Saturday, October 2, 2010

A future for raw milk?





















A Future For Raw Milk:
Bill would lift limits, establish oversight


By WENDY HATOUM
The Essex Reporter
(April 30, 2009)
Dairy farmer Adam Wilson begins each morning milking his cows by hand. The New Jersey native owns Essex Creamery, likely one of the smallest dairy farms in the state of Vermont. Located in the rear lower barn at Chapin Orchard, off Chapin Road in Essex, it has four heifers, only two of which are currently being milked, currently producing just six gallons a day. Wilson, who leases the pasture and the barn, can afford to operate on such a small scale because he sells raw milk directly to his customers, for a premium price – $10 a gallon.
“It allows me to take really good care of the animals,” said Wilson of the price he charges, noting that organic milk in the store often costs $8-$8.50 per gallon. Though not certified organic, the herd is mainly grass-fed and managed organically. “The cost and scale would be prohibitive for a farm of this size,” said Wilson, but he said he sees organic certification as an important symbol for larger farms with greater distance from their customers.
Though Wilson would like to expand his production, current state regulations limit sales of milk directly from dairy farms to only 50 quarts a day. There is legislation before the Vermont House agriculture committee that could change this. House bill H.125, which has a number of sponsors, including Essex Rep. Debbie Evans and Westford/Essex Rep. Martha Heath, would expand the measure of milk that could be sold by dairy farmers directly to consumers to unlimited amounts. It would also establish an oversight board and certification process.
“The farmers are wanting this oversight process. They want to show they are using good practices and meeting criteria for animal health and cleanliness,” said Wilson. “Two of the most revolutionary things about this bill are it allows me to sell directly to customers and to set my own price. It is huge for the continuation of the dairy industry.”

Wilson came to the area to attend school in Dartmouth and worked on a small farm in Norwich. “I just fell in love with having fresh milk, cheese, cream cheese, butter, buttermilk, and yogurt,” he said.
Wilson said many people prefer raw milk to pasteurized for both health and taste reasons. “Raw milk contains the enzyme lactase which aids in the digestion of lactose and is destroyed by pasteurization. The taste they find is so different and so good,” said Wilson. “The milk Omega 3 to Omega 6 (fatty acid) ratio is more optimal when cows are grass-fed. It’s the same reason people are taking fish oil.”
It should be noted that the Vermont state health department recommends against drinking raw milk, and warns in a press release on its web site that raw milk potentially contains a wide variety of harmful bacteria – including salmonella, E. coli, listeria, campylobacter, and brucella.
“Illnesses caused by pathogens found in raw milk can be especially severe for pregnant women, the elderly, infants, young children and people with weakened immune systems,” reads the news release, the full text of which can be found at: http://healthvermont.gov/news/2007/030707milk.aspx.
“People drank raw milk for thousands of years and did pretty well. From healthy cows it is a pretty safe product,” countered Wilson, who added that he periodically has his milk tested for bacteria. “I feel confident in it or I wouldn’t be selling it. My customers feel confident in the quality. I estimate there might be 10,000 people in the dairy industry (in Vermont) consuming it every day. It is an extremely small number of people who become ill.”
Wilson currently has 24 households who purchase shares from him, (typically between one and three gallons) stopping in once a week. Customers bring in their empty containers, switching them for freshly sterilized stainless steel containers full of milk.
Wilson milks his Jerseys only once a day, explaining that they produce less total milk, but it is higher in solids. “I once had it tested. It came in at 7.9 percent butterfat and 4½ percent protein, double whole milk in the grocery store,” said Wilson, describing the butter made from Jersey milk as bright golden yellow, unlike anything one would find in the grocery store.
On Sunday, May 3, from 1 - 4 p.m. Wilson will be offering a class through Rural Vermont, on using raw milk to make butter, yogurt, and cream cheese. Though the class is already full and has a waiting list, Wilson hopes to offer another class if there is interest. Call Rural Vermont at (802) 223-7222 for more information.
Milk from Essex Creamery can be purchased by calling Adam Wilson at 922-2808.

