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1 SEPTEMBER 2003 VOL. 35, NO.9 MaineHealth works to improve depression care Shelly (not her real name) was surprised when her family doctor said her fatigue, difficulty sleeping, and headaches might be due to depression. She was having trouble concentrating anyway, and the added stress of the diagnosis made it hard to remember what was explained to her about depression and its treatment. She wasn't sure about taking the prescribed anti-depressant pill. She was worried she'd get hooked on it, and concerned about the side effects. Did she really need the medicine? Fortunately, Shelly's doctor was part of a new MaineHealth program called 'Improving Depression Care'. An RN care manager called Shelly a week after her visit with the doctor to answer questions, see how she was doing with her new treatment, and troubleshoot any problems. They talked about the depression diagnosis and the care manager was able to help Shelly know what to expect. They also talked about the antidepressant medication prescribed, and Shelly decided that she would fill the prescription and, give it a try. DEPRESSION, SEE p.6 FOR THE I'v1AINE I'v1EDICAL CENTER FAI'v1ILY Spring Harbor's Adolescent Partial Program opens A new resource for teens and families coping with serious mental illness and co-occurring disorders opened at Spring Harbor Hospital on September 15. It is the only program of its kind in southern Maine. The Adolescent Partial Program is a half-day treatment regimen providing intensive therapeutic services in a familybased, highly structured environment, while still allowing teens to attend school and live at home. The program operates after school hours, Monday through Friday, and will serve as many as 12 teens at a time, with each receiving two weeks of treatment. Candidates for the Adolescent Partial Program are young people between the ages of 13 and 18 who experience serious and persistent psychiatric, emotional, behavioral, and/or addictive disorders. Typical diagnoses addressed in the program include: anxiety, psychotic or depressive disorders, attention deficitlhyperactivity disorder (ADD/ ADHD), and posttraumatic stress disorder (PTSD). There is a specific treatment track for those who also suffer from chemical dependency. According to Clinical Team Leader Amy Roberts, LCSW, the partialhospital level of mental healthcare is designed for three specific purposes: to avert a teen's admission to a psychiatric hospital or to reduce the length of a hospital stay; to facilitate an adolescent's return from the hospital to the community; or to provide a more intensive level of care when other structured outpatient treatment does not meet the teen's or family's needs. The Adolescent Partial Program relies on the participation of both teens and their families to bring about the most successful recovery experience. 'Through individual, family, and multifamily therapy, the treatment team assists patients and their loved ones in acquiring skills to effectively cope at home, at school, and in the community,' Roberts notes. Team members-who include a child psychiatrist and a psychiatric nurse, social worker, occupational therapist, and technician-also collaborate with the teen's school and healthcare providers to ensure maximum treatment MMC Blood Donor Program Open House SPRING IlARBOR, SEE p.4,.. TOP HOSPITALS Thursday, September 25, hours 300 Professional Drive, Scarborough VISitthe Maine Blood Center, where MMC's new Blood Donor Program located. Enter raffles, enjoy refreshments, donate blood if you can! Call to sign up to donate blood, or for more information: is

2 Low cost options for healthcare coverage available You, your family members, your co-workers, and patients may be eligible for the MaineCare program or CarePartners. Before you complete the enrollment process for one of the health plans offered by Maine Medical Center, you may want to learn more about the following two programs. MaineCare MaineCare provides free and low-cost coverage to individuals and families. Coverage is comprehensive and includes prescription drug, medical, mental health, dental and transportation benefits. Children are eligible if household income is less than $30,520/year (family of 3) or $36,800/year (family of 4) Parents are eligible if household income is less than $22,890/year (family of 3) or $27,600/year (family of 4) Adults without children are eligible if household income is less than $8,988/ year (family of 1) or $12,120/year (family of2) Deductions to income may apply and families with higher incomes may be eligible with a premium cost of up to $40/month. Call the CarePartners office at or for more specific eligibility or application information. CarePartners CarePartners connects individuals between the ages of 19 and 64 with low or no-cost health care services. These services include healthcare providers, prescription medications, and lab, x-ray, and hospital services. Adults are eligible if household income is less than $15,nO/year (family of 1), $21,216/year (family of 2), $26,712 (family of 3) or $32,208/year (family of 4). For larger households, contact the CarePartners office for income guideline information. Call CarePartners at or for more information. Score One for Quality! 