Nonprofit Org. U.S. Postage PAID Platteville, WI Permit No. 7 4005 Orchard Drive Midland, MI 48670

ourourREACHING RESIDENTS THROUGHOUT THE MIDDLE OF MICHIGAN ● MAY/JUNE/JULY/AUGUST 2 0 0 7

Getting emergency treatment quickly and taking good care of their MidMichigan hearts has enabled these cardiac survivors to return to the activities makes 100 Top they love. From left: Bud Carpenter, John Dunford, ® Paula Koontz, Jim Judge and Carol Formsma. Hospitals list idMichigan Medical Center–Midland is setting new national standards for clinical out- comes, patient safety, fi nancial performance, effi ciency and growth in patient volume. The Medical Center has been named one of the nation’s 100 Top Hospitals® by Solucient®, part Mof Thomson Healthcare, a leading provider of information and solutions to improve the cost and quality of health care. Gratiot Medical Center in Alma, an affi liate of MidMichigan Cardiac ‘Survivors’ Health, also was named on the list. The Solucient 100 Top Hospitals: National Benchmarks for NOT UNLIKE THE CASTAWAYS ON THE HIT Alma and Midland. It also offers specialized cardiac reha- Success study annually examines changing performance levels REALITY TELEVISION SERIES SURVIVOR, PEOPLE bilitation in fi ve convenient locations, in-home care and in U.S. hospitals and objectively identifi es 100 benchmark RIGHT HERE IN THE MIDDLE OF MICHIGAN recovery care through MidMichigan Visiting Nurse Associa- hospitals based on overall performance. The study uses a bal- are battling to stay in the game longer. However, the stakes tion, community education and a wide range of treatment anced scorecard approach and scores hospitals based on a set are higher in the game of life they’re playing. options, including pacemaker implantation. of measures that refl ect highly effective performance across the You likely haven’t seen Carol Formsma, Bud Carpenter, In 2005 MidMichigan began providing emergency whole organization, including board members, medical staff, John Dunford, Jim Judge or Paula Koontz sporting angioplasty, a lifesaving procedure for many heart attack management and employees. These include patient outcomes, Survivor bandanas while trying to start a campfi re on a patients. MidMichigan Medical Center–Midland was the patient safety, national treatment standards (core measures), remote island or decipher “tree mail” clues, but all fi ve fi rst facility in the state approved to offer this service with- effi ciency, fi nancial stability and growth in service. have conquered physical challenges, such as leaking heart out an on-site open-heart surgery program. As a result of the measures, the Top 100 Hospitals dis- valves and blocked arteries, with help from the affi liates of tinction was given to MidMichigan Medical Center– MidMichigan Health. COMPrEHEnSIVE CArE Beginning in summer 2007, Midland in the teaching hospital category. patients will benefi t from even more extensive heart care “We are pleased to have earned this recognition as a A WILL TO SuCCEED Cardiac survivors tend to when MidMichigan adds open-heart surgery, elective leader in setting new national standards in health care,” have a will to succeed, says Jan Penney, R.N., M.S.N. As angioplasty and electrophysiology services to its current says Richard M. Reynolds, president and CEO of director of cardiovascular services at MidMichigan Medical cardiovascular capabilities. MidMichigan Medical Center–Midland. “This distinction, Center–Midland, she’s proud that MidMichigan offers “With our expanded services, those patients who would coupled with having recently received the 2007 Distin- the services these survivors need to make the most out have had to travel for surgery will be able to have it here in guished Hospital Awards for Clinical Excellence and Patient of life. Midland,” Penney says. “Patients will be able to have all of Safety for the third year in a row, truly validates the dedi- “If they’re going to cardiac rehabilitation, making life- their tests and procedures within our system, which will cated focus of our physicians, staff and volunteer team.” style changes and getting the follow-up care they need, help us offer a better continuity of care.” The full list of honorees may be found at they’re showing that they’re not going to allow this to hold For more information on MidMichigan’s comprehensive www.100tophospitals.com. The 2006 winners from the 14th them back,” Penney says. cardiovascular program, visit www.midmichigan.org/heart. edition of the study have been announced in the March 12, Through its four hospitals in Alma, Clare, Gladwin and For a referral to one of our experienced cardiologists, call 2007, issue of Modern Healthcare. Midland, MidMichigan provides state-of-the-art emergency MidMichigan Health Line toll-free at (800) 999-3199. To learn more about measurable care and advanced diagnostic Above all, listen to your heart and be a survivor too. If qualities at MidMichigan Health, testing, including cardiac you experience any warning signs of heart attack, “Don’t visit www.midmichigan.org/ catheterization in Wait. Don’t Drive. Dial 911.” quality. read the Survivors’ 3 DONOR LIST RECOGNIZING YOUR SUPPORT 4 CALENDAR SIGN UP FOR A SUMMER CLASS stories—turn to page 2 8 HEALTHGRADES MIDMICHIGAN RECOGNIZED WWW.MIDMICHIGAN.ORG InSIDE H e A lt H Cardiac ‘Survivors ’ tell their stories Carol Formsma, Coleman three other weekday mornings. Bud has been swimming showed that while his two main coronary arteries were After Carol found out about a heart for about 43 years, and he estimates he has logged more open, several smaller arteries were clogged—causing a murmur during an examination than 9,500 water miles. condition known as “angina pectoris.” with her family doctor, she under- “Cardiac rehab did more than strengthen my heart,” Bud Jim’s chest pain was treated with medication, and he went testing, including a cardiac says. “It has rebuilt my confi dence and made me stronger was given a nitroglycerin patch to wear for several weeks stress test at MidMichigan Medical than I was with swimming alone, which also helps with to help relax the blood vessels. Today he no longer wears a Center–Midland to better diagnose my osteoporosis.” patch but carries a nitroglycerin pill to take immediately the problem. Tests showed that a if he begins to experience any more pain. valve in Carol’s heart was not per- John Dunford, Midland “I consider myself lucky,” Jim says. “I feel blessed to have forming as it should and that two John sought help from his physi- it diagnosed, and I can get on with life.” of her arteries were completely plugged. cian after breaking into a sweat Carol underwent open-heart surgery to replace the valve and having difficulty breathing Paula Koontz, Gladwin and bypass two arteries. Following recovery, she began car- during a short walk. A heart cath- Paula was regularly walking four diac rehabilitation at MidMichigan Medical Center–Clare. eterization to measure the health miles a day and had managed to Rehabilitation specialists monitored her heart rate and of coronary arteries showed that lose 100 pounds and keep it off rhythm to ensure that she was exercising enough to recover, 90 percent of them were blocked. for eight years. So when she had but not so much that it would cause further harm. Just a Following triple bypass open- trouble breathing during a shop- half-year after undergoing open-heart surgery, Carol and heart surgery, John received car- ping trip with her daughter, it her husband traveled to Egypt. diac recovery care in his own home through MidMichigan caught her by surprise. “I’m glad I did it,” Carol says. “Having the surgery and Visiting Nurse Association and then entered MidMichigan Luckily her daughter called an rehabilitation gave me confi dence that I could go out on my Medical Center–Midland’s cardiac rehabilitation program. ambulance right away. Paula was own or exercise and do as I wanted to.” He also attended a series of heart awareness seminars at diagnosed with a faulty heart valve and underwent open- MidMichigan Medical Center–Midland, which helped him heart surgery to replace it with a mechanical valve. Bud Carpenter, Midland change his eating habits. Now he is eating smarter and is After her surgery, Paula entered MidMichigan Visiting Following open-heart surgery looking forward to returning to the basketball court with Nurse Association’s (VNA’s) in-home recovery program. to replace his aortic valve, Bud a team sponsored by his church. Nurses provided monitoring and education a few times a has continued to receive ongoing “I thought my life was good before I received heart care, week in her home, and a telehealth device prompted her support from programs available but it’s been much fuller since,” John says. “I have more to measure her vital signs and transmit the data to VNA through MidMichigan. energy and get more done during the day.” between visits for additional monitoring. MidMichigan Visiting Nurse While she must still see her cardiologist every six Association (VNA) nurses visited Jim Judge, Mt. Pleasant months for a checkup, Paula is back to doing the things Bud’s home three to four times Jim fi rst experienced chest pains she loves. a week for about three weeks to while caring for the cattle on his “I didn’t watch my grandkids while I was recuperating. I monitor his progress. Once Bud was healthy enough, he dairy farm. When the pains re- was so glad when I could get back, so their life could return was sent to the second phase of cardiac rehabilitation at turned during church the next day, to normal,” she says. “I’m going to live every day like it was Campus Ridge Rehabilitation Services at MidMichigan his wife insisted on driving him my last.” Medical Offi ces–Campus Ridge. to the emergency department at Now Bud is in phase three of rehabilitation, a program Gratiot Medical Center in Alma, an GET THE WHOLE STOrY Read more about these that offers the added security of professional supervision affi liate of MidMichigan Health. fi ve survivors by visiting www.midmichigan during exercise. He goes to cardiac rehabilitation two days Jim was admitted to the car- .org/testimonials and clicking on “Cardiovascu- a week and swims at the Midland Community Center the diac care unit for observation, and a heart catheterization lar Services” in the menu on the right. MidMichigan goes tobacco-free January 2008 s a leader in providing for and increasing the cigarettes, cigars, pipes or other lighted smoking devices. that can cause strokes. Regardless of age or smoking history, health and well-being of the communities it Use of these tobacco products will not be permitted on quitting has immediate health benefi ts. serves, MidMichigan Medical Center–Midland the MidMichigan Medical Center campus. This includes has adopted a tobacco-free environment, effective medical offi ce buildings, buildings being constructed or GET THE HELP YOu nEED To help smokers January 1, 2008. renovated, leased offi ces, other temporary structures, and kick the habit, MidMichigan offers a number of smoking The tobacco-free policy is in accord with the medical center vehicles. Employees and visitors who must cessation opportunities for the community, including the AMichigan Hospital Association’s Campaign for Smoke-Free smoke will only be allowed to do so in their own closed, Freedom From Smoking program. The program is based Hospitals recommendation that hospitals implement a private vehicle. Smoking cessation support, including loz- on the premise that smoking is a self-taught behavior that smoke-free policy by January 1, 2008. enges and gum, will be available to all. needs to be unlearned. Healthy new alternatives to smok- “Demonstrating healthy behaviors is important to us,” “The health of all the lives we touch is and always has ing will be discussed. Topics include the health effects of says Richard M. Reynolds, MidMichigan Medical Center– been our priority,” Reynolds says. “By making our environ- smoking, stress management and relaxation techniques, Midland president and CEO. “In order to provide compre- ment tobacco-free, we are addressing one of the largest lifestyle changes, weight control, the symptoms of recovery, hensive, high-quality care, we are making the commitment health risks the nation as a whole is facing today.” the recovery process, and the benefi ts of quitting. Programs to create a healthy and safe, tobacco-free environment for In addition to many forms of cancer, smokers are twice are available in Alma, Clare, Gladwin and Midland. patients, visitors and employees.” as likely to die from heart attacks as are nonsmokers. For more information on the Freedom From Smok- Smoking is also a major risk factor for peripheral vascular ing program, call MidMichigan Health Line toll-free at WHAT PrODuCTS ArE BAnnED? The ap- disease, narrowing of the blood vessels that carry blood to (800) 999-3199. Or to learn more on additional smoking proved policy defi nes tobacco products as chewing tobacco, the leg and arm muscles, as well as cerebrovascular disease cessation programs, visit www.midmichigan.org/quit.

May/June/July/august 2007 2 t o y o u r h e a l t h F u n d D e v e l o p m e n t

Mr. and Mrs. F. A. Delaney Elma DeLine Dame Judi Dench Mr. and Mrs. Robert DeNooyer Mr. and Mrs. Thomas Dergazarian Mureil Dersnah Dr. and Mrs. William Dery Design Craftsman, Inc. Detroit Red Wings Detroit Shock–WNBA Detroit Tigers Mr. and Mrs. Bart Dexter Recognizing Kristine Dexter Marlene Diak Mildred Dickson Sheila Dickson Our Mr. and Mrs. Wendell Dilling Mr. and Mrs. Raymond Dinkel Celine Dion Donors Mr. and Mrs. Henry Dishburger Mr. and Mrs. Joseph Dissette Mr. and Mrs. Arthur Dittenber Mr. and Mrs. Derek Dittenber Stephanie Bashore Mr. and Mrs. Gary Brookhouse Dr. Sheree Clark and Dr. Carl Lovell Mr. and Mrs. Mark Dittenhafer Our Supporters Mr. and Mrs. Lewis Bauder Mr. and Mrs. Lawrence Brown Mr. and Mrs. David Clayton Junia Doan Dennis Bauer Pamela Brown ClearRiver Communications Group We are honored to recog- The Doan Family Foundation Mr. and Mrs. Karl Bauman Mr. and Mrs. Rod Brown Dr. and Mrs. William S. Cline Gail Dobbins nize those who supported James Baxter and Carole Calvert- Mr. and Mrs. William Brown Ivah Cobb Helen Dockham Baxter Mr. and Mrs. Virgil Brownlee Coffey Communications, Inc. “Blessed are MidMichigan Medical Jeanne Dodd Mr. and Mrs. Badger Beall Lynn Bruchhof Mr. and Mrs. Robert Coffield Mr. and Mrs. John Doering Center–Midland from Sandi Beaudoin Joy Buchanan Denise Cole The Dollywood Foundation Dr. and Mrs. Michael Beaulieu Offices of Dr. Scott M. Buckingham Coleman Electric, Inc. January 1 to December 31, Gus Dombroske those who Mr. and Mrs. Donald Beckwith and Dr. John E. Kaminski Coleman Order of Eastern Star Chelsea Dominowski 2006: Maxine Beeman Betty Buckley Mr. and Mrs. Zane Collings Dr. Virginia Donald and Mr. Robert Roberta Beery Jimmy Buffett Mr. and Mrs. Kevin Collins Donald can give Mr. and Mrs. Richard Abel Mr. and Mrs. James Beeson Elizabeth Bugala Colonial Williamsburg Foundation Mr. and Mrs. Norman Donker Karen Able Mr. and Mrs. Robert Belfit Jr. Mr. and Mrs. Edward Bullard Mr. and Mrs. George Congdon The Honorable Robert Donoghue Absolute Building Maintenance Bellauris—Paige Riopelle Pamela Burke Connie’s Cakes Doonesbury Ace Hardware & Sports Donna Bennett Margaret Burkhart Consumers Energy Foundation Dr. and Mrs. Linneaus Dorman without Anne Acker Mr. and Mrs. Jeffrey Bennett James Burlingame Contemporary Review Club Lucille Dougherty Carole Adams Paula Ann Bennett Mr. and Mrs. Al Burmester Contours Express Dr. Robert Douglas Mr. and Mrs. Adelberto J. Adan Robert Bennett Mr. and Mrs. Gary Burns Mr. and Mrs. Bill Cook The Alden and Vada Dow Family Myrna, Tim and Janell Adaway Bennigan’s Grill & Tavern Burnside & Lang, P.C. Norma Cook Foundations remembering Mr. and Mrs. Franklyn Aerstin Mr. and Mrs. Dale Bensch William Busch Richard Cook The Dow Chemical Company Aetna, Inc. Carol Bentley The Rev. and Mrs. Ira Bush Mr. and Mrs. Arthur Cooke The Dow Chemical Company Mr. and Mrs. Carl Ahearn Patricia Beré Mr. and Mrs. Mark Bush Mr. and Mrs. James Cooper Foundation and take Phyllis Ahearn Mr. and Mrs. Stuart Bergstein Dr. and Mrs. Raymond Bush Mr. and Mrs. John Coppens Dow Corning Corporation Alden B. Dow Home & Studio Dawn Berlin Mr. and Mrs. Stephen Bush David Copperfield Dow Gardens Mr. and Mrs. Arnold A. Allemang Mr. and Mrs. Donald Berner Mr. and Mrs. Gary Buske Mr. and Mrs. Emerson Corbat H. H. Dow High School Honors Mr. and Mrs. Duane Allen Cheryl Berry Kay Butler Mr. and Mrs. Richard Corbat Ensemble without Dr. and Mrs. Jeffery Allen Mr. and Mrs. Donald Berry Walter Buzanowski Mr. and Mrs. Donald Cormier The Herbert H. and Grace A. Dow Alterations and Purses by Laura Lynn Mr. and Mrs. Donald Beshgetoor Café American Michael Costa Foundation Amylin Pharmaceuticals, Inc. Laurie Beuthin Mr. and Mrs. Victor Caldecourt Dorothy Coultrip Dr. and Mrs. Richard Drimalla forgetting.” Mr. and Mrs. Gary Anderson Diane Biby Mrs. R. Caldwell Mr. and Mrs. Darryl Crabb Dr. and Mrs. Jan Drlik Mr. and Mrs. Jay Anderson Big Boy Restaurants Mr. and Mrs. Steve Calkins Ginny Cradall Jeanine Drouin Mr. and Mrs. Robert Anderson Margo Biggs Dr. and Mrs. Herbert Camp Tim Craig Mr. and Mrs. Roy Ducham —Elizabeth Bibesco Amy Anderson-Messick Dr. Wendy Biggs and Mr. Ray Biggs Norma Camp Mr. and Mrs. Kenneth Craven Dr. and Mrs. Dale Ducommun Julie Andrews Kelly Bishop Mr. and Mrs. Charles Campbell Creative Spirit Center, Inc. Mr. and Mrs. Richard M. Dudzik Maya Angelou Mr. and Mrs. Matt Bishop Mr. and Mrs. Curtis Campbell Mr. and Mrs. Floyd Crockett Romia Dudzik Mr. and Mrs. William Annelin Mr. and Mrs. Robert Bishop Judith Campbell Thelma Crockett Mr. and Mrs. Roy Dunlap Aon Consulting Health and Benefits C. Kenneth and Joyce C. Bjork Mr. and Mrs. Warren Campbell Leon and Patricia Crossman Mr. and Mrs. David H. Dunn Dorothy Doan Arbury Mr. and Mrs. R. Drummond Black Mildred Card Mr. and Mrs. Randolph Croyle Mr. and Mrs. Leroy Dunn Ann Archuleta Mr. and Mrs. Ralph Blackketter Mr. and Mrs. John Cardella Crystal Clear Ice Susan Dusseau Angela Armstrong Mr. and Mrs. Frederick Blanchard Mr. and Mrs. Ronald Dutcher Patricia Armstrong Sandra Blank and Douglas Nye Mrs. Marion Dymond Mr. and Mrs. David Arnold Mr. and Mrs. Wayne Blaser We have made a sincere effort to accurately Mr. and Mrs. Wallace F. Dyste Mr. and Mrs. Donald Blasy Mr. and Mrs. Robert Arnold recognize every contribution. However, if an error Mr. and Mrs. Jack Eadie Sheila Arnold Joyce Blenkhorn Mr. and Mrs. Christopher Eckert Martin Arron Marian Blenkhorn has occurred, please accept our apologies and Mr. and Mrs. John Eesley Blessed Sacrament Church Mr. and Mrs. Kendal Arthur notify MidMichigan’s fund development department Rita Egan Mr. and Mrs. Richard Arthur Blessed Sacrament Ladies Group Alice Ehlers Alicia Asadorian Mr. and Mrs. Olin Blessing at (989) 839-3342 so we can correct our records. Mr. and Mrs. John Ehrmantraut Elva Blymyer Ashman Court Marriott Conference Thank you. Katherine Elder Hotel Body Harmony Spa The Rev. William T. Elliott Therese Ashmore Eunice Boelkins Shirley Elsen Assumption Catholic Church Jane Boice Dale Emeott Mr. and Mrs. Edward Bolander Mary Lou Carey Eleanor Currie Christian Service Dr. and Mrs. Donald B. Carlsen Laura Currie Myrtle Emerson Assumption of the Blessed Virgin Mary The Bold and the Beautiful cast Christy Eshleman Dr. and Mrs. Frank Bolenbaugh Paula Carlson Mary Currie Church Women’s Group Mr. and Mrs. Peter J. Carras Custom Maids Estep Painting Jon Athey Mr. and Mrs. Charles Bond Everett Carpet Company Lois Bonham Shirley Carrington Customer Potential Marketing Group, Auburn Greenhouse and Florist, Inc. Carry on the Hope Auction supporters Inc. Mr. and Mrs. James Fabiano Mr. and Mrs. Dave Avery Mr. and Mrs. Michael Boots Mrs. James Falender Carol Bornsheuer Mr. and Mrs. Herbert Carter Mr. and Mrs. James Czyzewski Jan Ayres Dave Catalano Jan Daniels Dale Fales Mr. and Mrs. Clyde Babcock Mr. and Mrs. Roger Borrousch Mr. and Mrs. Robert Farison Mr. and Mrs. Richard Boundy Mr. and Mrs. John Catalano Maxine Daniels Mr. and Mrs. Jim Bacon Mr. and Mrs. Michael Cauchy Dolores Daudt Farm Bureau Insurance/Laetham Mr. and Mrs. James Bader Mr. and Mrs. James Bourne Agency Anita Bousu Centre Lodge No. 273 Mr. and Mrs. Jay Dauer Margaret Bailer Veronica M. Cermak Mr. and Mrs. Stephen Dausey Mr. and Mrs. Leo Fath Mr. and Mrs. William Bailey Yvonne Bowers Dorothy Fauver Victoria Bowes Barbara Chapman Mr. and Mrs. Merlin Davey Dr. and Mrs. James Bakeman Mr. and Mrs. Richard Chase Mr. and Mrs. John Davidson Mr. and Mrs. Gregg Fazzoni Mr. and Mrs. Gary Baker Ida Boyce Feeny Chrysler Plymouth Mr. and Mrs. Glenford Boyle Chemical Bank Laura Davidson Mr. and Mrs. Leroy Baker Elizabeth Chenoweth Davis and Davis Orthodontics Mr. and Mrs. Michael Feider Mr. and Mrs. Philip Baker Phyllis Bradfield Kristine Fenske Edwin Bradford Graham and Chris Chesny Days of Our Lives Mr. and Mrs. Thomas Baker Chicago Bulls Mr. and Mrs. Dale Dean Gloria Fenskie Mary Bandeen Mr. and Mrs. Tom Bradford Mr. and Mrs. Robert Ferchau Jane Bradley Chiron Corporation Marie Dean Mr. and Mrs. Donald Bantien Mr. and Mrs. Robert Christy Dean Black School of Performing James Ferrier Mr. and Mrs. R. W. Barker Mr. and Mrs. E. Ned Brandt Mr. and Mrs. Richard Fibiger Toy Breault Circle Auto Parts, Inc. Arts, Inc. Mr. and Mrs. Harry Barling City of Midland Mr. and Mrs. J. DeBoer Evelyn Fick Mr. and Mrs. Charles Barry Lenin Brenes Mr. and Mrs. Donald Fillmore Dr. and Mrs. Frederick Brenner Barbara Clark Mr. and Mrs. Tom DeFauw Donna Bartee Mr. and Mrs. Jess Clark Mr. and Mrs. Donald Deibert Mr. and Mrs. Donald Findlay Dr. and Mrs. Michael Bartlett Roger Briggs Sophia Finney Mr. and Mrs. Colin Broddle Mr. and Mrs. O. J. Clark Mr. and Mrs. Cline De Jongh Mr. and Mrs. John N. Bartos Peggy Clark Marylou Dekau First United Methodist Church Mr. and Mrs. James Bromley —Continued in insert

May/June/July/august 2 0 0 7  t o y o u r h e a l t h To register for any program May or to learn more: Paths to good Call MidMichigan Health Line at (989) 837-9090 or June toll-free at (800) 999-3199. Visit our Web site at www.midmichigan.org/ July classes. unless otherwise noted, Aug.Advance noticeHEALTH is needed to make ar range ments for people with disabilities. Call all programs are free. MidMichigan Health Line for a phy si cian referral, directions to any Mid Mich i gan affiliate or to report duplicate mailings of To Your Health.

COMMunITY HEALTH ■ Tuesday, June 5, 6:30 p.m. AnD EDuCATIOn MidMichigan Medical Offi ces–Gladwin, Community Education Room Pre-Diabetes: ■ Tuesday, June 12, 6:30 p.m. Steps to Healthy Living Gratiot Medical Center, Diabetes affects 21 million Americans. Modular Classroom #1 Risk factors include having a family history ■ Tuesday, June 26, 6:30 p.m. of the disease, being overweight and hav- MidMichigan Health Park–Houghton Lake, ing an inactive lifestyle. Steps to Healthy Lower Level Conference Room Living is a three-session weight manage- ment and exercise series for those at Managing Menopause increased risk of type 2 diabetes. Par- There are now more choices than ever ticipants will use a pedometer to monitor for managing the short-term symptoms exercise progress, and the fi nal session and long-term health risks associated will include a virtual grocery store tour. with menopause. Please join MidMichigan Wednesdays, May 9, 16, 23 experts for a discussion on menopause 6–7:30 p.m. symptom treatment and how to preserve MidMichigan Medical Offi ces–Midland, bone, heart and emotional health. Towsley Conference Room ■ Wednesday, May 16, 6:30 p.m. $35 per person or $50 per couple MidMichigan Medical Offi ces–Midland, Towsley Auditorium ® AARP Driver Safety Program ■ Thursday, May 17, 6:30 p.m. This is an eight-hour refresher course for MidMichigan Health Park–Mt. Pleasant, drivers ages 50 and older that has helped Community Room millions of drivers remain safe on today’s ■ Wednesday, June 20, 6:30 p.m. roads. It will help you tune up your driv- MidMichigan Medical Offi ces–Gladwin, ing skills; update your knowledge of road Community Education Room Monday, May 21, 6:30 p.m. ■ Tuesday, May 22, 6:30 p.m. rules; learn about normal, age-related MidMichigan Medical Offi ces–Midland, MidMichigan Medical Offi ces–Gladwin, physical changes; and drive more safely. Gear Up for Golf Towsley Auditorium Community Education Room Tuesday, May 15, and Thursday, May 17 For some, warm weather means time to ■ Thursday, May 24, 6:30 p.m. 10 a.m.–noon and 1–3 p.m. dust off the golf clubs. Whether you are an Discover a World MidMichigan Medical Offi ces–Midland, MidMichigan Medical Center–Midland, experienced golfer or a fi rst-timer, our reha- of Better Hearing Towsley Auditorium Center for Women’s Health, bilitation staff will teach you how to avoid Hearing loss is not an illness but a symptom ■ Tuesday, May 29, 6:30 p.m. Community Education Room or manage strains and injuries common in of an underlying disorder. MidMichigan Doherty Hotel, Clare $10 golf before the season starts. audiologist Harold Hull, Au.D., will explain the ■ Tuesday, May 29, 6:30 p.m. Thursday, May 17, 6:30–7:30 p.m. signs, symptoms, causes and treatment of MidMichigan Health Park–Mt. Pleasant, Put Some ZZZ’s MidMichigan Medical Offi ces–Midland, hearing loss, including the latest in hearing Community Room Back in Your Sleep Towsley Conference Room aid technology. You will have the opportunity ■ Wednesday, June 13, 11 a.m.–noon Are you tired of not getting a good night’s to sign up for a free hearing examination. MidMichigan Health Park–Houghton Lake, sleep? According to the National Sleep Strengthening Is Key Tuesday, May 22, 6:30 p.m. Lower Level Conference Room Foundation, many of America’s adults to Managing Back Pain MidMichigan Medical Offi ces–Midland, sleep poorly, and it takes a toll on their Back pain can be a long-standing, often Towsley Auditorium Look Good...Feel Better® work relationships, productivity, public crippling condition, and most people will A cosmetologist specially trained in skin safety and intimacy. Join experts from experience back pain during their lifetime. Cardiovascular Disease: and hair changes due to cancer treatment Sleep Disorder Centers of MidMichigan It is also the sixth most costly health care Get the Beat on the Latest leads these free sessions, sponsored by Health for information on how sleep problem. Join experts from MidMichigan’s in Diagnosis and Treatment the American Cancer Society (ACS). Partici- disorders such as sleep apnea, snoring, Back & Neck Rehabilitation program to The most common cause of death in pants learn how to manage skin changes insomnia and abnormal sleep move- learn what causes back pain, how it is America is cardiovascular disease. or hair loss by using cosmetics and skin ments are evaluated and treated. treated and information about Back & This may seem like bad news for all care products donated by the cosmetics in- ■ Tuesday, May 15, 6:30 p.m. Neck’s physical therapy program, which of us. However, the good news is that dustry. Registration is required. To register, Doherty Hotel, Clare is successful in treating patients with diagnostic tests and treatments for heart call the ACS at (800) 728-2323. ■ Wednesday, May 23, 6:30 p.m. muscle spasms and bulging, ruptured and disease have become highly advanced. Monday, June 11, 6 p.m., and MidMichigan Medical Offi ces–Midland, degenerative disks. Learn the scientifi c Cardiovascular experts will provide an Monday, Aug. 13, 2 p.m. Towsley Auditorium basis for spinal strengthening, which is update on testing and treatment, including ■ MidMichigan Medical Center–Midland, ■ Thursday, May 31, 6:30 p.m. the key to successful medical treatment surgical interventions and aggressive Center for Women’s Health, Community MidMichigan Health Park–Mt. Pleasant, of back disorders. Screening tests will be prevention before and after a heart attack. Education Room Community Room available to help you determine if this type ■ MidMichigan Medical Offi ces–Gladwin, of treatment is right for you. Community Education Room

May/June/July/august 2007 4 t o y o u r h e a l t h Bariatric Surgery: Older Brother/Older Sister Is It for Me? This class prepares children to welcome a Grief Recovery Group Learn about laparoscopic weight-loss new baby into the family. Activities concern- An educational series that covers bereave- Senior Life With surgery and how it can improve your health ing feelings and the expected newcomer ment topics, including the value of support and your life. General surgeons Ernest and a tour of the maternity unit are included. during grief, why each person’s grief is Cudjoe, M.D., and Jeffrey Smith, M.D., will Children must be accompanied by an adult. unique, myths and stages of grief, creat- Style scheduled highlight laparoscopic Roux-en-Y and Lap- Recommended ages are 2½ to 8 years. ing a memory relationship, taking care of Band surgical options. Please call Class size is limited. Please call for fees yourself, and getting through anniversaries for June 13 MidMichigan Health Line at (800) 999-3199 and to register. and holidays. for dates, times, locations and to register. ■ Saturdays, May 19, June 16, Aug. 18 ■ Mondays, July 9–30, 6–7:30 p.m. Mark your calendar now and join in the 9:30–11:30 a.m. Christ the King Lutheran Church, Gladwin fun at the 25th Senior Life With Style. The FAMILY HEALTH EDuCATIOn MidMichigan Medical Center–Midland, ■ Tuesdays, Aug. 7–28, 6–7:30 p.m. health fair will be held on Wednesday, Orchard Auditorium MidMichigan Visiting Nurse Association, June 13, 8:30 a.m.–12:30 p.m., at the Breastfeeding: ■ Tuesdays, May 22, June 26, July 24, Midland Quality Inn, adjacent to the U.S. 27 and Healthy Beginnings Aug. 28, 6–7 p.m. ■ Tuesdays, Sept. 4–25, 6–7:30 p.m. M-55 intersection. This annual event is Topics discussed include breast changes, Gratiot Medical Center, MidMichigan Medical Offi ces–Clare, sponsored by MidMichigan Health Park– milk production, positioning, feeding frequen- OB Conference Room Medical Offi ces Conference Room Houghton Lake. cy, returning to work and weaning options. ■ Saturday, June 23, 10–11:30 a.m. Class size is limited. Please call to register. MidMichigan Medical Center–Clare, SuPPOrT GrOuPS Cardiac topic May 15, June 4, July 23 or Aug. 20 Conference Room 1 A variety of health care screenings, ongoing Tanveer A. Malik, M.D., will present a 6:30 p.m. classes and support groups are offered keynote lecture titled “Cardiovascular MidMichigan Medical Center–Midland, Preparation for Childbirth through community education. For a listing Disease: Get the Beat on the Latest in Center for Women’s Health, (Midland, Clare and Alma) of support groups or for more information, Diagnosis and Treatment.” Dr. Malik is Community Education Room This class series prepares the expectant call MidMichigan Health Line at board-certifi ed in internal medicine and $25 per couple mother and her labor partner for active (800) 999-3199 or visit: cardiology. He routinely sees patients at participation in the birth experience. Classes ■ Diabetes classes and counseling: MidMichigan Health Park–Houghton Lake. Infant and Child CPR cover relaxation, breathing awareness, www.midmichigan.org/diabetes His keynote address will begin at 11 a.m. This course teaches lay rescuers skills in hospital practices, pain control, the most ■ Tobacco cessation programs: CPR and relief of foreign body airway up-to-date techniques, and options for labor www.midmichigan.org/quit Screenings obstruction for infants (birth to 1 year) and and delivery, including the unexpected and ■ Alzheimer’s Disease and Dementia The fair will offer more than a dozen health children (1 to 8 years). Taught by certi- cesarean birth. Please call MidMichigan Disorders Support Group screenings as well as educational booths fi ed instructors, the course also provides Health Line at (800) 999-3199 for available ■ Bariatric Surgery Support Group and materials. These include glaucoma information about the American Heart As- class dates and fees. Courses should be ■ Breathing Easy Support Group and blood pressure checks, cholesterol sociation Pediatric Chain of Survival, signs completed four weeks before the due date. ■ Breast Cancer Support Group and glucose screenings, and balance and of choking in infants and children, preven- ■ MidMichigan Medical Center–Midland ■ Coping With Cancer hearing testing. Back again this year are tion of the most common fatal pediatric Center for Women’s Health, Community ■ Diabetes Adult Support Group the popular “Ask the Doctor” tables. Ad- injuries, and reduction in the risk of sudden Education Room ■ Diabetes Youth Support Group ditionally, MidMichigan Visiting Nurse As- infant death syndrome. Demonstrations ■ MidMichigan Medical Offi ces–Clare, ■ Grief Recovery Group sociation will provide hands-on experience and practice on manikins are included. Medical Offi ces Conference Room ■ Insulin Pump Support Group with its Lifeline home monitoring system. May 15, June 11, July 23 or Aug. 21 ■ Gratiot Medical Center, ■ Liver Disease Support Group 6:30–8:30 p.m. Modular Classroom #1 ■ Multiple Sclerosis Support Group Other educational booths and materials MidMichigan Medical Center–Midland, ■ Newborn Parenting Group will represent some of the broad range Orchard Auditorium ■ Parkinson’s Disease Support Group of services available from MidMichigan $20 per person (includes book) ■ Pregnancy and Child Loss Support Group Health. Topics range from cancer pre- ■ Prostate Cancer Support Group vention to getting a good night’s sleep. For dates, times and topics for Refreshments and door prizes will add to MATRIX:MIDLAND the educational and fun-fi lled morning. welcomes author John Grogan these groups, visit www.midmichigan.org/ John Grogan, author of the best-selling Marley and supportgroups. Register today Me: Life and Love With the World’s Worst Dog, To register or to receive an information- will appear as part of the 29th annual MATRIX: To register for the classes packed Senior Life With Style brochure, MIDLAND Festival. MidMichigan Medical Center– listed above or throughout these calen- call MidMichigan Health Line Midland will co-sponsor his lecture planned for dar pages, call MidMichigan Health Line at (800) 999-3199. 7:30 p.m., Thursday, June 7, in the auditorium at (800) 999-3199. at the Midland Center for the Arts. Grogan will autograph books in the lobby after his presenta- tion. The special appearance of MidMichigan’s Celebrate survival! certifi ed dog therapists, the Cosmic Canine You are cordially invited to a Cure, will also be a part of the evening. “Celebration of Life” reception Grogan’s tale is a heartwarming and unforget- preceding the MATRIX:MIDLAND table story of a family in the making and the wondrously neurotic dog who taught them Festival appearance of best-selling what really matters in life. His presentation will talk about family and relationships author John Grogan in the Midland through good times and bad and the bond that was created with their dog. Center for the Arts Garden Room. Grogan is a Pennsylvania columnist for The Philadelphia Inquirer and the former editor The reception, co-sponsored by the in chief of Rodale’s Organic Gardening magazine. Previously he worked as a reporter, MidMichigan Health Pardee Cancer bureau chief and columnist at newspapers in Michigan and Florida. His work has won Center and Midland Community numerous awards, including the National Press Club’s Consumer Journalism Award. Cancer Services, honors cancer Tickets are $27 for adults and $17 for students and are available for purchase survivors—several of whom will online at www.mcfta.org, at the Midland Center for the Arts box offi ce at 1801 W. share their stories. St. Andrews Road, Midland, or by calling (800) 523-7649 or (989) 631-8250. Box of- Thursday, June 7, 6 p.m. fi ce hours are weekdays, noon–6 p.m., and Saturdays, 1–5 p.m.

