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2026 LRHC Legislative Town Hall

Tue, 28 Apr 2026 14:57:40 GMT

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Thank you to all who attended the Little Rivers Health Care Legislative Town Hall on March 30 in Fairlee. We were grateful to be joined by Vermont State Representative Jim Masland, Rebecca Holcombe, Mike Tagliavia, Monique Priestley, and Vermont State Senator John Benson for a thoughtful discussion on issues impacting our community.

Key topics included rising healthcare costs, rural access challenges, insurance affordability, workforce shortages, and the strong connection between housing and healthcare. Legislators also shared updates on efforts to reform primary care payment, stabilize insurance coverage, and support housing development.

Key Takeaways:

• Vermont’s healthcare system faces unsustainable cost growth paired with access challenges, especially in rural areas.

• Payment reform and insurance stabilization are central legislative strategies.

• Community-based care models offer promising solutions but require sustainable funding.

• Housing is inseparable from healthcare, directly impacting workforce capacity.

• Long-term success depends on system integration, prevention-focused care, and policy alignment.

Action Opportunities:

• Monitor implementation of primary care payment reform

• Track hospital pricing reform outcomes

• Support workforce housing development strategies

• Explore feasibility of local Community Health Hubs

We appreciate the strong community engagement and look forward to continuing these important conversations as we work toward sustainable solutions for the health of our region.

FIM Advocacy Day

Mon, 20 Apr 2026 15:20:18 GMT

Advocating for Food Is Medicine at the Capitol

At this year’s Vermont Capital Advocacy Day, Little Rivers Health Care proudly raised its voice to champion a simple but powerful idea: food is medicine.

Emilie Perry, LRHC’s Food Is Medicine Program Coordinator, shared the story of how Maureen Boardman, NP and Director of Clinical Quality made a small, patient-centered act by filling her car with fresh produce for patients, which grew into a comprehensive, community-driven Food Farmacy program. Today, that program serves rural communities across Bradford, East Corinth, Newbury, Wells River, and neighboring New Hampshire towns, addressing one of the most pressing health challenges we face: the connection between nutrition and chronic disease.

Nearly one in five LRHC patients lives with conditions like heart disease, hypertension, or type 2 diabetes; conditions deeply influenced by access to healthy food. Through expanded screening efforts, we now identify food insecurity in real time and connect patients to critical resources like WIC, SNAP, and local food supports. For those with chronic conditions, our Food Farmacy provides fresh produce, eggs, and other staples every three weeks, totaling nearly 1,000 pounds of food distributed weekly.

This work goes beyond food access. It is about building relationships, offering education, and empowering patients to take control of their health. From recipes and kitchen tools to partnerships with local farms and healthcare organizations, LRHC is creating a model of care that integrates nutrition directly into clinical practice.

The results speak for themselves. Patients enrolled in our programs are experiencing measurable improvements in blood pressure and cholesterol, fewer missed appointments, and reduced stress. Many report eating more fruits and vegetables and cooking more meals at home—small shifts that lead to lasting health outcomes.

As Emilie emphasized in her remarks, while grant funding has allowed this work to grow, it is not a sustainable long-term solution. Advocacy efforts like Capital Day are critical to advancing policies that recognize and reimburse Food Is Medicine programs as essential healthcare services.

LRHC is committed not only to continuing this work, but to building a replicable model that can support other rural healthcare systems. With continued collaboration and policy support, we can ensure that every patient has access to the nutrition they need to thrive.

Because health doesn’t start in the exam room—it starts at the table.

Televisits: Remote Visits With Your Provider

Tue, 09 Jul 2024 13:59:36 GMT

Televisit is not a replacement of traditional medicine; it is an extension of our traditional model of care. The Televisit allows our Doctors or Nurse Practitioners to diagnose and treat patients who are unable to make it to the office. From your computer or with the Healow app and a compatible mobile device, you can have a face-to-face conversation with a Doctor or Nurse Practitioner from the convenience of your home, hotel, or where ever you may be traveling.

You must be web enabled on the Patient Portal to schedule a Televisit. If you are not, please ask our receptionist to web enable your account.

How It Works

Call our office to schedule an appointment for a Televisit. After your appointment is scheduled you will receive an email confirmation with a link. You can either use the link provided in your email or the Healow app on your mobile device.

Ten minutes before your scheduled appointment, click on the link in your email or open the Healow app on your mobile device, and fill out a brief questionnaire about your visit. You will then be connected to a doctor or nurse practitioner via 2-way video from your computer or smartphone. Your doctor or nurse practitioner will diagnose your condition, answer your questions, and, if needed, send a prescription to your preferred pharmacy.

*Prescription availability is dependent on the doctor’s or nurse practitioner’s judgment and, if out of state, may be restricted by state regulations.

Treatment

Remote visits are a good way to get treatment for many minor medical conditions, including: acne, bites or stings, birth control pill consultations, cough, congestion, runny nose, diarrhea, nausea, vomiting, fever, headaches, hives, pink eye, lice, skin infections, sprains and strains, travel medications, and much more.

If you have a medical emergency, please dial 911 immediately and do not attempt to receive treatment via a remote visit.

Telemedicine Appointment Policies

Policies for Televisit appointments are the same as in-office appointments:

When making a Televisit, appointment fees are due at the time the appointment is scheduled.
10 min prior to your appointment time click on the email link you have been sent or use the healow mobile app and your mobile device to start your Televisit.
If you need to cancel or reschedule your appointment, please call the office at least 2 hours ahead of appointment time to avoid any no-show fees.
Logging onto your Televisit is the same as signing-in when in the office.
If you are not online and checked in at the time of your visit, we will have to reschedule your appointment .