2003 Performance Improvement Fair Begins 0900 hours, Tuesday, October 14 Ends 0900 hours, Wednesday, October 15 Impressions Cafe, Bramhall Campus First Annual Paul M. Cox, Jr., MD, Memorial Awards & People's Choice Awards Presented Wednesday, October 15, 1300 hours, Dana Center Auditorium 2 FMI. quality Regular stretching & exercise for a healthy life It's September: time to reassess our health and well-being - and a great time to start feeling better if you've been putting off starting an exercise program. The benefits of aerobic exercise (raising heart and breathing rates by moving large muscles) may include: decreased stress, increased energy, improved heart health, better flexibility, healthier cholesterol levels, increased muscle strength, decreased appetite, improved sleep, maintained or decreased weight. Here's a good way for most people to get started: If you're over 35 or have medical problems, check with your healthcare provider about an exercise program. Warm up gradually for 5 minutes doing your chosen activity at a slow pace. Exercise at your target heart rate for 5-10 minutes initially, gradually increasing to up to 45 minutes. Cool down by decreasing your activity until your heart rate returns to normal. Stretch for 5-10 minutes. Stretching helps increase your flexibility, decreases muscle soreness, and helps you to relax. Calculate your target heart rate: Subtract your age from 220. This is your maximum heart rate. When beginning your exercise program, strive to reach a heart rate of 60-75% of your target rate. You can gradually work up to achieving 85% of your target rate. For example, if you are 40, your maximum heart rate is 180 beats per minute. Sixty to seventy five percent of 180 is beats per minute. You can check your heart rate by placing the fingers of one hand next to your Adam's apple; count beats for 15 seconds. Multiply the number of beats by four for your heart rate. Check your Employee Discount book for gyms and fitness centers near you. Start exercising this week: it may be the best decision you'll make this year. Sources: The Hope Heart Institute, Seattle: How exercise helps me! Hope Health Calendar and llihr/primry/fitd2. htm

3 Another MMC 'Shining Light' 'Shining Lights' is an employee team sharing heartwarming and inspirationa~ examples of employees' commitment to providing not just the clinical care our patients expect, but the compassion and dignity they need. The team would like to hear about experiences you have had or heard about. They seek those things that touch the life of a single person or that touch our community in special ways. Here is another example ofmmc's Shining Lights! If you have a heartwarming story to share, please send it to Tracy Armitage at You can view all Shining Lights stories on the Intranet. ~ ~.. Occupational Therapist Jennifer Cote had no idea when she came to work July 9 that she wasn't going to have a typical day... she was going to plan a wedding... in less than two hours! Ashley, a carpenter, suffered a high-level spinal cord injury and was a patient in SCU. His fiancee, Angela, decided to show her support f~r him by getting married a little earlier than expected. She called a Justice of the Peace, who was to arrive at the hospital in less than two hours. So Cote got to work. First, she sized Ashley's finger and his mother went to G.M. Pollack & Sons to buy the wedding bands. Cote then called Catering and they gladly agreed to ma~e a cake. They also delivered two water goblets for the champagne brought by a friend. The SCU nurses called The Barbara Bush Children's Hospital to ask permission to use the Atrium for the ceremony. The BBCH staff set up the room for the wedding. An AV photographer was commissioned to take pictures. A secretary on the BBCH floor did the bride's hair. Flowers and a boutonniere were secured from the Flower Box. Right before the ceremony, Ashley was able to be taken off his ~ach.ines, p.ut in a special chair and changed into a white shirt matching one worn by his bnde. MISS Maine was visiting the BBCH inpatient unit at the time of the wedding, so she and the children on the floor were witnesses to this special ceremony. One of the patients was their honorary flower girl, princess hat and all.. Family and friends, including the sister of the bride, who was the Maid of Honor, surrounded the groom and his blushing bride. They left the Atrium in his special chair with an appropriate 'Just Married' sign hanging from