Home Plain Country Middlefield Care Center News – By Jaime A. Fisher, DON Nurse Administrator

Middlefield Care Center News – By Jaime A. Fisher, DON Nurse Administrator


The Care Center looks so nice this time of year. All those April showers have brought a lot of May and June flowers. I’m ready for the rain to let up some, according to National Weather Service June is to be warmer than average and the rain fall will be average. That sounds good to me! Give all our local farmers time to catch up. The Care Center is caught up; Wrapping our month up on the 28th of May. Twelve newborns were welcomed into loving arms in May just in time for the Memorial Day Holiday.

Update on the home visit program:

Reminder* At any time you may call the Care Center for the nurse on call, or myself with questions. We want to continue improving the health of your community.  If you are a part of this Amish community or have delivered at the Care Center you are eligible for a newborn home visit free of charge. If you delivery at a hospital besides Geauga, you will need to call in and request a home visit

The Care Center recently had a medical advisory committee meeting and one of the topics was the home visit program. This program has been so well received that we want to continue improving this program.

Improvements: Adoption of American Association of Pediatrics; Visits 2days after discharge, 2 weeks 2months

First Time Moms: Visited 2-3 days after discharge by home visit nurse. 2 weeks check up by family doctor/pediatrician, then a 2 month check up by Family Doctor /Pediatrician.

Experienced Moms: 2-3 day visit if necessary or concern by patient visited by home visit nurse. 2 weeks check by home visit nurse. 2-month check by Family Doctor/ Pediatrician

This is not set in stone number of days may vary slightly due to home visit nurse availability.

Also, the number of visits may be increased depending on needs of you and your newborn.

At any time, you would prefer not to be seen by a home visit nurse please let us know. Home visits by MCC nurses DO NOT REPLACE WELL CHILD CHECK UPS.

Please call Jaime A. Fisher with any questions. Thanks, a bushel and a peck, for the best job in the world.

By Jaime A. Fisher, RN/DON MCC nurse administrator

On May 2, MCC opened our doors to medical professionals in our area to remind them of what our facility has to offer. If you think all we do at the Care Center is deliveries, please call me for expansive Care Center education.

The main goals of our Open House were: to increase awareness of services offered at MCC; open lines of communication between in our house doctors and personal family doctors; and most importantly, to provide opportunity for professionals interested in expanding options for their Amish patients. This Open House taught me that it’s not how many showed up, it’s that the right ones did. The open house was a success even before it was hosted. I was personally able to invite many of the doctors, nurses, and staff members directly. Opening a professional relationship with each one face to face. It’s easy to say no or that you’re not interested over the phone, or by mail but face to face it’s much harder.

Staffing changes at the Care Center increase patient safety, and nursing availability in regard to direct patient care. Due to the increase of deliveries we have been able to change our traditional on call staffing to some staffed shifts. The Care Center will continue to provide excellence in patient satisfaction.

Congratulations to the Mast family first patients for the month of April. Thank you for allowing our staff to help you grow your family. We hope you enjoy your family care package.

I hear this all the time: “I didn’t know that about the Care Center” or “I heard about the Care Center but you can’t believe everything you hear.” So, if you hear something, and have a question, you can always call me or ask me in person. I know I have said it before, my door is open, my phone is on, and I’m ready to serve. You are not bugging me.

Please consider trying the Care Center. It’s a beautiful homey place, with highly trained nurses and nursing assistance to make your stay one to remember.

That’s all folks.  Thank you for the best job in the world.

Silver, Silver, Everywhere

By Jaime A. Fisher, RN/DON MCC Nurse Administrator

It’s true! Soon we will be surrounded by silver. Recently the Care Center underwent some much-needed TLC to six total areas. Many of you may have noticed the new flooring in the clinic\doctors office along with a fresh coat of paint. Both surfaces contain silver. Silver inhibits the growth of bacteria. New Health Care laws require licensed facilities across to country to adhere to the new infection control standards. These standards help ensure patient safety against hospital acquired infections. The Care Center remains in the top 3 percent of the safest Free Standing Birth Centers in the country. Wow it’s in your back yard!

