Nonprofit Org. U.S. Postage PAID Saginaw, MI Permit No. 120 4005 Orchard Drive Midland, MI 48670

ourour REACHING RESIDENTS THROUGHOUT THE MIDDLE OF MICHIGAN  M A Y / J U N E / J U L Y / A U G U S T 2 0 0 5

HEALTH RECOGNIZED FOR

HELP WITH CARING Ann Fillmore, FOR OLDER ADULTS. director of Junior Achievement A new MIDLAND CLINICAL free booklet, Helping Older EXCELLENCE Adults Remain Independent and Healthy, COMMUNITY LEADERS, PATIENTS, AND MIDMICHIGAN EMPLOY- answers difficult ques- EES AND PHYSICIANS RECENTLY SHARED THEIR THOUGHTS tions such as “How can ABOUT QUALITY AT THE MEDICAL CENTER IN MIDLAND, I decide whether my relative can still live at INCLUDING THE RECENT DISTINGUISHED HOSPITAL AWARD home?” and “How can I FOR CLINICAL EXCELLENCE™ FROM HEALTHGRADES. Jim Bicknell, M.D., evaluate an older As a community leader, Ann Fillmore, director of Junior Achievement in emergency room adult’s driving ability?” Midland, knows that “this commitment to excellence starts at the top and physician You’ll find nutrition and filters down through the whole organization. The hospital plays an impor- exercise tips, a guide to prescription drug tant role in providing education for the community—so not only do they programs, and a list of provide exceptional inpatient and outpatient care, but they also improve local and national the quality of our lives through their community educational programs.” resources for seniors When Fillmore and her husband needed to find the best oncologist and and their caregivers. To the best treatment center, “We found them right here in our community, request a free copy, visit at MidMichigan.” www.midmichigan.org /independence or call When emergency room physician Jim Bicknell, M.D., was asked how Nancy Badour, MidMichigan Health MidMichigan achieves such excellence, he said, “For a hospital this size, food service Line toll-free at (800) the technology we have is amazing—everything from the most up-to- 999-3199. date equipment for CT [computerized tomography] scans to new surgical procedures like the Gamma Knife. That’s wonderful for a community this size. For so many disease processes and illnesses, you can travel hundreds SUMMER’S COMING: of miles and not get a better quality of care.” Dr. Bicknell says that “the glue KNOW THE SIGNS OF that holds it all together is the interaction, the communication and the atti- SKIN CANCER. tude” of the staff. “We work with each other to make sure the patients’ needs Skin cancer are met, and we convey the message…so the patient understands.” Pat Claussen, is the most A MidMichigan employee since 1979, Nancy Badour, food service, thinks orthopedic patient common type “it’s the little personal touches that make such a difference. MidMichigan of cancer, and We made the top 5 percent is constantly expanding and improving, but we aren’t losing the personal nearly all cases can be MidMichigan Medical Center–Midland recently received a 2005 linked to excessive sun touch. I think that’s what makes a hospital.” ™ exposure. Learn how to Having the opportunity in the hospital’s cafeteria to see patients’ fami- HealthGrades Distinguished Hospital Award for Clinical Excellence , protect yourself with a lies, doctors and other employees, Badour feels that her role sometimes is making it one of only 15 hospitals in the state to receive this distinc- free Skin Safety in the to take the time to listen to them. “It just takes a couple of minutes out of tion. This places MidMichigan in Sun pullout card. It’s the top 5 percent in the nation packed with helpful my life, but I always feel like maybe it helps them a little bit.” facts about sunburn, “If I needed to go to a hospital again, this would be my first choice,” for overall clinical excellence. skin cancer, risk says Pat Claussen, an orthopedic patient at MidMichigan, “The care when factors, prevention and I was in the hospital was excellent.” Claussen had severe back pain and even a step-by-step self- had to have surgery. She has “tremendous respect” for her neurosurgeon, and it was just unbelievable how much better I felt.” Now she is walking exam guide. Request a free copy Brian Copeland, M.D., because she “recovered so quickly.” Claussen says, again, without pain. at www.midmichigan.org “I came back after 10 days or so to get the stitches out, and he was so For more information about clinical excellence awards, visit /skincancer or call surprised when I walked in with just a cane! I’d been in so much pain, www.midmichigan.org/quality. MidMichigan Health Line toll-free at (800) 999-3199. 2 ORTHOPEDICS KNEE-REPLACEMENT SURGERY 4 EDUCATION PATHS TO GOOD HEALTH 7 OLDER ADULTS SAFETY IMPROVES INDEPENDENCE WWW.MIDMICHIGAN.ORG INSIDE WELLNESS WITH A BRAND-NEW KNEE, SHE’LL GO THE DISTANCE oyce Fish has plans. The 78-year-old former practical saw before, as we went through this together, they felt like nurse from Mt. Pleasant has family in Phoenix and friends,” she says. New Orleans. She expects to visit them all, continue taking bus tours and return to playing the organ at UP AND AROUND AGAIN Four days after surgery, her church. when Fish went home, she was able to get out of the car But a few months ago, Fish’s outlook was not so and walk into the house with the aid of a walker. “I soon Jupbeat. Her painful knees were holding her back from liv- convinced my family that I was able to get in and out of ing the life she desired. She had fallen several times and bed,” she says. “They thought I would be in so much pain was concerned about breaking bones or damaging other that I wouldn’t want anybody around me, but the medica- Since her knee-replacement surgery, Joyce Fish joints. tion prescribed by my doctor relieved the pain enough for looks forward to playing the organ at church again. One night she needed help to walk two blocks from a me to move around.” tour bus to a concert hall. After that, she thought seriously At first, Fish needed help to get in and out of the shower new knee, I feel like I’ll be able to go whatever distance is about her future. and to do laundry. Eight weeks after surgery, she was walk- necessary.” “I wondered, ‘What does life have in store for me?’ I didn’t ing without assistance and driving her car. She hadn’t had To learn more about JointCamp at MidMichigan want to spend my time sitting in my house crocheting,” she any pain medication for a month. Medical Center–Midland or the nationally ranked says. “I made up my mind to see what could be done.” “It won’t be long before I can travel,” she says. “With my joint replacement services, call (989) 839-3798. Joyce consulted orthopedic surgeon Ben R. Mayne, M.D. “He told me my health and my age made me a good can- MidMichigan receives orthopedic care EXCELLENCE award didate for knee replacement,” she says. She was on her way to JointCamp. HealthGrades, the nation’s leading independent health care quality company, has recognized MidMichigan Medical Center–Midland with a 2005 HealthGrades Excellence Award™. MidMichigan’s outstanding performance in ortho- CAMPERS FEEL LIKE FRIENDS MidMichigan’s pedics was also supported with five-star ratings for total hip replacement surgery, total knee replacement surgery JointCamp brings together joint replacement patients in and hip fracture repair. their own hospital unit. In a “well” atmosphere, JointCamp Orthopedic surgeons on the medical staff at MidMichigan include Kent R. Biddinger, M.D.; David T. Bortel, M.D.; offers faster recovery times, higher patient satisfaction, a John C. Eckhold Jr., M.D.; Mark J. Goethe, M.D.; Ben R. Mayne III, M.D.; Daniel L. Middleton, M.D.; John V. lower risk of infection and improved clinical outcomes. Murphy, D.O.; and Denise M. Stadelmaier, D.O. Fish’s daughter and daughter-in-law went with her to According to Dr. Goethe, chair of the department, “This HealthGrades study identifies the highest-quality orientation about a week before surgery. “They were afraid that I would need constant care after the surgery,” she re- orthopedic hospitals in the nation by analyzing federal Medicare patient data for common orthopedic procedures. calls. “The class relieved their concerns and enabled them MidMichigan ranked in the top 5 percent nationally for joint replacement surgery and the top 10 percent nation- to get things ready for me at home.” ally for orthopedic services.” After surgery, Fish had her first physical therapy ses- For more information about MidMichigan’s orthopedic program or for a referral to an orthopedic sur- sions in her room, then joined fellow campers for therapy geon, call MidMichigan Health Line at (989) 837-9090 in Midland or toll-free at (800) 999-3199, or and other activities. “Even though they were people I never visit www.midmichigan.org/ortho.

first visit with Dr. Munkarah gave her butterflies. Upon arriving at Karmanos, she discovered that her SHE DANCES! worries were unfounded. “The entrance is beautiful—you THANKS TO MIDMICHIGAN/ can’t miss it,” Hoover says. “They have a nice garage for your car and a wonderful reception room. Things run so KARMANOS CANCER TEAM smoothly and easily. A coordinator talked with us for quite or Beaverton native Beulah Hoover, 71, life is rich a while to answer our questions. Then I got right in to see and full. Living on the same Ross Lake property the doctor.” where she was born and raised, she loves spending Dr. Munkarah examined Hoover, set her up with all the time with her family and staying fit and healthy. necessary tests, and coached her about how the process As a two-time cancer survivor, it hasn’t been would unfold. He eventually performed surgery to remove easy. But Hoover credits her doctors—both at Beulah Hoover loves being back to walking, square the two tumors in Hoover’s abdomen. She stayed at the FMidMichigan Medical Center–Midland and Detroit’s dancing and clogging. Karmanos complex for four days. “My two daughters and Barbara Ann Karmanos Cancer Institute—with making their families were right there with me the whole time,” she all the difference between a life full of illness and one full Drs. Thiele and Hurtubise referred Hoover to Adnan says. “Karmanos has a place for out-of-town loved ones to of…life. Munkarah, M.D., leader of the Karmanos gynecological stay right within walking distance. The kids could stay with Like country singer Lee Ann Womack’s hit song “I Hope oncology team. At that point, Hoover says her “already ex- me in my beautiful, brand-new, private room or easily come You Dance,” Hoover believes that when one door closes, one cellent care got even better.” She now had the added benefits and go back to their own rooms.” more opens. And given the choice to “sit it out or dance,” of a nationally acclaimed cancer research center, including Best of all, Hoover was able to return to Beaverton and she dances! access to clinical trials, groundbreaking drugs and expert continue follow-up care with her MidMichigan doctors. Nearly three years after surgery and chemotherapy to second opinions. MidMichigan physicians work together Now she is back to walking, square dancing, clogging, going remove cancer, a CT scan revealed two new tumors. Because with the renowned Karmanos team of cancer experts to to Curves and attending her grandkids’ sporting events. it was Hoover’s second bout with cancer, her MidMichigan review each patient’s case and determine the best course For more information about MidMichigan’s affiliation cancer experts—gynecologist Scott Thiele, M.D., and of treatment. with the Barbara Ann Karmanos Cancer Institute, call medical oncologist Michel Hurtubise, M.D.—felt she It was a team approach that gave Hoover great confi- MidMichigan Health Line toll-free at (800) 999-3199 or needed a physician who specialized in ovarian cancers. dence. However, the thought of traveling to Detroit for her visit www.midmichigan.org/cancer.

