THE GRANITE STATE
FEATURING ADVICE FROM A NUMBER OF GRANITE STATE MEDICAL EXPERTS TO KEEP YOU FEELING HEALTHY AND WELL
What’s Inside YOUR
Finding a home at Taylor means more than access to a stunning new cottage or apartment – it means receiving the keys to present and future peace of mind.
Taylor Community is located in the beautiful Lakes Region of New Hampshire with campus locations in Laconia, Wolfeboro, and Meredith. Whether you prefer an active lifestyle lled with tness classes and an extensive lineup of social and recreational opportunities, or would rather enjoy a ne dining experience with friends after a day spent by the lake... Taylor is the place for you!
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WHAT’S INSIDE
NH HOSPITALS
New Hampshire is one of the healthiest states in the country, and to help keep it that way the state is blessed with a variety of hospitals charged with sustaining the quality of health for their communities. Hospitals are the capitals of health care for the regions they serve. Although equipped to handle everything from emergency care to diagnostics and surgery, many hospitals focus on special areas of medicine like cancer and heart disease. Many have developed their own centers for medical specialties. Even the smallest hospitals are hubs for private specialists and group practices. They are a perfect starting point for anyone seeking medical treatment or advice.
Alice Peck Day
Memorial Hospital
10 Alice Peck Day Drive, Lebanon (603) 448-3121 / alicepeckday.org
Since 1932, Alice Peck Day Memorial Hospital (APD) has been the community hospital of the Upper Valley, delivering high-quality care in a friendly environment where patients come first. Today, APD has more than 95,000 patient encounters from communities throughout New Hampshire and Vermont. Long known for providing personalized care, APD also offers a wide range of services that include orthopaedic surgery, neurosurgery, pain management, primary and family care, senior care and women’s care. Through APD’s affiliation with Dartmouth Hitchcock in 2016, we affirm our commitment to creating a sustainable health system to improve the lives of the people and communities we serve for generations to come. Bed Count: 25
Androscoggin Valley Hospital
59 Page Hill Road, Berlin (603) 752-2200 / avhnh.org
Androscoggin Valley Hospital is the leading provider of health care to thousands of families in the small-town communities of New Hampshire’s North Country. As a criticalaccess hospital, AVH offers 24/7 emergency care, in-house treatment of most medical issues and an arrangement for treatment of all other problems with the nearest tertiary-care facility. AVH is a communityowned, nonprofit, critical-access hospital that has positioned itself to continue to provide comprehensive, quality medical care for the greater Androscoggin Valley. Bed Count: 25
Catholic Medical Center
100 McGregor St., Manchester (603) 668-3545
catholicmedicalcenter.org
Catholic Medical Center is an acute-care hospital owned by HCA Healthcare, with a commitment to delivering the highest quality and most advanced health care to patients across New Hampshire. CMC is the home of the New England Heart & Vascular Institute, listed among Becker’s Hospital Review’s “100 Hospitals with Great Heart Programs” for 2016. CMC’s birthing unit, The Mom’s Place, was the first hospital in the state to have a neonatal unit based on “couplet care.” With primary care practices that care for the very young to the young at heart and our dedication to community outreach programs, CMC is helping to foster a healthier community every day. Bed Count: 330
Cheshire Medical Center/ Dartmouth Hitchcock
580 Court St., Keene (603) 354-5400 / cheshire-med.com
The unique partnership of a regional medical center and a multispecialty physician practice has resulted in an integrated health system with a clear focus and coordinated approach to providing high-quality services. Cheshire Dartmouth Hitchcock Keene offers primary and specialty care physician services, state-of-the-art diagnostic tools, programs for improving the health of the community, preventing illness and treating infirmity. Bed Count: 169
Concord Hospital
250 Pleasant St., Concord (603) 225-2711 / concordhospital.org
Concord Hospital is a nationally accredited nonprofit health system providing comprehensive acute-care services and programs to residents throughout New Hampshire. Our cornerstone Centers of Excellence for orthopaedics, cancer, cardiac, urology and women’s health reinforce Concord Hospital as a regional health resource for specialized care that consistently provides unprecedented diagnoses, treatment and support for more than 40 medical specialties. Bed Count: 295
Concord Hospital – Franklin
15 Aiken Ave., Franklin (603) 934-2060 / concordhospital.org
Concord Hospital in Franklin is a criticalaccess community hospital, offering a range of medical, surgical, specialty, diagnostic, as well as therapeutic services, wellness education, support groups and other community outreach services. Bed Count: 25
Concord Hospital – Laconia
80 Highland St., Laconia (603) 524-3211 / lrgh.org
Nestled in the beautiful Lakes Region of New Hampshire is Concord Hospital – Laconia, a nonprofit health care charitable trust representing Lakes Region General Hospital (LRGH) and Franklin Regional Hospital (FRH). It is a comprehensive provider network with a broad array of services and programs. Bed Count: 137
Cottage Hospital
90 Swiftwater Road, Suite 2, Woodsville (603) 747-9000 / cottagehospital.org
For 110 years, Cottage Hospital has served the residents of the Upper Connecticut Valley. Today, Cottage Hospital is a thoroughly modern, 35-bed, critical-
access hospital that has been recognized for providing exemplary care. Staffed by just over 250 employees, 37 medical staff providers and dozens of dedicated volunteers, Cottage Hospital offers low-cost, high-quality health care by using creativity and common sense, and by keeping an eye to the future as well as the present. Bed Count: 35
Crotched Mountain Rehabilitation Center 1& 1 Verney Drive, Greenfield (603) 547-3311 / crotchedmountain.org
Crotched Mountain Specialty Hospital is a post-acute facility for pediatric and adult patients who require acute and sub-acute rehabilitation following injuries and other complex medical conditions including traumatic brain injuries, stroke, spinal cord injuries, ventilator management, and weaning and wound care. Bed Count: 62
Dartmouth Hitchcock Medical Center
1 Medical Center Drive, Lebanon (603) 650-5000 / (603) 650-8034 dartmouth-hitchcock.org
Dartmouth Hitchcock Health (DHH) is New Hampshire’s only academic health system and the state’s largest private employer, serving a population of 1.9 million across northern New England. DHH provides access to more than 2,400 providers in almost every area of medicine, delivering care at its flagship hospital, Dartmouth Hitchcock Medical Center
(DHMC) in Lebanon. DHMC was named again in 2020 as the No. 1 hospital in New Hampshire by U.S. News & World Report, and recognized for high performance in nine clinical specialties and procedures.
Dartmouth Hitchcock Health also includes the Norris Cotton Cancer Center, one of only 51 NCI-designated Comprehensive Cancer Centers in the nation; the Children’s Hospital at Dartmouth Hitchcock, the state’s only children’s hospital; affiliated member hospitals in Lebanon, Keene, New London and Windsor, Vt., and Visiting Nurse and Hospice for Vermont and New Hampshire; and 24 Dartmouth Hitchcock clinics that provide ambulatory services across New Hampshire and Vermont. The DHH system trains nearly 400 residents and fellows annually, and performs world-class research in partnership with the Geisel School of Medicine at Dartmouth and the White River Junction VA Medical Center in White River Junction, Vt. Bed Count: 460
Elliot Hospital
1 Elliot Way, Manchester (603) 669-5300 / elliothospital.org
Elliot Health System is a nonprofit organization serving the needs of the community since 1890. The largest provider of comprehensive health care services in Southern New Hampshire, Elliot Hospital, a 296-bed, acute-care facility and the first community hospital in the state, serves as the cornerstone of the health system. Elliot is home to Manchester’s designated Regional Trauma Center, Elliot Breast Health Center, Elliot Urgent Care, a Level-3 Newborn
Specialty hospitals are highlighted in red
Intensive Care Unit, Elliot Physician Network, Elliot Regional Cancer Center, Elliot Senior Health Center, Visiting Nurse Association of Manchester and Southern New Hampshire, Elliot Health System/Dartmouth Hitchcock 1-Day Surgery Center, Elliot Memory & Mobility Center, NH Arthritis Center, Elliot Retail Pharmacy, Elliot Medical Centers in Londonderry and Hooksett, and The Elliot at River’s Edge. Bed Count: 296
Encompass Health
Rehabilitation Hospital 254 Pleasant St., Concord (603) 226-9800 encompasshealth.com/concordrehab
Formerly HealthSouth Rehabilitation Hospital, Encompass Health Rehabilitation Hospital of Concord provides a higher level of comprehensive services designed to return patients to leading active, independent lives. Accredited by the Joint Commission for meeting or exceeding their national standards of quality and safety, Encompass Health specializes in stroke, orthopedic, spinal cord and brain injury rehabilitation utilizing intensive, customdesigned occupational, physical and speech therapy programs coupled with specialized nursing care. Bed Count: 50
Exeter Hospital
5 Alumni Drive, Exeter (603) 778-7311 / exeterhospital.com
Exeter Health Resources is comprised of three affiliates: Exeter Hospital, Core Physicians and Rockingham Visiting Nurse Association (VNA) & Hospice. Exeter Hospital is a 100-bed community hospital with comprehensive services in breast health, cardiovascular, orthopedics, emergency care, the Family Center, the Center for Cancer Care with Massachusetts General Hospital Cancer Center physicians and more. Core Physicians is a patient-centered group practice offering primary care, pediatrics and other specialty services at locations throughout the Seacoast area. Rockingham VNA & Hospice provides high-quality home care, hospice and community outreach programs in the greater Seacoast area. Bed Count: 100
Frisbie Memorial Hospital
11 Whitehall Road, Rochester (603) 332-5211 / frisbiehospital.com
Frisbie Memorial Hospital has provided quality health care services to the greater Rochester community for over 80 years. By creating space for new services, programs, and the latest diagnostic and surgical technology available, they are committed to meeting the ever-changing health care needs of those communities they serve. Bed Count: 112
Hampstead Hospital 218 East Road, Hampstead (603) 329-5311 / hampsteadhospital.com
Built in 1974, Hampstead Hospital was the first private psychiatric hospital licensed by the State of New Hampshire. The 100-acre landscaped grounds are a fully accredited private, specialty hospital serving the psychiatric and chemical dependency needs of patients and their families throughout the area. Bed Count: 111
Huggins Hospital
240 S. Main St., Wolfeboro (603) 569-7500 / hugginshospital.org
Huggins Hospital is a nonprofit community hospital that endeavors to offer the best of two worlds: the warmth and friendliness of a small town and the technical expertise
of modern medicine. Huggins provides medical services to a year-round population of 30,000 residents and approximately 120,000 seasonal residents and visitors who come from all over the world to enjoy the Lakes Region of New Hampshire. Bed Count: 25
Littleton Regional Healthcare
600 St. Johnsbury Road, Littleton (603) 444-9000 / littletonhealthcare.org
Little Regional Hospital values integrity, compassion, accountability, respect and excellence. It has made significant improvements, including expanding the campus and adding the latest in technology. More importantly, they have increased specialty services provided by highly skilled physicians and clinicians. LRH continues to work hard to meet the growing health care needs of those they serve.
