WEEKEND - Visitors & locals alike bring minor illnesses & injuries to LRGH's Convenience Care clinic
LACONIA — "In the summer it's fish hooks all the time," said Deb Livernois, who as director of emergency medicine at LRGHealthcare oversees Convenience Care at Lakes Region General Hospital. "And in the winter we always know when it's school vacation in Massachusetts, because the kids come hobbling in from Gunstock."
Since Convenience Care, the walk-in clinic for minor but acute illnesses and injuries, opened in November 2012 Livernois said it has steadily grown in popularity among residents and visitors alike. She estimated that between 30 and 40 patients are treated each day, noting that "July was our busiest month so far when we treated 1,079 patients."
The clinic serves as a bridge between primary care and emergency services by offering an alternative to both at less cost then either. Unlike an office visit, no appointment is necessary and unlike the emergency room patients are spared long waits for treatment.
Staffed by a nurse practitioner and two or three nurses, the clinic treats a wide range of conditions — colds, flu, sore throats, ear aches, allergies, sprains, burns and cuts. The clinic operates by "self-diagnosis" or "self-triage," as patients themselves determine the severity of their illness or injury. Livernois said that patients are seldom transferred to he emergency room or other departments.
Greg Englund, the first nurse practitioner hired for the clinic, agreed that the system works well, but stressed that if a patient requires more intensive treatment the clinic is directly connected to the emergency room, less than a minute away. Moreover, he said that if necessary he can confer directly with the full range of physicians and specialists in the hospital. With training and experience in trauma, pediatrics and gynecology as well as emergency medicine, Englund is prepared to splint a broken bone, suture a laceration, even perform minor surgery to remove foreign objects, for example.
Convenience Care is adjacent to the main lobby of the hospital. Patients take a number, proceed to registration and then to a triage room, where a nurse reads their vital signs, reviews their condition, prepares their chart and takes them to one of five private room, where they are treated by the nurse practitioner. The clinic also houses laboratory and X-ray services.
Englund said that patients are treated in the order in which they arrive and most are released within an hour. "We can care for a number of patients at a time and if lab tests or X-rays are necessary, they can be done quickly," he said.
Convenience Care accepts most insurances, but not Medicaid. Self-pay and Medicaid patients are charged a flat fee of $150, which includes the cost of any tests. The clinic operates from 8:30 a.m. until 8:30 p.m. seven days a week, 365 days a year.
Last Updated on Friday, 29 August 2014 11:42
LACONIA — "I love serving in the New Hampshire Senate," said Andrew Hosmer of Laconia. "I'm not there to represent a party or an ideology, but to represent the people who elected me."
Hosmer, a Democrat and executive at AutoServ in Tilton who is seeking re-election to a second term, was speaking the Laconia Rotary Club yesterday at the Belknap Mill. He began by recalling the major achievements of the Legislature during his first term, highlighting the bipartisan support they enjoyed.
The budget, which carried the Senate by an unanimous vote of its 24 members, he said increased funding for mental health services as well as restored distribution of proceeds from the rooms and meals tax to cities and towns. The tax credit for businesses investing in research and development was doubled. The gas tax was raised for the first time in more than 20 years with a proviso that all the incremental revenue of $32-million must be applied to roads and bridges.
Perhaps most important, after much debate and negotiation a bipartisan compromise was reached to use federal funds to extend health insurance, including benefits for mental health services and substance abuse treatment, to some some 50,000 people without it. However, Hosmer stressed that at the end of 2016, when the federal government will no longer fully fund the program, it will lapse unless the Legislature can marshal the funds to extend it.
Apart from healthcare Hosmer said that the next Legislature will face a number other challenges, beginning with what he called "a very challenging budget." Pledging to oppose the introduction of a general sales or personal income tax, he said that he believed that a responsible budget could be fashioned without either.
Hosmer said that while there is much discussion of business taxes rising workers compensation rates, which represent "another cost shift to businesses," should not be overlooked. He said that steps should be taken to limit the increases in rates and reform the entire system.
Emphasizing the need to diversify the state's energy portfolio, Hosmer acknowledged that wind farms and Northern Pass are both highly controversial. But, he pointed out that Northern Pass would increase employment by 500 jobs and property values by 60 percent in Franklin, which lies within Senate District 7. He said that more miles of transmission line should be buried to spare the landscape in the North County, but insisted "not diversifying our energy portfolio is not an option."
