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WINTER 2012

A HEALTH AND WELLNESS PUBLICATION FROM OTSEGO MEMORIAL HOSPITAL

WHOOPING COUGH:

Your Questions Answered

OMH Medical Group EXPANDING TO BETTER SERVE

Mood-BOOSTING Foods

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adrienne kelly, M.D.orthopedic surgeon

OMH n’orthopedics

Born in Sault Ste. Marie, Ontario in Canada, Dr. Kelly is a graduate of the University of Western Ontario. “I originally went to medical school to be a

forensic pathologist,” says Kelly. “I quickly learned that I did not want to spend all my time sitting behind a microscope. I wanted to work with my

hands and help patients.” Kelly’s Adult Spine Fellowship has provided extensive experience in cases relating to trauma, tumors, deformities and degeneration of the spine. Joining OMH was a simple choice for

Kelly, who says she enjoys a close knit community.

michael florek, d.O. family medicine, board certified omh medical group – indian river

Dr. Florek, who is originally from Indian River, has practiced in Northern Michigan for eleven years and brings robust experience in both primary care and walk-in services. “I want to build a relationship based on trust with my patients,” Florek remarked. A graduate of Michigan State University of Osteopathic Medicine, Florek is Board Certified in Family Medicine with interests in primary care, Diabetes, COPD, Geriatrics, and skin procedures. The OMH Medical Group–Indian River opened in early November and is accepting new patients.

Otsego Memorial Hospital Welcomes

3696 South Straits HighwayIndian River, Michigan 49749

(231) 238-0581

MEDICAL GROUPINDIAN RIVER

2147 Professional DriveGaylord, Michigan 49735

(989) 732-1753

Both are accepting new patients.2

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For most people, just the thought of indulging in a favorite food can lead to a smile or even a warm, fuzzy feeling. But did you know that the foods you eat can actually affect your mood? What you put into your body affects your mental health (and your brain) just as it does your physical health. So if you’re looking to boost your mood, rethink your daily menu.

BALANCE CARBS AND PROTEINSBoth carbohydrates and proteins are key to a balanced diet, but which ones will help put a spring in your step?

Good carbs. Carbohydrate-rich foods help the mood-enhancing amino acid tryptophan make its way to your brain to produce the neurotransmitter serotonin. While you might get a quick “high” from foods with simple sugars or processed carbohydrates (think white bread, white sugar, etc.), this surge is short-lived. Reach for fruits, veggies and foods containing whole grains. Because these foods are high in filling fiber, their mood-enhancing effects last longer.

Good carb go-tos: whole grains, beans, leafy greens, squash, apples, pears, berries

Protein. Incorporating lean protein into your meals helps you feel full, and it stays in your system longer than processed foods loaded with simple sugars. Protein can keep you alert and provide that steady dose of energy your body needs. When you stay energized, so does your mood.

Lean protein go-tos: chicken, fish, seafood, eggs, yogurt, soy, chickpeas, almonds

SAY YES TO FOLATEFolate is a water-soluable B vitamin found naturally in foods such as leafy greens. It is most commonly known as the vitamin (or the synthetic version, folic acid), which is needed by pregnant women to help prevent neural tube defects in infants. Research has also shown that people

HAPPY DAY MENU

Breakfast: One half whole-wheat English

muffin with a slice of Canadian bacon

and a poached egg, topped with

diced tomato sautéed in olive

oil. Round out the meal with

a half grapefruit.

Lunch: Spinach salad with

cocktail shrimp, chickpeas,

red onion and a light, citrus

vinaigrette. Enjoy a whole

wheat roll on the side.

Dinner: Grilled salmon with

a side of whole wheat pasta

tossed with canola oil, grilled

asparagus, sundried tomatoes

and your favorite seasonings.

Dessert: Fresh berries and

yogurt.

Mood-Boosting Foodssuffering from depression often have low folic acid levels, so grab some greens!