Bed Count: 25
Memorial Hospital
3073 White Mountain Hwy., North Conway (603) 356-4949 / memorialhospitalnh.org
Since 1911, Memorial Hospital has served with distinction all the critical access and health care needs of the Mt. Washington Valley community. Its hospital services include a 24-hour emergency room, surgery center, clinical laboratory, heart health and wellness programs, family birthing center, sleep center, wound care and hyperbaric medicine center. Bed Count: 25
Monadnock Community Hospital
452 Old Street Road, Peterborough (603) 924-7191
monadnockcommunityhospital.com
In 1919, Robert M. Parmelee donated his summer home in Peterborough for use as a community hospital, and in 1923 “The Peterborough Hospital” opened its doors. Now known as Monadnock Community Hospital, its physicians and staff offer extensive services utilizing state-of-theart technology while maintaining the personalized care of a community hospital.
Bed Count: 25
New Hampshire Hospital
36 Clinton St., Concord (603) 271-5300
dhhs.state.nh.us/dcbcs/nhh
New Hampshire Hospital (NHH) is a stateoperated, publicly funded hospital providing a range of specialized psychiatric services. NHH provides acute treatment services for children, adolescents, adults and elders with severe mental illness. NHH advocates for and provides services that support an individual’s recovery. Bed Count: N/A
New London Hospital
273 County Road, New London (603) 526-2911 / newlondonhospital.org
New London Hospital is a rural community hospital with a long-term extended care center dedicated to serving the Lake Sunapee region. Also a critical-access hospital, NLH shares an established relationship with a tertiary care hospital, met by a collaborative agreement with Dartmouth Hitchcock Medical Center. Bed Count: 25
Northeast Rehabilitation Hospital Network
70 Butler St., Salem (603) 893-2900 / northeastrehab.com
Since opening its flagship location in Salem in 1984, Northeast Rehab has added three more acute rehabilitation hospitals located
in Nashua, Portsmouth and Manchester. Additionally, the network includes over 20 outpatient centers, a home care division, a sports medicine division, an outpatient pediatric division and many other services for those in need of rehabilitation. The leader of that effort, Howard Gardner, M.D., was an Army neurosurgeon who had seen firsthand the benefits rehabilitation was offering wounded soldiers. Returning to the Merrimack Valley and establishing a neuroscience practice, New England Neurological Associates, Dr. Gardner and his associates set out to build the first free-standing acute rehabilitation hospital in New Hampshire. Bed Count: 150
Parkland Medical Center
1 Parkland Drive, Derry (603) 432-1500 parklandmedicalcenter.com
Parkland Medical Center serves southern New Hampshire with comprehensive, personalized medical care around the clock. Partnerships with The Lahey Hospital & Medical Center and the New England Heart and Vascular Institute bring specialized medicine by highly skilled physicians, innovative approaches to treatment and advanced technology to their patients. Bed Count: 86
Portsmouth Regional Hospital &
333 Borthwick Ave., Portsmouth (603) 436-5110 / portsmouthhospital.com
Since the late 1800s, Portsmouth Regional has been delivering compassionate medical, surgical and mental health services with a tradition of exceptional responsiveness, patient satisfaction and community involvement. Portsmouth achieves high honors for quality patient care and holds several prestigious accreditations. Bed Count: 209
Southern New Hampshire Medical Center
8 Prospect St., Nashua (603) 577-2000 / snhhealth.org
Southern New Hampshire Medical Center began as an eight-bed emergency hospital in 1893 and has grown to an acute-care facility that retains the personal touch of a traditional community hospital. As a clinical affiliate of Massachusetts General Hospital, SNHH provides its patients with access to collaborative programs in pediatric specialties, cancer care, trauma and the management of stroke. Bed Count: 188
Speare Memorial Hospital
16 Hospital Road, Plymouth (603) 536-1120 / spearehospital.com
From humble beginnings as a soldiers’ and sailors’ hospital to being nationally recognized as one of the best community hospitals, Speare Memorial Hospital is a 100,000-square-foot, critical-access hospital adjacent to Plymouth State University. It strives to be a leader in helping the communities of central New Hampshire achieve optimal health. Bed Count: 25
St. Joseph Hospital
172 Kinsley St., Nashua (603) 882-3000 / stjosephhospital.com
St. Joseph Health is a regional fullservice health care system comprising St. Joseph Hospital, founded in 1908, and a large multispecialty physician group practice serving the greater Nashua area, western New Hampshire and northern Massachusetts. The organization provides
high-quality, compassionate care that contributes to the physical, emotional and spiritual well-being of its community. St. Joseph Hospital, with 208 beds, is a designated Magnet hospital for nursing excellence, a Top Performer, and leads the way in the prevention, diagnosis and treatment of disease. Its extensive physician practice network is recognized for outstanding quality measures and personalized, patient-centered care. Bed Count: 208
Upper Connecticut Valley Hospital
181 Corliss Lane, Colebrook (603) 237-4971 / ucvh.org
Upper Connecticut Valley Hospital strives to improve the well-being of the rural communities it serves by promoting health and assuring access to quality care. Presiding over the nurses station, an etched portrait of Dr. William H. Gifford, considered to be the founding father, hangs with the inscription that he was “a man of magic, medicine and miracles.” Bed Count: 16
Valley Regional Healthcare
243 Elm St., Claremont (603) 542-7771 / vrh.org
As well as a critical-access hospital, Valley Regional Healthcare professionals are available to address cardiac care, childbirth, health care careers, hospital services, pediatric/child care tips, weight control and more. VRH also coordinates hospital tours and other programs for local organizations. The hospital offers these informational programs free of charge as a community service. Bed Count: 25
Veterans Affairs
Medical Center
718 Smyth Road, Manchester (603) 624-4366 / manchester.va.gov
Honoring America’s veterans with quality health care services, part of the largest integrated health care system in the U.S., the Veterans Affairs Medical Center in Manchester has expanded acute inpatient contract care at Concord Hospital. Bed Count: N/A
Weeks Medical Center
173 Middle St., Lancaster (603) 788-4911 / weeksmedical.org
Weeks Medical Center’s caring and compassionate staff is committed to providing the highest quality and efficient health care services to the communities of New Hampshire’s North Country with satellite physicians offices in the towns of Whitefield, Groveton, North Stratford and Lancaster. Bed Count: 25
Wentworth-Douglass Hospital
789 Central Ave., Dover (603) 742-5252 / wdhospital.com
Conceived on March 15, 1904, WentworthDouglass Hospital is an acute-care hospital in the Seacoast region. In 1982, it became the first Seacoast hospital to be designated as a trauma center and incorporated as a nonprofit community hospital. Today, it is one of the largest acute-care hospitals in the Seacoast region. Bed Count: 178
Living Well in the Granite State:
NEW HAMPSHIRE’S LONGEVITY ADVANTAGE
Granite Staters, on average, can expect to live to be 78.5 years, tying for the sixth highest life expectancy of all states, according to research conducted by hormone health clinic Feel30.
Women living in New Hampshire can expect to reach 81.1 years, and men 76.1 years. The research, which analyzed the latest CDC data on life expectancy throughout the country, found a nine-year gap between the highest (Hawaii) and lowest (Mississippi) states, with New Hampshire tied at number six with Rhode Island.