March has been yet another very busy month at the Care Center. Calling this month, a wrap on March 31 with a nurse-assisted speedy delivery. Baby number 18 came on the last day of the month what a blessing. Congratulations to the Kurtz family.

Also, a big thank you to the Daniel and Ruth Miller Family. The first baby of March arrived on March 2. Hope your family enjoys your care package, and the two feet you added to your family.

A couple things this month: I have been fielding many phone calls about the doctor situation at the Care Center. It is true Dr. Jamie Byler has joined Dr. Andreani, and Dr. Cameron’s office. Now, she is only delivering at the hospital. My hope is after a settling in period the Care Center will win her over. The power of suggestion never hurts.

Reminder the Care Center is holding a professional open house April 25 from 5 to 8 p.m. Invites are going out ASAP, if there is medical professional that you would like to have come, please contact the Care Center so we can extend an invite to them.

“Something will work out … it always does,” quote by Jonas Yoder.

So, hang in there. We are working diligently on expanding your options at the Care Center. Although we are overwhelmingly thankful for Dr. Cameron’s dedication to the Care Center, we understand patients need to have choices.

April is Child Abuse Prevention month. Let’s work hand in hand to prevent and stop abuse and neglect. You make the difference. So, speak up to stop the abuse of children.

MCC  TIP: CUT BACK ON GERMS. Here are three things you can do now.

Dish towels, and sponges are known to harbor moderate to heavy bacterial growth in eight out of 10 households. Wash them often and in hot water.

In the same study, sink faucets hide disease-causing bacteria in 50 percent of all taps tested. Clean with hot water and soap. Frequently.

Cutting Boards: wash acrylic, plastic, glass or wood boards in the dishwater. Sanitize counter tops with a solution of 1 tablespoon of bleach in a gallon of water. Replace worn or cracked cutting boards!

That’s all I have for now. Keep on the sunny side of life, and thank you for the best job in the world.


MCC Continues to Move at a Quick Clip

By Jaime A. Fisher, RN/DON MCC Nurse Administrator

The older I get the faster time zooms by. The month of January wrapped up with a total of 15 deliveries. Congratulations to James and Ester Byler family, the first delivery for the month of February. Enjoy your family care package, and thank you for using the care center.

It has been confirmed that another OBGYN will be joining Dr. Andreani, and Dr. Cameron’s office in April. Hoping to hear more news soon.

The Care Center is planning on having a professional open house in April to welcome many of the family doctors, pediatricians, obgyns, and midwifes who we work with thru our home visit program. Many of these professionals have never set foot into the care center they have only herd of us. It will give them an opportunity to not only tour the facility but ask questions and make comments about the Care Center. The Care Center is in the continued pursuit of excellence in safety, quality, and a continuum of care.

The Care Center remains in the top 3 percent of the safest licensed birth centers in the country.

To date the Care Center Home visit program has completed over 800 visits since 2013.

February is also springing into completion. I predict that we will end up with 12 deliveries for February, 2017, which is average for the month.

February has been unseasonably warm allowing us to open those windows early and air out our homes which lifts my winter blues. But I want to empathize with all our maple syrup making enthusiast. I heard the spring peepers peeping, so that means the day and night time temps are becoming stable, allowing our maples to come alive again. So many fond memories flood back when I think of sugaring. So, get out and enjoy this weather with your family.

~Labor – the hardest work you will ever love. 

A New Year at Middlefield Care Center
By Jaime A. Fisher director of nursing Middlefield Care Center

Wow, February is already upon us. January flew by with 14 deliveries at the Care Center. Congratulations to Sarah and Andrew Troyer who welcomed the first baby of 2017. We hope they enjoy our family gift basket.

