To Your Health-MidMichigan Health“Dr. Schiffer and Dr. Hurtubise really work together,” Durbin...

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CANCER CARE KARMANOS IS PART OF THE TEAM EDUCATION PATHS TO GOOD HEALTH

CARDIAC RECOVERY PROGRAM CARE AT HOME WWW.MIDMICHIGAN.ORG

FEBRUARY IS NATIONAL

HEART MONTH.www.midmichigan.org

/heartA new Web site from MidMichigan Health

is a valuable resource to help you prevent

heart disease and live a healthy lifestyle. The

Web site covers: Risk detection and

prevention. How to recognize and react to a heart attack. Diagnosis and treat-

ment of five common heart conditions:

angina, cardiac arrhyth-mia, congestive heart

failure, heart attack and valvular dysfunctions.

Cardiac rehabilitation services throughout the

middle of Michigan. Patient prep instruc-tions for cardiac tests

and procedures. Heart-healthy cook-

books and eating tips. Links to MidMichigan

cardiologists and cardiac home care

services. Local news, classes and screenings related

to heart care.

Butcher, who survived a rare and somewhat exotic form of nasal cancer, fought his battle right in Midland under the care of the cancer experts at MidMichigan Medical Center–Midland.

Calling himself a “very vital, healthy character,” this Harley-riding artist, carpenter and humanities division chair at Delta College noticed nothing unusual happening around his beard and jaw back in 2002. A routine dental appointment revealed nothing out of the ordinary either—even when the exam was performed by a dentist who aggressively checks for abnormali-ties associated with the face, mouth, jaw and neck.

Yet five weeks later, Butcher found a walnut-size mass in a lymph node in his beard area that was ultimately diagnosed as cancer. His treatment plan included surgery, followed by chemotherapy and radiation—all of which took place at MidMichigan Medical Center–Midland.

WHY HOMETOWN TREATMENT? “There were plenty of people who questioned my decision to have a rare and unusual form of cancer treated here,” Butcher says. “I never questioned it. I stayed because the cancer experts at MidMichigan were treating me exactly like I would be treated at any major metropolitan cancer center.”

Butcher’s treatment was truly a fight at times. It affected his mouth and salivary glands. He experienced atrophy in one shoulder. He was exhausted. “I remember sitting in a room with other patients awaiting radiation therapy,” he remembers. “As horrible as I felt, I knew there were people sitting with me that were far worse. I knew I could get through it all. I never thought it would get me.” And it didn’t.

WINNING THE BATTLE Butcher’s treatment was successful, and he is back at work and resuming his lifelong passions—painting and sculpt-ing, as well as motorcycling—most of which he managed to do even when sick. All along, Butcher maintained a holistic approach to his condition. He learned how to listen to his own body and let it adjust to the treatment it was receiving. He credits his successful treatment to the partnership he had with his physicians—oncologist Daniel Danso, M.D., and radiation oncologist Rajnikant Mehta, M.D.

“Dr. Danso brings incredible wisdom to his work, and he is very well-educated,” Butcher says. “He honored the fact that I was educated, and [he] didn’t think for me. He made treatment my choice.”

Dr. Mehta, he adds, answered all of his questions and has a direct ap-proach Butcher admires. “People who are straight with me are critical,” he says. “You don’t double-talk me, and he didn’t.”

Looking back on his experience, Butcher says he learned something he considers very important. First, health should be a No. 1 priority.

“Men are lousy about taking care of themselves,” he says. “That really needs to change. When something isn’t right, your body typically sends you a signal. You must listen.”

WE WANT TO HELP When you have questions about cancer care, trust the experts for answers. To learn more about MidMichigan’s state-of-the-art cancer care services, visit www.midmichigan.org/cancer.

For a physician referral, call MidMichigan Health Line at (989) 837-9090 in Midland or toll-free at (800) 999-3199.

CERTAIN THINGS ARE DEF I -NITELY WORTH FIGHTING—AND CANCER IS ONE OF THEM, SAYS LARRY BUTCHER OF MIDLAND.

Larry Butcher of Midland fought his cancer battle

under the care of the cancer experts at MidMichigan

Medical Center–Midland.

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4005 Orchard DriveMidland, MI 48670

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SURVIVING

FIGHTING THE BATTLE CLOSE TO HOME

CANCER

REACHING RESIDENTS THROUGHOUT THE MIDDLE OF MICHIGAN

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GTODAY PEOPLE WITH CANCER are living longer

than ever before, thanks in part to new and bet-

ter treatment. Those treatments often have their

roots in clinical trials.

With MidMichigan Medical Center–Midland’s

affiliation with the Barbara Ann Karmanos Cancer

Institute, MidMichigan doctors and cancer patients

now have immediate access to the latest available

diagnostic and advanced care options, including

clinical trials.

W H A T I S A C L I N I C A L T R I A L ?

A clinical trial is a research study that involves

people. Clinical trials for cancer are designed to

show how anticancer approaches (new drugs, sur-

gical methods, diagnostic tests or ways to prevent

cancer) affect the people who receive them.

Because clinical trials give people access to

new, emerging treatments designed to be better

than current treatments, they are often the first

choice for many cancer patients.

T Y P E S O F C L I N I C A L T R I A L S

People with cancer can participate in either

treatment trials or in quality-of-life/supportive

care trials.

Treatment trials study new cancer medicines

and help determine the most effective medicines

for cancer patients. The treatments must suc-

cessfully pass through three phases of study that

evaluate their safety and effectiveness before they

can be approved by the Food and Drug Administra-

tion for use in the general population.

Quality-of-life/supportive care trials study new

methods for improving the comfort and quality of

life of cancer patients.

People who do not have cancer can partici-

pate in three types of trials. Prevention trials help

determine how certain cancers can be prevented.

Diagnostic trials research new tests for finding

cancer sooner. Early-detection/screening trials

study new ways to find cancer in people before

they have any symptoms.

H O W T O B E I N V O L V E D

Participating in a clinical trial offers both

benefits and risks. On one hand, if the treatment

proves effective, you may be among the first to

benefit. You’ll also receive excellent care during

the study. And you will experience the satisfaction

of knowing that your participation might help oth-

ers in the future. No one knows, however, whether

the treatment will work or what side effects it

may cause.

For more information about clinical trials

through MidMichigan’s affiliation with the Karma-

nos Cancer Institute, call 1-800-KARMANOS (or

(800) 527-6266) or visit www.karmanos.org. For

more information about services at MidMichigan

or for a clinical trials handout, call MidMichigan

Health Line toll-free at (800) 999-3199 or visit

www.midmichigan.org/cancer.

Lung cancer is the leading cancer killer

of both women and men. It is also consid-

ered to be one of the most preventable

forms of cancer: An estimated 90 percent

of all cases are related to tobacco use.

On Tuesday, April 12, lung cancer spe-

cialist Manual Valdivieso, M.D., from the

Barbara Ann Karmanos Cancer Institute

will present a free community educa-

tion program on lung cancer prevention,

symptoms, detection, diagnosis and

treatment. This program will be held at

6:30 p.m. in the Towsley Auditorium, lo-

cated on the lower level of MidMichigan

Medical Offices–Midland.

Dr. Valdivieso will also explain the im-

portance of cancer research in the fight

against lung cancer, as well as current

Karmanos cancer specialist Manual Valdivieso, M.D.

GLADWIN NATIVE NADINE DURBIN IS A SELF-PROFESSED COUNTRY GIRL. “TO ME, EVEN MIDLAND IS A BIG CITY,” SHE SAYS. SO initially, the thought of traveling to Detroit’s Barbara Ann Karmanos Cancer Institute for treatment was nearly as frightening as learning she had leukemia.

To Durbin’s surprise, her journey to Karmanos—one of the nation’s pre-eminent cancer research centers, which is now affiliated with MidMichigan Medical Center–Midland—was a positive experience she seldom forgets.

“It’s awesome down there,” she says. “It’s like a mini city, but I’m never scared. I feel so safe. They park your car for you. Everything is marked. People greet you and help you get around wherever you need to go. Everyone—and I mean everyone, from the doctors and nurses to the cleaning people—has an attitude that is completely positive, caring and friendly.”

The MidMichigan/Karmanos team approach to cancer treatment helped put Durbin in remission this past April. Not the typical candidate for chronic myelogenous leuke-mia (CML), she credits her MidMichigan physicians for diagnosing her properly—and early—and her Karmanos physician for putting her on a groundbreaking experimental drug called Gleevac.

DIAGNOSIS Durbin was diagnosed with CML in her early 30s. This busy, working mother of two was losing weight despite a ravenous appetite and was constantly sick with a cold, flu or infection. A recurrent problem with ovarian cysts led her to her MidMichigan family physician, Christel Tecarro, M.D., who recommended surgery. Durbin’s preop-erative blood work showed some alarming abnormalities.

After running more tests and consulting with MidMichigan oncologist Michel Hurtubise, M.D., Dr. Tecarro broke the bad news to Durbin in person.

“It broke her heart to tell me that I had leukemia,” Durbin says. “She has a heart of gold and was incredibly devoted to helping me sort through my options for the future.”

research being conducted at Karma-

nos in the areas of genetic cancer

research and medications to prevent

lung cancer.

At the Karmanos Cancer Institute,

Dr. Valdivieso is chief medical officer

and associate director of clinical affairs.

Before recently coming to Karmanos,

he was director of the Cancer Institute

and professor of medicine at Southern

Illinois University in Springfield.

There is no charge for this pro-

gram, but registration is requested.

For more information or to register,

call MidMichigan Health Line at (989)

837-9090 in Midland or toll-free at

(800) 999-3199. Or register online at

www.midmichigan.org/classes.

CONSTANT, EXPERT CARE The next step was a visit with Dr. Hurtubise, who held her hand through the first of many bone marrow tests. He recommended leuke-mia specialist Charles Schiffer, M.D., at Karmanos. Yet Dr. Hurtubise maintains a constant role in Durbin’s care.

“Dr. Schiffer and Dr. Hurtubise really work together,” Durbin says. “I make periodic trips to Detroit, then Dr. Hurtubise cares for me right here in Gladwin or in Midland. He always has my chart and current blood work. He really works with me to regulate the powerful medication I am on. He and Dr. Tecarro monitor my progress closely. I know I can call any one of the three day or night.”

MidMichigan’s cancer expertise, Durbin believes, is second to none. By affiliating with Karmanos, patients like her in the middle of Michigan now have access to a world-renowned cancer research center and all the benefits it brings, including clinical trials, groundbreaking drugs, immediate second opinions and more.

“We’ve had quite a bit of cancer in my family, so we did our homework,” Durbin says. “I would have had to travel to New York or Texas to find a cancer center comparable to Karmanos. How wonderful that we have a top center right here in Michigan that is affiliated with our local health system!”

The fight against AMERICA’S TOP CANCER killer

��

LOCAL CANCER PATIENT CREDITS THE MIDMICHIGAN/KARMANOS TEAM WITH HER EXCITING RESULTS

REMISSIONF E A T U R E

Cancer patient Nadine Durbin, 36, has the support of her family and friends as well as the continued support of her MidMichigan and Karmanos cancer care teams.

F E B R U A R Y / M A R C H / A P R I L 2 0 0 5 2 T O Y O U R H E A L T H F E B R U A R Y / M A R C H / A P R I L 2 0 0 5 3 T O Y O U R H E A L T H

After almost 50 years with epilepsy, John Lantz of

Saginaw jumped at the chance to try something new in

addition to medications to control his petit mal (mild)

seizures, which occasionally caused him to “freeze”

for a few minutes. Although his seizures didn’t cause

convulsions or unconsciousness, they interrupted his

activities and caused some embarrassment.

