DECH Pediatricians Invite Area Children to Halloween Event

October 13, 2023

Machias – Down East Community Pediatricians Drs. Kaplan and Weitz invite area children and their parents to their Halloween event! It will take place on October 27 from 4pm to 6pm at the Robertson Building on the Hospital Campus at 11 Hospital Drive in Machias (rain date is October 28).  This will be a fun filled event with a bounce house, a five-foot-tall Jabbering Jack, an inflatable pumpkin photo booth, games, goodies, and gifts! Many of you will already be in full costume for Trick or Treat on Main Street so stop on by for another Halloween adventure.

Hope to see you there!

Washington County Hospitals to Offer Free Mammograms

October 2023

Machias and Calais – We are pleased to announce that Down East Community Hospital and Calais Community Hospital will be providing 50 free mammograms (each) for our service areas through the month of November.  There are conditions to be met to qualify for the service: it must be a screening mammogram only (not a follow up); you must be 40 or older; you have no health insurance or a high deductible (that exceeds $5,000); it has been at least 1 year since your last mammogram; the mammogram appointment must be made through a referral from your provider.

With our 3D technology, we provide images of outstanding detail and superior diagnostic     accuracy, which helps clinicians provide exceptional care and puts patients’ minds at ease. And with the same low dose as a 2D exam, the lowest patient dose of all FDA approved DBT systems.

Please contact your provider if you would like to be referred for a free mammogram!

Jackie O’Clair Named Board Chair at Annual Meeting

July 10, 2023

DECH & CCH Board Chair, Jackie O’Clair

Machias and Calais – Down East Community Hospital and Calais Community Hospital held its annual meeting of the Corporators on Thursday, June 30.  CEO, Steve Lail, reported that despite the many obstacles hospitals across the country experienced in 2022, DECH and CCH operated in the black. The financial results and accomplishments from the past year were discussed and reported on at the meeting. The 2022 Annual Report, which highlights much of the hard work done by staff over the past year, is available on the DECH and CCH websites.

During the annual meeting board officers were announced and Jackie O’Clair, who most recently served as the Vice Chair and Secretary, held her first meeting as Board Chair. “Jackie has been an excellent trustee since 2018 and we look forward to working with her over the next few years. Since being a member of the board, Jackie has been active on the Finance, Governance, Quality Improvement and Safety, Compliance, and Executive committees,” Steve Lail, CEO.

Several new board members were also approved, and they are Tom Moholland, Julie Jordan, and Jody Dennison. Tom and Julie have close ties to the Calais area, which increases the representation from the northern part of Washington County on the board. Jody is from the Machias area and is an employee of Machias Savings Bank.  Jody is the VP Accounting Manager at Machias Savings Bank, where she has worked since 1999.  In her current role she oversees the accounting function, including managing the internal control program and coordinating exams and audits. Tom is the fiscal officer for Eastern Maine Co-Op and previously worked in the finance Department of WCCC and as a CFO for Sunrise Opportunities. Julie, who is recently retired, has experience in finance investment and human recourses. She was a Director on the Washington County Development Authority board and the Downeast Economic Development Director at St. Croix Valley Chamber of Commerce.

Current members of the board are Jackie O’Clair, Chair, Judd Bragg, PharmD, Vice Chair, Nate Martell, Secretary, and Ian Pratt, Treasurer,  John Corrigan,  Corey Schwinn, Betty Marshall, Tom Moholland, Julie Jordan, Jody Dennison, Christian Inegbenijie, MD, and Rita Ten, MD.

Human Papillomavirus – The Importance of Vaccination

May 25, 2023

By DECH Pediatrician, Joann Kaplan, M.D

Machias – Human Papillomavirus is the virus that causes warts of all types.  Certain strains of this virus can lead to cancer. These strains are most commonly associated with cervical cancer in women, but can also lead to cancer of the throat, penis, anus, vagina, and vulva, as this virus is spread through sexual or skin to skin contact.  Approximately 45,000 people in the US develop HPV related cancer each year.  Preventing infection with this virus through vaccination is the best way to prevent your child from developing cancer later in life. When given at the recommended age, this vaccine can prevent more than 90% of HPV related cancers.