Photo top right: Adam Wilson strolls among the heifers he milks at Essex Creamery. Photo left: Likely one of the smallest dairy farms in the state of Vermont, the creamery is located at Chapin Orchard, off Chapin Road in Essex. Photos by WENDY HATOUM

Lessons from Grief


















Beth and Tom Tailer lost their daughter Kate (pictured below) to a drug overdose a year ago in December 2007. Instead of hanging a stocking from their hearth for Kate this year, as they did for their three surviving daughters, they hung a wooden angel.

PHOTO BY WENDY HATOUM


Lessons from grief


Family reaches out after losing a daughter to drug overdose


By WENDY HATOUM
The Essex Reporter (January 15, 2009)
Beth and Tom Tailer lost their daughter Kate to drug addiction just over one year ago. The vibrant 21-year- old overdosed accidentally on a prescription painkiller, and died in December 2007. In the face of this loss, the Tailers decided to share what they’ve learned during the last year with their community.

The Tailers are open with their lives and their emotions and are very forthright in talking about Kate’s life, and their process of grieving her loss. Their approach through this period has been to embrace the emotion of the moment and experience it, rather than tuck it away to be dealt with later, or not at all. The circumstances surrounding Kate’s death have forced them to confront two taboos in our society – death and drug addiction.

Kate Tailer had a gift of communication with all things wild, her parents said. She once won a wager with a high-school teacher who doubted her when she said she could catch a bird with her bare hands. As a toddler, she could catch two frogs at the same time and hold them in her hands. Kate was a gifted athlete, mastering soccer, track and pole vaulting.

She helped her father build an addition to their home, delighting in framing a 16- foot-high wall and pulling it up into position.

Despite her strengths, she couldn’t beat her personal demon, addiction. Katelyn Sue Moosh-ka-koosh McGuinness Tailer died Dec. 18, 2007 in Windham, New York. She was partying with “friends” and overdosed from a combination of prescription drugs and alcohol.

She left her parents and three sisters, among other family members, who continue to work through their grief, questioning, “Why did she have to die?” and “Why could she not win over the addictions?”

One of the most difficult parts of dealing with this experience for the Tailers was that some people simply preferred not to know. Their daughter’s death was communicated in some circles, and the couple was given support, specifically at Tom’s school, Mount Abraham High School in Bristol, where he works as a physics teacher.

Similarly at Beth’s workplace, Fletcher Allen Health Care, her peers were emotionally present and supportive. But in other areas of their lives, their loss either wasn’t communicated or news of it was not received well.

“I wish you hadn’t told me,” Beth recalls being told by the parent of one of her daughter’s classmates when she told her of Kate’s death.

In dealing with their loss, the Tailers have found that our society has very few rituals to cope with the death of a child and death in general. So they’ve developed their own as they’ve gone along.

“There aren’t many cultural references for grief,” explained Tom, saying that some cultures have physical manifestations of loss. “You wear black, torn clothes or cut your hair to communicate your loss to society. We don’t have that kind of custom.”

“There are no rules. Everyone experiences their own grief in their own way,” said Beth. She explained that as a Native American, one of the first things she did was to cut her hair. “You cut your hair away because it held memories,” said Beth, explaining that the short hair also communicates to others that you are in the grief process.

Tom thought it important that he make his daughter’s casket. He and Beth along with some of Kate’s friends crafted one of pine with cherry handles and a bronze heart adorning it.

“We went back and forth, them (the funeral home) saying you can’t do this,” Tom recalled, but once they realized the family was serious about their wishes, the funeral director worked with them. “Let the funeral director know what you want,” advised Tom.

The couple has found support from the Burlington chapter of The Compassionate Friends, which offers grief work to those dealing with the loss of a child or sibling. It has helped them deal with the questions of “why?” and “what if?” “There are an infinite number of unanswerable questions that plague me in the night,” said Tom. “Once you realize you’re in that loop, you just have to let it go.”

When they learned of their daughter’s death, anger, in addition to grief, was their initial reaction. “She had the tools, she had the support, so why did she overdose?”

Tom said, referring to Kate’s successful completion of Second Nature, a rehabilitation program in southern Utah. Kate had graduated from high school and had planned to enroll in college at the time of her overdose. “She fought the addiction, but it was stronger than she was,” Beth said.