If you have any questions or concerns, please feel free to call your clinic office at:

Wells River Office: 802-757-2325

Bradford Office: 802-222-9317

East Corinth Office: 802-439-5321

Rocking Horse Circle of Support

Tue, 09 Jul 2024 13:41:43 GMT

Rocking Horse Circle of Support

Find Free Workshops Through My Vermont Health

Mon, 08 Jul 2024 21:58:05 GMT

Find Free Workshops Through My Vermont Health

Local coordinators can connect you with workshops right in your community. These are led by health experts who understand your needs because many have faced similar health challenges. From losing weight to quitting smoking to managing pain and other long-term health problems, Vermonters who complete our workshops see big improvements in their health—and their overall well-being.

Defending Your Child: Vaccines and Their Vital Role

Tue, 02 Jul 2024 20:45:58 GMT

Shielding Little Lives

The Power of Childhood Vaccines

As parents, safeguarding your children's health is paramount. Vaccines play a crucial role in shielding them from serious childhood diseases. Here's why you should prioritize immunizations:

14 Preventable Diseases

From measles to whopping cough, vaccines defend against 14 serious illnesses.

By following the recommended immunization schedule , you provide the best protection for your child.

Safe and Proven

Vaccines are backed by rigorous research and have a proven safety record.

They prevent hospitalization, complications, and even death.

Talk to Your Doctor

For more reasons to vaccinate, consult your child's doctor

Visit the CDC website , or call 1-800-CDC-INFO for additional reliable information.

**Disclaimer: Always consult a healthcare professional for personalized advice.

Stop the Spread of COVID-19

Tue, 02 Jul 2024 20:32:17 GMT

Preventing COVID-19

CDC's Essential Guidelines

In the ongoing battle against COVID-19, prevention is our strongest weapon. The Centers for Disease Control and Prevention (CDC) recommends the following actions to curb the spread of respiratory viruses:

Hand Hygiene

Wash your hands thoroughly with soap and water for at least 20 seconds.

Prioritize handwashing after using the bathroom, before eating, and after coughing or sne ezing.

When soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol.

Refrain from touching your eyes, nose, and mouth with unwashed hands.

Social Distancing

Avoid close contact with individuals who are sick.

Maintain a safe distance to reduce transmission risk.

Cover Your Cough and Sneeze

Use a tissue to cover your mouth and nose when coughing or sneezing.

Dispose of used tissues in the trash promptly.

Disinfect High-Touch Surfaces

Regularly clean and disinfect frequently touched objects and surfaces using household cleaning products.

Stay Home When Sick

If you're feeling unwell, stay home to prevent potential spread.

Remember, these simple steps protect not only you, but also your community. Let's stay vigilant and prioritize health!

**Disclaimer: Always follow local health guidelines and consult a healthcare professional for personalized advice.

The Little Rivers Health Care Promise

Tue, 02 Jul 2024 20:16:05 GMT

Little Rivers Health Care is here to help

Compassion, Support, and Healing

At Little Rivers Health Care, we hold your well-being at the forefront.

Our Promise To You

Your Comfort Matters

We prioritize your comfort and care

Transparency: We'll explain our actions and reasons.

Questions? Ask away. We're here for you.

Navigating Life's Challenges

Life can be tough—whether it's terrorism, loss, violence, or illness.

You're not alone. Help is available, and healing is possible.

A Tailored Approach

Talk to your doctor or nurse about difficult life experiences.

Let us know how we can make today's visit more comfortable for you.

At Little Rivers, compassion is our compass.

Bradford Food Pantry

Tue, 02 Jul 2024 20:00:58 GMT

Community Food Pantry in Bradford, Vermont

Food For All

The Bradford Food Pantry at the Bradford Academy is open to all

* No qualifications required to receive food from the pantry

Monday, Tuesday, Thursday: 3:00 - 4:00 pm

Wednesday: 5:00 - 6:00 pm

Friday: 11:00-12:00 pm (noon)

Come to the side door (next to Methodist Church) and wait for a volunteer to let you in - one person at a time. Masks required along with social distancing.

172 N Main St, Bradford, VT 05033

East Corinth-Topsham Food Pantry

Tue, 02 Jul 2024 19:51:36 GMT

Community Food Pantry in East Corinth and Topsham, Vermont

Food For All

Open to Everyone!

Available for pick up at the end of the ramp located on the side of our building.

Monday - Thursday

8:00a - 4:00p

Open to Everyone!

Call for Pick Up: (802)584-3276

Groton Town Clerk: Carrie Peters

1476 Scott Hwy, Groton, Vermont 05046

(We're next to the fire station)

Measles On the Rise

Tue, 02 Jul 2024 19:43:44 GMT

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Measles, a highly contagious viral infection, is staging a comeback worldwide. According to the World Health Organization (WHO), in 2023, there were over 300,000 cases reported globally. Alarming trends continue into 2024, with early data suggesting that this year's total may match or exceed the previous year's count.

Symptoms

High Fever

Cough

Runny Nose

Red, Watery Eyes

Rash Beginning 3-5 Days After Symptoms Begin

Measles symptoms can often be mistaken for a common cold prior to the onset of the telltale measles rash.

Risks & Complications

Pneumonia, encephalitis, and even death can result, especially in vulnerable populations.

1 or 2 out of every 1,000 people with measles will die, even with the best care.

Prevention is Key

Measles is HIGHLY CONTAGIOUS and spreads through the air when an infected person coughs or sneezes. It's possible that 9 out of 10 people of all ages around them will become infected if they are not protected.

Vaccination: The MMR vaccine remains the most effective preventive measure against Measles.