May/June/July/august 2007 5 t o y o u r h e a l t h type of surgery that uses highly targeted radiation to treat Raising stroke brain abnormalities such as brain tumors, acoustic neu- roma, arteriovenous malformation (AVM) and trigeminal awareness neuralgia. Perfexion The Perfexion offers more advanced treatment in Midland planning software and a more open machine confi guration than previous models. This enables MidMichigan to Stroke is the No. 3 killer in America, and Midland County treat more patients, including larger patients and patients has a higher than average stroke death rate. That’s why whose brain tumor or abnormality previously couldn’t MidMichigan Medical Center–Midland has launched be reached due to the physical design of the previous several initiatives to improve stroke education, prevention models. The Perfexion also offers greater patient comfort, and treatment in Midland County. faster treatment time and ten times the radiation protection. Dedicated stroke nurse specialist MidMichigan has Gamma Knife Perfexion Research is currently under way to consider the use added a full-time stroke nurse specialist, Susan M. Witer, of Gamma Knife for treating other conditions, including C.M.S.R.N., to its staff. Witer epilepsy, tumors in the face and neck, and spinal tumors as provides stroke education and MidMichigan on far down as C-7 (the lowest cervical vertebra). The Perfexion prevention tips to the community will enable MidMichigan to extend Gamma Knife treatment and serves as a personal guide for the leading edge to emerging areas as they become available. MidMichigan’s stroke patients and their loved ones. Throughout treat- of brain surgery Find out more To learn whether Gamma Knife treatment ment and recovery, Witer is avail- is right for you, visit www.midmichigan.org/gammaknife able to answer questions, facilitate This spring, MidMichigan Medical Center–Midland will or contact our Gamma Knife coordinator to arrange for a communication and referrals to become the only hospital in Michigan and one of only fi ve no-obligation review of your records and fi lms Susan M. Witer, C.M.S.R.N. other health care providers, help medical centers in the world to have the most state-of-the- by one of our neurosurgeons. Call toll-free stroke survivors lower their risk of art Gamma Knife® available, the Perfexion.TM 1-866-MI-GAMMA (1-866-644-2662). a repeat stroke, and help families identify local resources The Gamma Knife is not a knife—it is a revolutionary Gamma Knife is a registered trademark and Perfexion is a trademark of Elekta AB. for services and support.

“Smile, reach, Speech” education The Medical Center has partnered with workplaces, schools and community Managing pain in labor and delivery organizations to teach three simple tests to tell if One of the most common concerns about labor and delivery Be prepared, be flexible The most effective pain man- someone is having a stroke is pain. How much will it hurt? How will I cope? agement begins with education, because simply knowing and to urge people to dial MidMichigan Medical Center–Midland offers a full what to expect helps calm fears and promote relaxation. 911 in this life-threaten- spectrum of pain management options, ranging from As you prepare for the birth of your baby, keep in mind ing emergency. “Smile, noninvasive methods to epidural injections and other that every woman’s experience is unique. That’s why it is Reach, Speech” education anesthesia techniques. important to keep an open mind and an open dialogue with kits use colorful icons, an your care providers throughout the event. original rock song and a Pain management options The methods most com- “The important thing is that there is a team of pro- humorous cartoon video monly used for vaginal birth are: fessionals here to help you when the time comes,” says to make learning fun. ● Noninvasive methods, including breathing and re- anesthesiologist Greg Marcoe, D.O., medical director of More than 1,000 kits have laxation, massage, walking, whirlpool baths, and other anesthesiology. “Given the wide range of choices available been distributed, and more than 60 area businesses have solutions. MidMichigan offers childbirth preparation today, we are confi dent that we can help women to achieve participated in the Healthy Workplace Challenge to show classes that help you and your support person learn these an acceptable level of pain relief.” the video to their employees. Visit www.midmichigan techniques. .org/stroke to request a free magnet (shown above) or to ● Systemic analgesia, often given as an injection into a Learn more To receive a free copy of the brochure Man- download the free music and video. muscle or vein. It takes effect on the entire nervous system, aging Pain During Labor & Delivery or to register for a rather than one area of the body, to relieve pain without childbirth preparation class, call MidMichigan Health Line Strike out stroke MidMichigan Health and the Great Lakes numbness. If delivery is close at hand, these medications are at (989) 837-9090 or toll-free at (800) 999-3199. Loons will feature “Strike Out Stroke” during the June 16 generally avoided, as they may slow the baby’s Loons home game. Free giveaways and fun activities will refl exes and breathing at birth. teach fans to recognize and respond to stroke. Learn more ● Intrathecal analgesia, injected into your about “Strike Out Stroke” at www.midmichigan.org/loons, spinal fl uid. You can move and even walk with or purchase game tickets at www.loons.com. intrathecal pain relief, so it doesn’t interfere with your ability to push. It generally takes effect quickly and can be repeated if necessary. The most frequent side effect is itching. ● Epidural analgesia, injected into the epidural space surrounding your spinal cord. You remain awake and alert, but may lose sen- sation in the lower body, depending on your needs and the type of medication injected. An epidural may take 30 to 40 minutes to ef- fectively relieve pain, so it typically is given earlier in the labor process. Side effects may include headache, low blood pressure, diz- MidMichigan Medical Center–Midland offers a full spectrum of ziness, rapid heartbeat or inability to push. pain management options, ranging from noninvasive methods to epidural injections and other anesthesia techniques.

May/June/July/august 2007 6 t o y o u r h e a l t h W e l l n e SS

Risky business If you have shin splints, you may need to take a break from running for a while. Stretching exercises for the leg and heel, anti-infl ammatory medications, ice packs, and Four common compression bandages can also help. Once the pain is gone, ease back into being active. Stress fractures. These tiny breaks in the bone are sports injuries caused by overuse—or stress—of the bone and are most common in the feet and legs. They cause pain and swelling. eekend warrior or professional athlete. High The pain appears during running and may progressively school team or Olympic team. All athletes increase, notes Dr. Murphy. Rest is the fi rst step toward have at least one thing in common: the risk recovery. You’ll need to take at least a few weeks off from of sports injuries. whatever activity caused the problem. Once a stress fracture Here are four common types of sports is healed, you should return to your exercise routine very injuries and what to do about them. gradually. WShin splints. This pain along the shin is actually infl am- Tendonitis. Tendons hold your muscles to your bones. mation in a layer of tissue covering the bone. Runners are Tendonitis is infl ammation in a tendon, often caused by most prone to this problem. It can be caused Personal emergency by several factors, including improper Take time to rest your injury by relaxing at stretching, running on hard surfaces and response systems running in shoes that aren’t supportive. a Great Lakes Loons home game. For tickets, call “Shin splints can happen to the most (989) 837-2255 or visit www.loons.com. highly trained runners,” says orthopaedic surgeon John Murphy, D.O., of MidMichigan Physicians overusing the tendon. Tendonitis is usually sport-specifi c. Lifeline helps Group. “But they are also common in people who are not For example, swimmers and baseball players tend to get well-trained and who jump into an exercise program and tendonitis in the shoulders and arms. For tennis players, try to do too much too quickly.” the problem area is the elbow. seniors stay Taking care of tendonitis usually involves resting the af- fected area, using anti-infl ammatory medications, splinting the affected limb and doing exercises to improve fl exibility. safe at home “Sometimes the tendon will need to be repaired surgically,” adds Dr. Murphy. mericans are living longer. While this is good Torn ligaments. Ligaments are bands of very tough news, the unfortunate statistics that accompany tissue that hold your bones together at the joints. When you age are many. Increased incidence of illness, get a sprain, a ligament has been stretched or torn. These medical conditions and falls, combined with a injuries can range from mild sprains with only slight tear- higher rate of living alone, can lead to diffi cul- ing and mild pain to a complete tear of the ligament. ties in remaining at home for elderly people. The For minor sprains, the RICE method can help: Rest the Anatural result of these higher risks is increased dependence injured area, use Ice packs, use bandages for Compression, on adult children, who are often caring for their own chil- and Elevate the injured limb. dren as well. Certain ligaments must be fi xed surgically. And you Due to the increased demand for help in the home, should see a doctor if the injured area looks abnormal and great strides have been made in assistive technology. The is very painful or very swollen. use of personal emergency response systems (PERS) is an If you suspect you have any of these four sports injuries, inexpensive and effective way to increase peace of mind for you should see an orthopaedic surgeon. elderly people at home, while ensuring a means of help in “The longer a patient leaves an injury without treatment, the event of a medical incident or fall. the more diffi cult it will be to treat,” says Dr. Murphy. “How- ever, there is usually a much better outcome if the injury is THE rISKS OF FALLS Falls are a major cause of treated within a few weeks of its occurrence.” hospitalization for the elderly. One in three older Americans will fall each year, and 40 percent of these falls will result Team physicians help keep players in the game in hospitalization. Recent studies revealed that the use of a PERS in the home reduced hospitalizations by 59 percent MidMichigan Health and the Great Lakes Loons have teamed up to be sure that and increased peace of mind by nearly 80 percent. the Great Lakes Loons baseball team and their fans are always in the game. In addition to the normal effects of aging, home layout In order to provide comprehensive health care services to the team, can create safety issues in the home. Since response systems board-certifi ed orthopaedic surgeon and former professional baseball use a call-button device that is worn by the person, moving player for the St. Louis Cardinals John Murphy, D.O., of MidMichigan freely about the home is possible. If the person should fall Physicians Group, has been selected to provide orthopaedic sports or become ill, dizzy or weak, he or she can simply push the medicine support for the Loons. button on the necklace or bracelet. A push of the button To represent the signals the need for assistance to the PERS provider, and strong primary care base that follow-up is immediately initiated. MidMichigan offers, board-certifi ed HELP WHEn YOu nEED IT MidMichigan Visiting family practitioner and faculty member of the Nurse Association and Gratiot Home Care offer the Lifeline Family Practice Center J. T Pinney, M.D., will provide primary care personal emergency response system. With the largest and sports medicine support for the Loons. Dr. Pinney holds a certifi - most experienced staff in the PERS industry, Lifeline cur- cate of added qualifi cations in sports medicine. rently helps more than 500,000 seniors and disabled people For referral to an orthopaedic surgeon or a family to live with independence in their own homes. physician, visit www.midmichigan.org/doctors or call John Murphy, D.O. J. T Pinney, M.D. For more information about Lifeline ser- MidMichigan Health Line toll-free at (800) 999-3199. vices, call toll-free (877) 466-7461.

May/June/July/august 2007 7 t o y o u r h e a l t h n e W S HealthGrades gives nod for third year or the third consecutive year, MidMichigan Medical received it during the years it was eligible—in 2005, 2006 state of Michigan—received both Center–Midland has been recognized with two and now 2007. prestigious awards three years in separate Distinguished Hospital Awards from a row. No other hospital in the HealthGrades, the nation’s leading independent FIVE-STAr HEALTH CArE In the 2007 Saginaw Valley area has achieved health care ratings company. The Medical Center HealthGrades Star Report ratings, MidMichigan received this distinction. was named as a Distinguished Hospital for both fi ve-star designations for treatment of heart attack for the To learn more about FClinical Excellence and Patient Safety. third consecutive year. MidMichigan also received fi ve-star MidMichigan’s leadership in These are among the highest designations conferred by ratings in joint replacement surgery for the fourth measurable qualities such as HealthGrades, ranking MidMichigan among the top 5 per- consecutive year. In other clinical areas, MidMichigan is accreditations, physician and nurse cent of all hospitals in the nation for both clinical quality fi ve-star rated for the treatment of chronic obstructive credentials, advanced technology, outcomes and patient safety. pulmonary disease (COPD) and the critical care diagnoses patient satisfaction, Of more than 5,100 hospitals evaluated nationwide, of pulmonary embolism and sepsis. and other awards, visit only 135 (or 2.7 percent) received the HealthGrades clini- Of the 5,122 hospitals evaluated and rated by www.midmichigan.org/ cal excellence award in 2005, 2006 and 2007. MidMichigan HealthGrades, only 35 nationwide—and only three in the quality. Hotel-style dining program delivers excellent ‘hospital-ity’ oom service isn’t just for hotels anymore. day what they will eat the next. Rather than receiving meals at MidMichigan will launch Orchard Dining, a new prescribed meal times, this program will allow patients to eat room service program, this summer. It will offer when they are hungry. Service excellence is our priority.” a personalized meal service designed to expand Food service “ambassadors” will help patients under- and enhance the nutrition services delivered to stand the ordering process, deliver meals and provide assis- each patient. tance if needed. Meals will be delivered within 45 minutes rWith the new program, patients will receive restaurant- of the order being placed. style menus that include numerous food and beverage “We are pleased to soon be able to offer room service to selections based on their individual dietary needs. Between patients at MidMichigan. We believe that patients should the hours of 6:45 a.m. and 6:45 p.m. each day, patients may be able to eat when they feel hungry and not on a fi xed place meal orders by calling Orchard Dining, much like schedule,” Hoshaw says. “We can provide patients with more ordering room service in a hotel, and the meals will be in- food choices that are appealing and nutritious, yet remain dividually prepared and delivered to the patients’ rooms. compliant with the dietary restrictions of each patient. According to Mary Jane Hoshaw, manager of food and Room service is another way we can put the patient at the nutrition services, “No longer will patients need to decide one center of an environment of compassionate care.” relay for Life inspires those touched by cancer ore than 20 years ago the American Cancer For 2007, MidMichigan Health will be involved at Society began Relay for Life, a campaign that these Relay for Life events: celebrates survivorship and raises funds for ● St. Johns, May 18–19, St. Johns H.S. research and support programs. ● Montcalm County, June 15–16, Greenville H.S. MidMichigan Health is proud to support ● Saginaw Township, June 23–24, Heritage H.S. Relay for Life events in the communities we ● Isabella County, June 29–30, Isabella Fair Grounds Mserve. ● Roscommon County, July 14–15, Houghton Lake H.S. Hundreds of MidMichigan employee volunteers help ● Midland County, July 28–29, Midland Fairgrounds with survivor and caregiver programs at the relays. At ● Gratiot County, August 10–11, Ithaca H.S. many sites, employees form relay teams and help spread ● Gladwin County, August 11–12, Beaverton H.S. awareness of prevention and treatment programs that are ● Bay County, August 12–13, River Walk Park available through the MidMichigan Health system. ● Saginaw County, August 18–19, Ojibway Island

Celebrate Survival! 2007 MIDMICHIGAN HEALTH BOARD OF DIRECTORS Robert Stafford, Chair • W. Lynn Weimer, TO YOUR HEALTH is published as a community Vice Chair • Gregory Bercher, M.D. • Jerry Brandt • Nancy Gallagher • Lori Gwizdala • William service by MIDMICHIGAN HEALTH, 4005 Orchard Heinze • William Henderson • J. Christopher Hough, M.D. • Karen Langeland • Peg Mier Drive, Midland, MI 48670, (989) 839-3000. Come to a special reception honoring • Terence F. Moore, President • Mary Neely • Ed Rogers • William Schmidt • Jerry Skocelas our • Daniel Sorenson, M.D. Information in TO YOUR HEALTH comes from a wide range of medical experts. If you have EDITORIAL BOARD Donna Rapp, Senior Vice President • Millie Jezior, Editor • Angela Nader, 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. Production Assistant • Penny Daniels • Warren Johnson • Christie Kanitz • Stephanie Leibfritz, cancer survivors. See page 5 for details. Copyright © 2007 Coffey Communications, Inc. HST20113h R.N. • Megan McHenry • Cal McIntosh • Carlene Skorczewski • Bernadette Stocking • Larry Stoecker • Caroline Kramer, M.D., Ph.D., Physician Advisor F u n d D e v e l o p m e n t

—Continued from page 3 Mr. and Mrs. Larry Haley Ladies Auxiliary VFW No. 3651 Mayflower Productions Sue Haley Patricia Ladner The Rev. and Mrs. Wallace H. Mr. and Mrs. Charles Fischer Mr. and Mrs. Donald Hall E. Jack LaFlore Mayton III Pauline Fischer Susan Hall LouAnn LaFlure Mr. and Mrs. Robert McAfee Mr. and Mrs. A. J. Fisher Christin Halldorson Toni Lagalo Mr. and Mrs. Terry McBride Mr. and Mrs. James Fisher Mr. and Mrs. Ray Hamilton Heidi Lahar John A. McCandless Jennifer Fisk Mr. and Mrs. Donal D. Hammond Tina Laiho Sandra McCann Maureen Fitzgerald Mary Hammond Christine Laitner McCarthy Construction Edward Flagg Clara Hancock Jacqueline Lamont Marilyn McClymont Penny Fleischmann Richard Handlon Mr. and Mrs. Jack Lamphere McCormick Pottery Fonda, Inc. Hangtime Sports Mr. and Mrs. Daryl Landis Mr. and Mrs. Marvin McDonald Karen Foor Hangups Richard Lane Mr. and Mrs. Larry McFarland Mr. and Mrs. Neil Foor James Hansen Betty Laney Mr. and Mrs. Floyd McGinty Mr. and Mrs. Matthew Foote William J. Hargreaves Gwen Lang Mr. and Mrs. Ralph McGivern Mr. and Mrs. William Forster Virginia Harlow Mr. and Mrs. Martin Langhorst James McGraw Darla Fox Mr. and Mrs. Gregg Harms Linda Langrill Dr. Phil McGraw Virginia Fox Karen Harner Carry on the Hope Myrna Langston Mr. and Mrs. Larry McKay Mr. and Mrs. Bernard Foy Mary Ann Harper Dom Gagliardi (left) and Bob LoFiego, auction Mr. and Mrs. E. Roland Laning Jr. Mr. and Mrs. Gerald McKeith Mr. and Mrs. Edward Foy Dr. William Harrigan Robert Lape John McKellar Hedi Frazier Mr. and Mrs. Ronald Harrington committee members for the Carry on the Hope Mr. and Mrs. Rodrigue LaPorte Mr. and Mrs. Thomas McKerren Mr. and Mrs. Paul Frederick Janet Hart fundraiser, helped prepare more than 250 auc- Mr. and Mrs. Steven Lark Linda McMackin Mr. and Mrs. Peter Fredrich Mr. and Mrs. Steven Hart Elisabeth Larsen Mr. and Mrs. Arlie McMahan Wilbur Freer Mr. and Mrs. Gilbert Harter tion items for the event’s live and silent auc- Mr. and Mrs. Jeffrey Larson Mr. and Mrs. Mark McMahan Jacqueline Frieders Cynthia Hartz tions. More than $60,000 was raised through Patricia LaRue Mr. and Mrs. Tom McNurlen Mr. and Mrs. Eldon Frisch Billy Joe and Marilyn Haskins Mr. and Mrs. Jonathan Lauderbach Meadowcreek Clothiers Dr. and Mrs. Arthur C. Frock Jr. Gladys Hasty the Carry on the Hope fall fundraiser, hosted by Mr. and Mrs. David Lavelle Mr. and Mrs. Merritt Meeks Mr. and Mrs. Vic Fruehauf Mr. and Mrs. Donald Hawkins the Center for Women’s Health Advisory Council Mr. and Mrs. Mike LaVier Mr. and Mrs. Bernard Meister Dr. and Mrs. David Fry Mr. and Mrs. Michael Hayes Mr. and Mrs. Arthur Leadbetter The Bertha E. R. Strosacker Memorial Philip Fu Marcia Haywood of MidMichigan Medical Center–Midland. Brenda Patricia Leaym-Tonkavich Presbyterian Church Mr. and Mrs. Dominick Gagliardi Mr. and Mrs. Richard Hazleton Sorenson chaired the event. In addition to Mr. and Mrs. John Lee Efthimia Mente Sally Gagliardi Marjorie Hazzard Robert Lee Menu Manager Gail Kohtz Hopfensperger Hair Design Dr. Paula R. Headbloom Sorenson, other council members included Leeanua Club Mr. and Mrs. Fred Menzel Mr. and Mrs. Michael Gambrell Health Care Visions Lucille Lefler Mr. and Mrs. David Merdler Mr. and Mrs. Douglas Gandy Aaron Hebert co-chairs Judy Anderson and Stephanie Burns, Pete and Gloria Lehman Mr. and Mrs. Robert Messmer Ofelia Garcia Karen Hein Ph.D.; Bobbie Arnold; Pamela Boundy; Carole Mr. and Mrs. William Leibfritz Metal Beads and Wire by Kandy Mr. and Mrs. Howard Garrett Francine Heinze Mr. and Mrs. Daniel Leppek Mr. and Mrs. William Metcalf Mr. and Mrs. Lloyd Gatz Mr. and Mrs. Robert Herbert Calvert-Baxter; Sheree Clark, M.D.; Wendy Tracie Leslie Michigan Community Blood Centers Mr. and Mrs. Dean Gaudreau Bernadette Herkner Fischer; Mica Jones; Gwen Lang; Beth Lewis; Mr. and Mrs. Sheldon Levy Michigan Health & Hospital Mr. and Mrs. Daniel Gavin Mr. and Mrs. Richard Herkner Mr. and Mrs. Clarence Licht Association Mr. and Mrs. Scott Gaynor Dr. and Mrs. Jeffrey Herman Laura LoFiego; Diane Nold; Donna Rapp; Jan The Licursi family Michigan State University mechanical Tara Gehoski Herman Hiss & Co. Reynolds; and Carlene Skorczewski. Mr. and Mrs. Christopher Light engineering design students Mr. and Mrs. Theodore Gehoski Mr. and Mrs. Emile Hermann Mr. and Mrs. Thomas Limberg Midland Area Community Mr. and Mrs. Aaron Geiling Donna Herringshaw Proceeds supported the purchase of a digi- Lims Tae Kwon-Do Academy Foundation Genji’s Restaurant Mr. and Mrs. Robert Hess tal mammography machine for the Center for Mr. and Mrs. Thomas Lind Midland Center for the Arts Betty Gensel Mr. and Mrs. Robert Hieb Mr. and Mrs. James Ling Midland Civic Arena Mr. and Mrs. Barry George Eunice Hierholzer Women’s Health. Digital mammography is a new Lisa’s A Natural Nail Boutique Midland County Medical Society Mr. and Mrs. Ron George Becky Higgins Mr. and Mrs. William List Midland Daily News Frank Gerace Dr. Kelly Hill and Mr. David Podhorez advancement designed for a specific population Carol Little Midland Health Plan Rollin M. Gerstacker Foundation Joan Hinkamp of women with dense breast tissue. This technol- Harmony Little Midland Historical Society Donald Gibaud Mr. and Mrs. Frank Hlavacek Little Forks Outfitters Orvis Shop Midland Lioness Club Mr. and Mrs. Jack Gibbons Lauree Hoag ogy enhances the radiologist’s view of the breast The Little Garden Club Midland Lions Club Charities, Inc. Mr. and Mrs. Gary Gifford Mr. and Mrs. Fred Hoerger tissue, thereby improving breast cancer detection Mr. and Mrs. Andrew Liveris Midland Radiology Associates, P.C. Mr. and Mrs. Carl Gillett Mary Jane Hofelich Rebecca Lobo Fan Club Mid-Michigan District Dental Katie Gillman Wendy Hohmeyer for these women. Patrica Lobodzinski Hygienists’ Association Truman Gilmet Karen Holbrook Platinum sponsors of the event were Dow Lois Lockhart MidMichigan Medical Center– Ginis Goldsmiths Holiday Inn of Midland Margaret Loessel Gladwin: Girl Scout Troops Nos. 328, 337 Aaron Hollingsworth Corning Corporation and Midland Radiology Bob and Laura LoFiego Maintenance and 396 Jill Holly Associates, P.C. Silver sponsors were Judy and Laura LoFiego Design MidMichigan Medical Center– Debbie Glasgow Mr. and Mrs. Richard Holm Mr. and Mrs. Joe Logan Midland: Mr. and Mrs. Michael Glynn Mr. and Mrs. Donald Holmes Gary Anderson; Aon Consulting Health and Mr. and Mrs. Jerry Longstreth Ambulatory surgery and PACU Mr. and Mrs. Don Godfrey Hologic, Inc. Losey’s Jewelers staffs Mr. and Mrs. Calvin Goeders The Hood family Benefits; Stephanie and Gary Burns; Chemical Beatrice Lovelace Center for Women’s Health Florence Goethe Dick Hopkins Bank; Coffey Communications, Inc.; The Dow Mr. and Mrs. Bruce Lovelace Gift shop service Dr. and Mrs. Mark Goethe Dr. and Mrs. Richard Horbal Myrtis Lowery OB service Dr. and Mrs. Roy Goethe Dr. and Mrs. Mark Horness Chemical Company; Grand X-Ray/Hologic; Mr. and Mrs. Robert Lucas Popcorn service Mr. and Mrs. Mel Gohlke Catherine Horning Michigan Community Blood Centers; Midland John Ludington Volunteers Mr. and Mrs. Roger Gohrband Dr. Susan Horshaw The Honorable and Mrs. Thomas MidMichigan Stratford Village Donna Golden Lisa Horswill Daily News; RE/MAX of Midland; Three Rivers Ludington Mr. and Mrs. John Mier Mr. and Mrs. Robert Golombeski Mary Jane Hoshaw Corporation; WHNN 96 FM; and Wolverine Bank. Mr. and Mrs. Albert Lueck Patricia Mili Good to Go Dr. and Mrs. J. Christopher Hough Mr. and Mrs. Edward Lunt Carl Miller Harlan Goodrich Kimberly Houston-Philpot Deana Lutz David and Carol Moore Miller Dr. and Mrs. Christian Goralski Eloise Houvener Antoinette Lyon Mr. and Mrs. Del Miller Kyle Gordon Mr. and Mrs. Franklin How Patricia Lyons Mr. and Mrs. Fred Miller Dr. and Mrs. Terry Johnson Jeremy Kilar Marie Gordon Debra Hughes MacKenzie Party Store Harriette Miller Mr. and Mrs. Warren Johnson Mrs. Marion King Delores Goulet Jared Hughes Randolph P. Maida Mr. and Mrs. Kurt Miller Mr. and Mrs. Willis Johnston Jennifer Kinne Mr. and Mrs. Lee Goulet Mr. and Mrs. Lawrence Hunt Marilyn Major Lorraine Miller Dr. and Mrs. Robert N. Jones Mr. and Mrs. Donald Kisser Lisa Grabmeyer Mr. and Mrs. Arnold Huntress James Malek Dr. and Mrs. Michael J. Miller Edward Jones—Mary Lou Myers— Mr. and Mrs. Roderick Kitzmiller Mary Grabmeyer Amy Hutchinson Barbara Mandrell International Fan Nancy Miller Ronald Schultz Kiwassee Kiwanis Graff Chevrolet, Inc. Ieuter Insurance Group Club Mr. and Mrs. Ron Miller Tracie Jones Mr. and Mrs. Clifford Kline Mr. and Mrs. Eldon Graham Imagine That! Mr. and Mrs. Remo Maneri Sharon Miller Mr. and Mrs. Lloyd Jowanovitz Mr. and Mrs. Vern Klocke Grand X-Ray Mr. and Mrs. Donald Ingebrigtson Teodora Maningo Dr. and Mrs. Richard Mills Ashley Judd Mr. and Mrs. Edward Klopf Amy Grant and Vince Gill I’ve Been Framed Mr. and Mrs. David Mann Mistwood Club Junior Girl Scout Troop No. 490 Mr. and Mrs. George Klumb Judy Grant Robert Iwamasa Mr. and Mrs. Joseph Mann Gail Mitchell Mr. and Mrs. Thomas Kaiser Kim Knochel Margaret Graves Alan Jackson Darlene Mantle Ruth Mitchell-Schweitzer Laila Kakkuri Mr. and Mrs. Dennis Knoff Mr. and Mrs. Joe Gray Dorothy Jackson Maple Hill Nursery and Flowers Sandra Mohlmann Roxanne Kalkman Verna Kochany Great Lakes Loons Lindy Jackson Marcia’s Upholstery Karol Moliterno Dr. and Mrs. F. James Kane Jeri Lynne Koenig Mr. and Mrs. Mark Green George Jacobs Patsy and Jere Marciniak Molly’s Bistro Tammi Kanyo Mr. and Mrs. Martin Kohn Nancy Gregory Mr. and Mrs. Robert James William Marklewitz Harold Molter Mr. and Mrs. Thomas Karrick Aletha Konecny Mr. and Mrs. Bruce Groom Laurie Jammer Mr. and Mrs. Harold Marsh Mr. and Mrs. David Molzahn Mr. and Mrs. Donald Kaufman Mr. and Mrs. Gust Kookootsedes Mr. and Mrs. William Gross Mr. and Mrs. Matthew Janson Mr. and Mrs. Steve Marsh Mr. and Mrs. George Momany Nancy Kaufman Jim and Jerry Kortge Bertha Grosteffon Jazzercise Center of Midland Irene Martin Mr. and Mrs. Robert Monica Trisha Kayden Linda Kosch Cheyenne Groth Nancy Jeczmionka Mr. and Mrs. Brian Martindale Dr. and Mrs. Richard Montpetit Mr. and Mrs. Robert Keil Dr. and Mrs. Joseph Kosnik Mr. and Mrs. James Grover Thelma Jenks Material Mart Mr. and Mrs. Terence F. Moore Mr. and Mrs. Isaac Keim Mary Ann Kovacevich Mr. and Mrs. Reigh Gunderson Mr. and Mrs. Roger Jennings Jean Mathieu Mr. and Mrs. Wilmer Moore Mr. and Mrs. Robert Kelch Mr. and Mrs. Gregory Kramer Mr. and Mrs. Hewitt Gurnee Mr. and Mrs. Warner Jensen Kimberly Mau Mr. and Mrs. Kenneth Moorhead Linda Kelsey Deborah Krol Mr. and Mrs. Michael Gutchak Irene Jezewski Mr. and Mrs. Ken Mault Joyce Moreland Mr. and Mrs. Robert Kelsey Ruth Krotzer Mary Lou Haag Millie Jezior Maurice’s Mr. and Mrs. Bernard Morey Mr. and Mrs. Duane Kenaga Bertha Kruger Mr. and Mrs. Clarence Hackbarth Kim Jimenez Dixie Maxwell Mr. and Mrs. Jesse Morr Mr. and Mrs. James Kendall William Kuhlman Mr. and Mrs. Fred Hackett Greg Johnroe Norma Jane Maxwell The Honorable Donna Morris Mr. and Mrs. Milard Kent James Kundinger Mr. and Mrs. Miles Hagle Mr. and Mrs. James Johnson Sharon Maxwell Mr. and Mrs. Phelps Morris Mr. and Mrs. David Kepler James LaBean Linda Hagon Louise Johnson May Mitchell Royal Foundation Virginia Morrison Mr. and Mrs. Roger Kesseler Dr. and Mrs. Robert Lachance Hale & Hale Dentistry Mr. and Mrs. Robert Johnson Mr. and Mrs. Clifford Mayers Janet Morrone F u n d D e v e l o p m e n t

