through - TRAUMA CARE - Elliot Hospital

Spring/Summer 2016

Treat yourself to a healthier mind & body, see classes on pages 6 to 9

HIP ARTHRITIS AND A TOTAL HIP REPLACEMENTPage 2

SENIOR-FRIENDLY EXCELLENCEIN HEALTHCAREPage 3

HOSPICE CARE5

ReducingMortality

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2 Spring/Summer 2016 | www.elliothospital.org | Elliot Direct 603-663-1111

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Hip arthritis is becoming a more common problemfor patients as they strive to stay active. Pain

associated with arthritis can be quite severe and limiting. Theinformation available to patients in the age of social mediaand direct to consumer marketing can beoverwhelming and, in some cases,blatantly incorrect. Navigating thismaze of options can be quitechallenging for the patient who issimply looking for some relief. Arthritis is simply a term thatmeans inflammation of a joint. The cartilage thatcovers the joint surfaces becomes worn out, and ratherthan offering the typical smooth on smooth surface onwhich to walk, there is friction as the rough surfaces movepast each other with every step. This causes inflammation inthe area and the result is pain, swelling, and stiffness. Oncecartilage has worn out, it cannot be replaced, nor will it regrow. The only definitive option for this is a hip replacement. A hip replacement removes the areas with the damagedcartilage and replaces them with a new smooth surface onwhich to walk. Once the inflammation is gone, the pain isgone as well. This is the step where there can be somevariability. As the saying goes, there is more than one wayto skin a cat. The first question is how will the surgeon get to yourhip? There are at least five ways (with subtle variations ofeach), to approach the hip joint to replace it. Terms like“anterior,” “posterior” and “super-cap” are used frequently.These all are well described and acceptable ways to performa hip replacement and are chosen at the discretion of theindividual surgeon. You may also hear, “minimally invasive”or “muscle sparing.” As surgeons, we all choose how we dothis surgery for different reasons. In general, the medical studies support all methods for performing hip replacementwork well. The bottom line is that each option has risks andbenefits that are specific to that technique. I typically advisepatients to find a surgeon they trust and let the surgeonperform the procedure the way they feel comfortable ratherthan search out a specific approach. There is no consistentdata to support that any one method is the best. The other variability that exists in hip replacementsurgery is the type of smooth surface that can be implanted. Currently, choices include metal, ceramic, and plastics. I have

found using a ceramic ball inside a plastic socket (calledhighly cross-linked high molecular weight polyethylene)offer excellent results in my hands. Again, like the approachto the hip, surgeons will choose specific materials forspecific reasons. I would again advise patients to choosetheir surgeon and allow their surgeon to proceed with the

components that they are comfortable with and feel arebest for that patient.

There are other methods of performing hipreplacements that have gained a certain

measure of popularity lately. Robots havebeen specifically designed to guidesurgeons with the use of their

instruments and placement of the hipcomponents. There are also navigation

systems that can be used during theoperation to “fine tune” the position of the

hip replacement. However, these advances intechnology have yet to prove that they offer

any long term or even short term benefit topatients.

For those with hip arthritis that find they canno longer enjoy their hobbies or get through aday of work because of hip pain, they should seekout the advice of a surgeon. Meet with thesurgeon and discuss the specifics of the surgeryalong with any risks that may need to beconsidered. It is fair to ask your doctor how he or

she would perform the surgery, what materials theywould use and even what company’s implants they

prefer. But, in the end, all approaches, modernmaterials, and major orthopaedic implant companies

can be relied upon for excellent results when it comes tohip replacements and ultimately, patient satisfaction.

Bryan Lawless, MD is a subspecialty-trained adultjoint reconstructive surgeon, trained at theMassachusetts General Hospital. He specializes inknee and hip replacements. He is a graduate of TuftsUniversity School of Medicine, and completed hisresidency training in the Boston University

Department of Orthopaedics at Boston Medical Center. Dr. Lawlesshas expertise in the field of joint replacement including computernavigation, patient specific implants of the hip and knee, and treatingpatients with severe post traumatic and congenital deformities.

HIP ARTHRITIS and a TOTAL HIP REPLACEMENT

by Dr. Bryan Lawless

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Elliot Direct 603-663-1111 | www.elliothospital.org | Spring/Summer 2016 3

The Elliot NICHE(Nurses ImprovingCare for HealthSystem Elders)

Team has had a busy andsuccessful 2015. NICHE isthe leading nationalgeriatric nursing programthat focuses on the care ofthe hospitalized older adult.A healthcare facility may elect to applyfor this prestigious designation. A siteevaluation is then completed byNICHE upon which the designationmay be granted to the organizationshould they meet the qualifications.Once designation is extended,NICHE evaluates the facility annuallyto ensure that the best practices,interventions, protocols and overallgeriatric care that is provided by thefacility continues to meet NICHEstandards. NICHE offers four levels ofdesignation – Early Implementation,Progressive Implementation, SeniorFriendly Implementation andExemplar Implementation. ElliotHospital received NICHE designationin 2010. For the past five years, ourgeriatric programs and service lineshave grown significantly. Across ourhealthcare system, there are many whoare responsible for the growth andquality of our geriatric services, andthis was easily recognized during ourlast annual designation evaluation. InAugust, the NICHE team wasdelighted to announce that as anorganization we succeeded inincreasing our level of designation to

SENIOR FRIENDLY. We are nowone of only two hospitals in the Stateof New Hampshire who have achievedthis level of NICHE designation. Many may be asking, “what does aSenior Friendly Elliot mean for meand my family?” Developing a nursingforce who are highly skilled andcertified in providing geriatric carethrough the encouragement ofadvancing professional nursingpractice, NICHE aims to importeducation, principles and tools tostimulate change and provide supportin the healthcare environment to helphealthcare facilities provide exemplarypatient-centered care for their olderadult community. Elliot’s NICHE team is acollaborative inter-disciplinarymembership representing GeriatricMedicine, Internal Medicine,Pharmacy, Senior Health PrimaryCare, and Acute Care Nursing Staff.The team aims to increaseunderstanding of the normal agingprocess, improve communication witholder adult patients and theirfamilies/caretakers, and work togetherto develop and implement the

appropriate interventionsand best-practice evidenceto improve outcomes forour older adults. Overallthe group hopes byworking together toincrease awareness of theabove-mentioned strategies,that in turn thesurrounding community

will recognize Elliot as an elderfriendly healthcare system. To date, the team has led thedevelopment and implementation ofan inpatient Delirium Protocoldesigned specifically for thehospitalized older adult. Oncegraduated from the pilot phase, thisprotocol will impact all inpatient adultunits in the hospital. Alongside amarketing campaign, the teamproduced professional NICHEbrochures intended for the patient/family member and that will bedistributed to the outpatient practices. What’s next on the agenda for theteam in 2016? The team plans towork on the two inpatient protocols(Delirium and Constipation), andpartner with our volunteerdepartment to develop some creativestrategies to improve our older adultpatient experiences. The journey thus far to Senior-Friendly excellence has been anexciting one; however the NICHEteam hopes for even more. One thingis for certain, Elliot is ready to embarkon their final NICHE destination…Exemplar Status.