Community Protection: By vaccinating, we protect not only ourselves, but also those who cannot receive the vaccine due to health conditions.

Stay informed, prioritize vaccination, and let's curb the resurgence of this preventabl e disease together. Reach out to your primary health provider today to discuss the measles vaccine.

**Disclaimer: Always consult a healthcare professional for personalized advice.

Family Care Before, During, and After Pregnancy at Little Rivers Health Care

Tue, 02 Jul 2024 18:23:36 GMT

Comprehensive Pregnancy Care at Little Rivers Health Care

At Little Rivers Health Care, we're dedicated to supporting families throughout their pregnancy journey. Our services cover every stage, ensuring a seamless experience from conception to postnatal care. Here's what you can expect:

Family Planning Services

Whether you're starting a family or expanding it, our team provides personalized family planning guidance.

Prenatal Care

Our expert staff offers comprehensive prenatal care, including regular check-ups, screening, and education.

Labor and Delivery

We partner with Northeastern Vermont Regional Hospital for safe and comfortable deliveries at their newly renovated birthing unit.

Postnatal Care

After your little one arrives, we continue to support you with postnatal care, breastfeeding assistance, and emotional well-being.

Personal Attention

Families who choose us experience the highest level of personal attention throughout their pregnancy journey.

Visit our Bradford, East Corinth, and Wells River locations for compassionate and comprehensive women's health services. Your journey begins here!

Acudetox: Ancient Healing for Modern Wellness

Tue, 02 Jul 2024 18:07:47 GMT

Unlocking a Healthier You through Acudetox

Acudetox, also known as auricular acupuncture, is a therapeutic practice that traces its roots back over 3,000 years. While the world has evolved, this ancient healing technique remains a powerful tool for promoting well-being.

Acudetox is often administered within the context of a behavioral health visit. Unlike lengthy conversations, this treatment requires minimal dialogue. It's an ideal option for those seeking relief without extensive discussion.

How it Works

During an acudetox session, five sterile acupuncture needles are gently inserted into specific points on each ear. These points correspond to various organs, emotions, and energy pathways.

The patient sits quietly for 30 to 45 minutes, allowing the needles to work their magic. It's a serene experience that encourages relaxation and inner balance.

Healing Qualities

Reduced Cravings: Whether it's nicotine, opioids, or other substances, acudetox can help curb cravings and support addiction recovery.

Withdrawal Symptom Relief : When breaking free from addictive substances, withdrawal symptoms can be intense. Acudetox can ease this transition.

Anxiety and Depression: The calming effect of acudetox can soothe anxious minds and lift the weight of depression.

Insomnia Relief: Better sleep is within reach. Acudetox can promote restful nights.

Chronic Pain Management: By stimulating the nervous system, acudetox can alleviate chronic pain.

Anger Reduction: Feelings of anger and frustration can find balance through this ancient practice.

B eyond symptom relief, acudetox focuses on regulating the nervous system. By doing so, it strengthens the body's innate ability to heal itself.

In a world where stress and disconnection abound, acudetox offers a bridge to ancient wisdom and wellness.

Remember, Little Rivers Health Care is here to guide you on your wellness journey. Reach out to your health care provider to explore the transformative power of acudetox!

**Disclaimer: Always consult your healthcare professional before starting any new treatment.

The Little Rivers Healthcare Patient Portal

Tue, 02 Jul 2024 17:17:53 GMT

Access Your Healthcare Online

Your Health, Just a Click Away

Little Rivers Healthcare is dedicated to providing excellent, affordable care for all.

Access your health information securely online anytime, anywhere.

Request Appointments

Prescription Refills

Ask your provider non-urgent health questions

Questions? Email us at portal@littlerivers.org

Making the Diabetes Heart Connection

Fri, 28 Jun 2024 18:42:21 GMT

Understanding the Link Between Type 2 Diabetes and CardioVascular Disease

Change Starts with Awareness

Type 2 diabetes and heart disease often go hand in hand. Let's explore why, and the costs associated.

Shared Risk Factors

Obesity: Excess weight increases the risk of both conditions.
High Blood Pressure: Uncontrolled blood pressure strains the heart and affects blood vessels.
High Cholesterol: Elevated cholesterol levels contribute to heart disease and can worsen diabetes complications.

Insulin Resistance

In type 2 diabetes, cells become resistant to insulin, leading to elevated blood sugar levels.
This insulin resistance also affects blood vessel function and promotes inflammation, impacting heart health.

Inflammation and Oxidative Stress

Chronic inflammation and oxidative stress play a role in both diabetes and heart disease.
Inflamed blood vessels are less flexible, increasing the risk of heart attacks and strokes.

People living with type 2 diabetes are more than twice as likely to develop cardiovascular disease and live 7-8 years less

Of people with diabetes, LESS THAN HALF are aware of their increased risk of cardiovascular diseases. This lack of awareness prevents people with diabetes, their families, and their healthcare providers from addressing risks and improving health.

Costs of Diabetes and Related Cardiovascular Disease

$245

BILLION

Annual estimated medical costs and economic losses from premature death and disability caused by diabetes.

More than 25% of cost of treating diabetes relates to cardiovascular complications.

Saving lives starts with raising awareness of the risks and taking action to protect your health. You can help! Learn more about National Diabetes Awareness at your next visit!

Are You At Risk of Prediabetes? A CDC Quiz

Fri, 28 Jun 2024 18:27:17 GMT

Determining Your Risk Level for Prediabetes

A Helpful Guide

What is Your Age?

0 Less than 40

1 40-49

2 5 0-59

3 6 0+

What Sex Were You Assigned at Birth?