The new treatment, performed at MidMichigan Medi-

cal Center–Midland, was vagus nerve stimulation, which

involves implanting a small computerized device in the

upper chest, with an electronic wire that stimulates the

vagus nerve in the neck with a low-voltage current. The

computerized device is programmed to stimulate the

nerve at preset intervals, helping to prevent seizures.

Additional stimulation can be provided manually by wav-

ing a magnet over the device.

“Using the magnet, I’ve been able to totally stop

the petit mal seizures whenever I hear the ‘aura,’ which

indicates that a seizure is coming on,” Lantz says. “It’s

s the field of medicine changes and improves, so does MidMichigan Medical Center–Midland. Our constantly expanding buildings and tech-nology help us provide state-of-the-art care.

Interventional radiology is one of the rap-idly growing fields of medicine at MidMichigan

Medical Center. It is quickly eliminating the need for in-vasive surgery to treat certain conditions. Interventional radiology is a term used to define minimally invasive procedures that use images—from technology such as angiography, CT (computerized tomography), MRI (mag-netic resonance imaging) and ultrasound—to help guide the procedure.

Typically these procedures require only a needle puncture or small incision instead of open surgery. The advantages over traditional surgery are many, including a significant reduction in risk, trauma, pain, cost and recovery time.

NEW RADIOLOGY PROCEDURES MidMichigan interventional radiologist Rami Safadi, M.D., continues to add new procedures to his list. To accommodate this growth, MidMichigan Medical Center–Midland is con-structing a second interventional radiology suite. These cutting-edge procedures include the following: Venus closure is a treatment for varicose veins. It uses a small incision, usually below the knee, and threads a catheter up the affected vein. Radiofrequency heats up the catheter, which is then slowly pulled out of the vein, effectively closing it.

When the vein is destroyed, the blood is forced to find another path and, consequently, will flow into the deep vein system where the veins are less likely to swell. Abdominal aortic aneurysm is a procedure done cooperatively between Dr. Safadi and general surgeon James Shepich, M.D. It is commonly referred to as an endograft—a very large stent built to direct blood flow into a closed channel.

With patients who have an abdominal aneurysm, this modifies the vessel where the aneurysm is located and re-creates the original blood pathway back through the legs. The aneurysm eventually shrinks, effectively eliminating the possibility of an abdominal aneurysm rupturing. Uterine fibroid embolization is used to treat women who have painful uterine fibroids. This is a great option if they want to avoid a surgical procedure, which could eliminate all or part of the uterus.

A catheter is placed in an artery at the top of the groin and is threaded to the artery that supplies blood to the fibroid. Tiny particles are injected into the artery, which accumulate and form a permanent blockage. This blockage stops the blood flow to the fibroid, starving it and causing it to wither and shrink.

BETTER BREAST CANCER CARE MammoSite is another leading-edge treatment available at the Medical Center in Midland and is specifically for women who have

been diagnosed with early-stage breast cancer. It uses a device that is placed inside the breast, where it delivers high doses of radiation to the area where cancer is most likely to recur.

The difference with MammoSite is that it can attack the lumpectomy cavity from the inside out, where typically it is treated from the outside in.

This new treatment option offers many significant ad-vantages for women who qualify. Traditional radiation ther-apy requires six weeks of treatment, whereas MammoSite can be completed in five days. The radiation is delivered from within the breast, limiting the amount of radiation to healthy tissue and reducing possible side effects. As with traditional therapy, it is given on an outpatient basis.

HELP FOR SEIZURES Vagus nerve stimulation (VNS) is the first nondrug therapy approved for epi-lepsy in 100 years. Although not new to MidMichigan, it

THE MEDICAL EXPERTISE AT MIDMICHIGAN CONTINUES TO GROW

New TREATMENT HELPS control seizures given me much better control of my condition.”

Having better control means that Lantz worries less

about experiencing a seizure while teaching remedial

math and grammar at the Saginaw Correctional Facility

in Freeland, or while working as a freelance photographer.

“The epilepsy made me a bit of an introvert, as I

had to focus so intently in order to get through a petit

mal seizure,” he says. “Now I have more confidence.

“Epilepsy is kind of like chasing a ghost in your

head. This little ghost will sneak up and ambush you,

so you have to be alert and always chase that little

ghost. Once I got the vagus nerve stimulator implant,

it was like somebody else began chasing the ghost for

me. I just don’t have to worry about it anymore.”

MidMichigan is committed to helping people

with epilepsy manage their condition and live a

rich and full life. To learn more about vagus nerve

stimulation or other treatments for epilepsy, visit

www.midmichigan.org/epilepsy.

continues to be an effective and groundbreaking way to control seizures for patients who have been unsuccessful in controlling seizures with medications.

Seizures are caused by disturbances in the way the brain’s electrical system works. VNS works by sending electrical signals through a device implanted just under the skin in the chest area. The device sends small pulses of electrical energy to the vagus nerve in the neck—one of the primary communication lines to the brain. These pulses of electrical energy prevent or interrupt the electrical disturbances that lead to seizures.

This treatment is a godsend for patients who have hun-dreds of seizures each month, and MidMichigan health professionals have seen some wonderful outcomes.

MidMichigan Health is dedicated to providing a lifetime of trusted care through physician services and advanced medical technology. Contact your family physician if you think these procedures might be right for you.

John Lantz, a Saginaw resident and vagus nerve stimulator recipient

A

LEADING-EDGE TRUSTED CARE

M E D I C A L P R O C E D U R E S



To register or to learn more:

Call MidMichigan Health Line at 837-9090 or toll- free at (800) 999-3199.

Visit our Web site at www.midmichigan.org/classes.

Unless otherwise noted, all programs are

healthJust the Facts: From Boy to Man

For boys, adolescence can be exciting but also confusing and sometimes frightening. There are many emotions and questions sur-rounding the physical and emotional changes that are taking place. This program is designed for boys ages 10 to 14 and their fathers or other adult men. Join us for a snack and learn about the maturing process. MidMichigan physi-cians will discuss the physical, emotional and social maturation of adolescent males.6 p.m. Wednesday, March 9; MidMichigan Medical Offices–Gladwin, Community Room Thursday, March 17; MidMichigan Health Park–Mt. Pleasant, Community Room Tuesday, March 22; MidMichigan Medical Offices–Midland, Towsley Auditorium

What to Do About HeadachesDuring the past year, nearly 90 percent of

men and 95 percent of women have experi-enced at least one headache. Yet most of us ignore headache symptoms or treat them unsuc-cessfully with over-the-counter medications. Learn about the different types of headaches and appropriate treatments.With MidMichigan Physicians Group neurolo-gist Bakul Patel, M.D.6:30 p.m. Monday, April 11; MidMichigan Health Park–Mt. Pleasant, Community Room Thursday, April 28; MidMichigan Medical Offices–Midland, Towsley Auditorium

healthDIABETES EDUCATIONSteps to Healthy Living: Reduce Your Diabetes Risk

Risk factors for diabetes include a family history of the disease, being overweight and inactivity. This four-week weight management and exercise series is for people at an in-creased risk for developing type 2 diabetes. Participants will use a pedometer to monitor their exercise progress. The last session includes a grocery store tour. Don’t wait for symptoms; with the help of a certified diabetes educator, you can make healthy living changes to last a lifetime. Space is limited. With Mindy Doty, M.S., R.D., C.D.E.$25 per person or $40 per couple Thursdays, March 3, 10, 17 and 24; 7 p.m.; MidMichigan Medical Center–Midland, Plane Tree Café, Private Dining Room

Diabetes ExpoFree diabetes expo that includes education on

good diabetes care, blood pressure screening, dietary counseling, blood sugar screening, dia-betes counseling and diabetic foot screenings. Tuesday, March 22; 9 a.m. to 2 p.m.; Clare County Senior Community Center, 101 W. Michigan, Farwell Friday, April 15; 9 a.m. to noon; MidMichigan Medical Offices–Gladwin, Community Room

Diabetes Youth DayYouth with diabetes and their families are

invited to participate in a variety of workshops designed to help them successfully integrate proper diabetes management techniques into their lifestyles. For more information or to register, call the Diabetes Center at (800) 727-3123. Saturday, April 9; 9 a.m. to 2 p.m.

Diabetes Classes (Clare)Foot ClinicIndividual Consultations for People With DiabetesLiving Well With Diabetes (Midland)Your Invitation to a Healthier Lifestyle (Gladwin and Midland)

For more information, call the Diabetes Center at (800) 727-3123.

FAMILY HEALTH EDUCATION Heart Medications Are Special

There are many different types of heart dis-ease and many different types of medications used for treatment. Heart medications can be used to relieve particular symptoms or can actu-ally prevent some types of heart problems. Learn about medications used for heart disease, such as those for high blood pressure, congestive heart failure and water retention. Cholesterol-lowering medications will also be discussed. With Jessica Skinner, Pharm.D.2 p.m., unless otherwise indicated Tuesday, Feb. 15; MidMichigan Medical Offices–Clare, Kindel Conference Room Thursday, Feb. 17; MidMichigan Medical Offices–Gladwin, Community Room

Advance notice is needed to make arrangements for people with disabilities. Call MidMichigan Health Line for a physician referral, directions to any MidMichigan facility or to report duplicate mailings of To Your Health.

Paths to good

Tuesday, Feb. 22; 2:30 p.m.; MidMichigan Medical Offices–Midland, Towsley Conference Room

Just the Facts for Mothers and Daughters

Young girls as early as 8 or 9 years old may start to notice changes in their bodies, emo-tions and interests. At this time more than ever, a daughter needs guidance and understanding to help her develop a healthy self-image. This program is designed for girls ages 9 to 13 and their mothers or other adult women. Join us for a snack and learn about the maturing process. Women’s health care professionals will discuss the physical, emotional and social maturation of adolescent females.6 p.m. Tuesday, Feb. 15; MidMichigan Medical Offices–Midland, Towsley Auditorium Thursday, Feb. 17; MidMichigan Health Park–Mt. Pleasant, Community Room Friday, Feb. 18; Doherty Hotel, 604 N. McEwan, Clare Wednesday, Feb. 23; MidMichigan Medical Offices–Gladwin, Community Room Tuesday, March 15; Quality Inn, Houghton Lake

Defensive Driving for 55+Safe driving is an important issue for older

drivers, due to a higher risk for road accidents and traffic citations for failing to yield, turning improperly, and running red lights and stop signs. Since everyone ages differently, a driv-ing evaluation may be helpful in determining level of risk. We invite older drivers as well as their families to learn what a driving evalua-tion is and how the Secretary of State’s office processes suspect drivers. Also learn how to modify risk factors and get safe driving tips.With MidMichigan occupational therapist George PalmTuesdays; 2 p.m., unless otherwise indicated Feb. 22; MidMichigan Health Park–Houghton Lake, Lower Level Conference Room March 1; MidMichigan Medical Offices–Gladwin, Community Room March 8; 2:30 p.m.; MidMichigan Medical Offices–Midland, Towsley Conference Room March 15; Doherty Hotel, 604 N. McEwan, Clare March 22; MidMichigan Health Park–Mt. Pleasant, Community Room

Prevention and Treatment of Heart Disease

Learn the facts about heart disease, such as what the varying symptoms are in men and women, and how to reduce your risk for devel-oping heart disease. Medical treatment options will also be discussed.With MidMichigan cardiologist Rodney Diehl, D.O. Tuesday, Feb. 22; 6:30 p.m.; MidMichigan Health Park–Mt. Pleasant

Community CPR (Heartsaver)American Heart Association CPR classes cover

adults, infants and children. You will receive a participation card upon completion. Registra-tion is required.$30 per personWednesdays, 6 to 9 p.m.