Kate’s cravings for a high started very early. As a child, her parents would find bowls lined with sugar crystals under her bed. They were the remnants of syrupy concoctions of sugar and water, which she would drink to get a sugar high.
According to her mother, Kate was strong-willed, loved nature, and “was always her own person.”

They believe Kate started to take drugs, specifically Ecstasy, in eighth grade, as that is when they noticed a marked difference in her behavior. She gradually lost interest in sports, her grades suffered, and her friends changed.

“She was gifted, brilliant and intuitive,” Beth said. “But Kate was always outside the box.”

In 10th grade, Kate left Essex High School for a series of stays at rehab facilities in Vermont and New York. None of these was effective for her.

If anything they exposed her to other addicts and addictive behaviors, her parents said. It was the seven-week stay at the Second Nature program in Utah where she finally found the tools and inner strength to be clean. The program was expensive but had a record of success.

Following high school graduation from a Virginia boarding school where she thrived, she returned to New England where she experienced a series of relapses. She knew she needed help and told her parents she needed a new start. She moved to the Catskills and lived there only a few months before she died.

Once her addiction took hold, Kate became a person neither parent recognized. She lied, stole, and despite a parole-required curfew, snuck out of the house – all in the service of the addiction’s cravings.

“Kate fought the addiction, but it was stronger than she was. She was hard to love, so we had to love her harder. I miss Kate, but I do not miss her addiction,” Beth said. “In her last year, almost all we saw was the addict.”

The family struggled to balance helping Kate without enabling her, and employed “tough love” principles. Her parents still second-guess their choice to bail her out of jail in June of 2007. Kate was pulled over by the police as she was driving the wrong way down a one-way street. Police found her to have a series of outstanding legal issues.

Her parents had already started to work with her to start her life over again, as Kate had acknowledged she had a problem. She was bailed out and was starting to address her issues in New York. At the time of her overdose, she was working two jobs, communicating more with her family and said, “I love you,” the last time she spoke to her parents.

“You have the illusion that you can go back to that place,” said Tom. “But ultimately we make our choices based on the knowledge we have at the time.”

Both of the Tailers conclude that the war on drugs has not been effective, and the criminal justice system’s approach to dealing with addiction is not working.

“Our family lost the war on drugs,” Tom said. They worry about the drugs that are currently taking hold in Vermont communities, specifically increased use of heroin, crystal meth, and oxycontin.

“Our culture is in denial,” Tom said, noting that they know of parents who lost a child to a drug overdose and never told their surviving children the cause of death.

Both Beth and Tom Tailer have seen the effects of addiction, not just from their personal experience, but from their work as well. Tom can attest to the easy accessibility of drugs to high school students, saying that according to recent studies, in most Vermont high schools the majority of students know an adult pusher and have peers with access.

Beth, a nurse in the Neo-natal Intensive Care Unit (NICU) at Fletcher Allen, has seen the effect of addicted mothers giving birth to babies. These infants then need to be weaned from their own drug dependence. “I see babies born addicted to opiates, or affected from cocaine use,” said Beth, adding the hospital is currently involved in a national study working to change the treatment of infant addiction.

Tom would like to see marijuana legalized, (not just decriminalized as Massachusetts has done), and heavily taxed. “Currently hundreds of millions of dollars are going into organized crime,” he said. “The profits are an incentive to pushers to get kids addicted.”
The Tailers would like to see those tax dollars used to fund treatment. “There are rehabilitation programs that are successful…but they are very expensive and take time,” Tom said. “My understanding is that the programs for addicts in Vermont are not enough. Some drug addictions take months or years of counseling and treatment to overcome.”

The Tailers advocate that the drinking age remains at 21. They cite the “Rule of Fives,” explaining that the younger someone starts experimenting with drugs and alcohol, the more quickly they become addicted.

According to the rule, it takes five days to become addicted to a substance if you are in middle school, five months if you are in high school or college, and five years to become addicted, beyond the age of 25.

Community involvement and participation in group- organized sports are some of the tools that parents can use to keep their children from becoming involved in drugs.
“It’s a cliché, ‘it takes a village,’ but in Vermont we still have villages,” said Tom. “Facilitating community is the easy part, but we need funded intervention – that’s the harder part. We need state-funded programs like Second Nature here in Vermont.”