the back.. t Ashley Perkins and Angela Coffren were married July 9 at MMC. AV Photo. American Red Cross Blood Drive Monday, September hours Dana Center Classrooms 7 & 9 Please give. VAC celebrates second. anmversary 'What is the Vascular Access Center?' staff often hear as they give report to various units at the Bramhall Campus. The Center provides outpatient dialysis patients a dedicated place to undergo the procedures necessary for maintenance of their access devices. Located in the Brighton Surgical Center, the Center shares space with the Endoscopy unit. Private rooms allow comfort and privacy to patient and waiting family members. While vascular access procedures are not new, it is a new concept that nephrologists perform them. MMC is the only such site in the Northeast, with only a handful across the nation. Nephrologists collaborate with interventional radiologists to provide coverage. Referrals occur from dialysis units throughout the state. The Center has expanded to include ten units from York County to Belfast. Vascular surgeons also use the Center to follow up on new fistula placements. Guidelines minimize the high-risk nature of this work. Members of the endoscopy staff support the admission and discharge of these patients. A core staff includes radiologic technologists, and registered nurses playa pivotal role. All staff are strongly committed to optimal patient outcomes. The multidisciplinary approach is validated through observation of highly professional teamwork. 'It's like coming home' is said many times by patients who benefit from the heartfelt from this patient-focused care. 3

4 Teens work despite high unemployment rates Unemployment rates for teens this summer are the highest since 1965, yet MMC's Department of Vocational Services 2003 Summer Youth Employment Program celebrated a summer of hard work on August 21. The Celebration focused on the unusual summer for the nation's youth and recognized the employment opportunities through MMC's Youth Employment Program. Since this program began over 20 years ago under the direction of Richard Balser, Director of Vocational Services, it has functioned with the belief that all youth with disabilities can work. The success of the program is attributed to support, supervision, and salary. This summer, 20 youth with disabilities between the ages of 14 and 20 had the opportunity to work in 23 jobs in 16 different locations. During the program's seven weeks, these youth worked a total of 1,885 hours and earned a total of $12,251. Wages were funded by the Virginia and Leonard Marx Foundation, Department of Behavioral and Developmental Services, and Training Resource Center. Thanks to the departments employing youth this year, helping to make this summer a success! Bramhall Campus Food and Nutrition Services, Building and Grounds Maintenance, Health Information Management, Family Birth Center, Purchasing, R5, Gibson Pavilion, Vocational Services, Central Supply and Distribution, Turning Point Brighton Campus Dishroom, Kitchen MaineHealth Scarborough Learning Resource Center Casco Bay YMCA East End Children's Workshop Spring Harbor Hospital Food Services Outreach Education Council Kjeldgaard Symposium XVII Topicsin Bronchogenic Carcinoma Friday, October 3 Heart Failure: Advances & Trends in Disease Management Friday, October 24, hours Maine Medical Center For more information, Featuring cau Michael M. Givertz, MD, FACC, Director SPRING JlARBOR, FROM r.i benefits for the patient and family. 'The program is designed to help teenagers and their families gradually return to their healthiest level off unctioning,' Roberts says. For further information, or to make a referral, call Spring Harbor at or Heart Failure Research & Development Brigham & Women's Hospital, Boston Physicians, nurses, and other providers are invited to discuss advances in heartfailure prevention and treatment, explore the status and quality of present care, and identijypotential for improvingpractices andpatient outcomes. 6 Hours Category I CME Credit; 7.1 Contact Hours FMI cau Complete brochure may be found atwww.mmc.org. Click on Calendar of Events.

5 Employee Benefit News On-Line Annual Enrollment for 2004 It's that time of year again! With Fall comes the employee benefits annual enrollment period, when employees can make changes to their benefits for the upcoming year. Signs will soon be posted in different areas of the hospital announcing the 2004 Annual Enrollment. This year employees will be able to make their benefit plan selections ON-LINE! No more hunting for forms, requesting duplicates, etc! Benefit packets will be mailed to employees in mid-october with details of the 2004 benefit plans. Training sessions on how to use the new on-line system will be provided. Benefit Fairs will be held on November 4 and 6 at the Dana Center from hours, the Brighton Campus on November 13 from