It turns out, where you live has a significant impact on how long you live.
While lifestyle companies and media influencers tout the benefits of anti-aging products and practices, New Hampshire doctors say that most of these have little influence on how we age. Longevity is largely determined
—DR. MASOOMA ATHAR >>
“ People who have been regularly exercising increase their longevity, even as they get older”
“ Toxic substances, like industrial chemicals and pesticides which can sometimes be found in our food, water and household products impact health and aging.”
—DR. ELLEN FLAHERTY
by a combination of your lifestyle choices, environment and genetics.
Between the 1930s and 1970s, Americans saw life expectancy catapult, thanks to advancements in public health. People reduced smoking, and doctors were able to more effectively treat coronary vascular disease, resulting in more Americans surviving strokes and heart attacks, says Dr. William Logan of Concord Hospital Internal Medicine-Laconia, who is board-certified in internal, geriatric, and hospital and palliative medicine.
Despite these gains, Americans now have more access to highly processed foods than ever before and spend less time engaged in physical activity.
“We’ve got ways to absolutely crush your cholesterol into the bargain basement. We can control most blood pressure,” he says. “We’ve added these extra opportunities — and risks — to our world. That produces a lot of personal choice for people.”
GET (AND STAY) PHYSICAL
Personal choices related to physical activity and decent dietary choices greatly influence how long you’ll live, no matter where you live.
Dr. Masooma Athar, medical director of geriatrics at Elliot Hospital and a provider at Elliot Health Senior Care, says she has a patient in their 90s who has lifted weights all of their life and continues to lift weights. Another patient, 82, spent last winter skiing with her family.
“People who have been regularly exercising increase their longevity, even as they get older,” she says. “Say you’re 60, 65, 70 or even 80, and you decide to start exercising. That’s definitely going to help. If you don’t use it, you lose it.”
Logan agrees that active people are more apt to live longer. The patients
he sees who still chop their own wood, farm or work in the garden enjoy better overall health. The more exercise you’re able to incorporate into your lifestyle when you’re younger, the more it will pay off for you in your later years, he says.
“Often I’ll have older adults come in with advanced arthritis,” he says. “Had they done things differently in their 30s, 40s, and 50s, their 70s and 80s would have been vastly different.”
ENVIRONMENT OVER GENETICS
Just because mom or dad lived into their 90s, it doesn’t mean you’ll automatically reach the same birthday. One study suggests that genetics only accounts for 10% of your longevity, according to Dr. Ellen Flaherty, Ph.D., MSN, ARPN, vice president of Dartmouth Health’s Geriatric Center for Excellence. Along with lifestyle, your environment has a more significant impact on your life span than genetics.
“Air pollution in particular is a major factor, with some studies saying it shortens the global life span by 1.8 years,” she says. “Toxic substances, like industrial chemicals and pesticides which can sometimes be found in our food, water and
household products impact health and aging.”
On average, New Hampshire residents enjoy access to healthy food, green spaces and safe housing. Flaherty says that while the state’s higher life expectancy can be attributed to higher income levels, access to health care and healthy habits that include recreational activities like hiking, disparities do exist within our communities — particularly in rural areas where the average income is lower and access to health care is more limited.
TIPS FOR LIVING LONGER
Instead of spending money on supplements or taking a cold plunge, you can set yourself up for aging well by overhauling your lifestyle. Logan urges individuals age 50 and younger to get their weight under control now. If you wait to shed pounds when you’re older, you risk losing healthy lean muscle.
“Get that excess weight off, bring your body mass index to something reasonable, and begin a program of persistent, consistent physical activity,” he says. “You don’t have to join a gym. You can walk, play pickleball, or do whatever you’d like to do.”
Regularly interacting with friends and family can help you live a longer, happier life, too. Social connections increase your chance of survival with disease, keep you from isolation, and help you find a purpose, Flaherty says.
Logan agrees that putting value and focus on your relationships significantly contributes to the quality of your life, but you have to make an effort.
“Just eating lunch in the same room with other humans is not socialization,” Logan says. “Some folks end up alone and tell me they like it and are used to it, but when the chips are down, it’s not a good thing. I see a lot more mental health issues in older adults living alone than I do in folks who have valuable relationships.”
Eating a healthier diet and cutting down on alcohol are two other things you can do today to add years to your life, Athar says. When you eat may also play a role. There is some evidence that engaging in intermittent fasting, where you restrict your eating to a limited number of hours each day can contribute to longevity.
“There’s a metabolic process that happens that helps protect the cells and repair them,” she says.
BUYER BEWARE
It can be tempting to try products that promise to turn back the clock or keep it ticking a little longer. If you’re unsure, you should ask your health care provider whether the dietary supplements or cold therapies you’re considering are helpful or a waste of money.
“There is no way to stop aging. You should always be skeptical of anything promising to stop the aging process and offer a quick fix,” Flaherty says. “Some options might help promote a healthier lifestyle and lead to benefits, but there is a lack of evidence on their effectiveness as of yet.” ●
The technology is
The care is deeply human. The place is The Elliot.
At the Elliot Cancer Center, you’ll find cutting-edge therapies and comprehensive care — personalized treatments, access to clinical trials, and expert teams in medical oncology, radiation oncology, and hospital services, all in one location. But we don’t stop at treating your cancer… we care for the whole you.
From the latest treatments to the smallest human gestures, you’ll find care that’s both exceptional and deeply personal. We walk with you through every question, every decision, and every struggle — because healing happens when you feel truly seen, heard, and supported.
You don’t have to choose between expert care and human compassion. At Elliot Cancer Center, you get both.
> Learn more at ElliotHospital.org/Cancer.
THE ART AND SCIENCE OF
DENTAL IMPLANTS
BY NEW HAMPSHIRE ORAL & MAXILLOFACIAL SURGERY
The smile. It’s a universal symbol of warmth, friendliness and confidence. But what happens when a missing tooth disrupts this picture-perfect expression? Thankfully, modern dentistry has a solution that not only restores lost teeth but also rejuvenates self-assurance and quality of life: dental implants. In this article, we embark on a journey through the art and science of dental implants, exploring how these remarkable innovations are changing the face of tooth replacement.
The Rise of Dental Implants
Dental implants have transcended the boundaries of conventional dentistry, bringing hope and transformation to countless lives. Unlike traditional bridges and removable dentures, dental implants offer a permanent and aesthetic solution that feels and functions like natural teeth. This remarkable advancement in dental science has revolutionized the way we approach tooth replacement.
The Implant Process Unveiled
At the heart of the dental implant procedure lies a meticulous process that combines artistry and precision:
1. Consultation and Planning:
The journey begins with an in-depth consultation with an oral and maxillofacial surgeon. This phase involves a comprehensive evaluation of your oral health, determining your suitability for the procedure, and designing a personalized treatment plan tailored to your unique needs.
2. Implant Placement:
The next step is a surgical procedure during which a small, biocompatible implant is gently and precisely placed into the jawbone. This implant acts as a durable and stable foundation for the replacement tooth.
3. Healing and Integration:
Over the course of several months, a process known as osseointegration occurs. The implant gradually fuses with the jawbone, creating a solid and unshakeable bond. This fusion ensures the implant’s stability and long-term success. At this point, you will receive a temporary tooth until the final restoration.
4. Restoration:
The final touch is the attachment of your custom-made crown to the implant placed by your general dentist. Crafted to match the color, shape and size of your natural teeth, the crown blends seamlessly with your smile, achieving an incredibly life-like appearance.
The Transformational Impact
For individuals who have experienced the life-changing effects of dental implants, the results extend far beyond aesthetics:
• Restored Confidence: Dental implants empower individuals to smile, laugh and speak confidently, shedding the burden of self-consciousness.
• Improved Oral Health: By preventing bone loss and preserving the integrity of neighboring teeth, dental implants promote long-term oral health.
• Effortless Functionality: Eating favorite foods without restrictions becomes a reality, as dental implants provide a stable and comfortable chewing surface.
• Enhanced Quality of Life: Beyond aesthetics, dental implants significantly enhance overall well-being by ensuring better health and restoring the joy of a complete smile.
Looking to the Future
The world of dental implants continues to evolve. Innovations such as same-day implants and computer-guided implant placement are
paving the way for faster, more precise and even more accessible tooth replacement options.
Dental implants are more than just a solution to missing teeth; they are a testament to the marriage of art and science in modern dentistry. If you or someone you know is facing the challenges of tooth loss, consider the transformative power of dental implants. Embrace the artistry of a confident smile, and experience the science behind a brighter, more joyful future. Call NHOMS at 833-999-0606 to schedule your consultation. With seven locations throughout New Hampshire, their expert surgeons will get you the smile you deserve. ●
BY KRYSTEN GODFREY MADDOCKS
IMPROVE YOUR GAME PLAN Partner with a health and wellness coach to reach your goals
It’s much easier to skip the gym, put off quitting smoking or ignore your high cholesterol when no one’s watching. That’s why many people are turning to health coaches to get their wellness back on track.