MAY/JUNE/JULY/AUGUST 2005 2 TO YOUR HEALTH FUND D EVELOPMENT

Tim W. Craig Mr. and Mrs. Robert T. Dyer Dr. and Mrs. David E. Fry OUR SUPPORTERS Mr. and Mrs. Kenneth Craven Mr. and Mrs. Wallace F. Dyste Mr. and Mrs. David Fry We are honored to recog- Lynn Cresci Mr. and Mrs. Jack D. Eadie Philip Fu nize those who supported Mr. and Mrs. Floyd Crockett Tad and June Eastman Maybelle E. Furtaw RECOGNIZING Thelma Crockett Eastman Party Store Consuelo T. Gabriel MidMichigan Medical Nina J. Cronenberger Marie and Mark Eckstein Mr. and Mrs. Dominick V. Gagliardi Center–Midland from Jean M. Cronin Mr. and Mrs. Glenn Edwards Sally Gagliardi Jan. 1 to Dec. 31, 2004: Norma Cronkright Mr. and Mrs. John Eesley Doloris Gajewski Robin G. Cronkright Rita A. Egan Mr. and Mrs. Michael R. Gambrell 2004 Olympians OUR DONORS Adora W. Crook Alice Ehlers Pamela L. Gandy Mr. and Mrs. Richard E. Abel Frances M. Crosby Joan Ehrmantraut Howard L. Garrett Mr. and Mrs. Adelberto J. Adan “Blessed are those who can give without Leon and Patricia Crossman Lonnie and Patricia Eichinger Ruth C. Geary Frank and Gretchen Aerstin remembering and take without forgetting.” Mr. and Mrs. Randolph M. Croyle Katherine J. Elder Mr. and Mrs. Aaron Geiling Carl R. and Catherine J. Ahearn —Elizabeth Bibesco Eleanor Currie Catherine G. Elliott David L. Geiling Phyllis Ahearn Jeannette Cushman Kim L. Elliott Jeffrey and Stephanie Geller Anne Ainsworth Judy Czarnecki Myrtle L. Emerson Dr. and Mrs. Robert A. Genovese Aldersgate United Methodist Church LuAnn M. Dana Faye Emmel Betty B. Gensel Mr. and Mrs. Merton L. Alexander Jack and Betty Biek Mr. and Mrs. Victor J. Caldecourt Tony Danza End Results Styling Salon Mr. and Mrs. Barry B. George Mr. and Mrs. Arnold A. Allemang Ann M. Bieszke Ruth Caldwell Dolores D. Daudt Loretta Engwis Debbie K. Gerardo Ann B. Allen Big Apple Bagels Steve and Karen Calkins Daughters of the American Revolution Shirley A. Ennis Edith Germain The Honorable Dorene S. Allen Big Boy Restaurants Dr. and Mrs. Herbert L. Camp Mr. and Mrs. Stephen Dausey Mr. and Mrs. Larry Ervin Eileen M. Germain Dr. and Mrs. Jeffery Allen Lois J. Bilou Norma Nehil Camp Joan H. Davey Kelly Fabiano Rollin M. Gerstacker Foundation Tim Allen Larry Bird Charles and Margaret Campbell John and Elizabeth Davidson Fairview Inn Donald F. Gibaud Alma Public Schools Matt and Deb Bishop Mr. and Mrs. Curtis Campbell Laura Davidson Mr. and Mrs. James R. Falender Mr. and Mrs. Jack D. Gibbons Mr. and Mrs. Dennis Alvis Mr. and Mrs. Robert L. Bishop Susan G. Campbell Joan Davis Robert and Dona Farison Susan M. Gibbs Gary and Judy Anderson C. Kenneth and Joyce C. Bjork Warren and Linda Campbell Mr. and Mrs. Lonnie H. Davis Leo and Betty Fath Pamela K. Gifford Mr. and Mrs. Robert A. Anderson Mr. and Mrs. R. D. Black Mr. and Mrs. Charles E. Cannon Mary Dawson Mr. and Mrs. Gregg Fazzoni Gift Basket Solutions Ted and Ann Anderson Mr. and Mrs. Ralph D. Blackketter Mary L. Cantin Mr. and Mrs. Paul E. Dean Mr. and Mrs. Richard C. Federer Truman Gilmet Amy J. Anderson-Messick Ben and Emma Blaine and Kevin Laura M. Capozzi Jack P. Deboer Mike and Lois Feider Mr. and Mrs. Thomas Gilstad Mr. and Mrs. William Annelin Hayward Mr. and Mrs. A. J. Carbone Lois Deboer Kathleen E. Felsentreger Betty J. Gingerich Dorothy Doan Arbury Etcyl and Ruth Blair Mildred L. Card Shawn M. Debusschere Gloria J. Fenskie Ginis Goldsmiths Mr. and Mrs. Robin D. Arbury Alice L. Blanchard Norma Card Mr. and Mrs. Dalton Decker Hilary J. Ferguson Girl Scout Troup No. 553 Mr. and Mrs. David J. Arnold Sandra M. Blank and Douglas L. Nye Mary Lou Carey Patricia L. Dehn Thomas P. Fette Connie H. Glave Kimberlee K. Arnold-Howell Margaret Blaser Dr. and Mrs. Donald B. Carlsen Mr. and Mrs. Donald G. Deibert Mr. and Mrs. Richard F. Fibiger Gleaner Life Insurance Society’s Alma Mr. and Mrs. Ken Arthur Mr. and Mrs. Donald J. Blasy Bud and Dorothy Carpenter Mr. and Mrs. Thomas Deitsch Jennifer Fick Arbor No. 010 Mr. and Mrs. Randy N. Arthur Joyce Blenkhorn Mr. and Mrs. Peter J. Carras Marylou Dekau Shirley Field Mr. and Mrs. Michael L. Glenn Alicia A. Asadorian Marian Blenkhorn Mr. and Mrs. Edward Carrington Mr. and Mrs. F. A. Delaney Marilyn J. Findlay Mike and JoAnn Glynn Therese M. Ashmore Olin Blessing Shirley S. Carrington Elma Deline Dr. and Mrs. Warren H. Finkbeiner Marilyn L. Goeders Mona E. Asiala Mr. and Mrs. Leonard S. Block Herbert Carter Deloitte Services LP Suzanne R. Goeders AstraZeneca LP Loraine Block Donna L. Cartwright Loretta Demers Florence M. Goethe Auburn Greenhouse & Florist, Inc. Body Harmony Spa Ann Marie Casey Shirley J. Demers We have made a sin- Dr. and Mrs. Mark J. Goethe Dr. and Mrs. William Audeh Boehringer Ingelheim Mr. and Mrs. Michael P. Cauchy Richard and Edith DeMerse Dr. and Mrs. Roy M. Goethe Audio Visual Headquarters Dr. Frank Bolenbaugh Centre Lodge No. 273 Deniz Demirors cere effort to accu- Carol Goffnett Donna A. Austin Bolger & Battle, Inc. Veronica M. (Ronnie) Cermak Bob and Marilyn DeNooyer rately recognize every Mel and Barbara Gohlke Clyde and Shirley Babcock Janis M. Bond Tom C. Chan Department of Health and Human Mr. and Mrs. Roger Gohrband Mr. and Mrs. Jim Bacon Mr. and Mrs. Tom Bonham Nellie Chapin Services (DHHS)/Health Resources contribution. How- Donna J. Golden Mr. and Mrs. Lawrence S. Baczkowski Diann K. Boor Douglas and Joan Chapman and Services Administration (HRSA) ever, if an error has Mr. and Mrs. Robert P. Golombeski Mr. and Mrs. James J. Bader Mr. and Mrs. Gary J. Boots Lorraine B. Charbonneau Betty DeReyes Mary Anna Gonway Bailey Insurance Agency Carol Bornsheuer Bob and Maggie Charlton Mr. and Mrs. Thomas E. Dergazarian occurred, please ac- Harlan Goodrich Lynn and Phil Baker and family Mr. and Mrs. Richard Boundy Dick and Grace Chase Dr. and Mrs. William H. Dery cept our apologies and Rick E. Goodwin Marian A. Baker Mr. and Mrs. James E. Bourne Vicki L. Chatland Bart and Mickey Dexter Dr. and Mrs. Christian T. Goralski Renaye Baker and the Bullock Creek Anita D. Bousu Chemical Bank & Trust Company Diagnostic Imaging notify MidMichigan’s Brenda S. Gordon Education Association Yvonne Bowers and family Frank and Catherine Chen Nora R. Dickman Mary C. Gorte Shirley Baker Laura Bowling Elizabeth Chenoweth Mildred Dickson and Sheila Dickson fund development Mary Gottleber Mr. and Mrs. Conrad Balazs Virginia Braden Christine M. Chesny Tracey J. Diefenbach department at (989) Lisa L. Grabmeyer Angela R. Balboni Mr. and Mrs. Tom M. Bradford Mary Choate Laura J. Dietsche Mary Grabmeyer Irene B. Balleria Jane M. Bradley Janice A. Christeon G. H. Dietzler 839-3342 so we can Pam Grace Gloria G. Bantien Linda J. Bradley Beth and Rob Christy Wendell and Marcia Dilling correct our records. Gary and Carolyn Graham Barbara Franklin Enterprises Joyce M. Braithwaite-Brickley Joan Chupp Dolores Dinkel Mr. and Mrs. Lee D. Grandy Mr. and Mrs. R. W. Barker Mr. and Mrs. E. N. Brandt Mr. and Mrs. Ted Church Edna M. Dishburger Thank you. Governor Jennifer Granholm Mr. and Mrs. Harry Barling Branigan Enterprises Hannah B. Church Ann S. Dissette Granny Square Mr. and Mrs. Charles T. Barry Mr. and Mrs. Stuart Branson City of Midland Mr. and Mrs. Arthur C. Dittenber Judy A. Grant Elizabeth A. Bartlett Helen B. Braun Patricia Clancy Mr. and Mrs. Derek Dittenber Sophia A. Finney Gina Grassmick Dr. and Mrs. Michael P. Bartlett Toy M. Breault Mr. and Mrs. Jess D. Clark Mr. and Mrs. Mark Dittenhafer Jean Fiori Margaret Graves Mr. and Mrs. John N. Bartos Mr. and Mrs. William Breckenridge Sandy Clark The Doan Family Foundation First United Methodist Church Michael and Sally Gray Sarah Bates—Soft Furnishings DBA Dr. and Mrs. Frederick E. Brenner David and Denyse Clayton and family Mr. and Mrs. Herbert D. Doan Annabelle Fischer Leroy C. Greanya Mr. and Mrs. Lewis E. Bauder Donna A. Brewbaker ClearRiver Communications Group Virginia Dockus Charlie and Wendy Fischer Mary L. Greeley Dennis L. Bauer Mr. and Mrs. Paul D. Brink Dr. and Mrs. J. D. Cline Jeanne D. Dodd Bette L. Fisher Mary Lou Green Monica L. Bauer and Peter C. Wright Frank and Holly Brod Dr. and Mrs. William S. Cline John and Kathy Doering Mr. and Mrs. James Fisher Robert and Marjorie Griffin Mr. and Mrs. Karl Bauman Ashley Bromley Cline Close Dyer Gambrell & Wilson, Mr. and Mrs. Roger Dominowski Yvonne Fisher Bruce and Judy Groom James R. Baxter and Carole Gary and Rosalyn Brookhouse PLC Robert J. Donald and Dr. Virginia P. Maureen T. Fitzgerald Donna E. Gross Calvert-Baxter Mr. and Mrs. Lawrence H. Brown Barbara Clinthorne Donald Mr. and Mrs. William Fitzgerald Marie Gross Bay Landscaping Mr. and Mrs. Leslie Brown Clytean Club Mr. and Mrs. Norman W. Donker Edward E. Flagg Bertha Grosteffon Barb Bayduk Mr. and Mrs. William E. Brown Ivah C. Cobb Mr. and Mrs. Larry J. Donovan Ellen Flegenheimer-Riggle Mr. and Mrs. Norman D. Groulx Mr. and Mrs. Badger H. Beall Mr. and Mrs. Bruce Brown Jo Ann E. Cobb Dr. and Mrs. Linneaus C. Dorman Penny Fleischmann Mr. and Mrs. James E. Grover Matt D. Becker Evelyn Brown Coffee Chaos Jan Doty Mr. and Mrs. Robert F. Fleming Jr. Dr. and Mrs. Walter Gruber Frances E. Beckrow and Jeri Lutren Janet M. Brown and Rod Draves Mr. and Mrs. Robert W. Coffield William D. Dougherty Dorothy A. Follette Dr. and Mrs. Manoucher Gueramy Donald and Niki Beckwith Pamela O. Brown Judy Cohoon The Alden and Vada Dow Family Mr. and Mrs. Neil C. Foor Mr. and Mrs. Reigh C. Gunderson Jeff and Karen Beckwith Rosalia Brown Denise L. Cole Foundations Mr. and Mrs. Matthew W. Foote Barbara V. Gurnee Dr. and Mrs. Wayne Bedell Norma Brownlee Coleman Education Association The Dow Chemical Company Candyce Foreman Hewitt S. Gurnee Maxine Beeman Jim and Sally Brozzo Coleman Electric, Inc. Foundation Kathy Formsma George and Dianne Gushen Mr. and Mrs. James G. Beeson Jan E. Bruce Coleman Order of Eastern Star Dow Corning Corporation Wayne and Lanette Fort Mike and Gayle Gutchak Kacy Beitel Lynn D. Bruchhof Cheryl Collins The Herbert H. and Grace A. Dow Mr. and Mrs. William L. Foster June and Clarence Hackbarth Bob and Margo Belfit Etta Ruth Brugger Jaye Collins Foundation Mr. and Mrs. Jerry L. Fox Mr. and Mrs. Fred P. Hackett Mr. and Mrs. Robert W. Belfit Jr. Mr. and Mrs. Keith Buchanan Jane F. Collis Gwen Down Virginia L. Fox Mr. and Mrs. Arthur J. Hackman Janet Beman Mr. and Mrs. Dennis H. Buckler Catharine Compson Dr. and Mrs. Jan Drlik Edward and Ann Foy George Hacskaylo Donna L. Bennett Elizabeth Bugala Kathy Compton Lillie Droomer The F. P. Horak Company Mike and Joyce Hagle Jeffrey A. and Laura L. Bennett Mr. and Mrs. Edward Bullard Mr. and Mrs. George A. Congdon John Dubois Linda Francel Sally A. Hahn Robert B. Bennett Susan Burgess ConnectCare Richard DuBois Gayla Frantz Bob and Lynn Haiducek Carol F. Bentley Pamela Burke Mr. and Mrs. Bill Cook Mr. and Mrs. Roy Ducham Mr. and Mrs. John M. Fraser Barb and Scott Haines Dawn Bentley James J. Burlingame Phil and Carol Cook Evelyn Ducker The Honorable and Mrs. Robert G. Bill and Colleen Hall Patricia B. Beré Mr. and Mrs. Al Burmester Richard E. Cook Dr. and Mrs. Dale Ducommun Fraser Bonita Hall Fredric Bergstein Mr. and Mrs. Charles D. Burton Mr. and Mrs. James Cooper Dick and Romia Dudzik Mr. and Mrs. Robert G. Frazier Mr. and Mrs. Donald F. Hall Mr. and Mrs. Stuart J. Bergstein Mr. and Mrs. Francis Bush Dr. Brian R. Copeland Mr. and Mrs. Richard M. Dudzik Andrea Frederick Gordon and Christie Hall Anthony Bergtold Rev. and Mrs. Ira Bush John and Gretta Coppens Dennis D. Duford Wilbur G. Freer Jr. Mr. and Mrs. John C. Hall Mr. and Mrs. Donald Berner Jonne Bush Rebecca L. Corbat Dr. Jeffrey A. Dulude Jacqueline Frieders Kirk and Nancy Hall Mr. and Mrs. Donald L. Berry Mark and Cathy Bush Mr. and Mrs. Richard D. Corbat Mr. and Mrs. Roy L. Dunlap Friend of the Center for Women’s Marsha and Tim Hall and family Ava R. Berthiaume Dr. and Mrs. Raymond Bush Roberta L. Corbat Mr. and Mrs. David H. Dunn Health Norma Hall Irene J. Beshgetoor Mr. and Mrs. Stephen Bush Mr. and Mrs. Donald N. Cormier Mr. and Mrs. Leroy Dunn Mr. and Mrs. Eldon E. Frisch Yvonne K. Hall Mr. and Mrs. Duane E. Betz Mr. and Mrs. Bertie N. Butts Michael Costa Susan B. Dusseau Paul and Jean Fritz Christin Halldorson Laurie J. Beuthin Judith A. Byrne Dorothy B. Coultrip Ron and Carol Dutcher Doris A. Frizzle Cindy R. Hamilton Dr. and Mrs. James S. Bicknell IV Barbara Byron Maureen L. Craig Mia Dvoric Dr. and Mrs. Arthur C. Frock Jr. —Continued in insert