0 Female

1 Male (Higher Risk)

Have You Ever Been Diagnosed with Gestational Diabetes?

0 No/Not Applicable

1 Yes

Do You Have a Mother, Father, or Sibling with Diabetes?

0 No/Not Applicable

1 Yes

Have You Ever Been Diagnosed with High Blood Pressure?

0 No/Not Applicable

1 Yes

Are You Physically Active?

0 Yes

1 No

Are You At a Normal BMI?

0 <18

0 18-24.9

1 2 5-29.9

2 30+

To determine your BMI, visit nhlbi.nih.gov

Scores 0-4 mean you are not at risk.

Scores 5-10 mean you are at an increased risk for having prediabetes.

Call your clinic for more information.

Share the Harvest: A Vermont Community Food Resource

Fri, 28 Jun 2024 17:45:05 GMT

Share The Harvest

No One Should Go Hungry.

A food resource for our community in Wells River, Newbury, and Ryegate.

Open Tuesdays

1-2:30 p.m.

Wells River Congregational Church

76 Main St N, Wells River, VT 05081

For more information, call (802)757-2261

Reach Out and Read

Fri, 28 Jun 2024 17:36:07 GMT

Strengthening Families Through Shared Reading

Reach Out and Read gives young children a foundation for success by incorporating books into pediatric care and encouraging families to read aloud together. Reach Out and Read is a program that supports your child's language development by providing:

Age-appropriate advice from your doctor about reading to your child
A book for your child at regular checkups from 6 months through 5 years old
A literacy-rich waiting room area

Reading is Doctor-Recommended!

Reading aloud is one of the most important things you can do to prepare your child to succeed in school and in life.

For more information, head to Reach Out and Read

How to Talk to Your Kids About Cannabis

Fri, 28 Jun 2024 17:22:08 GMT

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As parents, we face a delicate balancing act — providing accurate information while safeguarding our children's well-being. When it comes to discussing cannabis, it's essential to approach the topic with openness, honesty, and age-appropriate language.

Listen

Genuinely listen, ask questions, and hold back from offering solutions right away.

Talk

Talk to your kids about substances in open and honest conversations. Stick to facts. Avoid scare tactics.

Be an Example

Keep substances out of view and access to your teens. Represent the behavior you expect from your kids.

Create a Healthy Environment

Give kids a stable and safe home.

Work Together

Talk with other parents to develop a community and support network for you and your kids.

Talk with your kids about your family's mental health history, especially if you have a family history of schizophrenia. Early cannabis use may accelerate the onset of symptoms of schizophrenia in youth with a family history. Youth who consistently use higher potency THC products are at higher risk of psychosis. Continued cannabis use is associated with poor long-term outcomes for people already experiencing psychosis.

For more resources on protecting your children from substance abuse, visit ParentUp.

When You Need Someone to Listen: Crisis Hotlines and Support

Fri, 28 Jun 2024 17:04:29 GMT

Help is just a phone call away.

Life can be challenging, and sometimes we all need someone to lean on. Whether you're facing emotional distress, mental health struggles, or a crisis, there are caring individuals ready to lend an ear and offer support. Try talking to a family member, friend, healthcare provider, or faith leader. Or, try a crisis hotline.

The goal of this post is to provide a comprehensive list of crisis hotline numbers, connecting you to compassionate professionals who can guide you through difficult moments. Remember, you're not alone. Help is just a call away.

Crisis Hotlines

Local Mental Health Agency or Crisis Line

988

Vermont Peer Support Line

Call or Text (833)888-2557

Open 24/7

The Trevor Project LGBTQIA+ Crisis Hotline

Call (866)488-7386

Text 'START' to 678-678

Chat Online

Open 24/7

National Suicide Prevention Lifeline

Call 1(800)273-TALK , or 1(800)273-8255

Text 988

For deaf or hard of hearing ASL users, call 988 Videophone

Open 24/7

Veterans Crisis Line

Call 1(800)273-8255 , press 1

Text 838255

Chat online

Open 24/7

de Prevención del Suicidio

Call 1(888)628-9454

Open 24/7

Acuwellness

Wed, 19 Jun 2024 15:49:28 GMT

Acuwellness

Tuesdays

10-11 AM

Wells River Clinic

Healthy Relationships Group

Wed, 19 Jun 2024 15:40:53 GMT

Healthy Relationships Group

Tuesdays

5-6PM

Wells River Clinic

Everyone Eats Vermont - Little Rivers Health Care Spotlight

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Tue, 27 Apr 2021 13:42:13 GMT

Learn more about Everyone Eats Vermont!

Little Rivers Health Care partnered with Capstone Community Action to distribute meals to folks experiencing barriers to food access as part of the Everyone Eats Vermont program. Starting in August 2020 and continuing through today, LRHC care coordinators Pam Spear and Sasha Emerson, along with other staff and volunteers, have been distributing 75 meals every single week to 15-20 families and individuals. The meals have gone out regardless of weather or holidays. The Everyone Eats Vermont program is a testimony to a community that cares about their neighbors in the most challenging of times.

AgriSafe Press Release

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Thu, 25 Mar 2021 12:47:13 GMT

Little Rivers Health Care is proud to recognize the following staff: Nicole Keaty, RN; Wendy Munn, RN; Ashley Murray, LNA, MA; Kate Telofski, MA; Liz Henson, MA; and LRHC board member Karla Wilson, RN as AgriSafe nurse scholars.

The staff listed above have recently completed the AgriSafe Network Nurse Scholar Program. They join other nurses across the nation who have invested in their professional training and their communities. Our clinics are located in 3 locations throughout the Upper Valley of Vermont: Bradford, East Corinth, and Wells River.

