Central Maine Healthcare

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Bariatric Surgery

Welcome to Central Maine Bariatric Surgery

Our core team includes surgeons, physician assistants, behavioral health specialists, and registered dietitians. Other medical specialists provide imperative care for our patient’s medical problems as needed. This team helps patients through the bariatric surgery program, helping to make lifestyle changes that are important for long term success.

The bariatric surgery program provides safe, effective metabolic procedures that aide with weight loss which include Vertical Sleeve Gastrectomy, Roux-en-Y Gastric Bypass, Gastric Band removal and management, and Revisional surgery. We offer minimally invasive surgery options including laparoscopic and robotic-assisted procedures. We provide comprehensive care for our patients preoperatively and lifelong after surgery. Our nurse coordinator will help patients in making sure they are completing all necessary tests and appointments.

Patients who would like to have an initial evaluation with our surgeons are required to attend a bariatric surgery information seminar or watch an online information seminar video. You will then have your initial evaluation with a surgeon, where you will learn what you will need to do to complete the program.

Our center also offers monthly support groups, in which patients can learn from our dietitians, behavioral health specialists and physical therapists, as well as have a time for social interaction and community building.

Locations

Central Maine Bariatric Surgery

Central Maine Bariatric Surgery offers a comprehensive approach to the surgical management of morbid Learn More…

Central Maine Medical Center
12 High Street, Suite 401, Lewiston, Maine 04240
Phone: 207-795-5710 Fax: 207-795-2559

Topsham Care Center
105 Topsham Fair Mall Road, Topsham, ME  04086
Phone: 207-798-6300

Office Hours:   Monday-Friday 8am-4:30pm, closed Saturday and Sunday

Your Bariatric Team

As you start your weight loss journey, our team will be here to support you every step of the way. Our surgeons, dieticians, behavioral health specialists and other healthcare team members offer compassionate care starting with your initial evaluation and continuing throughout the rest of your life.

Who is a Candidate for Bariatric and Metabolic Weight Loss Surgery?

If you’re considering bariatric surgery at Central Maine Medical Center, you must meet specific criteria before you can be considered for a consult. This criteria is based on universal standards established by the National Institutes of Health and includes:

  1. Body Mass Index (BMI) greater than 40 or BMI greater than 35 with medical complications related to obesity, such as high blood pressure, type 2 diabetes or sleep apnea. Use the BMI calculator from the Centers for Disease Control and Prevention to check your BMI. Many other medical complications qualify.
  2. A documented history of weight management and weight loss attempts with supervised diets and exercise programs.
  3. No indication of active alcoholism, active drug addiction or a major psychiatric disorder.
  4. Our surgeons will evaluate other criteria, such as your age and general health, to determine if bariatric surgery is appropriate for you.

You will be evaluated by our surgeons to determine if bariatric surgery is right for you. You will also be evaluated by our dietitians and behavioral health specialist to make sure you are ready. Further assessment may be needed by other medical specialists.

After the completion of your requirements, our team will meet to decide whether you are an appropriate candidate for surgery. This decision is based upon your physical and emotional state, as well as eating habits, food preferences, activity levels and other health problems. In some cases, the type of surgery you desire will not offer optimal outcomes, and a different type of bariatric surgery or an alternative treatment may be recommended.

You also may be required to meet certain criteria — such as losing weight, attending counseling or undergoing physical therapy — before your surgery is scheduled. This helps to ensure that you will have the best possible chance of recovering from the surgery and succeeding at weight loss. Once you successfully complete the screening process and obtain insurance approval, your surgery will be scheduled and pre-operative preparation will begin.

Referrals

If you have a Central Maine Healthcare provider, please have provider enter the referral into Cerner. If not, please have your provider mail or fax the following information:

  • Referral for the evaluation and treatment of morbid obesity
  • Referral authorization number from the insurance company, referral must be for 1 year
  • Demographic Information on the patient (DOB, address, phone number, insurance info)
  • Most recent history and physical including blood work and medications
  • All related diagnoses and co-morbidities
  • Weight history of the past 3 years
  • Previous attempts/duration of unsuccessful weight loss

Referral Process

  1. Your primary care provider sends us a completed referral form with above documentation.
  2. Our staff will review your referral and contact your insurance to verify your bariatric criteria.
  3. Once bariatric criteria has been confirmed, you will then be contacted to schedule an appointment.
  4. Before your appointment, you will be mailed a packet of information including appointment information and forms that need to be completed prior to your visit.
  5. Most insurance plans cover these visits. However, coverage can vary and we recommend that you check your health insurance benefits.

Central Maine Bariatric Surgery Fax Number is 207-795-2559.

Weight Loss Surgery FAQ

If you’re thinking about bariatric surgery, you may be wondering how the whole process works. The Central Maine Healthcare Bariatric Surgery Program is here to provide the information you need, so you know just what to expect at every step. Start with this helpful FAQ.

Who is a candidate for weight loss surgery? For those considering surgery, you need to have a BMI (body mass index) between 35-40 with certain medical conditions associated with obesity, or a BMI greater than 40 with no medical problems.
In addition to the BMI requirement, you must realize that bariatric surgery is not the best weight loss option for all people and that this will be discussed at your consultation with a surgeon. You must remember that bariatric surgery is a TOOL and not cure, for weight loss. Your hard work, good eating habits, and good exercise and lifestyle habits are what will maintain weight loss and keep you healthy.

What are the benefits of bariatric surgery? There are so many benefits to bariatric surgery! These are both physical and emotional. Bariatric surgery can improve your health and help you to get rid of medical problems and medications you had before surgery. You may have improvement in your energy and ability to do things in your day. You may suffer from less pain in your muscles and joints. Overall, you may see your quality of life has improved dramatically.

What are the risks of bariatric surgery? All surgeries carry risk with them. Bariatric surgery overall is very safe, with a risk of death around 0.1%. In fact, weight loss surgery decreases the risk of dying from obesity and medical problems related to obesity. Some complications that can occur during or after surgery include things such as bleeding, leak, infections, blood clots, hernias and strictures. Your provider will review specific risks with you during your consultation.


Is weight loss surgery the ‘easy way out’? Should I just work at dieting and exercise? No. Bariatric surgery is a big commitment and requires you to participate in a program that is several months and requires you to make changes to your diet and exercise habits. Most people who consider bariatric surgery have been struggling with their weight for years and have tried many diet and exercise programs with variable success.
Most people who suffer from obesity find it hard to lose the weight they want and keep it off with diet and exercise alone. This is because obesity is a chronic disease that creates a vicious cycle leading to greater obesity. Weight gain can be related to many things, such as:
– Food addiction and poor eating habits
– Poor sleep habits
– Eating a diet high in sugar, fats, processed meats and grains
– Eating a diet low in fat fighting foods such as fruits, vegetables, lean proteins
– Mental health issues and stress
– Medications
– Genetics

Weight gain leads to many changes in the body which makes it harder to lose weight. Hormonal changes in the body alter functions that control appetite, feelings of hunger and fullness. Inflammation is heightened in the body’s cells, leading to fatigue and lack of energy. Studies have shown that diet and exercise alone lead to little long-term success. Weight loss surgery helps with long term weight loss because it creates biological changes in the body that help reduce food intake, change the hormonal signals to function properly, and reduce inflammation. It also restricts stomach size (you feel fuller with less) and with certain procedures also alters absorption.