Mr. and Mrs. Frank Riggle Mr. and Mrs. Joseph Smigiel Mr. and Mrs. Gerald Townsend Mr. and Mrs. Christian Weber Mr. and Mrs. Jerold Ring Mr. and Mrs. Richard Smillie The Harry A. and Margaret D. Towsley Christina Weber Mr. and Mrs. Bruce Ringey Edward Smith Foundation Wegner Auctioneers Riverside Place Senior Citizens Mr. and Mrs. Frank Smith TPS Hockey Mr. and Mrs. Richard Weiler Apartments Helen Smith Mr. and Mrs. Robert Trahan Mr. and Mrs. W. Lynn Weimer Thelma Robb Jaclyn Smith John Travolta Mary Welch Mr. and Mrs. Keith Roberson Patricia Smith Mr. and Mrs. Ken Trethaway Linda Wells Mr. and Mrs. Ken Roberson Roy Smith Mr. and Mrs. Newton Trowbridge Mr. and Mrs. Allen Wenban Mr. and Mrs. Donald Roberts Mr. and Mrs. Roy Smith Susan Troyer Tim Wescott and family Donna Roberts Mr. and Mrs. William Smith Bich Truong West Midland Family Center Mr. and Mrs. Joe Roberts Smith’s of Midland Flowers & Gifts Patricia Tuck Mr. and Mrs. Donald Weyenberg Mary Roberts Mildred Snow and family Mr. and Mrs. Timmy Tyrna Beatrice Wheeler Mr. and Mrs. Ronald Roberts Mr. and Mrs. Karel Solc Mr. and Mrs. Harvey Ueberroth Margaret White Mr. and Mrs. Donald Robinson Bradley and Brendan Sommer Mr. and Mrs. John Ujevich Mr. and Mrs. J. F. Whitley Jr. Sharon Robinson Tricia Sommer Dr. and Mrs. George Ulmer WHNN 96 FM Roche Diagnostics Sony Pictures Television–Wheel of Unique Bridal Boutique Whoop, Inc. The Rockwell House Boutique Fortune United Church of Christ Gene Wilder Mr. and Mrs. Brian Rodgers Dr. and Mrs. Daniel Sorenson United States Senate Mr. and Mrs. Jon Wiley Mr. and Mrs. Philip Roels Elizabeth Sorenson Al Unser The Rev. and Mrs. David Willett Cecil Rogers Ted Sorenson Mr. and Mrs. John Urban Mr. and Mrs. Charles Williams Ed and Elyse Rogers Barbara Prince Sovereen Sarah Urbilha Mr. and Mrs. Dwight Williams Mr. and Mrs. Gregory Rogers Zoeann Spangler Mr. and Mrs. Cary Vajda Sally Williams Nancy Rogers Mr. and Mrs. Kenneth Spyker Mr. and Mrs. Meyer Van Dam Virginia Williams Veronica Rogers Mr. and Mrs. Robert Stafford Tina S. Van Dam Alice Wiltse Mr. and Mrs. W. A. Rogers Mr. and Mrs. Donald Stagg Patricia VanHorn Mr. and Mrs. John Winchester Mr. and Mrs. Randy Romain Mr. and Mrs. Michael Stahr Charlie Van Orden Mr. and Mrs. Woodward Windover Cora Ropp Mr. and Mrs. Leon Stanley Dr. and Mrs. Robert VanSickle Dr. and Mrs. Carl Winegar Bonnie Rouse Edward Stapish Donna Vansteenhouse Henry Winkler Mr. and Mrs. Bill Rozen Starbucks Mr. and Mrs. Leon Van Volkinburg Mr. and Mrs. Tony Winter Joseph Rubino Mr. and Mrs. Alan Stark Mr. and Mrs. Arthur VanWert Mr. and Mrs. Robert Wintermyer Mr. and Mrs. Douglas Morse Mr. and Mrs. Ronald Pelletier Mr. and Mrs. Walter Rupprecht Mr. and Mrs. Forrest Stark Brian VanWert Mr. and Mrs. Louis Wirth The Rev. and Mrs. Joseph I. Mortensen Newell Pennell Dr. and Mrs. Thomas Rush Mr. and Mrs. Albert Starr Erna Varner Mr. and Mrs. Thomas Wirth Mr. and Mrs. Charles Moss Janice Penney Mr. and Mrs. John Ryan State of Michigan, Department of Frances Vasicek Janet Wittbrodt Motion Resources, Inc. Pepsi Bottling Group Ray Ryzenga Labor and Economic Growth Vera Bradley Designs, Inc. WJRT-ABC 12 Mr. and Mrs. Ted Mudd Judy Perry Susan Sadenwater The Rev. W. Roger Stauffer Ron Verch Patricia Wolfgram Michael and Andrea Muladore Personal Expressions Mr. and Mrs. John Safranski Willa Stauffer Lynn Verdusco Wolverine Bank Althea Mulloy The Pete family Saginaw Spirit Hockey Club Mr. and Mrs. William Stavropoulos Clarie Munger-Segan Mr. and Mrs. Thomas Peters The Salvation Army Mr. and Mrs. Lawrence Stein Francine Musinski Mr. and Mrs. Stephen Petrik Helen Sams Marvin Stein Mr. and Mrs. Martin Musolf Mr. and Mrs. James Petros Mr. and Mrs. Bill Sandt Mr. and Mrs. Robert Stein Mr. and Mrs. Mark Musselman Richard Petty Museum Sanford Lake Marina Mr. and Mrs. Edward Stephenson Ruth Musselman Dr. and Mrs. John Pfenninger Dr. and Mrs. Charles Sanislow Mr. and Mrs. Norman Stephenson Joyce Myers Mr. and Mrs. John Phillips Mayne Sarantos Mr. and Mrs. Frank Sterusky Nathan’s Hair Studio Mr. and Mrs. Craig Pickelman Mr. and Mrs. Lloyd Saunders Mr. and Mrs. Tom Stetler Nease Memorial Church of the Dr. and Mrs. Kerry Pierce Mr. and Mrs. Paul Saunders Esther Stevens Nazarene Mr. and Mrs. Paul Pisarski Mr. and Mrs. Jay Schaefer Ruth Stevens NBC Universal Pi’s Chinese Restaurant Mr. and Mrs. Wayne Scharich Ralph Stewart Lorraine Neal Pitney Bowes, Inc. Mr. and Mrs. Elmer Schartow Mr. and Mrs. Steven Stocking Mary Neely Pittsburgh Steelers Mr. and Mrs. John Schaw Edna Stoddard Mr. and Mrs. William Nekervis The Plaid Giraffe Mr. and Mrs. Otto Schlagrait Mr. and Mrs. Gerry Stoecker Patricia Nelson Mr. and Mrs. Clark Plichta Mr. and Mrs. Roger Schmidt Eileen Stoops Bob Newhart Mr. and Mrs. John Plott Mr. and Mrs. William Schmidt Mr. and Mrs. M. Allen Storr Love Light Trees Mr. and Mrs. Gerald Nielsen Mr. and Mrs. Darl Pochert Ann Schmitz Lois Stover The 2006 Love Light Trees 25th anniversary Eleanor Niemiec Rich Pomeroy Mr. and Mrs. E. C. Schneider Diane Strahota Hugh Nightlinger Mr. and Mrs. Jim Pontious Sara Schneider Mr. and Mrs. Mellis Streeter was celebrated with a record-setting campaign Mr. and Mrs. Karl Nold Mr. and Mrs. Michael Pontious Mr. and Mrs. Douglas Schoettinger The Charles J. Strosacker Foundation with more than $56,000 raised. The funds are Mr. and Mrs. Raymond Norris Mr. and Mrs. Frank Popoff School Days Nancy Stube Wilma North Mr. and Mrs. John Popp Mr. and Mrs. William Schultz Studley Grange designated for the Medical Center’s new open- Northwestern Medical Faculty Mr. and Mrs. Arthur Porsche Mr. and Mrs. Lawrence Schwab Deborah Suminski heart program, commencing summer 2007. Foundation, Inc. Sandra Postal Mr. and Mrs. Gerald Schwartz Mr. and Mrs. Donald Sundquist Northwood Gallery Mr. and Mrs. William Potts The Kenneth B. Schwartz Center Surgical Resources, Inc. Specifically, gifts will purchase an intra-aortic Mr. and Mrs. John Nosal Dorothy Poulos Mr. and Mrs. Thomas Schwartz Mr. and Mrs. Richard Surma Mr. and Mrs. Joseph Nowak PPOM Midwest Mr. and Mrs. George Scoles Mr. and Mrs. Ernest Sutton balloon pump, which will temporarily support a The Nowicki family Presbyterian Parents Cooperative Kelly Scoles Sally Sutton patient’s heart when the heart’s own pumping Mr. and Mrs. David Nunamaker Preschool Mr. and Mrs. Richard Scott Mr. and Mrs. William Swan Mr. and Mrs. Lyle Nye Kelly Preston Mr. and Mrs. Tom Scott Mr. and Mrs. John Swank ability is severely limited. Co-chairing the annual Mr. and Mrs. Mark O’Keefe Mr. and Mrs. Martin Preuss Mr. and Mrs. Al Sczepanski Alfreda Swanson fundraiser were Ellamary Kane and Franca G. Franklin Olds Mr. and Mrs. James Prewozniak Norma Lee Sczepanski Mr. and Mrs. John Swantek Dr. and Mrs. Thomas Olen John Prewozniak Mr. and Mrs. J. Gordon Sears Jane Swartz Oreffice, who served in the same capacity for the Mr. and Mrs. Aloysius Oliver Mary Price Mr. and Mrs. James Seitz Mr. and Mrs. David Swenson very first Love Light Trees event. Mr. and Mrs. Frederic Oonk Punch Productions, Inc. Tom Selleck Mr. and Mrs. Leon Syckle Nadine Opbroek Mildred Putnam Mr. and Mrs. Joseph Servinski Dr. and Mrs. Muhammad Syed Franca G. Oreffice Mary Lou Pyle Servinski Sod Service, Inc. SYNERGY Medical Education Alliance Gilberta Ortega Laura Quakenbush Mr. and Mrs. Ron Sexton Mr. and Mrs. Carl Szafranski Paul and Cindy Orvosh Ruth Quast Mr. and Mrs. John Shaffer Janette Taglauer Mr. and Mrs. Edward Vernon Richard Wood Mr. and Mrs. Richard Osburn Quick & Reliable Printing Frances Shauger Randy Tarzwell Mr. and Mrs. Isabel Viges Shelli Wood Mr. and Mrs. Anthony Ostahowski Bernice Rahn Mr. and Mrs. Jack L. Sheneberger Elizabeth Taylor Village Green H. T. Woodbury Mr. and Mrs. Max Oswald Lisa Ranger Maxine Shepard Mr. and Mrs. Ronald Taylor Mr. and Mrs. Robert Vink Mr. and Mrs. Larry Woodward Mr. and Mrs. Alan W. Ott Mr. and Mrs. John Rapanos Luella Shepherd Ruth Taylor J. Vitkuski Millie Wray Casey Overly Donna and Andy Rapp Sherwin-Williams Marjorie Teachout Mr. and Mrs. Phelps Vogelsang Mr. and Mrs. Robert Wright Mr. and Mrs. Ron Owen Mr. and Mrs. Douglas Rausch Shirlene’s Cuisine Dr. Kurt Tech Luanne Vogtmann Nancy Wyse Lauretta Owens Ray’s Bike Shop, Inc. Mr. and Mrs. Richard Shook Donald Thiel Mr. and Mrs. Sam Vranish Lois Yack Mr. and Mrs. Donald Padgett John Reder James Short Jean Thiele Mr. and Mrs. Jeffrey Wagner Arlene Yager Mr. and Mrs. Larry Page Christine Redman Melinda Shriner Ruth Tholen Mary Wagner Mr. and Mrs. Walter Yarmuth George Palm Mr. and Mrs. David A. Reece Maria Shriver Michael Thom Mr. and Mrs. Charles Wakeman Emily Yeager Mr. and Mrs. John Pangborn Mr. and Mrs. Mike Rehlberg Mr. and Mrs. John Shuell Albert Thomas Patricia Wakeman Mr. and Mrs. Eugene Yehle Betty Pankey Mr. and Mrs. James Reichard Laura Sian Mr. and Mrs. Lowell Thomas Marilyn Walker Cheryl Yesney Paul Pankratz Patricia Reif Fran Simmons Mr. and Mrs. Robert Thomas Judith Wall Julia Yonkers Paper Moon Mr. and Mrs. Robert Reinhardt Harriet Simon Mr. and Mrs. Russell Thomas Anne Wallin Mr. and Mrs. William Yost Elsa U. Pardee Foundation Mr. and Mrs. John Reisner Justin Simons Mr. and Mrs. Bart Thompson Mr. and Mrs. Zane Walters The Young and the Restless Dr. and Mrs. Gregory Parish RE/MAX of Midland Louise Simpson Mr. and Mrs. Ronald Thomson Jo Ann Waltz Your Personal Image Raymond Park Mr. and Mrs. Geoffrey Rettig Mr. and Mrs. Thomas Sinclair Virgelene Thornton William Wang Youth Honors Ensemble Clara Parkinson Debbie Reynolds Mr. and Mrs. Richard Sizemore Evelyn Thorp Mr. and Mrs. Ronald Warczinsky Zehnder’s of Frankenmuth Jean Parkinson Mr. and Mrs. Richard H. Reynolds Norman Skelly Three Rivers Corporation Helen Ward Mr. and Mrs. Gerald Ziarno Ronette Parks Rick and Jan Reynolds Jerry Skocelas Tim Hortons Mr. and Mrs. Keith Ward Mr. and Mrs. Jerry Zilincik Mr. and Mrs. Bob Parsons Mr. and Mrs. Richard Rhinehart Dr. and Mrs. Larry Skoczylas Mr. and Mrs. Robert Timmons Mr. and Mrs. Don Wardin Mr. and Mrs. A. Zimmerman Mr. and Mrs. Andrew Pasztor Bea Rhode Mr. and Mrs. Mark W. Skorczewski Dr. and Mrs. K. W. Tinker Virginia Waring Mr. and Mrs. Scott Zimmerman Patheon Pharmaceuticals, Inc. Mary Ribble Mr. and Mrs. Roger Skosich Mr. and Mrs. Paul Torres Sherri Warren Mr. and Mrs. Rowland Zink Amanda Patterson Mr. and Mrs. Everett Richardson Darlene Slater Mr. and Mrs. Philip Tower Warren Masonic Lodge No. 427 Edward Zondlak Dr. and Mrs. Stephen Pavlock Dr. and Mrs. Anthony Richtsmeier Peggy Slother Andrea Towlerton Richard Waterman Helen Zondlak Peel ’n Pare John E. and Margaret Ann “Ranny” Mr. and Mrs. John Towlerton Lynn Weaver Dr. Peter Peer Riecker F u n d D e v e l o p m e n t

Denise L. Lenk Belinda and Carey Scortichini Steven Ayres Robert Bruce Emerson L. Corbat In Honor Dr. and Mrs. Linferd Linabery Dianne Servinski Steve Bacon Bill K. Bryan Helena Corbat Dr. Linferd Linabery and staff Marge Sheridan Peggy Badour Helen Bryan Paul Cordeiro In recognition of birth- Eileen Ling Roberta P. Sinclair Mr. and Mrs. Earl Bailey Sandra L. Bryan David D. Cormier days, anniversaries and Bob LoFiego Mr. and Mrs. Mark Skorczewski, Chase Bill Baker Joseph Burkholder Mark Cormier Karen Lovelace and Hunter Ivan C. Baker Arlene Burlingame Jane Cornforth other special occasions, Sean Lynn Kristin Smith Marion Baker Frank and Helen Burns Jack and Sally Costa or simply to say thank Sue MacKenzie Mr. and Mrs. Ron Smith Mary L. Baker Lauren Burns Donald R. Coultrip Joseph R. Mann Dr. David W. Snider Clarence Baldwin Dallas Burrell Larry C. Coultrip you, we received gifts in Don Mashue Dr. Robert Snyder Ruby Baldwin Dorothy Burrell John Crabtree honor of the following: Lucile Mattingly Brenda Sorenson Mr. and Mrs. J. W. Ballagh Susan Butler Jeffrey Ryan Craig Anthony Maynard The Rev. W. Roger Stauffer Cecelia Balwinski Walter Buzanowski Donald Crockett Dr. Adelto N. Adan Dr. Benjamin R. Mayne Willa Stauffer Donald N. Bantien Clair Calkins Jacob P. Crockett Oswald and Edith Anders The Rev. Wallace H. Mayton III Lena Stocking James Barb Evelyn Calkins Lisa Crockett Eric, Astrid, Karl and Kiefer Anderson, Marty and Jane McDonough E. M. Sundquist Wendal E. Barrett Harry Calkins Michael Crockett and Sonja Barteck Bonnie Mead Pete and Anne Swan Charles Michael Barry Ann Agatha Camp Margaret Cronk Kristen Anderson Midland County S.O.S. Animal Rescue Carolyn Swartz James J. Bartlett Alma Campbell Catherine Cross Bryan Andrina Midland Salvation Army Corp. Emma Taylor Christopher S. Bartos Harry Cantrill Donna Cumming Julie Anklam MidMichigan Medical Center– Jean M. Thiele Jack W. Bashore Mark A. Carey Hilda and Wellman Dailey Grace Barker Midland: Dr. Bart Thompson and staff Louise Baughman Michael W. Carey Myrtes Dailey-Kemp Jody P. Bauder Cardiac care unit staff Gertrude Tolly Kathleen Bauman Ruth Carmean Elizabeth Davidson Kylie J. Bauder Cardiac rehabilitation Elizabeth Urban Evelyn D. Beamish Judy Carpenter Cruz Davila Taryn K. Bauder Doctors and staff Maria S. VanOchten James Michael Beeson Rhea Jean Carpenter Juanita Davila Tom Beckwith Lab—Joyce Mr. and Mrs. Allen Veenkant David Begin Lena M. Carter Urbano Davila Deanna Bejcek Travis Scott Davis Cheryl A. Berry Dale Dean Nancy Bicknell Laura Decker Jacinth Black Robert DeGroat Dr. Kristine Bobish Marquerite A. Delong Krys M. Bond Dawn DePesa Gary Borlace Arthur G. Dettmer Roger and Sally Borrousch Frieda Dettmer Dr. William R. Brooks Jr. Cecelia DeWyse Mildred Bush Betty Dice Dr. Raymond Bush Donald Dietlin Leona M. Caldecourt Richard Dilley Karen Calkins John and Ann Dining Carol G. Campbell Amelia Dittenber Veronica M. Cermak Gary and Judy Anderson Alan and Jean Ott William C. Schmidt Dr. Dan and Brenda Sorenson Arthur L. Dittenber Hannah B. Church Barbara W. Dittenber Dr. William S. Cline Eric Dittenhafer Laurisa Cummings Honoring our distinguished supporters Herbert D. Doan Robert DeGroat Chas. Dockham Gilbert and Annette Deibel MidMichigan Medical Center–Midland named the 2006 recipients of the prestigious Distinguished Supporters Award: Johan M. Dodge Tracy Doherty Robert DeNooyer Gary and Judy Anderson, Alan and Jean Ott, William C. Schmidt, and Dr. Dan and Brenda Sorenson. Established in Michelle A. Dexter Edna Dombroske Mr. and Mrs. Jim Dietlein 1987, the award honors supporters who have made significant commitments to the Medical Center. Veronica Donahue Yvonne Donnelly Kathy Dolan “Our organization continues to be blessed by many fine and caring individuals, who in their own unique way have Grace A. Dow Memorial Irving Dornacher Library each left an indelible mark,” says Richard M. Reynolds, president of MidMichigan Medical Center–Midland. “It is our Verba Dornacher Ray and Clara Dougherty Crista Dryer pleasure to formally recognize these most recent honorees who continue that tradition.” Bob and Bess Dulude Joshua Drake Dick and Joann Dulude Fenton Draves Robert Easton Earl Dreyer Dr. Judi Ecker and staff Clara Dudzik Ruth M. Ellis Open-heart surgery Jeremy, Cari, Kyla and Colton Vida Margaret Belfit Delbert V. Case Richard L. Dudzik Samantha Emerson implementation team Tamara K. Warner Paul Bell Robert W. Cermak David Duford EMTs, Cardiac EM Care Respiratory care department Dr. and Mrs. David Warren Harold E. Benjamin Dr. Harvey Chapin Robert Duncan Betty and Leo Fath Riecker Surgery Center patient Jody K. Webb Barton D. Bennett Donna Therese Charron Milt Eberhard Bob and Bobbie Fauver service volunteers Donna J. Wedge Bonita L. Bennett Mrs. J. A. Chenoweth Robert Edwards Dorothy Fauver Riecker Surgery Center reception William F. Whittier Robert and Betty Bennett Dr. Maynard B. Chenoweth Elmer W. Ehlers Shelley Fibiger service volunteers Hilda Willson Mr. and Mrs. Emil Bensch Brandon Rafael Church Clara Eichinger Diane Foster Volunteers Shelli Wood Roy C. Berry Charles N. Clark Virginia Eicholtz Skye and Lake Foster Volunteers of the surgical lounge Dr. Subramanyam Yadam Lena Bertuleit James L. Clark Aina Elash Andrea Frederick Mr. and Mrs. John Mier The Zeilstra family Ted Bertuleit Dallas Cobb Catherine G. Elliott Dr. Faith D. Fuentes Dr. Michael J. Miller Martha Bethke Allen Cole Charles Elliott Jane Gamble Darlene Mills Jeffery W. Bishop Lydia Cole John Elsen Jeanne Genovese Melody J. Milton In Memory Truman Bishop Elaine J. Collier Barbara Emeott Raquel Miquel W. Mike Bishop William J. Conrad June Erickson Charlotte George Expressions of sympathy Dr. Roy Goethe Colleen Moe Madeline Bjork June Cook Patricia Evans Florence Goodell Mr. and Mrs. Terence F. Moore were given in memory of Dr. Robert T. Blackhurst William “Bill” Cook Dawn Eyre Dr. Christina Murphy John Blenkhorn Roberta Copperman Harriet D. Fahey Lois Haselwood the following: Mr. and Mrs. G. Wayne Holbrook Mary M. Neely Patricia A. Blenkhorn Gabriella A. House Kellie Nightlinger Gertrude Blind Lyle Aamoth Debra L. Hughes Kendall Nightlinger A. Bruce Boehm Ryan Richard Abel Donald Hunkins Kevin Nightlinger Ray Bogasky Tobin Adams Dr. John W. Hysell Franca G. Oreffice Eulah Bolenbaugh Ashley S. Adan Susan Janke Mr. and Mrs. George Palm Mabel N. Bonbrake Bertha Adan Erik Johnson Darryl and Gail Palmer Clark Bonham Carlos Adan Matt Johnson Dale D. Parkinson Michele Lynette Boots Karen J. Ahearn Warren A. Johnson Jan Penney Joy Borders Mother of Peg Albe JoAnne L. Johnston Lt. Cpl. Michael J. Penney Ray K. Bornsheuer Everett Alexander Traci A. Jones Mary M. Plueddmann Deborah Bourke Floy Alfrey Ellamary Kane Janet L. Posey Helene M. Bourne Tom Altland Kathi Kanisczewski Dawn Renwick James L. Bourne Barbara J. Anderson Amanda Keller Mr. and Mrs. Richard L. Rhinehart Lois Bourne Charles L. Anderson Peggy Larkin Kelly Phil Rice McNeal D. Bourne Robert “Bob” Anger Hedwig Kenessy John and Margaret Ann Riecker Beverly Bovee Howard H. Arbury Dr. Lioudmila Kinachtchouk and staff Hattie Robinson Gerald Bowen Marie A. Arbury Linda A. Kline Carol Rose John W. Bowers David G. Arnold Dr. Paula J. Klose Ray and Rosemary Rowland Richard F. Boyce Gene M. Arnold The Jeff Kosal family Jordan D. Rulapaugh Frances Boyer Linda Arnold Robin Koss Dr. Kamal Sadjadpour Glenford Boyle Martha G. Arnold Carl and Barb Kroll Dr. Rami R. Safadi Adeline Bradshaw Mrs. Robert Arnold Sarah Krueger Dr. Charles A. Sanislow Rod Bradshaw Jason Lee Arthur Gene and Marilyn Kruger Sarah, Scarlet and Kaitlin Mary Brady Ann Asadorian Gladys Laney McKenna Elizabeth Saunders Charles H. Brant Jr. Arthur A. Asadorian Peggy J. Lark Gerianne J. Schmidt Joyce Braun Mr. and Mrs. Curtis Ashworth Linda Lauderbach Ronald and Geraldine Schram Harold C. Breault Robin F. Ava Eric Leikert and family Florence Breternitz George and Agnes Scoles Russell “Rusty” Ayres Virgil Brownlee F u n d D e v e l o p m e n t