Once again, the Middlefield Care Center stands alone. I received a call in December that the Mahoning Valley Birth Ce nter was closing its doors for good. It continues to sadden me to see how healthcare is changing. The days of independent family practitioners are being gulped up by corporate big business hospitals. The Middlefield Care Center continues to grow and be a stronghold in this community. MCC is the only free standing licensed birth center in the entire state. All others have either opted out for religious reasons or are attached to a Hospital.

So, I consider myself extremely lucky and proud to call MCC my place of employment. 2017 is sure to bring much change and continued growth to the Care Center. As we welcome in the new year, we also welcome the many blessings headed our way.

Just a few reminders. First, the home visit program is open to any Amish family who has had a baby within six weeks. Second, the Care Center staff is here to help, please don’t hesitate to call with questions, comments, or concerns. More News next month. Thank You for the best job in the world.
~Labor – the hardest work you will ever love. 

Lots of Firsts!

Wow, the last 90 days have been a flourish of activity. First a heartfelt thank you, to Irma and Daniel Byler who posted my birthday in the church newsletter. It was the best birthday present I have ever received. Actually I’m still receiving birthday cards every day. It was so fun going out to the mail box and seeing all the mail that had my name on it. I’m over 150 cards to date. So I just want to say thank you it was truly a great gift. It’s amazing how many people’s life’s I have touched in some way or another. Care Center update: many of you know we have had some things change at the Care Center.

Dr. Cameron is the only OBGYN delivering at the Care Center at this time. We hope that Dr. Andreani and Dr. Cameron’s office will have good luck in finding another OBGYN to join them. At this time, we have not been able to find a nurse midwife who has coverage by a doctor to deliver at the Care Center. What makes things hard is any nurse midwife delivering at the Care Center would be on the malpractice insurance of the doctor covering. $$. So let’s continue to have faith that the birthing center continues to grow as a low risk option for Amish women. Speaking of growth, MCC has never ever been this busy.

As of July 2016, 100 newborns delivered at MCC. August 2016 was a record breaking month, 27 little ones. The last time we had a record breaking month was August of 1999, with 25 babies. The biggest shock was to come in September. What started out as an average looking month turned out to be another month over 20 babies. 23 to be exact. So if my addition is correct, on Sept. 30 of 2016 we had a total of 150 babies for this year, and this year far from over.

Total number of babies born in 2015: 143 Even though the Care Center is in time of transition and change we are busier than ever. Also, 64 percent of our patient load are new patients. These are not just new moms. Try the Care Center, you will be glad you did. Update on the in room delivery: things did not come together as quickly as I had hoped, but it is starting to truly take shape now that we have received our third delivery bed and our third infant warmer is on its way. The delivery cart is getting modified and two other patient rooms are being set up for hydration and delivery overflow. So join me in times of change and adventure. Make every day a good one. I am so thankful for my 40 years and looking forward to 40 more.


By Jaime Fisher RN/DON MCC Nurse Administrator MCC

The Risks of Over Heating A Newborn As I sit to write this article about making sure your newborn stays free from overheating I remember May 16, the last snow we had in northeast Ohio. I remember being mentally devastated as the snow stuck to the freshly cut grass. A little over two weeks later and poof, we hit 88 degrees. Just a little reminder from Mother Nature as to where we call home. Mother Nature, some of us found no humor in the snow. How to know if your overheating a newborn. As mothers it’s easy to get carried away with blankets since we don’t want our babies to be cold. Overheating a newborn can be a serious threat to their health. The American Academy of Pediatrics have linked overheating to sudden infant death syndrome in newborns. What to look for includes head and collar dampness, red face or rash, rapid breathing. Another indication is that the newborn won’t stay asleep or is restless. Tips: Remember not to overdress newborns. The amount of clothing you’re comfortable in, your baby should also be comfortable wearing. Do not cover infant’s head with a hat after a newborn is a few days old, particularly during sleep. Newborns should not be sharing a bed with adults; this practice is discouraged by many health organizations because newborns can overheat easily with a combination of body heat and extra layers of bedding. So pay close attention as the summer heats up and we can all be comfortable and cool. MCC Loses Faithful Board Member MCC is sad to report we lost a long time faithful board member this past May 24. George Clemons served on the Care Center board for more than 26 years. He will be sadly missed and will never be forgotten for all he has done for us. From the entire Care Center family, our thoughts and prayers are with the Clemons family at this time Patient Room Updates and a New Contest We continue working on changing the Center’s patient room set up as late spring cleaning forges ahead. So be warned the floors have been waxed and buffed to such a high shine your reflection can be seen. (Scary in some cases.) Still on pace to break records this year and so happy to see a renewed interest in the Care Center. Maybe it’s also the number of weddings in this community. Whatever the reason. I’m so happy to help your family grow by two feet. New contest: The first baby born each month will receive the family care package. Also at the end of the year the family with the most visits to MCC will win the grand prize care package. Until next time thanks for the best job in the world.