Will my insurance pay for bariatric surgery? Weight loss surgery is covered by a lot of insurances as long as certain criteria are met. Insurance coverage for program components will depend on your individual health plan. Some insurances will not cover all portions of a program and may require self-pay.
We verify benefits with your insurance before your consultation, but it is always a good idea to contact your insurance provider to see if you are covered.

What are the differences between traditional and minimally invasive approaches for surgery? Minimally invasive surgery (robotic or laparoscopic surgery) is surgery done through multiple small incisions rather than a large incision. Minimally invasive surgery usually means less pain after surgery, smaller scars, and quicker recovery.

How much weight can I expect to lose? This number is dependent on the type of procedure you have as well as your success in making positive changes to your life regarding your diet and exercise habits. You will go through this more in depth during your consultation.

Will I be on a diet before surgery? Yes, for 2-3 weeks before surgery you will be on a special diet. This diet is aimed at shrinking the liver and reducing fat inside the abdomen in order to make surgery safer. For certain individuals, it may be determined that they will need to lose a certain amount of weight before being able to have bariatric surgery. Furthermore, some insurance companies will require weight loss before approval.
All patients in the program are participating in medically supervised weight loss through dietician appointments. These visits are aimed more at teaching you about food, healthy habits and tools for long term success after surgery.

Will I be on a diet after surgery? You will be on a graduated ‘diet’ from liquids to solids over six weeks. Afterwards it will be very important for you to choose healthy items for best results. In general, most patients describe a decrease in their appetite after surgery, and being satisfied with a smaller amount of food.

Are there certain medications I should avoid after surgery? After surgery you may not take any medication in the NSAID category (Nonsteroidal Anti-Inflammatory Drugs) as these may cause complications. You may have to hold certain medications before and after surgery, which you will discuss in your consultation. 


Will I have to take vitamins? Yes. You will need to take multivitamins for life after bariatric surgery. You may also need higher doses of certain vitamins and minerals such as Iron, Calcium and Vitamin D. You will also need to have your vitamin levels checked every year.


Does weight loss surgery cause serious health problems from vitamin deficiency? In general, as long as you take your vitamins, it is rare to have serious health problems from vitamin deficiency, but weight loss surgery can cause reduced vitamin levels because of changes in food habits and altered absorption. Vitamin deficiency can lead to fatigue, anemia, bone and muscle loss, impaired vision at night, altered senses, changes to mental function and altered immunity.

A healthy diet and the use of supplements will help prevent vitamin deficiency. The ones at biggest risk are those who don’t have a healthy diet, don’t take vitamins and don’t follow-up with their providers to get lab work. Make sure you stay in touch with your bariatric team every year or do your labs with your family provider!

Is exercise an important factor after bariatric surgery? Yes absolutely! We encourage you to start being active as soon as possible. Remember, exercise is different for everyone and there is not a ‘one size fits all’ exercise plan. What’s most important is that you are participating in exercise that increases your heart rate and helps you build muscle. Exercise is a very important component of your successful weight loss journey, and it is important to maintain your overall health as you age! If you are at a loss of what that looks like for you, we have resources to help.

How soon after surgery can I drive? For your own safety, you shouldn’t drive until you have stopped taking narcotic medications and can move quickly and alertly to stop your car, especially in an emergency.

How long do I have to be off work? This depends on what you do for work. You may take as little as 1-2 weeks off of work or you may require 4-6 weeks depending on your job.

Will I lose hair after weight loss surgery? You may. Some patients do experience some hair loss or thinning in the first six months after surgery. This is usually due to hormonal changes during rapid weight loss. Hair loss is usually temporary. While we don’t fully understand hair loss, we do know that good nutrition and adequate protein intake, as well as taking vitamins, will help.

Will I have excess skin after my surgery? You may have excess skin after surgery but this is dependent on many individual factors such as how much weight you have to lose, how quickly you lose it, your age and your exercise habits. Some patients choose to have surgery to remove skin after weight stabilization, either for cosmetic purposes or because of recurrent skin infections.

Can I become pregnant after weight loss surgery? Yes, you can. In fact, most women are much more fertile after surgery and weight loss. In general, it is recommended that you wait at least one year after surgery to become pregnant and very strongly recommended that you use a form of birth control at all times. Your cycle may be very irregular and you may become pregnant when you least expect it.

What is dumping syndrome? ‘Dumping Syndrome’ is a side effect that can happen after gastric bypass when a patient eats something high in sugar or carbohydrates. Because of the altered way in which the body handles these things after gastric bypass, one may have feelings such as abdominal cramps, racing heart, cold sweats, light-headedness and diarrhea. This may last anywhere from 30 minutes to an hour. Treatment for dumping syndrome revolves around diet modification.

Rheumatology

Meet Our Rheumatology Providers

There are hundreds of diverse and sometimes unrelated rheumatic disorders, many are accompanied by inflammatory symptoms and most cause undue pain in the bones and joints. Though rheumatic conditions can vary greatly, the goals of treatment are largely the same: To reduce pain and inflammation, to slow or stop joint damage, and to help people feel better so they can stay active.

Preventive care includes immunizations, lead screening, developmental screening and vision screening. Wellness checks and routine physical are an essential part of preventive care. Treatment options for rheumatic disorders, like the conditions themselves, vary widely in style and scope. Therapies may include long-term lifestyle changes, exercise and diet regimens, drug therapies, surgical options, and of course education.

Many rheumatic disorders are difficult to identify in the earliest stages. Rheumatologists at Central Maine Healthcare have been specially trained to examine areas of pain and swelling and to discover the root cause. As some disorders respond better to treatment in their primary stages, it’s important to get a correct diagnosis as early as possible.

Conditions We Treat

Central Maine Healthcare offers comprehensive, high quality rheumatology care with board-certified Internal Medicine providers who are also board certified in Rheumatology. We are committed to providing our patients with advanced medical knowledge that will enable them to enjoy the best possible quality of life.

Conditions treated:
Arthritis
Bursitis
Gout
Lupus
Osteoporosis
Psoriatic arthritis
Rheumatoid arthritis
Tendonitis

Arthritis

Arthritis, characterized by inflammation of the joints, is a disease that causes pain, stiffness, swelling and limited range of motion in any joint of the body. Anyone — including children — can be affected by arthritis, but the condition usually affects older people. According to the Centers for Disease Control and Prevention, about 30% of people between the ages of 45 and 64, and almost half of those ages 65 and older, have arthritis.