Pete and June Kundinger Robert Myers Erma Rutter Margaret Todd William J. Kundinger Robert Naegele Sylvia M. Ryans Gertrude Tolly The Kuper family John B. Nauer Helen Sadek Ruth Tower Bill LaBurt Roland E. Neal Charles Sadenwater James “Jim” Townsend Leon Ladd W. Brock Neely Arif Sams Avery B. Trapp John B. Ladner Joseph C. Nelson Margaret Sanislow Lenora R. Tree Betty Lafore Roger and Francis Nelson Anthony Sartori Joyce Trethaway Dorothy L. Laitner Irma Nemeth Attilio and Ann Sartori William Tucker Nellie Lakomy Gloria Neuman Lloyd C. Saunders Sheldon Turley Jack and Greg Lamphere Jerry G. Neuman Jack Schaefer Johann Turner Michael Laney Marilyn R. Newcomb Eva Schmidt Ralph Tyrna Charlie A. Langhoff George Niemiec Harvey Schmidt John Ujevich Mr. and Mrs. A. LaPorte Joyce Ann Palmer Nightlinger Karen Hammer Schmidt Frank Urbiha Doreen Lark Ora E. Nims Leon M. Schneider Sr. Ira D. Vail Donna J. Larsen Shirley A. Norris Dr. Charles Schoff The Honorable Philip M. Van Dam Eleanor Larsen Gerald F. North Joan Schonwald-Cassell Floyd VanHorn Eric R. Larsen Jerry North Eric Schultz Marshall Vanloon The Laube family Frank W. O’Brien Rosemarie Schwab Donald J. Van Orden Linda Lauderbach John and Elma Oja Thomas R. Schwartz Arthur VanWert Sr. Charles Leach George Oliver Floyd Schymanski Aaron Varner Evangeline Leach Mary Oliver Gertrude A. Schymanski Lawrance Varner Neal Leddy Nicholas Orvosh Raymond Scoles Robert Vink Adrienne Lee Irene Ostahowski Iris Marie Sczepanski Phelps Vogelsang Jr. Loretta G. Lee John Ostahowski Marjorie Seelhoff Ester Vogtmann Eyvonne Farison Katherine Haskins Doris Leibfritz John M. Ostrander Nicole C. Seitz Leonard Vogtmann Harry and Vernice Feinauer Ann Hawkins Lois Leigeb Richard Glenn Oswald Celia Sellen Angelo Vranish Betty Felo Pansy Hawver Dorothy Lengerman Sadie Oswald Arthur R. Sexton Irene Vranish Mr. and Mrs. Gust Fenske Clara Hayes Ramona Leonrad Martha Oviatt Dorothy Sexton Jim Vranish Lawrence H. Fenske Dale Haywood Mary LePard John R. Owens Judith Shadoff Jane Vudures Donald and Lauretta Fenskie Phillip Hazzard Barbara R. Letson Elnora and Virgil Paige William Shand James A. Waldron Homer Ferguson Carole Head Peter S. Levy Phyllis Pankratz Anna I. Sharp Ross Walker Loved ones of Sophia Finney Matthew Heikel Walter Lewis Leona Parker Robert and Elenor L. Sharp Peg Wall Mrs. F. Firchau Dennis Heinze Elwyn and Anne Limberg Marielle Parker Myrl Shaver Freda Ward Kriss M. Fosgitt Ludwig Henkel Russell Lisle Liz Parks Lowell L. Shepard Robert H. Ward Bernard Foy Rosa Henkel Jack Lloyd Phillip E. Patton Lucille Shepherd Minnie Wardin Leo Foy Alfred J. Hermann Frederic J. Lockhart Ruth Paulson Max Shepherd Otto Wardin Ruth Francis Marguerite Hermann Joseph Lodari Gladys and R. J. Pelletier Barb Shields The Rev. James H. Waring Adeline Frank Nancy and Fred Herner Lawrence Loessel Sue Penny Mother of Rick Shields Charles M. Warner Robert G. Frazier Harry Herringshaw Kevin Longstreth Mary A. Permoda Norm Shively Francis “Red” Warner Alice R. Freer Ely O. Herzberg Marlin Longstreth Martin and Clara Pfannes Staci A. Shoffner Richard Waterman Kenneth Frieders Marion Heska Elaine Lovett Norman Piegols Frances R. Short Mickey R. Weaver Viola Friedrich Jack Hiemenz Barbara Lowzon Mary Pisarski James Shuell Roland Weaver Marilyn Furr Adolph S. Hierholzer Dr. John Lozak Peter Pisarski Mr. and Mrs. Clifford Siebert Edwin C. Weber Petrona Gaitan Paul E. Hinkamp Dorothy L. Ludington Dr. Donald Eugene Pletcher Wayne Siler Chris Webster Andrew Gandy Frank T. Hlavacek Lang Luu Jim B. Pontious Ray G. Simmons Kori Lenet Wedge Enrique Garcia Lloyd Hoag Robert Lyons Wesley “Bob” Postma Alex Simon Jean H. Weeks Nora Gardner Megan J. Holbrook Donald M. MacIntyre Doloris Potts William D. Sinclair Wilbur F. Weeks Norman Gardner Lee Holly IV Madge MacIntyre Sandra Potts Eileen A. Skelly Donald and Nancy Weiler Kathleen T. Garrett Richard Holm Mary Jean Maher Joan Presley Wallace and Phyllis Skorczewski Dominic and Mary Jane Welch Mr. P. Gault Dr. James Hood Colice P. Malek John Prewozniak Dorothy Small Bernetta A. Wells Bonnie B. Gehoski Connie Horner Leonard Malis Burtice Price Greg Smigiel Elmer R. Wells William D. Geiling Debra Horner Peter C. Maneri Punch Barbara Smith Donald Wesley Mary Geisler Maxine and Russell Horner Susan T. Marklewitz Norman A. Quast Bud Smith Ruth Wesley Richard A. Gensel Marilyn J. Hoshaw Mr. and Mrs. Henry Martin Pamela Ramsey Edith Smith Floyd Wetmore Clark A. George Parents of Eloise Houvener Wilfred and Evelyn Martinedale Alex and Nicoletta Rapanos Dr. James P. Smith Donald R. Weyenberg Helen L. Gerace Franklin W. How Rea Mason Elizabeth “Betty” Rathbun Jane E. Smith Elizabeth Whittier Irene Gerluski Marilyn Howard Barbara Mastic Tracee Rathbun Jeremy Smith Walter F. Wiesenauer Carl A. and Esther S. Gerstacker Wayne Howard Delores Matthews-Scoles Clifton K. Reavey Kellie Jane Smith Madge Wilcox Elwin Gidley Margaret Howk Willard B. Maxwell Lois Reavey Lloyd L. Smith David C. Williams Robert M. Gohlke The Rev. Robert O. Huff Doug Mayfield H. John Redelings Michael L. Smith Kenneth Williams Dieter Goldorf Tim Inman Ann E. Mayton Paul Redelings Robert Smith Buena E. Wilson Blanche Gonglewski Paola Introini Edith E. McBride Dr. Stephen D. Redman Thomas Smith Gerry Wilson Stella Goodrich Frank Irwin Marlene McCandless William A. and Barbara A. Reece Daniel Lucas Snoddy Robert E. Wilson Walter and Emma Goralski Dr. Larry Jackson Eleanore McCann Elizabeth M. Reed Teddy F. Snow Woodward N. Windover Thomas Gorham Robert W. Jackson Marcella McClain Nancy Reeves Ruth Ann Snyder Margaret Anne Winter Shirley Goulette Elizabeth Jacobs Edna McCleese Clara Reichard Parents of Mr. and Mrs. Solc Ann Wintermyer Larry Granger H. Ione Jacobs Mr. and Mrs. Malcolm McDonald Matthew M. Reichard John B. Spanka Eleanor J. Wirth George Graves Lawrence Jacobs Floyd McGinty Dr. James R. Reif Joseph Stachowicz Dorothy Wise Joe Gray Mary A. Jacobs William E. McGowan Edward J. Reilly Laurel and Kenneth Stein Kristina Workman Dorothy Grice Henry R. Jenkins Thomas M. McGraw Robert B. Reinhart Lawrence C. Stein Karl and Edna Yack Sherman L. Griswold Donald P. Jenks Grace Lemke McIntyre Michael Rettig Nan Stephen Walter J. Yarmuth Vera Griswold Robert Jezewski Kevin McIntyre Parents of Dorothy and Richard Norma Steuer Josephine B. Yascolt Melville and Zena Groom Edna I. Johnson Nancy L. McKinney Reynolds Don Stevens Dr. G. James Yobst Julius “Jay” Grosberg Jerry Johnson Scott Minter McNally David Ribble Julaine Stevens Jayne Yonkers William H. Gross Margaret Johnson Merl and Anna Marie McNurlen Doug Richardson Lyle J. Stevens Mom, Dad and Nan Zimmerman Floyd Guoan Mary Johnson Irene Meads Margaret Richardson Jim Stryker Frieda Zonge Viola Gustafson Orlin D. Johnson Bernard Mente Florence Rider Marion Suminski Irene E. Zuniga Carl L. Gutchak Patricia Johnson Michael Mente Dorothy Riggie Alice Sundquist Stuart Zurvalec Louise W. Hadley June R. Jones T. L. Mieske Edward Riggie Elden Sundquist Shelly Hafelein Raymond Jones Lucile and Nate Mihay Vernon Riggie Roger Sundquist Janice Hale Denise and Vince Junge David Mili Cynthia Christine Ring Kayla L. Sutton Legacy Society Karen Hammerschmidt Trudy Kain Bailey M. Miller Jerry L. Robb Christina Swan Marion Heska Fred Kasberg Donald J. Miller Roy E. Robb Kathryn Swanson The Legacy Society Thomas C. Hofelich Virginia Kaweck J. William Miller Kathleen E. Roberson Carolyn Swartz represents people who Thomas J. Hagon Bernice H. Kenaga Mike Miller Penny Roberson Marie Sweet Bernard and Leona Haley Peter Kendall Paul Miller Vicky Roberson Howard G. Swift III have provided a bequest Jane Hall Marian B. Kennedy Bob Mitchell Barbara A. Roberts Anthony “Dzia” and Clara “Busia” or another type of planned Arlene Halldorson Lucielle Kerr Rudy Moliterno Helen E. Roberts Szeszulski Brad L. Hamilton Nancy Kesseler E. Byron Molter James E. Roberts Clara and Harold Taglauer gift to help the Medical Karen Hamilton Grover E. Kirk Esther M. Molter Martin B. Roberts Madaline Tamborino Center ensure a legacy of Frances Hammond Valerie D. Klein Luke A. Mooney Sr. Raymond Roberts Phillip E. Teachout Leo V. Hancock Richard Klimpel Anna Moore James Robinson Irene, Jim and Angelo Temple trusted care. We appreci- Cindy Hanlon Cheryl Klopf Cecil Moore John Robinson Alexandria Terburgh Eunicemary Hardy Mary Jane and Ervin Knochel Paolo Moruzzi Ruth E. Robinson Maurice “Mo” Tessin ated the following special Julia L. Hargreaves Henry and Emma Kober Charles J. Moss Harold “Rocky” Rockwell Hughes J. Theodore support in 2006: I. Frank Harlow Clela Kortge Florence (Cook) Mudd Lucile Roels Clara Thom Jeff Harper Terry Kowalski Jetty Muladore Cecil Rogers Berneda Thomas Mary Eileen O’Brien JoAnne Harrigan Henry A. Krawczak John F. Mulloy Connie Rohde Frances G. Thomas Jerry Harrington Kenneth Krueger Wella Munger Irene Rolka The Rev. and Mrs. Collins Thornton Henry Hart Fred Kruger Willard H. Munger Sr. Brent L. Romain Toni Thrune Ruth Hartz Margaret Kucera Alfred Myers Melissa and Tom Ruppel Caryl E. Tiffany Grace Rupprecht Pat Timmons Nonprofit Org. U.S. Postage PAID Platteville, WI Permit No. 7 4005 Orchard Drive Midland, MI 48670

ourourHEALTH NEWS FROM MIDMICHIGAN MEDICAL CENTER–CLARE ● MAY/JUNE/JULY/AUGUST 2 0 0 7 Joining us for the health fair cardiac Better than an ‘survivors’ ot unlike the castaways on the hit reality televi- sion series Survivor, people right here in the middle of Michigan are battling to stay in the Samuel Rafael game longer. However, the stakes are higher in Cross II, M.D. Quiñones, M.D. the game of life they’re playing. apple a day General Surgery General Surgery You likely haven’t seen Carol Formsma, Bud nCarpenter, John Dunford, Jim Judge or Paula Koontz sporting Meet physicians at the Clare Health Fair Now accepting new patients Survivor bandanas while trying to start a campfi re on a remote island or decipher “tree mail” clues, but all fi ve have conquered THE OLD SAYING, “AN APPLE A DAY KEEPS THE physical challenges, such as leaking heart valves and blocked DOCTOR AWAY,” MEANS THAT IF YOU EAT HEALTHY arteries, with help from the affi liates of MidMichigan Health. FOODS YOU WILL STAY HEALTHY. BUT SIMPLY EATING an apple won’t cure health problems that already exist, nor will healthy a Will tO succeeD Cardiac survivors tend to have eating prevent all diseases. Adding more fruits and vegetables to your a will to succeed, says Jan Penney, R.N., M.S.N. As director diet is just part of a bigger picture. of cardiovascular services at MidMichigan Medical Center– MidMichigan Physicians Group physicians can help you take the Midland, she’s proud that MidMichigan offers the services right steps toward a healthier, longer life. Join them at MidMichigan these survivors need to make the most out of life. “If they’re Medical Offi ces–Clare, at 602 Beech Street in Clare, during a free going to cardiac rehabilitation, making lifestyle changes and walk-in health fair on Tuesday, May 15, 2–6 p.m. Robert Jeffrey Schaffer, getting the follow-up care they need, they’re showing that F Vanderbrook, M.D. M.D., Obstetrics Free health screenings will include: A total lipid profi le to Family Practice and Gynecology they’re not going to allow this to hold them back,” she says. measure HDL and triglycerides with on-site results F Measurement Through its four hospitals in Alma, Clare, Gladwin and of your blood pressure and pulse F Body fat and weight analysis Midland, MidMichigan provides state-of-the-art emergency F Grip strength analysis care and advanced diagnostic testing, including cardiac Enjoy light refreshments and register for a chance to win a door catheterization in Alma and Midland. It also offers special- prize. You’ll also be given a Healthy Living Quiz to take home. So forget ized cardiac rehabilitation in fi ve convenient locations, in- the birth certificate. Ignore what your driver’s license says. home care and recovery care through MidMichigan Visiting Instead, start with your lifestyle. Add your cholesterol and Nurse Association, community education and a wide range your blood pressure. Throw in your family of treatment options, including pacemaker implantation. history and mix thoroughly. The re- sult? Your “health age”—how cOMPreHensiVe care Beginning in summer 2007, old you really are. Reden Rajani patients will benefi t from even more extensive heart care When you take the Delgado, M.D. Mallick, M.D. when MidMichigan adds open-heart surgery, elective free MidMichigan Family Practice Family Practice angioplasty and electrophysiology services to its current Healthy Living Quiz, cardiovascular capabilities. we’ll add up all your “With our expanded services, those patients who would Visit our free numbers—from your chronological age to your cholesterol level. We’ll tell have had to travel for surgery will be able to have it here in you your “health age” and the lifestyle changes that can reduce your risk of Midland,” Penney says. “Patients will be able to have all of walk-in health fair disease. Then you and your doctor can discuss ways to improve your health their tests and procedures within our system, which will on tuesday, May 15. and add years to your life. help us offer a better continuity of care.” The Healthy Living Quiz is an in-depth, paper-and-pencil health assess- For more information on MidMichigan’s comprehensive ment. When completed and returned by mail, your confi dential results are cardiovascular program, visit www.midmichigan.org/heart. sent to you with an option to have a copy sent to your doctor. Receive your free For a referral to one of our experienced cardiologists, call quiz and participate in health screenings during the health fair on May 15. MidMichigan Health Line toll-free at (800) 999-3199.

Read the 3 THE GOOD NEWS SIGN UP FOR A SUMMER CLASS WOMEN AND HEART DISEASE 4 CALENDAR survivors’ 7 SPORTS INJURIES FOUR COMMON PROBLEMS WWW.MIDMICHIGAN.ORG stories—turn to page 2 insiDe H e a lt H cardiac ‘survivors ’ tell their stories Carol Formsma, Coleman three other weekday mornings. Bud has been swimming showed that while his two main coronary arteries were After Carol found out about a heart for about 43 years, and he estimates he has logged more open, several smaller arteries were clogged—causing a murmur during an examination than 9,500 water miles. condition known as “angina pectoris.” with her family doctor, she under- “Cardiac rehab did more than strengthen my heart,” Bud Jim’s chest pain was treated with medication, and he went testing, including a cardiac says. “It has rebuilt my confi dence and made me stronger was given a nitroglycerin patch to wear for several weeks stress test at MidMichigan Medical than I was with swimming alone, which also helps with to help relax the blood vessels. Today he no longer wears a Center–Midland to better diagnose my osteoporosis.” patch but carries a nitroglycerin pill to take immediately the problem. Tests showed that a if he begins to experience any more pain. valve in Carol’s heart was not per- John Dunford, Midland “I consider myself lucky,” Jim says. “I feel blessed to have forming as it should and that two John sought help from his physi- it diagnosed, and I can get on with life.” of her arteries were completely plugged. cian after breaking into a sweat Carol underwent open-heart surgery to replace the valve and having difficulty breathing Paula Koontz, Gladwin and bypass two arteries. Following recovery, she began car- during a short walk. A heart cath- Paula was regularly walking four diac rehabilitation at MidMichigan Medical Center–Clare. eterization to measure the health miles a day and had managed to Rehabilitation specialists monitored her heart rate and of coronary arteries showed that lose 100 pounds and keep it off rhythm to ensure that she was exercising enough to recover, 90 percent of them were blocked. for eight years. So when she had but not so much that it would cause further harm. Just a Following triple bypass open- trouble breathing during a shop- half-year after undergoing open-heart surgery, Carol and heart surgery, John received car- ping trip with her daughter, it her husband traveled to Egypt. diac recovery care in his own home through MidMichigan caught her by surprise. “I’m glad I did it,” Carol says. “Having the surgery and Visiting Nurse Association and then entered MidMichigan Luckily her daughter called an rehabilitation gave me confi dence that I could go out on my Medical Center–Midland’s cardiac rehabilitation program. ambulance right away. Paula was own or exercise and do as I wanted to.” He also attended a series of heart awareness seminars at diagnosed with a faulty heart valve and underwent open- MidMichigan Medical Center–Midland, which helped him heart surgery to replace it with a mechanical valve. Bud Carpenter, Midland change his eating habits. Now he is eating smarter and is After her surgery, Paula entered MidMichigan Visiting Following open-heart surgery looking forward to returning to the basketball court with Nurse Association’s (VNA’s) in-home recovery program. to replace his aortic valve, Bud a team sponsored by his church. Nurses provided monitoring and education a few times a has continued to receive ongoing “I thought my life was good before I received heart care, week in her home, and a telehealth device prompted her support from programs available but it’s been much fuller since,” John says. “I have more to measure her vital signs and transmit the data to VNA through MidMichigan. energy and get more done during the day.” between visits for additional monitoring. MidMichigan Visiting Nurse While she must still see her cardiologist every six Association (VNA) nurses visited Jim Judge, Mt. Pleasant months for a checkup, Paula is back to doing the things Bud’s home three to four times Jim fi rst experienced chest pains she loves. a week for about three weeks to while caring for the cattle on his “I didn’t watch my grandkids while I was recuperating. I monitor his progress. Once Bud was healthy enough, he dairy farm. When the pains re- was so glad when I could get back, so their life could return was sent to the second phase of cardiac rehabilitation at turned during church the next day, to normal,” she says. “I’m going to live every day like it was Campus Ridge Rehabilitation Services at MidMichigan his wife insisted on driving him my last.” Medical Offi ces–Campus Ridge. to the emergency department at Now Bud is in phase three of rehabilitation, a program Gratiot Medical Center in Alma, an Get tHe WHOle stOry Read more about these that offers the added security of professional supervision affi liate of MidMichigan Health. fi ve survivors by visiting www.midmichigan during exercise. He goes to cardiac rehabilitation two days Jim was admitted to the car- .org/testimonials and clicking on “Cardiovascu- a week and swims at the Midland Community Center the diac care unit for observation, and a heart catheterization lar Services” in the menu on the right. HealthGrades gives nod for third year or the third consecutive year, MidMichigan Medi- five-star designations for treatment of cal Center–Midland has been recognized with two heart attack for the third consecutive separate Distinguished Hospital Awards from year. MidMichigan also received HealthGrades, the nation’s leading independent five-star ratings in joint replacement health care ratings company. The Medical Center surgery for the fourth consecutive year. was named as a Distinguished Hospital for both In other clinical areas, MidMichigan fClinical Excellence and Patient Safety. is five-star rated for the treatment These are among the highest designations conferred by of chronic obstructive pulmonary HealthGrades, ranking MidMichigan among the top 5 per- disease (COPD) and the critical care cent of all hospitals in the nation for both clinical quality diagnoses of pulmonary embolism outcomes and patient safety. and sepsis. Of more than 5,100 hospitals evaluated nationwide, only 135 Of the 5,122 hospitals evaluated (or 2.7 percent) received the HealthGrades clinical excellence and rated by HealthGrades, only 35 award in 2005, 2006 and 2007. MidMichigan received it during nationwide—and only three in the state the years it was eligible—in 2005, 2006 and now 2007. of Michigan—received both prestigious awards three years measurable qualities such as accreditations, physician in a row. No other hospital in the Saginaw Valley area has and nurse credentials, advanced technology, fiVe-star HealtH care In the 2007 achieved this distinction. patient satisfaction, and other awards, visit HealthGrades Star Report ratings, MidMichigan received To learn more about MidMichigan’s leadership in www.midmichigan.org/quality.

MAY/JUNE/JULY/AUGUST 2007 2 T O Y O U R H E A L T H W O M e N ’ S H e a lt H Pregnancy pointers What’s normal and when to call the doctor

woman’s body constantly changes during pregnancy,” says family practitioner Carrie Nicholson, M.D., of MidMichigan Physicians Group, Michigan Medical Offices–Harrison. “Changes bring discomfort that may come and go throughout pregnancy.” a“Each pregnancy is different,” adds Jeffrey Schaffer, M.D., obstetrician/gynecologist with MidMichigan Physicians Group, MidMichigan Medical Offi ces–Clare. “A woman may have nausea and back pain with the fi rst child but not the second, or vice versa. It is important to know the difference between normal discomfort and a potential problem.” Stomach problems are common during pregnancy. “The best advice is to eat healthy, stay hydrated, and eat smaller, more frequent meals,” Dr. Nicholson says. “You need the same amount of calories, but spreading them over the Women and heart disease course of a day will keep your energy level higher.” Nausea early on in pregnancy is caused by hormonal Good news, bad news and what you can do changes and usually goes away by the fourth month. “Severe or constant vomiting can cause dehydration. Call your doc- ewer American women are dying of heart dis- now,” she says. “It’s never too late to take action, no mat- tor if you cannot keep any food down,” Dr. Nicholson says. ease. According to the National Institutes of ter what your age.” Heartburn often occurs dur- Health, heart disease deaths dropped from one ing pregnancy. Antacids approved in three women to one in four—nearly 17,000 WOMen’s syMPtOMs are Different by your doctor may help, as can fewer in 2004 than in 2003. Women’s heart attack symptoms can be much different smaller, more frequent meals. If The bad news is that heart disease is still from men’s. Women hesitate to seek emergency help and, heartburn is a problem at night, fthe top cause of death for women. “It’s great that a as a result, often suffer more heart damage. Another reason change the elevation of your bed to majority of women are now aware that heart disease is women are slow to get help is fear of being embarrassed if keep your head at least six inches the biggest threat to their health,” says Rajani Mallick, their symptom turns out to be a false alarm. higher than your feet. M.D., family physician with MidMichigan Physicians A woman with a heart attack might feel short of breath, Hormones, as well as vitamins Group in Clare. “Awareness is the first step in fighting unusually fatigued or generally unwell. If she has chest Carrie and iron supplements, may cause heart disease. But it still kills more women than any pain, it might feel like a squeezing sensation instead of the Nicholson, M.D. constipation. Fiber, fl uids and ex- other disease.” crushing pressure men typically describe. Women often ercise may help. “Check with your feel radiating pain in the right arm, rather than the left as doctor before you use anything other than food to relieve knOW yOur risk, lOWer yOur risk The men usually do, and they’re more likely than men to have constipation,” Dr. Nicholson says. three biggest risk factors for heart disease are high blood jaw and neck pain. Women also experience nausea and “Fatigue is normal,” Dr. Schaffer says. “Pregnancy takes pressure, high cholesterol and diabetes. “Knowledge is the vomiting with heart attacks more often than men. a lot of energy.” He recommends that women maintain their second step in fi ghting heart disease,” Dr. Mallick says. If you experience these symptoms or think you’re hav- usual schedule at a slower pace. “Even though you may feel “Women need to know their numbers so they can assess ing a heart attack, call for emergency medical help imme- too tired to exercise, a daily walk will increase your energy their personal risk. Naturally, taking action is the next step— diately. Don’t drive yourself to the emergency room. level and usually improves sleep.” changing diet, exercising and working with their doctor to Women are different when it comes to diagnosis and Extreme fatigue may need attention. “If you are ex- get their numbers into the desired range.” treatment too. “Traditional testing methods were developed hausted after a full night’s sleep, tell your doctor. It may be Some risk factors, such as genetics and age, can’t be to diagnose heart disease in men, and some tests don’t work a sign of anemia,” Dr. Schaffer says. changed. “All the more reason that women need to control well for women,” Dr. Mallick says. “The exercise stress test is what they can,” Dr. Mallick says. “We have total control proving to be less accurate in diagnosing women, and even over what we eat and drink, how we exercise, whether though a woman’s arteries appear clear on an angiogram, or not we take our medications as we should. To a large it doesn’t mean she’s not at risk.” Treatment may differ for degree, we can control our heart health. It’s particularly women too. “Women respond differently to some drugs,” important for women to not smoke and to learn to man- Dr. Mallick says. “Even the standard treatment of a daily age stress. Both these risk factors have a stronger negative 81-milligram aspirin is not appropriate for all women.” effect on women.” Dr. Mallick stresses that women need to learn their risks neeD HelP WitH yOur nuMBers? If you and start working to reverse them, regardless of age. “Heart haven’t had your blood pressure or cholesterol checked disease develops slowly over time, and it is guaranteed to lately, talk to your doctor or go to one of MidMichigan’s get worse if it is not treated,” she says. blood pressure clinics or Healthy Living cholesterol clin- Dr. Mallick says that women should work with their ics. For more information, visit www.midmichigan.org/ doctors to learn their risk for heart disease and then classes. For information about Dr. Mallick, visit establish a plan of action to lower their risk. “If you www.midmichigan.org/doctors or call start taking better care of your heart today, you can look MidMichigan Health Line toll-free at forward to a healthier life tomorrow—and 20 years from (800) 999-3199.

MAY/JUNE/JULY/AUGUST 2007 3 T O Y O U R H E A L T H to register for any program May or to learn more: Paths to good call MidMichigan Health line at (989) 837-9090 or June toll-free at (800) 999-3199. Visit our Web site at www.midmichigan.org/ July classes. unless otherwise noted, Aug.Advance noticeHealtH is needed to make ar range ments for people with disabilities. Call all programs are free. MidMichigan Health Line for a phy si cian referral, directions to any Mid Mich i gan affiliate or to report duplicate mailings of To Your Health. cOMMunity HealtH ■ tuesday, June 12, 6:30 p.m. gratiot Medical center, anD eDucatiOn Modular classroom #1 Pre-diabetes: ■ tuesday, June 26, 6:30 p.m. steps to healthy living MidMichigan health Park–houghton lake, Diabetes affects 21 million Americans. lower level conference room Risk factors include having a family history relief to gain of the disease, being overweight and hav- from abdominal Pain ing an inactive lifestyle. Steps to Healthy This program is designed to address ab- Living is a three-session weight manage- dominal problem symptoms and provide ment and exercise series for those at information on treatment options. A panel increased risk of type 2 diabetes. Par- of health care experts will discuss medical ticipants will use a pedometer to monitor treatments, diets, abdominal massage and exercise progress, and the fi nal session exercises that can help individuals with ab- will include a virtual grocery store tour. dominal pain. The goal is to offer solutions Wednesdays, May 9, 16, 23 through medical treatment and collaboration 6–7:30 p.m. between health care providers and patients. MidMichigan Medical offi ces–Midland, Wednesday, May 16, 6 p.m. towsley conference room MidMichigan Medical offi ces–gladwin, $35 per person or $50 per couple community education room ■ tuesday, May 29, 6:30 p.m. faMily HealtH eDucatiOn aarP® driver safety Program doherty hotel, clare Managing Menopause This is an eight-hour refresher course for ■ tuesday, May 29, 6:30 p.m. Babysitter training class There are now more choices than ever drivers ages 50 and older that has helped MidMichigan health Park–Mt. Pleasant, This class, intended for youth ages 11 for managing the short-term symptoms millions of drivers remain safe on today’s community room through 16, can help you learn responsi- and long-term health risks associated roads. It will help you tune up your driv- ■ Wednesday, June 13, 11 a.m.–noon bilities involved in being a good babysit- with menopause. Please join MidMichigan ing skills; update your knowledge of road MidMichigan health Park–houghton lake, ter. Topics covered include responsible experts for a discussion on menopause rules; learn about normal, age-related lower level conference room child care, safe play, feeding and bathing symptom treatment and how to preserve physical changes; and drive more safely. a child, nutrition, safety, emergency tips, bone, heart and emotional health. ® tuesday, May 15, and thursday, May 17 look good...feel Better basic fi rst aid, and CPR. Each student will ■ Wednesday, May 16, 6:30 p.m. ® 10 a.m.–noon and 1–3 p.m. A cosmetologist specially trained in skin receive a copy of the American Red Cross MidMichigan Medical offi ces–Midland, MidMichigan Medical center–Midland, and hair changes due to cancer treatment Babysitter’s Training Handbook. Space is towsley auditorium center for Women’s health, leads these free sessions, sponsored by limited. Call to register. ■ thursday, May 17, 6:30 p.m. community education room the American Cancer Society (ACS). Partici- saturday, May 12, 9 a.m.–3:30 p.m. MidMichigan health Park–Mt. Pleasant, $10 pants learn how to manage skin changes (lunch and snacks provided) community room or hair loss by using cosmetics and skin MidMichigan Medical offi ces–gladwin, Put some ZZZ’s ■ Wednesday, June 20, 6:30 p.m. care products donated by the cosmetics in- community education room Back in Your sleep MidMichigan Medical offi ces–gladwin, dustry. Registration is required. To register, $25 per person community education room Are you tired of not getting a good night’s call the ACS at (800) 728-2323. Monday, June 11, 6 p.m., and heartsaver first aid sleep? According to the National Sleep cardiovascular disease: Foundation, many of America’s adults Monday, aug. 13, 2 p.m. The Heartsaver First Aid course teaches get the Beat on the latest ■ MidMichigan Medical center–Midland, how to manage illness and injuries in the sleep poorly, and it takes a toll on their in diagnosis and treatment work relationships, productivity, public center for Women’s health, community fi rst few minutes until professional help The most common cause of death in America safety and intimacy. Join experts from education room arrives. Course content includes general is cardiovascular disease. This may seem Sleep Disorder Centers of MidMichigan ■ MidMichigan Medical offi ces–gladwin, principles, medical emergencies and injury like bad news for all of us. However, the Health for information on how sleep disor- community education room emergencies. Fees charged for these good news is that diagnostic tests and treat- ders are evaluated and treated. courses do not represent income to the ments for heart disease have become highly ■ tuesday, May 15, 6:30 p.m. Bariatric surgery: American Heart Association. This course advanced. Cardiovascular experts will provide doherty hotel, clare is it for Me? fulfi lls requirements for teachers and day an update on testing and treatment, includ- ■ Wednesday, May 23, 6:30 p.m. Learn about laparoscopic weight-loss care providers. ing surgical interventions and aggressive MidMichigan Medical offi ces–Midland, surgery and how it can improve your ■ Monday, May 14, 6–9 p.m. prevention before and after a heart attack. towsley auditorium health and your life. General surgeons MidMichigan Medical offi ces–gladwin, ■ tuesday, May 22, 6:30 p.m. ■ thursday, May 31, 6:30 p.m. Ernest Cudjoe, M.D., and Jeffrey community education room MidMichigan Medical offi ces–gladwin, MidMichigan health Park–Mt. Pleasant, Smith, M.D., will highlight laparoscopic $30 per person community education room community room Roux-en-Y and Lap-Band surgical options. ■ thursday, May 24, 6:30 p.m. ■ tuesday, June 5, 6:30 p.m. Please call MidMichigan Health Line MidMichigan Medical offi ces–Midland, MidMichigan Medical offi ces–gladwin, at (800) 999-3199 for dates, times, towsley auditorium community education room locations and to register.

MAY/JUNE/JULY/AUGUST 2007 4 T O Y O U R H E A L T H Breastfeeding: infant and child cPr heartsaver cPr training healthy Beginnings This course teaches lay rescuers skills These American Heart Association CPR Topics discussed include breast changes, in CPR and relief of foreign body airway classes teach the skills of CPR and choking senior life With milk production, positioning, feeding frequen- obstruction for infants (birth to 1 year) and for adults, children and infants. Upon cy, returning to work and weaning options. children (1 to 8 years). Taught by certi- completion, you will receive a completion Class size is limited. Please call to register. fi ed instructors, the course also provides card. Fees charged for these courses do style scheduled May 15, June 4, July 23, aug. 20 information about the American Heart As- not represent income to the American 6:30 p.m. sociation Pediatric Chain of Survival, signs Heart Association. Call for prices and to for June 13 MidMichigan Medical center–Midland, of choking in infants and children, preven- register. center for Women’s health, community tion of the most common fatal pediatric 6–9 p.m. Mark your calendar now and join in the education room injuries, and reduction in the risk of sudden ■ Monday, June 11 fun at the 25th Senior Life With Style. The $25 per couple infant death syndrome. Demonstrations MidMichigan Medical offi ces–gladwin, health fair will be held on Wednesday, and practice on manikins is included. community education room June 13, 8:30 a.m.–12:30 p.m., at the May 15, June 11, July 23, aug. 21 ■ Wednesday, aug. 15 Quality Inn, adjacent to the U.S. 27 and 6:30–8:30 p.m. MidMichigan Medical offi ces–gladwin, M-55 intersection. This annual event is MidMichigan Medical center–Midland, community education room sponsored by MidMichigan Health Park– orchard auditorium $30 per person Houghton Lake. $20 per person (includes book) Preparation for childbirth cardiac topic older Brother/older sister (alma, clare and Midland) Tanveer A. Malik, M.D., will present a This class prepares children to welcome a This class series prepares the expectant keynote lecture titled “Cardiovascular new baby into the family. Activities concern- mother and her labor partner for active Disease: Get the Beat on the Latest in ing feelings and the expected newcomer, participation in the birth experience. Diagnosis and Treatment.” Dr. Malik is as well as a tour of the maternity unit, are Classes cover relaxation, breathing board-certifi ed in internal medicine and included. Children must be accompanied by awareness, hospital practices, pain control, cardiology. He routinely sees patients at an adult. Recommended ages are 2½ to the most up-to-date techniques, and MidMichigan Health Park–Houghton Lake. 8 years. Class size is limited. Please call options for labor and delivery, including the His keynote address will begin at 11 a.m. grief recovery group for fees and to register. unexpected and cesarean birth. Call for An educational series that covers bereave- ■ saturdays, May 19, June 16, aug. 18 available classes and fees. Courses should screenings ment topics, including the value of support 9:30–11:30 a.m. be completed four weeks before the due The fair will offer more than a dozen health during grief, why each person’s grief is MidMichigan Medical center–Midland, date. screenings as well as educational booths unique, myths and stages of grief, creat- orchard auditorium and materials. These include glaucoma ing a memory relationship, taking care of ■ tuesdays, May 22, June 26, July 24, to register for the classes listed above, and blood pressure checks, cholesterol yourself, and getting through anniversaries aug. 28, 6–7 p.m. or throughout these calendar pages, and glucose screenings, and balance and and holidays. gratiot Medical center call MidMichigan health line at hearing testing. Back again this year are ■ Mondays, July 9–30, 6–7:30 p.m. oB conference room (800) 999-3199. the popular “Ask the Doctor” tables. Ad- Christ the King Lutheran Church, Gladwin ■ saturday, June 23, 10–11:30 a.m. ditionally, MidMichigan Visiting Nurse As- ■ tuesdays, aug. 7–28, 6–7:30 p.m. MidMichigan Medical center–clare, sociation will provide hands-on experience MidMichigan Visiting Nurse Association, conference room 1 suPPOrt GrOuPs with its Lifeline home monitoring system. A variety of health care screenings, ongoing Midland classes and support groups are offered ■ tuesdays, sept. 4–25, 6–7:30 p.m. Other educational booths and materials through community education. For a list of MidMichigan Medical Offi ces–Clare, will represent some of the broad range support groups or for more information, Medical Offi ces Conference Room of services available from MidMichigan call MidMichigan Health Line at Health. Topics range from cancer pre- (800) 999-3199 or visit: vention to getting a good night’s sleep. ■ Diabetes classes and counseling: Refreshments and door prizes will add to MatriX:Midland www.midmichigan.org/diabetes the educational and fun-fi lled morning. welcomes author John grogan ■ Support groups: John Grogan, author of the best-selling Marley and www.midmichigan.org/supportgroups register today Me: Life and Love With the World’s Worst Dog, ■ Tobacco cessation programs: To register or to receive an information- will appear as part of the 29th annual MATRIX: www.midmichigan.org/quit packed Senior Life With Style brochure, MIDLAND Festival. MidMichigan Medical Center– call MidMichigan Health Line Midland will co-sponsor his lecture planned for at (800) 999-3199. 7:30 p.m., thursday, June 7, in the auditorium at the Midland Center for the Arts. Grogan will autograph books in the lobby after his presenta- tion. The special appearance of MidMichigan’s osteoporosis exercise certifi ed dog therapists, the Cosmic Canine class: level 2 Cure, will also be a part of the evening. This is an advanced osteoporosis preven- Grogan’s tale is a heartwarming and unforget- tion class that adds walking and strength- table story of a family in the making and the wondrously neurotic dog who taught them ening programs to further assist with what really matters in life. His presentation will talk about family and relationships improving bone health, muscle tone and through good times and bad and the bond that was created with their dog. balance. Participants must have attended Grogan is a Pennsylvania columnist for The Philadelphia Inquirer and the former editor the level 1 class or had osteoporosis in chief of Rodale’s Organic Gardening magazine. Previously he worked as a reporter, exercise in physical therapy. bureau chief and columnist at newspapers in Michigan and Florida. His work has won thursdays, May 24, 31; June 7, 14 numerous awards, including the National Press Club’s Consumer Journalism Award. 1–2 p.m. Tickets are $27 for adults and $17 for students and are available for purchase MidMichigan Medical offi ces–gladwin, online at www.mcfta.org, at the Midland Center for the Arts box offi ce at 1801 W. community education room St. Andrews Road, Midland, or by calling (800) 523-7649 or (989) 631-8250. Box of- $40 fi ce hours are weekdays, noon–6 p.m., and Saturdays, 1–5 p.m.

