Commissioners Turn Down Request to Reinstate Logue

LACONIA — Belknap County Commissioners voted unanimously yesterday afternoon to turn down a request from the director of nursing at the Belknap County Nursing Home to reinstate Mathew Logue as administrator of the nursing home.
''Somebody else is going to have to do that,'' said outgoing commissioner Ed Philpot (D-Laconia), who said that commissioners think they had good reasons to terminate Logue in late August and recently filed an appeal with the New Hampshire Supreme Court of his reinstatement by the county convention's Personnel Committee.
Last week Beknap County Nursing Home Nursing Director Diane Roberts asked the commission to reinstate Logue as soon as as possible, maintaining that it is only a matter of time before he is reinstated by the new commissioners when they take office next month and that not having an administrator puts the nursing home at risk.
She made her plea shortly after Belknap County Administrator Debra Shackett said that the state Department of Health and Human Services called her office recently to verify who the administrator at the home is. She said that she told the state that Logue is currently listed as the administrator and is on leave ''but will likely be back.''
Three weeks ago the commissioners filed an appeal with the New Hampshire Supreme Court of the Belknap Convention's Personnel Committee's decision to reinstate Logue as administrator of the Belknap County Nursing Home.
The appeal, filed on Dec. 11, maintains that the Personnel Committee, which at the time of its decision in October to reinstate Logue was composed of Rep. Coltette Worsman (R-Meredith), Rep. Robert Greemore (R-Meredith) and Rep. Richard Burchell (R-Gilmanton) ''ignored limits on its statutory authority as well as overwhelming and uncontroverted evidence,'' which the commission had introduced at a hearing held by the committee on Logue's appeal of his dismissal.
The filing of the appeal took place despite the expressed intention of incoming County Commissioners Burchell and Dave DeVoy (R-Sanbornton) to pull the plug on an appeal of the Logue personnel matter. The pair will take office on January 7 and will constitute a new majority.
Logue is currently on administrative leave, with pay, pending the outcome of an appeal of the committee's decision.
Commissioner Nedeau, who earlier this month announced his decision to resign effective Jan. 1, said he was not impressed with Logue's work since he was first hired by the commission late last year.
''With all respect to car salesmen, we don't need a car salesman for a director.'' said Nedeau.
In late August the commission terminated Logue for what it termed willful insubordination, lack of cooperation and inability to perform his duties in a timely manner, claiming that he was "untruthful and unreliable'' in dealing with county officials. Logue appealed his termination to the Personnel Committee, which held a day-long public hearing on October 6, at which attorney Mark Broth of Manchester presented the case against Logue and Logue spoke in own defense.
Four days later the committee voted unanimously to reinstate Logue, after finding his defense of the charges against him to be "credible and persuasive.''
A motion for a rehearing filed by attorney Broth was denied by the Personnel Committee.
The appeal to the Supreme Court will add to the legal bills faced by the county, which were the subject of much discussion by the county convention's Executive Committee when it met two weeks ago week to take up requests for budget transfers and turned down a request by the commission for $33,000 to pay unpaid legal bills.

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Laconia residents have 3 options for disposal of Christmas trees

LACONIA — Although the Department of Public Works no longer collects Christmas trees at the curbside, it offers residents three options for disposing of their trees.

Trees can be taken to the brush dump on Hilliard Road on Wednesdays — Jan. 1, 14, 21 and 28 between 8 a.m. and 4 p.m., the Transfer Station on Meredith Center Road on weekdays — Monday through Friday — between 8:30 a.m. and 3:30 p.m. and on Saturday between 8 a.m. and noon, as well as to the designated area of the softball field at Memorial Park off Court Street.

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Barnstead police blockade ends up being a misunderstanding

BARNSTEAD — Police blocked off a road in the Locke Lake Colony yesterday morning because of what they thought was an armed man barricaded with a hostage in his house.

Chief Joe McDowell said the man had apparently argued with his girlfriend who left the home with her child and called police.

She told them that the man was inside was angry, had a 3-month old baby in the home, and a gun.

McDowell said police from Gilmanton, Alton, the Belknap County Sheriffs Department and State Police blocked access to the area. He said three officers went to the door and the man answered it.

McDowell said he was fine, the baby was fine, describing the situation as a misunderstanding. When asked if he owned a gun, McDowell said a legally owned weapon was found in a different room.