Hosmer said that he shared the opinion of Mayor Ed Engler of Laconia that the former Laconia State School property on North Main Street represented a valuable asset and significant opportunity for both the state and the city. "It's an economic engine waiting to be tuned up and fired up," he said. He explained that he worked to scuttle legislation that would have hindered sale of the property to the city last year, leaving the option for the city to acquire the property open.
Responding to a question, Hosmer reminded his listeners that he was among the sponsors of a bill to authorize casino gambling as well as an amendment that would have distributed a share of the proceeds to cities and towns. "I think it will come back next year," he said, cautioning that "expanded gambling won't solve everything, but it would have a positive economic impact."
Hosmer has no rival for the Democratic nomination and will face Republican Kathleen Lauer-Rago of Franklin in the general election in November. District 7 consists of the city of Laconia and towns of Belmont,and Gilford in Belknap County and the city of Franklin and towns of Andover, Boscawen, Canterbury, Northfield, Salisbury, and Webster in Merrimack County.
Last Updated on Friday, 29 August 2014 01:32
LACONIA — Superintendent Terri Forsten said yesterday that there were two minor school bus accidents during the first three days of school.
The first was on Wednesday morning when a bus that had just dropped off students at the Laconia Middle School was rear-ended at 7:50 a.m. by a car near the Lakeport Square intersection on Elm Street.
She said the bus had no students in it but had stopped at the railroad tracks. Forsten said the bus appeared to be undamaged but the car that hit it had some front end damage.
Forsten said that now that school is in session, motorists should remember that all school buses, whether they are empty or not, must stop at all railroad crossings.
The second accident happened yesterday afternoon when a school bus with about seven middle and high school students aboard clipped mirrors with another vehicle on Union Avenue near Irwin Marine.
The bus pulled into the marina and the Laconia Police responded as did School District Business Administrator Ed Emond.
No was was injured and Forsten said the students stayed on the bus for about an hour until a second bus could come and take them home. Because the bus's mirror is needed for driving, she said no students could be on it.
Yesterday's mishap set the Elm Street Elementary School schedule back by about 20 minutes because the same bus is used to transport them after its middle/high school run. Forsten said the School District called all of the parents involved to tell them they were going to be late.
Last Updated on Friday, 29 August 2014 01:00
CIRCUIT COURT — An Alton man was ordered held on $2,000 cash bail after allegedly swinging an ax at a man that he knows.
Police complaints also indicated that Rodney Moody, 22, of 6 Gilmans Corner Road resisted arrest when police arrived and purposely damaged a camper window and a chicken coup, all on Monday. He is charged with one count of attempted second degree assault, resisting arrest and criminal mischief.
According to affidavits obtained from the 4th Circuit Court, Laconia Division, two police officers responded to a call from a woman who said a male was "going after things with an ax."
When officers arrived, they saw Moody who had a significant amount of blood on his shirt and on his right hand.
The victim indicated that Moody had swung an ax at him and punched a hole with his fist in his camper window.
The two officers spent a "great deal of time" trying to calm Moody to the point where he could be taken into custody. Affidavits said he continued to square off to them and dared them to zap him with a electric stun gun.
After a number of minutes police told him was under arrest and ordered him to lie prone on the ground. They said he refused multiple orders and allegedly told one of the officers he would break his nose.
Following several more attempts to get him to cooperate, one officer zapped Moody with the Taser and he was taken into to custody.
The victims told police that Moody had come into the driveway and was yelling. At one point he allegedly went into the barn and came out with an ax. They told police he swung the ax at their vehicle twice but missed both times.
When the victim tried to calm him down, Moody allegedly swung the ax toward his chest and the ax slipped from his grip and struck a chicken coop.
The victim retrieved the ax to keep it away from Moody. While waiting for police, Moody allegedly broke the door off the chicken coop and punched the window of the camper.
Judge Jim Carroll ordered Moody be held on $2,000 cash-only bail, which he said could be reduced to personal recognizance bail if he obtained a spot in a secure mental health treatment facility, like the New Hampshire State Hospital.
As of 6:30 p.m. yesterday, Moody was still in the Belknap County House of Corrections.
Last Updated on Thursday, 28 August 2014 12:35
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