AgriSafe Nurse Scholar is an 18-hour educational series which targets agricultural health and safety issued, risks, and prevention measures that can impact the short and long-term wellness of community families and businesses that depend on production agriculture. Topics include ergonomics, women’s health, youth in the workforce, mental health, hearing and respiratory protection, animal borne diseases, pesticide and chemical safety, and several emerging issues.

AgriSafe is a non-profit national membership organization, that represents health professionals and educators who strive to reduce health disparities found among the agricultural community. Our vision is to prevent agricultural injuries, disease, and fatalities through the effective delivery of agricultural occupational health services. To find out more about AgriSafe Network and the AgriSafe Nurse Scholar Program, please contact 1-866-312-3002 or email us at info@agrisafe.org

About some of our scholars:

Ashley Murray serves at Little Rivers Health Care as an LNA and MA. She is a graduate of Southern Vermont College and is currently Enrolled at Community College of Vermont. She has worked for LRHC for 5 years. Her background has included being an LNA for St Johnsbury Health and Rehab and Rowen Court. When asked about the AgriSafe program Ashley said, “I spent 18+ hours studying and learning about conditions and struggles that farmers and their families face. This was a huge eye opener and only increased my appreciation for all farmers and families, but especially our locals! I look forward to being able to put this education to use!”

Liz Henson serves at Little Rivers Health Care as an LNA. She is a Half time student at White Mountain Community College in Littleton working towards a nursing degree. She has been an LNA for over 20 years. She has worked for LRHC for just over a year. She received her LNA license at Glencliff in 1999. She has worked as a patient care technician at the Children’s Hospital at Dartmouth and in the pediatric ICU. Later she worked at Cottage Hospital as a tech in the Emergency Room. When asked about the AgriSafe program Liz said, “the AgriSafe nurse scholar program was packed with valuable information about rural healthcare and some of the challenges that may be faced when working with the agricultural population.”

No Barriers to Care

Thu, 28 May 2020 17:19:12 GMT

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New Patients

Thu, 28 May 2020 17:19:11 GMT

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Covid 19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Fri, 15 May 2020 04:00:00 GMT

May 15, 2020

Vermont’s WCAX reported today that the Vermont emergency order is extended to June 15th, that Vermont has the lowest virus growth in the US, and that the state’s COVID-19 figures held nearly flat this week. Our response team met at length this morning to plan expanded testing, expanded in-clinic appointments, and thoughts on best next steps for behavioral health services. We look forward to sharing further details in the next week as they are finalized.

Given a general status quo for the week, today’s report is short and will end with a quick note and picture of appreciation. Thank you to the many in our region and state that have supported others and continued with acts of kindness. We are forever thankful for the giving, sacrifices, dedication, caring, and love of one another. The thought, setting and colors of this East Corinth scene are remarkable and could not be more fitting (please look on our website if you have trouble viewing the following picture through a list serve or other communication, it is worth the time to look!):

East Corinth Thank you

Be safe, take care, enjoy the weekend, and THANK YOU!

“APPRECIATION… acknowledges the presence of good wherever you shine in the light of your thankful thoughts” Alan Cohen

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Thu, 14 May 2020 18:03:45 GMT

May 14, 2020

Five people are hospitalized for COVID-19 and there have been 53 fatalities in Vermont; so far, 792 people have recovered. Nearly 20% of tests in Vermont occurred in the last week.

Vermont organized COVID-19 testing sites for asymptomatic people to sign up for a test. Upcoming testing sites adjacent to our greater region that still have openings are on Tuesday 5/19 in Barre and Saturday 5/23 in St. Johnsbury. Sign up is required. If you are interested, please find more information at https://humanresources.vermont.gov/popups.

Vermont’s Department of Public Safety Emergency Management will be distributing meals for those in need. Meals will be distributed to those in need throughout the month of May. Food will include FEMA meal boxes, along with produce, chicken, and dairy products. Site schedules are from 10AM to 2PM and here are sites in our general region:

Fri May 15 – Edward F Knapp State Airport, 1979 Airport Rd, Barre (Berlin)

May 21 – Thetford Academy 304 Academy Rd,

Fri May 29 – Caledonia County State Airport, 2107 Pudding Hill Rd, Lyndonville

Each household will receive: 2 gallons of milk, 2 boxes of meat (10lbs of grilled chicken filet/strip and 10lbs of breaded chicken tenders/patties), - 1 box of produce (15-25lbs of assorted seasonal vegetables, mostly local), 1 box of Cabot dairy products (4lbs cheddar cheese, 1.5lbs American cheese, 2lbs butter, and 1 box of 10-15 FEMA box meals (per family member).

Pull up in your car, open your trunk, and the appropriate amount of food will be loaded by members of the Vermont National Guard. Please be sure there is plenty of space available in your car for the boxes of food.

The COVID-19 special open enrollment period for Vermont Health Connect has been extended to June 15. If you need assistance with navigating through the choices and application at Vermont Health Connect, we want to help. Please call and we will gladly support you through the process or through any barriers to care that you may have. Wells River 802-757-2325 , Bradford 802-222-9317 , East Corinth 802-439-5321.

Our COVID-19 Patient Care Team is here to help answer your questions. The COVID-19 Patient Care Team is available tomorrow, Friday from 8AM to 4PM, and on Saturday from 9AM to noon at 802-222-3055 . If you have concerns anytime, please refer to our “Managing Stress During a Pandemic” resource guide on our website at https://www.littlerivers.org /.

Covid- Updates

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Wed, 13 May 2020 04:00:00 GMT

May 13, 2020

With the decrease in COVID-19 activity in Vermont at this time, we will reduce our frequency of reporting changes in activity from daily to weekly. We will continue to report notable changes and will increase reporting upon an increase in activity. We will continue to report daily on our health center operations and our health services programs.