hours, MMCRI on November 3 from hours, and Gateway from hours. New Employee Discount Sengchai Thai Cuisine, located at 803 Forest Avenue in Portland, is offering a 10% discount to MMC employees on eating-in or delivery meals. They are able to deliver to the hospital for a department meal, and still provide the 10% discount. The discount applies to all food, but not to alcohol. Phone numbers for delivery orders are or Fax: They use 100% canola oi I- no MSG! 403(b) Retirement Plan Employees participating in the 403(b) plan can access their accounts any time using Questions about your account can also be referred to the local Lincoln Representative at , or by using the toll-free number SPRINGING INTO THE DAWN: ANightThingforCNAsandNUAs hrs. Wednesday, October 22, Dana Center Registration and Welcome Betty Perham and Bobbie Nelson, Certified NursingAssistants hrs. MMC in the Fall of2003 Marge Wiggins,RN, VPN and Chief Nursing Officer hrs. Assertiveness Training & Successful Communication Techniques Patricia Todorich MSN RN, Mental Health Clinical Specialist hrs hrs. Dinner Break The Seven Habits of Highly Effective People Judy Castle, Office Manager OPD hrs. Summary andevaluation All staff are welcome! Come for part or all ofthe program. Refreshments and door prizes! Must be presentto win! Call , or register. A Nursing Staff Development Program New employees may wish to schedule some time to attend the 403(b) presentation/information sessions held monthly in the Dana Center to review plan fund options, details of how the plan works, etc. In addition, a Lincoln Representative is always available the third Wednesday of each month in the main corridor by the Impressions Cafe. Feel free to stop by and talk about your investments or have your questions answered by the Lincoln Rep. Presentation dates for the informational sessions are shown below. 403(b) Information Presentations October 6, hours Dana 2 November 7, hours Dana 3 Main Corridor: October 15 & November 19 Spring Harbor to hold Volunteer Services information meeting Spring Harbor Hospital seeks volunteers for various departments, including medical records, spiritual services, social work, rehab, and accounting. Volunteers are needed for exciting roles as musical guests, friendly visitors, classroom assistants, wellness educators, dancers, art instructors, entertainers, office assistants, and more! There will be a Volunteer Services informational meeting for interested folks on Wednesday, September 24, from hrs. at Spring Harbor Hospital, 175 Running Hill Road, South Portland. Refreshments will be available. FMI, contact Julie DeLaite at or 5

6 DEPRESSION, FROM r.i The care manager updated Shelly's family doctor. They decided Shelly should get another call in a couple of weeks to make sure things were going all right. Thanks to the team approach of the practice, Shelly experienced remission of her symptoms, successfully completed recommended treatment, and understood enough about the illness to be alert for any signs of recurrence. MaineHealth has been working on Improving Depression Care for the last two years, with grant funding from the MacArthur Foundation and the Robert Wood Johnson Foundation. This spring, MaineHealth received additional funding to support two more years of development and dissemination of this program, thanks to a grant from the Robert Wood Johnson Foundation's Depression in Primary Care project. The program has two goals - to spread the clinical model of depression care to additional primary care practices and to work with those who pay for care to develop mechanisms to financially support the model and provide incentives to primary care practices to adopt it. The care manager is a key part of the model. Other features include connecting primary care practices to psychiatrists for oversight of their care of patients with depression, helping patients become more actively involved in their own care, helping practices develop mechanisms to keep track of people they are treating for depression to make sure they are getting the care they need, and using a patient questionnaire to track symptoms and be sure people are reaching their treatment goals. Family physician Neil Korsen, MD, MS, is MaineHealth's principal investigator for the grant. 'This is an exciting opportunity for us, not only to work with primary care practices to implement a proven model to enhance the care they provide for patients with depression, but to work creatively with those who pay for health care to develop ways to pay for new approaches to care,' says Dr. 6 Korsen. 