There are more than 100 types of arthritis, but the most common, by far, is osteoarthritis. Also known as degenerative joint disease, osteoarthritis is diagnosed when the cartilage — the cushiony cells that line the joints and protect the bones — breaks down. As a result, the bones can rub together, leading to damage that can reduce function and cause disability. The hips, knees and hands are most commonly affected by osteoarthritis. Other types of arthritis include:

  • Rheumatoid arthritis — a progressive and debilitating autoimmune disorder that can impact multiple joints at one time
  • Psoriatic arthritis — a type of arthritis that affects people with psoriasis
  • Gout inflammatory arthritis that develops because of too much uric acid
  • Lupus — an autoimmune disease that causes pain and inflammation in the joints, internal organs and skin

Risk Factors for Arthritis: Your risk for osteoarthritis increases as you age, and women are at a higher risk than men for the condition. Repetitive joint stress from work or sports, along with obesity, also increase the risk for osteoarthritis. Some bacterial and viral infections can cause joints to develop arthritis, and cigarette smoking can contribute to rheumatoid arthritis. Genetics also play a role in some forms of arthritis.

Arthritis symptoms:
Joint pain (most common)
Limited range of motion
Stiffness
Swelling
Tenderness

Diagnosis of Arthritis: Arthritis can often be diagnosed based on a symptoms review, but your provider may want you to get an imaging study — such as a CT, MRI, ultrasound or X-ray — to see the extent of the damage to your joints and track its progression. Blood work can also help determine the presence of inflammation.

Treatment for Arthritis: The frontline treatment for arthritis is medication. Over-the-counter pain relievers and non-steroidal anti-inflammatory medications, along with pain-reliever creams, may help. Your healthcare provider may also recommend prescription medications to relieve inflammation. Patients with autoimmune-related arthritis may need prescription immunosuppressants. When joint pain is severe, physical therapy and/or joint replacement surgery may be recommended. You can also do the following to manage arthritis:

  • Talk to your provider about what types of exercises can help.
  • Lose weight
  • Quit smoking
  • You may want to install grab bars in the bathroom and/or wear a brace or splint to support the joint. A cane or walker can help ease pain in your joints, too.

Bursitis

Bursitis is inflammation of the bursae, which are small pouches of fluid in the joints that keep bones, muscles and other structures from rubbing during movement. The bursae helps prevent wear and tear. Often resulting from overuse, bursitis can be painful, but a variety of conservative treatments, including rest and exercises to stretch and strengthen nearby muscles, can provide relief.

Risk Factors for Bursitis: Anyone can get bursitis, but the bursae often become inflamed because of too much friction — as with repetitive use — or due to an injury. People who spend a lot of time at a computer, or those who perform manual labor on construction sites, for example, are at a higher risk for bursitis. Other risk factors include:

  • Aging
  • Gout
  • Infection of the bursae
  • Injury to a joint, especially if it alters movement patterns
  • Overuse of a joint, such as performing repetitive motions during work or recreation

Symptoms of Bursitis: When the bursae are irritated, fluid collects at the site and causes swelling, redness and/or warmth. The area hurts consistently, but pain can increase when the affected joint moves or someone puts pressure on it.

Diagnosis of Bursitis: Your provider will start the process of diagnosing bursitis by asking about your medical history, including any chronic conditions or allergies you may have, the medications you take, and the nature of your symptoms and what you’ve done to treat them. The provider will conduct a physical exam, taking care to scrutinize your joints for swelling and other signs of bursitis. Other useful diagnostic tests include:

  • Blood tests. Rarely, a bacterial infection can cause bursitis. Blood tests can determine whether an infection is present.
  • Fluid samples. A sample of fluid from a swollen joint can reveal infection.
  • Imaging studies. X-rays can rule out or reveal bone problems that could be causing your symptoms. An MRI or ultrasound can show inflammation of the bursae.

Treatment for Bursitis: Your provider may recommend rest, ice, compression and elevation (RICE) as an initial treatment for bursitis, and you may receive an antibiotic if an infection is the cause. If the RICE method doesn’t provide pain relief, other treatment options include:

  • Bracing
  • Corticosteroid injections
  • Draining fluid from affected joints
  • Over-the-counter anti-inflammatory and pain-reliving medications
  • Physical therapy
  • Splinting

If other treatments do not work, surgery may be necessary to repair damage in affected joints.

Gout

Gout is a common, highly painful form of arthritis caused by uric acid crystals in the joints, often starting in the big toe. Uric acid is formed by the breakdown of purines, which are organic compounds found in soft tissues and certain foods. When there’s too much uric acid in your blood, it can collect as crystals in the joints. Gout alternates between periods of symptom flares and remission, with weeks to years separating the two. This condition has no cure, but medications can relieve symptoms and lifestyle changes may reduce the risk of flares.

Risk Factors for Gout: Men are much more likely than women to develop gout. Factors that can increase your risk include:

Diet of significant red meat, liver, tuna, mackerel, herring, sardines, scallops, mussels and other purine-rich foods
Family history of gout
Alcohol consumption
Congestive heart failure
Diabetes
High blood pressure		Insulin resistance
Obesity
Organ transplantation
Reduced kidney function
Use of aspirin/drugs with salicylate
Use of diuretics
Use of levodopa and cyclosporine
Use of the vitamin niacin

Symptoms of Gout: Gout can affect any joint, but it’s more common in the toes, ankle and knee. The condition rarely affects more than one joint at once. During flares, an affected joint may be painful, stiff and swollen, as well as red and warm to the touch.

Diagnosis of Gout: Your provider will ask about other medical conditions you may have and the medications you take. Be prepared to provide detailed information about your symptoms, including which joint is affected, what the pain feels like, when it began and how long it’s been going on.

  • Physical exam. The provider will examine the affected joint signs of gout, such as swelling and heat.
  • Imaging tests. An X-ray, ultrasound or MRI allows the provider to assess the condition of the joint and rule out other possible causes of your symptoms.
  • Blood test. High levels of uric acid in your blood are a clue that gout may be present.
  • Fluid sample. The provider may wish to draw fluid from the affected joint to look for uric acid crystals.

Treatment for Gout: Most treatments for gout involve lifestyle changes that can help keep patients in remission as long as possible. If you have gout, you should avoid alcohol and foods that are high in purines and fructose. Drinking plenty of water can lower uric acid levels in the blood, and low-impact physical activity contributes to weight loss and can reduce joint pain. Stress can fuel flares, so try to reduce stress levels. Medical options to relieve pain and swelling include nonsteroidal anti-inflammatory drugs such as aspirin, oral or injectable corticosteroids, and colchicine.

Lupus

Lupus is an autoimmune disorder that causes inflammation throughout your entire body. Symptoms may cycle through periods of improvements and flare ups — but the chronic disease is not curable. However, medications, lifestyle changes and careful monitoring with the help of our providers can help you get back to feeling close to normal.

Risk Factors for Lupus: No one yet knows what causes lupus, although genetic factors are thought to be a factor. Around 90% of people with lupus are female, and most develop the disease between ages 15 to 44. People who are African American, Asian-American, Latino, Native American or Pacific Islander are slightly more likely to develop the disease, as are people who have a close family member with lupus or a different autoimmune disease.

Symptoms of Lupus: There are many different symptoms of lupus, and they vary from person to person. Symptoms can also change as the disease evolves or worsens. Some of the most common symptoms are:

Arthritis or joint pain
Chest pain
Fatigue
Fever		Hair loss
Low blood cell count
Mouth sores
Muscle pain		Sensitivity to sun
Swollen glands
Rashes, often butterfly-shaped on the face

Diagnosis of Lupus: After we evaluate your medical history and symptoms, they will order blood and urine tests, as poor kidney function can be another sign of lupus. The blood will be screened for specific antibodies. If you test positive for the antinuclear antibody — a test that helps identify autoimmune disorders — you will undergo additional bloodwork that can help diagnose lupus. Your provider may also order a tissue biopsy of your skin or your kidney.