Folate go-tos: spinach, turnip greens, kale, citrus, dried beans or peas, asparagus, tomatoes

GIVE OMEGA-3S THE THUMBS UPOmega-3 fatty acids have been touted for contributing to a healthy heart, but research has also shown that people who eat more fish such as salmon (a great omega-3 source) are less likely to suffer from depression.

Omega-3 go-tos: wild salmon, tuna, flaxseed oil, canola oil, olive oil, English walnuts

EAT WISELY, BE HAPPYThe benefits of a well-balanced diet are plentiful, and working in some of these healthy, mood-enhancing foods can make you feel happier, too. If you are feeling low, and your symptoms

don’t subside, talk with your doctor. He or she can help you determine what additional measures you can take to

improve your mental health.

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Otsego Memorial Hospital (OMH) Medical Group is the largest multi-specialty medical practice in northern Michigan and throughout this year has been focused on investments and expansions designed to better serve patients, reducing their travel time and increasing their access to high-quality healthcare.

Home to a variety of specialties and primary care providers, the OMH Medical Group is setting pace with the dynamic nature of today’s patient, and bringing patient-centered healthcare services close to home.

NEW AND EXPANDED HEALTH SERVICESJust this past November the OMH Medical Group opened a new practice in Indian River and renovated the existing site location in Lewiston. The OMH Medical Group — Indian River will welcome Michael Florek, DO, and Julie Hodson, NP, all residents of Indian River, to the practice. “Expansion into Indian River demonstrates OMH’s commitment to the

varied needs of our service area. Knowing that travel can be a

challenge, our goal is to bring top-notch

services as

OMH Medical Group Expanding to Better Serve

close to home as possible for our patients,” says Barb Miller, FACMPE, Vice President of Physician Services at OMH. OMH Medical Group — Indian River will offer primary care and walk-in services, radiology, lab and occupational medicine. Extended and Saturday hours will be offered to better accommodate all patients and their various schedules.

The OMH Medical Group — Lewiston site has undergone significant renovations, resulting in new exam rooms, onsite physical therapy, digital mammography, bone densitometry, walk-in services, and new staff and patient space. “We are committed to continually enhancing the patient’s experience, both in the office setting and throughout the Hospital, and we are investing in services and expansions with the goal of providing the highest quality of care to the communities and patients we serve,” says Tom Lemon, CEO, Otsego Memorial Hospital.

PATIENT-CENTERED CAREIn addition to enhancing technology and increasing practice sites to better serve, several of the practices found within the OMH Medical Group have been designated by Blue Cross Blue Shield as a Patient-Centered Medical Home. To the patient this means that their primary care physician (pediatricians, internists and family practice providers) will

lead a care team bringing intensive focus to the patient’s health goals and specific needs. The care teams work

with patients to keep them healthy and monitor their care on an ongoing basis. “The patient-centered medical home is healthcare centered on the patient,”

says Miller. “We take a comprehensive approach to patient care, helping our patients meet their health goals

while keeping track of all their specialist visits, test results and prescriptions.”

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Following every office visit, patients receive a detailed visit summary describing diagnosis, appointment vitals and steps moving forward. To further communications, an online Patient Portal is available for all OMH Medical Group patients, allowing for online appointment and prescription refills requests, as well as online access to parts of their medical record.

OMH Medical Group patients experience a variety of benefits as part of the largest multi-specialty medical group in northern Michigan, including acceptance of a large variety of insurances, including Medicaid in all of our practices, and seamless transfer of information between all medical group practices and the OMH MedCare Walk-In Clinic. Depending on financial need, OMH Medical Group patients could be included in a variety of assistance programs, including our Diabetes Self-Management, Mammography Assistance and Patient Assistance Program.

TRADITIONAL APPROACH TO PRIMARY CAREEven with enhanced technology and communications, OMH Medical Group still holds on to the traditional values that make the primary care relationship strong. “Our physicians rotate on-call duty and our Internal Medicine, Pediatrics and Family Practice patients are seen by OMH Medical Group physicians as inpatients in the Hospital. Our providers have strong working relationships with each other and our Hospital, making the patient experience that much more reassuring and comfortable,” states Miller.