A 2023 survey from Civic Science reports that 18% of respondents have already used a health and wellness coach to help achieve their personal goals, while another 18% plan to do so. Most said they were interested in improving their physical health and fitness or quality of sleep. Studies show that accountability does help people stick to their health goals. For example, a recent study reports that individuals who engaged in diabetes health coaching showed a statistically and clinically significant reduction of A1C.
Health coaches are similar to personal trainers; however, while trainers design fitness programs for clients looking to achieve weight loss or increase strength, National Board Certified Health and Wellness Coaches (NBC-HWCs) “empower clients to develop and achieve self-determined, health and well-
ness goals.” Certified coaches help clients use their own insights, personal strengths and resources to set goals, commit to action steps and establish accountability in building an envisioned healthy lifestyle, according to the board.
However, not everyone who calls themselves a health coach has the same clinical background or behavioral approach. While some coaches may have nursing credentials or certifications in fitness or other health-related areas, there are no state or federal regulations governing who can call themself a health coach.
“If you’re looking for a health coach, choose someone who is nationally certified, uses evidence-based strategies, and takes the time to truly listen,” says Christine Sheldon, a certified exercise physiologist and national board-certified health and wellness coach working in the Elliot Fitness Services department.
Sheldon, who also has a background in pulmonary rehabilitation and dialysis education, creates personalized exercise programs for patients who’ve been referred to her by Elliot health care providers. New clients often struggle with consistency and
putting themselves first, Sheldon says, and one-on-one coaching can help them take manageable steps and build confidence along the way.
“What I like best about coaching clients is seeing their progress, both physically and personally,” she says. “With health coaching, I find it especially rewarding to help people discover their ‘why’ and overcome barriers. Health coaching is so effective, because it bridges the gap between medical recommendations and real life,” she says.
Later this year, The Elliot plans to expand its health coaching services to Elliot employees and community members.
RECOGNIZING THE VALUE OF HEALTH COACHING
Elevance Health, more commonly known as Anthem Blue Cross Blue Shield, offers individual health coaching to its members, including programs that focus on weight management, healthier eating, stress management and tobacco cessation. Most of Anthem’s health coaches are registered nurses, and all must complete regular continuing clinical education to stay abreast of the latest research developments and care guidelines, according to Anthem spokesperson Jim Turner.
“Our customers complete surveys about the value and success of their health coaching, and we use survey results to inform our program and improve it,” he says.
Case managers at Anthem connected to patients’ health care providers may reach out to members, or members can seek out health coaches on their own — either in person or virtually. Some participating New Hampshire employers invite health coaches to the workplace to help answer questions and connect employees to providers and other health care resources.
Companies with employees that report high engagement in Anthem’s wellness program, including health coaching, report 21% higher productivity, 37% lower absenteeism and 65% lower employee turnover, according to Turner.
Lori Hubbard, RN, BSN, has worked as a health coach for Anthem for the past eight years after spending several years in nursing. She moved to health coaching to help Anthem members learn more about preventative care and disease management. In her role, she visits participating New Hampshire companies and helps answer employees’ questions and connect them to the resources they need.
“I see a lot of people who have diabetes who wonder, ‘Am I eating right? How do I get my blood sugars under control?’” she says. “So I help
people with goal-setting and coming up with some of those key components and reduction of risk factors.”
Over the last couple of years, Hubbard says more and more members are asking questions about managing their mental health. While she is not a mental health clinician, she is able to talk to them about what mental health support could look like for them and what goals they could work toward.
“Many times, I’ll offer to call a provider with them and initiate that process, because a lot of times that’s the barrier — just picking up the phone and doing it,” she says.
One of the great benefits of health coaching is that no matter what a member’s goal may be, Hubbard says she will find a way to check in with them. She helps them refocus their goals and stay on track. If asked, she will also review lab reports and helps members better understand what their numbers mean and how they can make changes to improve them.
“It’s hard if you have someone who’s trying to make improvements to their cholesterol (numbers) and then they don’t get a call back, and they’re thinking everything is OK, but their number is too high. They wonder if they’re doing the right things,” she says.
Members often don’t recognize the small changes they make are cumulative and can move them closer toward their goals. For example, while it’s recommended that people get 150 minutes of aerobic exercise a week, even making just a 10-minute walk can be a positive step for a member looking to increase their exercise, Hubbard says.
Coaches are also trained to recognize whether their clients are ready to move on to more challenging goals, and they seek to understand you, not judge you.
“The right coach offers support, accountability and a personalized approach that aligns with your unique goals,” Sheldon says. “It (health coaching) combines expert guidance with the understanding that the patient is the expert of their own life.” ●
“What I like best about coaching clients is seeing their progress, both physically and personally.”
—CHRISTINE SHELDON
TRUSTED CARE, CLOSE TO HOME
As a nonprofit health system, Southern New Hampshire Health’s mission is centered on one purpose: enhancing the well-being of our community.
With a state-of-the-art medical center, comprehensive primary and specialty services, and five walk-in Immediate Care locations, we are committed to reinvesting in people and delivering the highest standard of care. For us, health care is not a business. It’s a promise.
Learn more at SNNHealth.org or with this QR code.
BY WILLIAM CHARMAK, PHD, ABPP
BOARD-CERTIFIED CLINICAL AND MEDICAL PSYCHOLOGIST
UNDERSTANDING AND OVERCOMING
LONELINESS AND ISOLATION
Technology has given us more ways than ever to stay connected. Countless platforms allow us to reach out with the tap of a button. Yet, despite these advancements, the Surgeon General of the United States has highlighted a surprising and deeply concerning public health crisis: loneliness and social isolation.
While these feelings are not new, they have become more widespread, particularly among seniors.
The health risks of loneliness and isolation
Most of us have experienced loneliness or isolation at some point in our lives. However, these states are closely linked to serious health conditions, including higher blood pressure, heart disease, obesity, weakened
immune systems, depression, anxiety, cancer, dementia and even death. Those who have faced the pain of prolonged loneliness also know it can lead to a sense of hopelessness and, in severe cases, suicidal thoughts.
Finding hope
The good news is that there are proven ways to counter loneliness and social isolation. Here are some practical steps to overcome these feelings:
1. Volunteer
Giving back is a powerful antidote to loneliness.
Volunteering provides a sense of purpose and opens doors to meeting like-minded individuals and building new friendships.
2. Stay active
Physical activity is crucial for
mental and physical health. Regular movement is linked to improved mood, sharper memory and other anti-aging benefits.
3. Plan your day
Establishing a daily routine that includes exercise, social activities and hobbies can make a big difference. Structure brings a sense of purpose and helps fill the day with meaningful activities.
4. Embrace online resources
Learning online tools can be incredibly beneficial. Platforms like Skype, Zoom and other video services help maintain connections with loved ones.
5. Seek support in grief
Aging often comes with loss. Grief support groups, available through hospice services, religious organizations and social services, can provide comfort and connection during difficult times.
If you or someone you care about is struggling with depression, seek help. Your primary care provider can offer support and guide you toward effective treatments for depression, anxiety and related conditions.
Loneliness and isolation do not have to be lifelong companions. You can build a life rich with connection, purpose and joy by taking proactive steps. ●
HOMEOPATHY
BY KRYSTEN GODFREY MADDOCKS
TAKING A HOLISTIC VIEW
Dr. Bert Mathieson brings holistic healing to NH
When patients walk into NH Natural Health Clinic in Bedford, many have already seen five or more specialists. They’ve tried medications, undergone tests and endured years of symptoms, yet they’re still searching for answers.
That’s where Dr. Bert Mathieson, a licensed naturopathic doctor, can help by looking at their illnesses or injuries in a different way. Patients treated at his office can expect a multipronged approach to diagnosis and treatment, which could include nutritional counseling, acupuncture and botanical medicine.
“We take a holistic view,” he says. “We ask, ‘What can we do here?’ Often that means going back to basics — looking at diet, sleep, stress and lifestyle — and building a path toward healing from the ground up.”
Mathieson’s own path to naturopathic medicine began after years of working as a dietitian in Los Angeles. When he learned about the field, he headed to Arizona for four years of naturopathic medical school. He now runs his Bedford-based practice with two other naturopathic doctors and his sister, Kristi Mathieson, a registered dietitian. Together, they’ve created a family business rooted in education and natural healing.
Many people are unaware of naturopaths and how they fit into the larger health care picture. In addition to learning anatomy and pharmacology like conventional doctors, naturopathic doctors train extensively in nutrition, botanical medicine,
homeopathy, Chinese medicine and hands-on therapies like spinal manipulation. Mathieson says they actually spend more time in the classroom than medical doctors.
“We’re the only primary care–trained doctors in the U.S. whose education is integrative from day one,” Mathieson says. At his clinic, Mathieson most often focuses on treating Lyme disease, cancer and diabetes. He often collaborates with oncologists and other specialists to determine the best course of treatment for his patients. Unlike primary care providers who can see up to 16 patients a day, naturopathic doctors often spend up to an hour with patients to find the root cause of their illnesses.