MAY/JUNE/JULY/AUGUST 2007 5 T O Y O U R H E A L T H H e a lt H Y l IVING MidMichigan patient discovers Hospice is ‘about living’ ronze and Silver Star recipient Laurin Preston is His terminal condition and life expec- no stranger to the prospect of dying. However, tancy make him appropriate for Hos- the decorated war veteran, now diagnosed with pice treatments. Laurin is proving to the a terminal condition, seldom allows the thought world that Hospice does not mean that to enter his mind. he has no more living to do. When Laurin served as a medic in World War II, Laurin and Marge continue an active Bhe received the Bronze and Silver Stars for heroic and fulfi lling life together. Computer- actions. His overseas duties were marked by the deaths savvy Laurin has a digital camera, and of friends, sniper and mortar fire, and the furies of he e-mails family and friends often. battle in his quest to treat the wounded. Laurin, now 85 Laurin has a golf cart that he drives, and intimately familiar with death, responded with the but he also makes sure that he is walk- bravery of a young soldier when told of his inoperable ing on a regular basis to keep up his heart condition. strength. Laurin refers to MidMichigan Hos- “live a life you won’t regret.…if you pice nurse Sue Drager-Carl as his angel. He credits the care of Sue, the entire are facing a terminal illness, seek Hospice Hospice team and the concern of his wife as the sources of his strength and care. Hospice makes living better.” ability to live with enjoyment this long —LAURIN PRESTON after receiving a terminal diagnosis. Marge says, “Hospice helps me as “When you’ve lived the life that I have lived, you un- well as my husband. As a caregiver, I derstand death, so you decide to live without any regrets,” need to talk to someone sometimes, too, Laurin explains. “I have no regrets. I don’t think about and they are always there for me.” dying. I’m busy living.” In the 20 months that Laurin has enjoyed life while receiving Hospice Laurin Preston refers to MidMichigan Hospice nurse Sue Drager-Carl iMPrOVeD Quality Of life When Laurin services, many people with terminal (left) as his angel. He credits her, the entire Hospice team and the and his wife, Marge, learned that Laurin’s heart condition illnesses have died—most without the concern of his wife, Marge, (right) as the reasons he’s lived so long. could not be treated with surgery, they made the decision benefi ts of Hospice or in-home care. But to receive in-home Hospice care. The Prestons realized that Laurin says, “Live a life you won’t regret and never assume Nurse’s service area, which includes Arenac, Clare, Hospice was not for dying, but for assisting Laurin to live that you can put things off—not in life and not in death. If Gladwin, Isabella, Ogemaw, Midland, Roscommon out the rest of his days with quality of life. you are facing a terminal illness, seek Hospice care. Hospice and portions of Bay and Saginaw counties. For more While many people assume Hospice only benefi ts pa- makes living better.” information about services provided by MidMichigan tients who have days left to live, Laurin’s story certainly Visiting Nurses, call (989) 839-1773 proves that conception to be false. finD Out MOre Hospice and other home health or toll-free (800) 862-5002, or visit Laurin has been receiving Hospice services for 20 months. services are available throughout MidMichigan Visiting www.midmichigan.org/hospice. firefl y Golf tournament ecause they are committed to helping terminally co-founder, Nancy Kee- ill patients and their families, Karen Jones and non, and I are absolutely Nancy Keenon, of Clare, have dedicated their thrilled with the support time each June for nine years to organizing the we receive from Clare popular Firefl y Four-Lady Golf Scramble, benefi t- County. Each year, busi- ing MidMichigan Hospice. This year’s scramble, nesses and individuals Bopen to four-women teams, will take place Friday, June 29, generously donate to the at Firefl y Golf Links in Clare. cause. It is a wonderful Proceeds from hole sponsorships and raffl es are donated feeling to provide a fun Coming soon: New surgery suites to MidMichigan Hospice in Clare County. These funds event for the community, construction and renovation of surgical suites provide hospice services, medications and supplies for while generating support at MidMichigan Medical center–clare began in terminally ill patients in Clare County. for MidMichigan Hospice april 2007 and is expected to be complete in MidMichigan Hospice cared for more than 160 patients at the same time.” 2008. the construction includes a new operating with life-limiting illnesses in Clare County last year. The For more information about golfi ng in the Firefl y Four- room and renovations to an existing operating program provides home nursing care, medicine, supplies and Lady Golf Scramble, call Firefl y Golf Links at(989) 386-3510. room, and totals almost 15,000 square feet. the social work support for patients, in addition to respite and Firefl y is located at 7795 S. Clare Ave., north of Clare. To addition will be attached to the existing hospital bereavement support for families in nine counties throughout make a donation to MidMichigan Hospice or to mid-Michigan. purchase a hole sponsorship, call Karen Jones at on the west side of the building. Jones, one of the tournament’s co-founders, says, “My Campbell Printing at (989) 386-3407.

MAY/JUNE/JULY/AUGUST 2007 6 T O Y O U R H E A L T H H e a lt h MidMichigan named to 100 Top Hospitals® list idMichigan Medical Center–Midland is mark hospitals based on overall performance. and CEO of MidMichigan Medical Center–Midland. “This setting new national standards for clinical The study uses a balanced scorecard approach and distinction, coupled with having recently received the 2007 outcomes, patient safety, financial perfor- scores hospitals based on a set of measures that reflect Distinguished Hospital Awards for Clinical Excellence and mance, efficiency and growth in patient highly effective performance across the whole organiza- Patient Safety for the third year in a row, truly validates volume. The Medical Center has been named tion, including board members, medical staff, management the dedicated focus of our physicians, staff and volunteer one of the nation’s 100 Top Hospitals® by and employees. These include patient team.” MSolucient®, part of Thomson Healthcare, a leading outcomes, patient safety, national treat- The 2006 winners from the 14th edi- provider of information and solutions to improve the ment standards (core measures), ef- tion of the study have been announced cost and quality of health care. Gratiot Medical Center ficiency, financial stability and growth in the March 12, 2007, issue of Modern in Alma, an affiliate of MidMichigan Health, also was in service. Healthcare. The full list of honorees may named on the list. “We are pleased to have earned be found at www.100tophospitals.com. The Solucient 100 Top Hospitals: National Benchmarks this recognition as a leader in setting To learn more about measureable for Success study annually examines changing performance new national standards in health care,” qualities at MidMichigan Health, visit levels in U.S. hospitals and objectively identifies 100 bench- says Richard M. Reynolds, president www.midmichigan.org/quality.

Skin care Playing it safe in the sun ne out of every seven people in the United States just as vigilant about protecting our skin will develop some form of skin cancer during from too much sun,” Dr. Tirmizi says. their lifetime. For years, physicians and public “Sunscreen can help prevent burning health officials have warned about the dangers and keep your skin healthy; however, it of too much sun. Their message is simple: Most does not mean you are totally protected skin cancers can be prevented if people will from UV damage,” he says. “Wearing Oconsistently protect their skin from the sun’s damaging sunscreen doesn’t buy you extra time in ultraviolet rays. So why don’t we? the sun. You still need to limit your sun exposure.” protection factor (SPF) should be a minimum of 15. “Other than sunburn, which can be temporarily painful, F Wear protective clothing. The tighter the weave, the the consequences of sun damage don’t show up for years,” Protect yourself Here’s how to put a physical more protection it provides. F Wear a hat. A broad- says internal medicine physician Amir Tirmizi, M.D., of barrier between your skin and UV rays: F Avoid the sun brimmed hat will protect your face, ears, neck and eyes. MidMichigan Physicians Group. “Skin cancer is most often between 10 a.m. and 3 p.m., when its rays are strongest. F Wear sunglasses. Look for sunglasses that block diagnosed in people 50 and older, after years of too much F Seek shade. Trees can block about 60 percent of the 99 percent or 100 percent of all UV light. sun exposure. Skin protection needs to be learned early and sun’s rays. F Wear sunscreen, every day, year-round, on practiced consistently.” exposed skin. UV rays, present year-round, are at least Free skin assessment For a free skin “In the middle of a Michigan winter, we wear coats, hats three times higher in summer. F Use broad-spectrum assessment guide and information about skin cancer, call and gloves to protect our skin from the cold. We need to be sunscreens that block UVA and UVB rays. The sun MidMichigan Health Line toll-free at (800) 999-3199. Relay for Life inspires those touched by cancer ore than 20 years ago the American Cancer For 2007, MidMichigan Health will be involved at these Society began Relay for Life, a campaign that Relay for Life events: celebrates survivorship and raises funds for ● St. Johns, May 18–19, St. Johns H.S. research and support programs. ● Montcalm County, June 15–16, Greenville H.S. MidMichigan Health is proud to support ● Saginaw Township, June 23–24, Heritage H.S. Relay for Life events in the communities we ● Isabella County, June 29–30, Isabella Fair Grounds Mserve. ● Roscommon County, July 14–15, Houghton Lake H.S. Hundreds of MidMichigan employee volunteers help ● Midland County, July 28–29, Midland Fairgrounds with survivor and caregiver programs at the relays. At ● Gratiot County, August 10–11, Ithaca H.S. many sites, employees form relay teams and help spread ● Gladwin County, August 11–12, Beaverton H.S. awareness of prevention and treatment programs that are ● Bay County, August 12–13, River Walk Park available through the MidMichigan Health system. ● Saginaw County, August 18–19, Ojibway Island

TO YOUR HEALTH is published as a community 2007 MidMichigan Health Board of Directors Robert Stafford, Chair • W. Lynn Weimer, MidMichigan Health is proud to support service by MIDMICHIGAN HEALTH, 4005 Orchard Vice Chair • Gregory Bercher, M.D. • Jerry Brandt • Nancy Gallagher • Lori Gwizdala • William Drive, Midland, MI 48670, (989) 839-3000. Heinze • William Henderson • J. Christopher Hough, M.D. • Karen Langeland • Peg Mier our • Terence F. Moore, President • Mary Neely • Ed Rogers • William Schmidt • Jerry Skocelas Information in TO YOUR HEALTH comes from a wide range of medical experts. If you have • Daniel Sorenson, M.D. Relay for Life events any concerns or questions about specific content that may affect your health, please contact Editorial Board Donna Rapp, Senior Vice President • Millie Jezior, Editor • Angela Nader, your health care provider. Models may be used in photos and illustrations. Production Assistant • Penny Daniels • Warren Johnson • Christie Kanitz • Stephanie Leibfritz, Copyright © 2007 Coffey Communications, Inc. HST20114h R.N. • Megan McHenry • Cal McIntosh • Carlene Skorczewski • Bernadette Stocking • Larry in the communities we serve. Stoecker • Caroline Kramer, M.D., Ph.D., Physician Advisor Nonprofit Org. U.S. Postage PAID Platteville, WI Permit No. 7 4005 Orchard Drive Midland, MI 48670

ourour HEALTH NEWS FOR RESIDENTS OF GLADWIN COUNTY ● MAY/JUNE/JULY/AUGUST 2 0 0 7

Getting emergency treatment quickly and taking good care of their MidMichigan hearts has enabled these cardiac survivors to return to the activities makes 100 Top they love. From left: Bud Carpenter, John Dunford, ® Paula Koontz, Jim Judge and Carol Formsma. hospitals list idMichigan Medical Center–Midland is setting new national standards for clinical out- comes, patient safety, fi nancial performance, effi ciency and growth in patient volume. The Medical Center has been named one of the nation’s 100 Top Hospitals® by Solucient®, part Mof Thomson Healthcare, a leading provider of information and solutions to improve the cost and quality of health care. Gratiot Medical Center in Alma, an affi liate of MidMichigan Cardiac ‘survivors’ Health, also was named on the list. The Solucient 100 Top Hospitals: National Benchmarks for NOT UNLIKE THE CASTAWAYS ON THE HIT Alma and Midland. It also offers specialized cardiac reha- Success study annually examines changing performance levels REALITY TELEVISION SERIES SURVIVOR, PEOPLE bilitation in fi ve convenient locations, in-home care and in U.S. hospitals and objectively identifi es 100 benchmark RIGHT HERE IN THE MIDDLE OF MICHIGAN recovery care through MidMichigan Visiting Nurse Associa- hospitals based on overall performance. The study uses a bal- are battling to stay in the game longer. However, the stakes tion, community education and a wide range of treatment anced scorecard approach and scores hospitals based on a set are higher in the game of life they’re playing. options, including pacemaker implantation. of measures that refl ect highly effective performance across the You likely haven’t seen Carol Formsma, Bud Carpenter, In 2005 MidMichigan began providing emergency whole organization, including board members, medical staff, John Dunford, Jim Judge or Paula Koontz sporting angioplasty, a lifesaving procedure for many heart attack management and employees. These include patient outcomes, Survivor bandanas while trying to start a campfi re on a patients. MidMichigan Medical Center–Midland was the patient safety, national treatment standards (core measures), remote island or decipher “tree mail” clues, but all fi ve fi rst facility in the state approved to offer this service with- effi ciency, fi nancial stability and growth in service. have conquered physical challenges, such as leaking heart out an on-site open-heart surgery program. As a result of the measures, the Top 100 Hospitals dis- valves and blocked arteries, with help from the affi liates of tinction was given to MidMichigan Medical Center– MidMichigan Health. COMprehensive Care Beginning in summer 2007, Midland in the teaching hospital category. patients will benefi t from even more extensive heart care “We are pleased to have earned this recognition as a a WiLL TO suCCeed Cardiac survivors tend to when MidMichigan adds open-heart surgery, elective leader in setting new national standards in health care,” have a will to succeed, says Jan Penney, R.N., M.S.N. As angioplasty and electrophysiology services to its current says Richard M. Reynolds, president and CEO of director of cardiovascular services at MidMichigan Medical cardiovascular capabilities. MidMichigan Medical Center–Midland. “This distinction, Center–Midland, she’s proud that MidMichigan offers “With our expanded services, those patients who would coupled with having recently received the 2007 Distin- the services these survivors need to make the most out have had to travel for surgery will be able to have it here in guished Hospital Awards for Clinical Excellence and Patient of life. Midland,” Penney says. “Patients will be able to have all of Safety for the third year in a row, truly validates the dedi- “If they’re going to cardiac rehabilitation, making life- their tests and procedures within our system, which will cated focus of our physicians, staff and volunteer team.” style changes and getting the follow-up care they need, help us offer a better continuity of care.” The full list of honorees may be found at they’re showing that they’re not going to allow this to hold For more information on MidMichigan’s comprehensive www.100tophospitals.com. The 2006 winners from the 14th them back,” Penney says. cardiovascular program, visit www.midmichigan.org/heart. edition of the study have been announced in the March 12, Through its four hospitals in Alma, Clare, Gladwin and For a referral to one of our experienced cardiologists, call 2007, issue of Modern Healthcare. Midland, MidMichigan provides state-of-the-art emergency MidMichigan Health Line toll-free at (800) 999-3199. To learn more about measurable care and advanced diagnostic Above all, listen to your heart and be a survivor too. If qualities at MidMichigan Health, testing, including cardiac you experience any warning signs of heart attack, “Don’t visit www.midmichigan.org/ catheterization in Wait. Don’t Drive. Dial 911.” quality. read the Survivors’ 3 UPGRADES IMAGING CAPABILITIES GROW 4 CALENDAR SIGN UP FOR A SUMMER CLASS stories—turn to page 2 6 BREATHE EASY PULMONARY REHAB CAN HELP WWW.MIDMICHIGAN.ORG inside I m ag i n g MidMichigan Medical Center–Gladwin upgrades mammography to digital technology

ne of the most important health habits for women re-examine suspicious areas on the mammogram to deter- is breast wellness, with monthly self-examina- mine if they need further evaluation. tions, routine clinical breast exams and regular mammograms. Mammography remains the best Better views of dense breast tissue method of early breast cancer detection. According to a recent clinical trial sponsored by the Na- The American Cancer Society recommends tional Cancer Institute, results showed that digital mam- Oyearly mammograms starting at age 40 and continu- mography was proven to be especially beneficial for women ing for as long as a woman is in good health. And now, in the following groups: women in the Gladwin area can take advantage of digital ● Under 50 years of age mammography, the latest technology for early detection ● Pre-menopausal of breast cancer, now available at MidMichigan Medical ● Any women with dense breast tissue Center–Gladwin. An important point to keep in mind is that breast density may change over time. A radiologist evaluates the same Procedure, but no processing density of a woman’s breast during the interpretation of From the patient’s point of view, the procedure is the same the mammogram. A description of breast density is usually for a film or digital mammogram. Both create images from included in the mammogram report sent to your physician. low-energy X-ray beams that pass through breast tissue, a Any woman with questions about breast density should simple procedure that typically takes less than 20 minutes. discuss it with her primary care physician. Instead of a film image, a digital mammogram is an elec- If you would like to schedule a mammogram, first contact tronic image that a radiologist can use to zoom in on an your doctor for a physician order, then call (888) 367-2778 area of concern, highlight details or analyze using sophis- to arrange for an appointment. Most insurance plans cover ticated software. Digital mammograms can also be stored annual mammograms starting at age 40. To verify coverage, and transferred electronically for patient convenience in we encourage you to check with your insurance provider. follow-up care. We are very pleased to be able to offer this new tech- Mammograms in Gladwin are also double-checked nology to women and their physicians in Gladwin and the by an R2 ImageChecker®, which allows the radiologist to surrounding areas. 16-slice CT gives scanning capabilities a boost

idMichigan Medical Center–Gladwin has drink contrast material and/or have an IV recently completed building renovations and started that has contrast material injected installation of a Siemens SOMATOM Emotion into your vein. In the CT imaging room, you 16-slice CT scanner. This new technology will will lie on a table that moves through a large, increase the types of CT scans available and doughnut-shaped scanning machine. You will allow the completion of them in less time with be asked to lie as still as possible throughout Mless radiation exposure than ever. the procedure because moving can blur the images. The machine will make clicking CT defined A CT or CAT scan is an X-ray procedure and whirring sounds as the scan proceeds. that provides more detail than a standard X-ray. During a At times, the technologist may also ask you CT scan, a thin X-ray beam rotates around the patient while to hold your breath while certain images are special detectors measure the amount of X-ray that passes taken. Most scans take from a minimum of through. A computer then analyzes the measurements, cre- eight seconds to a maximum of 24 seconds ating cross-sectional images of the area being scanned. By on the area or organ being scanned. stacking these images, also known as “slices,” the computer can assemble a 3-D image of the organs within the body. What happens after the CT The results of the scan will be reviewed by Why doctors recommend CT scans a radiologist, a physician who specializes in CT scans are fast, painless and simple to perform. They the interpretation of X-ray images. After re- create clear, detailed images of the smallest bones in your view, the radiologist may discuss the results body, as well as your heart, lungs, liver, kidneys, intestines, directly with your physician or issue a report head, neck and blood vessels. of the examination to your physician. MidMichigan Medical Center–Gladwin is What happens during a CT scan De- pleased to offer this improved technology to pending on the area being examined, you may be asked to meet the medical needs of our community.

MAy/june/july/ a u g u s t 2 0 0 7  to your health To register for any program May or to learn more: Paths to good Call MidMichigan health Line at (989) 837-9090 or June toll-free at (800) 999-3199. visit our Web site at www.midmichigan.org/ July classes. unless otherwise noted, Aug.Advance noticeheaLTh is needed to make ar range ments for people with disabilities. Call all programs are free. MidMichigan Health Line for a phy si cian referral, directions to any Mid Mich i gan affiliate or to report duplicate mailings of To Your Health. COMMuniTy heaLTh ■ Tuesday, June 12, 6:30 p.m. Gratiot Medical Center, and eduCaTiOn Modular Classroom #1 Pre-Diabetes: ■ Tuesday, June 26, 6:30 p.m. Steps to Healthy Living MidMichigan Health Park–Houghton Lake, Diabetes affects 21 million Americans. Lower Level Conference Room Risk factors include having a family history Relief to Gain of the disease, being overweight and hav- From Abdominal Pain ing an inactive lifestyle. Steps to Healthy This program is designed to address ab- Living is a three-session weight manage- dominal problem symptoms and provide ment and exercise series for those at information on treatment options. A panel increased risk of type 2 diabetes. Par- of health care experts will discuss medical ticipants will use a pedometer to monitor treatments, diets, abdominal massage and exercise progress, and the fi nal session exercises that can help individuals with ab- will include a virtual grocery store tour. dominal pain. The goal is to offer solutions Wednesdays, May 9, 16, 23 through medical treatment and collaboration 6–7:30 p.m. between health care providers and patients. MidMichigan Medical Offi ces–Midland, Wednesday, May 16, 6 p.m. Towsley Conference Room MidMichigan Medical Offi ces–Gladwin, $35 per person or $50 per couple Community Education Room ■ Tuesday, May 29, 6:30 p.m. faMiLy heaLTh eduCaTiOn AARP® Driver Safety Program Doherty Hotel, Clare Managing Menopause This is an eight-hour refresher course for ■ Tuesday, May 29, 6:30 p.m. Babysitter Training Class There are now more choices than ever drivers ages 50 and older that has helped MidMichigan Health Park–Mt. Pleasant, This class, intended for youth ages 11 for managing the short-term symptoms millions of drivers remain safe on today’s Community Room through 16, can help you learn responsi- and long-term health risks associated roads. It will help you tune up your driv- ■ Wednesday, June 13, 11 a.m.–noon bilities involved in being a good babysit- with menopause. Please join MidMichigan ing skills; update your knowledge of road MidMichigan Health Park–Houghton Lake, ter. Topics covered include responsible experts for a discussion on menopause rules; learn about normal, age-related Lower Level Conference Room child care, safe play, feeding and bathing symptom treatment and how to preserve physical changes; and drive more safely. a child, nutrition, safety, emergency tips, bone, heart and emotional health. ® Tuesday, May 15, and Thursday, May 17 Look Good...Feel Better basic fi rst aid, and CPR. Each student will ■ Wednesday, May 16, 6:30 p.m. ® 10 a.m.–noon and 1–3 p.m. A cosmetologist specially trained in skin receive a copy of the American Red Cross MidMichigan Medical Offi ces–Midland, MidMichigan Medical Center–Midland, and hair changes due to cancer treatment Babysitter’s Training Handbook. Space is Towsley Auditorium Center for Women’s Health, leads these free sessions, sponsored by limited. Call to register. ■ Thursday, May 17, 6:30 p.m. Community Education Room the American Cancer Society (ACS). Partici- Saturday, May 12, 9 a.m.–3:30 p.m. MidMichigan Health Park–Mt. Pleasant, $10 pants learn how to manage skin changes (lunch and snacks provided) Community Room or hair loss by using cosmetics and skin MidMichigan Medical Offi ces–Gladwin, Put Some ZZZ’s ■ Wednesday, June 20, 6:30 p.m. care products donated by the cosmetics in- Community Education Room Back in Your Sleep MidMichigan Medical Offi ces–Gladwin, dustry. Registration is required. To register, $25 per person Community Education Room Are you tired of not getting a good night’s call the ACS at (800) 728-2323. Monday, June 11, 6 p.m., and Heartsaver First Aid sleep? According to the National Sleep Cardiovascular Disease: Foundation, many of America’s adults Monday, Aug. 13, 2 p.m. The Heartsaver First Aid course teaches Get the Beat on the Latest ■ MidMichigan Medical Center–Midland, how to manage illness and injuries in the sleep poorly, and it takes a toll on their in Diagnosis and Treatment work relationships, productivity, public Center for Women’s Health, Community fi rst few minutes until professional help The most common cause of death in America safety and intimacy. Join experts from Education Room arrives. Course content includes general is cardiovascular disease. This may seem Sleep Disorder Centers of MidMichigan ■ MidMichigan Medical Offi ces–Gladwin, principles, medical emergencies and injury like bad news for all of us. However, the Health for information on how sleep disor- Community Education Room emergencies. Fees charged for these good news is that diagnostic tests and treat- ders are evaluated and treated. courses do not represent income to the ments for heart disease have become highly ■ Tuesday, May 15, 6:30 p.m. Bariatric Surgery: American Heart Association. This course advanced. Cardiovascular experts will provide Doherty Hotel, Clare Is It for Me? fulfi lls requirements for teachers and day an update on testing and treatment, includ- ■ Wednesday, May 23, 6:30 p.m. Learn about laparoscopic weight-loss care providers. ing surgical interventions and aggressive MidMichigan Medical Offi ces–Midland, surgery and how it can improve your ■ Monday, May 14, 6–9 p.m. prevention before and after a heart attack. Towsley Auditorium health and your life. General surgeons MidMichigan Medical Offi ces–Gladwin, ■ Tuesday, May 22, 6:30 p.m. ■ Thursday, May 31, 6:30 p.m. Ernest Cudjoe, M.D., and Jeffrey Community Education Room MidMichigan Medical Offi ces–Gladwin, MidMichigan Health Park–Mt. Pleasant, Smith, M.D., will highlight laparoscopic $30 per person Community Education Room Community Room Roux-en-Y and Lap-Band surgical options. ■ Thursday, May 24, 6:30 p.m. ■ Tuesday, June 5, 6:30 p.m. Please call MidMichigan Health Line MidMichigan Medical Offi ces–Midland, MidMichigan Medical Offi ces–Gladwin, at (800) 999-3199 for dates, times, Towsley Auditorium Community Education Room locations and to register.

MAy/june/july/August 2007 4 t o y o u r h e a l t h Breathe easier MidMichigan patient discovers with pulmonary Hospice is ‘about living’ Bronze and Silver Star recipient Laurin Preston rehabilitation is no stranger to the prospect of dying. However, If you are living with one of the many lung-related dis- the decorated war veteran, now diagnosed with a eases, pulmonary rehabilitation can help. terminal condition, seldom allows the thought to The program consists of eight to 12 weeks of one- enter his mind. on-one individualized therapy. Patients receive exercise When Laurin served as a medic in World War II, training to improve strength and endurance in the upper- he received the Bronze and Silver Stars for heroic and lower-body muscles as well as education on subjects actions. His overseas duties were marked with the including lung anatomy, breathing retraining, oxygen uti- deaths of friends, sniper and mortar fi re, and the lization and safety, medication awareness, and nutrition. furies of battle in his quest to treat the wounded. Pulmonary rehabilitation cannot cure a lung disease, Laurin, now 85 and intimately familiar with death, but it can help patients gain control over some of the responded with the bravery of a young soldier physical symptoms and emotional effects, while improving when told of his inoperable heart condition. the patient’s ability to perform day-to-day activities. Rehab Laurin explains, “When you’ve lived the life that may also reduce the number and length of hospitalizations. I have lived, you understand death, so you decide MidMichigan Hospice nurse Sue Drager-Carl, Laurin Preston and Marge Preston Join us as we hear the stories of Emma and Roy—both to live without any regrets. I have no regrets. I don’t patients of the MidMichigan Medical Center–Gladwin think about dying. I’m busy living.” pulmonary rehabilitation program. When Laurin and his wife, Marge, learned that Laurin’s sources of his strength and ability to live with enjoyment heart condition could not be treated with surgery, they made this long after receiving a terminal diagnosis. Marge says, emma’s story Nearly three years ago, Emma Auer of the decision to receive in-home Hospice care. The Prestons “Hospice helps me as well as my husband. As a caregiver, Gladwin noticed it did not seem to take much physical realized that Hospice was not for dying, but for assisting I need to talk to someone sometimes, too, and they are exertion for her to become short of breath. After seeing Laurin to live out the rest of his days with quality of life. always there for me.” several physicians, having many tests and even traveling While many people assume Hospice only benefi ts pa- In the 20 months that Laurin has enjoyed life while on to the Mayo Clinic, Emma was diagnosed with mild em- tients who have days left to live, Laurin’s story certainly Hospice services, many people with terminal illnesses have physema. Her pulmonologist recommended pulmonary proves that the conception is false. Laurin has been receiv- died—most without the benefi ts of Hospice or in-home rehabilitation. Emma completed the program, and is now in ing Hospice services for 20 months. His terminal condition care. He says, “Live a life you won’t regret and never assume the maintenance program to keep the gains she has made. and life expectancy make him appropriate for Hospice treat- that you can put things off—not in life and not in death. If Today, Emma is feeling better. “The most benefi cial ments. Laurin is proving to the world that Hospice does not you are facing a terminal illness, seek Hospice care. Hospice thing for me was the exercise,” Emma says. “I’ve noticed mean that he has no more living to do. makes living better.” that everything in general is much easier to do now.” Laurin and Marge continue an active and fulfi lling life Hospice and other home health services are available Thanks to pulmonary rehab, Emma now only uses together. Computer-savvy Laurin has a digital camera, and throughout MidMichigan Visiting Nurse’s service area, oxygen once in a while as needed and is able to walk to her he e-mails family and friends often. Laurin has a golf cart which includes Arenac, Clare, Gladwin, Isabella, Ogemaw, friend’s house, which she was not able to do before. that he drives, but he also makes sure that he is walking on Midland, Roscommon and portions of Bay and Saginaw “The pulmonary rehab program has helped me tre- a regular basis to keep up his strength. counties. For more information about services provided mendously. I would defi nitely recommend the program to Laurin refers to MidMichigan Hospice nurse Sue by MidMichigan Visiting Nurses, call (989) anyone with a breathing problem like mine,” Emma says. Drager-Carl as his angel. He credits the care of Sue, the 839-1773 or toll-free (800) 862-5002, or visit entire Hospice team and the concern of his wife as the www.midmichigan.org/hospice. roy’s story For Roy Jones, who has emphysema, using an inhaler medication and oxygen became part of his daily routine. His physician had previously suggested to him that pulmonary rehabilitation could help him, but Roy didn’t believe he was ready for it. Health fairs educate When some sudden, life-changing experiences made managing his emphysema more diffi cult, Roy was ready to try pulmonary rehabilitation when his doctor suggested it community and students again. “My only regret is that I didn’t do it the fi rst time my This past April, MidMichigan Medical Center–Gladwin hospital departments, along with partnering community doctor suggested it,” Roy says. “Pulmonary rehabilitation brought health screenings and information directly to agencies. The information provided to attendees included has helped me to understand my disease and educated me the community through health fairs held at MidMichigan proper body mechanics when using a backpack, correct on how to breathe. I am now mentally more able to deal Medical Offi ces–Gladwin, as well as the Beaverton and body ergonomics when sitting at a desk, and tips on with my disease.” Gladwin schools. healthy eating and snacking foods. The students’ height Roy successfully completed the program and now Both Mark Bush and Sherry Taunt, executive vice presi- and weight also were taken, and a body mass index (BMI) participates in the maintenance program. dents of the Medical Center, state that the purpose of these was calculated as well. In addition, pulse oximetry (blood “I could go to a regular gym to exercise, but it is just programs is consistent with the Medical Center’s mission, oxygen levels) and tobacco use, blood pressure, and glucose not the same—I would feel out of place there,” Roy says. “To improve and promote the health of the communities and cholesterol blood levels were screened. Following the “What I like about the pulmonary rehabilitation program we serve.” screenings, students received education on understanding is I know everyone here is in the same boat. I enjoy the More than 300 members of the community attended the their own results. Law enforcement also reinforced the use group activities and support. The camaraderie is great. fair held at the Medical Offi ces building. The school health of seat belts and other safety tips. I would highly recommend the program to anyone with fairs also were quite successful, with nearly 400 students What’s more, this year the now eighth-grade students a disease like mine. It will help you to understand your in attendance from Beaverton and Gladwin Junior High who attended the fair last year were offered a re-screening disease and how to live with it.” Schools, as well as Sacred Heart, Skeels Northern Christian, of glucose and cholesterol. This re-screening provided Pulmonary rehabilitation can help put you back in and the Creative Learning Academy. Students received free data to compare to their results from last year. control of your breathing. To learn more about gifts appropriate for encouraging a healthy lifestyle, such Following the fair, the information students received was this program available at MidMichigan as water bottles and jump ropes. sent to their parents, offering them the opportunity to learn Medical Center–Gladwin, call (989) 246-9421. The fair was composed of various stations staffed by more about the results of their child’s screening.