The Tailers know that Kate’s death has made an impact on her friends, three of whom have been clean and sober since her death. The family hopes that by sharing her story, the impact will go beyond those who knew Kate personally, and will ripple through the community.

“Our children cannot afford our silence around these issues,” Tom said.

This is a follow-up story to an article Joyce Carroll wrote for the Jan. 24, 2008 issue of The Essex Reporter.

Friday, October 1, 2010

Community Health Pharmacy opens














Congressional delegation opens community pharmacy
Discounts on prescription drugs offered statewide

By WENDY HATOUM
The Colchester Sun (December 25, 2008)


U.S. Sen. Bernie Sanders, Congressman Peter Welch, and John Tracy of U.S. Sen. Patrick Leahy's office, gathered at a nondescript commercial building in northern Colchester on Monday, Dec. 15, to announce the latest effort in lowering the cost of health care in Vermont: the opening of a discount Community Health Pharmacy.

The pharmacy, which is supported by the state's congressional delegation, can offer prescription drugs at a price of up to 40 to 60 percent less than at a regular retail pharmacy, depending on a person's insurance coverage.U.S. Sen. Bernie Sanders, Congressman Peter Welch, and John Tracy of U.S. Sen. Patrick Leahy's office, gathered at a nondescript commercial building in northern Colchester on Monday, Dec. 15, to announce the latest effort in lowering the cost of health care in Vermont: the opening of a discount Community Health Pharmacy.

According to press materials, about one in seven Vermonters – more than 80,000 patients – now receive care at a Federally Qualified Health Center regardless of income or insurance coverage.
“These are tough times. It's nice to take a moment to give good news,” said Sanders. “Over the last five to six years we've been really successful in expanding health care. This is a significant step forward. It will save Vermonters money.”

The pharmacy is a cooperative venture, owned by five of Vermont's seven federally qualified health centers (FQHCs), including Community Health Center of Burlington, Community Health Services of the Lamoille Valley, Northern Counties Health Care, Northern Tier Center for Health and the Health Center.

There are no eligibility requirements to qualify for the discounted rates, except that they are only available to patients of the five centers, which have 22 sites in Vermont. Those saving the most are the uninsured, or underinsured, who will pay based on a sliding fee scale. Pharmacy customers who hold health insurance will continue to pay prescription co-payments.

“This is a creative, community-based solution that helps bridge one of the major gaps in health care. The Heinz Foundation has been a catalyst in helping to forge these partnerships, and they deserve great credit and our thanks. These community pharmacies bring buying power to Vermonters unable to afford coverage, lowering the cost of the prescriptions they need,” said Sen. Patrick Leahy in a written statement.

Not only will it save consumers money, but there are anticipated cost savings in the state's Medicaid program as well. According to press materials, the Community Health Pharmacy has 340 B pricing, which is the lowest wholesale prescription drug pricing available in the United States, outside of federal contracts for the Department of Defense and the Veterans Administration. Sanders estimated the state would save at least 13 percent when Medicaid patients use this pharmacy program.

“This community pharmacy is a major step toward assuring Vermonters have access to the affordable prescription drugs they need,” said Welch. “This program saves money – up to 50-60 percent of retail. And it will save Vermont money with Medicaid. The Vermont taxpayer is going to benefit.”

The location for the Community Health Pharmacy, at 158 Brentwood Dr., adjacent to Furniture World of Vermont, was chosen because it was central to the FQHCs, said Mark Contois, operations manager for the pharmacy. “This is as far north as we wanted to go. We wanted to be close to a post office and close to the interstate. And it was a new space, with no deconstruction costs, so it was cost-effective,” explained Contois.

The facility has been open since Nov. 1, has six employees, and it is envisioned that it will eventually fill 55,000 prescriptions each year.

Filling a prescription is most frequently accomplished by mail, and patients are required to fill out a one-page information questionnaire, as they normally would when switching a prescription to a new pharmacy. Most prescriptions are filled the same day and are received throughout Vermont the next day via U.S. mail.

Patients can also have prescriptions filled in person. For more information call 893-1120.