Senior-Friendly Excellence in Healthcareby Nicola Levasseur, RN

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oliticians have recently stepped up the fight to address the drugepidemic in our city and our state. The increasing drug epidemic

has mirrored the increasing crime rates that Manchester, NH hasexperienced over the past decade. Crime rates per 100,000 in our city

have increased to four times the national average. Sources from the FederalBureau of Investigation, City of Manchester website, and other onlinesources like Neighborhoodscout.com have reported crime rates; toinclude – robbery, assault, and rape, are being encountered at much higherrates in our city than on average across the country. At Elliot Hospital, the trauma team has had to respond to a markedincrease in injuries related to this epidemic of drug abuse and associatedcrime. Over the past year, the number of traumas due to violent crimesadmitted to the Emergency Department and the Division of TraumaAcute Care Surgery (TRACS) has risen to become the third most commoncause of traumatic injury being treated at our facility (Figure 1). Most ofthese injuries are from a penetrating mechanism, such as gunshot and knifewounds, that result in laceration to vital organs causing life threateninghemorrhage and often death.

Elliot Hospital’s years of experience as a state level 2trauma center and our continued commitment toimproving the care for our patients have prepared ourfacility to meet this new challenge. As we responded tothe spike in penetrating injuries, our local trauma systemwas rigorously tested. Our highly skilled team met thesenew challenges, and we have established our system as aleader in trauma care in our region.

“With streamlined field triage and rapid transportationto our Level 2 Trauma Center, we at the Elliot, inconjunction with our Emergency Medical Servicescolleagues, have been saving lives! Time is critically

REDUCING MORTALITYTHROUGH TRAUMA CARE

by Miguel Gaeta, MD, Trauma Medical Director, GeneralSurgeon in the Division of Trauma and Acute Care, Instructorof Surgery, Harvard Medical School, Assistant in Surgery,Massachusetts General Hospital


Figure 2: Elliot Team in a Mock Trauma

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important for many more seriousinjuries and having a nearby Level 2Trauma Center at the Elliot has madea life or death difference for many inour area.” says Dr. Miguel Gaeta,Trauma Medical Director. As a facility seeking verification fromthe American College of Surgeons(ACS) as an ACS Level 2 TraumaCenter, we are responsible forreviewing our own performance on adaily basis and optimizing the deliveryof care for our trauma victims (Figure2). For the past two years, themortality rates at Elliot Hospital forvictims of trauma have been less thanthe national average (Figure 3).Likewise, we have proven to besuperior to the national average forseveral quality measures (Figure 4). Inan effort to evaluate how well ourfacility is coordinating trauma carewith our colleagues in surroundingEMS services, we recently selected toevaluate our response to one of themost time sensitive of all traumaticinjuries: laceration of the heart. Historically, cardiac injuries resultingin laceration or rupture of the hearthave a very high mortality rate even inmature regional trauma systems. Earlyrecognition in the field by firstresponders of this life-threateninginjury requires rapid transport to aLevel 1 or 2 Trauma Center where animmediate life saving interventionmay be performed by a well-trainedand dedicated trauma team. At theElliot, 80% of our patients withruptured cardiac injuries progressed tocardiopulmonary arrest immediatelyprior to arrival or upon their arrival toour facility. All of these patientsreceived time-critical and appropriate care soon after their arrival to the Elliot. With support from the exceptional staff in ourEmergency Room, first responders, Anesthesia, Critical Care Departments, and countless other support staff, a full one half ofthese patients survived to leave the hospital and return to their loved ones. Survival rates in the literature report a survival range ofonly 2 to 9%. For our team to have a 50% survival rate is a phenomenal tribute to the success of our trauma system. Othertraumatic injuries also have similar far above average favorable outcomes. The Elliot continues to strive for even better patient care.We should be proud!


Elliot Trauma Related Mortality RatesBetter than the National Average

Two Years in a Row

Figure 3

Elliot has Shorter Hospital Stays, ShorterTimes in the ICU, and Fewer Days on aVentilator Compared to all Level Two

Figure 4

American Heart Association CPR & Basic First AidThe American Heart Association strongly promotes knowledgeand proficiency in BLS, ACLS and PALS and has developedinstructional materials for this purpose. Use of these materials inan educational course does not represent course sponsorship bythe American Heart Association. Any fees charged for such acourse, except for a portion of fees needed for AHA coursematerial, do not represent income to the Association.

Heartsaver CPR $40RE: Sat, Mar 5, May 7 or Jul 9, 8-11AM

CPR for New Healthcare Professionalsor Those with Expired Certification $65RE: Sat, Apr 2, Jun 4 or Aug 6, 8AM-12:30PM

CPR Renewal for Healthcare Professionals $50RE: Sat, Mar 5, May 7 or Jul 9, 11:30AM-2:30PM

Heartsaver First Aid $40RE: Wed, Apr 20 or Mon, Jul 11, 6-9PM

Learn techniques to give immediate care toan injured, suddenly ill person, or someoneinvolved in a life threatening situation, andwhen to alert medical personnel.

Women’s Health Pre-operativePatient Education Class Free! EH: On-going. Physician referral required, toparticipate, speak with your surgeon.For women with scheduled gynecologicalprocedures at Elliot Hospital. Learn how toprepare for surgery, what to expect followingsurgery, pain management and more. Yourquestions will be answered. You areencouraged to bring a family member orsupport person.

1-Day Surgery Center Tour for Children Free! RE, 1-Day Surgery Center: 1st & 3rd Wedmonthly, 3PM, registration required.Parents, children ages 12 and younger, andtheir siblings are invited to attend our specialpediatric tours. Meet with staff, review thesurgical process and tour the facility.

Elliot Center for Tobacco TreatmentRE: By appt., call 663-2201. Sessions may bereimbursed by Anthem or other insurances.• Four, 1-hour private sessions $125• One, 1-hour private sessions $45• One, hypnosis private session $90Studies show that intense support andcounseling with a trained tobacco treatmentspecialist increase the chances you can quitsmoking for good. Our certified counselor

works with you privately to formulate a quitplan based on current clinical guidelines.

Emotional Eating $45 per session*EBHS:Wed, Mar 30-Jun 1, 1:30-3PM or Th,Mar 31-Jun 2, 6-7:30PM. A min of 4 people isnecessary to run a group. *Most insurancesincluding Medicaid are accepted. Due tolicensing restrictions Medicare can only beaccepted for the Wed group. If self-pay, cost is$45 per wk if paid in full on the day of eachgroup or $60 per wk if not paid on the day ofthe group. Call 663-8621.Do you turn to food for comfort, stress relief,as a reward or even out of boredom? If so, youare an emotional eater. It isn’t all aboutwillpower. Topics covered in this 10-weekgroup for adults (ages 21+) include the brain’sreward system, how habits are formed andchanged, how to identify and manageemotions without using food, mindful eatingand stress management.