MAY/JUNE/JULY/AUGUST 2005 2 TO YOUR HEALTH MAY/JUNE/JULY/AUGUST 2005 3 TO YOUR HEALTH To register or to learn more: Paths to good Call MidMichigan Health Line at 837-9090 or toll- free at (800) 999-3199.

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

Advance notice is needed to make arrangements for people with disabilities. Call MidMichigan Health Line for Unless otherwise healthahealth physician referral, directions to any MidMichigan facility or to report duplicate mailings of To Your Health. noted, all programs are  Tuesday, May 17; 6:30 p.m.; Doherty Hotel,  Monday, Aug. 8; 2 - 4 p.m. BONE AND JOINT CARE 604 N. McEwan, Clare  MidMichigan Medical Center–Midland Center DIABETES EDUCATION Answers to Your Hip  Thursday, July 14; 2 p.m.; MidMichigan for Women’s Health, Community Room Diabetic Neuropathy: and Knee Pain Questions Health Park–Mt. Pleasant  MidMichigan Medical Offices–Gladwin, Diagnosis and Treatment Join physical therapists Becky Bailey and Community Room Have you been told that you have diabetic Ann Dull to learn about the causes of hip and CANCER CARE  Jeppesen Radiation Oncology Center, Confer- neuropathy? Have you been told that it is knee pain, as well as advanced treatments, Women and Cancer ence Room, 3180 E. Midland Road, Bay City progressive and irreversible? A MidMichigan including medications, nutrition and exercise. According to the Gynecologic Cancer Foun- The Fight Against orthopedic specialist will discuss the causes 2 - 3 p.m., unless otherwise indicated dation, more than 80,000 American women America’s Top Cancer Killer and symptoms of diabetic neuropathy along  Tuesday, May 10; MidMichigan Health are diagnosed with some kind of reproductive Lung cancer is the leading cancer killer of with new diagnostic techniques and treatment Park–Mt. Pleasant cancer each year. Reproductive, or gynecologic, both women and men. It is also one of the options. Learn about a new surgical procedure  Thursday, May 12; MidMichigan Medical cancer is the uncontrolled growth and spread of most preventable forms of cancer: About 90 per- that can be done in selected cases to dramati- Offices–Midland, Towsley Conference Room abnormal cells that originate in the female re- cent of all cases are related to tobacco use. cally decrease pain and restore sensation.  Tuesday, May 17; MidMichigan Medical productive organs, including the cervix, ovaries, MidMichigan internal medicine specialist  Thursday, May 12; 6:30 p.m.; MidMichigan Offices–Gladwin, Community Room uterus, fallopian tubes, vagina and vulva. Join C. Palani, M.D., will discuss lung cancer pre- Health Park–Mt. Pleasant  Thursday, May 19; MidMichigan Medical MidMichigan Physicians Group obstetrician/ vention, symptoms, detection, diagnosis and Offices–Clare, Kindel Conference Room gynecologist Lydia Watson, M.D., for a discus- treatment. He will also explain the importance  Tuesday, May 24; MidMichigan Health sion of these cancers and how to lower your of cancer research in the fight against lung Park–Houghton Lake risk. Dr. Watson will also address breast and cancer and medications to prevent lung cancer.  Thursday, May 26; 1 p.m.; Delta College colon cancer, two of the three most common  Wednesday, May 25; 6:30 p.m.; Doherty Planetarium, 100 Center, Bay City cancers that occur in women. Hotel, 604 N. McEwan St., Clare Nonoperative Care of the Spine  Wednesday, May 18; 6:30 p.m.; MidMichigan Back pain can be a long-standing, often Medical Offices–Midland, Towsley Auditorium COMMUNITY HEALTH crippling condition, and almost everyone will A Celebration of Life Reception AND EDUCATION experience back pain at some point. Join Ted You are cordially invited to attend this event, Your Heart Need Not be Broken Dreisinger, Ph.D., of Back & Neck Rehabilita- honoring cancer survivors and their families. If you or someone you love has been di- tion in Saginaw, to learn what causes back pain The event is sponsored by MidMichigan Health agnosed with heart failure, you need not live and how it is treated, and to receive informa- Pardee Cancer Center and Midland Community in fear. There are many therapies available tion about a new physical therapy program that Cancer Services. Cancer survivors will share today that can keep people out of the hospi- is successful in treating patients with muscle their stories at this celebration, which will be tal, reduce health care costs, improve qual- spasms or bulging, ruptured and degenera- held immediately preceding the Matrix:Midland ity of life and greatly extend life expectancy. tive disks. Learn the scientific basis for spinal event at 7:30 p.m. in the Midland Center for MidMichigan Physicians Group internist Amir strengthening, which is the key to successful the Arts Auditorium. Please call Midland Com- Tirmizi, M.D., and cardiac nurse specialist medical treatment of back disorders. Screening munity Cancer Services at 853-4841 to ensure Michele Hurd will discuss heart failure causes, tests will be available to help you determine a spot. symptoms and treatment, including medication, whether this type of treatment is right for you.  Thursday, June 2; 6:15 p.m.; Midland Center diet, exercise and lifestyle recommendations to  Monday, May 16; 6:30 p.m.; Zauel Memorial for the Arts Garden Room Library, 3100 N. Center Road, Saginaw help you live a full and enjoyable life.  Tuesday, May 24; 3 p.m.; Davenport Univer- Look Good…Feel Better  Monday, May 23; 6:30 p.m.; MidMichigan sity, 5300 Bay Road, Saginaw A cosmetologist specially trained in skin Medical Offices–Midland, Towsley Auditorium and hair changes from cancer treatment leads Community CPR (Heartsaver) Living With Arthritis these free sessions, sponsored by the Ameri- American Heart Association CPR classes Therapy has long been used to help people can Cancer Society (ACS). Participants learn cover adults, infants and children. You will with arthritis and orthopedic problems. The how to manage skin changes and/or hair loss receive a participation card upon completion. intent is to enhance mobility to the highest de- using cosmetics and skin care products do- Registration is required. gree possible. MidMichigan Physicians Group nated by the cosmetics industry. Registration $30 per person orthopaedic specialist John Murphy, D.O., will is required. Call the ACS at (800) 728-2323.  Wednesdays, June 15, July 20 or Aug. 17; provide information about the medical facts of  Monday, June 13; 6 - 8 p.m. 6 - 9 p.m.; MidMichigan Medical Offices– osteoarthritis, including disease progression,  MidMichigan Medical Center–Midland Center Gladwin, Community Room medications and surgical intervention. for Women’s Health, Community Room He will also discuss nonmedication pain-control  MidMichigan Medical Offices–Gladwin, Preserving Vision for a Lifetime measures to maintain optimal physical and Community Room Nearly all of us will have some difficulty with emotional health. our vision as we age. However, macular degener- ation, glaucoma, cataracts and diabetic retinopa- thy are four especially serious and surprisingly common diseases associated with aging eyes. While these conditions have different causes, New diabetes class they all act as silent thieves, stealing eyesight. These conditions need to be recognized early and treated promptly to reduce the risk of blindness. Walking Your Way to Wellness MidMichigan Physicians Group ophthalmolo- This four-week series is designed to help people with diabetes become more physically active gist Thomas Claringbold II, D.O., will address every day. Participants gain encouragement as they walk together, track activity progress and the symptoms and diagnosis and treatment learn from a diabetes educator. For the next 12 weeks participants report their weekly steps (via options associated with these eye diseases. fax or mail). In September the class will meet again to celebrate successes.  Wednesday, June 15; 11 a.m. - noon: $30 (includes a $15 pedometer) keynote address for Senior Life With Style;  Thursdays, May 5, 12, 19, 26; 6:30 p.m.; MidMichigan Medical Offices–Midland, Towsley Quality Inn, 9285 W. Lake City Road (M-55), Conference Room Houghton Lake