MAy/june/july/August 2007 6 t o y o u r h e a l t h H E a LT H healthgrades gives nod for third year or the third consecutive year, MidMichigan Medical received it during the years it was eligible—in 2005, 2006 state of Michigan—received both Center–Midland has been recognized with two and now 2007. prestigious awards three years in separate Distinguished Hospital Awards from a row. No other hospital in the HealthGrades, the nation’s leading independent five-sTar heaLTh Care In the 2007 Saginaw Valley area has achieved health care ratings company. The Medical Center HealthGrades Star Report ratings, MidMichigan received this distinction. was named as a Distinguished Hospital for both fi ve-star designations for treatment of heart attack for the To learn more about fClinical Excellence and Patient Safety. third consecutive year. MidMichigan also received fi ve-star MidMichigan’s leadership in These are among the highest designations conferred by ratings in joint replacement surgery for the fourth measurable qualities such as HealthGrades, ranking MidMichigan among the top 5 per- consecutive year. In other clinical areas, MidMichigan is accreditations, physician and nurse cent of all hospitals in the nation for both clinical quality fi ve-star rated for the treatment of chronic obstructive credentials, advanced technology, outcomes and patient safety. pulmonary disease (COPD) and the critical care diagnoses patient satisfaction, Of more than 5,100 hospitals evaluated nationwide, of pulmonary embolism and sepsis. and other awards, visit only 135 (or 2.7 percent) received the HealthGrades clini- Of the 5,122 hospitals evaluated and rated by www.midmichigan.org/ cal excellence award in 2005, 2006 and 2007. MidMichigan HealthGrades, only 35 nationwide—and only three in the quality.

Skin care playing it safe in the sun ne out of every seven people in the United States will develop some form of skin cancer during prOTeCT yOurseLf Here’s how their lifetime. Most skin cancers can be pre- to put a physical barrier between your vented if people will consistently protect their skin and UV rays: ✦ Avoid the sun be- skin from the sun’s damaging ultraviolet rays. tween 10 a.m. and 3 p.m., when its rays So why don’t we? are strongest. ✦ Seek shade. Trees can O“Other than sunburn, which can be temporarily painful, block about 60 percent of the sun’s rays. the consequences of sun damage don’t show up for years,” ✦ Wear sunscreen, every day, year-round, on exposed says internal medicine physician Amir Tirmizi, M.D., of skin. UV rays, present year-round, are at least three times free sCreenings Free skin cancer screenings are MidMichigan Physicians Group. “Skin cancer is most often higher in summer. ✦ Use broad-spectrum sunscreens that available at: ✦ Family Medical Care–Breckenridge on Friday, diagnosed in people 50 and older, after years of too much block UVA and UVB rays. The sun protection factor (SPF) May 4, 9 a.m.–noon. ✦ Montcalm Health Services, Edmore, sun exposure. Skin protection needs to be learned early and should be a minimum of 15. ✦ Wear protective clothing. on Thursday, May 10, 8:30–11:30 a.m. ✦ Offi ce of Annu practiced consistently.” The tighter the weave, the more protection it provides. Mohan, M.D., Mt. Pleasant on Friday, July 13, 9 a.m.–noon. “In the middle of a Michigan winter, we wear coats, hats ✦ Wear a hat. A broad-brimmed hat will protect your Registration is required for all screenings. To register and gloves to protect our skin from the cold. We need to be face, ears, neck and eyes. ✦ Wear sunglasses. Look for or to receive a free skin assessment guide and information just as vigilant about protecting our skin from too much sunglasses that block 99 percent or 100 percent of all about skin cancer, call MidMichigan Health Line toll-free sun,” Dr. Tirmizi says. UV light. at (800) 999-3199. relay for Life inspires those touched by cancer ore than 20 years ago the American Cancer For 2007, MidMichigan Health will be involved at these Society began Relay for Life, a campaign that Relay for Life events: celebrates survivorship and raises funds for ● St. Johns, May 18–19, St. Johns H.S. research and support programs. ● Montcalm County, June 15–16, Greenville H.S. MidMichigan Health is proud to support ● Saginaw Township, June 23–24, Heritage H.S. Relay for Life events in the communities we ● Isabella County, June 29–30, Isabella Fair Grounds Mserve. ● Roscommon County, July 14–15, Houghton Lake H.S. Hundreds of MidMichigan employee volunteers help ● Midland County, July 28–29, Midland Fairgrounds with survivor and caregiver programs at the relays. At ● Gratiot County, August 10–11, Ithaca H.S. many sites, employees form relay teams and help spread ● Gladwin County, August 11–12, Beaverton H.S. awareness of prevention and treatment programs that are ● Bay County, August 12–13, River Walk Park available through the MidMichigan Health system. ● Saginaw County, August 18–19, Ojibway Island

TO YOUR HEALTH is published as a community 2007 MIDMICHIGAN HEALTH BOARD OF DIRECTORS Robert Stafford, Chair • W. Lynn Weimer, MidMichigan health is proud to support service by MIDMICHIGAN HEALTH, 4005 Orchard Vice Chair • Gregory Bercher, M.D. • Jerry Brandt • Nancy Gallagher • Lori Gwizdala • William Drive, Midland, MI 48670, (989) 839-3000. Heinze • William Henderson • J. Christopher Hough, M.D. • Karen Langeland • Peg Mier our • Terence F. Moore, President • Mary Neely • Ed Rogers • William Schmidt • Jerry Skocelas Information in TO YOUR HEALTH comes from a wide range of medical experts. If you have • Daniel Sorenson, M.D. relay for Life events any concerns or questions about specifi c content that may affect your health, please EDITORIAL BOARD Donna Rapp, Senior Vice President • Millie Jezior, Editor • Angela Nader, contact your health care provider. Models may be used in photos and illustrations. Production Assistant • Penny Daniels • Warren Johnson • Christie Kanitz • Stephanie Leibfritz, Copyright © 2007 Coffey Communications, Inc. HST20115h R.N. • Megan McHenry • Cal McIntosh • Carlene Skorczewski • Bernadette Stocking • Larry in the communities we serve. Stoecker • Caroline Kramer, M.D., Ph.D., Physician Advisor Nonprofit Org. U.S. Postage PAID Gratiot Medical Center named Platteville, WI Permit No. 7 4005 Orchard Drive Top 100 Hospital! Midland, MI 48670 Turn to the back page for details.

ourourHEALTH NEWS FOR RESIDENTS OF GRATIOT AND MONTCALM COUNTIES ● MAY/JUNE/JULY/AUGUST 2 0 0 7

Getting emergency treatment quickly and intervent: taking good care of their hearts has enabled these cardiac survivors to return to the activities forever fit they love. From left: Bud Improve your health, weight Carpenter, John Dunford, and fi tness at Gratiot Medical Center Paula Koontz, Jim Judge and Carol Formsma. inally, a life management program that fi ts your busy schedule—Intervent: Forever Fit. Our goal is to partner with you to design a plan to meet your specifi c goals, preferences and circumstances. In this program, you will be teamed up with a mentor to help implement your individual- fized nutrition, exercise, stress management and weight management program. Your mentor will also help you stay motivated and on track to ensure success in achieving your health and lifestyle goals. With Intervent: Forever Fit, you’ll lose weight, eat Cardiac ‘Survivors’ healthier, exercise and get the results you want, as well as become tobacco-free, manage stress, and lower cholesterol, NOT UNLIKE THE CASTAWAYS ON THE HIT Alma and Midland. It also offers specialized cardiac reha- blood pressure and blood sugar. REALITY TELEVISION SERIES SURVIVOR, PEOPLE bilitation in fi ve convenient locations, in-home care and But Intervent: Forever Fit is not a quick fi x. It is a healthy, RIGHT HERE IN THE MIDDLE OF MICHIGAN recovery care through MidMichigan Visiting Nurse Associa- —Continued on page 6 are battling to stay in the game longer. However, the stakes tion, community education and a wide range of treatment are higher in the game of life they’re playing. options, including pacemaker implantation. You likely haven’t seen Carol Formsma, Bud Carpenter, In 2005 MidMichigan began providing emergency John Dunford, Jim Judge or Paula Koontz sporting angioplasty, a lifesaving procedure for many heart attack Survivor bandanas while trying to start a campfi re on a patients. MidMichigan Medical Center–Midland was the remote island or decipher “tree mail” clues, but all fi ve fi rst facility in the state approved to offer this service with- have conquered physical challenges, such as leaking heart out an on-site open-heart surgery program. valves and blocked arteries, with help from the affi liates of MidMichigan Health. COMPReHenSiVe CARe Beginning in summer 2007, To find a physician or service associated patients will benefi t from even more extensive heart care with Gratiot Medical Center, A WiLL TO SuCCeeD Cardiac survivors tend to when MidMichigan adds open-heart surgery, elective call MidMichigan Health Line have a will to succeed, says Jan Penney, R.N., M.S.N. As angioplasty and electrophysiology services to its current director of cardiovascular services at MidMichigan Medical cardiovascular capabilities. Toll Free (800) 999-3199 Center–Midland, she’s proud that MidMichigan offers “With our expanded services, those patients who would the services these survivors need to make the most out have had to travel for surgery will be able to have it here in of life. Midland,” Penney says. “Patients will be able to have all of Serving “If they’re going to cardiac rehabilitation, making life- their tests and procedures within our system, which will communities style changes and getting the follow-up care they need, help us offer a better continuity of care.” throughout the they’re showing that they’re not going to allow this to hold For more information on MidMichigan’s comprehensive middle of Michigan them back,” Penney says. cardiovascular program, visit www.midmichigan.org/heart. Through its four hospitals in Alma, Clare, Gladwin and For a referral to one of our experienced cardiologists, call Midland, MidMichigan provides state-of-the-art emergency MidMichigan Health Line toll-free at (800) 999-3199. Health Line also provides information on support care and advanced diagnostic Above all, listen to your heart and be a survivor too. If groups, screenings and classes. testing, including cardiac you experience any warning signs of heart attack, “Don’t catheterization in Wait. Don’t Drive. Dial 911.” www.midmichigan.org/doctors Read the MMH-1116 To Your Health survivors’ 3 ARTHRITIS NOT JUST ACHES AND PAINS 4 CALENDAR SIGN UP FOR A SUMMER CLASS stories—turn 2.5” x 3.5” to page 2 6 URGENT CARE NEW FACILITY TO OPEN IN JUNE WWW.MIDMICHIGAN.ORG inSiDe

MMH-1116 Find a Physician-v5_MtP1 1 2/27/07 2:32:57 PM H e a lt H Cardiac ‘Survivors ’ tell their stories Carol Formsma, Coleman three other weekday mornings. Bud has been swimming showed that while his two main coronary arteries were After Carol found out about a heart for about 43 years, and he estimates he has logged more open, several smaller arteries were clogged—causing a murmur during an examination than 9,500 water miles. condition known as “angina pectoris.” with her family doctor, she under- “Cardiac rehab did more than strengthen my heart,” Bud Jim’s chest pain was treated with medication, and he went testing, including a cardiac says. “It has rebuilt my confi dence and made me stronger was given a nitroglycerin patch to wear for several weeks stress test at MidMichigan Medical than I was with swimming alone, which also helps with to help relax the blood vessels. Today he no longer wears a Center–Midland to better diagnose my osteoporosis.” patch but carries a nitroglycerin pill to take immediately the problem. Tests showed that a if he begins to experience any more pain. valve in Carol’s heart was not per- John Dunford, Midland “I consider myself lucky,” Jim says. “I feel blessed to have forming as it should and that two John sought help from his physi- it diagnosed, and I can get on with life.” of her arteries were completely plugged. cian after breaking into a sweat Carol underwent open-heart surgery to replace the valve and having difficulty breathing Paula Koontz, Gladwin and bypass two arteries. Following recovery, she began car- during a short walk. A heart cath- Paula was regularly walking four diac rehabilitation at MidMichigan Medical Center–Clare. eterization to measure the health miles a day and had managed to Rehabilitation specialists monitored her heart rate and of coronary arteries showed that lose 100 pounds and keep it off rhythm to ensure that she was exercising enough to recover, 90 percent of them were blocked. for eight years. So when she had but not so much that it would cause further harm. Just a Following triple bypass open- trouble breathing during a shop- half-year after undergoing open-heart surgery, Carol and heart surgery, John received car- ping trip with her daughter, it her husband traveled to Egypt. diac recovery care in his own home through MidMichigan caught her by surprise. “I’m glad I did it,” Carol says. “Having the surgery and Visiting Nurse Association and then entered MidMichigan Luckily her daughter called an rehabilitation gave me confi dence that I could go out on my Medical Center–Midland’s cardiac rehabilitation program. ambulance right away. Paula was own or exercise and do as I wanted to.” He also attended a series of heart awareness seminars at diagnosed with a faulty heart valve and underwent open- MidMichigan Medical Center–Midland, which helped him heart surgery to replace it with a mechanical valve. Bud Carpenter, Midland change his eating habits. Now he is eating smarter and is After her surgery, Paula entered MidMichigan Visiting Following open-heart surgery looking forward to returning to the basketball court with Nurse Association’s (VNA’s) in-home recovery program. to replace his aortic valve, Bud a team sponsored by his church. Nurses provided monitoring and education a few times a has continued to receive ongoing “I thought my life was good before I received heart care, week in her home, and a telehealth device prompted her support from programs available but it’s been much fuller since,” John says. “I have more to measure her vital signs and transmit the data to VNA through MidMichigan. energy and get more done during the day.” between visits for additional monitoring. MidMichigan Visiting Nurse While she must still see her cardiologist every six Association (VNA) nurses visited Jim Judge, Mt. Pleasant months for a checkup, Paula is back to doing the things Bud’s home three to four times Jim fi rst experienced chest pains she loves. a week for about three weeks to while caring for the cattle on his “I didn’t watch my grandkids while I was recuperating. I monitor his progress. Once Bud was healthy enough, he dairy farm. When the pains re- was so glad when I could get back, so their life could return was sent to the second phase of cardiac rehabilitation at turned during church the next day, to normal,” she says. “I’m going to live every day like it was Campus Ridge Rehabilitation Services at MidMichigan his wife insisted on driving him my last.” Medical Offi ces–Campus Ridge. to the emergency department at Now Bud is in phase three of rehabilitation, a program Gratiot Medical Center in Alma, an GeT THe WHOLe STORy Read more about these that offers the added security of professional supervision affi liate of MidMichigan Health. fi ve survivors by visiting www.midmichigan during exercise. He goes to cardiac rehabilitation two days Jim was admitted to the car- .org/testimonials and clicking on “Cardiovas- a week and swims at the Midland Community Center the diac care unit for observation, and a heart catheterization cular Services” in the menu on the right. Gratiot Medical Center to be tobacco-free s a leader in providing for and increasing the cigarettes, cigars, pipes or other lighted smoking devices. smokers are twice as likely to die from heart attacks as health and well-being of the communities it Use of these tobacco products will not be permitted on are nonsmokers. Smoking is also a major risk factor for serves, Gratiot Medical Center in Alma has the Gratiot Medical Center campus. This includes medical peripheral vascular disease, narrowing of the blood ves- adopted a tobacco-free environment, effective offi ce buildings, buildings being constructed or renovated, sels that carry blood to the leg and arm muscles, as well as June 1, 2007. leased offi ces, other temporary structures, and medical cerebrovascular disease that can cause strokes. Regardless The tobacco-free policy is in accord with the center vehicles. Employees and visitors who must smoke of age or smoking history, quitting has immediate health AMichigan Hospital Association’s Campaign for Smoke-Free will only be allowed to do so in their own closed, private benefi ts. Hospitals recommendation that hospitals implement a vehicle. Smoking cessation support, including lozenges and smoke-free policy by January 1, 2008. gum, will be available to all. GeT THe HeLP yOu neeD To help smokers quit, “Patient safety, quality and excellent customer service “Our mission is to improve and preserve the health and Gratiot Medical Center offers smoking cessation programs are the top priorities at Gratiot Medical Center,” says well-being of the communities we serve,” DeFauw says. “By for the community. For more information, call Thomas DeFauw, Gratiot Medical Center president and making our environment tobacco-free, we are following MidMichigan Health Line toll-free at (800) CEO. “In order to provide a safe and healthy environment, through with our mission statement and also address- 999-3199, or visit www.midmichigan.org/quit. we have made the commitment to create a tobacco-free ing one of the largest environment for our patients, visitors and employees.” health risks in the na- Celebrate with us! tion as a whole.” come celebrate the beginning of a tobacco-free environment at gratiot Medical center. WHAT PRODuCTS ARe BAnneD? The ap- In addition to While you are there, enjoy a ribbon-cutting ceremony, an ice cream social and fun activities. proved policy defi nes tobacco products as chewing tobacco, many forms of cancer, friday, June 1 F 2 to 4 p.m. F gratiot Medical center, 300 e. Warwick drive, alma

MAY/JUNE/JULY/AUGUST 2007 2 T O Y O U R H E A L T H N e W S Arthritis more than just aches and pains rthritis is often referred to as the “aches and practice or another fi rst-level area. Your primary care physi- help you regain strength, endurance and independence to pains” that people get as they grow older. But it cian may treat and/or diagnose your disease. The physician live an active, normal life. is much more. may refer you to a specialist, such as a rheumatologist, as The RehabCentre is located on the fi rst fl oor of Gratiot Arthritis is the global name for more than needed. Medical Center and offers you the comfort of 24-hour nurs- 100 different diseases, including rheumatoid Internists specialize in the treatment of adult diseases ing care; access to therapy, including physical, occupational, arthritis. Arthritis may cause pain, stiffness and and internal medicine. Your internist may also refer you to speech and recreational therapies; as well as 24-hour access Aswelling in the joints and other supporting body structures, a specialist. to a medical director who specializes in rehabilitation care. such as muscles, tendons, ligaments and bones. Orthopaedic surgeons specialize in the medical and Emergency help is only seconds away. Although arthritis becomes more common as people age, surgical treatment of the musculoskeletal system. Orthopae- For more information about the arthritis services offered it can begin at any age, including childhood. According to a dists are educated in the workings of the musculoskeletal at Gratiot Medical Center, or for a physician re- 2002 report from the U.S. Centers for Disease Control and system, which includes, but is not limited to, diagnosing a ferral, call MidMichigan Health Line toll-free at Prevention (CDC), one in three American adults have arthritis condition or disorder, identifying and treating an injury, (800) 999-3199. or chronic joint discomfort. Arthritis is second only to heart providing rehabilitation to an affected area or function, disease as a cause of work disability in America. CDC experts and establishing techniques to prevent further damage to Gratiot Medical Center’s advise people not to ignore the pain and stiffness in their a diseased area. joints, since these symptoms can be treated. Physical therapists focus on the neuromuscular, mus- orthopaedic specialists culoskeletal and cardiopulmonary systems of the body WHAT ARe THe SyMPTOMS Of ARTHRiTiS? as they relate to human motion and function. Physical Arthritis-related joint problems may include the following therapists evaluate and provide treatment for people with symptoms: F Joint pain F Swelling in the joint(s) F Joint health problems resulting from injury, disease or overuse stiffness that lasts for at least one hour in the early morning of muscles or tendons. F Chronic pain or tenderness in the joint(s) F Warmth Occupational therapists help those with physical, and redness in the joint area F Limited movement in the developmental or emotional disabilities lead productive, affected joint(s) F Fatigue satisfying lives. Remember, the symptoms of arthritis may resemble Gratiot Medical Center has rehabilitation locations in other medical conditions and problems. Always consult Alma, Ithaca, Shepherd, Edmore and Mt. Pleasant. Services thomas haverbush, M.d. Joseph Yacisen, d.o. your physician for a diagnosis. available at these facilities include physical, occupational, Offi ce in Alma Offi ces in Alma and Clare speech and aqua therapy. active medical staff: active medical staff: Gratiot WHO TReATS ARTHRiTiS? Primary care phy- Inpatient medical rehabilitation: If arthritis becomes sicians have training in general internal medicine, family disabling, our comprehensive team at the RehabCentre will Gratiot Medical Center Medical Center, MidMichigan Medical Center–Clare

trauma rooms. With these added features, patient privacy is planned to open in summer 2008. will be greatly enhanced. To receive weekly updates on the progress of the con- A summer open house and tour is planned for the commu- struction, visit our Web site at www.midmichigan.org/ Construction nity. Watch for more details of the celebration in your mail. construction.

PATienT CARe TOWeR Construction of a new update four-story patient care tower will provide 120 private pa- tient rooms, each with its own bathroom and shower area. ratiot Medical Center is doing more than caring In addition, a family area will be included in each patient for patients today—we are also building for the room. The nursing units housed in the tower will include future. the intensive care unit, the inpatient medical rehabilita- In 2005, the Medical Center unveiled a facility tion unit, the medical and surgical units, pediatrics and improvement plan to serve the community. And psychiatry. in 2006, construction began on a new emergency The process of installing the brick for the tower will Gdepartment and a new four-story patient care tower. be completed during the summer and the building will Gratiot Medical Center is growing to serve you. “By implementing this improvement plan, Gratiot Medi- become enclosed shortly thereafter. The patient care tower cal Center will gain additional capacity needed to provide patients with greater comfort, convenience, privacy and “Yours for Life, Building on Tradition” effi ciency,” says Thomas DeFauw, Gratiot Medical Center the funding for this new construction project will rely in part on gifts made by donors through the “Yours for Life, president and CEO. “All of this is being done while retaining Building on Tradition” campaign, the largest fundraising campaign in the Medical center’s history. the campaign the friendliness and warmth of a community hospital.” In creating the plan, the emphasis was on providing goal is $3.35 million, and we have raised more than $3.2 million as of March 1. family-centered care while enhancing the satisfaction of gratiot Medical center was very fortunate in receiving a Kresge foundation challenge grant in 2006. the patients, physicians and employees. The new emergency Kresge foundation will provide $100,000 if we can raise $428,000 in new pledges and donations by July 1, 2007. department and four-story patient tower will provide safe, each day we get a little closer toward our goal. as of March 1, we only have a little over $140,000 to go. private, effective and progressive care in a high-tech, state- We have had outstanding support from our board of trustees, medical staff, employees, volunteers, area founda- of-the-art patient care area. tions and the community. We extend a special thank-you to campaign co-chairs Jeffrey Barker, timothy Miller and James Wheeler; committee chairs Paul lux, alma; richard abbott, ithaca; Brad Vibber, st. louis; dale Weburg, eMeRGenCy DePARTMenT When the emergency Breckenridge; and 45 employees who co-chaired the employee campaign. department opens in the summer of 2007, patients will We would appreciate being able to include your name as a donor in our future campaign materials, on a perma- fi nd cutting-edge clinical space and technology. This new nent recognition wall in the patient tower and in our annual report for the next fi ve years. to request a pledge form 14,000-square-foot building will house an enclosed patient or to receive more information about the Kresge foundation challenge grant, call gratiot Medical center’s fund registration area, 20 private patient exam rooms and two development offi ce at (989) 466-3272.

MAY/JUNE/JULY/AUGUST 2007 3 T O Y O U R H E A L T H To register for any program May or to learn more: Paths to good Call MidMichigan Health Line at (989) 837-9090 or June toll-free at (800) 999-3199. Visit our Web site at www.midmichigan.org/ July classes. unless otherwise noted, Aug.Advance noticeHeALTH is needed to make ar range ments for people with disabilities. Call all programs are free. MidMichigan Health Line for a phy si cian referral, directions to any Mid Mich i gan affiliate or to report duplicate mailings of To Your Health.

COMMuniTy HeALTH sleep poorly, and it takes a toll on their AnD eDuCATiOn work relationships, productivity, public safety and intimacy. Join experts from Pre-diabetes: Sleep Disorder Centers of MidMichigan steps to healthy living Health for information on how sleep Diabetes affects 21 million Americans. disorders such as sleep apnea, snoring, Risk factors include having a family insomnia and abnormal sleep movements history of the disease, being overweight are evaluated and treated. and having an inactive lifestyle. Steps ■ tuesday, May 15, 6:30 p.m. to Healthy Living is a three-session doherty hotel, clare weight management and exercise ■ Wednesday, May 23, 6:30 p.m. series for those at increased risk of MidMichigan Medical offi ces–Midland, type 2 diabetes. Participants will use a towsley auditorium pedometer to monitor exercise progress, ■ thursday, May 31, 6:30 p.m. and the fi nal session will include a virtual MidMichigan health Park–Mt. Pleasant, grocery store tour. community room Wednesdays, May 9, 16, 23 ■ tuesday, June 5, 6:30 p.m. 6–7:30 p.m. MidMichigan Medical offi ces–gladwin, MidMichigan Medical offi ces–Midland, community education room towsley conference room ■ tuesday, June 12, 6:30 p.m. $35 per person or $50 per couple gratiot Medical center, Modular classroom #1 ® look good...feel Better ■ tuesday, June 26, 6:30 p.m. A cosmetologist specially trained in MidMichigan health Park–houghton lake, skin and hair changes due to cancer lower level conference room treatment leads these free sessions, sponsored by the American Cancer Managing Menopause Society. Participants learn how to There are now more choices than ever manage skin changes or hair loss by for managing the short-term symptoms using cosmetics and skin care products and long-term health risks associated basis for spinal strengthening, which is among men with cardiovascular disease donated by the cosmetics industry. with menopause. Please join MidMichigan the key to successful medical treatment and diabetes. Join urologist Richard A. Registration is required. Call experts for a discussion on menopause of back disorders. Screening tests will be Mills, M.D., for an informative program (800) 999-3199 to register. symptom treatment and how to preserve available to help you determine if this type outlining the causes and medical Mondays, May 14, July 9 and sept. 10 bone, heart and emotional health. of treatment is right for you. and surgical treatments for erectile 2 p.m. ■ Wednesday, May 16, 6:30 p.m. Monday, May 21, 6:30 p.m. dysfunction. MidMichigan gratiot cancer center MidMichigan Medical offi ces–Midland, MidMichigan Medical offi ces–Midland, thursday, May 24, 6:30 p.m. towsley auditorium towsley auditorium MidMichigan health Park–Mt. Pleasant, ® aarP driver safety Program ■ thursday, May 17, 6:30 p.m. community room This is an eight-hour refresher course MidMichigan health Park–Mt. Pleasant, discover a World for drivers ages 50 and older that has community room of Better hearing cardiovascular disease: helped millions of drivers remain safe ■ Wednesday, June 20, 6:30 p.m. Hearing loss is not an illness but a get the Beat on the latest on today’s roads. It will help you tune up MidMichigan Medical offi ces–gladwin, symptom of an underlying disorder. in diagnosis and treatment your driving skills; update your knowledge community education room MidMichigan audiologist Harold Hull, Au.D., The most common cause of death in of road rules; learn about normal, age- will explain the signs, symptoms, causes America is cardiovascular disease. related physical changes; and drive more strengthening is Key and treatment of hearing loss, including This may seem like bad news for all safely. to Managing Back Pain the latest in hearing aid technology. You will of us. However, the good news is that tuesday, May 15, and thursday, May 17 Back pain can be a long-standing, often have the opportunity to sign up for a free diagnostic tests and treatments for heart 10 a.m.–noon and 1–3 p.m. crippling condition, and most people will hearing examination. disease have become highly advanced. MidMichigan Medical center–Midland, experience back pain during their lifetime. tuesday, May 22, 6:30 p.m. Cardiovascular experts will provide an center for Women’s health, It is also the sixth most costly health care MidMichigan Medical offi ces–Midland, update about the latest in diagnostic community education room problem. Join experts from MidMichigan’s towsley auditorium testing and interventional procedures. $10 Back & Neck Rehabilitation program to thursday, May 24, noon learn what causes back pain, how it is sexual health and gratiot Medical center, Put some ZZZ’s treated and information about Back & Well-Being for Men Modular classroom #1 Back in Your sleep Neck’s physical therapy program, which A recent study determined that more than Are you tired of not getting a good night’s is successful in treating patients with 18 million men in the United States are sleep? According to the National Sleep muscle spasms and bulging, ruptured and affected by erectile dysfunction and that Foundation, many of America’s adults degenerative disks. Learn the scientifi c the problem is particularly troublesome

MAY/JUNE/JULY/AUGUST 2007 4 T O Y O U R H E A L T H Bariatric surgery: ■ tuesdays, May 22, June 26, July 24, is it for Me? aug. 28, 6–7 p.m. Learn about laparoscopic weight-loss gratiot Medical center surgery and how it can improve your oB conference room health and your life. General surgeons ■ saturday, June 23, 10–11:30 a.m. HeALTH Ernest Cudjoe, M.D., and Jeffrey MidMichigan Medical center–clare, Smith, M.D., will highlight laparoscopic conference room 1 Roux-en-Y and Lap-Band surgical options. Please call MidMichigan Health Line at cPr training (800) 999-3199 for dates, times, Two types of American Heart Association fAiRS locations and to register. CPR classes will be offered: Heartsaver CPR for Adults (CPR and choking for santi Plaza, fAMiLy HeALTH eDuCATiOn adults); and CPR for Friends and Family 1621 e. Broomfi eld, (noncertifi ed adult CPR; no completion card Mt. Pleasant Breastfeeding: is issued). Fees charged for these courses Wednesday, May 23, 4–6 p.m. healthy Beginnings do not represent income to the American ■ Body mass index, carbon monoxide Topics discussed include breast changes, Heart Association. For prices and to screening, pulse oximetry, blood pres- milk production, positioning, feeding register, call MidMichigan Health Line. sure, thyroid, PSA, ear checks and frequency, returning to work and weaning thursday, July 26, 6:30–10 p.m. hearing screening, blood sugar, colorectal options. Class size is limited. Please call gratiot Medical center cancer kits available. to register. $25 per person May 15, June 4, July 23, aug. 20 highland festival, alma 6:30 p.m. to register for the classes listed above, college, Van dusen hall, alma MidMichigan Medical center–Midland, or throughout these calendar pages, saturday, May 26, 7:30–11 a.m. center for Women’s health, community call MidMichigan health line at ■ Pulse oximetry, cholesterol, body mass education room (800) 999-3199. index, blood pressure, sports medicine $25 per couple focus screenings. nOW On WeeKenDS! SuPPORT GROuPS older Brother/older sister ithaca community health fair, Preparation for childbirth A variety of health care screenings, ongoing This class prepares children to welcome a ithaca community center This class series prepares expectant classes and support groups are offered new baby into the family. Activities concern- Wednesday, June 13, 4–6 p.m. mothers and their labor partners for ac- through community education. For a list ing feelings and the expected newcomer, ■ Body mass index, carbon monoxide tive participation in the birth experience. of support groups or for more information, as well as a tour of the maternity unit, are screening, pulse oximetry, blood pres- Classes cover relaxation, breathing aware- call MidMichigan Health Line at included. Children must be accompanied sure, thyroid, blood sugar, colorectal ness, hospital practices, the most up-to- (800) 999-3199 or visit: by an adult. Recommended ages are 2½ to cancer kits available. date techniques, and options for labor ■ Diabetes classes and counseling: 8 years. Class size is limited. Please call and delivery, including the unexpected and www.midmichigan.org/diabetes for fees and to register. cesarean birth. Courses should be com- ■ Support groups: ■ saturdays, May 19, June 16, aug. 18 fRee SCReeninGS pleted four weeks before the due date. www.midmichigan.org/supportgroups 9:30–11:30 a.m. skin cancer screening saturdays, May 12, June 9, July 14, ■ Tobacco cessation programs: MidMichigan Medical center–Midland, Registration required aug. 11 www.midmichigan.org/quit orchard auditorium ■ friday, May 4, 9 a.m.–noon ■ Bariatric Surgery Support Group 9 a.m.–5 p.m. family Medical care–Breckenridge ■ Better Breathers Club gratiot Medical center, ■ thursday, May 10, 8:30–11:30 a.m. ■ Grief and Loss Support Group Modular classroom #1 Montcalm health services, edmore ■ Multiple Sclerosis Support Group ■ friday, July 13, 9 a.m.–noon ■ Stroke Education and Support Group offi ce of annu Mohan, M.d., For dates, times and topics, Mt. Pleasant MatriX:Midland visit www.midmichigan.org/ welcomes author John grogan supportgroups. John Grogan, author of the best-selling Marley and Mini-screening day— Me: Life and Love With the World’s Worst Dog, cholesterol, blood sugar, will appear as part of the 29th annual MATRIX: Psa, thyroid MIDLAND Festival. MidMichigan Medical Center– saturday, aug. 25, 8–10:30 a.m. Midland will co-sponsor his lecture planned for santi Plaza, 1621 e. Broomfi eld, suite c, 7:30 p.m., thursday, June 7, in the auditorium Mt. Pleasant at the Midland Center for the Arts. Grogan will autograph books in the lobby after his presenta- tion. The special appearance of MidMichigan’s cancer survivor certifi ed dog therapists, the Cosmic Canine celebration Cure, will also be a part of the evening. Join us for a fun-fi lled afternoon Grogan’s tale is a heartwarming and unforget- designed to honor cancer survivors table story of a family in the making and the wondrously neurotic dog who taught them and their families. The theme for this what really matters in life. His presentation will talk about family and relationships year’s event is “What a Wonderful through good times and bad and the bond that was created with their dog. Day.” The event includes an ice cream Grogan is a Pennsylvania columnist for The Philadelphia Inquirer and the former editor social, quilt signing by survivors, in chief of Rodale’s Organic Gardening magazine. Previously he worked as a reporter, entertainment by Sara Luneack, an in- bureau chief and columnist at newspapers in Michigan and Florida. His work has won spirational message and will conclude numerous awards, including the National Press Club’s Consumer Journalism Award. with the release of 300 butterfl ies in Tickets are $27 for adults and $17 for students and are available for purchase celebration of life. online at www.mcfta.org, at the Midland Center for the Arts box offi ce at 1801 W. sunday, June 10, 2–3:30 p.m. St. Andrews Road, Midland, or by calling (800) 523-7649 or (989) 631-8250. Box of- MidMichigan gratiot cancer center fi ce hours are weekdays, noon–6 p.m., and Saturdays, 1–5 p.m. 315 e. Warwick drive, suite c, alma

MAY/JUNE/JULY/AUGUST 2007 5 T O Y O U R H E A L T H Urgent Care and Occupational Health expand to serve you better The Gratiot Medical Center campus has changed dra- they truly belong in the emergency department,” says matically over the past year. Not only are we building a new Gary Stebelton, M.D., medical director, Urgent Care and emergency department and patient tower, but a new Urgent Occupational Health. “Urgent Care specializes in treating Care and Occupational Health facility is also being built. a disease, illness or injury when presented on an urgent basis.” Walk-in Clinic becomes urgent Care In June 2007, the new facility housing both Urgent Care—formerly known as Occupational Health Gratiot Medical Center’s Urgent Lee Mapes, of Alma, enjoys her lunch-hour exercising The Walk-In Clinic—and Occupational Health will open at Care and Occupational Health consists of a highly quali- through the Intervent: Forever Fit program at Gratiot 321 E. Warwick Drive. Note the name change of The Walk-In fi ed team of physician assistants (P.A.-C.) and a medical Medical Center. Clinic to Urgent Care. director available to consult on patient care, who are This facility has new and exciting features. For your con- complemented by an outstanding staff of warm, caring venience, the new facility has a procedure room for treating and responsive receptionists, medical assistants, radiology lacerations and bone fractures and radiology equipment technicians, nurses and support staff. Intervent: for X-ray services, and we will continue to provide clinical Occupational Health offers injury and pre-employment services. testing for all area businesses. It is a DATIA-certifi ed col- Forever Fit Urgent Care will be open Monday through Sunday lection site and an information resource for urine drug —Continued from page 1 from 9 a.m. to 9 p.m. and holidays from 10 a.m. to 6 p.m. and alcohol testing. Together, we are dedicated to providing Walk-in services for occupational injury care are available you excellent medical care in a rapid, caring and courteous long-term solution to lifestyle and disease management. seven days a week. This does not include scheduled care manner. This program has been proven effective by research studies or pre-employment physicals. “Our Occupational Health program continues to grow published in leading medical journals. For a free health risk and benefi t area businesses,” says Dr. Stebelton. “We have a assessment, log on to www.interventusa.com. Who should be seen in urgent Care? great relationship with employers both locally and in sur- ● Those who need to be seen urgently but are unable to rounding areas. We keep the lines of communication open Convenience You can participate in an Intervent: Forever get an appointment with their family physician. Urgent between the patient, employer and insurance carriers.” Fit program of your choice from the convenience and privacy Care is an avenue to provide you care when your physician A community open house and tour of the new Urgent of your own home, your offi ce or our computer worksta- is unavailable, such as after-hours or on weekends and Care and Occupational Health facility is sched- tion via our secure Web site. You’ll have access to a series holidays. uled for this summer. Watch for more details of educational topics for you to cover over a fi ve-week or ● Those who don’t have a physician. in your mail, local newspapers and on our Web one-year time period. “If a patient has chest pain or acute breathing problems, site at www.midmichigan.org/gratiot. Unlike a typical self-help book, the program includes assessments, short- and long-term goals, an exercise plan, a daily meal plan, diaries and logs, follow-up assessments and progress reports—all of which are computer-generated and personalized for you.