Programs sponsored by the Alzheimer’s Ass’n:To register, call 552-1670.• Coping With Early Memory Loss Free!EMMC: Wed, Mar 23, 2-4pMIf you have recently received a medicaldiagnosis of Mild Cognitive Impairment,Vascular Dementia, Alzheimer’s disease,Frontotemporal dementia or other relateddisorders, this class can help provide a greaterunderstanding of your diagnosis andtreatment and offer effective coping strategies. • Legal & Financial: Issues and Answers Free!EMMC: Th, May 19, 5:30-7pMMany families wait until it’s too late to learnabout legal and financial concerns. Thispresentation by an elder law attorneyprovides information about wills, durablepower of attorney, protection of assets,healthcare proxy, and what Medicare andMedicaid do and do not cover. While thisprogram is not intended to substitute for apersonal appointment with an elder lawattorney, you will have the opportunity tohear about typical issues and problems thatcan be avoided or reduced by adequateplanning.

ABC’s of Over-the-Counter Meds Free!RE, Pharmacy: Th, Mar 17, 1pM. Call 663-5678 to register.Learn appropriate OTC (over-the-counter)medication choices, label facts, and how tosave money on OTC meds. Presented byCheryl Abel, PharmD.

Expressive Writing Workshop $60 per session*EBHS: Wed, Apr 13-May 18, 6pM. *Mostinsurances accepted including Medicaid. Call668-4079 to register.Tell your own story through poems, songs,and journals. Finding your voice is a self-affirming step that can bring greater self-awareness, new insights and fresh hope.Through guided writing and readings,participants are offered compassionatecounseling through the process of writingtheir own stories. Facilitator: DawnWyman, LICSW.

Mindfulness Meditation $60 per session*EBHS: Wed, Mar 2-Apr 6, 6-7pM. *Mostinsurances accepted including Medicaid. Call668-4079 to register.Mindfulness is paying friendly attention toour present time experience with openness,curiosity and a willingness to experiencewhat is happening, just as it is. It is the abilityto be aware of your thoughts in a calm, non-judgmental manner. Mindfulness trainingwill teach you to overcome unnecessary,unhelpful thoughts that have been causingyou to suffer. An increasing number ofresearch studies show that practicingmeditation for as little as 20 minutes a daypromotes improved psychological well-being and mental performance and anincrease in physical health.

Positive Coping with Health Conditions $60 per session*EBHS: Wed, Mar 16-May 18 5-6pM. *Mostinsurances accepted including Medicaid. Call663-8618 to register. The group will becancelled if less than three people register.Learn new coping skills, relaxation skills,relationship building skills, managing

LOCATION OF CLASSES ARE DENOTED IN EACH DESCRIPTIONRegister by calling the specific number provided in class listing, or 603-663-4567.Community

WellnessTake time for your health

SOME CLASSES MAY BE JOINED WHILE ALREADY IN PROGRESS.

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Register by calling the specific number provided in class listing, or 603-663-4567.

• EBHS: Elliot Behavioral Health Services, 445 Cypress Street, #8, Manchester• EH: Elliot Hospital, One Elliot Way, Manchester• EMMC: Elliot Memory & Mobility Center, 40 Buttrick Road, Londonderry • EWC: Elliot Wellness Center, 1070 Holt Avenue, Manchester• LON: Elliot Medical Center at Londonderry, 40 Buttrick Road, Londonderry• RE: The Elliot at River’s Edge, 185 Queen City Avenue, Manchester• SHC: Senior Health Center, 138 Webster Street, Manchester

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COMMUNITY WELLNESSnegative thoughts, decrease symptoms ofanxiety, depression and physical symptomsthrough cognitive restructuring techniques.Increase your awareness of the mind-bodyconnection.

Dartmouth-Hitchcock Manchester, 100 HitchcockWay, Manchester: All classes meet in ConferenceRoom A, 2nd floor. Pre-registration is required forall meetings, please call 695-2628.This Bariatric Surgery program offers monthlyintroduction and informational meetings to startyou on a successful weight loss journey. Afterattending an introductory meeting, you will beeligible to call and register for monthly infomeetings. You are required to attend a minimumof 3 monthly info meetings before proceedingwith the program.• Introduction Meetings (for new patients to theprogram): 2nd Fri monthly, 12:15-12:45PM

• Informational Meetings: 2nd Fri monthly, 2-4PM. Different rotating topics each month.

• Post Bariatric Surgery Support Groups: 1stTue monthly, 5-6PM, no registration is required.

All classes require registration prior to the first dayof class, call 663-4567. Payment is due when youregister; your spot on the roster is not confirmeduntil payment is received. All classes are 8-weeks.

Gentle Yoga I $80RE:Mon, Mar 21-May 9; May 23-Jul 11; Jul 25-Sep 12; 5:45-6:45PM and Wed, Mar 23-May 11;May 25-Jul 13; Jul 27-Sep 14; 5:30-6:30PM.Promote total health and well-being throughstretching, strengthening and relaxing. This classuses breath and movement to feel the release ofphysical and mental tension and to increasebody/mind awareness. Good for beginners.

Thriving with Yoga Free!RE: Wed, Mar 23-May 11; May 25-Jul 13; Jul27-Sep 14; 1:30-2:30PM. To register, pleasecontact YogaCaps at 674-3770 [email protected] for those with experience of cancer. Itwill empower you to: relieve tension and anxiety,rebuild strength, restore range-of-motion,witness emotion with compassion, and managethe side effects of treatment and medicationsnaturally. This includes pain, lymphedema, hotflashes, neuropathy, depression and insomnia.You may bring a family member or friend toclass.

Tai Chi $48RE:Tue, Mar 22-May 10; May 24-Jul 12; Jul 26-Sep 13; 8:45-9:45AM.A Chinese martial art and form of stylized,meditative exercise, characterized bymethodically slow circular and stretching

movements and positions of bodily balance. TaiChi allows you to experience the ancient way toimproving balance, strengthening the body, andcleansing the mind. Beginners welcome.Instructor: Bill.

Fit & Feisty $60RE: T/Th, Mar 22-May 12; May 24-Jul 14; Jul26-Sep 15;10-11AM and 11:10AM-2:10PM.A low-impact aerobic and strength class witheasy- to-follow moves in a fun environment.Includes aerobics and strenth training utilizingfree weights, resistance bands, and stability balls.Floor exercises, core work and stretching are alsoincluded. For ages 50+. Instructor: Cecily.

Full Body Fusion $85RE: T/Th, Mar 22-May 12; May 24-Jul 14; Jul26-Sep 15; 6-7PM.A fusion of strength training exercise using body& free weights, cardiovascular intervals utilizingsteps, plyometrics, yoga, pilates, core work andstretching. Keeps your body guessing! Gearedtowards intermediate levels. Instructor: Cheryl.

Zumba GOLD® $40RE: Thu, Mar 24-May 12; 1-2PM. Zumba Gold® is a dance-fitness class that isfriendly and fun for all. The Zumba formula isused with modified moves and pacing to suit theneeds of the active older participant, as well asthose just starting their journey to a fit andhealthy lifestyle. The exhilarating easy-to-followmoves, the zesty Latin music, and theinvigorating, party-like atmosphere will help youhave fun while you achieving a great workout.Instructor: Cammie.

Body Sculpt $64EH, Welliot: Tue, Mar 22-May 12; May 24-Jul14; Jul 26-Sep 15; 5:15-6:15PM.A total body toning class designed to strengthenand sculpt every muscle group. Utilizes freeweights, resistance bands, and your body weight.Strength training is proven to help improvemuscle strength, maintain bone health and aidsin improving metabolism. All fitness levels.Instructor: Cheryl.