Through yesterday, we performed 200 tests on Little Rivers patients. One test was positive as reported on April 16, and we are waiting on results of only three tests. We performed 25 tests from outside referrals with no positive results as of yesterday.

Please spread the word about two events we will offer tomorrow. At noon, we will host ‘Need a Doc?’ and the first session of our Teen Speak Series will be tomorrow at 2 PM. Information about both programs and how to attend them is on our website home page at https://www.littlerivers.org / under Upcoming Events and on our Facebook page.

The Journal Opinion featured a fantastic article today by Marianne Farr: “Local Providers Ready To Meet Health Care Needs”. Please find more information at the JO’s website http://www.jonews.com/ or on our website home page under Little Rivers In The News.

Our behavioral health team reports supporting many patients with depression, anxiety, and stress. Please do not hesitate to call our Behavioral Health Care Coordinator, Sasha Emerson, directly at 802-222-3017 for arrangements to seek help.

Friday is the last day of special open enrollment for Vermonters at Vermont Health Connect. If you need assistance with navigating through the choices and application at Vermont Health Connect, we want to help. Please call and we will gladly support you through the process or through any barriers to care that you may have. Wells River 802-757-2325 , Bradford 802-222-9317 , East Corinth 802-439-5321 .

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Tue, 12 May 2020 04:00:00 GMT

May 12, 2020

The Vermont Department of Health (VDH) maintains guidelines that are beneficial to be reminded of as we eagerly open up parts of the economy and increased public activities. Staying at home is still the best way to lower our risk of COVID-19, and as we take small steps to return to work and see our family and friends again, we would like to remind everyone of recommended practices.

VDH recommends continuing with health and safety precautions including 6-ft distancing, wearing a face mask, washing hands frequently, and staying home if you are sick or have been exposed to someone who has COVID-19.

VDH recommends keeping your social circle small, staying close to home, and limiting non-essential travel.

People age 65 and older and people with underlying medical conditions are more likely to develop more severe symptoms, should continue to stay at home, and should connect with others by phone, computer, or video.

Little Rivers serves many communities in Eastern Orange County Vermont and surrounding areas, and this region has many people of age 65 and older and many with underlying health conditions. Please follow the stay at home guideline and encourage those you know in this group to act similarly. Little Rivers Care Coordinators, Chronic Care Nurses, Behavioral Health Providers, and Family Medicine Practitioners & Nurses are available to see patients by televisit and phone. Care Coordinators and Chronic Care nurses commonly call to check in with patients. We encourage you to call and to do the same with those close to you. We are eager to connect with you and are in this together with anyone in our area.

Our COVID-19 Patient Care Team is here to help answer your questions at 802-222-3055 . If you have concerns anytime, please refer to our “Managing Stress During a Pandemic” resource guide on our website at https://www.littlerivers.org/ .

Please call, we are here to help! Wells River 802-757-2325 , Bradford 802-222-9317 , East Corinth 802-439-5321 .

On the New Hampshire side of the river, there have been 3,160 cases and 133 deaths attributed to COVID-19. On May 6, NH announced 19 new deaths (the highest single day increase in the number of deaths). On May 1, Governor Sununu announced a new stay at home order in effect until May 31.

VT COVID-19 Cases (as of midday today):

Total cases: 927, New Cases: 1, Deaths: 53 (no new deaths since Friday). Vermont has 5 patients currently hospitalized for COVID-19 and 13 hospitalized under investigation. Windsor County has 45 cases, Washington County has 38 cases, Caledonia County remains at 14 cases and Orange County at 8 cases. Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.

Thank you Cathy Kidder, Amu C., Laura Nelson, David and Ann Tardiff, Mary Hays, Susan Davis, Linda Shimansky, and many more for your caring donations of masks and more. We are in this together as a community and your generosity is inspiring. Thank you again!

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Mon, 11 May 2020 18:59:37 GMT

May 11,2019

Dr. Genereaux delivered a baby this weekend!

Last week we had a total of 469 patient visits including 51 televisits and 225 phone visits. Our overall visit count is about 60 to 65% of our pre-pandemic visit rate, and behavioral health visits are at the same rate as the pre-pandemic rate. Our East Corinth Clinic continues in-person care tomorrow and again on Friday. Due to a decrease in patients with symptoms of respiratory illness, the Bradford clinic is decreasing the respiratory care only hours to 2:30 to 5PM daily (and as a result increasing customary appointment hours). Please call first, and we will coordinate a visit for you in a safe manner and regardless of your ability to pay. If you need a primary care provider, we will happily help you establish at Little Rivers.

The Vermont Department of Health reported that, based on data in the medical literature, almost 100% of individuals develop symptoms within 11 ½ days after exposure to an individual with COVID-19. Therefore, the recommended period of quarantine is being changed to 12 days. Individuals who are in quarantine can be tested on or after day 7; if the results are negative and they are asymptomatic, they can end quarantine (they should remain in quarantine while awaiting test results).

We are strategically planning for an increase of in-person visits and for warmer weather. We are (1) considering alternating provider appointments of in-person and televisit to minimize waiting room occupancy, (2) researching patient pager systems to allow patients to wait for appointments outside, (3) setting up more spaces outside for patients to sit, and (4) preparing for pre-visit planning calls to remind patients to come along when possible and to review instructions for arrival at the clinic. We are researching special filters and air treatment devices for our air handling systems and air conditioning units to prepare for warmer weather. We look forward to sharing our plans for continued safe access to health care.