For anyone who read last month’s article, it’s a fact I’m not a comedian. I can’t even repeat a joke when I hear one. My 11-year-old daughter had to point this out to me. The correction is: After 35 should I have another baby? No 35 children are enough. Well I guess we all should be happy, I’m a nurse because obviously I’m not a comedian or a cool mom. Good news, the Care Center is proud to announce: our home visit program for postpartum Amish women and newborns is approaching 600 visits since March of 2013. I want to remind women in this community, if you haven’t delivered at the Care Center or live in Geauga county, that doesn’t mean you’re not eligible for a visit. As long as you are Amish and have had a baby within six weeks. Contact us at MCC. We will complete a welcome home visit for you and your newborn. I also want to make everyone aware, we will gladly except donations of any amount to keep this program growing. We are about women helping women to make safe healthcare choices for themselves and their new family member. April was a steady month: 12 deliveries (eight girls, four boys). So that brings us to 61 as of May 1, 2016. I did a little digging and looked at the number of babies that we had each May 1, since 2009. They are: 2009-38, 2010-45, 2011-47, 2012-66, 2013-52, 2014-59, 2015-47 and 2016-61. I love numbers, they can be so encouraging. Note: the last time we delivered above 60 babies by May was in 2012. In 2012 the record was broken with 163 babies born that year. Our previous record, we had 162 babies born in the year 2000. We are on pace for a record breaker! Here is another reason to breast feed: breast feeding may be even more protective for women with a family history of breast cancer. Women in this category who nursed for any length of time reduced their risk of developing breast cancer before menopause by 60 percent according to a 2009 paper in the Archives of Internal Medicine. My final thought is: each time a new family visits the Care Center, I try to find out if they enjoyed the experience and if they would come back. I haven’t heard or read a report stating that even one patient disliked the Care Center and would not use it again. Of course not everyone can use the Care Center do to personal risk level. If any one is dissatisfied out there, please let a board member know. We need your input. It is by far the most important feedback for improvement and growth. Thank You for the best job in the world. The Care Center is a Hive of Activity

By Jaime Fisher RN/DON MCC

So here is the buzz. Already flying toward the beginning of March. Oh my where dose the time go? I see that spring is not too far off and still haven’t completed the fall to do list. Flutter Faster. The entire Care Center staff just completed Competency Day. This all-day training makes sure our staff is up to snuff. An annual review of nursing and nursing assistant skills, safety, and disaster training. To all staff, thanks for the great turnout. I know for many it is a sacrifice to come. I realize the Care Center is not your primary job.

Congratulation to the Melvin and Ester Miller family. Your family has won the care package for the month of January with seven visits to the Care Center. Thank you for the continued support.

So far 11 babies were born as of Feb. 24 and at least three more are expected to buzz in before February concludes. Trying to keep the honey comb full.