Wiemann Lamphere Architects


Architects create an environmental showcase


























Vice presidents (and brothers) Steve Roy and David Roy stand in the main work area of the newly completed Weimann Lamphere Architects building. The blue tubes in the ceiling are ‘duct socks,’ a fabric ventilation system. 
PHOTO BY WENDY HATOUM

Colchester building exemplifies sustainability


By WENDY HATOUM
The Colchester Sun (March 11, 2010)

When you walk into a recently constructed building, your senses can often be overwhelmed by the building materials used to create it— that telltale “new” smell. If you were to tour the new office building of Wiemann Lamphere Architects, located on Hercules Drive in Colchester, you would be greeted by air that smells clean and fresh, though the building has only been inhabited since December. The good air quality was by design, as were many other environmentally friendly features. Vice presidents (and brothers) David Roy and Steve Roy led the design team, which focused on not only air quality but sustainability and energy efficiency. They wanted the building to showcase the latest “green” features, so the firm’s clients could get a hands-on look at what is available on the marketplace.

Steve Roy said the building was even more energy-efficient than originally estimated: “We anticipated it coming in at two-thirds of a typical building. It’s actually coming in at 80 percent of (our estimate).” Besides fresh air, the team wanted to incorporate lots of natural light and natural materials into the building’s design. Daylight sensors read the amount of light filtering into the building and adjust the amount of artificial light automatically.

The floors in the main work area are made of polished concrete with stone aggregate from Hinesburg. Counters are made from Marmoleum, a material made from a combination of linseed oil and wood dust. “It’s not a new product,” explained David, “but it is gaining wider use.”

When walking through the main work area, you might first notice the ventilation system — long blue tubes of fabric, clearly visible in the ceiling above the building’s main work area. These ‘duct socks’ inflate when pressurized air is moved through them. This type of ventilation system offers the advantage of using less metal, and it can be cleared of dust by simply being thrown in a washing machine.

Some of the building’s most impressive features are hidden away. If you take a peek at the mechanicals for the 10,600-square- foot building, you’d notice two boilers that are sized similarly to something for a 2,500-square-foot home. (Weimann Lamphere is only occupying 5,000 square feet of the building and plans to lease the other half.) Despite the 35-degree temperature outside the building, neither boiler was running.


Controlled by computer, the building was being heated by an air-to-air exchange system, which takes heat from outside (even on a cold day) as it also circulates fresh air inside the building. “It’s the reverse of an air conditioning coil,” David said, explaining that in the summer the system can be switched to cooling.



















The newly completed Wiemann Lamphere building is anticipated to earn gold certification from the U.S. Green Building Council’s Leadership in Energy and Environmental Design (LEED) program. PHOTO CONTRIBUTED

The walls are 16 inches thick, have an R-value of 34-35 and are filled with cellulose insulation. Steve Roy explained that the insulation is essentially 80 percent recycled newspaper.

Other features include carpets with recycled content, paint with low or no volatile organic compounds (VOCs) and water-saving toilets. Printing rooms are sealed to contain particulates and enhance air quality.

The building’s roof has reflective surfaces to reduce the amount of cooling needed in summer months. Steve Roy said, “Even in this area, cooling in summer comes at a higher cost than heating in winter.”

The building features a shower/ changing room for employees who like to ride their bikes to work. The parking lot has L.E.D. lighting and reserved spots for low-emission vehicles. The firm plans to add a solar panel array this summer.

The project cost $1.2 million; the cost of efficiency measures was $89,500. It is anticipated the building will earn a “gold” certification under the U.S. Green Building Council’s Leadership in Energy and Environmental Design (LEED) program. LEED is a third-party certification program with nationally accepted benchmarks for the design and construction of high-performance buildings.

Weimann Lamphere Architects recently achieved “silver” certification when it completed Colchester’s first LEED-certified building, the 35,000 square-foot office and laboratory space of UVM’s Colchester Research Facility. Other local examples of the firm’s work include the Pomerleau Alumni Center at St. Michael’s College in Colchester and Moe’s Southwest Grill in Williston –– both are LEED-certified buildings –– as well as the recently completed spa addition to at The Essex Resort and Spa.