RxRelax Therapeutic Yoga $80-$120RE:Th, Mar 24-May 12; May 26-Jul 14; Jul 28-Sep 15; 4:30-5:30PM. To register, please contactYogaCaps at 674-3770 or [email protected] program designed around the needs of patientswith disabilities or who have chronic pain.Focused specifically on the needs of those whoselives have been affected by medical conditionsthat have limited their ability to improve ormaintain their bodies. Each individual will beguided to achieve improvement in their physical

and emotional wellbeing. Yoga has beenmedically proven to provide these goals to allwho engage in this activity of stretching.strengthening and relaxing. Instructor: Jay Gupta

TABATA Bootcamp $64EH: Wed, Mar 23-May 11; May 25-Jul 13; Jul27-Sep 14; 5-6PM. This is a high-intensity interval trainingminimum duration workout providing fitnessand weight-loss benefits for participants at allfitness levels. The core of a TABATA workout is4-min, high-intensity intervals consisting of 8rounds alternating 20 seconds of work and 10seconds of rest. Offers maximum benefit withthe least amount of time to achieve results!Instructor: Vanessa.

Yoga for Runners and Cyclists $80EH: Thu, Mar 24-May 12; May 26-Jul 14; Jul28-Sep 15; 5:15-6:15PM. This all-level class offers a series of highly effectivestrengthening and stretching exercises that arekey to the demands of a runner or cyclist. Focusis put on opening the calves, hamstrings, quads,hips, and shoulders. An emphasis on buildingcore strength to give the runner/cyclist theadvantage over the competition. This class is agreat compliment to any running/cyclingtraining after stressing your joints on pavementor trails. Give your body the balance it deservesby some much need rejuvenation and flexibility.Instructor: Melissa.

Cardio Kickboxing $64EH: Mon, Mar 21-May 9; May 23-Jul 11; Jul25-Sep 12; 5-6PM

This high energy interval training workoutprogram incorporates the sport specifictechniques of kickboxing to provide a high levelaerobic and anaerobic conditioning. Usespunching, kicking, footwork, rope jumping, andmuscle strengthening exercises. A non-contactworkout that captures the excitement of the sportof kickboxing through floor movement, trainingand coordination drills, technique work, andupbeat music that together stimulate classparticipants. Instructor: Vanessa.

Welliot at RE Gym Membership $35 monthlyRE, Welliot:M-F, 6:30AM-4PM. Call 663-4200to get started.The Welliot at River’s Edge fitness center consistsof the latest and greatest cardiovascularequipment, Nautilus strength training machines,and several group exercise classes for all ages andlevels. Our experienced team of friendly fitnessprofessionals will design an exercise programspecific to your current level and goals. If you arelooking for a safe, non-competitive, supportiveenvironment to help you reach your fitness goals,


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this is the facility for you. Seniors and first timeexercisers encouraged.

For any Nutrition Class, call 663-4524 to register or for more information.

LBI Support Group $25 per 3 sessions EH, Pavilion: 2nd Wed monthly, 5 to 6PM. Includes weigh-in and group session with aprofessional. Supports people who would like tomaintain their weight loss.

Comprehensive Weight Mgt Program Free Intro!EH, Pavilion: Intro Class, Wed, Apr 6, 6:30-7:30PM or Tue, Jul 12, 5:30-6:30PM.This introductory session outlines the 10-weekcomprehensive weight mgt program focusing ontotal health, not just pounds on a scale.

Jump Start Your Health $125EH, Pavilion: Wed, Apr 13-May 18, 6:30-7:30PM.This 6-week series will teach the basics of healthyeating, how to plan and cook quick and easymeals along with a focus on exercise.

Breast & Cervical Cancer Screenings Free!FREE breast and cervical cancer screening teststo eligible women. For more info, call 668-3067.

NICU Parent Support Group Free!EH, NICU Family Rm, 5th Floor: Tue, noon.Call 663-4360 or [email protected]

Postpartum Emotional Support Group Free!Elliot Childcare Ctr Activity Rm, EH campus,450 Massabesic St.: Mon, 10:30AM-noon. CallAlison Palmer, RNC, MS, at 663-3052 forinformation. This group supports women experiencing mood,anxiety, and thought disorders during pregnancyand the first year after their baby’s birth. Wediscuss issues and coping strategies related to theadjustment period and challenges of motherhood.

S.H.A.R.E. Free!3rd Wed monthly, 7-9PM. Call 663-3396.For parents who have experienced a miscarriage,stillbirth or neonatal death.

Chronic Pain Support Group Free!RE, Conf Rm: 2nd & 4th Tue, Sep 28-Jun 28, 5-6:30PM. Call 663-2881, guest speakers.Peer support group focused on education;bringing new thinking to what chronic painpatients can do to more fully engage in life.

Living Beyond Breast Cancer Free!EH, ERCC: 2nd Wed monthly, 6-7:30PM. Formore information, call 663-1804.A group that provides support and sharing forwomen who have experienced breast cancer.

Living with Cancer Free!EH, ERCC: 3rd Wed monthly, 5:30-7PM. Formore information, call 663-1804.A support group for people living with cancer,including family and caregivers.

Prostate Cancer Free!EH, ERCC: 4th Mon monthly, 6-7:30PM. Formore information, call 663-1804.Support and education for men with prostatecancer, their families and/or support person.

Look Good, Feel Better Free!EH, Conference Rm: Monthly, for dates andtimes, call 663-1804. In conjunction with theAmerican Cancer Society.Cosmetology help is provided to those receivingcancer treatment.

Support Group for Caregiversof Those with Dementia Free!SHC: 1st & 3rd Tue monthly, 10-11:30AM. CallBarbara MacPhee, MSW, LICSW at 663-7051.Learn strategies for caring for yourself, identifyways to build a support system, and learn newcoping strategies. Confidential.

EMMC Caregiver Support Groups Free!2nd Wed monthly, 10:30AM-12 noon: Fronto-temporal Degeneration; 3rd Wed monthly,10:30AM-12 noon: general support group. Formore info or to register, please call 552-1670.Our support groups are free and open to thepublic. We are here to help you cope with caringfor a loved one experiencing memory loss ordementia.

AICD (Automatic Internal Cardiac Defibrillator) Free!1st Fri monthly, 11AM-noon. Call 663-2959 forinformation.The only AICD support group in the tri-statearea. Designed to help patients with internalcardioverter defibrillators & their families dealwith unique issues.

Parkinson’s Free!SHC: 3rd Wed monthly, 3-4:30PM. Call 663-7063 for information.For people with Parkinson’s, family members,friends, or anyone who has an interest inlearning more about this disease.

Women’s Coping Skills $60 per sessionEBHS: Tue, Mar 29-May 3, 10AM. Mostinsurance accepted as well as Medicaid.Do you often feel overwhelmed? Would you liketo improve your ability to handle stress? Do youhave self destructive patterns you would like tochange like over eating, over spending or poor

relationship choices? Often, patterns develop toavoid emotions we find overwhelming. Comeand learn some coping strategies that can helpyou better manage your feeling and emotions ina safe environment. A womens only group thatwill use mindfulness techniques, self explorationand self care strategies you can use immediately.Tracey Coulon, facilitator.