MAY/JUNE/JULY/AUGUST 2005 4 TO YOUR HEALTH Steps to Healthy Living: $25 Reduce your Diabetes Risk 6:30 p.m. SCREENINGS AND CLINICS WATER EXERCISE Diabetes affects 18 million Americans.  Monday, June 6; MidMichigan Medical Blood Pressure Exams Water Exercise for Risk factors include having a family history of Center–Midland, Orchard Auditorium Walk-in blood pressure examinations. Parkinson’s Patients the disease, being overweight and having an  Tuesday, Aug. 16; MidMichigan Medical  Fridays; 9 a.m. to noon; MidMichigan Health Water exercise has been shown to improve inactive lifestyle. This four-week weight man- Center–Midland, Orchard Auditorium Park–Mt. Pleasant, 4851 E. Pickard St. (next motor control and functional mobility in patients agement and exercise group program is for Older Brother/Older Sister to Applebee’s), Mt. Pleasant with Parkinson’s disease. Current research people who are at an increased risk of develop- The goal of this class is to prepare children Healthy Living: Do You suggests it may also improve strength and ing type 2 diabetes. Participants use a pedom- to welcome a new baby into the family. Activities Know Your Health Age? endurance, flexibility, balance and mobility, and eter to monitor their exercise progress during concerning feelings, the expected newcomer The first step to living a longer and healthier breathing capacity, as well as reduce muscle class. The last class includes a grocery store and a hospital tour of the maternity unit are life is knowing your health risks. Learning your stiffness and fatigue. Taught by MidMichigan tour. included. All children must be accompanied by “health age” is a good place to start. Your rehabilitation services staff who are trained in $25 per person or $40 per couple an adult during this class. Recommended ages health age is different from your biological aquatic therapy. Physician approval is required.  Thursdays, June 2, 9, 16, 23; 7 p.m.; are 21⁄2 to 8 years. age—it’s how old you really are. Once you know Classes are available in Midland MidMichigan Medical Center–Midland, $20 your health age and the factors that make you Water Exercise for Private Dining Room  Saturdays, June 18 or Aug. 20; 9:30 - “younger” or “older,” you can make lifestyle People With Diabetes Tidbits and Tasting for Diabetes 11:30 a.m.; MidMichigan Medical Center– choices that can add years to your life. Call Water provides both buoyancy and support The Midland Community Center is collaborat- Midland, Orchard Auditorium MidMichigan Health Line about the Healthy for your body. This class provides a safe way ing with MidMichigan Medical Center–Midland’s Pregnancy Massage Living clinic in your area. to integrate exercise with a diabetes manage- Diabetes Center to present sessions on Perinatal massage has many benefits, The Healthy Living Quiz is free; optional ment routine. Participants must have recently cooking for diabetes. A diabetes educator will including relief from headaches, backaches and cholesterol screenings are available for $10 attended a diabetes education class and be present helpful tidbits, including a review of morning sickness, and the reduction of swelling medically stable. Physician approval is required. artificial sweeteners, and tips about which to and edema. Learn the techniques in this pro- SUPPORT GROUPS Classes are available in Clare use in cooking and how to modify your favorite gram presented by certified massage therapist Alzheimer’s Disease and Related recipes to help manage blood sugar levels. Kendra Reisner, with MidMichigan’s Massage Disorders Support Group (Clare) OF SPECIAL INTEREST Food preparation techniques will be demon- Therapy Program. Couples at any stage of Amputee Support Group (Midland) Health Education on the strated, concluding with everyone’s favorite pregnancy are welcome to attend. Road—Speakers Bureau part: tasting great recipes to enjoy and incor- $20 per couple Breathing Easy Support Group Let us share our health care expertise with porate into your daily life. To register, call the  Wednesday, July 20; 6:30 p.m.; (Clare, Gladwin and Midland) you—our community! MidMichigan Health is Midland Community Center at 832-7937. MidMichigan Medical Center–Midland, Diabetes Adult Support Group committed to helping people identify their risk $7 Orchard Auditorium (Clare, Gladwin and Midland) factors for diseases and encouraging lifestyle  Tuesday, June 14; 6 - 7:30 p.m. Massage for Your Infant Diabetes Youth Support Group (Midland) changes and early detection methods that can ensure continued good health. We have experts Infant massage is a holistic and natural FAMILY HEALTH EDUCATION Insulin Pump Support Group (Midland) in many areas of health care who are available means of promoting infant health and deepen- to provide programs for your club, organization Breastfeeding: Healthy Beginnings ing the bonding between infants and caregivers. Multiple Sclerosis Support Group or work site on a wide range of health issues Topics include breast changes, milk produc- This type of massage is easily learned, benefit- (Clare and Midland) such as diabetes, cancer prevention, cardiac tion, positioning, feeding frequency and prob- ing infant coordination, sleep and digestion, Newborn Parenting Group (Midland) health, Alzheimer’s disease and osteoporosis. lem solving. Participants also learn hints for as well as reducing stress and pain. Join other Our Speaker’s Bureau can assist you in choos- adjusting to time away from the baby, returning infant caregivers and learn how to incorpo- Parkinson’s Support Group ing a topic. Call MidMichigan Health Line for to work and weaning options. rate massage into the daily care of infants. (Clare and Gladwin) assistance in planning your upcoming event. These sessions are facilitated by certified Pregnancy Loss Support Group (Clare) infant massage instructor Kendra Reisner from MidMichigan Health’s Massage Therapy Program. $20  Wednesday, Aug. 31; 6:30 p.m.; MidMichigan Medical Center–Midland, Orchard Auditorium Preparation for Childbirth (Clare and Midland) This series prepares expectant mothers and their labor partners for active participation in Irish tenor TYNAN at MATRIX:MIDLAND June 2 the birth experience. Classes cover relaxation, Ronan Tynan, Irish tenor, physician and champion disabled athlete, will appear as breathing awareness, hospital practices, the most up-to-date techniques, and options for part of the 27th annual MATRIX:MIDLAND Festival. MidMichigan Medical Center– labor and delivery, including unexpected and Midland will sponsor Tynan’s lecture titled “Hitting the High Notes: Living Life to the cesarean births. Fullest” on Thursday, June 2. FITNESS Tynan moves audiences like few others can. His stirring musical performances Kids’ Fitness have brought him national fame, and his personal story of triumph in the face of ad- Designed for active and not-so-active children versity has made him one of the most sought-after speakers today. Tynan has been from fourth through 12th grades, this after- school program is taught by the staff of in the national spotlight in recent years, performing at some of the most memorable MidMichigan rehabilitation services. events—from the 9/11 memorial services at Yankee Stadium to Ronald Reagan’s  Twice a week; MidMichigan Medical funeral. The New York Times called him “the closest thing this country has to an of- Offices–Campus Ridge ficial meistersinger.” Body Shapers Tynan was the subject of an ABC 20/20 profile and the BBC documentary For people who want a comprehensive weight-loss program. Small groups focus on Dr. Courageous. Born with a lower-limb disability, Tynan had both of his legs ampu- dietary and fitness education that includes tated at age 20. Within a year of the operation, he was competing in the Paralympic aquatic exercise. Participants use some of Games—both in track and field and as an equestrian. Between 1981 and 1990, the most state-of-the-art exercise equipment available. Taught by professional staff from Tynan won 18 gold medals and set 14 world records. MidMichigan rehabilitation services. This Tynan’s message is as humble as it is empowering. “You can mentally make your 12-week program is ongoing, so participants mind strong enough to overcome any obstacles that come your way. Make a deal can start at any time. $360 per person with yourself to take risks, because when you do and they come out, it’s an unfor- Pilates gettable feeling of accomplishment.” Pilates movements stretch and strengthen Ticket prices are $26 (adult) and $18 (student) for his June 2, 7:30 p.m. lecture the body. Benefits include toned and flattened at the Midland Center for the Arts Auditorium. Tickets are available for purchase abdominals; longer, leaner muscles; improved posture; muscle control; and increased circula- online at www.mcfta.org, at the Midland Center for the Arts box office in person at tion and tension relief. Taught by professional 1801 W. St. Andrews Road, Midland, or by calling (800) 523-7649 or 631-8250. staff from MidMichigan rehabilitation services. Box office hours are weekdays from noon - 6 p.m. and Saturdays from 1 - 5 p.m. Classes are available in Harrison and Midland

