental service. “She came to us with 5 large cavities and in terrible pain and in need of a root canal,” says Peter Thompson, DDS, Vice President of Dental Affairs. “Ultimately, we were able to save the one severely decayed tooth by performing the root canal. She was so excited that we were able to keep her smile whole.” You see, Carol uses that smile constantly—it, along with her heart, are the tools of her trade. The mother of 2, grandmother of 6 and great grandmother of 2 is just one year away from her 60th birthday. She felt every bit that age a few years ago, but now that her RA is under control, her smile has been restored and her life is back on track—60 will be the new 40 for Carol Lawrence.


New CVIM dentists, Sofia Barroso, DMD (center) and Peter D. Thompson, DDS review a patient x-ray and chart with student dentist Rania Madhaun. Rania holds a dental degree from Bulgaria and is currently applying to U.S. dental schools to complete the two-year program to secure a license to practice dentistry in the U.S.

Our Dental Team — Committed to Quality, Compassion and Access According to the American Dental Hygiene Association, people without dental insurance are four times more likely to have unmet dental needs than those with coverage. The CVIM dental team can attest to this fact as they have experienced increased demand for their free services and witnessed the painful reality of delayed dental care. In FY 2011, CVIM’s dental program provided 5007 patient care visits for nearly 1,800 uninsured patients, 804 (or 46%) of whom were new patients. In order to continue to be able to increase access to free dental services CVIM actively enhanced its dental team in several ways. Recently retired, West Chester-based dentist, Peter D. Thompson, DDS, joined the staff as Vice President of Dental Affairs in April. He serves part-time as a practicing dentist while overseeing the care performed by dental students and the volunteer dentists. Dr. Thompson served as a volunteer dentist at CVIM for the past eight years, and has been an active member of the West Chester Rotary for more than 25 years. As a Board member of Serving at the Crossroads, an organization dedicated to bringing

healthcare services to Honduras, he has worked to bring medical and dental equipment and supplies to, as well as building a clinic in the town of La Entrada, Honduras. He is a graduate of Haverford High School and Western Maryland College and received his dental degree from Temple University School of Dentistry. This summer Dr. Sofia Barroso joined the staff and will also serve in a part-time capacity treating patients and working closely with students. A native of Cuba, Dr. Barrosa is bilingual and received her Doctor of Medical Dentistry from The School of Dentistry in Havana, Cuba in 1991. She recently successfully completed the two-year University of Pennsylvania program for licensing foreign educated dentists in the U.S. After moving to the U.S. and prior to receiving a U.S. license, Dr. Barossa continued to advance her dental skills by working as a dental hygienist for several years. “We are delighted to have the diverse experience and language ability of our new dentists, says Alberta D. Landis, RDH, MEd, VP of Dental Services. They have brought so much to our program.”

During recent planning and program evaluation sessions, it became evident that there was also an unmet need for late afternoon and evening appointments for dental hygiene. The morning and early afternoon hygiene appointments are mostly covered by students from dental hygiene programs at Harcum College and Montgomery County Community College. CVIM addressed the void by hiring Tanya Phillips, a public health certified dental hygienist, to work on Monday evenings when the clinic is traditionally open to serve medical patients needing after work appointments. The staff recently conducted a study of 50 adult dental patients who were receiving hygiene appointments and education. Fifty percent of the patients returning for check ups showed marked improvement in their oral hygiene—underscoring the continuing need for expanded access to these appointments. The core dental staff of Alberta Landis (12 years), Luzmery Winakur, EFDA (5 years) and Jackie Mecke, dental assistant (10 years) are the heart and soul of the department. “Through the years, I have seen such growth in our depth of services in the clinic and in the impact of our outreach programs for children, says Alberta. This evolution has only been possible because of the ongoing commitment of our staff and the generosity of 25 dentists and 8 dental hygienists based in our community who volunteer their time.” Luzmery, a bilingual native of Venezuela, received U.S. citizenship status and completed certification as an Expanded Function Dental Assistant. Her new duties now allow her to be more productive as she is able to fill teeth, make impressions, polish crowns and apply fluoride. Jackie’s experience working side by side with so many of the longtime volunteer dentists continues to enhance the efficiency and workflow of the department—an essential component of making sure that patients can get the care they need quickly so they may return to their jobs and families. Each member of the dental team has a unique role, special talents and different life experiences. Working together as partners, they are committed to restoring the health and smiles of adults and children in Chester County.