Healing from Trauma Women’s Group $60 per sessionEBHS: Please call 663-8617 or 663-8618 fordates/times. For survivors of trauma. The discussion ofpersonal trauma will be extremely limited as thefocus will be learning new and effective copingskills for regulation of emotions, impulses, self-care, grounding techniques, acknowledging andcelebrating resiliency. Includes take-home sheets,hands-on, creative and expressive activities in asafe, nurturing environment. Tracey Coulon &Kristy Moen, facilitators.

Women’s Stress Managementand Self-Care Group $60 per sessionEBHS: Tue, May 24-Jun 28 (6 weeks), 10AM. Toregister or for more info, call 663-8617.Do you find it difficult to find time in your dayto take care of yourself? Feel guilty about sayingnow? Just cant unwind? Join us to learn how totake better care of yourself. We’ll talk about stressand the toll it takes on your body and how youcan reduce anxiety, relaxation skills, with handson practice and much more! Participants willleave relaxed and hopeful about practicing athome. Self care starts with you! Tracey Coulon,facilitator.

All classes require registration, please call 663-7016 to register. Payment is due when you register;your spot on the roster is not confirmed untilpayment is received. All classes are 8-weeks.

Zumba GOLD® $80SHC: M/W, Mar 21-May 11; May 23-Jul 13;Jul 25-Sept 14; 9-9:45AM and 10-10:45AM.This dance-fitness class is friendly and fun for allages and genders. The Zumba formula is usedwith modified moves and pacing to suit theneeds of the active older participant, as well asthose just starting their journey to a fit andhealthy lifestyle. The exhilarating easy-to-followmoves, the zesty Latin music, and theinvigorating, party-like atmosphere will help youhave fun while you achieve a great workout.Instructor: Ginger.

Zumba® Gold Toning $40SHC: Fri, Mar 25-May 13; May 27-Jul 15; Jul29-Sep 16; 9 to 9:45AM.It’s the dance-fitness party that moves at your

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pace. Shake and sculpt your way to a healthybody for an optimum active, healthy lifestyle.Whether you’re active or just starting your fitnessjourney – the Zumba® Gold Toning Programcombines the enticing international rhythms ofa slower-paced Zumba® Gold dance-fitness classwith the sculpting moves of a Zumba® Toningclass. An easy-to-follow, health-boosting dance-fitness program anyone can enjoy! Instructor:Ginger. Must buy Zumba Toning sticks,available from instructor.

Tai Chi $48SHC: Thu, Mar 24-May 12; May 26-Jul 14; Jul28-Sep 15; 10-10:45AM.A Chinese martial art and form of stylized,meditative exercise, characterized bymethodically slow circular and stretchingmovements and positions of bodily balance. TaiChi will allow you to experience the ancient wayto improve balance, strengthen the body, andcleanse the mind. Beginners welcome.Instructor: Bill.

Massage Therapy $70; $55 for Seniors 65+No gratuities accepted

Elliot at Hooksett, 20 Chambers Dr, Hooksett.Call 663-5730 to schedule an appt.Massage therapy is manipulation of the softtissues of the body, including muscles,connective tissue and tendons. It can helpalleviate the discomfort associated with everydayhome and occupational stresses, muscularoveruse as well as many chronic conditions. Youcan have the wellness you deserve. Massagebenefits include: enhancing sleep, releasingchronic muscular pain/tension/joint stiffness,reducing stress/ mental/physical fatigue,increasing energy levels, strengthening theimmune system and helping relieve anxiety.Massage Therapists: Bruce Wood, LMT, KMI,Licensed Massage Therapist and KinesisMyofascial Integration/Structural IntegrationTherapist and Melissa Lower, LMT, LicensedMassage Therapist and nationally certified intherapeutic massage and body work.

Gym Membership $25 per monthSHC: Mon to Fri, ongoing, 6:30AM-4PM, call663-7016 to get started.The Elliot Senior Fitness Center is designedspecifically for those 50 and older. The fitnesscenter consists of a variety of easily accessiblecardiovascular equipment and strength trainingmachines. Our friendly team of fitness specialistsare here to help guide you as you integratephysical activity safely into your life. We offer anequipment orientation with an individualizedexercise program designed to fit your needs andgoals. Join at any time.

Elder Law Free!SHC: 4th Wed Monthly, 4-5PM. No cost, butregistration is necessary by calling 663-7041.Round table discussion with an Elder LawAttorney, in which participants are able toidentify general areas of interest and askquestions. Areas addressed include: long termcare planning options including Medicaid andVeterans benefits; How to maximize Medicarebenefits; and Estate Planning documentsincluding powers of attorney, wills and trusts.

To register for all Childbirth Education programs, andfor dates and times log onto elliothospital.org, call663-4567, or email: [email protected]

Warm Welcome: A Maternity Tour Free!EH, Meet in the main lobby: Wed, 5:30PM; 1st& 3rd Sat monthly, 11AM registration required.Come join us for a tour welcoming you to theMaternity Center of Elliot Hospital. Thesetours are guided by Registered Nurses thatwork in the Maternity Center and teach thechildbirth education classes. Bring yourquestions! Through this tour you will becomefamiliar with the rooms and people that youwill see when you come to have your baby. Welove showing parents-to-be why our MaternityCenter has been repeatedly honored as the bestplace to have a baby in the state of NewHampshire. Start with us!

Caring for & Breastfeeding Your New Baby $50 per coupleEH, Maternity Conference Room: On-going.You may opt to select only the infant care portionor the breastfeeding portion if desired.• The first part of this class helps you get ready

to care for your new baby. It will increaseyour confidence as a new mom or rad and putyour mind at ease. Topics include your baby’sbehaviors, how to keep your baby safe, how tofeed and clothe your baby, and how you andyour baby can get the rest you both need.You’ll receive “tips” and “pearls of wisdom”to help in making those early days and weekswith your newborn less stressful. This class istaught by a registered nurse veryknowledgeable in newborn care.

• The second part of the class is aboutbreastfeeding and readying you withconfidence and wisdom. Breastfeeding isnormal. Our instructors are experts, certifiedby the International Board of LactationConsultants (IBCLC). They will talk aboutthe benefits of breastfeeding, the basics ofbreastfeeding, and how to get off to a greatstart! The will also answer your questionsabout pumping and storing mother’s milk if

you are planning to return to work and havequestions about this.

Preparing for Birth: Learn to Labor – 2 days $90 per coupleLabor is a natural body process. We are here tohelp you prepare! This class is taught byregistered nurses of the Eliot HospitalMaternity Center. They are certified inChildbirth Education, and you may well seethem during your stay with us. The topicscovered include preparing for labor, the laborprocess, coping with labor, comfort andmedication options, and for your supportperson, how best they can support you! Ourgoal is to empower and educate you. You cancount on leaving the class saying, “We’ve gotthis!” This class also includes a tour of theMaternity Center.

The best way to learn the many facets ofchildbirth is in shorter blocks of time. Join usfor two 4-hour classes!