OMH and the OMH Medical Group work in tandem to provide an excellent patient experience. Whether it is in the Hospital or the medical practice setting, OMH is building an alliance of care throughout northern Michigan for the benefit of patients and their healthcare one visit at a time.

All OMH Medical Group practices are accepting new patients. To find out more information, please contact our Physician Referral Line at (989) 731-2300 or contact the practice directly.

OMH MEDICAL GROUP INCLUDES THE FOLLOWING PRACTICES AND SPECIALTIES:

• Family Practice

• General Surgery

• Internal Medicine

• MedCare Walk-In Clinic (also offered through Indian

River and Lewiston Locations)

• Orthopedics (Gaylord and Grayling locations)

• Pediatrics

• Obstetrics and Gynecology

OMH and the OMH Medical Group work in tandem to provide an excellent

patient experience.

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The newly added OMH Medical Group — Indian

River will be staffed by Michael Florek, DO, and

Julie Hodson, NP.

It will offer:

• Primary care and walk-in services.

• On-site lab and radiology services.

• Occupational medicine.

• Extended hours and Saturday hours.

To schedule your appointment, please call

(231) 238-0581.

Michael Florek, DO Julie Hodson, NP

RENOVATIONS TO THE OMH MEDICAL GROUP — LEWISTON HAVE PROVIDED FOR:

• On site physical therapy,

digital mammography and

bone densitometry.

• Additional exam rooms

to accommodate

rotating specialists.

• Expanded lab space for staff

and patients.

• Walk-in services for same-

day appointments.

To schedule your appointment,

please call (989) 786-4877.

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COUGHWHOOPING

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Whooping Cough:

Your Questions AnsweredA cough can be a reaction to a tickle in one’s throat, a symptom of the common cold or even a device for interrupting conversations. But when it’s caused by pertussis (whooping cough), a highly contagious bacterial infection, a cough can be far more serious. It can break ribs, induce vomiting and leave its victims gasping for breath. Most children in the U.S. are immunized against whooping cough, yet it

is still one of the most common vaccine-preventable diseases in America. To help you learn more about whooping cough, we’ve answered a few frequent questions.

Q. Who is most at risk or vulnerable to whooping cough?

A. Pertussis infection can be most severe in infants — more than half of babies under age 1 who develop whooping cough are hospitalized.* It can lead to pneumonia, convulsions, encephalopathy (brain disease), brain damage and even death. One of the most serious symptoms in infants is apnea, when breathing slows or stops for a period of time. Symptoms are usually far less severe in adults and older children. Since 2010 there have been 54 confirmed cases of pertussis in Antrim, Emmett and Otsego counties; of those cases, eight were in Otsego County.**

Q. How can I tell if my child has whooping cough?

A. According to Luis Collazo, MD, pediatrician at Otsego Memorial Hospital Medical Group, the first few weeks of pertussis infection often resemble the common cold. Symptoms may include a runny nose, low-grade fever and mild or occasional cough. By week two or three, the violent, rapid coughing fits ending with a gasp for air (the whooping sound) begin. The coughing fits can cause exhaustion and vomiting. It’s important to note that many infants have only a mild cough or none at all, yet there are still serious risks, such as apnea. If you suspect your child has whooping cough, see your doctor.

Q. I was vaccinated against whooping cough when I was an infant. Do I need to be vaccinated again?

A. You might. Since its introduction in the 1940s, the pertussis vaccine has reduced cases of whooping cough by nearly

80 percent.* But the vaccine is not completely effective, and its protection diminishes over time. Pre-teens, teenagers and adults need a one-time booster shot, called Tdap. Pregnant women who haven’t received the booster should get it during the latter half of pregnancy or directly after giving birth in order to protect their infants from infection. In addition, anyone who hasn’t received a Tdap and expects to come into contact with an infant should get the shot at least two weeks in advance. While the vaccine may not completely protect against the disease, it can make infection less severe. For more information about immunization recommendations for all ages, talk to your doctor or visit www.cdc.gov/pertussis/vaccines.html.