Time-efficient and effective F Sessions are brief. F There are no group classes to attend. F You work at your own pace. F Intervent doesn’t take a lot of time or cost a lot of money.

Proven results Published in prestigious medical journals, including the American Journal of Cardiology, our studies show that participation in Intervent: Forever Fit produces these signifi cant results* (individual results may vary): F Weight: -16 pounds F Serum cholesterol: -23 mg/dL F Systolic blood pressure: -13 mm Hg F Diastolic blood pressure: -8 mm Hg

Program elements Each program recipient receives: F Health assessment F An individualized exercise pro- Dr. Jones opens new offi ce in Alma gram F Educational kits—online and written F Disease management F Mentoring sessions with a health coach To better serve his patients, neuro surgeon Mark Jones, M.D., arteriovenous malformation, acoustic neuroma and trigemi- F Risk factor analysis: body mass index (BMI), waist/hip has opened a new satellite offi ce in nal neuralgia. ratio, percent body fat, cholesterol screening and glucose Alma. Dr. Jones will see patients Dr. Jones specializes in aneurysm surgery, anterior screening. the fi rst Thursday of each month cervical discectomy with fusion, carpal tunnel release, In 2006, more than 200 people participated in the In- at the new offi ce, located at 647 W. craniotomy, deep brain stimulation for treatment of move- tervent program, with more than half of the participants Warwick. ment disorders, Gamma Knife stereotactic radiosurgery, maintaining an exercise schedule of 60 minutes, 10 times Dr. Jones is part of MidMichigan’s lumbar laminectomy, posterior cervical laminectomy, or more a month. Gamma Knife medical team. Gamma spinal decompressions and spinal discectomies. For more information on Intervent: Forever Fit and how Knife radiosurgery is a highly Dr. Jones’ main offi ce is in Midland. He maintains satel- to get started on a life modifi cation plan, contact effective alternative or adjunct treat- lite offi ces in Saginaw and West Branch as well as Alma. For Gratiot Medical Center’s cardiac rehabilitation ment for patients with brain tumors an appointment, call (989) 792-8800 or (989) 698-3033. department at (989) 466-3315. Mark Jones, M.D. or other abnormalities, such as New patients require a physician referral. *Source: Gordon NE et al., American Journal of Cardiology, March 15, 1997; pp. 563.

MAY/JUNE/JULY/AUGUST 2007 6 T O Y O U R H E A L T H Nonprofit Org. U.S. Postage PAID Gratiot Medical Center named Platteville, WI Permit No. 7 4005 Orchard Drive Top 100 Hospital! Midland, MI 48670 Turn to the back page for details.

ourour HEALTH NEWS FOR RESIDENTS OF ISABELLA COUNTY ● MAY/JUNE/JULY/AUGUST 2 0 0 7

Getting emergency treatment quickly and taking good care of their hearts has enabled these healthgrades cardiac survivors to return to the activities they love. From left: Bud Carpenter, John Dunford, gives nod Paula Koontz, Jim Judge and Carol Formsma. for third year or the third consecutive year, MidMichigan Medical Center–Midland has been recognized with two separate Distinguished Hospital Awards from HealthGrades, the nation’s leading independent health care ratings company. The Medical Center was named as a Distinguished Hospital for both FClinical Excellence and Patient Safety. cardiac ‘survivors’ These are among the highest designations conferred by HealthGrades, ranking MidMichigan among the top 5 per- NOT UNLIKE THE CASTAWAYS ON THE HIT Alma and Midland. It also offers specialized cardiac reha- cent of all hospitals in the nation for both clinical quality REALITY TELEVISION SERIES SURVIVOR, PEOPLE bilitation in fi ve convenient locations, in-home care and outcomes and patient safety. RIGHT HERE IN THE MIDDLE OF MICHIGAN recovery care through MidMichigan Visiting Nurse Associa- Of more than 5,100 hospitals evaluated nationwide, are battling to stay in the game longer. However, the stakes tion, community education and a wide range of treatment only 135 (or 2.7 percent) received the HealthGrades clini- are higher in the game of life they’re playing. options, including pacemaker implantation. cal excellence award in 2005, 2006 and 2007. MidMichigan You likely haven’t seen Carol Formsma, Bud Carpenter, In 2005 MidMichigan began providing emergency received it during the years it was eligible—in 2005, 2006 John Dunford, Jim Judge or Paula Koontz sporting angioplasty, a lifesaving procedure for many heart attack and now 2007. Survivor bandanas while trying to start a campfi re on a patients. MidMichigan Medical Center–Midland was the remote island or decipher “tree mail” clues, but all fi ve fi rst facility in the state approved to offer this service with- Five-stAr heAlth cAre In the 2007 Health- have conquered physical challenges, such as leaking heart out an on-site open-heart surgery program. Grades Star Report ratings, MidMichigan received fi ve-star valves and blocked arteries, with help from the affi liates of designations for treatment of heart attack for the third MidMichigan Health. comprehensive cAre Beginning in summer 2007, consecutive year. MidMichigan also received five-star patients will benefi t from even more extensive heart care ratings in joint replacement surgery for the fourth consecu- A will to succeed Cardiac survivors tend to when MidMichigan adds open-heart surgery, elective tive year. In other clinical areas, MidMichigan is fi ve-star have a will to succeed, says Jan Penney, R.N., M.S.N. As angioplasty and electrophysiology services to its current rated for the treatment of chronic obstructive pulmonary director of cardiovascular services at MidMichigan Medical cardiovascular capabilities. disease (COPD) and the critical care diagnoses of pulmo- Center–Midland, she’s proud that MidMichigan offers “With our expanded services, those patients who would nary embolism and sepsis. the services these survivors need to make the most out have had to travel for surgery will be able to have it here in Of the 5,122 hospitals evaluated and rated by Health- of life. Midland,” Penney says. “Patients will be able to have all of Grades, only 35 nationwide—and only three in the state “If they’re going to cardiac rehabilitation, making life- their tests and procedures within our system, which will of Michigan—received both prestigious awards three years style changes and getting the follow-up care they need, help us offer a better continuity of care.” in a row. No other hospital in the Saginaw Valley area has they’re showing that they’re not going to allow this to hold For more information on MidMichigan’s comprehensive achieved this distinction. them back,” Penney says. cardiovascular program, visit www.midmichigan.org/heart. Through its four hospitals in Alma, Clare, Gladwin and For a referral to one of our experienced cardiologists, call Find out more To learn more about MidMichigan’s Midland, MidMichigan provides state-of-the-art emergency MidMichigan Health Line toll-free at (800) 999-3199. leadership in measurable qualities such as accreditations, care and advanced diagnostic Above all, listen to your heart and be a survivor too. If physician and nurse credentials, advanced technology, patient testing, including cardiac you experience any warning signs of heart attack, “Don’t satisfaction, and other awards, visit www.midmichigan.org/ catheterization in Wait. Don’t Drive. Dial 911.” quality. read the Survivors’ 3 HEART DISEASE THE RISKS FOR WOMEN 4 CALENDAR SIGN UP FOR A SUMMER CLASS stories—turn to page 2 7 SPORTS INJURIES FOUR COMMON PROBLEMS WWW.MIDMICHIGAN.ORG inside H e a lt H cardiac ‘survivors ’ tell their stories Carol Formsma, Coleman three other weekday mornings. Bud has been swimming showed that while his two main coronary arteries were After Carol found out about a heart for about 43 years, and he estimates he has logged more open, several smaller arteries were clogged—causing a murmur during an examination than 9,500 water miles. condition known as “angina pectoris.” with her family doctor, she under- “Cardiac rehab did more than strengthen my heart,” Bud Jim’s chest pain was treated with medication, and he went testing, including a cardiac says. “It has rebuilt my confi dence and made me stronger was given a nitroglycerin patch to wear for several weeks stress test at MidMichigan Medical than I was with swimming alone, which also helps with to help relax the blood vessels. Today he no longer wears a Center–Midland to better diagnose my osteoporosis.” patch but carries a nitroglycerin pill to take immediately the problem. Tests showed that a if he begins to experience any more pain. valve in Carol’s heart was not per- John Dunford, Midland “I consider myself lucky,” Jim says. “I feel blessed to have forming as it should and that two John sought help from his physi- it diagnosed, and I can get on with life.” of her arteries were completely plugged. cian after breaking into a sweat Carol underwent open-heart surgery to replace the valve and having difficulty breathing Paula Koontz, Gladwin and bypass two arteries. Following recovery, she began car- during a short walk. A heart cath- Paula was regularly walking four diac rehabilitation at MidMichigan Medical Center–Clare. eterization to measure the health miles a day and had managed to Rehabilitation specialists monitored her heart rate and of coronary arteries showed that lose 100 pounds and keep it off rhythm to ensure that she was exercising enough to recover, 90 percent of them were blocked. for eight years. So when she had but not so much that it would cause further harm. Just a Following triple bypass open- trouble breathing during a shop- half-year after undergoing open-heart surgery, Carol and heart surgery, John received car- ping trip with her daughter, it her husband traveled to Egypt. diac recovery care in his own home through MidMichigan caught her by surprise. “I’m glad I did it,” Carol says. “Having the surgery and Visiting Nurse Association and then entered MidMichigan Luckily her daughter called an rehabilitation gave me confi dence that I could go out on my Medical Center–Midland’s cardiac rehabilitation program. ambulance right away. Paula was own or exercise and do as I wanted to.” He also attended a series of heart awareness seminars at diagnosed with a faulty heart valve and underwent open- MidMichigan Medical Center–Midland, which helped him heart surgery to replace it with a mechanical valve. Bud Carpenter, Midland change his eating habits. Now he is eating smarter and is After her surgery, Paula entered MidMichigan Visiting Following open-heart surgery looking forward to returning to the basketball court with Nurse Association’s (VNA’s) in-home recovery program. to replace his aortic valve, Bud a team sponsored by his church. Nurses provided monitoring and education a few times a has continued to receive ongoing “I thought my life was good before I received heart care, week in her home, and a telehealth device prompted her support from programs available but it’s been much fuller since,” John says. “I have more to measure her vital signs and transmit the data to VNA through MidMichigan. energy and get more done during the day.” between visits for additional monitoring. MidMichigan Visiting Nurse While she must still see her cardiologist every six Association (VNA) nurses visited Jim Judge, Mt. Pleasant months for a checkup, Paula is back to doing the things Bud’s home three to four times Jim fi rst experienced chest pains she loves. a week for about three weeks to while caring for the cattle on his “I didn’t watch my grandkids while I was recuperating. I monitor his progress. Once Bud was healthy enough, he dairy farm. When the pains re- was so glad when I could get back, so their life could return was sent to the second phase of cardiac rehabilitation at turned during church the next day, to normal,” she says. “I’m going to live every day like it was Campus Ridge Rehabilitation Services at MidMichigan his wife insisted on driving him my last.” Medical Offi ces–Campus Ridge. to the emergency department at Now Bud is in phase three of rehabilitation, a program Gratiot Medical Center in Alma, an get the whole story Read more about these that offers the added security of professional supervision affi liate of MidMichigan Health. fi ve survivors by visiting www.midmichigan during exercise. He goes to cardiac rehabilitation two days Jim was admitted to the car- .org/testimonials and clicking on “Cardiovascu- a week and swims at the Midland Community Center the diac care unit for observation, and a heart catheterization lar Services” in the menu on the right. midmichigan health to be tobacco-free s a leader in providing for and increasing the cigarettes, cigars, pipes or other lighted smoking devices. smokers are twice as likely to die from heart attacks as health and well-being of the communities it Use of these tobacco products will not be permitted on are nonsmokers. Smoking is also a major risk factor for serves, Gratiot Medical Center in Alma has the Gratiot Medical Center campus. This includes medical peripheral vascular disease, narrowing of the blood ves- adopted a tobacco-free environment, effective offi ce buildings, buildings being constructed or renovated, sels that carry blood to the leg and arm muscles, as well as June 1, 2007. leased offi ces, other temporary structures, and medical cerebrovascular disease that can cause strokes. Regardless The tobacco-free policy is in accord with the center vehicles. Employees and visitors who must smoke of age or smoking history, quitting has immediate health AMichigan Hospital Association’s Campaign for Smoke-Free will only be allowed to do so in their own closed, private benefi ts. Hospitals recommendation that hospitals implement a vehicle. Smoking cessation support, including lozenges and smoke-free policy by January 1, 2008. gum, will be available to all. get the help you need To help smokers quit, “Patient safety, quality and excellent customer service “Our mission is to improve and preserve the health and Gratiot Medical Center offers smoking cessation programs are the top priorities at Gratiot Medical Center,” says well-being of the communities we serve,” DeFauw says. “By for the community. For more information, call Thomas DeFauw, Gratiot Medical Center president and making our environment tobacco-free, we are following MidMichigan Health Line toll-free at (800) CEO. “In order to provide a safe and healthy environment, through with our mission statement and also address- 999-3199, or visit www.midmichigan.org/quit. we have made the commitment to create a tobacco-free ing one of the largest environment for our patients, visitors and employees.” health risks in the na- Celebrate with us! tion as a whole.” come celebrate the beginning of a tobacco-free environment at gratiot Medical center. whAt products Are bAnned? The ap- In addition to While you are there, enjoy a ribbon-cutting ceremony, an ice cream social and fun activities. proved policy defi nes tobacco products as chewing tobacco, many forms of cancer, Friday, June 1  2 to 4 p.m.  gratiot Medical center, 300 e. Warwick Drive, Alma

may/june/july/august 2007 2 t o y o u r h e a l t h H e a r t H e a lt h

Women and heart disease Cholesterol Good news, bad news New guidelines ewer American women are dying of heart disease. treatment too. “Traditional testing methods were developed According to the National Institutes of Health, to diagnose heart disease in men, and some tests don’t work may benefit all heart disease deaths dropped from one in three well for women,” Dr. Kramer says. “The exercise stress test is women to one in four—nearly 17,000 fewer in proving to be less accurate in diagnosing women, and even lmost three years ago, the nation’s top heart 2004 than in 2003. though a woman’s arteries appear clear on an angiogram, groups recommended changing the cholesterol The bad news is that heart disease is still the it doesn’t mean she’s not at risk.” Treatment may differ for guidelines for people at the highest risk for heart Ftop cause of death for women. “It’s great that a majority women too. “Women respond differently to some drugs. disease by dropping the bar even lower for low- of women are now aware that heart disease is the biggest Even the standard treatment of a daily 81 milligrams density lipoprotein (LDL) levels and raising it threat to their health. Awareness is the first step in fighting aspirin is not appropriate for all women.” even higher for high-density lipoprotein (HDL) heart disease. But it still kills more women than any other Alevels. The guidelines were initially directed at high-risk disease,” says Caroline Kramer, M.D., Ph.D., family physician Need help with your numbers? If you individuals, but some health care experts want them ad- with MidMichigan Physicians Group at MidMichigan haven’t had your blood pressure or cholesterol checked opted by all. What does this mean to the public? Health Park–Mt. Pleasant. lately, talk to your doctor or go to one of MidMichigan’s blood pressure clinics or Healthy Living cholesterol clinics. Lower the LDL “We used to tell people that total Know your risk, lower your risk For more information, go to www.midmichigan.org and cholesterol of 200 was acceptable. Now we need to think The three biggest risk factors for heart disease are high select “Classes & Screenings” from the choices on the left in terms of two numbers—LDL and HDL,” says Sudeep blood pressure, high cholesterol and diabetes. “Knowledge side of the page. You can also call MidMichigan Health Line Mohan, M.D., a cardiologist with Michigan CardioVascular is the second step in fighting heart disease. Women need for class information at (989) 775-1650. For more informa- Institute (MCVI) on the medical staff of Gratiot Medical to know their numbers so they can assess their personal tion about Dr. Kramer, visit www.midmichigan.org/doctors, Center. “People who are at the highest risk of developing risk,” Dr. Kramer says. “Naturally, taking action is the next or call Health Line. cardiovascular disease need to be especially diligent and step—changing diet, exercising and working with their aim for an LDL level of 70. However, when it comes to LDL doctor to get their numbers into the desired range.” A Normal artery levels, lower is better, regardless of your risk factors.”

Some risk factors, genetics and age for example, can’t Artery be changed. “All the more reason that women need to wall prevention is a priority Rodney Diehl, D.O., control what they can. We have total is a cardiologist with MCVI who practices at MidMichigan control over what we eat and drink, Medical Center–Midland and MidMichigan Health Park–

how we exercise, whether or not we Normal Mt. Pleasant. Dr. Diehl says that while diet plays a major role take our medications as we should. blood flow in achieving and maintaining an optimal cholesterol level, it Abnormal To a large degree, we can control blood flow Plaque is not the only factor. Smoking, obesity, high blood pressure B Narrowing Artery cross-section our heart health,” Dr. Kramer says. of artery and diabetes can elevate the risk for cardiac artery disease. “It’s particularly important for “Preventing heart disease should always be our first goal. women to not smoke and to learn Address the risk factors you can control,” says Dr. Diehl. “Eat to manage stress. Both these risk healthy foods, exercise regularly, control your diabetes and Caroline Kramer, factors have a stronger negative blood pressure, and don’t smoke. You’ll help your overall M.D., Ph.D. effect on women.” health, not just the health of your cardiovascular system.” Dr. Kramer stresses that women

need to learn their risks and start working to reverse them, Narrowed Plaque the role of age and genetics While regardless of age. “Heart disease develops slowly over time, and Lower the lousy LDL, artery lifestyle choices are critical to a healthy heart, age and genetics it is guaranteed to get worse if it is not treated,” she says. play a role as well, according to MCVI cardiologist Abraham Dr. Kramer says that women should work with their raise the healthy HDL high Krepostman, M.D., medical director of cardiovascular services doctors to learn their risk of heart disease and then Produced in the liver, cholesterol is essential to life—it is at Gratiot Medical Center. “When a patient does all they can to establish a plan of action to lower their risk. “If you start eliminate or lower their risk factors, and the numbers won’t found in every cell in your body. Your body makes all the taking better care of your heart today, you can look forward budge, we have the option of using lipid-lowering statins, or cholesterol it needs—sometimes too much. The bad low- to a healthier life tomorrow and 20 years from now. It’s cholesterol-binding drugs,” Dr. Krepostman says. never too late to take action, no matter what your age.” density lipoproteins (LDL) move cholesterol throughout Statins work by blocking a substance needed to make your body. The LDL can build up in the arteries, making cholesterol. Cholesterol absorption inhibitors prevent the Women’s symptoms are different them rigid and narrow and inhibiting blood flow. This sets small intestine from absorbing cholesterol. Bile acid-binding Women’s heart attack symptoms can be much different the stage for heart attacks and strokes. The good guys, resins lower cholesterol indirectly by prompting the liver to from men’s. They hesitate to seek emergency help and, as a the healthy high-density lipoproteins (HDL), circulate use excess cholesterol in the blood to make more bile acids. result, often suffer more heart damage. One reason women through the body as well, sweep up excess cholesterol are slow to get help is fear of being embarrassed if their and take it back to your liver. Raising Healthy HDL Scientists are looking for symptom turns out to be a false alarm. People with two or more of the following risk factors ways to raise the level of the healthy HDL cholesterol. In the A woman with a heart attack might feel short of breath, are considered at high risk for developing cardiovascular mid-1970s, before LDL-lowering medications were widely unusually fatigued and/or generally unwell. If she has chest disease. If you have been diagnosed with cardiovascular available, niacin, a B-complex vitamin, was shown to raise pain, it might feel like a squeezing sensation instead of the disease or diabetes and have two or more of these factors, good HDL levels and lower LDL levels. crushing pressure men typically describe. Women often feel A clinical trial sponsored by the National Heart, Lung, you might be at very high risk:  Smoking  Diabetes radiating pain in the right arm, rather than the left, as men and Blood Institute is currently under way to determine  High blood pressure  High triglycerides  Low HDL usually do, and they’re more likely than men to have jaw and whether raising HDL cholesterol with a drug based on  neck pain. Women also experience nausea and vomiting cholesterol Family history of early heart disease niacin while lowering LDL cholesterol with a statin drug with heart attacks more often than men.  Being a man older than 45 or a woman older than 55. can prevent more heart disease than the statin alone. If you experience these symptoms or think you’re having For more information or a referral to Sudeep Mohan, “Niacin is not without side effects,” says Dr. Krepostman. a heart attack, call for emergency medical help immediately. M.D., Abraham Krepostman, M.D., or Rodney Diehl, D.O., “It can affect the liver and glucose levels. Just because it is Don’t drive yourself to the emergency room. visit www.midmichigan/doctors or call MidMichigan available without a prescription does not mean it is safe at Women are different when it comes to diagnosis and Health Line at (989) 775-1650. high doses or appropriate for everyone.”

may/june/july/august 2 0 0 7  t o y o u r h e a l t h to register for any program May or to learn more: Paths to good call midmichigan health line at (989) 837-9090 or June toll-free at (800) 999-3199. visit our web site at www.midmichigan.org/ July classes. unless otherwise noted, Aug.Advance noticeheAlth is needed to make ar range ments for people with disabilities. Call all programs are free. MidMichigan Health Line for a phy si cian referral, directions to any Mid Mich i gan affiliate or to report duplicate mailings of To Your Health.

abnormal sleep movements are evaluated community heAlth and treated. And educAtion ■ Tuesday, May 15, 6:30 p.m. Pre-Diabetes: Doherty Hotel, clare Steps to Healthy Living ■ Wednesday, May 23, 6:30 p.m. MidMichigan Medical Offi ces–Midland, Diabetes affects 21 million Americans. Towsley Auditorium Risk factors include having a family history ■ Thursday, May 31, 6:30 p.m. of the disease, being overweight and hav- MidMichigan Health Park–Mt. Pleasant, ing an inactive lifestyle. Steps to Healthy community Room Living is a three-session weight manage- ■ Tuesday, June 5, 6:30 p.m. ment and exercise series for those at MidMichigan Medical Offi ces–gladwin, increased risk of type 2 diabetes. Par- community education Room ticipants will use a pedometer to monitor ■ Tuesday, June 12, 6:30 p.m. exercise progress, and the fi nal session gratiot Medical center, will include a virtual grocery store tour. Modular classroom #1 Wednesdays, May 9, 16, 23 ■ Tuesday, June 26, 6:30 p.m. 6–7:30 p.m. MidMichigan Health Park–Houghton Lake, MidMichigan Medical Offi ces–Midland, Lower Level conference Room Towsley conference Room $35 per person or $50 per couple AARP® Driver Safety Program Look good...Feel Better® This is an eight-hour refresher course for drivers ages 50 and older that has helped or manage strains and injuries common in the latest in hearing aid technology. You will A cosmetologist specially trained in skin millions of drivers remain safe on today’s golf before the season starts. have the opportunity to sign up for a free and hair changes due to cancer treatment roads. It will help you tune up your driving Thursday, May 17, 6:30–7:30 p.m. hearing examination. leads these free sessions, sponsored by skills; update your knowledge of road rules; MidMichigan Medical Offi ces–Midland, Tuesday, May 22, 6:30 p.m. the American Cancer Society (ACS). Partic- learn about normal, age-related physical Towsley conference Room MidMichigan Medical Offi ces–Midland, ipants learn how to manage skin changes changes; and drive more safely. Towsley Auditorium or hair loss by using cosmetics and skin Tuesday, May 15, and Thursday, May 17 Strengthening Is Key care products donated by the cosmetics 10 a.m.–noon and 1–3 p.m. to Managing Back Pain cardiovascular Disease: industry. Registration is required. To MidMichigan Medical center–Midland, Back pain can be a long-standing, often get the Beat on the Latest register for Gladwin or Midland, call the center for Women’s Health, crippling condition, and most people will in Diagnosis and Treatment ACS at (800) 728-2323. For Gratiot community education Room experience back pain during their lifetime. The most common cause of death in America sessions, call (800) 999-3199 to register. $10 It is also the sixth most costly health care is cardiovascular disease. This may seem ■ Mondays, May 14, July 9 and Sept. 10 problem. Join experts from MidMichigan’s like bad news for all of us. However, the 2 p.m. Managing Menopause Back & Neck Rehabilitation program to good news is that diagnostic tests and treat- MidMichigan gratiot cancer center There are now more choices than ever learn what causes back pain, how it is ments for heart disease have become highly ■ Monday, June 11, 6 p.m., and for managing the short-term symptoms treated and information about Back & advanced. Cardiovascular experts will provide Monday, Aug. 13, 2 p.m. and long-term health risks associated Neck’s physical therapy program, which is an update on testing and treatment, includ- MidMichigan Medical center–Midland, with menopause. Please join MidMichigan successful in treating patients with muscle ing surgical interventions and aggressive center for Women’s Health, community experts for a discussion on menopause spasms and bulging, ruptured and degen- prevention before and after a heart attack. education Room symptom treatment and how to preserve erative disks. Learn the scientifi c basis for ■ Tuesday, May 22, 6:30 p.m. ■ Monday, June 11, 6 p.m., and bone, heart and emotional health. spinal strengthening, which is the key to MidMichigan Medical Offi ces–gladwin, Monday, Aug. 13, 2 p.m. ■ Wednesday, May 16, 6:30 p.m. successful medical treatment of back dis- community education Room MidMichigan Medical Offi ces–gladwin, MidMichigan Medical Offi ces–Midland, orders. Screening tests will be available to ■ Thursday, May 24, 6:30 p.m. community education Room Towsley Auditorium help you determine if this type of treatment MidMichigan Medical Offi ces–Midland, ■ Thursday, May 17, 6:30 p.m. is right for you. Towsley Auditorium Put Some ZZZ’s ■ Tuesday, May 29, 6:30 p.m. Back in Your Sleep MidMichigan Health Park–Mt. Pleasant, Monday, May 21, 6:30 p.m. community Room MidMichigan Medical Offi ces–Midland, Doherty Hotel, clare Are you tired of not getting a good night’s ■ Wednesday, June 20, 6:30 p.m. Towsley Auditorium ■ Tuesday, May 29, 6:30 p.m. sleep? According to the National Sleep MidMichigan Medical Offi ces–gladwin, MidMichigan Health Park–Mt. Pleasant, Foundation, many of America’s adults sleep community education Room Discover a World community Room poorly, and it takes a toll on their work of Better Hearing ■ Thursday, June 7, noon relationships, productivity, public safety gear Up for golf Hearing loss is not an illness but a gratiot Medical center, and intimacy. Join experts from Sleep For some, warm weather means time to symptom of an underlying disorder. Modular classroom #1 Disorder Centers of MidMichigan Health for dust off the golf clubs. Whether you are an MidMichigan audiologist Harold Hull, Au.D., ■ Wednesday, June 13, 11 a.m.–noon information on how sleep disorders such experienced golfer or a fi rst-timer, our reha- will explain the signs, symptoms, causes MidMichigan Health Park–Houghton Lake, as sleep apnea, snoring, insomnia and bilitation staff will teach you how to avoid and treatment of hearing loss, including Lower Level conference Room

