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Spectrum Services



Anesthesiology

Spectrum Medical Group’s Anesthesiology service is comprised of over 50 Board Certified Anesthesiologists who work with surgical teams to develop systems of healthcare delivery to improve patient care, often as it relates to patient experiences during and following surgery.

Expertise

Our areas of expertise encompass the following sub-specialty services:

  • Acute Pain Management, including regional blocks
  • Chronic Pain Management
  • Cardiac, including open heart surgery
  • Critical Care, supporting Intensive Care Units and emergency care teams
  • Neurosurgical, supporting brain and spine procedures
  • Obstetric, including labor epidural
  • Orthopedic, in both hospital and Ambulatory Surgery Center (ASC) settings
  • Pediatric, including pediatric cardiac care
  • Vascular and thoracic procedures

Success

We have a track record of improving patient experiences and outcomes, including normothermia and reduction in post-operative pain. A specific example of our accomplishments can be seen with our use of regional blocks. Regional blocks are often used during surgery of the extremities through injection of nerve blocking agents after the patient has been sedated; often reducing pain for up to 12 hours. Our success in this area is achieved through our clinical expertise as well as our ability to work collaboratively and communicate effectively with surgeons and patients. Our Anesthesiologists constantly strive to not only deliver high quality care, but also go the extra mile to help ensure the best patient experience possible. Through proactive education and post-surgical compliance, patients can experience far less pain and discomfort immediately after surgery.

Our Anesthesiologists have served as key drivers of quality initiatives and data collection programs for hospitals and Ambulatory Surgery Centers (ASC) throughout Maine. As key members of each surgical care team, they have successfully established quality infrastructures that involve professionals throughout each facility in ensuring that ongoing improvement in patient care is a priority.

In addition to working toward continuous improvement of patient care in Maine, Spectrum Medical Group has provided guidance to a national coalition of Anesthesiologists, the Anesthesia Business Group (ABG). The ABG is comprised of Anesthesiology practices throughout the United States, representing over 12% of practicing Anesthesiologists in the country. Craig Curry, M.D., who has served as a key player in the implementation of quality initiatives at Spectrum over the past decade, has provided similar leadership to the ABG in their initiatives. In addition, Spectrum Medical Group IT and QI management teams have spearheaded the development of the nation’s first Anesthesiology clinical registry. The goal of this registry is to define, measure, and benchmark process and outcomes measures. In 2008, Spectrum provided significant leadership in expanding this initiative, with quantification of quality data for over 700,000 patients throughout the United States.


Medical Rehabilitation

The newly formed Medical Rehabilitation Division of Spectrum Medical Group is comprised of 7 American Academy of Physical Medicine and Rehabilitation board certified physicians.  The division offers a broad range of electrodiagnostics and pain management services.  Highlights of the division's expertise include:

  • Interventional pain procedures, such as medical branch blockades, transforaminal epidural injections, radiofrequency neurolyses, diagnostic lunar diskography.
  • Pain evaluation and management services that are customized to each patient's individual needs.
  • Electrophysiologic testing, including nerve conduction studies and needle electrode examination.

 Orthopaedics

Click here for information on services provided by Spectrum's Orthopaedic Division.  Contact us at (207) 828-2100 for a consultation.


Pathology

Spectrum Medical Group’s 22 dedicated, Board Certified Pathologists provide patients and referring physicians with the highest quality diagnostic services available in Maine, using state-of-the art techniques. Our Pathologists currently provide services to seven hospitals, as well as NorDx and several medical practices throughout southern Maine and New Hampshire.

Expertise

Our physicians offer patients a range of expertise and are certified in both anatomic and clinical pathology. Anatomic Pathology encompasses Surgical Pathology (determining if tissues are benign or malignant), Cytology (evaluating Pap smears, fluids, or needle aspiration as benign or malignant conditions), and Autopsy. Anatomic Pathology is the study of structural and compositional changes that occur in tissues as a result of disease. Clinical Pathology involves assisting referring clinicians with development or adjustment of patient treatment plans based on laboratory testing. Specialty areas include:

Anatomic Pathology:

Clinical Pathology:
Breast Pathology   Clinical Chemistry
Cytopathology   Coagulation Medicine
Dermatopathology   Cytopathology
Endocrine Pathology   Flow Cytometry
ENT Surgery   Hematopathology
Gastrointestinal Pathology (GI)   Immunopathology
Gynecologic Pathology   Microbiology
Hematopathology   Molecular Testing
Molecular Pathology   Transfusion Medicine and Blood Management
Pulmonary Pathology    
Surgical Pathology    
Urologic Pathology    

Examples of Anatomic Pathology services include: diagnosing malignancy in a biopsy, diagnosing a Pap smear as normal or abnormal, and performing an autopsy to determine cause of death.