CVIM congratulates Alberta D. Landis, RDH, MEd, V.P. of Dental Services on her appointment to the Chester County Women’s Commission. The commission is celebrating its 15th year of supporting women’s issues through legislative advocacy and other activities in healthcare, economics and education. Also, in November, Alberta will assume the duties of President-Elect of the Pennsylvania Dental Hygiene Association.

According to the American Dental Hygiene Association: An estimated 75% of Americans reportedly have some form of periodontal disease. About 90 % of all systemic disease is a result of poor oral health People without health insurance have four times the rate of unmet dental needs as those with coverage.

Tanya Phillips, PHDHP, recently joined the CVIM dental staff in order to increase the clinic’s capacity to offer hygiene appointments. Tanya’s certification as a public health professional and her dental hygiene expertise allows her to practice without a dentist being present.

CVIM has been a leader in oral health education in the county for many years. CVIM provides oral health screenings and two fluoride treatments annually for all Head Start children in Chester County, including the Migrant Head Start Program (400 children annually). In April, CVIM staff and volunteers completed oral exams on 245 children in the Coatesville Head Start program. CVIM also works closely with three school districts in Chester County – Kennett, Avon Grove and Oxford – whose teachers and school nurses routinely refer children to CVIM for care. For eleven years, CVIM has been working with St. Rocco Center, Avondale, to transport the children to CVIM’s dental clinic. Each week, 15 to 25 children come to CVIM for treatment, prophylaxis, orthodontia and oral health education. Shown here administering a fluoride treatment to a Head Start student is volunteer dental hygienist, Janet Marra.

To learn more about free patient services, volunteering or supporting CVIM, visit our website at www.cvim.org


2011 Companies of Caring Donors (July 1, 2010 to June 30, 2011) CVIM is most grateful for the funding and in-kind support received from the following companies and healthcare providers 1N Bank Abbott Patient Assistance Foundation Academic Urology Advanced Chiropractic Wellness Center, Inc. Advanced Orthopaedics of PA AEGON Albertsons General Offices Anesthesia Associates of Chester County Anexinet Astra Zeneca AZ & Me Prescription Savings Program Auxilium Pharmaceuticals Bayer Health Care Pharmaceuticals Boehringer-Ingelheim Cares Foundations Brandywine Gastroenterology Associates Brandywine Realty Trust Brandywine Valley Cardiovascular Associates Brandywine Valley Endoscopy Brandywine Valley Infectious Disease Brandywine Valley Pain Control Brandywine Valley Radiology Bristol-Myers Squibb Company Bryn Mawr Hospital Bryn Mawr Medical Specialists Associates Caris Diagnostics Cephalon, Inc. Charriot Solutions Chesco Premier Orthopaedic Chester County Cardiology Associates Ches-Mont Disposal Chester County Dental Laboratory Chester County Eye Care Associates, P.C. Chester County Hematology/Oncology Services Chester County Hospital Chester County Neurology Chester County Hospital Medical Staff Chester County Human Resources Association Chester County Orthopaedic Associates, Ltd. Chester County Otolaryngology & Facial Plastic Surgery Chester County Urology Citadel Federal Credit Union Clinical Renal Associates, Ltd. Core Orthopaedics Daiichi-Sankyo Daniel Kane, M.D.

Dermatology & Skin Surgery Center Diagnostic Imaging Direct Relief USA Dux Dental Ear, Nose and Throat Associates of Chester County Encourage Endo Pharmaceuticals Inc. Exelon Generation Eye Surgery of Chesco Eye to Eye Opthamology Fletcher Spaght, Inc. Forest Fujirebio Diagnostics, Inc. Fulton Bank Gas Breaker, Inc. Gateway Endocrine Associates Genentech GE Appliances GSK Bridges to Access Graeme Hudson, DMD Independence Blue Cross Independent Doctors of Optometry ING Employee Giving Campaign iT Edge Janssen Biotech Jazz Pharmaceuticals Jennersville Open MRI Jennersville Regional Hospital Johnson and Johnson Patient Assistance Foundation Amin Kasemi, MD, DMD King Pharmaceuticals Levin & Luminais Eye Associates Liberty Property Trust Lilly Cares Foundation Main Line Clinical Laboratories Main Line Endoscopy West Main Line Gastroenterology Associates, P.C. Main Line Health Main Line Health Imaging Main Line Health Laboratories Main Line Pathology Associates Malvern Electronic Security, L.L.C. Merck Mission Pharmaceuticals Novartis Patient Assistance Foundation Novo Nordisk, Inc.