'Our employer and health plan partners recognize that high quality care of chronic illnesses such as depression requires a partnership between patient and practice not currently supported by the fee for service payment mechanism.' Several MaineHealth affiliated organizations are taking part in this project, including the Maine PHO, Spring Harbor Hospital, and the Behavioral Health Care Program. Other organizations are collaborating, including the Maine Health Management Coalition (MHMC), the Maine Healthcare Purchasing Collaborative, the Depression and Bipolar Support Alliance, National Alliance for the Mentally III, Maine Chapter, Anthem Blue Cross/Blue Shield, and the Maine Department of Health and Human Services. 'The employers in the MHMC are anxious to learn more about the impact effective depression care has on the functioning of their workforce,' says Doug Libby, executive director ofthe MHMC, an employer coalition whose members include public sector employers, private businesses, hospitals, health plans, and physicians. 'They are also interested in understanding how they might improve the payment mechanisms to better support provider efforts to improve care of depression.' Primary care clinicians participating in activities that led to the grant are also excited about this opportunity. 'This is a team approach for treating depression, where patients and providers feel supported,' says Mark Rolfe, MD, Primary Care Medical Director, MaineGeneral Health Associates. Primary care clinicians from 13 practices are currently involved in the project. An additional twelve practices will be recruited to participate next year. Practices are participating in a Learning Collaborative, which is a model for teaching practices about new ideas and helping them integrate those ideas into day-to-day practice. A key feature of this approach is that practices work together and learn from each other. After nearly 40 years at MMe, Grace Bryant, RN, retired this summer. She was most recently Night Nursing Supervisor. AV Photo. a The Brain Injury Association of Maine presents its 14thAnnual Walk for Brain Injury Prevention on Sunday, September 28. Locations are Brewer, Hallowell, Kennebunk, Portland, and Winslow. Registration begins at 8AM at each site the day of the walk. Kick-off is at 9AM. FMI, call or , or The Maine Marathon seeks twofour nurses and/or paramedicslemts to help out in the medical tent, especially if any N s need to be started. The marathon takes place in Portland on Sunday, October 5, with the start time at 0745 hours. More than 2,000 runners are expected to take part. Proceeds will benefit The Jason Project, which supports terminally ill children in Maine. If you are interested in volunteering, please Smokers Wanted MMC researchers seek smokers who want to quit. Please call to join a study to test a new medication

7 Marl<etplace So that everyone has an opportunity to use the Marketplace, ads may be placed once. Repeats will be permitted only as space permits. FOR SALE Baby swing $25, Johnny Jumper $5, RCA DirectTV Dish & receivers wi remotes $150, upright freezer $250/bo. Call Lg dog kennel $45, lg LL Bean dog bed $50/bo & mise dog items. Call snowtires used 2 seasons. EuroWinter steel belted radials R14 (used on VW Jetta). All for $100. Call or x2751. Slide in camper for truck. Has BA, heat, & much more. Asking $400. Call or Four Nokia 175/65 R14 studded snow tire. Used 4 winters w/limited mileage. $100/bo. Call ' Carver Cabin Cruiser, fly bridge, dual stations, and much, much more. Please call Serta Brand. 2 top-of-the-line pillow-top twin size mattresses & box springs. 6 mo old. Brand new condo Moving, must sell. $400 for pair. Call Wooden 16 ft boat. $100IBO. Call White water kayak, Prijon Delirious wi large skirt. $500. Call Pine loft bed, twin size $50/bo. Call Black Umbro Soccer Cleats, men's sz 8.5 $30, Magic Chef mini food processor $10, Richard Caruso Molecular hairsetter $20. Call Yamaha piano upright about 20 years old. Needs tuning. $700IBO. Black lacquer pool & pingpong table. Grt condo All accessories. $1000. Call Wooden swing set & clarinet for sale. Call Cape Elizabeth condo. 836 sq ft, 2 flrs with extras. $149,900. Call ft waterfront on Thompson Lake, Oxford, ME. 3.5 acres, 2 story chalet, sleeps 10, insulated, deck, many extras. $540,000. Call or Auburn St in Portland. New construction, sq ft, open concept, 5BR, 3BA much more. $429,000. Call Ford F150. Auto, dk blue, custom Leer cap. 80K miles. Runs great. Good plow truck. $3,500IBO. Call Dodge Grand Caravan. 7 pass, 18k, loaded, special edition. V6, auto, power, 3 zone air, removable seats and more. $18,995 or will consider boat in trade or partial payment. Call xl Honda Civic HX. Power windows & locks. 39K. $8,100. Call Ford Contour GL. 4 dr, 80K, auto, must sell. $4200. Call V 6 Toyota 4-Runner Gold Edition. 5 sp standard, loaded, 153K. $6750 firm. Call or Pontiac Grand Prix. 70K. Remote start, sun roof & much more. $3,700. Call Dodge Dakota 4x4, auto, 118K, long bed, tool box blue book value $1850, asking $ 1300IBO. Call Jeep Wrangler. 