Examples of Clinical Pathology include: Managing care of a bleeding patient using appropriate blood products and laboratory testing, interpreting lab results for clinicians, determining the appropriate molecular testing for a patient, and determining cost-effective utilization of laboratory testing.

Success

Our Pathologists continually improve clinical contributions through education and careful evaluation and adoption of new technologies, such as telepathology. Spectrum Pathology, working with our hospital partners, has successfully implemented the following:

  • Microwave processing technology, providing the opportunity for same-day reporting to ordering physician offices.
  • Molecular modalities, allowing for improved cancer diagnosis for the development of the most appropriate treatment therapies.
  • Blood transfusion management systems, to provide optimal patient care, while reducing facility costs.
  • Systems to improve reporting accessibility to referring providers, allowing for more timely, informed decision making.
  • Implementation of Her-2/neu testing, which benefits breast cancer patients by indicating when additional treatment is necessary.
  • Update of our standardized synoptic reporting, providing referring providers with concise terminology and data useful for compelling outcomes reporting.

By communicating with colleagues in multiple specialties, our Pathologists constantly strive to update and improve the quality of our service. We follow current evidence-based medical guidelines and use cost-effective molecular testing.


Radiation Oncology

Spectrum’s six Board Certified Radiation Oncologists treat almost all types of cancer and are committed to optimizing curative
and palliative care for patients by offering access to the most up-todate specialized procedures. Our Radiation Oncologists serve as leaders in supervising care at our partner facilities and support both innovation and high standards of care.

Expertise

Our Radiation Oncologists are committed to working with patients, families, and other members of the patient’s care team to help
determine the best treatment option for each individual. These physicians participate on the physician leadership teams at a number of hospitals.

  • Intensity Modulated Radiation Therapy (IMRT)
  • Image Guided Radiation Therapy (IGRT)
  • Advanced GYN Brachytherapy
  • Prostate Cancer Brachytherapy
  • Stereotactic Radiosurgery
  • Radiation Th erapy for Children
  • Radiation Th erapy for Benign Conditions
    • Heterotropic Bone Prevention
    • Vascular Brachytherapy
  • MammoSite Partial Breast Irradiation (PBI)
  • High Dose Rate Brachytherapy (HDR)

Success

Spectrum Medical Group’s physician leadership was instrumental in Maine Medical Center’s Radiation Oncology Department’s recent accreditation by the American College of Radiology. This is the only facility in the state to have received this accreditation.

Radiation Therapy treatments are done in close collaboration with other sub-specialties including Medical Oncology, GYN
Oncology, Neurosurgery, and Urology. The largest centers with whom we collaborate in providing patient care are Maine Medical
Center, Coastal Cancer Treatment Center, and the Cancer Care Center of York County. We provide Radiation Oncology leadership for several cancer care programs at Maine Medical Center including the Genitourinary Cancer Program, the Breast Care Center, the Thoracic Oncology Program, and the Neuro-Oncology Program. We have received both local and national recognition in our approach to treating prostate and breast cancer.

We offer one of the most advanced and comprehensive prostate cancer treatment programs in the country, with treatments for prostate cancer including:

  • External beam radiation therapy via IMRT/IGRT
  • Permanent prostate seed implementation (low dose rate brachytherapy)
  • Temporary high dose rate implants (high dose rate brachytherapy)
  • Participation in clinical trials for high-risk patients

Innovation in treating breast cancer is well illustrated by the successful introduction of MammoSite Partial Breast Irradiation service several years ago. This form of radiation therapy reduces the length of treatment from seven weeks to five days. In addition to reducing the treatment time, which is particularly convenient for patients that must travel, many patients have experienced fewer side effects than with traditional radiation therapies. Spectrum’s Celine Godin, M.D., has been honored for her work in introducing this treatment option to the state by the Maine Cancer Foundation.


Radiology

Spectrum Medical Group is staffed by 59 Board Certified Diagnostic Radiologists, who interpret images for diagnosing patient conditions, and Interventional Radiologists, who utilize image guided, minimally invasive procedures to treat patients. Our Radiologists have served as champions for the development of Picture Archiving and Communications Systems (PACS), which enable rapid image sharing. Computerized systems link facilities, allowing physicians to confer on the same image, regardless of the distance between them. Such linkages also facilitate more rapid coordination of prior studies.