VT COVID-19 Cases (as of midday today) :
Total cases: 926, New Cases: 7 (since Friday), Deaths: 53 (no new deaths since Friday). Vermont has 5 patients currently hospitalized for COVID-19 and 9 hospitalized under investigation. Windsor County has 45 cases, Washington County has 38 cases, Caledonia County remains at 14 cases and Orange County at 8 cases. Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.

Covid-19 5/8/2020

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Fri, 08 May 2020 19:06:04 GMT

May 8, 2020

Vermont officials announced today that child care centers may reopen by June, and some summer youth programming will be allowed under new guidelines. Child care staff may return to work on May 18th to prepare. Traditional high school graduations will not be allowed, and summer day camps and overnight camps will be allowed with special health guidelines. Vermont DFR Commissioner Michael Pieciak reported Vermont has a projection of COVID-19 cases doubling in a couple of months and that many other states project doubling within weeks.

New Hampshire Governor Chris Sunnunu communicated today that dental offices in New Hampshire will be able to reopen as early as Monday under new guidance from the state. Govenor Sunnunu reported that the state has secured enough masks and other equipment to supply any business that asks for free. New Hampshire Health Commissioner Lori Shibinette said that in terms of numbers, the potential exposure at a dental office is lower than at a long term care facility.

The East Corinth clinic operated a second day this week today with in-person visits. About ten patients were seen in-clinic this week. Next week will have the same schedule of virtual operations through the week and in-clinic appointments on Tuesday and Friday.

Upcoming Meetings: Join us on Monday at 10:00 AM for our “No Barriers to Care” meeting about resources to access health care and prescription drugs through the support of our care coordinators and financial resources available through Little Rivers for access to care regardless of ability to pay. We will review navigation of Vermont Health Connect that has open enrollment through May 15th, sliding fee scale, and our 340 discount prescription drug program.

Later in the week on Thursday, we will offer two meetings, “Need a Doc?”, at noon with information on how to easily establish care at Little Rivers. Practitioner Ayla Priestley, FNP and our New Patient Coordinator, Ashley Thompson will be on the Zoom meeting with other staff to present information and to answer questions. The “Teen Speak” meeting will follow at 2PM. For more meeting information, please go to our home page at https://www.littlerivers.org / and look for ‘Upcoming Events.’

VT COVID-19 Cases (as of midday today): Total cases: 919, New Cases: 3, Deaths: 53 (no new deaths). Vermont has 5 patients currently hospitalized for COVID-19 and 10 hospitalized under investigation. Windsor County has 46 cases, Washington County has 37 cases, Caledonia County remains at 14 cases and Orange County at 8 cases. Grafton County in New Hampshire has 53 cases, 6 hospitalizations, and 1 death.

Have a safe and enjoyable Mother’s Day weekend!

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Thu, 07 May 2020 19:08:25 GMT

May 7, 2020

We are preparing to launch online access to our sliding fee scale application, new patient registration forms, and annual patient packets. When the system is launched, forms may be completed on our secure portal straight from your computer or mobile device, and you will be able to upload supporting documentation. The objective is to add a convenient and safe way for completing forms and accessing care. All forms will remain available for completion by paper form and distribution in-clinic and by mail for those that do not have electronic access or simply prefer paper submission.

Vermont launched an online compliance tool to report violations of the COVID-19 Executive Order. The tool accepts complaints of non-compliant lodging properties and online reservation suspension, non-compliant business operation, and non-compliance of restaurant on-premise consumption of food and drink. If you are curious or are interested in filing a complaint, the online tool is available by clicking here.

Upcoming Meetings: We are offering three community meetings next week. On Monday, we will have a community meeting called “No Barriers to Care” about resources to access health care and prescription drugs through the support of our care coordinators and financial resources available through Little Rivers for access to care regardless of ability to pay. We have two meetings scheduled for Thursday: “Need a Doc?” at noon with information on how to easily establish care at Little Rivers and “Teen Speak” at 2PM. For more meeting information, please go to our home page at https://www.littlerivers.org / and look for ‘Upcoming Events.’

VT COVID-19 Cases (as of midday today):
Total cases: 916, New Cases: 8, Deaths: 53 (1 new death).
Vermont has 5 patients currently hospitalized for COVID-19 and 9 hospitalized under investigation. Windsor County has 46 cases, Washington County has 37 cases (1 new case), Caledonia County remains at 14 cases and Orange County at 8 cases (1 new case). Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties.

The Vermont Department of Health is now reporting an estimated figure of the number of people recovered from COVID-19. The number is based on the amount of confirmed positive cases and does not include people who have died or are hospitalized. Recovered includes people who have tested positive, report that they have recovered, and for which 30 days have passed since the person’s illness began. The total recovered count for today is 718.

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Wed, 06 May 2020 19:11:35 GMT

May 6, 2020

All Vermonters with even mild symptoms are encouraged to contact their health care provider to get tested. This includes parents of children who have symptoms that could be related to COVID-19. Your provider will refer you to a hospital or health center near you that can perform the test at no cost. Little Rivers performs tests in Wells River and in Bradford. The Wells River clinic serves additionally as a state testing site. Tests are conducted in the afternoons as late as possible with timing dependent on the volume. If you don’t have a health care provider, call Little Rivers at 802-757-2325. Symptoms include: fever, cough, shortness of breath or difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. If you are having any symptoms of COVID-19, call your provider.

Little Rivers behavioral health providers will begin seeing patients in-clinic starting on May 18th. Each provider will be in-clinic at least one full day per week to start and all will continue with Televisits and phone visits. Yesterday was the first day that the East Corinth Clinic resumed delivery of in-person, in-clinic health services. Six patients had in-person visits in addition to Televisits and phone visits. The East Corinth team is eager and ready to safely care for patients in clinic on Tuesdays and Fridays.