Infant and Child CPR and Safety $30 pp or $50 per couple

Your baby’s safety is so important! In this classyou will be taught about infant safe sleep, infantand child CPR techniques and other content tohelp keep your baby safe and secure. This willinclude information important for you and alsoimportant for grandparents and other familymembers who may be helping you, so that theytoo have the latest information for your baby’ssafety. **Please note, this is not a certificationclass!**

Big Brother/Big Sister Class $15 per childEH, Maternity Conference Room: On-goingThis lively class prepares children (2½ -9 yrs) tobecome a big brother or sister! Through child-centered activities, they will learn about thebaby and their new role in the family. A fun,child-oriented 20-minute tour of the MaternityCenter is included. Please have your “soon-to-be” big brother/sister bring their favorite doll orstuffed animal to class!

Parent Education Packages:

Premium Package $180Includes: Labor, Care and Breastfeeding yourBaby, Infant Safety and CPR, Big Brother/BigSister.

Gold Package $160Includes: Labor, Care and Breastfeeding yourBaby, Infant Safety and CPR.

COMMUNITY WELLNESS

Register by calling the specific number provided in class listing, or 603-663-4567. 9

CHILDBIRTH and FAMILY EDUCATION

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Elliot Health System Welcomes Associate General Counsel Elliot Health System is pleased to welcome Annmarie Tenn, Esq. to their leadership team asAssociate General Counsel. In 2000, Annmarie earned a B.A., summa cum laude, from Boston College, where she graduatedas the co-Valedictorian of the College of Arts and Sciences. Born and raised in Manchester. Annmariegraduated from Central High School. “We are very excited to have Annmarie join The Elliot’s senior staff,” said John Friberg, Esq.,

Senior V.P. and General Counsel. “We feel very fortunate to have added someone as talented and committed to thecommunity we serve. The challenges in healthcare are complex, and we know that Annmarie will be instrumental inhelping us navigate the challenges and opportunities that lie ahead for our organization and the community and patientswe serve,” added Friberg.

Elliot Health System Welcomes Chief Compliance Office & Privacy Officer Elliot Health System is pleased to welcome Kristen Blanchette, Esq. to their leadership team asChief Compliance Officer and Privacy Officer. Kristen is a native of Berlin, NH and a graduate of Dartmouth College and the University of NewHampshire School of Law. During law school, Kristen served on the Franklin Pierce Law Journal,participated in the Daniel Webster Scholar Program and clerked for Honorable Gary E. Hicks of theNew Hampshire Supreme Court.

Kristen is actively involved in the American Health Lawyers Association (AHLA), Healthcare Compliance Association(HCCA) and New Hampshire Hospital Association (NHHA). “We are very excited that Kristen has joined us, and look forward to benefiting from her leadership around complianceand privacy matters,” said John Friberg, Esq., Senior V.P. and General Counsel. “Kristen has a strong command of thevarious legal, ethical and compliance issues facing hospitals and healthcare providers today and in the future, and will be astrong advocate for patients’ rights as well as an invaluable resource for guiding and educating our staff.”

Elliot Health System donates $125,000 to the City of Manchester’s Neighborhood HealthImprovement Strategy Beech Street School to get fitness playground and wellness program

Elliot Health System proudly announces apartnership with the City of Manchester in supportof the Neighborhood Health ImprovementStrategy. “We are donating $125,000 to support theestablishment of a childhood obesity program at theBeech Street School,” explained Jim Woodward,President & CEO, Elliot Health System. “Afterreviewing the city’s formal study of the populationin our neighborhood and the strategy to involvecommunity partners to help alleviate the seriousissues afflicting our local children, we felt this was anecessary step in the right direction,” saidWoodward. “One element of our donation willinclude a fitness playground where we plan toinitiate educational programs geared toward children to help inspire healthy physical fitness habits at a young age,” addedWoodward. “Elliot Health System’s gift to the children and families of Manchester truly celebrates the collaborative work behind theNeighborhood Health Improvement Strategy and furthers the City’s goal of creating neighborhoods of opportunity for allresidents,” states Mayor Ted Gatsas. “We thank such an influential leader in healthcare for their investment into a healthierfuture for our community.”


Welcome


We are proud to share that the Elliot HealthSystem PFAC is officially up and running.

is council is made up of Elliot HealthSystem staff members, patients and families.e members of our council will partner topromote quality, improve safety, increase

patient engagement and support the patientexperience.

Our council began meeting in September and meets on a monthly basis.e council has been partnering with us on the following projects:

• Emergency Department Rapid Triage Treatment (RTT) program• Pre-Surgical Testing: Pre-Op phone calls• Elliot Health System new web-site design• Pharmacy – Medication discharge information• Press Ganey Surveys

As we move forward, our council will continue to partner will us to fulfillthe Elliot Mission. “Elliot Health System strives to…INSPIRE wellness…HEAL our patients…SERVE with compassion in every interaction.” For any questions related to the Elliot Health System PFAC, do nothesitate to contact Susan Gilland, PFAC Coordinator, 663-2193 or LeslieChamber, Patient Experience Officer, 663-2991.

pFAC community members. Not pictured: Amy Jenkins

Newborn Babies at Elliot Hospital toCelebrate American Heart Month with

Special Handmade Red Hats

Hats knitted and crocheted by volunteers for the American Heart Association as part

of the Little Hats, Big Hearts™ program

Elliot participated in theAssociation’s LittleHats, Big Heartsprogram, which raisesawareness of heartdisease, the numberone killer ofAmericans, andcongenital heartdefects, the mostcommon type ofbirth defect in thecountry.

“Elliot is proud to partner with the American HeartAssociation in their Little Hats, Big Hearts™ programin support of raising awareness for heart disease,” saidJim Woodward, President & CEO, Elliot HealthSystem. “Elliot Hospital welcomes more than 1,800babies into the world annually. We see firsthand theconsequences of congenital heart defects in some ofthese patients and understand the important work ofthe American Heart Association and their mission tobuild healthier lives,” Woodward explained. This is thefirst year New Hampshire hospitals participated in theLittle Hats, Big Hearts program, which provides hats tonewborn babies in 34 states across the country.

For information about the Mary & John Elliot Charitable Foundation Office, visit www.elliothospital.org andclick on the “Make a Gift” icon at the top of our home page, or call the Foundation office at 603-663-8934.

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Mary & John Elliot Charitable FoundationBOARD MEMBERS and NEW OFFICERS

We would like to recognize the recent change in officers andthank our entire Mary & John Elliot Charitable FoundationBoard for their time and incredible support. Through theirefforts, we continue to fundraise for the Elliot HealthSystem so that our clinicians and employees may providethe very best healthcare to our local community:

SAVE the DATES• The 17th Annual Elliot Hospital Golf Classic benefitting

the improvement and expansion of cancer treatmentservices and improvements to the care offered to ourpediatric patients and their families will take place onThursday, June 9, 2016 at Passaconaway Country Club inLitchfield, NH. Our goal is to raise more than $100,000.For more information, visit www.elliothospital.org/golf.