Treatment for Lupus: There is no cure for lupus, and your treatment plan will likely change throughout the course of your life, as symptoms flare and subside. We will help you decide what medications and other medical care you might need. Common medications used in lupus treatment include corticosteroids and the antimalarial drug hydroxychloroquine. You may also need medications to treat heart or kidney problems that lupus can cause.

Osteoporosis

Osteoporosis literally means “porous bone.” This disease weakens bone density and mass, leading to fragile bones that can easily be broken in a fall. Over 53 million people in the U.S. have osteoporosis or are at high risk for developing it, but the disease can be prevented and treated in most cases.

Risk Factors for Osteoporosis: Women are far more likely to get osteoporosis than men, especially white and Asian women, and women who have smaller frames. Older people are significantly more likely to develop the disease. Other risk factors include a family history of osteoporosis, smoking, excessive alcohol consumption, low activity levels, a diet low in calcium and Vitamin D, and longtime use of some medications, including glucocorticoids. Some chronic diseases can also lead to bone loss.

Symptoms of Osteoporosis: Osteoporosis often has no external symptoms and is not discovered until a person has a sudden fracture. Some patients with osteoporosis in their vertebrae have back pain or develop a hunched back.

Diagnosis of Osteoporosis: A bone mineral density test is the first step toward an osteoporosis diagnosis, after a general physical exam. A dual energy X-ray absorptiometry (DXA or DEXA) test, which works much like a normal X-ray, can measure bone mineral density at various points across your body, like your thigh, your hip and your spine. If the DXA shows possible osteoporosis, your provider may order more bloodwork or other scans.

Treatment for Osteoporosis: Prevention of osteoporosis is the best treatment. A healthy diet with good amounts of calcium and Vitamin D, along with regular exercise and strength-training, can go a long way toward helping prevent osteoporosis for many people. Post-menopausal women at risk may also want to consider taking estrogen supplements.

For patients where osteoporosis has already developed, nutrition and exercise will be a part of treatment. Certain medications like bisphosphonates, calcitonin, estrogen and other hormones may be prescribed. Fall prevention will also be important, especially for older patients, and orthopedic shoes, canes or shower stools could be recommended to help maintain safe mobility.

Tendonitis

Tendonitis is a common condition that puts wear and tear on the tendons — tissues in the body that connect muscles to bones. Any type of repetitive motion, including playing sports like tennis or bowling, playing an instrument, or working in a factory, can cause tendonitis.

Tennis elbow is one of the most common types of tendonitis. Golfers often experience a similar repetitive injury called “golfer’s elbow.” Achilles tendonitis, another form of tendonitis, is common among runners, and basketball players are familiar with jumper’s knee. Other types of tendonitis include biceps tendonitis and rotator cuff tendonitis.

Risk Factors for Tendonitis: From athletes to office workers, anyone who engages in any type of repetitive movement on a regular basis can get tendonitis. If you have diabetes, arthritis, gout, overactive or underactive thyroid, you also have an increased risk of tendonitis.

Symptoms of Tendonitis: The first signs of tendonitis are usually pain and tenderness where the tendon attaches to the bone. The pain, often a dull ache, is usually present when the joint is moved. Tendonitis can also cause mild swelling around the sore joint.

Diagnosis of Tendonitis: If you think you have tendonitis, talk to your provider. Your provider will review your medical history and conduct a physical exam, where you can describe your symptoms and they will evaluate the area. Tendonitis can usually be diagnosed just based on the provider’s exam. However, these additional tests may be performed:

  • An MRI to see if the tendon is inflamed
  • Injecting an anesthetic into the area to see if the pain diminishes.
  • Testing to see if there’s an infection. This is done by taking fluid from the area.
  • X-rays to see if there are other injuries or problems in the area

Treatment for Tendonitis: The frontline method for treating tendonitis is usually the RICE technique: rest, ice, compression and elevation. Medications, such as aspirin, naproxen or ibuprofen can help reduce pain and inflammation.

If you have tendonitis, you can prevent it from getting worse by strengthening the area with stretching exercises and wearing a brace, band or splint on the injured area. Patients who experience more severe tendonitis may need an injection that contains a steroid called cortisone and a numbing medication. Physical therapy and surgery may be recommended for more severe cases.

Contact Us:

Central Maine Rheumatology
685 Sabattus St.
Lewiston, ME
207-784-1699

Pharmacy

Assisting You with Your Medication Needs: The CMMC Pharmacy is open to the public and accepts all major insurance plans. As part of your healthcare team, let our pharmacy assist you with managing your medication needs. The CMMC Pharmacy can transfer prescriptions from other pharmacies with a simple request in person or by phone. Our professional team members provide friendly, knowledgeable service in a convenient location. We are your community pharmacy.

Located on the CMMC Campus:
12 High Street (Lobby), Lewiston

Hours of Operation:
Monday-Friday 7 a.m. to 7 p.m.
Saturday 8 a.m. to 4 p.m.
Sunday – closed
Easy refills:  207-795-7177
Automated Refill Line Available 24/7

CMH Pharmacy App: Convenient & Easy

  • Secure messaging with pharmacy team
  • Request refills
  • Set medication reminders

Sign up at https://patient.rxlocal.com/

Services Offered:

  • Patient counseling and education
  • Refill reminders
  • Text and email alerting systems
  • Convenient shipment and pickup options
  • Medication Therapy Management
  • Immunizations
  • Prescription Compliance options (autofill)

For refills, customers may call anytime, using our “refill by telephone” system, by dialing (207) 795-7177. Please remember that the CMMC Pharmacy offers alternative options to ensure that your prescriptions are filled and ready when needed, including auto-refill; auto-sync (where all of a customer’s maintenance medications can be synced to refill on the same day) and mail order (restrictions apply – please call for details).

CMMC Specialty Pharmacy

Our CMMC Specialty Pharmacy helps patients understand their chronic and complex diseases and the medication used to treat them.

Located on the CMMC Campus:
12 High Street (Lobby), Lewiston

Federal 340B Drug Pricing Program

The 340B is a program overseen by the Health Resources and Services Agency (HRSA), a division of the US Department of Health & Human Service. Under 340B, drug manufacturers who wish to participate in the Medicaid and Medicare Part B prescription coverage programs must offer a select list of drugs to qualified healthcare providers at a reduced price. The program, which is not subsidized by the federal government, is intended to allow providers to stretch scarce resources as far as possible to provide more care to patients.

Central Maine Healthcare (CMH) provides comprehensive, integrated healthcare services to a geographically dispersed population and qualifies for the 340B program enabling us to provide additional services to our community.

What 340B Means to CMH and Our Community: Many healthcare services are only partially covered by insurance or not covered at all. Medicare and Maine Care reimburse at rates that are often far below the actual cost to provide care. Savings generated by the 340B drug program help CMH fill the reimbursement gaps from insurance and also supports CMH’s $5.2 Million of free care to needy community members annually.