Feb. 23; MidMichigan Health Park–Houghton Lake, Lower Level Conference Room March 9; MidMichigan Medical Offices–Clare, Kindel Conference Room March 16, April 13; MidMichigan Medical Offices–Gladwin, Community Room

Ergonomics in the WorkplaceMusculoskeletal disorders have become

commonplace on the job, especially related to jobs that require sitting for long periods of time. Problems such as back pain, eyestrain and hand/wrist pain can often be traced back to sit-ting position or posture at the desk. Learn tips for what to do to enhance your work environ-ment in order to prevent these problems. The importance of proper chairs and body position-ing when seated will be discussed along with the pros and cons of using alternative key-boards, as well as adaptive devices such as antiglare screens and wrist rests.With MidMichigan rehabilitation services occupational therapist Kerry Bishop Thursday, Feb. 24; 12:15 to 1:15 p.m.; MidMichigan Health Park–Mt. Pleasant, Community Room

’Tis the Season to Be SAD: Seasonal Affective Disorder

With an average of 209 cloudy days each year, Michigan has a high incidence of depression. SAD is characterized not only by depression but also by sleepiness, lack of energy, fatigue, food cravings and possible weight gain. Phototherapy has been used to treat some people with this disorder. Learn about theories regarding causes, as well as various treatment options.With MidMichigan psychiatrist Kerry Pierce, M.D. Thursday, Feb. 24; 6:30 to 8:30 p.m.; MidMichigan Medical Offices–Midland, Towsley Auditorium

Carpal Tunnel Prevention and Treatment

Do you have numbness, tingling or pain in your hands? Where is it coming from? Learn the causes, symptoms and treatment of carpal tun-nel syndrome. Occupational therapy staff will dis-cuss prevention and ergonomic considerations.With MidMichigan Physicians Group neuro-surgeon William Paul Diefenbach, M.D. Monday, Feb. 28; 6 p.m.; Delta College Planetarium, 100 Center, Bay City

Grief Recovery GroupSix-week series that covers bereavement top-

ics, including the value of support during grief, why each person’s grief is unique, myths and stages of grief, creating a memory relationship, taking care of yourself, and getting through an-niversaries and holidays.6 to 7:30 p.m. Wednesdays, March 2 through April 6; MidMichigan Visiting Nurse Association,1432 N. McEwan, Clare Wednesdays, April 13 through May 18; MidMichigan Visiting Nurse Association,3007 N. Saginaw, Midland


This series is designed to fi t the busy schedule of today’s women. You are invited to come to any or all of the sessions. To register, call MidMichigan Health Line at (800) 999-3199. If you register for all four programs, the May program is free.Wednesdays; noon to 1 p.m.; MidMichigan’s Center for Women’s Health Education Room; $5 for lunch Feb. 23: Eating and Emotions. Dietitian Jill Chambers will discuss how to distinguish true hunger from emotional hunger, and healthy ways to satisfy true hunger. March 16: Natural Hormone Therapy for Women. Certifi ed menopause educator and pharmacist Mike Collins will discuss what works and what doesn’t as well as how to access a reputable compound pharmacy. April 20: Humor for the Health of It. Learn how laughter can help you to maintain a healthy outlook on life. Speaker to be announced. May 18: Personal Trainer Tips: Part I. Join Trish Pierce for a look at correct hand-weight techniques that will fi ght arm fl ab and build arm strength.

Just Between Women

Energy Conservation for People With Arthritis

70 million people are affected by osteoarthri-tis. Medical management of this often crippling disease includes techniques to decrease the amount of stress on the joints. Learn methods of protecting arthritic joints. Includes handouts and instruction for exercises and adaptive equipment to increase independence in every-day activities.With occupational therapist Julie Greer Thursday, April 7; 2 to 4 p.m.; MidMichigan Medical Offi ces–Gladwin, Community Room

Answers to Your Hip and Knee Pain Questions

Learn about the causes of hip and knee pain, as well as advanced treatments, including medications, nutrition and exercise.With physical therapists Becky Bailey and Ann Dull2 to 3 p.m., unless otherwise indicated Tuesday, May 10; MidMichigan Health Park–Mt. Pleasant, Community Room Thursday, May 12; MidMichigan Medical Offi ces–Midland, Towsley Conference Room Tuesday, May 17; MidMichigan Medical Offi ces–Gladwin, Community Room Thursday, May 19; MidMichigan Medical Offi ces–Clare, Kindel Conference Room Tuesday, May 24; MidMichigan Health Park–Houghton Lake, Lower Level Conference Room Thursday, May 26; 1 p.m.; Delta College Planetarium, 100 Center, Bay City

SCREENINGS AND CLINICSBlood Pres sure Exams

Walk-in blood pressure ex am i na tions. Fridays; 9 a.m. to noon; MidMichigan Health Park–Mt. Pleasant, 4851 E. Pickard St. (next to Ap ple bee’s), Mt. Pleas ant

Healthy Living: Do You Know Your Health Age?

The fi rst step to living longer and healthier is knowing your health risks. Learning your “health age” is a good place to start. Your health age is different from your biological age—it’s how old you really are. Once you know your health age and the factors that make you “younger” or “older,” you can make lifestyle choices that can add years to your life. Call MidMichigan Health Line at (989) 837-9090 in Midland or at (800) 999-3199 and ask about the Healthy Living clinic in your area.The Healthy Living Quiz is free; optional cho-lesterol screenings are available for $10

Ostomy Consultations and ClinicsEducational and sup port ive con sul ta tions

for people with colostomies, ileostomies or uro s to mies. Caregivers are wel come. Nurses will offer helpful sug ges tions and in for ma tion about new prod ucts. Call (800) 852-9350 for avail able lo ca tions.With certifi ed wound, ostomy and con ti nence nurses of Mid Mich i gan Visiting Nurse As so ci a tionConsultation is free

The Fight Against America’s Top Cancer Killer

Lung cancer is the leading cancer killer of both women and men. It is also one of the most preventable forms of cancer: About 90 percent of all cases are related to tobacco use. Learn about lung cancer prevention, symptoms, detection, diagnosis and treatment, as well as the impor-tance of cancer research in the fi ght against lung cancer and current research being conducted at Karmanos in the areas of genetic cancer research and medications to prevent lung cancer.With Barbara Ann Karmanos Cancer Institute lung cancer specialist Manual Valdivieso, M.D. Tuesday, April 12; 6:30 p.m.; MidMichigan Medical Offi ces–Midland, Towsley Auditorium

Irritable Bowel Syndrome (IBS): Coping Together

It’s painful, embarrassing and unpredict-able. And for many, it controls their lives. Yet most people are surprised to learn that they are not alone with the IBS symptoms of severe abdominal pain and distention, gas, diarrhea and constipation. In fact, IBS affects approxi-mately 10 percent 20 percent of the general population, with women representing more than 70 percent of those with IBS. It is the most common disease diagnosed by gastroenterolo-gists and one of the most common disorders seen by primary care physicians. Presenters will discuss causes, symptoms, diagnosis and medical management of IBS.With MidMichigan gastroenterologist Christina Murphy, D.O., and registered dieti-tian Mary Kay Mynatt Wednesday, April 20; 6:30 p.m.; MidMichigan Medical Offi ces–Midland, Towsley Auditorium

Lung Cancer Detection and TreatmentLearn about lung cancer detection and treat-

ment options as well as the causes, symptoms, diagnosis and treatment of lung cancer.With MidMichigan Physicians Group medical oncologist and hematologist Diane MacDonald, M.D., co-founder of the Michigan Lung Cancer Clinic, and nurse practitioner Cindy Munro, C.N.P., a faculty member of Michigan State University Wednesday, April 27; 6:30 p.m.; MidMichigan Health Park–Mt. Pleasant, Community Room

Family Healthy and Fit KitCall today to receive a free family healthy

and fi t kit. Information about healthy eating, kids and sleep, adding fi tness to the family rou-tine and injury prevention are included, along with special hints from MidMichigan Health ath-letic trainers and therapists. Call MidMichigan Health Line at (989) 837-9090 in Midland or at (800) 999-3199.

FITNESSBeneFit Weight Loss

Have you have tried to lose weight, failed and then realized you can’t do it by yourself? Now is the time to make lifestyle changes in order to take the weight off, keep it off and become healthier. BeneFit is a 10-week course that will give you the knowledge, support and encour-agement you need. Reservations are requested by calling MidMichigan Health Line at (989) 837-9090 in Midland or (800) 999-3199.Free, no-obligation orientation with Mardie Pohanka, R.N., weight management educator and author of the Tempting Tastes cookbook Monday, Feb. 21; 6:30 p.m.; MidMichigan Health Park–Mt. Pleasant

Body RecallDesigned to last a lifetime, this program will

help you reclaim and rebuild strength, fl exibility and movement using gentle movements that will help circulation to all parts of the body without threatening the heart. You’ll gain an increased awareness of how your body functions and fi nd a sense of achievement as you begin to regain control over your body. Open to all ages. Participants should wear loose, comfortable clothing, socks and shoes.

Donation of $2 per class is requested Every Monday, Wednesday and Friday (ex-cept holidays); 9 a.m.; Houghton Lake United Methodist Church, M-55 at Knapp Road Every Monday, Wednesday and Friday (ex-cept holidays); 10:30 a.m.; St. Helen Commu-nity Center, East Airport Road Every Monday, Wednesday and Friday (except holidays); 2:30 p.m.; Roscommon Markey Baptist Church, Flint Road across from Ron’s restaurant

Body ShapersFor people who want a comprehensive weight-

loss program. Small groups focus on dietary and fi tness education that includes aquatic exer-cise. Participants use some of the most state-of-the-art exercise equipment available. This 12-week program is ongoing, so participants can start at any time. Call MidMichigan Health Line at (800) 999-3199 for dates and times.With professional staff from MidMichigan rehabilitation services$360 per person

Kids’ FitnessDesigned for active and not-so-active children

from fourth through 12th grade, this after-school program is taught by the staff of MidMichigan rehabilitation services. Call MidMichigan Health Line at (800) 999-3199 for dates, times and cost. Twice a week; MidMichigan Medical Offi ces–Campus Ridge

PilatesPilates movements stretch and strengthen

the body. Benefi ts include toned and fl attened abdominals; longer, leaner muscles; improved posture; muscle control; and increased circula-tion and tension relief. Call MidMichigan Health Line at (800) 999-3199 for more information.With professional staff from MidMichigan rehabilitation servicesClasses are available in Harrison and Midland

NECK AND JOINT EDUCATIONLearn to Manage Neck Pain

This seminar will cover normal anatomy, what can go wrong, and treatments that may offer dramatic relief of your pain, including pain from arthritis and degenerative conditions. Learn the causes of spine pain and the latest treatments.With physical therapist Kristi Turner and Comprehensive Back Program case manager Laurie Miles2 p.m. Wednesday, March 16; MidMichigan Medi-cal Center–Midland, Plane Tree Café, Private Dining Room Thursday, April 7; MidMichigan Health Park–Mt. Pleasant, Community Room Thursday, April 14; MidMichigan Medical Offi ces–Clare, Kindel Conference Room Monday, April 18; MidMichigan Medical Offi ces–Gladwin, Community Room Wednesday, May 4; MidMichigan Health Park–Houghton Lake, Lower Level Conference Room