The HPV vaccine reduces the risk of infection with Human Papillomavirus. Like all vaccines, it is most effective if administered before exposure to the virus. The most recent data from the CDC reports that over 40% of teenagers between 15-19 have engaged in some type of sexual activity, and so are at risk of exposure to Human Papillomavirus. Most adults  will have been exposed by the age of 26. About 75% of new HPV infections are found in people aged 15-24.

Many parents ask why we recommend  giving the vaccine at age 11. As in early childhood and infancy, the recommended vaccine schedule developed by the Advisory Committee on Immunization Practices is intended to avail itself of the developing immune system of children. Research has shown that younger children have a stronger antibody response to the vaccine before the age of 15. After the age of 15, the response is not as strong and fewer antibodies are made. In addition, waiting until after age 15 increases the risk that a teenager will already have been exposed to the virus, so its overall protection would be reduced. In fact, people over the age of 15 require 3 doses of the vaccine to reach acceptable levels of protection, as opposed to 2 doses for younger people.

Since 2007, when the HPV vaccine was  approved in the US, 135 million doses have been administered.  Mild reactions such as pain, redness, dizziness, headache, and fainting are common (fainting is more common in adolescents receiving ANY vaccine). Between 2014 and 2017, 28 million doses were given. There were 7,244 adverse reactions were reported in that time period, which is 0.026% of all doses, and only 3% of those were considered serious. The remaining 97% were mild. These statistics show the vaccine is very safe and serious reactions are extremely rare.

Please contact your child’s health care provider if you have any concerns or questions about the HPV vaccine. The HPV vaccine is free under the Vaccines for Children program and is covered by most health insurance plans.

Dr. Brodsky Retires After 21 Years at DECH

May 25, 2023

DECH bids a fond farewell to Anesthesiologist, Dr. Leonid Brodsky, after 21 years of dedicated service.  In 2002, Dr. Brodsky and his wife Helen came to Machias, and he began his employment at Dr. Massaad’s general surgery practice.  Dr. Brodsky has been a member of the Down East Community Hospital medical staff since 2002 and he came on as a full-time Anesthesiologist at DECH in 2007.

Dr. Aziz Massaad on Dr. Brodsky’s service, “I believe hiring Dr. Brodsky and recruiting him to this county was one of the best decisions I have made as a physician. He has been a great asset for this hospital, a superb addition to the medical staff, and a very compassionate and caring medical professional to our community.”

Dr. Brodsky means a lot to many and saying goodbye was difficult.  There was a nice get-together in the Skylight Café complete with cake, ice cream and many hugs.  Earlier in the week there was a night out with the medical staff and their guests and yet another evening with his co-workers from the OR and Ambulatory Surgery unit.

CEO, Steve Lail, on Dr. Brodsky’s retirement, “Dr. Brodsky, a consummate professional, and an all-around pleasant human being will be greatly missed by his DECH family and the patients he interacted with over these many years. We wish he and Helen a long, healthy retirement.”

DECH Auxiliary Donates $1,000 to Safe Sleep Initiative

May 22, 2023

CNO, John Marshall, Auxiliary President, Pat Hennessey, and OB Nurse, Sarah Tustian, RN.

Machias – DECH Auxiliary President, Pat Hennessey, presented, CNO, John Marshall, and OB Nurse, Sarah Tustian, RN with a $1,000 check for the Down Eash Community Hospital Safe Sleep Initiative.  DECH is a Safe Sleep Certified Hospital through the Cribs for Kids National Safe Sleep Hospital Certification Program.

The DECH Auxiliary has been raising funds for many years to go towards everything from scholarships for those going into the nursing profession to baby’s, equipment needs, and commemorative baby spoons.  The Auxiliary was looking to find an additional initiative that fit well with their mission and was excited to hear about the safe sleep program.  The money they donate will go toward purchasing educational gift bags for new moms.  CNO, John Marshall on the donation, “The Auxiliary contacted me right away once they heard about the program.  We were excited to learn they decided to take this on and were blown away when we received their $1,000 donation within weeks.  They are amazing, dedicated advocates for our hospital, and we appreciate them more than words can say.”