Join us on tomorrow at noon at our Community Zoom meeting to a provide information about how to access health care, how to apply for health insurance, sliding fee scale, access to care regardless of your ability to pay, and access to food & transportation. The meeting is open to anyone, and access can be by phone, online with audio and video, or online chat. More meeting information is available on our website home page under ‘Upcoming Events’ at https://www.littlerivers.org/ or on our Facebook page at https://www.facebook.com/littlerivershealthcare/.

VT COVID-19 Cases (as of midday today): Total cases: 908, New Cases: 1, Deaths: 52 (no new deaths). Vermont has 6 patients currently hospitalized for COVID-19 and 20 hospitalized under investigation. Windsor County has 44 cases, Washington County has 36 cases (1 new case), Caledonia County remains at 14 cases and Orange County at 8 cases (1 new case). Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Tue, 05 May 2020 19:14:03 GMT

May 5, 2020

Dr. Lessac-Chenen, our Chief Medical Officer, delivered three babies over the weekend! Little Rivers supports patients with family planning services, prenatal, labor and delivery, and postnatal care. Families who choose Little Rivers Health Care for their obstetrics and prenatal care experience the highest level of personal attention throughout the women’s pregnancy. Our family-focused environment provides a range of medical and emotional support for women during this exciting, life-changing time in their lives during pregnancy, delivery, and infanthood.

The Little Rivers team of medical providers had a monthly meeting early this morning. The meeting was conducted by conference call and many topics were reviewed regarding the pandemic. Planning is under way to start up in-person care for well child visits and with special attention to pediatric vaccinations , especially for children under 2 years old. Well child visits may be provided with a well check by televisit or by phone and a follow up in-person 5 to 10-minute physical. Initial planning was discussed for time-sensitive adult annual exams. The team will continue to plan to open up more appointments in a cautious manner and in accordance with CDC and State based guidelines, and we will share more information just as soon as it is available. The provider team also discussed possible preliminary stages for resuming medical student preceptorships. Many of our providers work with students from the Geisel School of Medicine at Dartmouth and the Robert Larner College of Medicine at UVM. Students spend a portion of their time observing our primary care physicians in their offices.

Governor Phil Scott announced last week that the state is working to significantly increase and strengthen its testing and contact tracing programs in order to quickly identify, contain and suppress cases and outbreaks of COVID-19. Vermont is now urging medical providers to refer patients with mild symptoms for testing and to test symptomatic children (those younger than 18 years). Patients should be referred to hospitals, associated test centers, and centralized testing sites such as local Federally Qualified Health Centers. Little Rivers conducts tests for Little Rivers patients in Wells River and Bradford, and we also serve as a centralized testing center in Wells River for patients referred from other medical providers (all patients regardless of referral source).

VT COVID-19 Cases (as of midday today): Total cases: 907, New Cases: 5, Deaths: 52 (no new deaths). Vermont has 8 patients currently hospitalized for COVID-19 and 25 hospitalized under investigation. Windsor County has 43 cases, Washington County has 35 cases, Caledonia County remains at 14 cases and Orange County at 8 cases (1 new case). Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.

Covid-19 Update

jay@northeastkingdomonline.com (jay@northeastkingdomonline.com ) — Mon, 04 May 2020 20:04:08 GMT

May 4, 2020

Little Rivers tested 27 people last week and all with negative results. The CDC reported that 701,913 specimens were tested last week in the U.S. with 16% positive. Vermont has tested 17,332 tests to date with 902 positive cases, a rate of 5.2% positive results.

Last week we had a total of 442 patient visits including 56 televisits and 234 phone visits. Our overall visit count is about 60 to 65% of our pre-pandemic visit rate, and behavioral health visits are at the same rate as the pre-pandemic rate. The National Association of Community Health Centers reported today that community health centers in rural areas will receive much needed funds. Community health centers have suffered plummeting revenues because patients are avoiding routine primary care during the pandemic. Health centers serve 1 in 5 rural residents and operate with slim margins. Little Rivers has worked hard to provide COVID-19 screening, testing, and safe primary care when needed in our clinics and through televisits & phone visits whenever possible. Our East Corinth Clinic resumes in-person care starting tomorrow on Tuesdays and Fridays. Please call first, and we will coordinate a visit for you in a safe manner and regardless of your ability to pay. If you need a primary care provider, we will happily help you establish at Little Rivers.

Vermont Hospitals can now resume nonessential outpatient clinic visits, diagnostic imaging and outpatient surgeries and procedures, according to a statement from Vermont Governor Scott's office. Surgeries that require overnight stays are still on hold. Scott said Vermonters should expect the coronavirus state of emergency to extend beyond the May 15 expiration of his current “stay home, stay safe” mandate.

Join us on Thursday at noon at our Community Zoom meeting to a provide information about how to access health care, how to apply for health insurance, sliding fee scale, access to care regardless of your ability to pay, and access to food & transportation. The meetings are open to anyone, and access can be by phone, online with audio and video, or online chat. More meeting information is available on our website home page under ‘Upcoming Events’ at https://www.littlerivers.org/ or on our Facebook page at https://www.facebook.com/littlerivershealthcare/ .

VT COVID-19 Cases (as of midday today): Total cases: 902, New Cases: 23 (since Friday), Deaths: 52 (2 new deaths since Friday). Vermont has 8 patients currently hospitalized for COVID-19 and 7 hospitalized under investigation. Windsor County has 43 cases, Washington County has 35 cases, Caledonia County remains at 14 cases and Orange County at 8 cases (1 new case). Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.