may/june/july/august 2007 4 t o y o u r h e a l t h Sexual Health and Infant and child cPR Preparation for childbirth Well-Being for Men This course teaches lay rescuers skills in (Alma, clare and Midland) A recent study determined that more than CPR and relief of foreign body airway This class series prepares the expectant senior life with 18 million men in the United States are obstruction for infants (birth to 1 year) and mother and her labor partner for active affected by erectile dysfunction and that children (1 to 8 years). Taught by certi- participation in the birth experience. the problem is particularly troublesome fi ed instructors, the course also provides Classes cover relaxation, breathing style scheduled among men with cardiovascular disease information about the American Heart As- awareness, hospital practices, the most and diabetes. Join urologist Richard A. sociation Pediatric Chain of Survival, signs up-to-date techniques, and options for labor for June 13 Mills, M.D., for an informative program of choking in infants and children, preven- and delivery including the unexpected and outlining the causes and medical and tion of the most common fatal pediatric cesarean birth. Call MidMichigan Health Mark your calendar now and join in the surgical treatments for erectile dysfunction. injuries, and reduction in the risk of sudden Line at (800) 999-3199 for available fun at the 25th Senior Life With Style. The Thursday, May 24, 6:30 p.m. infant death syndrome. Demonstrations classes and fees. Courses should be health fair will be held on Wednesday, MidMichigan Health Park–Mt. Pleasant, and practice on manikins are included. completed four weeks before the due date. June 13, 8:30 a.m.–12:30 p.m., at the community Room May 15, June 11, July 23, Aug. 21 Quality Inn, adjacent to the U.S. 27 and 6:30–8:30 p.m. Screenings and clinics M-55 intersection. This annual event is Bariatric Surgery: MidMichigan Medical center–Midland, MidMichigan Health Park–Mt. Pleasant sponsored by MidMichigan Health Park– Is It for Me? Orchard Auditorium offers walk-in blood pressure examinations. Houghton Lake. Learn about laparoscopic weight-loss $20 per person (includes book) Fridays, 9 a.m.–noon surgery and how it can improve your health MidMichigan Health Park–Mt. Pleasant, cardiac topic and your life. General surgeons Ernest Older Brother/Older Sister 4851 e. Pickard St. (next to Applebee’s) Tanveer A. Malik, M.D., will present a Cudjoe, M.D., and Jeffrey Smith, M.D., will This class prepares children to welcome a keynote lecture titled “Cardiovascular highlight laparoscopic Roux-en-Y and new baby into the family. Activities concern- To register for the classes listed above, Disease: Get the Beat on the Latest in Lap-Band surgical options. Please call ing feelings and the expected newcomer, or throughout these calendar pages, Diagnosis and Treatment.” Dr. Malik is MidMichigan Health Line at (800) 999-3199 as well as a tour of the maternity unit, are call MidMichigan Health Line at board-certifi ed in internal medicine and for dates, times, locations and to register. included. Children must be accompanied by (800) 999-199. cardiology. He routinely sees patients at an adult. Recommended ages are 2½ to MidMichigan Health Park–Houghton Lake. FAmily heAlth educAtion 8 years. Class size is limited. Please call His keynote address will begin at 11 a.m. to register. support groups Breastfeeding: ■ Saturdays, May 19, June 16, Aug. 18 A variety of health care screenings, ongoing Screenings Healthy Beginnings 9:30–11:30 a.m. classes and support groups are offered The fair will offer more than a dozen health Topics discussed include breast changes, MidMichigan Medical center–Midland, through community education. For more screenings as well as educational booths milk production, positioning, feeding Orchard Auditorium information, call MidMichigan Health Line and materials. These include glaucoma frequency, returning to work and weaning ■ Tuesdays, May 22, June 26, July 24, at (800) 999-3199 or visit: and blood pressure checks, cholesterol options. Class size is limited. Please call Aug. 28, 6–7 p.m. ■ Diabetes classes and counseling: and glucose screenings, and balance and to register. gratiot Medical center www.midmichigan.org/diabetes hearing testing. Back again this year are May 15, June 4, July 23, Aug. 20 OB conference Room ■ Tobacco cessation programs: the popular “Ask the Doctor” tables. Ad- 6:30 p.m. ■ Saturday, June 23, 10–11:30 a.m. www.midmichigan.org/quit ditionally, MidMichigan Visiting Nurse As- MidMichigan Medical center–Midland, MidMichigan Medical center–clare, sociation will provide hands-on experience center for Women’s Health, community conference Room 1 ■ Bariatric Surgery Support Group with its Lifeline home monitoring system. education Room ■ Better Breathers Club $25 per couple ■ Breast Cancer Support Group Other educational booths and materials ■ Coping With Cancer will represent some of the broad range ■ Diabetes Adult Support Group of services available from MidMichigan ■ Diabetes Youth Support Group Health. Topics range from cancer pre- ■ Grief and Loss Support Group vention to getting a good night’s sleep. ■ Insulin Pump Support Group Refreshments and door prizes will add to MATRIX:MIDLAND ■ Multiple Sclerosis Support Group the educational and fun-fi lled morning. welcomes author John grogan ■ Newborn Parenting Group John Grogan, author of the best-selling Marley and ■ Parkinson’s Disease Support Group Register today Me: Life and Love With the World’s Worst Dog, ■ Prostate Cancer Support Group To register or to receive an information- will appear as part of the 29th annual MATRIX: For dates, times and topics, packed Senior Life With Style brochure, MIDLAND Festival. MidMichigan Medical Center– visit www.midmichigan.org/ call MidMichigan Health Line Midland will co-sponsor his lecture planned for supportgroups. at (800) 999-3199. 7:30 p.m., Thursday, June 7, in the auditorium at the Midland Center for the Arts. Grogan will autograph books in the lobby after his presenta- tion. The special appearance of MidMichigan’s cancer Survivor certifi ed dog therapists, the Cosmic Canine celebration Cure, will also be a part of the evening. Join us for a fun-fi lled afternoon designed Grogan’s tale is a heartwarming and to honor cancer survivors and their unforgettable story of a family in the making and the wondrously neurotic dog who families. The theme for this year’s event taught them what really matters in life. His presentation will talk about family and rela- is “What a Wonderful Day.” The event tionships through good times and bad and the bond that was created with their dog. includes an ice cream social, quilt sign- Grogan is a Pennsylvania columnist for The Philadelphia Inquirer and the former editor ing by survivors, entertainment by Sara in chief of Rodale’s Organic Gardening magazine. Previously he worked as a reporter, Luneack, an inspirational message and bureau chief and columnist at newspapers in Michigan and Florida. His work has won will conclude with the release of 300 but- numerous awards, including the National Press Club’s Consumer Journalism Award. terfl ies in celebration of life. Tickets are $27 for adults and $17 for students and are available for purchase Sunday, June 10, 2–3:30 p.m. online at www.mcfta.org, at the Midland Center for the Arts box offi ce at 1801 W. MidMichigan gratiot cancer center St. Andrews Road, Midland, or by calling (800) 523-7649 or (989) 631-8250. 315 e. Warwick Drive, Suite c, Alma Box offi ce hours are weekdays, noon–6 p.m., and Saturdays, 1–5 p.m.

may/june/july/august 2007 5 t o y o u r h e a l t h of surgery that uses highly targeted radiation to treat brain Intervent: abnormalities such as brain tumors, acoustic neuroma, arte- riovenous malformation (AVM) and trigeminal neuralgia.

Forever Fit perfexion The Perfexion offers more advanced treatment Improve your health, weight and planning software and a more open machine configura- tion than previous models. This enables MidMichigan to fi tness at Gratiot Medical Center treat more patients, including larger patients and patients Finally, there’s a life management program that fi ts your whose brain tumor or abnormality previously couldn’t busy schedule—Intervent: Forever Fit. Our goal is to part- be reached due to the physical design of the previous ner with you to design a plan to meet your specifi c goals, models. The Perfexion also offers greater patient comfort, preferences and circumstances. faster treatment time and near-zero risk of misdirected With Intervent: Forever Fit you’ll lose weight, eat more radiation. healthfully, exercise and get the results you want, get or stay Research is currently under way to consider the use of tobacco-free, manage stress, and lower cholesterol, blood Gamma Knife Perfexion Gamma Knife for treating other conditions, including epi- pressure and blood sugar. But Intervent: Forever Fit is not lepsy, tumors in the face and neck, and spinal tumors as far a quick fi x. It is a healthy, long-term solution to lifestyle down as C-7 (the lowest cervical vertebra). The Perfexion and disease management. This program has been proven MidMichigan on will enable MidMichigan to extend Gamma Knife treatment effective by research studies published in leading medi- to emerging areas as U.S. Food and Drug Administration cal journals. For a free health risk assessment, log on to the leading edge approval becomes available. www.interventusa.com. In 2006, more than 200 people participated in the In- of brain surgery Find out more To learn whether Gamma Knife treatment tervent program, with more than half of the participants is right for you, visit www.midmichigan.org/gammaknife maintaining an exercise schedule of 60 minutes, 10 times This spring, MidMichigan Medical Center–Midland will or contact our Gamma Knife coordinator to arrange for a or more a month. become the only hospital in Michigan and one of only fi ve no-obligation review of your records and fi lms For more information on Intervent: Forever Fit and medical centers in the world to have the most state-of-the- by one of our neurosurgeons. Call toll-free how to get started on your life modifi cation plan, contact art Gamma Knife® available, the Perfexion.TM 1-866-MI-GAMMA (1-866-644-2662). Gratiot Medical Center’s cardiac rehabilitation department The Gamma Knife is not a knife—it is a revolutionary type Gamma Knife is a registered trademark and Perfexion is a trademark of Elekta AB. at (989) 466-3315. Construction Managing pain in labor and delivery One of the most common concerns about labor and delivery be prepared, be flexible The most effective pain man- update is pain. How much will it hurt? How will I cope? agement begins with education, because simply knowing MidMichigan Medical Center–Midland offers a full what to expect helps calm fears and promote relaxation. Gratiot Medical Center is doing more than caring for pa- spectrum of pain management options, ranging from As you prepare for the birth of your baby, keep in mind tients today. We are building for the future. noninvasive methods to epidural injections and other that every woman’s experience is unique. That’s why it is In 2005 the Medical Center unveiled a facility anesthesia techniques. important to keep an open mind and an open dialogue with improvement plan to serve the community. And in 2006 your care providers throughout the event. construction began on a new emergency department and pain management options The methods most com- “The important thing is that there is a team of pro- a new, four-story patient care tower. monly used for vaginal birth are: fessionals here to help you when the time comes,” says “By implementing this improvement plan, Gratiot ● Noninvasive methods, including breathing and re- anesthesiologist Greg Marcoe, D.O., medical director of Medical Center will gain additional capacity needed to laxation, massage, walking, whirlpool baths, and other anesthesiology. “Given the wide range of choices available provide patients with greater comfort, convenience, privacy solutions. MidMichigan offers childbirth preparation today, we are confi dent that we can help women to achieve and effi ciency,” says Thomas DeFauw, Gratiot Medical Center classes that help you and your support person learn these an acceptable level of pain relief.” president and CEO. “All of this is being done while retaining techniques. the friendliness and warmth of a community hospital.” ● Systemic analgesia, often given as an injection into a learn more To receive a free copy of the brochure Man- In creating the plan, the emphasis was on providing muscle or vein. It takes effect on the entire nervous system, aging Pain During Labor & Delivery or to register for a family-centered care while enhancing the satisfaction of rather than one area of the body, to relieve pain without childbirth preparation class, call MidMichigan Health Line patients, physicians and employees. The new emergency numbness. If delivery is close at hand, these medications are at (989) 837-9090 or toll-free at (800) 999-3199. department and four-story patient tower will provide safe, generally avoided, as they may slow the baby’s private, effective and progressive care in a high-tech, state- refl exes and breathing at birth. of-the-art patient care area. ● Intrathecal analgesia, injected into your To receive weekly updates on the progress spinal fl uid. You can move and even walk with of the construction, visit our Web site at intrathecal pain relief, so it doesn’t interfere with www.midmichigan.org/construction. your ability to push. It generally takes effect quickly and can be repeated if necessary. The most frequent side effect is itching. ● Epidural analgesia, injected into the epidural space surrounding your spinal cord. You remain awake and alert, but may lose sen- sation in the lower body, depending on your needs and the type of medication injected. An epidural may take 30 to 40 minutes to ef- fectively relieve pain, so it typically is given earlier in the labor process. Side effects may include headache, low blood pressure, diz- MidMichigan Medical Center–Midland offers a full spectrum of ziness, rapid heartbeat or inability to push. pain management options, ranging from noninvasive methods to Gratiot Medical Center is growing to serve you. epidural injections and other anesthesia techniques.

may/june/july/august 2007 6 t o y o u r h e a l t h Nonprofit Org. U.S. Postage PAID Platteville, WI Permit No. 7 4005 Orchard Drive Midland, MI 48670

ourour HEALTH NEWS FOR RESIDENTS OF ROSCOMMON COUNTY ● MAY/JUNE/JULY/AUGUST 2 0 0 7

Getting emergency treatment quickly and MidMichigan taking good care of their hearts has enabled these cardiac survivors to return to the activities makes 100 Top they love. From left: Bud Carpenter, John Dunford, ® Paula Koontz, Jim Judge and Carol Formsma. Hospitals list idMichigan Medical Center–Midland is setting new national standards for clinical out- comes, patient safety, fi nancial performance, effi ciency and growth in patient volume. The Medical Center has been named one of the nation’s 100 Top Hospitals® by Solucient®, part Mof Thomson Healthcare, a leading provider of information and solutions to improve the cost and quality of health care. Gratiot Medical Center in Alma, an affi liate of MidMichigan Cardiac ‘Survivors’ Health, also was named on the list. The Solucient 100 Top Hospitals: National Benchmarks for NOT UNLIKE THE CASTAWAYS ON THE HIT Alma and Midland. It also offers specialized cardiac reha- Success study annually examines changing performance levels REALITY TELEVISION SERIES SURVIVOR, PEOPLE bilitation in fi ve convenient locations, in-home care and in U.S. hospitals and objectively identifi es 100 benchmark RIGHT HERE IN THE MIDDLE OF MICHIGAN recovery care through MidMichigan Visiting Nurse Associa- hospitals based on overall performance. The study uses a bal- are battling to stay in the game longer. However, the stakes tion, community education and a wide range of treatment anced scorecard approach and scores hospitals based on a set are higher in the game of life they’re playing. options, including pacemaker implantation. of measures that refl ect highly effective performance across the You likely haven’t seen Carol Formsma, Bud Carpenter, In 2005 MidMichigan began providing emergency whole organization, including board members, medical staff, John Dunford, Jim Judge or Paula Koontz sporting angioplasty, a lifesaving procedure for many heart attack management and employees. These include patient outcomes, Survivor bandanas while trying to start a campfi re on a patients. MidMichigan Medical Center–Midland was the patient safety, national treatment standards (core measures), remote island or decipher “tree mail” clues, but all fi ve fi rst facility in the state approved to offer this service with- effi ciency, fi nancial stability and growth in service. have conquered physical challenges, such as leaking heart out an on-site open-heart surgery program. As a result of the measures, the Top 100 Hospitals dis- valves and blocked arteries, with help from the affi liates of tinction was given to MidMichigan Medical Center– MidMichigan Health. COMPREHENSIVE CARE Beginning in summer 2007, Midland in the teaching hospital category. patients will benefi t from even more extensive heart care “We are pleased to have earned this recognition as a A WILL TO SUCCEED Cardiac survivors tend to when MidMichigan adds open-heart surgery, elective leader in setting new national standards in health care,” have a will to succeed, says Jan Penney, R.N., M.S.N. As angioplasty and electrophysiology services to its current says Richard M. Reynolds, president and CEO of director of cardiovascular services at MidMichigan Medical cardiovascular capabilities. MidMichigan Medical Center–Midland. “This distinction, Center–Midland, she’s proud that MidMichigan offers “With our expanded services, those patients who would coupled with having recently received the 2007 Distin- the services these survivors need to make the most out have had to travel for surgery will be able to have it here in guished Hospital Awards for Clinical Excellence and Patient of life. Midland,” Penney says. “Patients will be able to have all of Safety for the third year in a row, truly validates the dedi- “If they’re going to cardiac rehabilitation, making life- their tests and procedures within our system, which will cated focus of our physicians, staff and volunteer team.” style changes and getting the follow-up care they need, help us offer a better continuity of care.” The full list of honorees may be found at they’re showing that they’re not going to allow this to hold For more information on MidMichigan’s comprehensive www.100tophospitals.com. The 2006 winners from the 14th them back,” Penney says. cardiovascular program, visit www.midmichigan.org/heart. edition of the study have been announced in the March 12, Through its four hospitals in Alma, Clare, Gladwin and For a referral to one of our experienced cardiologists, call 2007, issue of Modern Healthcare. Midland, MidMichigan provides state-of-the-art emergency MidMichigan Health Line toll-free at (800) 999-3199. To learn more about measurable care and advanced diagnostic Above all, listen to your heart and be a survivor too. If qualities at MidMichigan Health, testing, including cardiac you experience any warning signs of heart attack, “Don’t visit www.midmichigan.org/ catheterization in Wait. Don’t Drive. Dial 911.” quality. read the Survivors’ 3 URGENT CARE HELP WHEN YOU NEED IT 4 CALENDAR SIGN UP FOR A SUMMER CLASS stories—turn to page 2 6 HOSPICE MAKING THE MOST OF LIFE WWW.MIDMICHIGAN.ORG INSIDE H e A lT H Cardiac ‘Survivors ’ tell their stories Carol Formsma, Coleman three other weekday mornings. Bud has been swimming showed that while his two main coronary arteries were After Carol found out about a heart for about 43 years, and he estimates he has logged more open, several smaller arteries were clogged—causing a murmur during an examination than 9,500 water miles. condition known as “angina pectoris.” with her family doctor, she under- “Cardiac rehab did more than strengthen my heart,” Bud Jim’s chest pain was treated with medication, and he went testing, including a cardiac says. “It has rebuilt my confi dence and made me stronger was given a nitroglycerin patch to wear for several weeks stress test at MidMichigan Medical than I was with swimming alone, which also helps with to help relax the blood vessels. Today he no longer wears a Center–Midland to better diagnose my osteoporosis.” patch but carries a nitroglycerin pill to take immediately the problem. Tests showed that a if he begins to experience any more pain. valve in Carol’s heart was not per- John Dunford, Midland “I consider myself lucky,” Jim says. “I feel blessed to have forming as it should and that two John sought help from his physi- it diagnosed, and I can get on with life.” of her arteries were completely plugged. cian after breaking into a sweat Carol underwent open-heart surgery to replace the valve and having difficulty breathing Paula Koontz, Gladwin and bypass two arteries. Following recovery, she began car- during a short walk. A heart cath- Paula was regularly walking four diac rehabilitation at MidMichigan Medical Center–Clare. eterization to measure the health miles a day and had managed Rehabilitation specialists monitored her heart rate and of coronary arteries showed that to lose 100 pounds and keep it rhythm to ensure that she was exercising enough to recover, 90 percent of them were blocked. off for eight years. So when she but not so much that it would cause further harm. Just a Following triple bypass open- had trouble breathing during a half-year after undergoing open-heart surgery, Carol and heart surgery, John received car- shopping trip with her daughter, her husband traveled to Egypt. diac recovery care in his own home through MidMichigan it caught her by surprise. “I’m glad I did it,” Carol says. “Having the surgery and Visiting Nurse Association and then entered MidMichigan Luckily her daughter called an rehabilitation gave me confi dence that I could go out on my Medical Center–Midland’s cardiac rehabilitation program. ambulance right away. Paula was own or exercise and do as I wanted to.” He also attended a series of heart awareness seminars at diagnosed with a faulty heart valve and underwent open- MidMichigan Medical Center–Midland, which helped him heart surgery to replace it with a mechanical valve. Bud Carpenter, Midland change his eating habits. Now he is eating smarter and is After her surgery, Paula entered MidMichigan Visiting Following open-heart surgery looking forward to returning to the basketball court with Nurse Association’s (VNA’s) in-home recovery program. to replace his aortic valve, Bud a team sponsored by his church. Nurses provided monitoring and education a few times a has continued to receive ongoing “I thought my life was good before I received heart care, week in her home, and a telehealth device prompted her support from programs available but it’s been much fuller since,” John says. “I have more to measure her vital signs and transmit the data to VNA through MidMichigan. energy and get more done during the day.” between visits for additional monitoring. MidMichigan Visiting Nurse While she must still see her cardiologist every six Association (VNA) nurses visited Jim Judge, Mt. Pleasant months for a checkup, Paula is back to doing the things Bud’s home three to four times Jim fi rst experienced chest pains she loves. a week for about three weeks to while caring for the cattle on his “I didn’t watch my grandkids while I was recuperating. I monitor his progress. Once Bud was healthy enough, he dairy farm. When the pains re- was so glad when I could get back, so their life could return was sent to the second phase of cardiac rehabilitation at turned during church the next day, to normal,” she says. “I’m going to live every day like it was Campus Ridge Rehabilitation Services at MidMichigan his wife insisted on driving him my last.” Medical Offi ces–Campus Ridge. to the emergency department at Now Bud is in phase three of rehabilitation, a program Gratiot Medical Center in Alma, an GET THE WHOLE STORY Read more about these that offers the added security of professional supervision affi liate of MidMichigan Health. fi ve survivors by visiting www.midmichigan during exercise. He goes to cardiac rehabilitation two days Jim was admitted to the car- .org/testimonials and clicking on “Cardiovascu- a week and swims at the Midland Community Center the diac care unit for observation, and a heart catheterization lar Services” in the menu on the right. MidMichigan goes tobacco-free January 2008 s a leader in providing for and increasing the cigarettes, cigars, pipes or other lighted smoking devices. that can cause strokes. Regardless of age or smoking history, health and well-being of the communities it Use of these tobacco products will not be permitted on quitting has immediate health benefi ts. serves, MidMichigan Medical Center–Midland the MidMichigan Medical Center campus. This includes has adopted a tobacco-free environment, effective medical offi ce buildings, buildings being constructed or GET THE HELP YOU NEED To help smokers January 1, 2008. renovated, leased offi ces, other temporary structures, and kick the habit, MidMichigan offers a number of smoking The tobacco-free policy is in accord with the medical center vehicles. Employees and visitors who must cessation opportunities for the community, including the AMichigan Hospital Association’s Campaign for Smoke-Free smoke will only be allowed to do so in their own closed, Freedom From Smoking program. The program is based Hospitals recommendation that hospitals implement a private vehicle. Smoking cessation support, including loz- on the premise that smoking is a self-taught behavior that smoke-free policy by January 1, 2008. enges and gum, will be available to all. needs to be unlearned. Healthy new alternatives to smok- “Demonstrating healthy behaviors is important to us,” “The health of all the lives we touch is and always has ing will be discussed. Topics include the health effects of says Richard M. Reynolds, MidMichigan Medical Center– been our priority,” Reynolds says. “By making our environ- smoking, stress management and relaxation techniques, Midland president and CEO. “In order to provide compre- ment tobacco-free, we are addressing one of the largest lifestyle changes, weight control, the symptoms of recovery, hensive, high-quality care, we are making the commitment health risks the nation as a whole is facing today.” the recovery process, and the benefi ts of quitting. Programs to create a healthy and safe, tobacco-free environment for In addition to many forms of cancer, smokers are twice are available in Alma, Clare, Gladwin and Midland. patients, visitors and employees.” as likely to die from heart attacks as are nonsmokers. For more information on the Freedom From Smok- Smoking is also a major risk factor for peripheral vascular ing program, call MidMichigan Health Line toll-free at WHAT PRODUCTS ARE BANNED? The ap- disease, narrowing of the blood vessels that carry blood to (800) 999-3199. Or to learn more on additional smoking proved policy defi nes tobacco products as chewing tobacco, the leg and arm muscles, as well as cerebrovascular disease cessation programs, visit www.midmichigan.org/quit.

may/june/july/august 2007 2 t o y o u r h e a l t h W e l l n e ss Pregnancy pointers What’s normal and when to call the doctor

woman’s body constantly changes during pregnancy,” says family practitioner Carrie Nicholson, M.D., of MidMichigan Physicians Group, Michigan Medical Offices–Harrison. “Changes bring discomfort that may come and go throughout pregnancy.” A“Each pregnancy is different,” adds Jeffrey Schaffer, M.D., obstetrician/gynecologist with MidMichigan Physicians Group, MidMichigan Medical Offices–Clare. “A woman may have nausea and back pain with the first child but not the second, or vice versa. It is important to know the difference between normal discomfort and a potential problem.” Stomach problems are common during pregnancy. “The best advice is to eat healthy, stay hydrated, and eat smaller, more frequent meals,” Dr. Nicholson says. “You need the same amount of calories, but spreading them over the course of a day will keep your energy level higher.” Nausea early on in pregnancy is caused by hormonal changes and usually goes away by the fourth month. “Severe or constant vomiting can cause dehydration. Call your doc- Urgent care—when tor if you cannot keep any food down,” Dr. Nicholson says. Heartburn often occurs dur- ing pregnancy. Antacids approved and where you need it by your doctor may help, as can smaller, more frequent meals. If ccidents and illnesses happen, and they are The experts at MidMichigan Urgent Care–Houghton heartburn is a problem at night, seldom anticipated. Luckily, residents and visi- Lake can refer patients to a primary care physician if they change the elevation of your bed to tors in need of immediate medical attention in don’t have one. MidMichigan’s primary care providers keep your head at least six inches the Houghton Lake area have a place to go for and physician specialists see patients right next door to higher than your feet. help—MidMichigan Urgent Care–Houghton Urgent Care. Hormones, as well as vitamins Lake. Because of its rural location, MidMichigan Urgent Carrie and iron supplements, may cause AStaffed by a team of caring providers as well as on-site Care–Houghton Lake serves a variety of needs—including Nicholson, M.D. constipation. Fiber, fluids and ex- laboratory and radiology services, MidMichigan Urgent more emergent health problems. ercise may help. “Check with your “If a patient has severe stomach pain, chest doctor before you use anything MidMichigan Urgent Care–Houghton Lake pain or acute breathing problems, they truly other than food to relieve constipa- belong in a hospital emergency room,” explains tion,” Dr. Nicholson says. is located at 9249 W. Lake City Road Diane Lane, clinical support manager. “But be- “Fatigue is normal,” Dr. Schaffer and can be reached at (989) 422-2181. cause of long travel times to the nearest hospitals says. “Pregnancy takes a lot of en- up here, many severely ill patients come to us ergy.” He recommends that women Care–Houghton Lake fills an important need. From minor first. When that happens, we initiate treatment, stabilize maintain their usual schedule at a household injuries, fevers and flu, to swimmer’s itch, camp- the patient and then transport them to the hospital by slower pace. “Even though you may fire burns and chest pain, there are hundreds of instances ambulance or helicopter.” feel too tired to exercise, a daily walk where medical attention simply can’t and shouldn’t wait. MidMichigan Urgent Care–Houghton Lake is also the Jeffrey will increase your energy level and Go to Urgent Care when: place to go for work-related medical needs, such as employ- Schaffer, M.D. usually improves sleep.” ● You have an urgent medical need after normal office ment physicals, drug screenings, workplace injuries and Extreme fatigue may need atten- hours. tuberculosis tests. MidMichigan Urgent Care is located at tion. “If you are exhausted after a full night’s sleep, tell your ● Your doctor is booked. 9249 W. Lake City Road on M-55 east of U.S. 127. For more doctor. It may be a sign of anemia,” Dr. Schaffer says. ● You don’t have a regular doctor and require care. information, call (989) 422-2181.

Coming soon: New surgical suites Construction and renovation of surgical suites at MidMichigan Medical Center–Clare began in April 2007 and is expected to be complete in 2008. The construction includes a new operating room and renovations to an existing operating room, and to- tals almost 15,000 square feet. The addition will be attached to the existing hospital on the west side of the building.

may/june/july/august 2 0 0 7  t o y o u r h e a l t h When Laurin and his wife, Marge, learned that Laurin’s heart condition could not be Cardiac rehab treated with surgery, they made the decision to receive in-home Hospice care. The Pres- tons realized that Hospice was not for dying, helps restore but for assisting Laurin to live out the rest of his days with quality of life. strength While many people assume Hospice only benefi ts patients who have days left to live, Heart disease is a serious problem. But having a heart prob- Laurin’s story certainly proves that concep- lem doesn’t mean closing the door on life as you’ve known tion to be false. it. Cardiac rehabilitation allows you to work toward goals Laurin has been receiving Hospice ser- you’d like to achieve. vices for 20 months. His terminal condition Rehabilitation often begins in the hospital soon after and life expectancy make him appropriate your medical or surgical treatment is over. It can continue for Hospice treatments. Laurin is proving to at an outpatient center and, sometimes, at home. In any Laurin Preston refers to MidMichigan Hospice nurse Sue Drager- the world that Hospice does not mean that case, you will need a referral from your doctor to enroll in Carl (left) as his angel. He credits her, the entire Hospice team he has no more living to do. a cardiac rehab program. and the concern of his wife, Marge, (right) as the reasons he’s Laurin and Marge continue an active lived so long. and fulfi lling life together. Computer-savvy What you will learn During rehab, you will learn about Laurin has a digital camera, and he e-mails your heart problem and how you can manage it by adopting family and friends often. Laurin has a golf a healthful lifestyle. cart that he drives, but he also makes sure that he is walking You will be encouraged to: MidMichigan on a regular basis to keep up his strength. Exercise. Exercise can tone your muscles and improve Laurin refers to MidMichigan Hospice nurse Sue your energy level, allowing you to return to work and other patient discovers Drager-Carl as his angel. He credits the care of Sue, the activities faster. Your health care provider can help choose entire Hospice team and the concern of his wife as the an exercise plan that is safe for you. sources of his strength and ability to live with enjoyment Eat a healthy diet. This is especially important if you Hospice is this long after receiving a terminal diagnosis. need to lower your cholesterol, lose some weight, control Marge says, “Hospice helps me as well as my husband. your blood pressure and manage other problems, such as ‘about living’ As a caregiver, I need to talk to someone sometimes, too, diabetes. Eating right can help you feel better and have and they are always there for me.” more energy. Bronze and Silver Star recipient Laurin Preston is no In the 20 months that Laurin has enjoyed life while Quit smoking (if you smoke). Kicking the habit reduces stranger to the prospect of dying. However, the decorated receiving Hospice services, many people with terminal ill- your risk for a future heart attack or stroke. You’ll have more war veteran, now diagnosed with a terminal condition, nesses have died—most without the benefi ts of Hospice or energy, and you’ll protect your loved ones from the ill effects seldom allows the thought to enter his mind. in-home care. But Laurin says, “Live a life you won’t regret of secondhand smoke. When Laurin served as a medic in World War II, and never assume that you can put things off—not in life Deal with stress. You can learn to manage stress instead he received the Bronze and Silver Stars for heroic actions. and not in death. If you are facing a terminal illness, seek of letting it manage you. His overseas duties were marked by the deaths of friends, Hospice care. Hospice makes living better.” Your primary care doctor, a heart specialist and per- sniper and mortar fi re, and the furies of battle in his quest Hospice and other home health services are available haps a surgeon will oversee your rehabilitation. You may to treat the wounded. Laurin, now 85 and intimately fa- throughout MidMichigan Visiting Nurse’s service area, also work with nurses, exercise specialists, physical and miliar with death, responded with the bravery of a young which includes Arenac, Clare, Gladwin, Isabella, Ogemaw, occupational therapists, dietitians, psychologists, or other soldier when told of his inoperable heart condition. Midland, Roscommon and portions of Bay and Saginaw behavior therapists. “When you’ve lived the life that I have lived, you un- counties. For more information about services provided Family members can be involved, and some people fi nd derstand death, so you decide to live without any regrets,” by MidMichigan Visiting Nurses, call (989) it helpful to join a support group of other people with heart Laurin explains. “I have no regrets. I don’t think about 839-1773 or toll-free (800) 862-5002, or visit problems. dying. I’m busy living.” www.midmichigan.org/hospice. But the person most important to your recovery is you. To make the most of your rehabilitation, follow your treatment plan, ask questions when you don’t understand something and report any problems you may have. Adolescent physicals—a must for fi tness After you’ve learned the skills of heart-healthy living, continue to use them for life. Sports physicals are a very important source of health save lives. Every year underlying health conditions are Source: U.S. Agency for Healthcare Research and Quality screenings for the adolescent population, but they should identifi ed and referred for treatment based on fi ndings in a not replace a well-child check. Unfortunately, each year sports physical or well-child check. Many times, those refer- athletes of all ages die because of underlying problems that rals are for congenital heart conditions, but sports physicals they didn’t know they had. Any person beginning a new or well-child checks have also uncovered conditions such exercise routine, sport or diet should consult with their as diabetes, asthma and childhood cancer. health care provider before beginning. The American Academy of Pediatrics recommends an The Michigan High School Athletic Association requires annual well-child check for children up to the age of 6 and a sports physical for all athletes in school-sponsored sports. then every other year thereafter. But because a child’s health Community-sponsored activities, such as youth basketball, can change from year to year, a well-child check should be baseball, football, soccer or hockey, may or may not require considered on an annual basis regardless of participation a physical before play. in a sports physical. Parents should insist that their athletes participate in In Roscommon County, the School Based Health Centers either a sports physical or a well-child check. A well-child at Houghton Lake High School and Roscommon Middle check is a more comprehensive exam and allows time for School offer both well-child checks and sports physicals. the provider to establish a rapport with the adolescent. A Sports physicals are provided free of charge. Parents with sports physical is more of a screening—following a specifi c questions about well-child checks or sports physicals outline of the governing agency (for example, the Michigan should call their health care provider or the school based High School Athletic Association). Regardless, these services health center in their school district.

may/june/july/august 2007 6 t o y o u r h e a l t h