Examples of Programs Made Possible by 340B

  • Reduced prescription costs: Our affiliated outpatient practice areas provide lower costs for eligible medications at CMMC’s retail pharmacy and via mail order.
  • Rural Areas: Bridgton and Rumford Hospitals provide full-service chemotherapy and specialty infusion enabling patients to receive the care they need closer to home.
  • Central Maine Comprehensive Cancer Center: Located at the Lewiston campus, our integrated, multi-disciplinary cancer program combines a full spectrum of services and medical specialists to diagnose and treat cancer holistically. 340B savings enable us to provide access to the most up to date drug regimens for every patient we see.
  • Diabetes & Endocrinology: Working collaboratively with patients, our team of board-certified endocrinologists, certified diabetes educators, registered dietitians along with other specialists create a personalized care plan for each individual.

Maintaining the 340B Program: CMMC adheres to the American Hospital Association’s 340B Good Stewardship Principles. We have an internal 340B Oversight Committee comprised of key leadership members from across the healthcare system. The committee meets at least quarterly to conduct internal reviews to ensure our program meets the US Department of Health & Human Services HRSA program rules and provide guidance for our program’s future direction.

Do I Need to Do Anything to Benefit? The 340B program is not a direct-to-consumer program. The benefits of the 340B program for our community, such as those listed above, automatically apply to CMH patients who receive their care across our system. You do not need to do anything to take advantage of these benefits.

If you value the types of services that this program makes available to our community by requiring drug manufactures to provide drugs to CMH at a discount, be sure to encourage your congressional representatives and senators to continue to support the federal 340B program as an essential part of maintaining the availability of exceptional care for Central, West, and Mid-Coast Maine.

Palliative Care

What is Palliative Care?

Palliative care is provided by a specially trained team of doctors, nurses and other specialists who work together with a patient’s other providers to give an extra layer of support. It is appropriate at any age and at any stage in a serious illness, and it can be provided along with curative treatment.  The palliative care team spends as much time as necessary communicating with both you and your family and supports you every step of the way.

Close Communication, clarifying your goals

The palliative care team will also spend time talking to you and listening. They will make sure you understand all of your treatment options and choices. By deeply exploring your personal goals, the palliative care team will help you match those goals and options. They will also make sure that all of your providers are coordinated and know and understand what you want. This gives you more control over your care.

Improves Quality of Life

Palliative care teams specialize in treating people suffering from the symptoms and stress of serious illnesses such as cancer, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), kidney disease, Alzheimer’s, Parkinsons, Amyotrophic Lateral Sclerosis (ALS) and many more. This type of care treats pain, depression, shortness of breath, fatigue, constipation, nausea, loss of appetite, difficulty sleeping, anxiety and any other symptoms that may be causing distress, with the goal of helping you to improve your quality of life.
Reference:  Get Palliative Care, The Center to Advance Palliative Care, CAPC, What is Palliative Care, viewed November 2018,  https://getpalliativecare.org/whatis/

Advance Directives

It is your right to determine your own care.  Make decisions ahead of time about the care that you would want to receive should you become unable to speak for yourself. Learn more about Advance Directives and Advance Care Planning Resources.

Bereavement & Grief

There is no right or wrong way to grieve. Grieving is an individual process with no specific timetable. It takes as long as it takes to adjust to the changes in your life.  Grief is a natural and normal response to change and loss. It ebbs and flows, triggered by reminders, dates, & anniversaries.

Changes that May Occur

  • Emotional
    • Shock and Denial
    • Anger and Blame
    • Guilt and Shame
    • Sadness and Depression
    • Withdrawal & Loneliness
    • Hopelessness and Helplessness
  • Physical
    • Nausea
    • Lack of Energy
    • Changes in Sleeping & Eating Patterns
  • Cognitive
    • Difficulty Focusing, Working, Making Decisions
  • Spiritual Challenges:
    • Questioning of Ones’ Value, Meaning, Purpose in Life.

Coping With Loss

  • Embracing and honoring your thoughts and emotions provides a pathway through the grief.
  • Be gentle, kind and forgiving of yourself.
  • Allow yourself the gift of time.
  • Nurture and “Refill the Well” with reading, movies, travel…
  • Eat well, exercise/move, and get adequate rest.
  • The only way out is through the grief.  Avoid alcohol/drugs to mask grief.
  • Reach out for help. Seek out friends.  Attend a support group.
  • Talk about your loss. Honor the memories.
  • Use creativity, art, music, writing to help express your feelings.
  • One Step at a Time. Set attainable goals. Reclaim a routine in life.
  • Make meaning of the loss.
  • Find Hope in New Direction

Bereavement Resources

Our Services

How do I get palliative care?  The best way is to ask your healthcare provider if Palliative Care might help you and ask for a referral.  Our team sees patients both in the hospital, and in certain outpatient venues.

Inpatient Consults: If you are hospitalized with a serious problem, your provider can consult our team to be part of your care in the hospital.

Outpatient Visits: If you are a patient seeing a specialist in the following practices, you can ask your provider to refer you for a palliative care consult right there in that office.  In the future, we hope to grow the number of outpatient locations that we can serve.

Long-Term Care

When it’s time, let us make you feel at home

What does it mean to feel at home? It means feeling safe and secure. It means feeling like you have people you can rely on. It means feeling like all your needs are met. It means feeling warmth and compassion. Perhaps most of all, it means feeling like your very best self.

At Central Maine Healthcare, our long-term care feels like home. We believe in taking complete care of you or your loved one’s physical, medical, mental, social and spiritual needs. Simply put: we believe in taking care of the whole you, so you can feel your best day in and day out.

Our locations have so much to offer you in this next phase of life. We have a variety of different living options and experiences suited to your individual need.

Amenities and Activities

All Central Maine Healthcare’s living options provide a wealth of amenities and activities. We have on-site medical care; assistance with daily tasks like grooming and taking medication; activities like shopping trips, baseball games, picnics, museum visits and bible studies; family-style dining; laundry service and housekeeping.

Geriatric Care and Senior Care

We all age differently, and as we get older, our bodies often require extra attention. Perhaps you or a loved one is experiencing a physical or mental condition that needs expert support. Or you just want to make the golden years as special as they should be. Whatever your needs, our senior health specialists are here for you. We focus on self-care and independence, working closely with nurses, pharmacists, physical and occupational therapists and other specialists to promote optimal health.

Comprehensive Care for Age-Related Conditions

We work closely with you to assess your medical needs and keep you healthy and active through:

Routine physical exams and screenings

Our providers offer physical exams, nutrition and wellness counseling, vaccinations and cholesterol checks.

Chronic condition management

Many of our community members are seniors living with ongoing conditions such as diabetes, heart disease, arthritis and more. Our team provides lifestyle support and expert care to help keep these problems in check.

Fall prevention

Older adults have a serious tendency to fall for multiple reasons: medication interactions, loss of vision and/or balance and coordination over time and weak bones. Central Maine Healthcare works with our seniors to address all these issues in person through their primary care providers and injury prevention education.