While they’re trained and licensed as primary care providers, the health care system hasn’t fully recognized them as such. In New Hampshire, some insurance companies still label naturopaths as specialists, which can create challenges for patients looking for referrals or insurance coverage. Even so, Mathieson sees progress.
“Ever since 2020, we’ve seen a shift,” he says. “Patients are more interested in seeing multiple providers and working collaboratively. And that’s where we shine — we love collaborating with oncologists, physical therapists and primary care doctors.”
A member of the New Hampshire Association of Naturopathic Doctors, he worked with legislators in the state to get private insurance companies to cover naturopathic doctors. However, naturopathic doctors are not yet covered by Medicare or Medicaid in New Hampshire. Medicare does cover cer-
tain services that may overlap with naturopathic care, such as acupuncture and chiropractic care, but only when performed by recognized providers. Some Medicare Advantage (Part C) plans may offer limited coverage for alternative therapies, but coverage for naturopathic services is rare and varies by plan.
WHAT TO LOOK FOR IN A NATUROPATH
Patients often seek out naturopathic doctors when they’re looking for alternatives to pharmaceuticals or hoping to reduce the side effects of medicines. For example, a person with Type 2 diabetes might seek out Mathieson to explore natural ways to lower their A1C. The disease can be reversed in its early stages if patients are willing to change their lifestyle, he says.
Mathieson works with them to help them develop good eating habits, increase activity levels or reduce stress. He asks patients if they are getting enough sleep or have been exposed to any toxins. In a traditional provider’s office, a patient might be seen quickly and initially be offered a prescription.
“I always look at three legs of the stool — diet, activity, and supplements or medications,” Mathieson says. “It’s not about judgment. It’s about empowering people to take control of their health.”
Cancer patients undergoing radiation and chemotherapy can benefit from naturopathic therapies such as vitamin IVs that can complement their existing protocols.
“There’s a lot of studies on some of these therapeutics and
What Is a Naturopathic Doctor?
Not all providers with the term “naturopath” in their credentials can practice in the same way. For example, naturopaths and naturopathic doctors (ND) have different levels of education, training and licensure. Licensed naturopathic doctors can diagnose and treat patients, distinguishing them from traditional naturopaths. A “naturopathic physician” refers to a Doctor of Naturopathy (N.D.) or Doctor of Naturopathic Medicine (N.M.D.). Naturopathic physicians must attend a four-year graduate program at one of the North American naturopathic medical schools accredited by the Council on Naturopathic Medical Education, according to the American Association of Naturopathic Physicians.
In the 26 states with licensing requirements, naturopathic physicians must graduate from naturopathic medical college and pass national board exams to receive a license. Licensed naturopaths must also complete any state-mandated continuing education requirements. The New Hampshire Naturopathic Board of Examiners, under the Office of Professional Licensure and Certification, oversees the licensing and practice of naturopathic medicine in the state.
For more information, or to verify a naturopathic doctor’s license in New Hampshire, you can visit the New Hampshire Office of Professional Licensure and Certification.
what decrease fuel for cancer cells or the proliferation of angiogenesis,” he says.
Angiogenesis refers to the way the body makes new blood vessels. It’s something your body does naturally, like when you’re growing, healing from a cut or building up tissue. However, when someone has cancer, a tumor can “trick” the body into growing extra blood vessels just to feed it. Those new vessels bring the tumor more oxygen and nutrients, helping it grow bigger and faster.
Healing requires more than medicine. Reducing stress is key to recovery and often overlooked by providers and patients, Mathieson says.
“Most people that walk through the door, that’s a huge obstacle to their healing. Different things might help them, for example cranial sacral therapy or acupuncture, or meditation or prayer,” he says. “Anything that the person resonates with to help them at that level. Because a lot of us heal from the top down.”
So, how do you find the right naturopathic doctor for your needs?
“Look for someone whose specialty aligns with your concerns,” Mathieson says. “Some of us focus more on acupuncture, others on botanical medicine. But we all share the same core philosophy: support the body’s ability to heal itself.”
For patients overwhelmed by chronic illness or frustrated by the health care system, naturopathic doctors can offer a healing alternative. ●
WALK-IN & URGENT CARE
Access Walk-In Injury Clinic
Located at Access Sports Medicine & Orthopaedics
1 Hampton Road, Exeter (603) 775-7750 / accesssportsmed.com
Barrington Urgent Care
426 Calef Hwy., Barrington (603) 664-0955 / frisbiehospital.com
Cheshire Medical Center
Walk-In Clinic
The Center at Colony Mill
149 Emerald St., Keene (603) 354-5484 / cheshire-med.com
Catholic Medical Center
5 Washington Place, Bedford (603) 314-4567 catholicmedicalcenter.org
ClearChoiceMD
24 Homestead Place, Alton (603) 822-4713
96 Daniel Webster Hwy., Belmont (603) 267-0656
1 Beehive Drive, Epping (603) 734-9202
9 Old Lake Shore Road, Gilford (603) 760-7755
558 Mast Road, Goffstown (603) 621-2879
410 Miracle Mile, Lebanon (603) 276-3260
33 Railroad St., Lincoln (603) 605-1441
127 Plaistow Road, Plaistow (603) 605-0265
750 Lafayette Road, Portsmouth (603) 427-8539
1228 Hooksett Road, Hooksett (603) 782-5112
75 Laconia Road, Tilton (603) 729-0050
636 Lafayette St., Seabrook (603) 967-4015 ccmdcenters.com
Concentra Urgent Care
1 Pillsbury St., Concord (603) 223-2300
1279 South Willow St., Manchester (603) 644-3330
14 Broad St., Nashua (603) 889-2354 / concentra.com
Concord Hospital Walk-In Urgent Care
60 Commercial St., Concord (603) 230-1200 / concordhospital.org
Core Physicians Advanced Appointment Access
Offering same-day appointments and extended office hours
After hours available at:
9 Buzell Ave., Exeter
Early Morning Pediatric Walk-In
9 Buzell Ave., Exeter
212 Calef Hwy., Epping corephysicians.org
Occupational Health Services
Convenience Care
Hillside Medical Park
14 Maple St., Lot C, Gilford (603) 527-2896 / lrgh.org
ConvenientMD
3 Nashua Road, Bedford (603) 472-6700
73 Daniel Webster Hwy., Belmont (603) 737-0550
8 Loudon Road, Concord (603) 226-9000
14 Webb Place, Dover (603) 742-7900
351 Winchester St., Keene (603) 352-3406
551 Meadow St., Littleton (603) 761-3660
42 Nashua Road Londonderry
2 Dobson Way Merrimack (603) 471-6069
565 Amherst St., Nashua (603) 578-3347
1 Portsmouth Ave. Stratham (603) 772-3600
125 Indian Rock Road Windham (603) 890-6330 convenientmd.com
Elliot at River’s Edge
185 Queen City Ave., Manchester (603) 663-3000 / elliothospital.org
Elliot Urgent Care at Londonderry
40 Buttrick Road, Londonderry (603) 552-1550 elliothospital.org
Exeter Hospital: Fast Track Division of the Emergency Department (ED) 5 Alumni Drive, Exeter (603) 580-6668 exeterhospital.com
ExpressMED Urgent Care
1 Highlander Way, Manchester (603) 625-2622
35 Kosciuszko St., Manchester (603) 627-5053
159 N. Broadway, Salem (603) 898-0961 expressmednh.com
Health Stop
228 Daniel Webster Hwy., Nashua (603) 888-9200 / healthstopnashua.com
Immediate Care of Southern NH 8 Limbo Lane, Amherst 300 Derry Road, Hudson 112 Spit Brook Road, Nashua 29 Northwest Blvd., Nashua 33 Windham Road, Pelham (603) 577-2273 for all locations immediatecareofsnh.org
Laconia Clinic Convenience Care
724 Main St., Laconia (603) 527-2896 / lrgh.org
St. Joseph Urgent Care Milford 444 Nashua St., Milford (603) 673-5623 stjosephhospital.com
MinuteClinic (at CVS)
4 Hall St., Concord 321 Lafayette Road, Hampton 271 Mammoth Road, Manchester 214 Daniel Webster Hwy., Nashua 512 South Broadway, Salem 250 Plainfield Road, West Lebanon (866) 389-2727 for all locations cvs.com/minuteclinic/clinics/ New-Hampshire
Newport Health Center 11 John Stark Hwy., Newport (603) 863-4100 / newlondonhospital.org
Parkland Urgent Care at Salem 31 Stiles Road, Salem (603) 890-2727 parklandmedicalcenter.com
Saco River Medical Group
7 Greenwood Ave., Conway (603) 447-3500 15 Route 302, Glen (603) 383-3005 sacodocs.com
Seacoast RediCare
396 High St., Somersworth (603) 692-6066 / seacoastredicare.com
Walk-in Care at Memorial Hospital
3073 White Mountain Hwy. North Conway (603) 356-5461 / memorialhospitalnh.org
Wentworth-Douglass Express Care
701 Central Ave., Dover (603) 609-6700
65 Calef Hwy., Lee (603) 868-8507 wdhospital.com/express
White Mountain Medical Center
2531 White Mountain Hwy. Sanbornville (603) 522-0186 frisbiehospital.com/walk-in-care
FOCUSED CARE
BY DARTMOUTH CANCER CENTER
DARTMOUTH
CANCER
“Being able to offer this level of care in southern New Hampshire means hundreds more patients won’t have to drive long distances while managing logistics, finances, fatigue and other side effects.”