Answers to Your Shoulder Pain Questions

Learn about the causes of shoulder pain, as well as advanced treatments, including medica-tions, nutrition and exercise.With physical therapists Becky Bailey and Ann Dull2 to 3 p.m., unless otherwise indicated Tuesday, April 5; MidMichigan Medical Offi ces–Gladwin, Community Room Thursday, April 7; MidMichigan Medical Offi ces–Midland, Towsley Conference Room Tuesday, April 12; MidMichigan Health Park–Mt. Pleasant, Community Room Thursday, April 14; MidMichigan Medical Offi ces–Clare, Kindel Conference Room Thursday, April 21; 1 p.m.; Delta College Planetarium, 100 Center, Bay City Tuesday, April 26; MidMichigan Health Park–Houghton Lake, Lower Level Conference Room

SUPPORT GROUPSAlzheimer’s Disease and Related Disorders Support Group (Clare)Amputee Support Group (Midland)Breathing Easy Support Group (Clare and Midland)Di a be tes Adult Support Group (Clare, Gladwin and Midland)Diabetes Youth Support Group (Midland)Insulin Pump Support Group (Midland)Multiple Sclerosis Support Group (Clare and Midland)Newborn Parenting Group (Midland)Parkinson’s Support Group (Clare and Gladwin)Pregnancy Loss Support Group (Clare)

WATER EXERCISE Water Exercise for Parkinson’s Patients

Water exercise has been shown to improve motor control and functional mobility in patients with Parkinson’s disease. Current research suggests it may also improve strength and endurance, fl exibility, balance and mobility, and breathing capacity, as well as reduce muscle stiffness and fatigue. Physician approval is required. Call MidMichigan Health Line at (800) 999-3199 for dates and times.Taught by MidMichigan rehabilitation services staff who are trained in aquatic therapyClasses are available in Midland

Water Exercise for People With Diabetes

Water provides both buoyancy and support for your body. This class provides a safe way to integrate exercise with a diabetes manage-ment routine. Participants must have recently attended a diabetes education class and be medically stable. Physician approval is required. Call MidMichigan Health Line at (800) 999-3199 for dates and times.Classes are available in Clare

WOMEN’S HEALTHHelp for Premenstrual Syndrome (PMS)

PMS is now widely recognized as a group of symptoms that occur in the time between ovula-tion and the start of the menstrual cycle. PMS may interfere with normal activities at home, school or work. Learn about the causes and se-verity of PMS as well as physical and emotional symptoms and how to cope.With obstetrician/gynecologist Lydia Watson, M.D. Tuesday, Feb. 8; 6:30 pm; MidMichigan Health Park–Mt. Pleasant

Breastfeeding: Healthy BeginningsOlder Brother/Older SisterPreparation for Childbirth (Clare and Midland)

N

As a self-employed carpenter who specializes in remodeling kitchens and bathrooms, Bruce Wilkins knows a lot about putting his back into his work. But it wasn’t until he pulled a back muscle while getting out of his truck that he realized how important a healthy back is to his

livelihood.“Every day I’m either squeezing down under somebody’s

vanity or tearing out walls or lugging a cast-iron tub,” he says. “You just can’t do that if your back is hurting.”

Fortunately, Wilkins lost only one day on the job. At first he managed to keep going by relying on muscle relaxants and painkillers. Finally his wife noticed an ad for Back & Neck Rehabilitation in Saginaw.

Wilkins says, “I figured that since they specialize in backs, I’d see what they could do for me.”

For the next eight weeks, Wilkins underwent a custom-ized physical therapy program, using some of the special-ized equipment available at the center, including the MedX® Lumbar Extension Machine, which isolates and strengthens the lower back muscles. Between his twice-weekly visits, he did additional exercises at home. Within three weeks he was off all medication. By eight weeks he was back to his old self—and even a little bit better. “I actually lost 10 or 15 pounds,” he says with a laugh.

Wilkins continues his at-home exercises and for the next year will return to the center once a month for maintenance. “The center is conveniently located, and they have very flex-ible hours, so I can easily stop by before or after work,” he says. “And a therapist is there all the time to keep an eye on me to make sure I’m using the machines properly. For example, one time I was lifting the weights the wrong way and the therapist corrected me so I wouldn’t hurt myself.”

Back & Neck Rehabilitation is located at 5703 Bay Road in Saginaw. Advanced rehabilitation for back and neck problems is provided by MidMichigan Medical Center–Midland in cooperation with Dynamic Rehabilitation Centers. Both a physician referral and a prescription are required before making an appointment.

Ask your doctor whether MidMichigan’s specialized Back & Neck Rehabilitation program is right for you, or call (989) 249-6641 for help with a physician referral.

Women helping WOMENThe recently expanded Center for

Women’s Health was supported through

a fund-raising campaign titled “Women

Helping Women.” Nearly $400,000

was raised from foundations, individuals,

service clubs and an event called “Hats

Off to You!” held last October during

Breast Cancer Awareness Month.

This overall effort came under the

auspices of the Center for Women’s

Health Advisory Council, chaired by

Judy Anderson and Stephanie Burns,

Ph.D.

Other council members include

Bobbie Arnold, Pamela Boundy, Carole

Calvert-Baxter, Sheree Clark, M.D.,

Wendy Fischer, Mica Jones, Gwen Lang,

Beth Lewis, Laura LoFiego, Diane Nold,

Donna Rapp, Jan Reynolds, Carlene

Skorczewski and Brenda Sorenson.

estled in the woods on the edge of the MidMichigan Medical Center–Midland campus is the recently expanded Center for Women’s Health. For women seeking breast care, this impressive new facility combines the latest technology with a peaceful and comforting

environment for patients and visitors.Combining breast health services into one facility of-

fers many advantages, one of which is time. This diagnostic breast clinic with an on-site surgeon can speed up the care a woman needs from the time a problem is detected to the actual biopsy and treatment. This can help lessen the stress of the waiting period after an abnormality is detected.

“Our desire is to decrease the turnaround time for any breast abnormality,” says James E. Reif, M.D., medical direc-tor for the Breast Health Program at the center. “This facility is a great way to do that.”

Dr. Reif and Ellsworth E. Ludwig, M.D., are the on-site surgeons for the center. Dr. Reif is completely dedicated to breast cancer care, and Dr. Ludwig is dedicating the major-ity of his practice to breast care. Working with their expert staff, they provide timely care with skill and compassion.

CONVENIENT CARE The Center for Women’s Health is also convenient, housing a team of radiologists, nurses, support personnel and technicians. Services include mam-mography, ultrasound and leading-edge biopsy techniques, such as stereotactic ultrasound-guided biopsy.

In addition, the center has two ImageChecker systems, which help to improve the detection rate of early breast cancers by up to 20 percent. This digitized system reviews

mammograms and acts as a “spell-check,” or second read, for the radiologists.

Centralizing these services has broadened the available resources and further enhanced the caring environment. The center’s two breast health specialists help provide a personal touch and a special level of comfort to patients. Joni Kaiser R.N., O.C.N., and Nancy Hieb, R.N., B.S.N., act as personal guides, helping women navigate through their care when a problem is detected.

The center is reaching more women in the community with the help of their nurse educators. They speak with each patient after a mammogram and provide information about a multitude of female-specific health issues, such as osteo-porosis, menopause, hormone replacement therapy, breast self-exams, screenings and nutrition.

For patients who require surgery, a support system provides emotional and physical comfort and assistance. A library with Internet access also is available for patients.

The Looking Glass Shoppe provided by MidMichigan Visiting Nurse Support Services has moved to the Center for Women’s Health. It offers post-mastectomy supplies, compression sleeves, turbans and postsurgical camisoles, along with a newly expanded line of aromatherapy products, inspirational publications and holistic health products.

TAKE TIME FOR YOUR HEALTH One in eight women will develop breast cancer, and the greatest key to success is early detection. “Our goal with this center is to be a full resource to women in a compassionate environ-ment,” says Carole Calvert-Baxter, manager of the center. “If we make it easy for women to take the time to care for themselves, we can make a difference.”

Other services at the center include bone density screen-ings for both men and women and genetic counseling for high-risk patients. To learn more, call (989) 837-9066 or toll-free at (888) 626-4547.

FROM LEFT: All on-site at the Center for Women’s Health, breast surgeon James E. Reif, M.D., and breast health specialists Joni Kaiser, R.N., O.C.N., and Nancy Hieb, R.N., B.S.N., consult about a patient’s breast abnormality.

SPECIALIZED BACK AND NECK THERAPY HELPS BRUCE WILKINS RECOVER FROM A BACK INJURY

BACK TO ACTION

Bruce Wilkins is back on the job.

JUST FOR WOMENMIDMICHIGAN’S CENTER FOR WOMEN’S HEALTH OFFERS CARE WITH A PERSONAL TOUCH

S P E C I A L I Z E D C A R E

To learn more, call (989) 837-9066

or toll-free at (888) 626-4547.


C

M

T H E L A T E S T A N D B E S T

ommitted to the Midland Lion’s Club and to his annual duty of delivering more than 2,500 pairs of eyeglasses to people who need them, Andy Watson of Midland was concerned when he ex-perienced dull chest pain and heaviness during normal activity one day in summer 2004.

Watson visited primary care physician Wendy Biggs, M.D., of MidMichigan Medical Center–Midland Family Practice Center, who performed a complete physical and ordered tests. Initial test results prompted Dr. Biggs to refer Watson to the cardiology specialists at Michigan Cardio-Vascular Institute immediately, where cardiologists ordered open-heart bypass surgery for the very next day.

Following discharge from the hospital four days after surgery, Watson was admitted to MidMichigan Visiting Nurse Association’s cardiac recovery program to receive home health care. Registered nurse Juli Gray visited Watson the following day to monitor his recovery, manage his medications and do lab work.

HOME CARE AFTER SURGERY Watson’s wife, Val, was concerned about caring for him at home. “Returning home alone with Andy was somewhat of a frightening ex-perience,” she says. “I was not confident I would be capable of providing the care he needed, until Juli arrived. She was very assertive, taught me how to care for Andy when she was not in our home and assisted us in managing his recovery.”

Watson’s home care nurse continued to visit his home two to three times a week to monitor his condition, and nearly two weeks after his surgery, she detected an irregular

heartbeat. After monitoring other symptoms, the nurse suspected Watson was in atrial fibrillation. She contacted his cardiologists and advised him to visit the emergency department immediately.

Only 13 days after undergoing bypass surgery, Watson was admitted to MidMichigan Medical Center–Midland to have a pacemaker placed near his heart. While the need for the pacemaker was unrelated to the bypass surgery, 83-year-old Watson was again recovering from a serious cardiac intervention.

Andy Watson returns to his favorite outdoor activities after completing MidMichigan Visiting Nurse Association’s cardiac recovery program.

idMichigan Visiting Nurse Association (VNA) President Christine Chesny and Congressman David Camp had the honor of meeting with U.S. Department of Agriculture (USDA) Ad-ministrator Hilda Gay Legg to formally accept a Distance Learning and Telemedicine grant

given to MidMichigan VNA from the USDA in October.MidMichigan VNA has been awarded $215,519 from the

rural development office of the USDA to further enhance its telemedicine capabilities throughout mid-Michigan. This funding will enable MidMichigan VNA to acquire tele-monitors that transmit vital signs of rural, homebound patients to clinicians and physicians, and to purchase laptops and personal computers for transmitting medical information from homes and field offices.

The new technological systems will provide accurate, up-to-the-minute patient information to visiting nurses,

FROM LEFT: MidMichigan Visiting Nurse Association President Christine Chesny accepts a Distance Learning Telemedicine grant from U.S. Department of Agriculture Administrator Hilda Gay Legg and State Director of Rural Development Dale Sherwin, accompanied by Congressman David Camp.