Access to Social Workers and Psychologists

Professional social workers can help older adults make the right decisions regarding their healthcare. Our social workers connect seniors to toolkits and legal resources, so they can create an advanced directive, a will or determine their end of life care plan. Of course, these delicate subjects are handled with care, grace and respect.

Forms and Applications

If you’re considering long-term care for you or a loved one, we want to help. That’s why we’ve compiled the forms and applications you’ll need to get started:

MaineCare Application and Long-Term Care Application

Community MaineCare: As you may know, MaineCare is our state’s Medicaid program. If you’re living in the community, MaineCare can help you receive low-cost or free medical care and prescriptions. Application and other forms here.

Long-Term Care MaineCare: This is the state’s application for assistance with the cost of medical services for individuals in a nursing facility, residential care facility, or receiving/seeking in home nursing services. Application and other forms here.

Have questions? Contact Us

Bolster Heights Residential Care
26 Bolster Street, Auburn, ME  04210
207-784-1364 Directions
Offering Assisted Living Care

Rumford Community Home
11 John F. Kennedy Lane, Rumford, ME  04276
207-364-7863 Directions
Offering Residential Care, Memory Care, Skilled Rehabilitation and Long-Term Care


Career Opportunities

If you’re considering a career in long-term care, you’ve come to the right place. Many of our team members have been here for decades and find their work extremely fulfilling. Every day you get the chance to help a senior receive superior medical care. 

What We Can Offer You:

  • Competitive pay
  • Career growth opportunities at Rumford Community Home, Bolster Heights, and within the Central Maine Healthcare organization
  • Good benefits
  • Discounts in the community
  • Flexible scheduling
  • An understanding and committed leadership team
  • A family-like work environment
  • Tuition reimbursement
  • On the job training to help you become a personal care assistant 

Current Job Openings:

Visit the Central Maine Healthcare Careers page to find a listing of current openings.

Integrative Medicine

These healing methods can help patients of all ages living with cancer, persistent pain or many other acute and chronic conditions. Integrative medicine is not alternative medicine; rather, it complements your existing treatment plan. Our specialists will work closely with you and your care team to find the right therapies to optimize your health.

Our integrative medicine services are conveniently available through Central Maine Medical Center’s Family Medicine Residency Program, and through referrals from your primary care provider or medical specialists.

Enhancing Your Wellness, Head to Soul

Experience the difference integrative medicine at CMH can make in your total health and quality of life:

Medically proven therapies: Through the years, research has repeatedly shown the benefits of adding complementary practices to standard medical care. These evidence-based options may include bodywork, such as massage, yoga or Reiki. Treatments to reduce pain, like the ancient art of acupuncture. Attention to nutrition, with the addition of foods and herbal or vitamin supplements. All may help you better manage health issues. Central Maine offers many of these services directly or can refer you to trusted community providers, as needed.

Highly trained specialists: CMH has board-certified and fellowship-trained integrative medicine physicians on staff, giving you access to some of the most experienced specialists in all of Maine. Collectively, our team has advanced training in a number of integrative therapies, including osteopathic manipulative medicine (OMM), yoga therapy and more.

We are also members of the Academic Consortium of Integrative Medicine and Health, joining other prestigious medical centers. This allows us to continuously exchange ideas with the nation’s leading providers and bring the latest and most effective complementary treatments to our communities.

Fully personalized approach: We understand that every patient is different. Our integrative medicine specialists take the time to listen, then create a personal wellness plan based on your unique needs and beliefs. We also know that you are the expert in your own care experience. We’re here to support what you know to be your body’s natural healing potential, while making sure your preferred treatments are safe and work well with your overall care.

Types of Integrative Medicine Therapies

Whether you’re dealing with a recent diagnosis or chronic condition, we believe you should have a full spectrum of treatment options to help you heal. The integrative medicine specialists at Central Maine Healthcare are highly trained in complementary therapies that go beyond just treating symptoms and address all factors that affect your well-being.

Integrative medicine is not a substitute for conventional medical care, but works along with your current treatment. These evidence-based therapies can address immediate concerns while also helping you develop healthier skills throughout your life. As your partner, we’ll help find therapies that feel right to you and fit your personal needs and beliefs. We also work in close collaboration with your primary and specialty care physicians to ensure a safe and seamless plan of care.

Proven Therapies for Your Whole Health

Your personal care plan may include one or a combination of integrative therapies. We offer many services directly through the Central Maine Medical Center Family Residency Program, or through referrals to trusted providers throughout central and western Maine. Common options include:

Acupuncture: The word “acupuncture” actually refers to a group of treatments. The most common form involves placing thin needles into the skin to stimulate specific places in the body. This may cause the production of natural painkillers and also improve blood flow, which enhances healing. Research shows that acupuncture can help relieve pain and discomfort, including common side effects of cancer treatment like nausea. It’s also often used as a complementary treatment with in vitro fertilization (IVF), helping regulate ovulation and balance the body and hormones for women struggling with fertility.

Acupuncture has been practiced in Asian countries for thousands of years, and today is one of the most commonly used integrative therapies in the world.

Yoga Therapy: Yoga is an ancient practice combining body movement, breathing exercises and meditation to help center the mind, body and spirit. Practitioners of yoga report many benefits, such as reduced stress and anxiety, increased relaxation and sense of well-being, better flexibility and strength and an effective way to help manage a wide range of health conditions, including chronic joint pain. There are more than 100 different forms of yoga, but the goal is the same: to bring about wellness where needed.

The Y at CMMC Fitness Center offers regular yoga classes with certified instructors. For more information visit the Y’s website and start bringing harmony to your health. 

Reiki Therapy: Reiki is a Japanese, spiritually based form of healing. Practitioners help patients by transferring healthy energy to promote calmness, ease stress and help achieve a better sense of physical, emotional and spiritual balance. Reiki therapists lightly place their hands on various energy places, such as the shoulders and back, while guiding you through breathing techniques. You remain clothed during the sessions, which last about 30 minutes.

Reiki is available for CMH patients of the Dempsey Center and for anyone looking to enhance their well-being.

Homeopathy: Homeopathy is the practice of medicine that embraces a holistic, natural approach designed to stimulate the body’s own curative power. Homeopathic remedies, which have benefited people for over 200 years, involve tiny amounts of natural substances, like plants and minerals. Generally, the lowest dose is considered the most powerful medicine. Your integrative medicine specialist at CMH will prescribe the remedy that best matches your symptoms at all levels of your being —physical, mental, emotional and spiritual.

Osteopathic Manipulative Medicine: Osteopathic manipulative medicine (OMM) is a type of hands-on therapy used to prevent, treat and manage conditions that affect the musculoskeletal system — nerves, muscles, joints and bones. OMM therapy works by using techniques like stretching, gentle pressure and resistance, and can help patients of all ages, newborns to seniors. At CMH, these integrative therapies are performed by licensed doctors of osteopathic medicine (DO), who have both standard medical education as well as specialized training in whole-person care.

