Health Matters Blog

Healing Wounds on a Case-by-Case Basis

Published May 8, 2014

Tracy Turcotte, RN By Tracy Turcotte The Center for Wound Healing at BMH uses a case management approach to treating chronic, non-healing wounds. In my role as Clinical Nurse Manager, I also case manage a number of our patients and get to build relationships with my patients. When a patient arrives for their first visit, we take approximately 60-90 minutes to work through their medical history and develop a course of treatment. On each visit, we take a picture of the wound and a complete set of measurements. Having these measurements and pictures assist the physician and case manager with determining the effectiveness of treatment and make decisions about...

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A Year of Healing, A Year of Learning

Published April 30, 2014

Lynne Vantassel By Lynne Vantassel Brattleboro Memorial Hospital opened its Center for Wound Healing a year ago. It was the first wound care center of its kind in Vermont and one of a few in the tri-state region to offer Hyperbaric Oxygen Therapy (HBOT). Over the past twelve months, we have learned a lot about the needs of patients in our community. In turn, they have learned that they don’t have to live their lives coping with chronic, non-healing wounds. [caption id="attachment_8378" align="alignright" width="193"] Lynne Vantassel[/caption] To date, the Center has provided treatment to more than 200 individuals. These wounds are caused by a vari...

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Collaborative Practice for Women’s Obstetrical and Gynecological Health Care

Published April 25, 2014

Raine Kane, CNM, BA, MSN By Raine Kane, CNM Depending on where we live in the United States, collaborative care between midwives and obstetricians/gynecologist varies considerably. For Brattleboro OB/GYN and Four Seasons Midwifery, a collaborative approach has existed since opening of the practice. In 2001, Lois Trezise, CNM, joined Brattleboro OB/GYN as their first midwife. A collaborative relationship occurred naturally with a strong commitment between the three providers to deliver continuity of care for women seeking maternity and gynecology care. [caption id="attachment_515" align="alignright" width="200"] Raine Kane, CNM, BA, MSN[/caption] Over the ...

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Mental Health in the Postpartum Period

Published April 18, 2014

Heather Ferreira By: Heather Ferreira, CNM Roughly forty percent of pregnant women report being treated for depression during pregnancy or just prior to pregnancy. Postpartum depression is defined as depression that occurs anytime during the first year after childbirth. It occurs in approximately ten to fifteen percent of women in the general population. While ten to fifteen percent may sound infrequent, the number is much higher for women with certain risk factors. [caption id="attachment_10618" align="alignright" width="199"] Heather Ferreira, CNM[/caption] These include: Inadequate social support Past or current diagnosis of depression ...

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In Vitro Fertilization: What’s New

Published April 11, 2014

Judith H. McBean, MD By: Judith McBean, MD Infertility affects approximately 1/8 reproductive age couples in the United States, however if they seek help, the chances of success has never been better. As couples enter into this world they are often faced with a daunting collection of procedures and terms that resemble alphabet soup. In this article we will explore the world of infertility and find out a little about what is new. [caption id="attachment_522" align="alignright" width="200"] Judith H. McBean, MD[/caption] In Vitro Fertilization or IVF is often used when other infertility treatments fail and is one of the most common assisted reproductive te...

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Human Papilloma Virus and Pap Smears—The Latest Guidelines

Published April 3, 2014

James E. Bunker, MD By: James Bunker, MD Human Papilloma Virus has garnered a great deal of attention in the gynecologic literature over the past decade, primarily as it relates to abnormal pap smears. Also referred to as HPV, human papilloma virus is a sexually transmitted virus that is extremely common, especially in reproductive age women less than 30 years of age. It is estimated that 80% of sexually active women will have HPV at some point in their lifetime. At any given moment in time, 25-30% the population between ages 14 and 59 can be found to harbor the virus. However, the highest prevalence occurs in women between the ages of 20-24, where it approac...

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Upper Extremity Pain

Published March 28, 2014

Chris Vitello By Chris Vitello, OT The human body is an amazing thing. With all of the bones and all of the muscles, it is amazing how it all works together so smoothly without fault. Most of the time we lose sight of this marvel, that is of course, until something does not go quite right. It is then when we question the marvel that is our body and why it is now not working quite to our specifications. My name is Chris Vitello and I am an Occupational Therapist and Certified Hand Therapist working at Brattleboro Memorial Hospital. I would like to touch upon some of the common ailments of the upper extremity that you may notice when our bodies are not wo...

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Slip Sliding Away

Published March 14, 2014

By Eileen Casey, PT Snow, rain, sleet, polar vortexes, yikes! The freezing and thawing can lead to frost heaves, potholes and uneven ground in many places. Even with the most diligent shoveling, plowing, sanding and salting, patches of ice or potholes can still be lurking, just waiting for you to step on them and fall. Just ask any of the folks treated this winter at the BMH Emergency Department for hip, wrist or arm fractures due to falls on the ice. As children, most of us had no fear of falling; you got up, brushed yourself off and kept going. It was no big deal. As a child you did many things that helped keep your balance system wor...

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My Life Check and the Simple Seven

Published March 5, 2014

By Jeff Harr, RCEP, Cardiopulmonary Rehab Coordinator February 2014 was the 50th anniversary of “American Heart Month”. This formal designation began in 1964 by President Lyndon Johnson. In 1960, about 662,000 Americans died each year because of heart disease and 924,000 died from all forms of cardiovascular disease combined. In 2010, those figures were below 600,000 and 784,000, respectively. Those figures, however, do not tell the whole picture of the progress in the fight against heart disease since the population of the United States has increased by 129 million people between 1960 and 2010. [caption id="attachment_2198" align="...

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A Year In Review

Published February 26, 2014

Kathleen McGraw, MD By Dr. Kathleen McGraw, CMO 2014 is whirling by as if it is attached to some of the snowflakes we continue to have swirling around us. Like the snowfall, some of it is steady, some a flurry of activity, and some of it is fresh and new. But as this happens I’m also looking back to see where I’ve been. It’s just past the one year mark since I arrived in the position of Chief Medical Officer here at Brattleboro Memorial Hospital. It’s been a busy year of new faces and challenges. Looking back, here is some of what I’ve seen happen at BMH. [caption id="attachment_8101" align="alignright" width="226"] Kathleen McGraw, MD[/caption] ...

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