MAY/JUNE/JULY/AUGUST 2005 5 TO YOUR HEALTH WELLNESS

LOSS AND TRANSITION HOSPITALIST WAYS TO COPE PROGRAM hroughout life, most people face some type of loss or transition. Losses can occur in many different ways, such as when a person loses a family mem- BEGINS ber or favorite pet, experiences divorce, changes jobs or relocates to a different city. HOSPITALISTS CARE EXCLUSIVELY Often these losses can cause feelings of sad- FOR HOSPITALIZED PATIENTS ness,T anger and confusion. While a multitude of feelings Kristine E. Bobish, D.O., and Gary S. Salem, D.O., are expected, following these steps may help you or some- nlike traditional doctors, hospitalists are a new are members of the hospitalist program. one you know cope: type of physician who don’t see patients away Acknowledge the loss or transition. Accepting the from the hospital. THE HOSPITALIST ADVANTAGE Hospitalists, situation often proves to be the hardest part. Incorporating In fact, the hospitalist’s sole responsibility is who are generally internal medicine specialists, manage memories or fond thoughts into everyday activities may, at to care for hospitalized patients, from admission inpatient care while staying in close communication with times, ease some of the burden. Those who have relocated to discharge. the patient’s primary care physician. Hospitalists can also or lost a loved one may find photos or mementos comfort- U“Although the public may not yet be aware of them, these act as liaisons with any specialists who are involved in a ing. While the memory can heighten feelings of loss, it may specialists belong to a fast-growing field of medicine,” says patient’s care. also cause acceptance of the situation. Karen Calkins, vice president. “Five years ago there were Because hospitalists work solely in an inpatient set- Find someone to confide in and trust. Developing a only a few hundred hospitalists in the entire country. Today, ting, they are very familiar with the hospital’s treatment strong support system—whether it involves close friends, there are as many as 12,000 practicing hospitalists. And it’s and diagnostic departments, and are readily available to family members or a counselor—encourages a safe place plausible that within a decade every hospital will have at see patients whenever needed—day or night. to talk. Expressing true feelings and emotions can be dif- least one hospitalist on staff.” Calkins explains that their surge in popularity is fueled ficult unless the support system is one that can be trusted, by several factors: particularly during such a vulnerable time. WELCOME DR. BOBISH AND DR. SALEM  Hospitalists become specially skilled at treating health Write it down. The release of emotions is a vital com- MidMichigan’s hospitalist program began March 1, with problems common among hospitalized patients, such as ponent to the grieving process. Many people find comfort Kristine E. Bobish, D.O., joining the medical staff. She is a pneumonia, infections and congestive heart failure. in expressing their feelings in journals or letters. Writing graduate of the MSU College of Osteopathic Medicine. She  Hospitalists are readily available to their patients. Be- down past memories can provide some needed comfort, completed an internal medicine residency at Henry Ford cause they are hospital-based, hospitalists generally can especially when talking seems too exhausting. Bi-County Hospital and is with Michigan Hospitalists, P.C. respond quickly whenever a patient or family members Identify individual coping mechanisms. No two expe- Dr. Bobish resides in Midland. have a question or concern, and make patient rounds riences are the same, and each person copes with different Gary S. Salem, D.O., has also joined the program. He is several times a day. situations in very unique ways. Discovering healthy, produc- a graduate of the Des Moines Iowa College of Osteopathic  Because they are near their patient’s bedside, hospital- tive coping techniques may take time, but most people find Medicine and Surgery. He completed his internal medicine ists can recognize and react quickly to any changes in their one or two activities that offer some comfort. While some residency at Henry Ford Hospital (served as chief medical patients’ conditions. people become more involved in their spirituality, others resident during the last year of his residency). Dr. Salem is A growing body of research suggests that hospitalists choose to engage in a new hobby or physical activity. board-certified by the American Board of Internal Medicine. improve the overall quality of patient care. “There have He is currently president and CEO of Michigan Hospitalists, been more than 100 studies published on the impact of Counselors present ways to cope P.C., and he resides in Oakland Township, Michigan. hospitalists, and the results are generally quite positive,” MidMichigan Hospice bereavement counselors Deb According to Calkins, the Medical Center plans to have Calkins says. “Most studies show that hospitalists help the hospitalist program fully staffed with five physicians improve patient outcomes, reduce the risk of medical Miller and Ellie Garrett will present “Coping with by this summer. errors, reduce length of patient stays and reduce hospital Life’s Losses and Transitions.” For more information Now MidMichigan, like many other medical centers costs.” or to register, call MidMichigan Health Line at (989) throughout the country, can give physicians on their medi- For more information about MidMichigan’s hospitalist 837-9090. cal staff the option of referring their patients to a hospital program, call MidMichigan Health Line at (989) 837-9090  Tuesday, May 10; 6:30 p.m.; MidMichigan specialist at the time their patients are hospitalized. (in Midland) or toll-free at (800) 999-3199. Hospice, 3007 N. Saginaw Road, Midland SOLVING MOBILITY LIMITATIONS ecovering from surgery and the wear and tear  A seat on top for when the user needs to rest. of aging can sometimes make everyday activities and household chores a challenge. SAFER BATHING Bathing and grooming may also MidMichigan Visiting Nurse Support Services pose challenges. MidMichigan Visiting Nurse Support offers a variety of products to help people main- Services offers many products that help people per- tain independence. form these personal activities in a safe environment, R including: BUILDING A BETTER WALKER Rollator walkers  Grab bars for walls or showers to ensure stability. provide safety and security for people who find walking  Tub transfer benches, which prevent falls that often even short distances challenging. The lightweight walkers occur while stepping into the tub and allow people to sit feature: down while bathing. The Rollator walker, available at MidMichigan  Feather-touch hand brakes for better control. To learn more about products that increase indepen- Visiting Nurse Support Services, provides safety  and security for people who find walking even A convenient foldable design for travel or storage. dence, visit MidMichigan Visiting Nurse Support Services’ short distances challenging. It offers several  A detachable basket fastened to the front of the walker Midland showroom at 324 W. Wackerly St. or call (989) features, including a place to sit when the user for easy storage of shopping bags or personal items. 839-7806 or toll-free at (800) 388-7721. needs to rest.

MAY/JUNE/JULY/AUGUST 2005 6 TO YOUR HEALTH H EALTHY AGING

mistaken. It can trouble women or men, at muscle exercises. In one type of stress in- any age, even student athletes. continence surgery, a band of tough tissue RELIEF FROM “There’s no harm in being evaluated if or a screen-like material is positioned like you haven’t been seen for incontinence re- a sling to support the bladder. “Some newer cently,” she notes. “New procedures might techniques use smaller incisions, minimiz- INCONTINENCE help elderly patients who previously were ing pain and recovery time. There are also not candidates for surgery. In many cases, new ways to position and attach the mate- t can take the joy out of a good laugh or turn a pleas- even patients with stroke, Parkinson’s rial for best results,” Dr. Tekchandani says. ant walk into an urgent personal situation. For about disease, diabetes or other serious health “In certain patients, surgery can have good 33 million Americans, urinary incontinence (the in- problems can be helped.” success, and is worth considering.” ability to control urination) limits daily activities and reduces quality of life, sometimes affecting health in TREATMENT ADVANCES “Because Anita Tekchandani, M.D., AN EMOTIONAL BOOST “Patients other ways. incontinence has a number of potential urologist successfully treated for incontinence fre- INew treatments are improving the prospects for relief, causes, careful medical evaluation is es- quently tell me, ‘I wish I’d taken care of according to Anita Tekchandani, M.D., a board-certifi ed sential,” says Dr. Tekchandani. “For female patients, good this sooner’,” says Dr. Tekchandani. “They often go back to urologist on the medical staff at MidMichigan Medical working relationships between MidMichigan’s urologists social activities that give them an emotional boost. One Center–Midland. “We now have several less-invasive sur- and gynecologists help them collaborate to diagnose and was able to return to winter sports with her family because geries and a number of new medications to help us better treat complex problems. Behavioral training, medications she didn’t have to worry about shedding layers of clothing address incontinence,” Dr. Tekchandani says. and surgery offer a combination of treatment options.” in a hurry. Another, after surgery, was able to play on the Medications are often used to treat urge incontinence, trampoline with her kids again.” TALK WITH YOUR DOCTOR Anyone who feels that also called overactive bladder. Typical symptoms of this If the problem can’t be completely resolved, a newer quality of life is being affected by incontinence should con- type of incontinence include a sudden strong desire to treatment might reduce episodes of incontinence or use sider talking with a family doctor, gynecologist or urologist, urinate with diffi culty reaching the restroom in time. of pads. “Many patients see even a small improvement as according to Dr. Tekchandani. “You can and should share Often people with this problem leak a large amount of signifi cant,” she says. this problem with your physician and discuss it openly,” urine, urinate frequently and may need to wake at night A MidMichigan Physicians Group specialist, she says. to urinate. Dr. Tekchandani is accepting patients at The common belief that incontinence is unavoidable Stress incontinence—leaking with coughing, sneezing MidMichigan Medical Offices–Midland. Call with aging, menopause, pregnancies or other life events is or lifting—is often treated with surgery as well as pelvic (989) 839-3805 to schedule an appointment. SENIOR SAFETY IMPROVES INDEPENDENCE echnology and education have made it easier than ever before for seniors to enjoy a life of inde- pendence. From call buttons to booklets, here are a few ways seniors can live safely on their own.

SAFE AND SECURE AT HOME Many peopleT develop balance diffi culties, muscle weakness or a declining ability to complete daily activities at some point, often due to aging or certain medical conditions. These restrictions often increase a person’s risk for falls, particularly in the home. MidMichigan Visiting Nurse Support Services’ certifi ed occupational therapists understand the importance of pre- venting falls and potentially serious injuries in the home, and therefore offer home safety evaluations to combat the problem. During the evaluation, an occupational therapist as- sesses the layout of the home, evaluates structural barriers in and outside of the home and recommends equipment options or updates to improve safety, if necessary. The wristband, beltclip or pendant—all of which may be worn as possible. As we help our relatives and friends maintain evaluation does not include a physical examination. at all times. With the push of a button, the Guardian unit, a healthy quality of life in their older years, we know that MidMichigan Visiting Nurse Support Services’ home which is plugged into a telephone line, automatically dials there are professionals who can help. safety evaluations start at $65. For more infor- one of three programmed emergency contacts chosen by MidMichigan Health has developed a booklet titled mation, call MidMichigan Visiting Nurses at (989) the customer. The system will continue to dial the contacts Helping Older Adults Remain Independent and Healthy for 839-1773 or toll-free at (800) 862-5002. until one of them responds, providing customers with peace people who are assisting older adults. This free booklet pro- of mind. vides sources of help within the community and answers HELP AT THE PUSH OF A BUTTON MidMichigan The Guardian unit is available for $30 a month, with a diffi cult questions. Visiting Nurse Support Services’ Guardian unit renews a one-time setup fee of $30. In its pages there is practical advice for ensuring safety, sense of security for people who live alone and for people To learn more or to order the Guardian, call comfort and good health. Topics include home health care, who occasionally need additional assistance. MidMichigan Visiting Nurse Support Services at the Medicare drug assistance program, how to evaluate in- Living at home as long as possible is a common goal for (989) 839-7806 or toll-free at (800) 388-7721. home safety and driving safety, alternative living options most people, but living alone can also be frightening. Most and more. older people and their families fear a situation when help TIPS FOR IMPROVING INDEPENDENCE As For a free copy, call MidMichigan Health Line is needed, yet a phone is not within reach. we age, so do our parents. Our goal for them is probably the at (989) 837-9090 or toll-free at (800) 999-3199, Guardian subscribers may choose from a waterproof same as theirs—that they remain active and healthy as long or visit www.midmichigan.org/independence.