Tai Chi: Tai Chi is an ancient Chinese tradition that today is practiced as a healing, fluid form of exercise. It involves a series of slow, low-impact, continuous movements, along with deep breathing. Tai Chi has many different styles, but the principles of mindfulness and cultivating the flow of energy are the same. Numerous studies have shown tai chi to have a number of health benefits, including reduced stress, more muscle strength and flexibility, enhanced immunity and improved overall quality of life, just to name a few. Certified tai chi instructors can teach you specific positions and breathing techniques to safely practice on your own.

Other Healing Options we specialize in:

  • Herbal and dietary supplements
  • Hypnosis
  • Massage therapy
  • Meditation
  • Medical nutrition prescriptions
  • Social work and integrative mental health counseling
  • Medical nutrition prescription and dietary education

Gastroenterology

At Central Maine Healthcare, our board-certified gastroenterologists are up to the task. We provide expert care for all types of gastric problems, from everyday stomach ailments to complex intestinal, swallowing and inflammatory conditions. Working closely with you, we’ll create a tailor-made treatment plan to relieve your specific symptoms, so you can get back to your life.

Specialized Care for Digestive Disorders

Our GI doctors combine years of experience with compassionate care to diagnose and treat any gastric issue. Specialties include:

  • Bowel disorders
  • Colorectal cancer
  • Crohn’s disease
  • Esophageal disorders
  • Hepatitis
  • Ulcerative colitis

Each condition calls for a different path to find the best diagnosis. Some can be identified by blood tests alone; for others we might use X-rays, a CT or MRI, colonoscopy or endoscopy—a painless procedure in which your doctor inserts a thin tube, with a camera attached at the end, into your digestive tract to see what’s happening. No matter how complex, we can help manage the problem successfully, and, in many instances, completely cure it. Depending on your symptoms, treatment options may include medication, lifestyle support, minimally invasive procedures or other therapies to meet your needs.

Helping You Take Control: Some digestive disorders will be with you long-term, and you may need a program of self-management to keep symptoms at bay. Our team, including registered dietitians, is here to show you the skills and tools to support your healthiest life.

Gastroenterology Treatments & Specialties

At Central Maine Healthcare, we’re committed to helping people throughout western and central Maine take charge of their digestive health. Our board-certified gastroenterologists provide specialized care for a full range of gastric conditions, whether your symptoms are mild or significantly impacting your health and daily life. We provide the latest diagnostic tests to understand exactly what’s ailing you, as all as the latest treatments to help you manage your condition more easily and effectively.

Endoscopic Ultrasound: Ultrasounds offer a minimally invasive way to evaluate disorders in all parts of the body, including digestive disorders. These exams use an endoscope—a long, fiber-optic tube that uses high-frequency sound waves to produce detailed images of the lining and walls of the digestive tract and chest. It can also examine nearby organs, including the pancreas, liver and lymph nodes, for other potential problems.

ECRP is a kind of endoscope exam, designed to examine your pancreatic and bile ducts highlighted with dye. Most of the time, your doctor will pair an ECRP with X-rays to get the complete picture.

Laparoscopic Surgery: Should you require surgery to help treat a digestive problem, rest assured you’re in skilled hands. Our surgeons specialize in laparoscopic techniques, which often offer significantly less pain and scarring, fewer complications and a faster recovery compared to traditional “open” procedures.

Prokinetics are a type of medication that reduces some of the discomforts of gastro disorders caused by “delayed emptying.”

Integrative Medicine: For gastric disorders, as well as ailments in other parts of the body, integrative medicine at Central Maine offers therapies that can play a vital role in healing. Acupuncture can help relieve symptoms by stimulating the body’s own natural painkillers. Other approaches include probiotics (beneficial bacteria already found in the digestive tract), fish oil (now widely recognized as an anti-inflammatory), aloe vera gel, as well as nutritional and herbal supplements. Our GI doctors and integrative medicine experts will work together and with you to help create a custom and comprehensive treatment plan.

Gastrointestinal Disorders We Treat

Dealing with any kind of gastrointestinal problem can be painful, not to mention undue stress or embarrassment that keeps you from the life you love. At Central Maine Healthcare, we can help put your body – and mind – at ease. Our dedicated team of gastroenterologists and support staff, including registered dietitians, are skilled in treating all types of digestive problems. Whether your problem is a short-lived “stomach bug” or a chronic condition, count on our experts to help you find the right solution to help get back to feeling and living your best. Click to learn more about Gastrointestinal Disorders We Treat.

Contact Us

Central Maine Gastroenterology
77 Bates Street, Lewiston, ME
(207) 784-5784

Resources:

General Welcome to the Endoscopy Department Form
New Bravo EGD Instructions
New CN Miralax Instructions
New CN Peg 3350 Instructions
New CN SuPrep Instructions
New EGD and CN Miralax Instructions
New EGD and CN Peg 3350 Instructions
New EGD and CN SuPrep Instructions
New EGD Instructions
New ERCP Instructions
New EUS and ERCP Instructions
New EUS Instructions
New Sigmoidoscopy Instructions
New VCE EGD Instructions

Addiction Services

Mission

We are committed to understanding and serving people who are living with addiction. We provide compassionate trauma-informed care based on best practices and the principles of harm reduction.

Pathways to Treatment

We recognize that people seeking treatment for opioid use disorder may be at different stages in their recovery and their readiness to change. A one-size-fits-all treatment program can feel frustrating to both patients and providers. To ensure that we are responsive to our patients’ needs and providing the best care possible, we have provided several pathways.

  • Bridge Clinic
    • Weekly outpatient appointments with a medical provider for low-barrier access to medication for opioid use disorder
  • Recovery Group
    • Weekly appointments with integrated outpatient care and group counseling for patients with stimulant and opioid use disorder
  • Intensive Outpatient Program
    • Weekly outpatient appointments with a medical provider, integrated with virtual group counseling.
  • Maintenance
    • Monthly appointments with a primary care provider for maintenance on medications for opioid use disorder.

Medications

We offer Sublocade, Suboxone, Subutex and Vivitrol.

What To Expect

Your first appointment is an opportunity for us to address any immediate risks related to drug use you may be facing. If appropriate, we help you initiate medication for opioid use disorder and send you home with harm-reduction supplies, like Narcan and medication lock boxes.

You will meet with one of our Behavioral Health partners who will help us develop a holistic wellness plan based on psychosocial assessments conducted on-site over the course of 1-3 appointments. These assessments help us identify any barriers to recovery you may be facing, such as lack of transportation, homelessness, mental illness, or chronic disease.

You can expect to engage with our care team on a weekly basis while you stabilize on medication. From there you and your care team may decide a higher level of care to learn relapse prevention skills is essential to your recovery or you have reached a place where you are ready to sustain your recovery through community and peer support with ongoing medication management.

It is extremely rewarding to be involved with people’s recovery and helping to improve their health and overall well-being.
– Dr. Paul Vinsel, DO

Contact Us

76 High Street
Lewiston, ME 04210
Ph. 207-795-2823
Fax 207-795-2808

If you do not have a phone, please come to 76 High Street in Lewiston and ask to speak to the Addiction Services Coordinator.

Trauma Center

If you’re experiencing a life-threatening emergency, dial 9-1-1 immediately or go to your nearest ER.