‘Living With Grief’ TELECONFERENCEMidMichigan Hospice, along with MidMichigan Medical Center–Midland and the Midland County Council on Ag-

ing, will present a National Hospice Foundation teleconference, “Living With Grief: Ethical Dilemmas at the End

of Life,” on Wednesday, April 20, from 1 to 4 p.m. The teleconference, moderated by Cokie Roberts of ABC News,

will educate community members and health care professionals on issues affecting end-of-life care and will exam-

ine how cultural differences may influence ethical choices.

The program will be held at the Seventh-day Adventist Church, 2420 E. Ashman St. in Midland. Reservations

are requested by calling MidMichigan Health Line at (989) 837-9090 in Midland or toll-free at (800) 999-3199.

CARDIAC PROGRAM HELPS HEART SURGERY PATIENT ANDY WATSON

ON THE ROAD TO RECOVERY

IMPROVING YOUR CAREMIDMICHIGAN VISITING NURSE ASSOCIATION AWARDED GRANT

patients and patients’ caregivers, allowing real-time infor-mation to be used in caring for patients. By monitoring patients’ vital signs up to four times a day, patients learn how lifestyle behaviors affect their health conditions and reduce the cost of care.

“The USDA Distance Learning and Telemedicine grant will allow MidMichigan VNA to enhance its quality of care for homebound patients whose fragile medical conditions will benefit from closer monitoring,” Chesny says. “We are excited to accept this funding and to continue to im-prove access and education to patients about their health conditions.”

Many community organizations and health care provid-ers supported MidMichigan VNA’s commitment to serving rural, homebound patients. Support for mid-Michigan’s homebound residents comes from Congressman Dave Camp; Sen. Debbie Stabenow; Sen. Carl Levin; State Direc-tor of Rural Development Dale Sherwin; MidMichigan Medical Center–Clare; MidMichigan Medical Center–Gladwin; Clare County Enterprise Community; Isabella County Commission on Aging; Arenac County Council on Aging; Midland County Council on Aging; Clare and Gladwin Counties Council on Aging; Roscommon Com-munity Foundation; Northern Bay Arenac Retired School Professionals; Michigan Center for Rural Health; Terry Nowak, D.O., Nimkee Memorial Wellness Center; Jeff Striebel, D.O., MidMichigan Health Park–Mt. Pleasant;

“MidMichigan Visiting Nurses returned to our home after I was discharged from the hospital, and I was so grateful to see Juli again,” Watson says. “She provided such excellent care and intervention. She also served as a won-derful liaison between myself and my physicians, and eased so many of my fears.”

ENJOYING ACTIVITIES AGAIN In addition to registered nurses, MidMichigan Visiting Nurse Association’s cardiac recovery program also provides physical and oc-cupational therapists, home health aides, medical social workers and registered dietitians. They all work together to assist patients recovering from heart procedures and to prepare them for outpatient rehabilitation.

Following discharge from home health care, Watson be-gan outpatient cardiac rehabilitation at MidMichigan Medi-cal Offices–Campus Ridge, at the recommendation of his home health care nurse and physicians. Watson continues to enjoy the program and feels it has helped him return to the activities he enjoys.

“I continue to look forward to outdoor activities, spend-ing time with my wife and pursuing my work with the Mid-land Lion’s Club,” Watson says.

LEARN MORE To learn more about MidMichigan Visiting Nurse Association’s cardiac recovery program—available throughout Arenac, Clare, Gladwin, Isabella, Ogemaw, Midland, Roscommon, and portions of Bay and Saginaw counties—call (989) 633-1400 or toll-free at (800) 852-9350, or visit www.midmichigan.org/vna.

Palani Chidambaram, M.D., MidMichigan Medical Offices–Clare; and Kevin Denlinger, D.O., MidMichigan Health Park–Houghton Lake.

MidMichigan Visiting Nurse Association Hospice, a Medicare-certified, nonprofit United Way member agency, provides home health care and hospice services to resi-dents of Arenac, Clare, Gladwin, Isabella, Midland, Ogemaw, Roscommon, and portions of Bay and Saginaw counties.

To learn more, call Christie Kanitz, community outreach manager, at (989) 633-1400 or toll-free at (800) 852-9350, or visit www.midmichigan.org/vna.


T Coronary heart disease is the leading cause of death in

the United States. It will claim the lives of nearly two

out of every fi ve people you know. That’s why every

American is urged to take time during February—

American Heart Month—to assess his or her personal

risk for heart disease and take action to control those

risk factors.

A new Web site, www.midmichigan.org/heart, is the

latest tool in MidMichigan’s comprehensive cardiac

program, which helps you live longer and healthier

with: State-of-the-art emergency care. Advanced

diagnostic testing. Cardiac catheterization labs. A

dedicated coronary care unit. Specialized cardiac

rehabilitation. In-home cardiac recovery and care.

Risk assessment and prevention. A full range of

treatment options, including pacemaker implantation.

And MidMichigan has a cooperative affi liation with

Saint Mary’s in Saginaw, the region’s leading center

for open-heart surgery.

To learn more about how MidMichigan cares for

your heart and to get a free wallet card with heart

attack warning signs and CPR instructions, visit

www.midmichigan.org/heart or call MidMichigan

Health Line toll-free at (800) 999-3199.

he board of directors of MidMichigan Health and the board of trustees of Gratiot Health System have voted that Gratiot Health System become a full affi liate of MidMichigan Health. For the past nine months, MidMichigan Health and Gratiot Health System have been engaged

in confi dential, formal discussions to consider a closer affi liation.

Gratiot Health System’s board of trustees approved a full affi liation with MidMichigan Health on December 6, 2004. MidMichigan Health’s board of directors voted on Decem-ber 13, 2004, and the MidMichigan corporate membership voted on December 15, 2004, to sign an agreement that Gratiot Health System will become fully affi liated with MidMichigan Health. The organizations have been affi li-ated since April 1999 when MidMichigan Health acquired a 32.8 percent equity interest in Gratiot Health System. The transition to full affi liation will occur over the next several months as regulatory requirements are met.

During the past fi ve years, the two organizations have had a strong working relationship and have formed many successful joint ventures.

“The full affi liation is a natural fi t for the two organiza-tions,” says Terence F. Moore, president of MidMichigan Health. “Gratiot Health System is a strong, quality health care facility with a highly experienced and professional board of trustees and administrative team. In addition, Gratiot’s medical staff is composed of high-quality physi-cians who care about their patients and the hospital’s role in the community. We are very pleased to have Gratiot become an important part of MidMichigan Health.”

“MidMichigan Health is a well-respected, extremely strong health care organization. We are proud to be a partner with them,” says Nancy Gallagher, chairman of the board of trustees of Gratiot Health System. “The full affi liation enables us to continue to develop even stronger services for our community.”

“The affi liation will enable us to coordinate our efforts and provide care more effectively and effi ciently for the convenience of our patients,” says Thomas DeFauw, presi-dent of Gratiot Health System. “Gratiot Health System will continue its growth as a full-service facility and maximize its potential under the continued guidance of a local board of trustees. This affi liation will enable us to promote pre-ventive health care by doubling the number of health fairs and free health screenings to the communities we serve.”

A name change will occur within the next several months. Gratiot Community Hospital/Gratiot Health System will become Gratiot Medical Center, an affi liate of MidMichigan Health. “This affi liation will enable us to reach our full potential in serving the community,” Gallagher says. “It prepares us for the future and the future needs of our employees, medical staff and our patients.”

“The addition of Gratiot Medical Center to the MidMichigan Health family that also includes the Medical Centers in Midland, Clare and Gladwin; MidMichigan Vis-iting Nurses; MidMichigan Physicians Group; and several other affi liates strengthens our ability to improve the qual-ity of life for the people in the communities we serve,” says Moore. “Both Gratiot and MidMichigan share a common vision that the purpose of this affi liation is to better serve our patients and communities.”

A full affi liation with Gratiot strengthens the network of care provided by both Gratiot and MidMichigan as it did when MidMichigan Health affi liated with the medical

WORKING BETTER TOGETHER MIDMICHIGAN HEALTH AND GRATIOT HEALTH SYSTEM ANNOUNCE FULL AFFILIATION*

ourour

TO YOUR HEALTH is published as a com mu nity service by

MIDMICHIGAN HEALTH, 4005 Orchard Drive, Midland, MI

48670, (989) 839-3000.

Editorial BoardDonna Rapp,

Senior Vice PresidentCarol Campbell, Editor

Warren JohnsonChristie Kanitz

Stephanie Leibfritz, R.N.Cal McIntosh

Carlene SkorczewskiBernadette Stocking

Larry StoeckerCaroline Kramer, M.D., Ph.D.,

Physician AdvisorLeeza Bacon,

Production Assistant

Information in TO YOUR HEALTH comes from a wide range of medical experts. If you have

any concerns or questions about specifi c content that

may affect your health, please contact your health care

provider. Models may be used in photos and illustrations.

MidMichigan cares for

YOUR HEART

centers in Clare (1982) and Gladwin (1985). MidMichigan Medical Centers in Midland, Clare and Gladwin are wholly owned, nonprofi t affi liates of MidMichigan Health.*Pending regulatory approval

W E L L N E S S

Joan David, ChairRobert Stafford, Vice ChairGregory Bercher, M.D.Jerry BrandtNancy GallagherLori GwizdalaWilliam HendersonJ. Christopher Hough, M.D.Peg MierTerence F. Moore, Pres i dentMary NeelyEd RogersWilliam SchmidtScott SheldonJerry SkocelasDaniel Sorenson, M.D.W. Lynn Weimer

MidMichigan Health Boardof Directors

2005

The main entrance of Gratiot Community Hospital in Alma. This 142-bed hospital provides a full range of inpatient acute-care services. The hospital’s services are provided by 1,185 employees and a 92-member medical staff consisting of a variety of specialty groups.

FEB./MARCH/APRIL2005

Copyright 2005 Coffey Communications, Inc. HST16810h

SOLVING MOBILITY LIMITATIONS

ecovering from surgery and the wear and tear of aging can sometimes make everyday activ-ities and household chores a challenge. MidMichigan Visiting Nurse Support Services offers a variety of products to help people main-tain independence.

Rollator walkers provide safety and security for people who find walking even short distances challenging. The lightweight walker offers feather-touch hand brakes for easy control and conveniently folds up for travel or storage.

When a person using the walker becomes tired or needs to rest, a seat connected to the device provides immediate relief. A detach-able basket, which fastens to the front of the walker, also allows for easy storage of shopping bags or personal items.

Bathing and grooming may also pose challenges when mo-bility is limited. Many products offered at MidMichigan Visiting Nurse Support Services enable people to independently per-form personal daily activities in a safe environment. Many sizes and types of grab bars are avail-able to mount to bathroom walls or showers, ensuring stability.

Tub transfer benches, which rest over the edge of the tub, allow people to slide across the bench and into the tub. This helps prevent falls that often occur while stepping into the tub and allows people to sit down while bathing.

To learn more about products that increase indepen-dence, visit MidMichigan Visiting Nurse Support Services’ Clare showroom, 1432 N. McEwan, Carousel Mall, or call (989) 802-5010 or toll-free (800) 388-7721.

ACUTE CHOLECYSTITIS

WHEN TROUBLE STRIKES THE GALLBLADDER

e’ve all been there—a bad bellyache after a big dinner.

Fortunately, time and an antacid or two can tame most stomach pain. However, a stomachache stemming from acute cho-lecystitis is different. The condition often

strikes without warning, causing intense pain. And it usu-ally means a trip to the hospital.