• The 15th Annual Elliot Health System Gala supportscancer care improvements, cancer care expansion projects,and improving the care offered to our pediatric patientsand their families, and will take place on Friday,September 30, 2016 at Manchester Country Club inBedford, NH. This event will sellout, so please considerhaving your company or medical practice sponsor theevent to reserve your seats early. For more information,visit www.elliothospital.org/gala.

Annual iGive Campaign We have raised more than $200,000 for the annual iGivecampaign from generous donations made by the communityand Elliot staff. We truly thank those who have participatedand contributed. You have until June 30, 2016 to help us reach our goal ofraising $247,500! Go to www.elliothospital.org/donate tomake your gift today. Gifts of all size make a difference! Our greatest need is support for cancer treatment servicesprovided to our community. Each and every gift designatedto this great cause will help us provide the very besthealthcare to our patients.

INTERVIEWwith NICK ZAHARIAS, Elliot’s newVP of DevelopmentTell us a bit about your fund raisingbackground:“I’ve been in the development field for25+ years at institutions includingUniversity of Connecticut, ChoateRosemary Hall, Tilton School and

Lawrence General Hospital. I’ve helped to raise over $80M for worthwhile causes, and have raised funds through annual funds, fundraising events, grants, major gifts, capitalcampaigns and planned gifts. Planned giving may be myfavorite activity, whereby I help donors minimize taxconsequences and simultaneously allow them to supporttheir favorite charities in sometimes significant ways.”

What’s your impression of the Elliot after only a few months?“Being born in Manchester, NH, and as a resident ofDerry, I have admired the Elliot System from afar foryears. Now being on the team, and truly understandingthe scope of clinical expertise and capabilities from theinside, I am even further impressed with the system andhow advanced it is in serving the healthcare needs of thesouthern NH region. The ‘people of Elliot’ is why we areon such a roll, and I have really enjoyed getting to know,and working with, my new colleagues. It is refreshing towork with such friendly, creative, and capable co-workersand clinicians. I can see why we have so many dedicatedemployees who have stayed within the Elliot HealthSystem for decades!”

What do you see as opportunities for the Foundation?“I have had over 75 meetings with volunteers, donors andElliot staff members since my arrival in the late fall. Fromthese meetings and my previous experiences, I believe wehave a lot of ‘upside’ to fundraising at Elliot. We need todo a better job with our “cases for support” in all oursolicitation and fund raising event materials – don’t justask for $, but show donors the difference their gift canmake in our local communities. Our major giving,personal visitation and planned giving programs can all beimproved and expanded. We also need to do a better jobwithin the health system to educate and involvephysicians, nurses and employees in the important workwe do. The great news is that we already have a very loyalbase of supporters, and a terrific Foundation staff, so weare starting our next phase of growth from a position ofstrength.”


Charles F. Rolecek, ChairJohn A. Hession,

Vice ChairJames J. Tenn, Jr., Esq.,

SecretarySid BainesDavid Bellman

Cathy ChampagneCharles S. GoodwinSelma Naccach-HoffRichard RawlingsRenee WalshRichard I. WinnegJames L. Woodward

The Pearl Manor Fund wasestablished in 2005, when theassets of Women’s Aid Home(Pearl Manor) were transferred tothe Mary & John Elliot CharitableFoundation. Earnings from thesefunds are awarded and decidedupon by a Board of communitymembers and distributed throughgrants to provide assistance,comfort, care and treatment for theelderly population of Manchesterand surrounding communitiesincluding but not limited tomedical needs, safe housing needs,nutritional needs, independentliving assistance and transportationassistance. Since 2005 the Pearl ManorFund has distributed over $1million in grant awards to thegreater Manchester community tosupport the senior population. Theimpressive list of recipients includes: TheCareGivers, Inc.; Child & Family Services;Easter Seals; Elliot Health System; Granite

Independent Living; Granite YMCA; The Moore Center; New HampshireAssociation for the Blind; and St. JosephCommunity Services, Inc.

The Mary & John ElliotCharitable Foundation is pleasedto announce that grantapplications are now available fornon-profit organizations servingthe elder community in the townsof Allenstown, Auburn, Bedford,Candia, Deerfield, Dunbarton,Goffstown, Hooksett,Manchester and New Boston.Grants awarded through the PearlManor Fund, support newprojects that implement solutionsand address the critical andunmet needs of the seniorpopulation.

For a Pearl Manor Fund grantapplication, go to the Elliotwebsite, click on “Make a Gift”and follow the link to the PearlManor Fund. The nextapplication deadline is September1, 2016 and we encourage all not

for profits serving the local elderlypopulation to apply for funding of newprograms.


Pearl Manor Fund Awards Surpass $1,000,000

Speedway Children’s CharitiesNew Hampshire Motor Speedway (NHMS) and SpeedwayChildren’s Charities presented a generous grant to the Elliot viathe Mary & John Elliot Charitable Foundation. The donationwill purchase a new vision screener for our pediatric patients.

Thank You Revolution Hair DesignRyan Breton and his team at Revolution Hair Design located inBedford, NH held multiple fundraisers this fall to benefit ElliotHealth System. Ryan’s team raised funds during the month ofOctober for the Elliot Breast Health Center and then hosted acut-a-thon on November 7, 2015 to benefit Elliot patientsaffected by Alzheimer’s. These fabulous events raised over $1,300which will greatly assist the care provided to our patients.

pictured l-r at the grant presentation: NHMS’ Milo the Moose, NHMS Vp & General Manager David McGrath, Dr. Kevin petit,Executive Director of pediatrics, accepting the gift, Manchester Mayor

Ted Gatsas, and New Hampshire Governor Maggie Hassan.

The Granite YMCA received a $50,000 grant towards new wellnessprograms for low income seniors in the greater Manchester area. L-R:Nicholas S. Zaharias, Elliot’s Vp of Development, Foundation Trustee& pearl Manor Committee Member Richard L. Rawlings, Harold J.Jordan, The Granite YMCA president/CEO, and Meghan Durkee,Elliot’s Development Specialist.

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ALLERGY/IMMUNOLOGYJohn Kalliel, MD