Online Giving! It’s just a click away www.cvim.org Orthovita Paoli Hospital Patterson Dental Supply Pennsylvania Orthopaedic Center Pfizer Connection to Care Pfizer Foundation Matching Gifts Program Plastic & Reconstructive Surgery of Chester County Precision Print Communications Procter & Gamble Pharmaceuticals Professional Anesthesia Consultants Radiology Associates of the Main Line, P.C. RCMerrell Consulting, LLC RJK Medical Associations ReMax Main Line Charitable Foundation Roche Rothwell Business Systems Salix Pharmaceuticals Sanofi-Aventis Schering-Plough Scott Honda of West Chester Shire Cares Shire Pharmaceuticals, Inc. Siemens Healthcare Sleep Diagnostic and Treatment Center Solvey Starbucks Coffee Company Surgical Specialists, P.C. Takeda TEVA TechSoup Tenusco Tsoules, Sweeney, Martin, & Orr, LLC The Urology Center of Chester County, P.C. URL Pharma ViroPharma Incorporated Vision Instrument Sales & Service Vistarr Laser & Vision Centers West Chester Anesthesia Associates West Chester Cardiology, P.C. West Chester G.I. Associates, PC Women’s Specialty Center Woodward McCoach, Inc. Wound Center Of Chester County XL Foundation, Ltd. XL Insurance USA Yeager Supply. Inc.


CVIM Welcomes New Board Members: We are exceedingly grateful to the organizations and foundations that have consistently designated donated funds annually in support of our dental program. • 1675 Foundation • Chester County Fund for Women and Girls • County of Chester • Edgar R. Lawrence, DDS Dental Endowment • Exelon • Genuardi Family Foundation • Health & Welfare Foundation of Southern Chester County • The Patricia Kind Family Foundation • The Nelson Foundation • Paoli Odd Fellows #290 IOOF • United Way of Chester County • United Way of Southern Chester County • Westtown Goshen Rotary • XL Foundation

Eric Y. Eichler, Malvern and Stacy Sempier, Paoli, recently joined our Board of Directors. Eric is returning to the Board after serving from 2002-2007. He is the Chairman of LCOR, Berwyn, as well as a past Board member of the Academy of Natural Science, Philadelphia; Governor of Urban Land Institute and past Board member of the National Multi Housing Council. Stacy is the Director of Cardiovascular Marketing for Main Line Health Service. She is a retired VP for Global Product Marketing & Communications Healthcare IT Division at Siemens Medical Solutions and a past Board President and current Volunteer for Home of the Sparrow. For a complete list of CVIM Board members, please visit our website at www.cvim.org.

Coming Together to Heal a Community Understanding that spiritual and physical health often are related, members of Main Line Unitarian Church chose CVIM as the recipient of their May Offering Outreach. Shown here presenting the $1,517 gift to CVIM President and CEO Maureen Tomoschuk (far right) are Rev. Craig C. Roshaven, Assoc. Minister and church youth member, Leah Rusenko, a volunteer at CVIM. The clinic enjoys the generosity of faith-based organizations and welcomes inquiries on how your church might partner to make a difference.

Starbucks Coffee locations in Chester County and throughout the region support the clinics dental services by collecting hundreds of dental supplies including toothpaste, soft bristle brushes and floss. Rose Weller, Starbuck’s District Manager for Chester, Montgomery and Delaware Counties (right) and Alberta Landis, RDH, MEd, VP, Dental Services display just a fraction of the donated supplies. Starbuck’s also donates coffee to the clinic on a regular basis.

Dr. Mary Wirshup, clinic medical director (left) and Stephanie Cost, longtime supporter of CVIM, chat at a recent fundraiser organized by Caritas. Stephanie serves as Board Chair of this purposeful gathering of women who strive to improve their community through charitable and compassionate acts. The Caritas hosted “Cocktails for a Cause” event held in June, featuring relaxed socializing, delicious food and elegant raffle prizes while raising $8,000 in direct support of medical care for CVIM patients.


300 B Lawrence Drive West Chester, PA 19380-4263 (610) 836-5990

Fall 2011

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10th Annual CVIM Golf Classic Honorary Chairs, Joseph and Amy Frick show off the Vincent “Buck� Bell, Jr. Honorary Chair trophy at the outing held on June 14 at Applebrook Golf Club. Over the decade the event has raised $1.9 million for patient care thanks to extremely generous corporate partners who sponsor and play in the event year after year. We are particularly grateful for 10 years of support from Brushwood Stable, Siemens Healthcare, Tim & Stephanie Cost, Susan & Eric Eichler, Bristol-Myers Squibb Company, and Citadel Federal Credit Union. For a complete listing of our 10th Anniversary Golf Classic Sponsors visit our website at www.cvim.org.


CVIM Fall Newsletter 2011