Charles R. Thomas Jr., MD
CENTER BRINGS
FULL-SPECTRUM CANCER CARE TO SOUTHERN NEW HAMPSHIRE
Hundreds of patients in southern New Hampshire will now have convenient access to comprehensive cancer treatment and oncology services. Dartmouth Cancer Center (DCC) has officially opened its new radiation oncology facility located at Dartmouth Hitchcock Clinics, 100 Hitchcock Way in Manchester, NH.
This significant expansion brings all three primary cancer treatments — surgery, chemotherapy and radiation therapy — to patients locally, a major step forward in expanding care for the region. Now, patients can see their oncologists, get test results, and receive all their primary cancer treatment modalities in one convenient location.
The new space provides the same high level of comprehensive care available in Lebanon to the greater Manchester area.
This multi-million-dollar investment by Dartmouth Health aims to significantly improve access and coordination of care for patients in southern New Hampshire.
“Being able to offer this level of care in southern New Hampshire means hundreds more patients won’t have to drive long distances while managing logistics, finances, fatigue and other side effects,” said Charles R. Thomas Jr., MD, chair of the department of radiation oncology and applied sciences at DCC. “They can stay close to home, stay connected to loved ones, and still receive the same evidence-based treatment protocols you’d find at major academic centers.”
DCC is one of only 57 National Cancer Institute (NCI)-designated Comprehensive Cancer Centers in the United States. Research shows that receiving
care at an NCI-designated cancer center can improve outcomes by up to 25%. The expansion project includes a brand-new linear accelerator (LINAC) vault (the machines that deliver radiation therapy), a CT imaging suite, and multiple exam and support spaces, enabling more patients to receive high-quality treatment close to home.
Benefits of receiving radiation therapy close to home include:
• High-quality, personalized care
Patients will receive individualized treatment plans from experienced professionals using advanced technology at an NCI-designated Comprehensive Cancer Center.
• Convenience and accessibility
Daily radiation therapy sessions are easier to get to.
• Financial and practical benefits
Reduced travel for appointments means lower costs associated with transportation, parking, lodging and meals, and allows patients to start treatment quickly.
“We’re proud to bring world-class oncology expertise and multiple treatment options under one roof, closer to where people live,” said Deborah F. Scribner, vice president of oncology services at DCC. “It’s part of Dartmouth Health’s commitment to meet patients where they are with the highest standard of care.” ●
AMBULATORY SURGERY GROUPS
AVH Surgical Associates
7 Page Hill Road, Berlin (603) 752-2300 avhnh.org
Interventional Spine Medicine
141 Route 125, Barrington (603) 664-0100
Bedford Ambulatory Surgical Center
11 Washington Place, #1, Bedford (603) 622-3670 bedfordsurgical.com
Concord Ambulatory Surgery Center
60 Commercial St., Suite 301, Concord (603) 415-9460 concordasc.com
Concord Eye Center Hospital Campus
248 Pleasant St., Suite 1600, Concord (603) 224-2020 South Campus
2 Pillsbury St., Suite 100, Concord (603) 228-1104 concordeyecare.com
The Cottage Hospital Day Surgery Center 90 Swiftwater Road, Woodsville (603) 747-9156 / cottagehospital.org
Elliot Health System and Dartmouth Hitchcock 1-Day Surgery
Elliot at River’s Edge 185 Queen City Ave., Manchester (603) 663-5900 dartmouth-hitchcock.org
Laconia Clinic Ambulatory Surgical Center
724 Main St., Laconia (603) 524-5151 / laconiaclinic.com
Nashua Ambulatory Surgical Center 15 Riverside St., Nashua (603) 882-0950 / nashuasurgical.com
Nashua Eye Associates 5 Coliseum Ave., Nashua / (603) 882-9800 555 Nashua St., Milford / (603) 672-8800 30 Lowell Road, Hudson / (603) 5986400 nashuaeye.com
NH Eye SurgiCenter 105 Riverway Place, Bedford (603) 627-9540 / nheyesurgicenter.com
Orchard Surgical Center 16 Keewaydin Drive, Salem (603) 401-6466 / orchardsurgical.com
Concord Orthopaedics –Orthopaedic Surgery Center 264 Pleasant St., Concord 14 Tsienneto Road, Suite 100, Derry (603) 224-3368 concordortho.com
Portsmouth Regional Ambulatory Surgery Center 333 Borthwick Ave., Suite 200 Portsmouth (603) 433-0941 prasc.com
Skyhaven Surgery Center 13 Health Care Drive, Rochester (603) 509-9161 frisbiehospital.com/locations/ skyhaven-surgical-center
Stratham Ambulatory Surgery Care 4 West Road, Stratham (603) 772-2076 / strathamasc.com
Surgery Center of Greater Nashua 10 Prospect St., Suite 101, Nashua (603) 578-9909 surgerycenternashua.org
Wentworth Surgery Center, LLC 6 Works Way, Somersworth (603) 285-9288 wentworthsurgerycenter.com
LEADING THE WAY IN MINIMALLY INVASIVE CARDIOVASCULAR TREATMENT OPTIONS
Cardiovascular Specialists of New England (CSNE) is on a mission to redefine heart health and shift the paradigm, improving and elevating the lives of patients with cardiovascular conditions in New Hampshire. We use our advanced skills and technology to assess, diagnose, and treat general and complex cardiovascular conditions, including heart failure, heart valve disease, arrhythmia, and coronary artery disease.
ADVANCED TREATMENT FOR HYPERTENSION
Dr. Omar Hyder and Dr. Stephan Heo of CSNE recently performed southern New Hampshire’s first renal artery denervation (RDN) procedure in partnership with St. Joseph Hospital in Nashua, NH. Renal artery denervation is a minimally invasive procedure that helps lower blood pressure by safely disrupting overactive nerves located in the kidney arteries.
Dr. Hyder, a national leader in this innovative treatment, has brought this life-changing technology to southern New Hampshire, giving patients a new
option in the fight against uncontrolled high blood pressure.
INNOVATIVE DEVICE FOR DEEP VEIN THROMBOSIS
The Inari ClotTriever System is an advanced, minimally invasive procedure for deep vein thrombosis (DVT) that uses a mechanical device to remove large, firm-to-hard clots from deep veins in the legs and arms in a single session, eliminating the need for risky clot-busting drugs and significantly reducing the risk of bleeding and ICU stays. It is an effective, endovascular option for patients with extensive clots who may not be suitable candidates for traditional thrombolytic drug therapy, which are associated with an increased risk of bleeding.
SETTING A NEW STANDARD IN HEART RHYTHM CARE
Last month, CSNE performed the 200th implant of the Avier leadless pacemaker device, in partnership with Catholic Medical Center, ensuring patients stay closely connected and supported with the most advanced tools available. Unlike traditional
pacemakers, leadless devices are implanted directly into the heart through a minimally invasive procedure eliminating the need for cardiac leads. As a result, leadless pacemakers reduce patients' exposure to potential lead and pocket-related complications, and offer a less restrictive, shorter and more comfortable recovery period post-implantation.
LIFE-SAVING TREATMENT FOR PULMONARY EMBOLISM
Dr. Sylvia Yang and the St. Joseph Hospital Cath Lab Team successfully performed the Large Bore Mechanical Thrombectomy (LBMT) for the treatment of submassive bilateral pulmonary embolism (PE). The device removes blood clots (thrombi)
from large blood vessels, such as the pulmonary or deep veins in the leg. This minimally invasive, life-saving procedure dramatically improved the patient’s heart rate, oxygen saturation, blood pressure, and pulmonary pressures following the removal of a pulmonary embolism. This procedure leads to rapid clinical improvement in the hospital and prevents long-term cardiac complications.
SETTING THE STANDARDS FOR CARDIOVASCULAR CARE
We’re committed to leading with innovation, compassion, and excellence in every aspect of heart health. We ensure patients receive the highest quality treatment and support.