ACUTE WHAT? Acute cholecystitis occurs when the gallbladder, an organ in the upper right side of the abdomen, gets inflamed.

It’s the gallbladder’s job to store bile produced by the liver.

Bile is a liquid that helps us digest fat. However, when it contains too much cholesterol or bile salts, bile can harden into gallstones. These stones cause about 90 percent of all cholecystitis.

The condition occurs when gallstones block the tubes used to pass bile from

the gallbladder into the small intestine. Trapped, the gallstones irritate the walls of the gallbladder, sometimes causing infection.

Other, less common, causes of cholecystitis include alcohol abuse, diabetes, physical injury or tumors.

SYMPTOMS Many people notice sudden, severe signs of cholecystitis after they’ve eaten a fatty meal. According to the American Medical Association (AMA), common symptoms include: Sharp, intense pain in the upper right abdomen. Repeated, painful attacks for several hours after meals. Pain that makes deep breathing difficult. Nausea, vomiting. Slight fever or chills. Jaundice (yellowing of the skin and eyes).

See a doctor if you have these signs. Physicians usually confirm cholecystitis with imaging tests such as an ultra-sound or CT scan.

FEELING BETTER Sometimes symptoms go away naturally. However, most people with cholecystitis must have their gallbladders removed, according to the AMA.

People can live normally without a gallbladder, since the liver continues to produce enough bile to aid digestion.

Most often, the gallbladder is removed using laparoscopic surgery. Several small incisions are made in the abdomen, and the surgeon removes the organ using tiny instruments. A miniature video camera in one of the incisions lets the surgeon monitor the procedure on a TV screen.

The smaller incisions mean a speedier recovery. Most people spend only one night in the hospital and recover over several days at home.

General surgeon Samuel Cross, D.O., of MidMichigan Physicians Group in Clare, often performs laparoscopic gallbladder surgery for his patients with cholecystitis. “The

Q U A L I T Y C A R E

RW

laparoscopic approach can be used to remove the gallblad-der in the majority of cases,” Dr. Cross says.

“Patients do very well with this technique. I have had patients go home the same day of the operation,” he says. “However, symptoms are not the same in every patient.A surgeon with experience in gallbladder disease willknow the questions to ask and the tests to obtain in order to determine if the gallbladder is causing problems.”

Dr. Cross and his colleagues, surgeons Rafael Quiñones, M.D., F.A.C.S., and Ravinder Jarial, D.O., perform laparo-scopic surgery for gallbladder removal at MidMichigan Medical Center–Clare. See page 6 for more information about laparoscopy.

Sometimes infection of the gallbladder makes lapa-roscopic surgery difficult, and a physician must perform conventional surgery instead. This requires a larger incision and a longer recovery time.

REMEMBER THIS Though cholecystitis may take you by surprise, knowing its symptoms will help you take control of the situation. The sooner you get treatment, the better you’ll feel.

To learn more about Drs. Cross, Quiñones or Jarial, call (989) 802-8773 or visit www.midmichigan.org/doctors.

Laparoscopic surgery may offer fast relief. Call MidMichigan Health Line at

(800) 999-3199 for a physician referral.

An inside look at gallstones

Liver

Stomach

Gallbladder

Bile

DuodenumBile from gallbladder and liver empties into small intestines.

Stones can lodge in duct

Stones

An inside look at gallstones

CCI infographic with information from the National Institutes of Health

General sur-geon Samuel Cross, D.O., of MidMichi-gan Physi-cians Group in Clare

The Rollator walker, available through MidMichigan Visit-ing Nurse Support Services, provides safety and security for people who find walking even short distances challenging.


LAPAROSCOPIC REVOLUTION

medicine and made open surgery obsolete for many types of procedures. Now laparoscopic surgery is changing the field of hernia repair.

Laparoscopy involves making small incisions around the hernia and inserting a camera that displays the surgery area on a monitor. The camera allows the surgeon to repair the hernia using small instruments inserted into the incisions. The procedure is performed in an outpatient facility with

minimal recovery time and discomfort.Another advancement in hernia re-

pair is the introduction of a new material used in one of the repair methods.

This method previously used a mesh screen to cover a weakness in the muscle at the site of the hernia. This mesh screen has now been replaced with a biomaterial similar to that used in prostheses.

Using laparoscopic surgery, this new material is stapled to the outer abdomi-nal wall much like the mesh screen was, but it is both stronger and more readily accepted by the body. This reduces both the recovery time and the chance of hernia recurrence.

Rafael A. Quiñones, M.D., F.A.C.S., and Ravinder Jarial, D.O., surgeons at

Ravinder Jarial, D.O

Rafael A. Quiñones, M.D., F.A.C.S.

Meeting the COMMUNITY’S NEEDSMidMichigan Medical Center–Clare offers a full range

of health care services. This 64-bed acute-care hospital

is dedicated to delivering high-quality, compassionate,

individualized health care. The Medical Center is ac-

credited by the Joint Commission on Accreditation of

Healthcare Organizations.

MidMichigan Medical Center–Clare is part of

MidMichigan Health, a group of affiliated health-related

organizations that care for the health and well-being

of those who live in the middle of Michigan. Through

its partnership with MidMichigan Health, the Medical

Center provides patients with access to a continuum

of health care services normally found only in major

metropolitan cities. Thus, the Medical Center provides

the advantages of a large urban environment in a small-

town setting.

M E D I C A L C E N T E R

D E P A R T M E N T S A N D S E R V I C E S

Cardiac testing.

Emergency department.

Intensive care and progressive care units.

Imaging services, including bone density, CT (com-

puterized tomography), mammography, MRI (magnetic

resonance imaging), nuclear medicine, ultrasound,

x-ray and fluoroscopy.

Laboratory services (including our Houghton Lake

location).

Medical/surgical services.

Obstetrical/nursery unit.

Outpatient procedures—same-day surgery.

Rehabilitation services, such as aqua therapy, and

physical, occupational and speech therapies (including

our Harrison and Houghton Lake locations).

Respiratory care.

M E D I C A L S P E C I A L I S T S

A wide range of medical services are provided

by board-certified specialists who have regularly

scheduled appointment times at their satellite offices

in Clare.

These specialties include:

Cardiology

Neurology

Oncology

Orthopedics

Otolaryngology (ear, nose and throat)

Physical medicine and rehabilitation

Urology

M I D M I C H I G A N H E A L T H L I N E

MidMichigan Health Line is your connection to

better health. If you need assistance with finding a

physician, a referral to a specialist or registering for

a community health program, call toll-free (800)

999-3199 or visit www.midmichigan.org.

O U T R E A C H P R O G R A M S

MidMichigan Medical Center–Clare offers a number

of community outreach programs, including educational

classes and support groups. Ongoing community pro-

grams in diabetes education, smoking cessation, pain

management and other consumer-requested medical

topics are provided.

P H Y S I C I A N S E R V I C E S

The full-time active

medical staff at our

facility is composed

of physicians board-

certified in family

practice, internal

medicine, general sur-

gery, OB/GYN, pedi-

atrics, ophthalmology

and emergency care.

H

T R E A T M E N T O P T I O N S

ernias have long been a painful and inconvenient injury. Fortunately, hernia repair has improved dramatically in recent years, and updated tech-niques and technology help us provide the best treatment.

A hernia occurs when part of an organ pro-trudes through the wall of the cavity in which it is enclosed. This is often called a rupture, and in addition to being pain-ful, a hernia usually causes an unsightly bulge.

Considering that hernia repair is common—accounting for up to 13 percent of all surgical procedures—it is surpris-ing that improvements in the methods for repair have been so slow in coming. Until recently, traditional hernia repair has required invasive open surgery and a lengthy recovery, in ad-dition to a 30 percent to 50 percent hernia recurrence rate.

A NEW ERA OF TREATMENT The development of laparoscopic surgery has revolutionized the field of

HELP FOR HERNIAS

MidMichigan Medical Center–Clare, both currently per-form this laparoscopic procedure.

“Laparoscopic hernia repair has emerged as an ad-ditional technique to be considered in the repair of this complicated problem,” Dr. Quiñones says. “And it is one that is becoming the standard of care for this type of surgery as more surgeons and patients understand its benefits.”

BENEFITS FOR THE PATIENT Although still con-sidered to be a major surgery, the laparoscopic approach to hernia repair has numerous advantages compared with open surgery techniques. Advantages include: A decrease in hernia recurrence rate: 1.8 percent to 6 percent instead of 30 percent to 50 percent. Patients recover and resume normal activities much more quickly. There is less chance of infection. Most procedures are done on an outpatient basis, with-out an overnight hospital stay. The procedure is more cost-effective. More of the abdominal cavity can be seen, allowing the surgeon to see other possible problems. The use of new prosthetic materials decreases the likeli-hood of infection and rejection by the body. Patients experience less pain and require fewer pain medications. Patients have fewer and shorter periods of activity re-strictions after surgery.

FEWER RISKS As with any type of surgery, there is still the risk of complications. These risks, however, are significantly less likely with laparoscopic surgery.

Laparoscopic surgery makes hernia recovery more tolerable, with a safer and easier procedure. Eventually, laparoscopic surgery will completely replace traditional methods.

Drs. Quiñones and Jarial were both trained at the Lapa-roscopic Institute at the University of Illinois in Chicago, one of the most recognized centers for laparoscopic surgery in the nation.

LEARN MORE For more information about lapa-roscopic surgery, call Dr. Quiñones or Dr. Jarial at (989) 802-8773 or visit www.midmichigan.org.


G

Q U A L I T Y C A R E

ladwin residents Ron and Carol Outlan are both ex-smokers, but they each took a different path in getting there.

Ron started smoking when he was 15 and smoked for 35 years. On his 50th birthday, he decided that after reaching this milestone in his

life, he really needed to start taking better care of himself. He smoked his last cigarette, threw the rest of the pack away and quit cold turkey. That was 10 years ago.

Carol’s story was different. She didn’t start smoking until she was out of high school. After more than 30 years, her smoking habit had increased to two or three packs of ciga-rettes a day, and she started to wheeze and have problems breathing. She began thinking of other people she had seen who were on oxygen—and that scared her.

Carol had tried to quit many times before, using patches, pills, and even a hypnotist and acupuncture, but she was unsuccessful. She really wanted to quit, but she already felt defeated.

One day while reading the Gladwin County Record, she saw an advertisement for a “Freedom From Smoking Clinic” offered by MidMichigan Medical Center–Gladwin. Three years ago this January, with the help of the clinic, she was finally able to quit smoking.

KEYS FOR SUCCESS Carol says a few things con-tributed to her success in kicking the habit. “First and

FREEDOM FROM SMOKINGGLADWIN COUPLE EACH TAKES DIFFERENT PATH TO STOP SMOKING

Gladwin residents Carol and Ron Outland were successful in quitting smoking but did it differently. For Carol, MidMichigan’s “Freedom From Smoking Clinic” gave her the support she needed to succeed.

foremost, you really have to want to quit. The group sup-port found at the ‘Freedom From Smoking Clinic’ helped me as well. Also, the instruction I received in overcoming those automatic urges to light up—like after a meal and when I used the telephone—really helped me quit for good this time.”

MidMichigan’s “Freedom From Smoking Clinic” empha-sizes unlearning a habit and does not involve scare tactics.

The goal is to make quitting a less stressful experience and to help smokers find better ways to cope with situations that ordinarily trigger lighting up. This program is based on the underlying premise that smoking is a learned habit, one people teach themselves so well that smoking becomes an automatic behavior for them, almost like breathing, eating or sleeping. Quitting then becomes a process of consciously unlearning the automatic behavior of smoking and replac-ing it with healthful new habits.