MAY/JUNE/JULY/AUGUST 2005 7 TO YOUR HEALTH R ADIOLOGY

IMAGING TECHNIQUES HOW AND WHY THEY’RE USED ometimes doctors need to see what’s happening inside your body. By using sophisticated imaging devices, they can “look” beneath the surface and get pictures of bones, organs, muscles, blood ves- sels and cartilage without having to do surgery. The following guide from the Radiological So- Sciety of North America explains some of the most prevalent imaging techniques. different angles around the body. Computers then process MAGNETIC RESONANCE IMAGING (MRI) X-RAY What it is: X-rays are the most common and the x-rays, showing a detailed cross-sectional view of body What it is: MRI uses strong magnetic force and radio waves widely available imaging technique. During an x-ray, elec- tissues and organs. to produce clear and detailed computer images of internal tromagnetic radiation waves form images of structures What it’s used for: CT can be used to diagnose differ- organs and tissues. inside the body. As x-rays penetrate the body, they are ent types of cancers, cardiovascular diseases, infectious What it’s used for: MRI can help diagnose sports-re- absorbed in different amounts by different body tissues. disease, muscle and bone disorders, blood vessel diseases lated injuries, especially those affecting the knee, shoulder, For instance, bones are dense and absorb x-rays very well, and internal organ trauma. hip, elbow or wrist. MRI scans are also used to diagnose but soft tissues (skin, fat and muscle) allow more x-rays to heart disease and other heart problems, as well as tumors pass through. The result is an image in which bones appear Doctors use diagnostic imaging or disease in other body organs. white and soft tissues appear gray. Even structures not normally visible on x-rays, such as techniques to look inside the body ULTRASOUND What it is: Ultrasound uses high- blood vessels, can be seen after a substance—known as frequency sound waves to obtain images from inside the a contrast medium—is swallowed, given as an enema or without having to do surgery. body. During the procedure, sound waves are aimed into injected into a vein. the body. Body tissues absorb some sound waves and refl ect The contrast medium appears white on the x-ray fi lm. POSITRON EMISSION TOMOGRAPHY (PET) others. The waves that bounce back are measured by the What it’s used for: X-rays are very versatile—doctors What it is: A PET scan uses radioactive, positively charged ultrasound machine and are transformed into an image of use them for everything from checking for broken bones particles called positrons to detect subtle changes in the a particular body area. to looking for cancer. Very low-dose x-rays examine soft body’s metabolism and chemical activities. This type What it’s used for: One of the most common uses of tissues, such as the breast, and are widely used to screen of scan produces cross-sectional images of the body’s ultrasound is to evaluate the progress of a fetus during for breast cancer. functions. Different colors or degrees of brightness on pregnancy. Ultrasound can also show movement of internal Contrast x-rays are also used in a variety of ways, from a PET image represent different levels of tissue or organ tissues and organs, as well as blood fl ow and heart valve func- studying blood fl ow to diagnosing disease or obstructions function. tions. This can help to diagnose a variety of heart conditions in the urinary system. What it’s used for: PET scans can be used to detect can- or to assess damage following a heart attack or other illness. cer, evaluate heart function and diagnose heart disease, and In addition, ultrasound can help determine the source of COMPUTERIZED TOMOGRAPHY (CT) What to study neurological illnesses such as epilepsy, Alzheimer’s pain, swelling or infection in many parts of the body, and it it is: CT uses special x-ray equipment to take images from disease and Parkinson’s disease. can be used to guide procedures such as needle biopsies.

TO YOUR HEALTH is published as a com mu nity service by MIDMICHIGAN HEALTH, 4005 Joan David, Chair Orchard Drive, Midland, MI our our Robert Stafford, Vice Chair 48670, (989) 839-3000. Gregory Bercher, M.D. Editorial Board Donna Rapp, 2005 Jerry Brandt Senior Vice President Carol Campbell, Editor Nancy Gallagher Warren Johnson MidMichigan Lori Gwizdala Christie Kanitz Stephanie Leibfritz, R.N. William Henderson Cal McIntosh Health Board J. Christopher Hough, M.D. Carlene Skorczewski Bernadette Stocking Peg Mier Larry Stoecker of Directors Caroline Kramer, M.D., Ph.D., Terence F. Moore, Physician Advisor Pres i dent Leeza Bacon, Production Assistant Mary Neely Ed Rogers Information in TO YOUR HEALTH William Schmidt comes from a wide range of medical experts. If you have Scott Sheldon any concerns or questions about specifi c content that MAY/ Jerry Skocelas may affect your health, please contact your health care JUNE/ Daniel Sorenson, M.D. provider. Models may be used JULY/ in photos and illustrations. AUGUST W. Lynn Weimer Copyright  2005 Coffey Communications, Inc. HST17232h 2005 FUND D EVELOPMENT