In other Hive news, I finally was able to talk to a few of the founding members’ wives about the Care Center’s early days. I also spoke to our Hospital Administrator George Pogan. It was interesting to hear the story  about how the Center got started, when it was just an idea. Not a brick laid, not one penny collected. But what I really wanted to know is why these individuals worked so hard to start something they couldn’t even use. So I jotted down some of their comments and decided to use one from each person I talked to. Ester Fisher (Crist Fisher) said, “You see, my husband could see the good in things. You didn’t have to prove anything to him. If he saw it was going to be good, then he did it. He wasn’t the wait and see type.” Martha Yoder (Jonas Yoder) said, “Jonas was a respected leader who didn’t turn away from something that might be hard to do. Dr. Al must have seen that in Jonas. He sure spent a lot of time talking to him.”

The Birthing Center idea faced a lot of opposition. Not everybody could see the positive impact the Care Center would have on this community.

George Pogan (hospital administrator/board member) stated, “This is one of the most successful projects I have worked on in my life. The Care Center is something I’m proud of and consider it one of my greatest accomplishments. Being in public health this is what I believe in. The type of health care that cares for people was needed. “

Dr. Al Evans laid the strongest foundation you can. A foundation of the right people, those people with vision and who are completely selfless. People who could see the future impact on this communities’ children, grandchildren, and now great grandchildren. What accomplishments are you going to be remembered for?

The next Care Center update will include why the women in our lives are so important to our community. A three-year update on the Home Visit Program, and February’s final totals. The bee keeper will check in next month. Until then, you can find me tending the Hive.


Middlefield Care Center wishes you a happy and safe winter. I say this because my days are consumed with disaster planning, policy and procedure revamping and public/employee education. The Care Center is buzzing with activity, so as soon as I can, an update will come your way. Until then embrace winter. I’m going to try snow-shoeing this weekend.

Whether winter brings severe storms, light dustings or just cold temperatures, the American Academy of Pediatrics (AAP) has some valuable tips on how to keep your children safe and warm.

What to Wear

Dress infants and children warmly for outdoor activities.  Several thin layers will keep them dry and warm. Don’t forget warm boots, gloves or mittens and a hat.

The rule of thumb for older babies and young children is to dress them in one more layer of clothing than an adult would wear in the same conditions.

When riding in the car, babies and children should wear thin, snug layers rather than thick, bulky coats or snowsuits.

Blankets, quilts, pillows, bumpers, sheepskins and other loose bedding should be kept out of an infant’s sleeping environment because they are associated with suffocation deaths and may contribute to Sudden Infant Death Syndrome (SIDS). It is better to use sleep clothing like one-piece sleepers or wearable blankets.

If a blanket must be used to keep a sleeping infant warm, it should be thin and tucked under the crib mattress, reaching only as far as the baby’s chest, so the infants face is less likely to become covered by bedding materials.


“Whoa! Pull the reins back Jonas. Did I hear it right?“ said Martha. “Yes!” Jaime exclaimed. The busiest start to any year in Care Center history. Taking a look back, all the way back to January 1991, the first 15 days of the year have never ever been busier. Jan. 1 through 15 of 2016, we had 11 babies in 14 days with the first baby this year not born until Jan. 2. This fact was doubly triply checked by our very own Alma trying to prove me wrong but no way, no how. We have had some busier times but not the kick off of the New Year. Fact: In the state of Ohio, September, October and November tend to be some of the busiest months of the year. Any guesses why? Just kidding.