ELDER CARE SERVICES
SENIOR RESIDENCES BY REGION
SEACOAST
Harmony Homes Assisted Living
40 Briggs Way, Durham, (603) 292-5175
1 Stagecoach Road, Durham (603) 292-6087 / harmonyhomesnh.com
Langdon Place of Dover
60 Middle Road, Dover (603) 743-4110 / genesishcc.com
Wentworth Senior Living
346 Pleasant St., Portsmouth (603) 436-0169 / markwentworth.org
RiverWoods at Exeter 7 Riverwoods Drive, Exeter (800) 688-9663 / riverwoodsrc.org
Langdon Place of Exeter 17 Hampton Road, Exeter (603) 778-1024 / genesishcc.com
Webster at Rye 795 Washington Road, Rye (603) 964-8144 / websteratrye.com
MERRIMACK VALLEY
All American Assisted Living 1 Button Drive, Londonderry (603) 537-9898 / allamericanal.com
Arbors of Bedford
70 Hawthorne Drive, Bedford (603) 647-9300 / benchmarkseniorliving.com
Bedford Falls
5 Corporate Drive, Bedford (603) 471-2555 / bedfordfallsassistedliving.com
Birch Heights
7 Kendall Pond Road, Derry (603) 505-4398 / birchheights.com
The Birches at Concord
300 Pleasant St., Concord (603) 369-4417 / benchmarkseniorliving.com
The Courville at Bedford 40 Route 101, Bedford (603) 472-2000 / thecourvilles.com
The Courville at Manchester 44 West Webster St., Manchester (603) 647-5900 / thecourvilles.com
The Courville at Nashua-Aynsley 80 Lake St., Nashua (603) 881-4190 / thecourvilles.com
The Courville at Nashua 22 Hunt St., Nashua (603) 889-5450 / thecourvilles.com
Granite Ledges of Concord 151 Langley Parkway, Concord (603) 224-0777 / genesishcc.com
Greystone Farms
242 Main St., Salem (603) 898-5393 / benchmarkseniorliving.com
Hanover Hill Health Care Center
700 Hanover St., Manchester (603) 627-3826 / hanoverhill.com
Havenwood-Heritage Heights 149 East Side Drive, Concord (800) 457-6833 / hhhinfo.com
Hunt Community 10 Allds St., Nashua (603) 882-6511 / huntcommunity.org
Huntington at Nashua 55 Kent Lane, Nashua (800) 298-6608 / thehuntingtonatnashua.org
Langdon Place of Nashua 319 East Dunstable Road, Nashua (603) 888-7878 / sunbridgehealthcare.com
Nashua Crossings
674 West Hollis St., Nashua (603) 882-2898 / benchmarkseniorliving.com
Pleasant View Retirement Community
227 Pleasant St., Concord (603) 225-3970 / pleasantviewretirement.net
Presidential Oaks 200 Pleasant St., Concord (800) 678-1333 / presidentialoaks.org
The Residence at Salem Woods 6 Sally Sweets Way, Salem (603) 890-0580 / residencesalemwoods.com
RiverWoods at Manchester 200 Aliance Way, Manchester (603) 645-6500 / rwmanchester.org
Windham Terrace 3 Church Road, Windham (603) 437-4600 / windhamterrace.com
MONADNOCK REGION
Bentley Commons at Keene 197 Water St., Keene (603) 499-4546 / kapdev.com
Langdon Place of Keene 136 Arch St., Keene (603) 357-3902 / sunbridgehealthcare.com
Maplewood Assisted Living 201 River Road, Westmoreland (603) 399-4912 / co.cheshire.nh.us
RiverMead Retirement Community 150 Rivermead Road, Peterborough (603) 924-0062 / rivermead.org
Summerhill Assisted Living 183 Old Dublin Road, Peterborough (603) 924-6238 / summerhillal.com
DARTMOUTH/ LAKE SUNAPEE
Harvest Hill 125 Mascoma St., #23, Lebanon (603) 448-7474 / alicepeckday.org
Kendal at Hanover 67 Cummings Road, Hanover (603) 643-8900 / kah.kendal.org
Summercrest Senior Living 169 Summer St., Newport (603) 863-8181 / summercrest.net
Sunapee Cove Independent and Assisted Living 1250 Route 11, Sunapee (603) 763-0566 / sunapeecove.com
Wheelock Terrace 32 Buck Road, Hanover (603) 643-7290 / wheelockterrace.com
Woodcrest Village LLC 356 Main St., New London (603) 526-2300 / woodcrestvillage.com
LAKES REGION
Golden View Health Care Center 19 NH Route 104, Meredith (603) 279-8111 / goldenview.org
The Golden Crest 29 Baldwin St., Franklin (603) 934-6742 / thegoldencrestnh.com
Wolfeboro Bay Care and Rehabilitation Center 39 Clipper Drive, Wolfeboro (603) 569-3950 / sunbridgehealthcare.com
Taylor Community Locations in Wolfeboro, Meredith and Laconia (603) 366-1400 / taylorcommunity.org
ADULT DAY CARE CENTERS
All Generations Adult Day Program
460 Amherst St., Suite 4, Nashua (603) 880-3473 / allgenerations.com
Castle Center for Adult Group Day Care
312 Marlboro St., Keene (603) 352-2253 / caring.com
Easterseals New Hampshire 555 Auburn St., Manchester (603) 623-8863 / easterseals.com/nh
Gateways Adult Day Service Program
200 Derry Road, Hudson (603) 882-6333 / gatewayscs.org
Huggins Hospital — Adult Day Care
240 South Main St., Wolfeboro (603) 569-7500 / hugginshospital.org
Kearsarge Good Day Respite Program
82 King Hill Road, New London (603) 526-4077
kcpcnlnh.com/missions-good-dayrespite.html
Monadnock Adult Care Center 22 North St., Jaffrey (603) 532-2428 / mfs.org
SarahCare Adult Day Services
201 Route 111, Hampstead (603) 329-4401 / sarahcare.com
Silverthorne Adult Day Care Center
23 Geremonty Drive, Salem (603) 893-4799 silverthorneadultday.org
The Homemakers Health Services 215 Rochester Hill Road, Rochester (800) 660-1770 / thehomemakers.org
Upper Valley Good Day Respite Program
18 School St., Lebanon (603) 526-4077 lakesunapeevna.org/services/ upper valley respite
WHITE MOUNTAINS/ GREAT NORTH WOODS
Genesis Lafayette Center 93 Main St., Franconia (603) 823-5502 / genesishcc.com
Mineral Springs of North Conway Care and Rehabilitation Center 1251 White Mountain Hwy. North Conway (603) 356-7294 / sunbridgehealthcare.com
Morrison Nursing and Rehabilitation Care 6 Terrace St., Whitefield (603) 837-2541 / morrisonnh.org
Riverglen House of Littleton 55 Riverglen Lane, Littleton (603) 444-8880 / riverglenhouse.com
FOCUSED CARE
BY DARTMOUTH HEALTH
“We’re proud to bring device care to this region of the state and provide residents of southern New Hampshire with access to our Lebanonbased EPs, so our patients don’t have to commute to get the expert treatment they need.”
SERVES SOUTHERN NH RESIDENTS NEW ELECTROPHYSIOLOGY DEVICE CLINIC
For people with devices to manage heart rhythm disorders, ongoing monitoring is essential to high-quality electrophysiology (EP) care.
However, traveling from southern New Hampshire to Dartmouth Hitchcock Medical Center in Lebanon, NH, for EP care can present a challenge for many patients. In good weather, the round-trip commute takes more than two hours, and in winter conditions, it can quickly become treacherous and take even longer.
To address these concerns, the Heart and Vascular Center at Dartmouth Health’s Dartmouth Hitchcock Medical Center opened an Electrophysiology Device Clinic in Manchester, NH,
in September 2024. The clinic serves the Concord, Manchester and Nashua communities and allows patients to receive convenient care from Dartmouth Health electrophysiologists closer to home.
“Right now, we’re seeing more than 100 patients a month, with room for additional expansion,” said Caitlin Booze, MSN, APRN, FNP-BC, Manchester Device Clinic Coordinator.
“We have two physicians from the Lebanon campus, Dr. (Kevin) Kwaku and Dr. (Robert) D’Angelo, who see patients in-person at the Manchester clinic and monitor patients remotely.”
Although patients who need electrophysiology devices — in-
cluding pacemakers, defibrillators or loop monitors — still need to travel to Dartmouth Hitchcock Medical Center for their device placement procedure, they can now receive all their pre- and post-surgical care, as well as ongoing annual or semi-annual follow-up, in the Manchester clinic.
“All devices can transmit data and send alerts directly to our team, so we can catch abnormal heart rhythms before they cause a heart attack or identify extra fluid in the body that could indicate a heart failure exacerbation,” said Booze. “When we can identify and treat these conditions early, we can reduce hospital
readmissions and patient events.”
As the clinic prepares to celebrate its six-month anniversary, Booze said patients are grateful for the care and convenience.
“We’re proud to bring device care to this region of the state and provide residents of southern New Hampshire with access to our Lebanon-based EPs, so our patients don’t have to commute to get the expert treatment they need,” said Booze. ●
Caitlin I. Booze, MSN, APRN, FNP-BC, with a patient
Caitlin I. Booze MSN, APRN, FNP-BC
STAYING ACTIVE
BY KRYSTEN GODFREY MADDOCKS
TAKE A HIKE
Before you hit the trails, consider these tips to stay safe and healthy
Dr. Doug Dreffer, a family practice physician with DMC Primary Care in Concord, understands what facing an emergency in the White Mountains feels like. The avid hiker has reached the peaks of each of the state’s 48 4,000-footers in the White Mountains and considers himself to be fit and well aware of the dangers unprepared hikers face at high altitudes. But weather and terrain can pose unexpected challenges, even for the most experienced hiker.