Nancy Hamilton Mr. and Mrs. Donald N. Ingebrigtson Marilyn LaBonville Dr. Carl W. Lovell and Dr. Sheree Clark Phyllis E. McGrory Dr. and Mrs. Richard Montpetit Richard Hamilton Hazel M. Inman Carol Lach Myrtis M. Lowery Megan T. McHenry Anna M. Moore Mr. and Mrs. Donal D. Hammond Marjorie Inman Dr. and Mrs. Robert Lachance Dr. and Mrs. John Lozak Jr. Mr. and Mrs. Richard A. McInerney Dean F. Moore Mr. and Mrs. C. O. Hancock I’ve Been Framed James and Patricia Ladner Mr. and Mrs. Robert Lucas Dr. Thomas J. McIntosh Lenore Moore Mr. and Mrs. J. Hancock Tom Izzo E. Jack and Betty LaFore John S. Ludington Orville H. McKay Mr. and Mrs. Terence F. Moore Richard M. Handlon Brenna Ellen Jackson Mr. and Mrs. Larry LaGrow The Honorable and Mrs. Thomas L. Mr. and Mrs. Hollis McKeag Mr. and Mrs. Wilmer G. Moore Mr. and Mrs. James H. Hanes Dorothy D. Jackson Christine M. Laitner Ludington Mr. and Mrs. Gerald K. McKeith Joyce E. Moreland Eunicemary Hardy Lindy L. Jackson Douglas and Katherine Lake Dr. and Mrs. Ellsworth Ludwig John A. McKellar Mr. and Mrs. Bernard G. Morey Mr. and Mrs. Guy Hardy George Jacobs Robert B. Lamm Mr. and Mrs. Albert Lueck Marianne L. McKelvy Mr. and Mrs. Jesse Morr William J. Hargreaves Kathleen Jacobs Judy and Bill LaMont Lois Lunsford Keith and Pat McKennon The Honorable Donna T. Morris Virginia H. Harlow Carol A. Jaeger Jackie Lamont Mr. and Mrs. Edward A. Lunt Mr. and Mrs. Thomas L. McKerren Kendall A. Morris Dr. William E. Harrigan Mr. and Mrs. Robert E. James Mary Lamphere Antoinette M. Lyon David McKnight Sharon L. Morris Mr. and Mrs. Ronald V. Harrington Dr. and Mrs. Richard Jankowski Betty Laney Sue MacKellar and Ed Morris Mindy S. McLaughlin Betty J. Morrison Bill Harris Matthew and JoAnn Janson Gwen Lang Susan K. MacKenzie The McLean family Sandra Morrison Mr. and Mrs. Gilbert A. Harter Steve and Treasure Jargo Marsha L. Langhorst Ellen M. MacLaughlin Linda E. McMackin Virginia Morrison Cynthia A. Hartz Thelma K. Jenks Beverly A. Langlois Mary A. MacLellan-Koaches Mr. and Mrs. Arlie McMahan Mr. and Mrs. Douglas Morse Billy Joe and Marilyn Haskins Mr. and Mrs. Roger Jennings Becky L. Lanham Scott N. Madding Francoise McMurtrie Mr. and Mrs. Carl N. Mortenson Gladys M. Hasty Shirley Jensen Janet E. Lanigan Virginia Magill Bill and Terri McNeill Dr. and Mrs. Joseph Mortensen Rayden Haswell Mr. and Mrs. Brian D. Jewhurst Mr. and Mrs. E. Roland Laning Jr. Marie Mahoney Mr. and Mrs. Gregory McNerney and Sally Moss and family Hat Shapers—Carol Marston Irene Jezewski family Debra Mox Jo Ann Hatcher Alison Jimerson Mr. and Mrs. Brian McNett Mr. and Mrs. John Mucha David and Leslie Hatfield Jo-Ann Fabrics & Crafts Mr. and Mrs. Tom McNurlen Mr. and Mrs. Alan Mueting Sue A. Havers Gayle and Jim Jocks Lois A. McPherson Mr. and Mrs. Michael D. Muladore Mr. and Mrs. Donald A. Hawkins George A. Johns Kevin and Kimberly McVey Althea Mulloy Mike and Debbie Hayes Barbara K. Johnson Kim B. Mead Ashley Mulloy Stefanie Hays Christine Johnson Susan Meath Mr. and Mrs. Franklin G. Murray Marcia L. Haywood Jennifer Johnson Medical Procedures Center, P.C. Virginia M. Murray Mr. and Mrs. Richard A. Hazelton Joan Johnson Mr. and Mrs. Merritt R. Meeks Kay E. Musolf Alan G. Headbloom Joanne Johnson Bernie and Jan Meister Diane Myers Dr. Paula R. Headbloom Lavonne E. Johnson Mel Associates Joyce K. Myers Emma Heathfield Louise Johnson Pete, Connie, Alicia and Carrie Ashwini M. Nagarkar Mr. and Mrs. William Heeschen Margaret E. Johnston Mellinger Mr. and Mrs. Dipak Narula Mr. and Mrs. Donald E. Heins Marie M. Johnson The Memorial Presbyterian Church Nathan’s Hair Studio Francine Heinze Mr. and Mrs. Robert L. Johnson LOVE LIGHT TREES More than $44,000 was The Outreach Committee of the Lorraine Neal Jodi Heldt Mr. and Mrs. Warren A. Johnson raised for MidMichigan Medical Center–Midland Board of Daecons Nease Memorial Church of the Anne Henderson Lori and Darrell Jones Efthimia Mente Nazarene Mr. and Mrs. Michael R. Henderson Dr. and Mrs. Robert N. Jones through the 2004 Love Light Trees campaign. David A. Merdler Brock and Mary Neely Joyce Hepinstall Michael Jordan Contributions have been used to purchase a Dean and Helen Merritt Dave and Elizabeth Neithamer Mr. and Mrs. Robert Herbert Oliver D. Juengel Messiah Quilt Shoppe Florence Nekervis Bernadette K. Herkner Robert M. Julier fetal monitor and to support the Diabetes Ardith A. Metcalf Corrine H. Nelson Mr. and Mrs. Richard G. Herkner Charmaine Jurn Center. Wendy Fischer and Paula Liveris co- Mr. and Mrs. William H. Metcalf Mr. and Mrs. Stanley Nesen Dr. and Mrs. Jeffrey Herman Just Imagine Sharon A. Meyer Mr. and Mrs. Carl Neuenfeldt Mr. and Mrs. Emile A. Hermann Jean Kaczmarek chaired the 23rd annual fund-raiser. More than Mr. and Mrs. Victor Meyer Dr. and Mrs. Jeffrey S. Newman Patricia Kaczynski Hugh Nightlinger Donna M. Herringshaw $600,000 has been raised over the years from Louis A. Meyette Mr. and Mrs. Dennis M. Heydanek Laila Kakkuri Midland Area Community Foundation Carl A. Noland Michael E. Hicks Dr. and Mrs. F. James Kane the Love Light Trees, enabling the Medical Midland Community Center Helen M. Nold Mr. and Mrs. Robert L. Hieb Donald and Sirkka Kangas Midland County Bar Association Mr. and Mrs. Karl Nold Viola Hiemenz Elizabeth Kapla Center to purchase much-needed equipment Midland County Medical Society Ann Norris Eunice M. Hierholzer Mersina M. Karris and enhance patient care services. Midland County Medical Society Raymond L. Norris Florence Hierholzer Mr. and Mrs. Donald C. Kaufman Alliance Wilma North Becky L. Higgins Brenda Keenan Midland Daily News Kirk and Beth Northrup Deanna C. Himstedt Martha S. Keil Midland Daily News Sports Northwood Gallery Mr. and Mrs. Blake Hine Mr. and Mrs. Robert M. Keil Robert L. Lape Randolph P. Maida Department Northwood University Bookstore Cheri L. Hitchcock Mr. and Mrs. Isaac Keim Carol Lapham Sarah Maidens Midland Health Plan Mr. and Mrs. John Nosal Mr. and Mrs. Dennis Hitzeman Barbara Kell Mr. and Mrs. Rodrigue Laporte Heidi J. Maki Midland Lioness Club Mr. and Mrs. Joseph J. Nowak Carol J. Hlavacek Joan M. Kelsey Peggy and Steven Lark James R. Malek Midland Lions Club Charities, Inc. Agnes Noyes Ann and Kevin Hoerauf Mr. and Mrs. Duane L. Kenaga Chuck and Marcia Larkins Mr. and Mrs. Remo Maneri Midland Newcomers Club Mr. and Mrs. Lyle Nye Mr. and Mrs. Fred D. Hoerger Mr. and Mrs. James A. Kendall Dr. Eric R. Larsen Teodora Maningo Midland Rotary Foundation Mr. and Mrs. John D. Oates Mary J. Hofelich Clifford Kennedy Gary Larsen Mr. and Mrs. David Mann Midland Surgical Group, P.C. Mr. and Mrs. Bill O’Brien Karen J. Holbrook The Kenneth B. Schwartz Center Mr. and Mrs. Jeffrey Larson Don and Jan Mann Mid-Michigan Anesthesiology Nida O’Dell John and Julie Holder Patti Kepler Mr. and Mrs. Kenneth Larson Frances Mann Group, P.C. Sara K. O’Dell Gloria Holm Mr. and Mrs. Russell J. Kerlin Bernadine and Steven Lasher Karen M. Mann MidMichigan Health—General Betty O’Donnell Mr. and Mrs. Wilfred L. Holsather Roger and Phyllis Kesseler Mr. and Mrs. William C. Lauderbach Darlene D. Mantle Ledger Team Mr. and Mrs. Richard L. Ohle Dr. and Mrs. J. Derek Hood Betty M. Kiely Mr. and Mrs. David H. Lavelle Michael and Joy Marchione MidMichigan Medical Center–Midland Denise and Mark O’Keefe Margaret Hood Mr. and Mrs. Young Kim Carolyn Lawmaster Patsy Marciniak E-floor midnight nursing staff Dr. and Mrs. Thomas Olen Marilyn Hoover Steve and Mary Kin Mr. and Mrs. Arthur N. Leadbetter William E. Marklewitz Finance hallway Carol A. Oleson Hopfensperger Hair Design Ora E. King Sheila Leahy Cherie Marks Friends of Jim Woodgate Aloysius J. Oliver Dick Hopkins Jennifer R. Kinne Joe and Teri LeBeau Sara Marquiss Gift Shop Service Alice Oonk Lucy Horak Mr. and Mrs. Jerry O. Kintner Jack and Marsha Lee Mr. and Mrs. Harold M. Marsh Laboratory employees Mr. and Mrs. Dan Opperman Dr. and Mrs. Richard Horbal J.R. Kirktec Mr. and Mrs. John W. Lee Tyler Marsh OB Service Franca G. Oreffice Ron and Harriette Horn Nancy L. Kitchen Robert E. Lee Irene E. Martin Popcorn Service Gilberta Ortega Dr. and Mrs. Mark D. Horness Mr. and Mrs. Roderick Kitzmiller Mr. and Mrs. Pete Lehman Mr. and Mrs. Brian G. Martindale Respiratory care department Mr. and Mrs. Paul Orvosh Catherine P. Horning Kiwassee Kiwanis Stephanie J. Leibfritz DeAnn Mason, Dean Mason and Marcia Mr. and Mrs. John R. Mier Augusta Oskvarek Mary Jane Hoshaw Mr. and Mrs. Dennis Klein Matthew Leigeb VanSumeren Anna H. Mieske Ruth and Anthony Ostahowski Dr. Susan J. Hoshaw Mr. and Mrs. Clifford W. Kline Catherine Leikhim Material Mart Darko Milicic Max and Jessie Oswald Rebecca Houck Karen Kline Tracie Leslie Jean Mathieu Bernice Miller Mr. and Mrs. Alan W. Ott Dr. and Mrs. J. Christopher Hough Howard L. Klix Mr. and Mrs. Sheldon G. Levy Linda Mathieu Mr. and Mrs. Bill Miller Outpost Natural Foods Cooperative Mr. and Mrs. James R. House Edward and Peggy Klopf Elizabeth D. Lewis Mathieu & Lee Carl C. Miller Ron and Betty Owen Robert J. House Mr. and Mrs. George A. Klumb Kathy E. Lewis Charlotte B. Maxson David Miller and Carol Moore Miller Mr. and Mrs. John R. Owens Kimberly R. Houston-Philpot Stephanie Knaub Nancy Lewis Dixie Maxwell Joan C. Miller Carolyn L. Pacholka Eloise M. Houvener Bobby Knight Mr. and Mrs. Clarence Licht Jane Maxwell Laura M. Miller Marsha Pacholke Elizabeth Hovey Kim A. Knochel Christopher and Jackie Light Sharon Maxwell Lorraine M. Miller Francine and Donald Padgett Mr. and Mrs. Franklin W. How Jr. Ingrid L. Knox Lighthouse Bible Baptist Church May Mitchell Royal Foundation Dr. and Mrs. Michael J. Miller Mr. and Mrs. Larry Page Jennifer Howard Peggy Kochan Lenise Ligon Mr. and Mrs. Clifford M. Mayers Robert N. Miller Mr. and Mrs. George A. Palm Jr. Mr. and Mrs. Kevin E. Howard Kohl’s Department Store Mr. and Mrs. Thomas W. Limberg Reverend and Mrs. Wallace H. Barb Mills, Gary Mills, Gordon and James M. Palmer Marilyn Howard Mr. and Mrs. Gary Kolesar Tammie L. Limmer Mayton III Pat Mills Nancy L. Palmer Tom and Mary Ann Howard Aletha Konecny Harold I. Linabery Mr. and Mrs. Robert McAfee Dr. and Mrs. Richard A. Mills Mr. and Mrs. John Pangborn Madison (Madi) Howell, Kayla Simone, Vickie Konst Eileen M. Ling Mr. and Mrs. Terry McBride Beverly Milner Betty Pankey Ricki Seeleye and Gabby Hagen Mr. and Mrs. Gust J. Kookootsedes Mr. and Mrs. William R. Liston Susan E. McCaffrey Mr. and Mrs. Thomas Misner Diane L. Papa Pauline Huffman Dr. Joseph W. Kosnik Little Forks Outfitters Orvis Shop John A. McCandless Gail D. Mitchell Elsa U. Pardee Foundation Stella Hui-Auyeung Mary Ann Kovacevich The Little Garden Club Janette McCann Ruth M. Mitchell-Schweitzer Marilla Parfitt Richard and Alyce Hummel Mr. and Mrs. Romeo Kreinberg Mr. and Mrs. Andrew Liveris Marilyn McClymont Kathleen A. Moe Dr. and Mrs. Gregory Parish Mr. and Mrs. Lawrence D. Hunt Deborah S. Kretz Lois J. Lockhart Martha McComb Karol Moliterno Carol Park Mr. and Mrs. Ron Hurd Marjorie J. Kruger Bob and Laura LoFiego Michael and Linda McComb Dr. Connie Moll Jacquelyn and Rush Parker Tina Hursey Mr. and Mrs. John Kubecka Jr. Laura LoFiego Design Dr. and Mrs. James R. McCormick Molly’s Bread and Java Company Marion A. Parker Amy C. Hutchinson Mr. and Mrs. William D. Kuhlman Mr. and Mrs. Joe Logan Rev. Brent L. McCumons Harold M. Molter Clara Parkinson Mr. and Mrs. Calvin Ieuter Dr. Margueritte H. Kuhn and Randy Mary Lombardi Marvin and Carol McDonald Mr. and Mrs. David C. Molzahn Jean Parkinson Karl and Julie Ieuter Frank June Longstreet Mr. and Mrs. James McDonnell Joan R. Monahan Mary Lee Parsey Ieuter & Secor Insurance Mr. and Mrs. James H. Kundinger Mr. and Mrs. Jerry Longstreth Mary F. McDonough Mr. and Mrs. Robert E. Monica Mr. and Mrs. Bob Parsons and Marilyn K. Ignatowski Dr. and Mrs. Harold Kwast Mr. and Mrs. Robert Loomis Dr. Donald A. McEleney Diane Monroe Ashley Immediate Temporary Help Staffing Mr. and Mrs. James H. LaBean Charlene M. Love Mr. and Mrs. Larry McFarland Sandra Monroe Partners Healthcare System Solutions LaBelle Management Mr. and Mrs. Bruce Lovelace Barbara L. McGregor Herman and Mary Montoy Dave and Angela Pasek FUND D EVELOPMENT