The man told them he had fought with his girlfriend but thought she had left. He said he wasn't paying attention to what was happening outside and didn't know the police were there until they knocked.

"I'm glad it was nothing," said McDowell. "We acted on the information we had, and it's better to be safe than sorry."

Police were there from about 9:15 a.m. when Barnstead got the call until noon when everything was rectified.

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Laconia Women’s Health Center to become Travel Clinic of New Hampshire

LACONIA — It's the end of one chapter and the beginning of another for nurse practitioner Nancy E. Dirubbo as she prepares to close the Laconia Women's Health Center to concentrate on a new venture, the Travel Clinic of New Hampshire, which will provide preventive medical care to international travelers.

Dirubbo said when she started the Women's Health Center in 1985 on Union Avenue, the attitude toward women's health issues was very different.

"Nobody was doing much in those years," she said, noting she had been working at at clinic in Plymouth and the law had recently changed to allow nurse practitioners to prescribe medicines.

"I was making money for someone else and I thought, I could be doing this for me," she said.

But her mission in opening the Women's Health Center — one of the oldest and longest lasting nurse-practitioner-owned clinics in the country — was something other than the financial benefits of owning her own business. She said she was able to give women the educational and emotional support they needed as well as the medical care.

"I didn't just treat 'em and street 'em," she said.

In the 1980, said Dirubbo, there was no information out there for women about their own bodies. She said the public libraries wouldn't carry the book "Our Bodies Ourselves" so she started a small lending library from her office so women could get some information on their own. "Women were starved for information," she said.

Over time and with the advent of the Internet, Dirubbo said women gradually became more knowledgeable about their own bodies.

"I think women are much more informed, but now they are on overload," Dirubbo said.

The problem she sees in many cases is that too much information comes direct from the advertisers to the consumers and not enough people let the medical experts make the medical determination.

"In my generation we had anxiety because we didn't know what was happening. This generation has anxiety because they think everything they see will happen to them," she said.

"Sometimes they'll see a commercial and come in and ask for a specific drug," she said, noting that most of the time, the patient has no idea why they want this particular drug. "Kids today learn that all solutions come from a bottle."

When asked what is most noteworthy in women's health other than awareness, she said she sees far fewer unplanned pregnancies than she did in the 1980sand credits that to advances in long-term birth-control medicine.

She said that she decided to make the business transition from women's health to adult immunizations because of her own personal travel experiences, recent education achievements, and a friend who has a similar clinic in New York state.

"I thought, that's what I can do when I grow up," said Dirubbo, who noted that Travel Clinic of New Hampshire will operate from the Women's Health Center's present location.

Dirubbo recently earned her doctorate in Nursing Practice from Northeastern University and her work was focused on adult and geriatric immunizations. She spent two weeks in Dublin, Ireland, participating in the International School and was an invited speaker to the International Council of Advanced Practice Nursing in Helsinki, Finland.

She noted that most colleges require some type of student trip, people are traveling for adoptions, and visiting friends and relatives. Dirubbo said she has clients who own second homes in other parts of the world that still struggle with diseases like malaria, hepatitis A, yellow fever, and diphtheria.

She said even people who have been immunized against many of these diseases years ago should consider updates or boosters when traveling for pleasure to certain areas of the world.

As an example, she said people traveling to Pakistan would need a polio booster, and most people don't know that a diphtheria vaccine is only good for five years.

"Parents will come in and know every vaccine their children have, but when I ask them about themselves, most can't remember," she said.

Dirubbo said the recent measles outbreaks in the United States stemmed from European travelers coming for vacations and to visit family.

"It's not just a issue of whether the traveler stays well, it's also a public health issue," she said.

Dirubbo said in order to store and offer the vaccines, she had to pass a test offered once a year by the International Society of Travel Medicine but she was fortunate because the year she passed, the test was offered in Boston. She started Travel Health N.H. in 2008.

She said at one point the U.S. State Department contacted her because they were out of yellow fever vaccine and she had some.

Dirubbo will continue with the Laconia Women's Health Center until March 31 and is working on finding primary care doctors for her clients.

After that, her company, which will continue on in the same Union Avenue location as Travel Health of New England will be doing only travel vaccinations and advisories.

Each visit, she said, lasts and hour and, unfortunately, most of her vaccination services won't be covered by insurance. She said a couple traveling or a family traveling will be counted as "one visit" although they will have to pay for each vaccine.

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