ANESTHESIOLOGYBrian Klagges, MD

BREAST SURGERYTeresa Ponn, MD

CARDIOLOGYCarl Fier, MD

COLON/RECTAL SURGERYJeffrey Harnsberger, MD

DERMATOLOGYSarit Itenberg, DO

EAR, NOSE & THROAT SURGERYJames Bartels, MD

Andrew Spector, MDJeffrey Zimmerman, MD

EMERGENCY CARENicola DiRito-Herbert, MD

Kevin Rankins, MDKristine Reid, MDMarc Weiner, MD

ENDOCRINOLOGYJohn Poremba, MD

GENERAL/FAMILY PRACTICEJ. Gavin Muir, MD

James Fitzgerald, MDCraig Widness, MD

GENERAL SURGERYLawrence Hoepp, MD

Curtis Kloc, MD

GERIATRICS Manish Chopra, MD

Hetal Dave, MDSamuel Goldman, DO

GYNECOLOGYPolyxeni Rounds, MDGary Wasserman, MD

GYNECOLOGICAL SURGERYMarc Leclair, MD

Gary Wasserman, MD

HAND SURGERYRobert Heaps, MD

Nicholas Horangic, MDPaul Scibetta, DO

Jinsong Wang, MD, PhD

HEMATOLOGY/ONCOLOGYGautami Rao, MDPeter Crow, MDRalph Falk, MD

HOSPITALIST Elizabeth Saich, MDSusanna Wilkens, MD

INFECTIOUS DISEASESElizabeth Clark, MD

Alexander Granok, MDMichael Strampfer, MD

INTERNAL MEDICINETodd Mellish, DO

Kenneth Thomas, MD

MATERNAL FETAL MEDICINEGary Kaufman, MD

NEONATOLOGYMichael Hokenson, MD

Michael Miller, MD

NEPHROLOGYDavid Friedenberg, DO

NEUROLOGYKeith McAvoy, MDRobert Thies, MD

NEUROSURGERY N. Ross Jenkins, MD

Neal Luther, MD

OBSTETRICSDanielle Albushies, MDLisbeth Murphy, MD

OPHTHALMOLOGYAnthony Correnti, MD

Ahad Fazelat, MD

ORAL & MAXILLOFACIAL SURGERYGopi Voonna, DDS

ORTHOPEDIC SURGERYEric Benson, MD

Robert Parisien, MD

PAIN MANAGEMENTStephen Dainesi, MD

PALLIATIVE MEDICINECharles Mills, MD

PATHOLOGY J. Samuel Smoot, MD

PEDIATRICSMark Myers, MD

PLASTIC SURGERYBruce Topol, MD

Daniel Sterling, MD

PODIATRYPeter Kasyjanski, DPM

PSYCHIATRYAnthony Ramirez, MD

RADIATION ONCOLOGYJames Becht, MD Brian Knab, MD

Thomas Sheldon, MD

RADIOLOGYPeter Van der Meer, MD

REPRODUCTIVE MEDICINEDanielle Vitiello, PhD, MD

Kristen Wright, MD

RHEUMATOLOGYDouglas Marks, MD

UROLOGICAL SURGERYJohn Munoz, MD Chris Girasole, MD

VASCULAR SURGERYLawrence Hoepp, MD

WOUND CARENathan Elder, MD

Syed Asif Razvi, MD

Each year, NH Magazine surveys physicians across the state about who they feel are New Hampshire’s “Top Doctors.” Congratulations to the Elliot Medical Staff!

TOP ELLIOT DOCS FOR 2016

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end of life and quality end of life are often things peoplejust do not want to contemplate. The time, however,

may come, when you or your family are faced with the need forhospice services. The VNA of Manchester & Southern NewHampshire’s Hospice program provides services to those whose lifeis measured in days and weeks instead of years. The focus is onproviding quality of life each and every day. The staff include hospice nurses who are experts in pain andsymptom management, working closely with the hospicemedical staff and your physicians. Hospice aides providepersonal care, light housework and meal preparation. Ourchaplain and social workers provide spiritual counseling,assistance with resources, anticipatory grief counseling, andhelp with making arrangements. Our wonderful volunteersare busy bringing meals, sitting vigil, runningerrands, visiting, and providing support to you and yourfamily. The result does have an impact and we knowfamilies are grateful. There are people who could benefit now fromhospice care. If you or someone you love would like tolearn more, call the Manchester VNA at 622-3781.We are happy to respond to your questions and helpyou understand whether these quality of life servicesare timely.


Adult Bereavement Support Groups. Helpparticipants explore and better understandthe grief process and how to celebrate andhonor the loved ones we have lost. Thegroups meet weekly for 8 weeks and areheld several times throughout the year. Ifyou are interested, once registered you willbe notified of the next session.

Stepping Stones through Grief. For childrenand adolescents ages 5-18. The grouphelps explore and better understand suchtopics as the meaning of death, feelingsgenerated around loss and how tocelebrate and honor the loved ones wehave lost. Parents are required to stay and

support their children by attending theirown adult support group. Groups meet weekly for 8 weeks. Stepping Stones is held in the spring and fall, from 6-7:30PM. Once registered, you will be notified of the next session.

Men’s or Women’s Drop-In Support Groups.Participants are given the opportunity togrieve the loss of a spouse or loved one.Members help each other answer thequestion: “What Now?” Participants willbetter understand the grief process,dealing with their emotions, and how tohonor and celebrate their loved ones whohave died. No registration required.

• Men’s Drop-In Support Group. Meets the4th Friday monthly, 9-11AM and the2nd Wednesday monthly, 6-8PM, atSouthside Bible Fellowship Church,200 So. Jewett St.

• Women’s Drop-In Support Group. Meets1st and 3rd Friday monthly, 9:30-11AM, at Elliot at River’s Edge, 185Queen City Ave.

Hospice Services. For more information,please contact Bereavement Coordinator,Chuck Johnson, at 663-4005. You mayalso obtain information online atwww.manchestervna.org. Unless noted, all classes require pre-registration.

SUPPORT SERVICESVNA Hospice Bereavement Services. Death is a painful loss experience, and one of the hardest from which to recover.

Death takes away, but facing it and grieving can result in peace, new strengths and purpose.

Hospice Care

Nonprofit Org.U.S. PostagePAID

Manchester, NHPermit No. 6147

Follow us on Facebook

and Twitter @elliothealthsys.

YOUR WELLNESS MATTERS is published as a community service for thefriends and patrons of Elliot Health System, One Elliot Way, Manchester, NH03103, 603-669-5300, www.elliothospital.org.

James Woodward President and CEOJames Hood, Esq. Chair, Board of TrusteesSusanna Fier Vice President, Public Affairs & MarketingAnne Marie Hafeman Marketing & Communications Specialist

Information in YOUR WELLNESS MATTERS comes from a wide range ofmedical experts. If you have any concerns or questions about specificcontent that may affect your health, please contact your healthcareprovider. Models may be used in photos and illustrations.

ELLIOT CARES ABOUT

PATIENT SAFETYIf you have a concern regarding the safety orquality of care given to our patients, we want

to hear from you! We encourage you tocontact our Patient Relations/Safety line at

603-663-2666, or contact the JointCommission at 1-800-994-6610 or the State

of New Hampshire at 1-800-852-3345.

Our DOCTORS are in! OUR DOCTORS ARE ACCEPTING NEW PATIENTS.

Mahendra Panesar, MDPediatric Health Associates at Manchester

275 Mammoth Road | Suite 1-CManchester | 603-663-8350

www.pediatrichealthassociates.com

Patricia Cayer, MDPediatric Health Associates at Manchester

275 Mammoth Road | Suite 1-CManchester | 603-663-8350


Lou Nackman, MDElliot Pediatrics at Windham5 Industrial Drive | Unit BWindham | 603-685-0150 www.elliotfmwindham.com

Matthew Hajduk, MDElliot Pediatrics at Windham5 Industrial Drive | Unit BWindham | 603-685-0150 www.elliotfmwindham.com

Jennifer Holzinger, DOElliot Family Medicine at Hooksett20 Chambers Road | Suite 1200

Hooksett | 603-624-8652www.hooksettmedicalcenter.com

Andrea Palumbo, MDPediatric Health Associates at Bedford

Pine Tree Place | Unit 8 | 360 Rte. 101Bedford | 603-472-5860


Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

One Elliot WayManchester, NH 03103

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