The top 3 causes of infant death are: premature or low birth weight, congenital anomalies, and Sudden Unexplained Infant Death (SUID).   Many of these deaths are preventable and related to infants being placed in unsafe sleep situations.

According to the March of Dimes

  • In Maine in 2019, 64 infants died before reaching their first birthday, an infant mortality rate of 5.4 per 1,000 live births.
  • Between 2009 and 2019, the infant mortality rate in Maine declined more than 5%.

According to a 2020-2021 Maine CDC/DHHS Annual Report – After declining for six years (2013-2019), Maine’s infant mortality rate increased in 2020. In 2020 there were 72 deaths among Maine resident infants, and the State’s infant mortality rate was 6.2 deaths per 1,000 live births.

In 2021 there were 62 deaths among Maine resident infants, and the State’s infant mortality rate was 5.2 deaths per 1,000 live births. The US 2021 infant mortality rate slightly exceeded Maine’s rate at 5.3 deaths per 1,000 live births.

Is the ED Where I Need to Be?

February 7, 2023

The Emergency Department is often at capacity these days and the wait times can be long. Patients should be reassured they are going to get the best possible care, with the best resources and the best staff.   The Emergency Department does an excellent job at triaging (determining highest priority health issues), and those patients who require immediate care will get care right away.  We want people to have access to their families. We want you to be seen in a timely manner. We want to care for you.

But emergency care is not usually fast, does not work like appointments and can never be predicted.   We understand this can be frustrating at times when you or a loved one is unwell.  However, we must ask that people be more tolerant.  We do our best to meet the needs of our patients and we deal the best we can with circumstances that are beyond our control.

There are many factors contributing to increased wait times in the Emergency Department.  Many of these issues cause patients to be held in the ED where they occupy a bed for long periods of time instead of being transferred which basically reduces the number of patients staff are able to care for.

Lack of beds at larger hospitals – unable to transfer

Shortage of behavioral health facilities – unable to transfer

Shortage of nursing home beds – unable to transfer

Shortage of EMS – unable to transfer

Delay of Services when regional facilities cannot accept new patients for specialist care

Decreased or discontinued specialty services in our region at the larger hospitals

In addition to these issues, we have many patients in the ER who do not have true emergent needs.  You should use a hospital emergency room for very serious or life-threatening problems.  For common illness or minor injuries, contact your primary care provider’s office as an initial first step. If you lack a primary care provider and are therefore utilizing the ED for primary care or walk in clinic level treatment, we urge you to seek out and establish with a primary care provider.     Also, know your health insurance benefits, and check for a telehealth care option.  Many health insurance policies offer this service for afterhours consults to avoid emergency room visits for non-emergent issues.  The more people who have non-emergent care needs met through primary care or telehealth, means we have more resources to care for those who have an emergency.

Some basic guidelines to consider when deciding if you need emergency care are listed below.

 If you are experiencing any of the following, don’t wait!  Call 911 and get to your nearest hospital or emergency room.

  • Chest pain
  • Severe abdominal pains
  • Coughing or vomiting blood
  • Severe burns
  • Deep cuts or bleeding that won’t stop
  • Sudden blurred vision
  • Difficulty breathing or shortness of breath
  • Sudden dizziness, weakness, or loss of coordination or balance
  • Numbness in the face, arm, or leg
  • Sudden, severe headache (not a migraine)
  • Seizures
  • High fevers
  • Any other condition you believe is life threatening

The best place to get care is a doctor’s office or clinic for common illnesses, minor injuries, and routine health exams.  Your doctor can also help you manage your health over time.