5sp, dk blue w/gray soft top. 130K hiway miles. Looks & runs great. FUN. $5,000. Call FOR RENT Furn. room in home. One blk from MMC. Avail. weekly or monthly for quiet prof. Private BA, separate entrance, no K. $125/wk or $450/mo. Call OOBeach. 4 BR house w/frpl & conv. Location. $1250/mo. Call So Portland. Willard Beach house w/2 BR + finished room in basement. Good pets ok. $1500/mo + util. Call Yarmouth. IBR furnished studio. Inc. utilities, cable, prkg. No pets. Call Portland. Lg 1 BR in quiet, smoke free bldg. Exc condo $650 + util. Call or page Mellen St., Townhouse style 1 BR, 1.5 BA apt wlhdflrs, frpl, private entrance, storage, & washer/dryer. NS, no dogs. $825/mo. Call West End. 2 spacious bed-sits, fully furnished. Shared skylit common room wi K, BA, and balcony. Sheets, towels, dishes & more. $650 each. Call BR w/k, DR, LR, hdwd flrs, sunporch, The deadline for the next newsletter is the first Wednesday of the month. To submit an item, send it by interoffice mail to the Public Information Department, by to or by fax to Look for Marketplace on the Intranet under Quick Links. Yz garage, and WID in exc location. NS, NP. $900/mo + utils. Call Cottage Road, So Ptld. 3BR, 2 full BA w/tile, K, LR, DR, deck, storage, & wid hook-up. ROOMMATE WANTED MIF to share West End 3BR with Family Practice resident. 151 floor, quiet street. No cats, dogs negot. $6251 mo + Yz util. Call F to share Ig house with mature F 1M on East End. Furn private room w/prkg, storage & more. $650/mo includes everything. Call MIF NS, NP, Munjoy Hill. $400 + Yz tele & util. Call MIF to share 3BR condo w/pool, tennis courts, ample prkg. NS, NP, quiet complex. For more info call House to share-willard Beach. Share sunny 7 rm house w/one creative prof. Enjoy private room, deck, frpl, and more. $600 inc heat. Call Seeking roommate for 2 BR located on Boynton St, close to MMC> $367/mo (inc heat) + util. Call F to sare 4BR, 2 story apt in So Ptld wi 26 yo F, 28 yo M, and small dog. $3001 mo, no util incl. Call CHILD CARE Licensed Day Care Center close to Rt 3021F0rest Ave. Opens at 6:30 AM. Ages 18 mo - 13 years. Call WANTED Ride from Limington to Portland for 2 PM Monday - Friday. Wages and mileage. Call or

8 About People at Maine Medical Center All month Healthviews. Cable Channel 4, Thurs., 1400 & 2000 hrs; Fri., 0200 & 0800 hrs. Sept. 29 American Red Cross blood drive, Dana Center. Sept. 29 Nutrition Symposium FMI, call Oct. 3 'Taking Care of Children: Topics m General Pediatric Care', Sable Oaks. Call or Oct. 3 Kjeldgaard Symposium XVII FMI, call See p.4 Robert C. Owens, Jr., PharmD, Co-Director, Antimicrobial Stewardship Program, Division of Infectious Diseases, Clinical Pharmacy, is a co-author of an editorial appearing in The Annals of Pharmacotherapy, 2003 October, Volume 37: AUIC in Humans: A Fact-Based Discussion. Thomas Brewster, MD, Greater Portland Pediatrics-Gorham, has been elected the new Medical Director of Greater Portland Pediatrics. He begins his two-year term October 1. Do you have anything to share? Whether it's a professional accomplishment, an award for your department, a paper presented, or some other noteworthy item, we'd be happy to report it in What's Happening. Just the information to Martha Davoli at or fax it to her at MMC's Environmental Services staff were treated, not once, not twice, but auweek long during their national week of recognition, September They enjoyed a breakfast gathering with cards ofthanks, an ice cream sundae party, hot dogs for lunch, a special luncheon and popcorn. And au week long, giveaways and games went along with the recognition of the work staff do every day for MMC and our patients. Oct. 8 MMC Nurse Practitioner Network Meeting hrs., Dana #9. FMI Oct. 11 Disaster Preparedness & Response for the Healthcare Professional. 4-day ARC course, Dana Center. Contact hours avail. No fee. FMI: Oct. 14 Performance Improvement Fair, Impressions Cafe, begins 0900 hrs. Oct. 24 Heart Failure, hrs. Call OEC, Oct. 25 Imagine What It's Like: Literature as a bridge be tween cultures hrs, st. Mary's Regional Medical Center, Lewiston. Nov. 7 Diabetes Update. Call OEC, The MaineHealth Family In May, MMC graduated another class of CNAs, and 16 of them came to work here: back row, from left: Nick Salamone, Sally Prokey, Amanda Gray, Donna Stevens, Kristin Smith, Rhonda Barnes, Melissa Davis; middle row: Sara Dooley, Andrea Blanchard, Gary Marshall, Carol Hutchins, Marjorie McDonald, Diane Lessard; front row: Lisa Leeman, Tracy Jones, Kristin Starr, Lorene Brown, Amanda Litchfield. AV Photo. vvhat's Happening? is published the third week of the month at Maine Medical Center for members of the hospital communirv and for friends of the institution throughout Maine and northern New England. Comments, questions, and su~~estions may lx- addressed to the Office of Public Information, MMC, 22 Bramhall Street, Portland, Maine (207) Editor: Wayne L. Clark.

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