The program covers such topics as the health effects of smoking, stress management and relaxation techniques, lifestyle changes, weight control, the symptoms of recovery, the recovery process and the benefits of quitting.

HELP FOR QUITTING Instructors certified by the American Lung Association teach the clinic. Other speakers include a licensed pharmacist and a registered dietitian.

Materials used in the clinic include handouts that re-inforce each session, an audiotape on relaxation techniques

for the participant to take home, exercise and self-visualization, and videos that focus on health and lifestyle changes.

The course is one night a week for seven weeks, except for week three, when participants make their final com-mitment to quit smoking. During that week participants will have two sessions.

The clinic is held in MidMichigan Medical Offices–Gladwin, adjacent to the Medical Center. The cost is $5 per session. For more information about clinic dates, call MidMichigan Health Line toll-free at (800) 999-3199 or visit www.midmichigan.org/classes.

ACTIVE MEDICAL STAFFFamily practiceEvangeline Ancheta, M.D., (989) 246-6371Marcelino Barreto, M.D., (989) 246-6490Frank Seck, D.O., (989) 426-0810Rita Seck, D.O., (989) 426-0810James Sullivan, D.O., (989) 426-4521Christel Tecarro, M.D., (989) 246-6480Kandarp Vora, M.D., (989) 426-9259General surgeryBarbara Miller, M.D., (989) 426-0780Robert M. Patacsil, D.O., (989) 246-6450Internal medicineCheryl Loubert, M.D., (989) 246-6471Annabelle Tolentino, M.D., (989) 246-6425Internal medicine/pediatricsHicham Churbaji, M.D., (989) 426-9399

SPECIALISTSCardiologyRobert Genovese, M.D., (989) 832-0900R. Guidiapati, M.D., (989) 832-0900Tanveer Malik, M.D., (989) 832-0900N. R. Woodruff, M.D., (989) 832-0100Ear, nose and throatDavid Roden, M.D., (800) 924-1254NeurologyFaith Fuentes, M.D., (989) 839-2855

DIRECTORY OF SPECIALISTS AND SERVICESObstetrics/GynecologyYoussef Ali, M.D., (866) 234-0089Glenn Tan, M.D., (866) 234-0089OncologyMichel Hurtubise, M.D., (989) 631-3975OphthalmologyChris Bigelow, M.D., (989) 835-8191James Jackson, M.D., (989) 835-8191OrthopedicsBen Mayne, M.D., (989) 839-8865PhysiatryAlexander Iwanow, M.D., (989) 837-9150PodiatryJeffrey Stone, D.P.M., (989) 426-6120PulmonologySubramanyam Yadam, M.D., (989) 636-7010UrologyGlenn Kershen, M.D., (989) 895-2634

CARDIOPULMONARY SERVICESFor an appointment, call toll-free (888) 367-2778.Offering EKG, pulmonary function testing, Holter monitor-ing and cardiac stress testing.

EMERGENCY SERVICESAvailable 24 hours a day, seven days a week. Physicians and staff are trained in advanced cardiac life support and are on-site at all times to manage critical medical emergencies and trauma situations. Aeromedical transportation can land adjacent to the emergency room.

MIDMICHIGAN MEDICAL CENTER–GLADWIN

INPATIENT SERVICESServices are provided on a 42-bed unit. Nursing care is delivered 24 hours a day by advanced cardiac life support-trained registered and licensed practical nurses under the guidance of physicians. Telemetry is available for patients requiring cardiac monitoring.

LABORATORY SERVICESWalk-in lab.

NUTRITION AND DIABETES COUNSELINGFor an appointment, call (989) 246-6292.

RADIOLOGY SERVICESFor an appointment, call toll-free (888) 367-2778.Offering x-ray, CT (computerized tomography), MRI (mag-netic resonance imaging), ultrasound, mammography and bone density testing.

REHABILITATION SERVICESFor an appointment, call (989) 246-6272.Offering physical, aquatic, occupational, speech and mas-sage therapy.

SURGICAL SERVICESGeneral surgical services are available, including laparo-scopic surgery.


S

T

Recovering from surgery and the wear and tear of aging

can sometimes make everyday activities and household

chores a challenge. MidMichigan Visiting Nurse Support

Services offers a variety of products to help

people maintain their independence.

Rollator walkers provide safety and secu-

rity for people who find walking even short

distances challenging. The lightweight walker

offers feather-touch hand brakes for easy

control and conveniently folds up for travel

or storage.

When a person using the walker

becomes tired or needs to rest, a seat

connected to the device provides immediate relief. A

detachable basket, which fastens to the front of the

walker, also allows for easy storage of shopping bags

or personal items.

Bathing and grooming may also pose challenges

when mobility is limited. Many products

offered at MidMichigan Visiting Nurse

Support Services enable people to indepen-

dently perform personal daily activities in a

safe environment. Many sizes and types of

grab bars are available to mount to bath-

room walls or showers, ensuring stability.

Tub transfer benches, which rest over

the edge of the tub, allow people to slide

The length of stay varies with each resident. Someone who has had a knee replacement might stay 10 days totwo weeks. During the stay, daily therapy is geared to individ-ual needs and can vary from 15 minutes to three hours.

HOMELIKE AND PROFESSIONAL Each loca-tion has professional staff available full-time for physi-cal therapy and occupational therapy and part-time for speech rehabilitation. While physical therapists work on function and strength, such as the ability to walk and reach, occupational therapists work on the skills required for independent living, such as bathing, dressing, cooking and doing laundry.

“The therapy rooms are well equipped to work on many types of functional activities,” Knoff says, “and the thera-pists try to make therapy fun for residents, not grueling. They’re very warm and caring—just nice folks to work with.”

The atmosphere is much more homelike and comfortable than a hospital. Rooms are private or semiprivate. Residents can bring family pictures and other personal items. They can also have meals and socialize in the dining room, and watch television or participate in other activities in other pleasant public rooms.

“Skilled nursing facilities are different from the way they used to be,” Knoff says. “If you are willing and able to return to your previous level of activity but a rehab unit is too much for you, a skilled care facility such as MidMichigan Stratford Village and MidMichigan Gladwin Pines is a good bridge between the hospital and the point in your recovery when you’re ready to be safely independent at home.”

uccessful recovery from stroke, joint replacement or a serious fracture is a matter of time and therapy for many patients. With help they can reasonably expect to return to the independence they had before an illness or accident.

While a hospital rehabilitation unit is right for some patients, others find the required three hours of daily therapy daunting, if not impossible. These patients may have the drive and ability to recover, but because of limitations of age or physical condition, they need a gentler pace.

For these patients a short stay at a skilled nursing fa-cility may be just the right choice. MidMichigan Stratford Village in Midland and MidMichigan Gladwin Pines in Gladwin offer skilled nursing care and short-term stays for rehabilitation.

SAFE AND ENCOURAGING “A short stay at Stratford Village or Gladwin Pines can be safer, easier, more encouraging and more pleasant than going straight home from the hospital. It can be a better alternative

he diabetes self-management education pro-gram at MidMichigan Medical Center–Gladwin has earned a certificate of recognition from both the Michigan Department of Community Health (MDCH) and the American Diabetes Association (ADA) for its quality diabetes self-

management program. Diabetes education is a covered

HELPING YOU CONTROL DIABETESGLADWIN’S DIABETES PROGRAM RECEIVES CERTIFICATION

REGAIN YOUR INDEPENDENCESHORT-TERM CARE PROVIDESA GENTLE PACE FOR THERAPY

than having therapists and other caregivers come to the home or trying to move straight back into independence when you’re not sure you’re ready,” says Dennis Knoff, MidMichigan assistant vice president for rehabilitation services. “And recovery may progress faster because of access to therapy.”

“MidMichigan has been providing therapy at Stratford Village for about two years and at Gladwin Pines since 1993,” Knoff says. Both facilities also have long-term residents.

“A year or so ago, Stratford became a certified Medicare provider,” he says. “Previously, Stratford’s rehabilitation services were geared to long-term care residents, but now Stratford is also a good alternative for those with acute conditions who will benefit from short-term therapy.”

Solving MOBILITY limitations

benefit of Medicare and Medicaid as well as most private insurances.

The recognition certificate ensures that the diabetes program meets the national standards for diabetes self-management education programs and that the staff has ac-quired the appropriate knowledge, training and credentials.

EDUCATION AND SUPPORT The diabetes pro-gram offers monthly classes consisting of 10 hours of education for people who are newly diagnosed or who have had diabetes for many years. A physician referral is required. The classes include one-on-one attention as well as the opportunity to learn from others in the group.

Program participants are taught the self-care skills necessary to better manage their diabetes. The diabetes education team consists of a nurse and a dietitian who work closely with primary care physicians to help guide people with diabetes through treatment.

The program’s mission is to improve the quality of life of people with diabetes by facilitating self-management

skills. “We are very proud of receiving ADA and MDCH recognition for our program because patients can attend our program with confidence, knowing it meets the highest quality standards,” says Katy Kulick, M.A., R.D., C.D.E., at MidMichigan Medical Center–Gladwin.

The diabetes program also offers free blood sugar screenings every November, hosts a monthly diabetes support group and is planning a second annual diabetes expo this spring.

DON’T BE A STATISTIC The number of people with diabetes in Gladwin County has increased 10 percent since 2002. According to statistics on diabetes in Michigan provided by MDCH in June 2004, 1,760 people have been diagnosed with diabetes, 730 people are undiagnosed and 4,830 people have pre-diabetes. While numbers like these continue to soar, diabetes is a controllable disease, and we can teach you the skills to manage it.

To learn more, call Katy Kulick at (989) 246-6292 or Marlene Smalley, R.N., at (989) 246-6232.

across the bench and into the tub. This helps prevent

falls that often occur while stepping into the tub and

allows people to sit down while bathing.

To learn more about products that increase inde-

pendence, visit MidMichigan Visiting Nurse Support

Services’ Gladwin showroom at 1277 E. Cedar Ave.

(M-61), southeast of Pamida, or call (989) 246-2500

or toll-free at (800) 388-7721.

For many folks, a short stay at a skilled nursing facility may be just the right choice.

O U R S E R V I C E S

The Gladwin showroom for MidMichigan Visiting Nurse Support Services is at 1277 E. Cedar Ave.


F

To learn more

about your risk

of heart disease

and what you can do to prevent

and treat it, you are invited to join

cardiologist Rodney Diehl, D.O.,

on Tuesday, February 22, as he

presents “Prevention and Treat-

ment of Heart Disease.”

The program will be held at

MidMichigan Health Park–

Mt. Pleasant, 4851 E. Pickard St.

Registration is free; call (989) 775-1650 or register

online at www.midmichigan.org/classes.

f you read the newspaper or watch television, you’re likely to know that heart disease is the leading cause of death for Americans. You might also know that you can help protect yourself from heart disease by not smoking, eating a healthy diet and getting regular rest.

But unless you or someone close to you has heart disease, you might not know about the medical tests that doctors use to diagnose coronary artery disease.

“After we key in on and modify the risk factors for heart disease, early detection is the next step,” says cardiologist Rodney Diehl, D.O., of Michigan CardioVascular Institute. He says that cardiac testing offers a means of detecting changes in the heart and the arteries surrounding the heart. By employing one or more of the many tests available, doctors can either diagnose new cases of heart disease or monitor progression of the disease in someone who already has it. Test results are used to determine the next course of treatment, including procedures such as angioplasty or bypass surgery.