The MCC Christmas Party was awesome and had a great turn out. Many of the founding members were there to reminisce. A BIG thank you to the MCC Board who tirelessly put up with my to-do, and maintenance lists that are longer than my arms. Alma Byler and family who always bring their A-game to the Century Village kitchen for a truly tasty meal. To Erica, and much of the staff who have to put up with my fretting about ODH coming to survey the Care Center, the dinner, then ODH leaving for the entire month of December. Thank you, thank you, Heather who has brought peace, coverage, and experience by filling some big shoes of the retired nurse Joann Bearss. How often we don’t realize all that someone does until they’re gone and we’re left overwhelmed. (Mental Note: Irma must give at least a 10-year notice prior to leaving the Care Center with approval of clone. Erica also is mandated to follow the Irma clause.) One more special thank you to Ester Fisher (Crist) who kept meticulous journals documenting not only her and her husband’s role and involvement in getting the Care Center off the ground, but the entire history of the Middlefield Care Center grass roots beginning. I can’t wait to meet with Ester to get a juicy piece of history to share with our readers. Every time I think I am going to get a chance to visit another baby needs to born. Go figure!

Interesting information found by our Hospital Administrator G. Pogan: Pre pregnancy potato consumption is linked to gestational diabetes. Health Day News/MedlinePlus reports women increase their risk of gestational diabetes by 27 percent if they regularly consume between two and four cups of potatoes a week before pregnancy. Five or more cups of potatoes a week increase your chances of gestational diabetes to 50 percent. Potatoes are regarded as a vegetable, but not all vegetables are healthy,” according to Dr. Zhang, a senior investigator with the National Institute of Child Health and Human Development. Wow, lay off the Tater-Tots!

Stats for December 2015, and year end stats for 2015 are: Births December 2015, 11 newborns hatched at the Center (little peeps are so cute). Congratulations to the Martin and Barbra Miller family eight visits to the Care Center. Enjoy your family care package. Total Births 2015 … 74 girls and 69 boys for a grand total of 143. If the Care Center continued delivering babies at the current rate of 11 newborns per 14 days, we would see approximately 286.8 newborns. Wow! Could this be in our future? Only time can tell!

~Labor the hardest work you will ever love. ~


Random Acts of Kindness

By Jaime A. Fisher, DON Nurse Administrator Middlefield Care Center

I always love the holiday season, so many people doing nice things for others. It reminds us all, there are good people in this world, truly kind people. I have to tell you what happened to me while checking out of the grocery store. I had just got done unloading and reloading a full cart of groceries. I did have my daughter with me, but she was checking out at another register with a few items that she was paying for herself. (She is 10, you know.) Of course the store was busy, the lines extremely long and the checkout girl was ready to kill me because I picked up two things that had to be price checked. Finally, the grand total appeared on screen, I gave her the money, told her I had the correct change and started digging in my coin purse. At that moment a call came in from a private number so I answered it and continue digging for change. I looked up as the gentleman behind me gave the clerk the correct coins to make up the difference for my purchase. She shot me a look that should have made me drop dead as she handed me my receipt. Thank God looks can’t kill. I said to the man, “You didn’t have to do that.” He said, “I know, you seem to be very busy.”  I thanked him and offered to give back the change. He said, “No, just make sure you help someone else”. In the back of my mind I made a mental note of the clerk’s name. Instead of reporting her to a supervisor for being unprofessional I would perform some random act of kindness toward her. I’m trying to come up with something that won’t make me look like a stalker. I have jumped on the kindness bandwagon. Join me!

Five random acts of kindness that don’t cost a thing: 1. Let someone go ahead of you in line. 2. Offer to babysit 3. Offer to do the dishes when you are having dinner at a friend’s or relative’s house. 4. Smile at as many people as you can.  5. Help someone before they ask for help.

Here’s the skinny on the Care Center: November 2015, what a busy month. We had eight Millers, two Bylers, two Yoder’s, one Kurtz, one Mullet, one Shetler and a partridge in a pear tree. That brings our running total to 132 as of Nov. 30. Last year our grand total was 156 newborns, so we only need 25 babies in the month of December to exceed last year’s total.

Congratulation to the Ezra and Leah Miller family with six visits to the Care Center. Enjoy your family care package. We are thankful for all the families who use and support the Care Center. We know everyone has a choice and we are glad be your choice. We are blessed to be a blessing this Holiday Season. Thank you for the best job in the world.

~Labor the Hardest Work You Will Ever Love


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