Q. How can I protect my child from whooping cough?

A. Pertussis spreads through the air when an infected person coughs or sneezes in close contact with others. According to Dr. Collazo the best way to prevent whooping cough is through vaccination and the recommended childhood vaccine is called DTaP (Diphtheria, Tetanus and acellular Pertussis). There should be five doses of DTaP for infants at 2, 4, and 6 months, between 15 and 18 months, and again between 4-6 years. As with all vaccines there could be minor reactions but the safety has been proven.

It’s also important to keep your child away from those with coughs or cold symptoms. And because many infants contract the disease from parents, siblings or caregivers who don’t know they are infected, it’s equally important for adults and older children to be up-to-date on their pertussis vaccination. In addition, you can protect your child by enforcing frequent hand-washing, covering up coughs and sneezes and not sharing cups and silverware. If someone in your household develops whooping cough, early treatment with antibiotics can help make infection less severe and prevent its spread.

To learn more about whooping cough, talk to your doctor or visit the Centers for Disease Control and Prevention’s website at www.cdc.gov/pertussis. To schedule an appointment with Dr. Collazo or his partner in practice, Steve Kaufman, DO, please call (989) 731-7930.

* Source: Centers for Disease Control and Prevention, www.cdc.gov. ** Source: Michigan Disease Surveillance Report, Health Department of

Northwest Michigan.

Luis Collazo, MDOMH Medical Group—Pediatrics

COUGHWHOOPING

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Oven-Crusted Chicken BreastA healthier way to pan fry chicken! Serve with salad and cherry tomatoes for a balanced meal.

Number of servings: 4

IngredientsFor chicken: 4 boneless, skinless chicken breasts (3 ounces each)1 egg white (or substitute liquid egg white)1 cup fat-free evaporated milk1 cup breadcrumbs¼ cup rolled oats, crushed; pulse a few times in the food

processor or crush between fingers to make smaller pieces 1 cup whole wheat flour2 tablespoons olive oil or vegetable oil

For salad: 2 tablespoons lemon juice½ tablespoon olive oil4 cups red leaf lettuce, rinsed and dried1 cup cherry tomatoes, rinsed and halved¼ teaspoon salt¼ teaspoon ground black pepper

Directions1. Preheat oven to 350 °F. 2. Place chicken in a freezer bag with the air squeezed out, and pound each breast down

to ½-inch thickness. 3. Combine the egg white and evaporated milk in a bowl, and mix well. In a separate bowl, combine the breadcrumbs and crushed

oats, and mix well. 4. Coat the chicken breasts in flour, and shake off the excess. Dip the chicken breasts in the egg and milk mixture, and drain off the

excess. Then dip the chicken breasts in the breadcrumb mixture to coat, and shake off the excess. After all chicken breasts have been coated, discard any leftover breading mixture.

5. Heat oil in a large sauté pan. Pan fry the chicken over medium-high heat on one side until golden brown, about 2-3 minutes. Turn carefully, and pan fry the second side for an additional 2-3 minutes or until golden brown. Remove from the pan, and place on paper towels to soak up excess oil. Place on baking sheet, and finish cooking in a 350 °F oven for about 5-8 minutes (to a minimum internal temperature of 165 ºF).

6. For the salad, combine lemon juice and olive oil, and mix well to make a dressing. Toss the lettuce leaves and cherry tomatoes with the dressing, salt and pepper.

7. Serve 1 cup salad with one piece of chicken.

Recipe courtesy of the National Heart, Lung, and Blood Institute.

The OMH Foundation makes every effort to list all names properly and according to donor’s wishes. If you notice that we have made an error, please contact us so we can correct it immediately.

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The OMH Foundation makes every effort to list all names properly and according to donor’s wishes. If you notice that we have made an error, please contact us so we can correct it immediately.

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This publication does not constitute professional medical advice. Although it is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question, consult your medical professional. Websites not belonging to this organization are provided for information only. No endorsement is implied. Images may be from one or more of these sources: ©Thinkstock, ©iStock, ©Fotolia. ©2012 Otsego Memorial Hospital.

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