You should make an appointment with your doctor’s office for:

  • Common illnesses such as colds, flu, earaches, sore throats, migraines, fever, or rashes
  • Minor injuries such as sprains, back pain, minor abdominal pain, cuts and burns, minor broken bones, or minor eye injuries
  • Regular physicals, prescription refills, vaccinations, and screenings
  • A health problem where you need advice

Telehealth services can be utilized if your provider’s office is closed, or you are not able to get an appointment.  Telehealth services can provide care for many of the medical needs that are addressed by your provider or clinic.  Contact your insurance carrier to learn if a telehealth program is included in your plan.  Most telehealth services are available 24 hours a day, 7 days a week, 365 days a year.

DECH Welcomes First Baby of 2023

January 2, 2023

 

Matthew Minoty and Sontee Edwards of Calais pose for a photo with their beautiful daughter Jordyn Taylor Minoty and the New Year’s Baby Basket filled with items from Down East Community Hospital and local businesses.

Sontee Edwards and Matthew Minoty’s daughter, Jordyn Taylor Minoty , was born at Down East Community Hospital on January 2 at 2:36am.  Jordyn weighed in at 8 pounds and 9 ounces and was 22” long.  DECH presented the family with a gift basket full of items for Jordyn.  The basket also contained several gift certificates for her parents.

Thank you to all who helped us welcome Jordyn to our community: Berry Vines, Crow’s Nest, Bangor Savings Bank, Hannaford, Kay Richmond, Katherine’s Closet, Pat’s Pizza, Machias Saving’s Bank, Machias River General, Hammond Lumber, Bar Harbor Bank & Trust, Helen’s Restaurant, Pineo’s True Value.

Congratulations from the OB staff and everyone at DECH on the birth of your beautiful daughter!

Universal Masking Lifted

Over 1,000 days ago mandatory universal masking became the norm across our service area, the state, nation and world.   As of Monday, May 1, at Calais Community Hospital and Down East Community Hospital universal masking requirements for patients, visitors and staff will mostly be optional and no longer required.  The exceptions that require masking include the presence of respiratory virus symptoms/diagnosis, exposure to Covid-19, and treatment areas such as infusion and OR.  Notices will be in place for areas or patient rooms that require masking.  Masks will continue to be available for anyone who chooses to wear one and patients may also request their caregiver wear a mask if it makes them feel more comfortable.

To help control the spread of illness and enable our facilities to maintain the lift on universal masking, we urge our community members to not visit patients when experiencing respiratory virus symptoms including fever, headaches, body aches, cough, sore throat, stuffy or runny nose, chills, fatigue, nausea, vomiting and diarrhea.

Please remember that although masks are now optional at CCH and DECH facilities, standard precautions may require some visitors and patients to mask under certain conditions – just as it was prior to the pandemic.

Consider Becoming an Organ, Eye, and Tissue Donor

April is National Donate Life Month.  Down East Community Hospital and Calais Community Hospital want to bring awareness to this very important cause. The month-long campaign showcases various perspectives of those touched by donation and transplantation.  Every year since 2003, April has been filled with stories to spread the lifesaving message of donation to motivate people to register as organ, eye and tissue donors. You can become a donor by registering at www.RegisterMe.org.

 

The Donate Life America theme for 2023 was inspired by the natural world of a pond coming to life in the spring. Frogs (and toads!) are a sign of healing and renewal, and water lilies represent hope.

The generosity of the donors at Down East Community Hospital and Calais Community Hospital has restored health to many grateful recipients of lifesaving and life enhancing transplants.  We are proud to be Donate Life organizations.

 

In 2022, more than 42,000 transplants from 21,300 donors brought renewed life to patients and their families.  A single tissue donor can help more than 75 people.  Sadly, 5,230 transplant candidates died in 2022 while on the national transplant waiting list.  More than 100,000 people are on the national transplant waiting list for lifesaving organ transplants.

 

Most Americans support donation as an opportunity to give life and health to others.  Unfortunately, many people overlook the important step of registering their decision to be a donor.  Take that important step today and become an organ, eye, and tissue donor by going to RegisterMe.org, it takes less than two minutes.