“I got trapped in the White Mountains this past summer on the Presidential Traverse, and I almost ran out of daylight and water at the same time,” he says. “I was hot and sweaty, and I was luckily on the trail to the AMC huts and got water there.”
He explains that he had poorly assessed the weather, never expecting the September day to reach 80 degrees. He says he only took enough water for an average New Hampshire fall day, not a hot one.
Years ago, Dreffer experienced a more serious emergency hiking Mount Isolation. He ruptured a disc in his back while crossing a stream. He was able to power through and finish his hike, but some hikers aren’t so lucky.
In 2023, the New Hampshire Fish and Game Department responded to 183 search-and-rescue missions, not unusual for the department. It received another 132 calls for help that didn’t require a rescue response. Two-thirds of these missions, or 121 rescues, were related to hiking.
“You always need to be prepared,” Dreffer says. “You could twist your ankle and be up there for several hours, and you need to think of all the things you might need to be safe — sunscreen, adequate water and other things that protect you from the wind and other elements.”
BEFORE YOU HEAD OUT
Your age shouldn’t keep you from engaging in outdoor activities, nor should asthma, allergies or old injuries. It’s all about knowing your limits and having an action plan.
For example, it’s not wise to hike on high-pollen days if you’re allergic to pollen, which triggers your asthma. On other days, you can take your inhaler and have an asthma action plan. You should also bring an EpiPen and any allergy medications you might need.
For patients with diabetes, Dreffer urges caution if patients typically experience low blood sugar with extensive exercise.
“If your diabetes is not well controlled and your blood sugar is high, your fluid intake needs to be higher,” he says.
If you have underlying orthopedic or muscular problems, it’s critical to understand your limits and resist tackling an activity that is beyond your capacity. As we age, we also need to be aware of how our bodies respond to obstacles we might encounter in the outdoors.
“Older adults recovering from injury have an increased risk of falls. Their proprioception, or how they perceive their body in space, can also be altered by arthritis or neuropathy,” Dreffer says. “They shouldn’t be trying a new activity like rock climbing or ice climbing, and should stay in their comfort zone initially until they are fully recovered and have built up the stamina to take on harder and higher hikes.”
ALWAYS BE PREPARED
Dreffer reminds his patients to be physically prepared and well equipped before they tackle challenging hikes or engage in other strenuous spring outdoor exercise. Walking on an incline on the treadmill is a lot different than hitting the open trail, he says.
DRINK UP
Running out of water — or drinking unsafe water — can quickly turn a fun outing into a call for help. If you’re no longer producing urine and feel your energy waning, it’s time to drink up.
“The rule of thumb is that you should drink a liter of water every two hours,” Dreffer says. “That goes up if it’s hotter, humid or you’re hiking in higher elevations. That comes out to drinking about two cups of water every hour, but most people don’t do a good job with that.”
Dreffer recommends bringing several water bottles. You can also wear a pack on your back that carries up to 3 liters of water and take sips along your hike. “You shouldn’t rely on the water sources you come across,” he says.
PROTECT YOUR SKIN
While most people understand that sunscreen plays a key role in keeping exposed skin from burning, it offers limited protection. It can wash off if you get sweaty, and it’s easy to forget to reapply it if you’re in the middle of a long bike ride, run or hike. Because of this, Dreffer suggests covering up as much as possible.
“Exposed skin is more susceptible to sun and insects,” he says. “It’s smarter to wear long sleeves, long pants and widebrimmed hats. It’s more effective topical-blocker.”
STAY FUELED
You may not feel hungry, but your body needs calories to keep going. Your caloric output depends on several factors, Dreffer says. If you’re hiking a very long trail with elevation gains in the winter, you’ll be burning a lot more calories. You’ll need fewer calories if you’re taking a leisurely walk on a flat surface.
“It’s like feeding a furnace,” he says. “You should try to eat something every 30 to 45 minutes,” he says. “When your blood sugar is low, you respond with an adrenaline rush. You might feel sweaty or nauseous — the same response signals dehydration.”
Small, packable, calorie-dense snacks such as trail mix — which includes nuts for protein, raisins and M&Ms for carbohydrates and energy — work well. Beef jerky and dried fruit are also good options. Runners often prefer sports gels, gummies or goo.
TIPS FOR GETTING TRAIL-READY
Whether the trail you seek to conquer originates in the White Mountains or your neighborhood, Dr. Alexia Strzalka, a family medicine doctor with DMC Primary Care in Bedford, says there are things you can do to prepare your body for outdoor activities.
Strzalka, who regularly hikes with her two children, ages 6 and 10, encourages people with pre-existing health conditions to talk to their providers to see if they need to adapt their exercise of choice.
“For somebody who has been totally sedentary, I’d first
recommend doing low-intensity activities like walking, Pilates, swimming or dancing, and gradually increasing activity,” she says. “If you’re not totally sedentary, say you’ve been walking on a treadmill, gauge where you’re starting from. You can increase frequency, duration, intensity and tempo.”
While most people are focused on getting right to their activity, it’s important to stay strong and flexible to prevent injury. That includes taking part in dynamic stretching and active movements like lunges, squats, leg swings, arm circles and pushups before you begin moving to replicate the activity you plan on doing, Strzalka says.
“You also want to start with some light cardio to slowly elevate your heart rate,” she says. “This could include jumping jacks, a light jog or walking.” Your cooldown is just as important, and most people skip it, Strzalka says.
It is important to stretch out your hamstrings, quads and calves after you’re finished exercising. Depending on the intensity of your exercise, you should also slowly decrease your heart rate.
“After we’ve done a hiking trip, we’re anxious to get back to the car, but we really need to spend an extra couple of minutes cooling down,” she says.
LET PEOPLE KNOW YOUR WHEREABOUTS
If friends and family aren’t sure exactly where you’re running, biking or hiking, you’ll have a tougher time getting help if you encounter a problem, Strzalka says. In addition to carrying your cellphone, hiking or biking with a buddy or investing in a GPS-tracking device is probably wise and worth the investment.
If you plan on hiking this spring, Dreffer recommends purchasing a Hike Safe Card. According to New Hampshire Fish and Game, Hike Safe Cards cost $25 per person or $35 per family. The card is valuable for anyone hiking, paddling, cross-country skiing or engaging in other outdoor recreation.
“People who obtain the cards are not liable to repay rescue costs if they need to be rescued,” according to Fish and Game. “An individual may still be liable for response expenses if the actions that created the need for the emergency response meet criteria set forth by legislation.” ●
About DMC Primary Care
Dr. Doug Dreffer and Dr. Alexia Strzalka of DMC Primary Care are both accepting new patients. DMC Primary Care is the largest group of independent family medicine providers in the state and includes primary care locations in Concord, Derry, Goffstown, Raymond, Londonderry and Windham. In May 2025, DMC Primary Care opened a new office in Dover. All locations can be reached by calling 603-537-1300.
DIRECT ANTERIOR TOTAL HIP REPLACEMENT:
A MODERN SURGICAL APPROACH
Direct anterior total hip replacement is a minimally invasive surgical technique used to replace a damaged or arthritic hip joint. Unlike traditional approaches, which access the hip from the side or back, the direct anterior approach enters the joint from the front. This allows the surgeon to work between muscles and tissues without detaching them, potentially reducing pain, preserving muscle strength and speeding up recovery.
This method uses a specially designed surgical table and X-ray imaging to assist with precise implant placement. Because key muscles are avoided rather than cut, patients often experience a shorter hospital stay, quicker return to normal activities and reduced risk of hip dislocation. Additionally, the direct anterior approach allows for more accurate leg length restoration,
which can improve overall joint function and patient satisfaction.
Similar to other techniques for hip replacement surgery, direct anterior total hip replacement includes replacing both the ball and socket of the hip joint. This helps improve pain and function in patients who have been dealing with pain from arthritis, which is caused by the wearing out of cartilage inside the joint.
However, the direct anterior hip replacement technique is not suitable for everyone. Patients with obesity, complex hip anatomy or previous surgeries in the area may not be ideal candidates. The approach also requires specific training and experience, and not all surgeons offer it. Potential risks include injury to the lateral femoral cutaneous nerve, which can cause numbness or tingling in the thigh. There are other risks
such as infection, fracture and implant failure, though these are present in all hip replacement procedures regardless of how they are performed.
Despite these considerations, the direct anterior approach has become increasingly popular due to its benefits in recovery and mobility. Patients considering hip replacement should consult with an orthopedic specialist to determine the most appropriate
surgical option based on their individual condition and lifestyle goals. As with all medical procedures, outcomes are best when care is personalized and performed by an experienced team, which we offer at New Hampshire Orthopaedic Center. Call 603-883-0091 or visit nhoc. com to make an appointment with one of our joint replacement specialists for more information. ●
Daniel C. Wilson, MD, is board eligible for the American Board of Orthopedic Surgery and is a member of the American Academy of Orthopaedic Surgeons and American Association of Hip and Knee Surgeons. He specializes in orthopaedic trauma and joint replacement surgeries.
TO MAKE AN APPOINTMENT, VISIT NHOC.COM OR CALL (603) 883-0091.
B etter outcome s for life saving heart procedure s? Possible.