Expertise

Our Radiologists provide services in multiple specialty and subspecialty
areas, including:

  • Mammography
  • Computerized Tomography
  • Nuclear Medicine
  • Pediatric Care
  • Women’s Imaging
  • Magnetic Resonance Imaging
  • Ultrasonography
  • Positron Emission Tomography
  • Vascular and Interventional

Success

Spectrum Medical Group’s quality improvement and overread process is used to provide ongoing evaluation of skills and accuracy of each of our Radiologists. Last year our Radiologists overread more than 20,000 cases, more than any other group in Northern New England.

Interventional Neuroradiology Services
 
Interventional Neuroradiology uses fluoroscopy (real-time x-ray) and digital subtraction angiography to perform minimally invasive procedures in the diagnosis and treatment of vascular diseases of the intra- and extra-cranial circulation. These diseases cause acute ischemic and hemorrhagic brain injuries, such as aneurysms, arteriovenous malformations, dural arteriovenous fistulas, carotid artery stenosis, intracranial atherosclerotic disease, and embolic stroke.
 
Every year about 1,000 people in Maine die from an acute ischemic or hemorrhagic stroke and related complications – trailing only heart disease and cancer as the leading causes of death. Interventional Neuroradiologists are an integral part of the Neuroscience Institute at Maine Medical Center (MMC). The cutting-edge care provided by Spectrum’s Neuroradiologists can mean the difference between a patient walking out of the hospital instead of suffering from severely disabling neurologic deficits. Our Neuroradiologists play a pivotal role in providing timely interpretations of images that aid Neurologists and Neurosurgeons in clinical decision-making. By bringing Interventional Neuroradiology back to MMC, earlier diagnosis of potentially fatal diseases will lead to improved patient outcomes. Prompt, brain-saving medical treatments will also lower the incidence of stroke-related complications, length of hospital stay (including rehab), and, ultimately, overall medical costs of acute and long-term stroke care.


Surgery

Penobscot Surgical Care provides general surgery services, with a strong focus on thyroid and parathyroid surgeries. Michael Starks, MD and Sophia Villanueva, MD focus on minimally invasive procedures and collaborate closely with area specialists.  They are assisted by Tracy Bennett, PA-C, who takes the lead on many of the dermatological procedures.

Minimally invasive techniques are typically employed for the following conditions:

  • Thyroid / Parathyroid Surgery
  • Colorectal Surgery
  • Gastric Reflux Surgery
  • Ventral / Incisional, Inguinal Hernia Surgery
  • Small and Large Bowel Resection
  • Gallbladder Surgery
  • Adrenal Surgery
  • Benign / Malignant Skin Lesions

 Call our office at (207) 947-1333 for a consultation.


Vascular & Interventional Services

Spectrum Medical Group’s dedicated Interventional Radiologists specialize in treating diseases and injuries, from peripheral vascular disease to cancer, in a minimally invasive way.

Radiofrequency and Cryoablation of soft tissue malignancies, introduced by Paul Kim, M.D., is a minimally invasive way of successfully treating cancers involving the liver, kidney, lung, and bone.

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure. It has been introduced into the state by Paul Kim, M.D., at Maine Medical Center and St. Mary’s Regional Medical Center, and Daniel O’Brien, M.D., at Eastern Maine Medical Center. UFE treats uterine fibroids by blocking the flow of blood to them.

Deep Vein Thrombosis (DVT) is the formation of a blood clot in a deep vein. Paul Kim, M.D., is serving as the local, principal investigator on a national, multicenter study evaluating the effi cacy of treating DVT with catheter-directed thrombolysis, as an adjunct to traditional treatment with oral anticoagulation. This FDA-approved treatment can reduce pain, swelling, and long-term complications of DVT in the one million patients diagnosed each year with this disease.

EndoVenous Laser Treatment (EVLT) is a minimally invasive laser treatment of varicose veins which was first performed in Maine by Kenneth Cicuto, D.O. With EVLT, the appearance of varicose veins can be eliminated with a relatively quick recovery time for the patient and little, if any, scarring.

CT Guided Sacralplasty offers significant pain relief for patients with lower back fractures. This procedure was introduced through a coordinated effort between Interventional Radiologist, Thomas Dykes, M.D., and Neuroradiologist Andrew Mancall, M.D. These injuries of the lower spine might otherwise be untreatable.