Emergencies happen when you least expect them, but rest assured, Central Maine Healthcare is here when you need us. From chest pain to trauma, broken bones to stroke, know that expert care is always around the corner.

Why Choose Us?

Patient Education & Resources

Injury Prevention Resources

Disclaimer: This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

Injury Prevention and Safety

You’ve no doubt heard the saying “prevention is the best medicine” — and it’s absolutely true. To help you steer clear of injury and illness, Central Maine Healthcare has compiled our best health and safety tips.

The Flu Virus (Influenza)

The flu virus is now widespread in Maine and across the United States. To reduce your risk of infection, it is important to:

  • Get vaccinated — it’s not too late. Find a primary care provider near you.
  • Wash your hands
  • Stay home if you’re sick
  • Cover your cough with a sleeve or a tissue

Winter Safety

Winter always presents many safety hazards, both indoors and out. These how-to lists will help you have a healthy, accident-free winter:

Keep your home safe and warm

  • Test your smoke alarm monthly and change the batteries when you change your clocks.
  • Have your heating system inspected and tuned up yearly.
  • Keep portable space heaters three feet from bedding, furniture, and clothing.
  • Have your chimney inspected each year.

Survive a winter storm

Be prepared! Keep extra blankets, flashlights, batteries, matches, first aid kits, water, required medications and non-perishable food on hand.

Walk safely in icy, snowy weather

  • Do light warm-up activities before you walk, shovel snow or other strenuous activities
  • Take frequent breaks
  • Dress in layers and wear boots with non-skid soles
  • Dress in bright colors so drivers can see you

Drive safely in winter weather

  • Have your car serviced and drive slowly in bad weather
  • Check the level of antifreeze
  • Make sure your battery is in good shape
  • Check the tread on your tires or have snow tires put on your vehicle
  • Keep emergency gear in your vehicle (flashlight, jumper cables, sand for traction, ice scraper, and extra blankets)

Sleep Medicine

If you’re an adult in America, chances are you’re not getting the sleep you need. In fact, six out of 10 of us have a sleep disorder, and most of those are undiagnosed and untreated. Lack of good shut-eye not only can make you tired, irritable and forgetful, it can put you on track for serious health problems including heart disease, high blood pressure and stroke.

Understanding What’s Keeping You Up

Your sleep issue might be caused by several factors, even another medical condition. At Central Maine Healthcare, we specialize in diagnosing and treating a wide range of sleep disorders. Your care starts with a conversation with one of our pulmonologists, because there’s a strong connection between breathing and sleep. Together, you can talk through your specific symptoms and concerns.

Depending on your needs, we may then recommend an overnight sleep study. Think of it as a little getaway: you’ll spend the night in one of our eight private sleep rooms, including your own bath and shower. At Central Maine Healthcare, we take your comfort up a notch; whether you sleep better in a room that’s chilly or warm, your own temperature control lets you regulate the heat in your private space.

While you sleep, machines will monitor your blood oxygen levels, leg and arm movement, and other factors that affect your sound sleep. With that data, we’ll zero in on the reasons why you’re not getting the sleep you need, and get you started on the road to a far better quality of life.

Central Maine Sleep Medicine
60 High Street, Lower Level
Lewiston, ME
(207) 786-1888

Practice Hours
Sunday: closed
Monday: 8 a.m. to 4:30 p.m.
Tuesday: 8 a.m. to 4:30 p.m.
Wednesday: 8 a.m. to 4:30 p.m.
Thursday: 8 a.m. to 4:30 p.m.
Friday: 8 a.m. to 4:30 p.m.
Saturday: closed

About

The Central Maine Sleep Center team is made up of board-certified sleep medicine specialists and highly trained technologists, all dedicated to helping patients sleep better. We offer many special services including evaluation of sleep disordered breathing, narcolepsy, sleepwalking, limb movements and insomnia.

The center has eight comfortable sleep rooms, all equipped with Sleep Number beds. Each room has individual temperature controls and a private bath and shower for the purpose of making you feel as much at home as possible. The sleep lab also offers at-home testing.

Learn more about sleep disorders and treatments.

Providers
Lauren Brown, NP
Sleep Medicine
Rachel Card, FNP
Sleep Medicine
Trustin Ennacheril, MD
Sleep Medicine

Sleep Disorders

Treating sleep disorders can be tricky, because so often the symptoms — fatigue, difficulty concentrating, struggling to fall asleep and so many more – are also symptoms of other disorders. It takes highly trained sleep specialists to pinpoint your specific problem and get you back to feeling your energetic best.

When you notice sleep-related symptoms, reach out to the experts at Central Maine Healthcare. Our board-certified pulmonologists use the latest tests and techniques to determine how to help you sleep well and improve your overall health and wellness. That includes access to our fully accredited sleep center in Lewiston, one of the most elegant sleep study sites in the country.

Comprehensive Care for Sleep Apnea

The treatment of choice for sleep apnea is using a CPAP (Continuous Positive Airway Pressure) or BiPAP Bilevel Positive Airway Pressure) machine, which deliver pressurized air through a mask to keep your airways open. Central Maine offers the latest state-of-the-art options to maximize effectiveness and your comfort.

If that doesn’t resolve the problem after a 3-month trial period, your provider may recommend surgery to remove the tissue that’s restricting your airway when you sleep. Central Maine Healthcare surgeons specialize in newer, minimally invasive procedures that use radiofrequency energy to shrink the tissue — especially effective for mild to moderate sleep apnea.

Lifestyle Support for a Better Night’s Sleep

Every day, you make choices that affect the way you’ll sleep that night. For most sleep disorders, those choices can make all the difference between feeling rested the next day, and feeling sluggish.

Your sleep medicine specialist at Central Maine can provide the education, support and resources you need for healthier living and better sleep. For most sleep conditions, habits like smoking — or drinking coffee or alcohol shortly before you go to bed — is likely to keep you up at night. Heavy meals can also interrupt your sleep; a big bowl of pasta might make you sleepy, but so many dense carbs make your body work harder to digest the food—and when your body is working hard, it may not want to relax into a deep sleep.

Relaxation techniques such as yoga, deep breathing and meditation can help relax your body and mind, and better prepare it for a night of rest. Other lifestyle strategies, such as a keeping to a regular sleep schedule, moderate exercise, hot showers at night and massage can support good sleep, too.

Medicine Can Help You Sleep

As part of your treatment plan, your provider may recommend drug therapy to help you sleep.

Often, over-the-counter remedies will do the job. In other instances, prescription meds are the best treatment, including medications for narcolepsy that stimulate your central nervous system and prevent you from suddenly falling asleep during the day. If your narcolepsy is more serious, you could be prescribed an amphetamine-like medication; such drugs bring more side effects, but they also are more powerful weapons against your disorder.

If you’re diagnosed with restless leg syndrome, your first medication line of defense many be an anti-seizure drug to curb your involuntary leg movements. Less favorable—but prescribed if necessary—are drugs that can boost the effects of dopamine in your brain; these medications can trigger help the brain send messages to your legs to lie still.

As with all of Central Maine Healthcare’s programs, individual counseling is a vital part of your treatment. We’ll make sure you understand why you haven’t been sleeping, and how we can work together to change that.