While today’s tests are precise and therefore helpful, ex-plains Dr. Diehl, there are even better tests on the horizon. The new procedures are expected to be able to detect heart disease earlier and be even less invasive than some existing procedures, he says.

Dr. Diehl also says that within the next five years, physicians will be able to use cardiac MRI (magnetic resonance imaging), high-resolution CT (com-puterized tomography) scans, PET (positron emission tomography), CT scans of the heart, 3-D echocardiograms and PET stress testing.

“The new tests being researched and piloted now will help diagnose coronary artery disease earlier than ever before,” Dr. Diehl predicts.

People with risk factors for heart disease or a family history of heart disease should not wait, advises Dr. Diehl. He recommends seeing your family physician for a medi-cal history and physical exam. Your family physician may then order tests or send you to a cardiologist for testing. It often takes a combination of tests to complete the picture of your heart.

The American Heart Association lists the following tests as some of the ones most commonly used to detect coronary artery disease: Electrocardiogram (ECG or EKG). Electrodes are at-tached to your arms, legs and chest to map the electrical activity of your heart. The EKG detects abnormal rhythms

H E A R T D I S E A S E

CARDIAC TESTING

SEARCHING FOR SOLUTIONS

FREE EVENTPrevent heart disease

I

The new tests being researched will help diagnose

coronary artery disease earlier than ever.

Cardiologist Rodney Diehl, D.O.

and heart muscle damage, and can help tell whether a patient with chest pain is having a heart attack. According to Dr. Diehl, it’s often the first test doctors order. Treadmill test. EKG wires and other instruments monitor your breathing, blood pressure and heart as you exercise on a treadmill. Results can show ischemia (areas of poor blood supply) and how well you are responding to heart disease treatments. Nuclear scan. Also called a thallium test, it shows areas of ischemia and problems with the heart’s pumping action. A special camera takes pictures after a small amount of a radioactive substance is injected into a vein. This test is done either at rest or with exercise. Echocardiogram. Similar to how submarines use sonar, an echocardiogram uses ultrasound waves to create moving images of your heart. It looks at heart muscle and valves, and can evaluate murmurs. Stress echocardiogram. This takes ultrasound pictures before and after exercise. It can detect abnormal changes in the motion of the heart wall that could indicate ischemia. Transesophageal echocardiogram (TEE). A special

narrow ultrasound transducer is passed down your throat and into your esophagus to provide a close look at your heart. A TEE can give much better images than a regular echocardiogram, especially in some people. Holter monitor. This is a small tape or digital recorder that can be carried at your shoulder or waist. It is connected to electrodes on your chest and records heart activity for 24 hours. An event monitor is similar to a Holter monitor, but it records your heart activity only when you feel a symptom and push the button on the recorder. Cardiac catheterization. Often called the “gold standard” for detecting and assessing coronary artery disease, cardiac catheterization (also known as coronary angiography) can clarify results from other tests. Doctors thread a thin tube through a vein or artery up to your heart and then inject a contrast agent that shows up on an x-ray. According to Dr. Diehl, this test can show the precise location of any narrowing in coronary arteries. Other tests. Doctors also use chest x-rays to see the size and shape of a heart, and blood tests for markers that can indicate a recent heart attack.

or a parent with a preteen or young teen, it can be a startling realization the first time his voice deepens or cracks. It is all part of growing up—little boys becoming young men.

Understanding the changes that occur as they grow is important, not only for parents’ well-being

but for the young men as well.“Open communication about the physical and emotional

changes that occur as a preteen becomes an adolescent is key to a healthy outlook for boys,” says family practice physician Jeff Striebel, D.O., MidMichigan Health Park–Mt. Pleasant.

Adolescence can be exciting but also confusing and sometimes frightening for boys. There are many emotions and questions surrounding the physical and emotional changes that are taking place.

To alleviate fear and provide information for young men and their fathers, Dr. Striebel will present the program “From Boys to Men” at MidMichigan Health Park–Mt. Pleasant, 4851 E. Pickard St., on Thursday, March 17, at 6 p.m. This free program emphasizes open communication between fathers and sons, and discusses puberty-related physical, intellectual, social and emotional changes, and good health.

“We take an interactive approach in this program,” Dr. Striebel says. “Fathers and sons are encouraged to participate at their comfort level by identifying positive ways to handle these changes.” Another male role model may accompany a young man to the program if his father is not available. A light supper will be provided.

To register for “From Boys to Men,” call MidMichigan Health Line at (989) 775-1650 or toll-free at (800) 999-3199, or visit www.midmichigan.org/classes.

ESPECIALLY FOR FATHERS AND SONSFamily practice physician Jeff Striebel, D.O.


T

L U N G H E A L T H

Appetite and weight loss. If you experience any of these symptoms, you should see your doctor right away. Your doctor will most likely want to run some tests—especially if you smoke or have other risk factors for lung cancer.

By using tests specifi c for lung cancer detection, your doctor can choose the best treatment for the kind of lung cancer you have.

The most common form of the disease is called non-small cell lung cancer. It grows more slowly than small cell lung cancer.

Your doctor will also use the tests to determine what stage the disease is in, or how advanced it’s become.

For example, early-stage lung cancer exists only in lung cell layers and has not spread. In later stages, the cancer may spread to distant parts of the body, such as the lymph nodes, liver, bones or brain.

TREATMENT OPTIONS Treatment plans for lung cancer depend on individual needs, but the most common involve: Surgery to remove the cancer. Chemotherapy drugs to kill cancer cells throughout the body. Radiation therapy to kill cancer cells or shrink tumors. Photodynamic therapy to kill cancer cells using lasers.

Recent studies suggest that some patients may also benefi t from promising new treatments.

Dr. MacDonald recommends talking to your physician about the latest treatment options. “Don’t be afraid to ask your physician if a clinical trial would be right for you,” she says. “Physicians want their patients to have the most cutting-edge therapies and treatments available.”

As improvements in treatment options increase, so will the number of people who call themselves “former lung cancer patients.”

Dr. MacDonald says, “That is a day to look forward to.”

hey are words you never want to hear: “You have lung cancer.”

If you have heard those words from your doc-tor, you know how frightening they can sound. And if a friend or loved one has been diagnosed, you know how overwhelming it can seem.

“Lung cancer is a devastating disease in Michigan, the United States and throughout the world,” says MidMichigan medical oncologist Diane MacDonald, M.D. “As more people stop smoking and better cancer treatments are discovered, we are making progress toward a day when lung cancer is considerably reduced,” she says.

With these new treatments and early detection, people with lung cancer have better options in fi ghting the disease. And new drugs and tests on the horizon could potentially save thousands of lives.

“There are 150 drugs in development for lung cancer,” says researcher Paul A. Bunn Jr., M.D., former president of the American Society of Clinical Oncology. “Some of them will undoubtedly become approved drugs for treatment. And they’re going to make survival better, one drug at a time.”

Future genetic research will also help combat lung cancer, Dr. Bunn predicts. And researchers hope one day to establish effective screening tests for the disease.

“You win the game,” says Dr. Bunn, “with single hits put together—not with one home run.”

PREVENTION FIRST New treatments that may improve survival are certainly necessary for fi ghting lung cancer. But even more important, say doctors, is preventing the disease in the fi rst place. And lung cancer is largely preventable. Smok-ing cigarettes or other tobacco products causes nearly 90 per-cent of cases, the American Lung Association reports.

The best way to fight the disease is to never start smoking—or to quit.

“We are beginning to see great strides toward reducing smoking, and this will have an impact on the number of lung cancer diagnoses,” Dr. MacDonald says.

Lung cancer is the leading cause of cancer death for men and women in the United States. It kills more people than colon, breast and prostate cancers combined, according to the American Cancer Society.

SYMPTOMS AND DETECTION What makes lung cancer such a deadly disease is that it is often diagnosed late, when treatment is less successful. That’s because it doesn’t always cause symptoms in its early stages. When symptoms do strike, they include: Chronic coughing. Short-ness of breath, wheezing or hoarseness. Coughing up blood or rust-colored phlegm. Recurring pneumonia or bronchitis. Face and neck swelling. Chest pain.

FREE EVENT Lung cancer detection and treatmentMedical oncologist and hematologist Diane

MacDonald, M.D., of MidMichigan Physicians Group,

will present the most up-to-date cancer

detection and treatment options for lung cancer on

Wednesday, April 27, 6:30 p.m.,

at MidMichigan Health Park–

Mt. Pleasant.

Dr. MacDonald is co-founder of

the Michigan Lung Cancer Clinic.

She will join nurse practitioner

Cynthia Munro, C.N.P., a member

of the faculty of Michigan State

University, to explore the causes,

symptoms, diagnosis and treat-

ment for lung cancer.

To register for this free

program, call MidMichigan Health

Line toll-free at (800) 999-3199

or visit www.midmichigan

.org/classes.

MIDMICHIGAN PHYSICIANS GROUPFor an appointment, call 775-1610 or toll-free (866) 247-4419.H. William Beebe, D.O., family practiceCaroline Kramer, Ph.D., M.D., family practiceJeffrey Striebel, D.O., family practice

SPECIALTY SERVICESFor an appointment, call the physician’s offi ce or MidMichigan Health Park, 775-1600 or toll-free (888) 260-6433.Richard Bartling, D.D.S., oral surgeryKent Biddinger, M.D., orthopedicsHerbert Camp, M.D., ear, nose and throat (ENT)Brian Copeland, M.D., neurosurgeryPaul Diefenbach, M.D., neurosurgeryRodney Diehl, D.O., cardiologyCheryl Dwyer, D.O., OB/GYNFaith Fuentes, M.D., neurologyAlex Iwanow, M.D., physical medicineTodd Laughner, D.P.M., podiatryShirley Layko, M.D., OB/GYNDiane MacDonald, M.D., medical oncology/hematologyMeihui Ma, Ph.D., M.D., neurologyJohn V. Murphy, D.O., orthopedicsErnest Ofori-Darko, M.D., gastroenterologyRichard Poupard, D.D.S., oral surgeryKathleen Regan, M.D., psychiatryLarry Skoczylas, D.D.S., M.S., oral surgeryDavid Snider, D.P.M., podiatryDenise M. Stadelmaier, D.O., orthopedicsRenee Sundstrom, D.O., OB/GYNLydia Watson, M.D., OB/GYNHarris Weaver, M.D., rheumatology

CARDIOVASCULAR SERVICESFor scheduling, call toll-free (888) 367-2778. Cardiolite stress testing. Echocardiography and stress testing. Vascular ultrasound.

COMMUNITY EDUCATIONCall MidMichigan Health Line, 775-1650, for presentations in Isabella County about health-related topics.

LABORATORY SERVICES—WALK-IN LABProvided by MidMichigan Medical Center–Midland. Open Monday through Friday, 7 a.m. to 5 p.m.

NUTRITION AND DIABETES COUNSELINGCall toll-free (800) 727-3123.

RADIOLOGY SERVICESFor an appointment, call toll-free (888) 367-2778. Bone densitometry, mammography, ultrasound and x-ray.

REHABILITATION SERVICESFor an appointment, call 775-1662 or toll-free (888) 260-6433. Aquatic therapy. Massage therapy. Occupational therapy. Physical therapy. Speech therapy.

SPECIALISTS AND SERVICES

MIDMICHIGAN HEALTH PARK–MT. PLEASANT

Medical oncologist Diane MacDonald, M.D., practices at MidMichigan Gratiot Cancer Center in Alma and MidMichigan Health Park–Mt. Pleasant.

LUNG CANCER TREATMENTS

WHERE ARE WE TODAY?


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