Mr. and Mrs. Andrew J. Pasztor Jr. The Ring family Ruth C. Tholen Mr. and Mrs. Richard E. Weiler Mr. and Mrs. Donald A. Paulsen Mr. and Mrs. Bruce W. Ringey Albert Thomas W. Lynn and Sandra J. Weimer Dr. and Mrs. Stephen R. Pavlock Kelly Ripa Jacqueline L. Thomas Mary S. Welch Eleanor Pearce Ellen A. Rippee Robert and Karyn Thomas Gertrude Welker Peel ’N Pare Riverside Place Coreen Thompson Hilda M. Wells Ruth E. Peele Thelma R. Robb Mr. and Mrs. Lawrence H. Thompson Mr. and Mrs. Allen C. Wenban Mr. and Mrs. Ronald Pelletier Harriet Robbins Steven Thompson Gary and Pam Wenzel Mr. and Mrs. Stanley Peltier Keith Roberson Mr. and Mrs. Ronald Thomson Audrey A. Wesolowski Richard and Karen Pendell Vonda Roberson Mr. and Mrs. Chester P. Thornton West Midland Family Center Newell W. Pennell Donna J. Roberts Judy R. Thornton-Thurston Reverend and Mrs. L. R. Westphal Mr. and Mrs. Ronald Perry Donna M. Roberts Evelyn Thorp Dawn Wetekamp Mr. and Mrs. Thomas L. Peters Mr. and Mrs. Joe Roberts Mr. and Mrs. Paul F. Thorsberg Barbara A. Weyenberg Mr. and Mrs. Donald Petersen Mary L. Roberts Three Rivers Corporation Beatrice Wheeler Mary E. Petitti Mr. and Mrs. Brian K. Robinson Patsy R. Thurston Elise E. Wheeler Mr. and Mrs. James L. Petricek Mr. and Mrs. Donald Robinson and Sara Tichon Mr. and Mrs. Earl J. Whisler Mr. and Mrs. Stephen J. Petrik family Lynne Tidiks and Bradley Margaret B. White Dr. and Mrs. John Pfenninger Sharon Robinson Caryl E. Tiffany Mr. and Mrs. J. Frank Whitley Jr. Pfizer Foundation Matching Gifts Valerie M. Robinson WOMEN HELPING WOMEN Hats Off to You! chair Bette Tollar William F. Whittier Program Mr. and Mrs. Brian L. Rodgers Pamela Boundy greets a sold-out crowd that met Mr. and Mrs. James E. Tollar Mr. and Mrs. George P. Whittington Ed Phelps Mr. and Mrs. Philip M. Roels Karl and Denise Tomion Barry and Sue Wiggins Regis Philbin Mr. and Mrs. Edward W. Rogers for tea in a whimsical event to raise support for Yvonne J. Tomlinson Mr. and Mrs. Joshua L. Wiggins Catherine A. Phillips Mr. and Mrs. Gregory H. Rogers Mr. and Mrs. Douglas A. Tomney Marilyn J. Wildes Donna M. Phillips Joan H. Rogers the Center for Women’s Health. This event Tops 720 Jon and Margot Wiley Jean A. Phillips Kathleen A. Rogers helped culminate the Women Helping Women Dr. David W. Torkelson and Dr. Shirley Mr. and Mrs. Thomas F. Willard Rudy and Sue Phillips Nancy A. Rogers A. Layko Rev. and Mrs. David Willett Lucie Piche W. A. and Lillian Rogers campaign, which raised more than $400,000 Betty Torres Mr. and Mrs. Charles R. Williams Craig and Sue Pickelman Mr. and Mrs. Dan T. Rokosz for the Center’s expansion on the campus of Mr. and Mrs. Philip W. Tower Mr. and Mrs. Gerald D. Williams Mr. and Mrs. Fred Pickering Scott Rolen Andrea Towlerton Jean S. Williams Marcia Pierce Mr. and Mrs. Harry Rolka MidMichigan Medical Center–Midland. John and Mary Towlerton Marion D. Williams Dorothy Pietraz Janet L. Romanowski Theresa R. Townley Jessie I. Williston Dorothy E. Pinner James and Amy Rosborough Shirlee and Gerald Townsend June M. Willsie Marjorie A. Pitt Arlene A. Rosolowski Angela Sheets Dennis and Doreen Starner The Harry A. and Margaret D. Towsley Carol Wilson Constance H. Pitz Michael Rosolowski Sr. Rita Shellenberger Mr. and Mrs. Albert Starr Foundation Alice Wiltse Marjorie Place Vicki Rothhaar Mr. and Mrs. Jack L. Sheneberger Willa Stauffer Valerie G. Trabucchi Mr. and Mrs. John G. Winchester Karen D. Plachta Shirley C. Rulf Maxine H. Shepard Mr. and Mrs. David Stavenger Sue A. Trahan Ken and Sandy Winchester The Plaid Giraffe Mr. and Mrs. Walter E. Rupprecht Dr. James R. Shepich and Dr. Anita H. Mr. and Mrs. William S. Stavropoulos Mr. and Mrs. Ken Trethaway David Winfield Mr. and Mrs. Clark Plichta Dr. and Mrs. Thomas Rush Tekchandani Bob and Ann Stein Debra K. Tripp Paula Wingate Patrice A. Plott Phyllis A. Rusk LaDonna L. Sherven Rosemary Stein Mr. and Mrs. Newton L. Trowbridge Robert Wintermyer Marjorie W. Pochert Donna D. Russell Quita V. Shier Jackie S. Stenger Bich Truong Mr. and Mrs. Louis F. Wirth Jr. Arlene Poet-Yost Mr. and Mrs. John W. Ryan Ed and Hope Shimabukuro Mr. and Mrs. Norman Stephenson Patricia Tuck Thomas V. Wirth Margaret Pontious Brandi Rytlewski Lesley Shone Leslie Stern Mr. and Mrs. Gerald Tucker Janet Wittbrodt Lois E. Poolus Mr. and Mrs. Louis Rzepka Lynne A. Shorkey Ruth Stevens Kathy and Al Tucker Patricia A. Wolfgram Mr. and Mrs. Frank Popoff Lou Saam James H. Short Ralph N. Stewart Theresa Tusim Margery J. Wolgast Mr. and Mrs. John Popp Phyllis B. Sabin Melinda A. Shriner Mr. and Mrs. Gerald O. Stickley Lori F. Tyree Kathleen Wolohan Lora Porter Mr. and Mrs. Lawrence E. Sabourin Maria Shriver Norma J. Stickley Tim and Barbara Tyrna Wolverine Bank Margaret R. Porter Susan Sadenwater John and Eleanor Shuell Ilene D. Stieve Mr. and Mrs. Harvey Ueberroth Linda L. Wontorcik Dorothy Poulos Mr. and Mrs. Richard Sadler Barbara S. Simmons Irene Stiles Betty J. Ujevich Ivan and Sherry Wood Mr. and Mrs. David A. Powell John and JoAnn Safranski Carly Simon Bernadette Stocking United Church of Christ Michele K. Wood Linda Powell Myrtle Salisbury Mr. and Mrs. James Simpson Mary Ann Stoecker Deacons Local Benevolence Budget Suzanne K. Wood Mary Kay Powers Samantha M. Salogar Louise A. Simpson Mr. and Mrs. Doak R. Stolz Elizabeth A. Upham H. T. Woodbury Elaine Preuss Helen Sams Larry and Linda Sims Eileen M. Stoops Mr. and Mrs. John H. Urban Brenda Woodruff John D. Prewozniak Mr. and Mrs. Philip A. Sanborn Mr. and Mrs. Thomas D. Sinclair M. Allen and Beatrice H. Storr Cary and Sally Vajda Betsy R. Woods Mary G. Price Kathleen Sandel and family Mr. and Mrs. Mark R. Sirrine Ray and Rose Stover Tina S. Van Dam Eugene E. Woodward Patricia Prosser Mr. and Mrs. Bernd W. Sandt Mr. and Mrs. Oakley Sirrine Marion Straight Esther Van Haften Mr. and Mrs. Larry D. Woodward PSI IOTA XI Sorority Sanford Lake Marina Richard and Phyllis Sirrine Alice Strange Mr. and Mrs. Donald Van Orden Wrapped From the Heart Lorraine Puckering Dr. and Mrs. Charles Sanislow Mr. and Mrs. Richard T. Sizemore Strategy One, Inc. Bernadette and Zenas Van Slyck Millie Wray Nicole D. Puckett Jodi Sasse Norman E. Skelly Mr. and Mrs. Mellis Streeter Patricia VanHorn Mr. and Mrs. Robert L. Wright Marvel D. Pugsley Billie L. Saunders Dr. Cynthia A. Skiba Wanda J. Stringfield Melvin and Betty VanMeter Mr. and Mrs. Ronald Wyman Bonnie L. Putnam Mr. and Mrs. Paul D. Saunders Dr. and Mrs. Larry Skoczylas Sarah A. Strong Carol VanOrder Lois M. Yack Mildred P. Putnam Mr. and Mrs. Mark D. Sauter Mr. and Mrs. Mark Skorczewski, Chase The Charles J. Strosacker Foundation Dr. and Mrs. Robert L. VanSickle Roland J. Yack Susan Putnam and Allen Richard Mr. and Mrs. A. B. Savage and Hunter Duncan and Leslie Stuart Arthur and Yvonne VanWert Monica M. Yarmuth Anna A. Quayle Rick and Susan Sawyer Edith Sleutelberg Mr. and Mrs. Raymond C. Stubbs Carol and Allen Veenkant Dorothy Yates Sheila Rademacher Janet Schaefer Mr. and Mrs. Joseph Smigiel Nancy J. Stube Mr. and Mrs. John T. Venman Mr. and Mrs. Gene Yehle Donna Raetz Dr. Denise Schaffert Mr. and Mrs. Richard J. Smillie Mr. and Mrs. Greg L. Stutelberg Mr. and Mrs. Gary R. Veurink Mr. and Mrs. Kenneth E. Yerrick Bernice Rahn Mr. and Mrs. John H. Schaw Beatrice L. Smith Susan Subbaram VFW Auxiliary No. 3651 Julia Yonkers Rainbow Interiors Patricia Schimmelman Bernard and Joann Smith Success By 6 Meredith Vieira Mr. and Mrs. William D. Yost Cady and David Ramaker Mr. and Mrs. Otto Schlagrait Mr. and Mrs. David J. Smith Alice Such Isabel C. Viges Mr. and Mrs. Arnold E. Young Randy and Mary Randall Mr. and Mrs. William C. Schmidt Mr. and Mrs. Gerald W. Smith Sharon Sundquist Village Green Mr. and Mrs. Jim Young Lisa M. Ranger Marilyn and Calvin Schneider Mr. and Mrs. H. O. Smith Mr. and Mrs. Chuck Supinger Elizabeth M. Vink John and Gretchen Young John and Judy Rapanos Sara B. Schneider Jim Smith Joann E. Surma Donna J. Vogelsang Dr. and Mrs. Norman E. Young Nick and Elaine Rapanos Suzanne B. Schoettinger Karene Smith Carolyn Sutton Julie and Neil Wackerle Judy Youngquist Mr. and Mrs. M. Andersen Rapp Angie Schramski Kay R. Smith Sally Ann Sutton Mr. and Mrs. Jeffrey J. Wagner Jane A. Yurgaites Robert A. Rathbun The Honorable and Mrs. William D. Lee and H. J. Smith Charlene Swan Mary E. Wagner Deborah A. Zafiroff Mr. and Mrs. Douglas A. Rausch Schuette Patricia Smith and family Mr. and Mrs. William D. Swan Jr. Mary S. Wagner Cheryl Zastrow Mr. and Mrs. Thomas E. Reder Clara M. Schultz Robert E. Smith John and Jean Swank Lauri Wagner McEwen Mr. and Mrs. Gary A. Zellner Mr. and Mrs. David A. Reece Phyllis F. Schultz Roy E. Smith Alfreda Swanson Amy L. Waier Yoshie Ziarno William A. Reece Gary and Brenda Schupska Mr. and Mrs. Roy E. Smith Spencer Swanson Helen C. Waldron Mr. and Mrs. Jerry Zilincik Priscilla G. Reed Lawrence J. Schwab Thomas E. Smith Rosemary V. Swantek Myra I. Walker Mr. and Mrs. A. E. Zimmerman Tom and Pat Reed Patricia M. Schwartz Mr. and Mrs. William E. Smith Jane C. Swartz Evelyn B. Wall M. M. Zimmerman Rehmann, Robson & Co. Sandy Crowley Schwartz William and Mary Smith and family Sweet Adelines Anne Wallin Mr. and Mrs. Scott J. Zimmerman Mr. and Mrs. James Reichard Scientific Angler Mildred Snow Howard and Barbara Swift Joan C. Walsh Mr. and Mrs. Rowland C. Zink Michelle Reichmann Tom Scott Gwen A. Snyder Tammy Swinson Barbara Walters Helen Zondlak Mr. and Mrs. Paul Reid Letitia Scribner Ronita Snyder Fran Syckle Jo Ann Waltz Zonta Club of Midland Virginia L. Reid Mr. and Mrs. A. E. Sczepanski Soaring Eagle Casino & Resort Dr. Muhammad H. Syed William A. Wang Dr. and Mrs. James Reif Norma Lee Sczepanski Mr. and Mrs. Karel Solc Carl and Marcia Szafranski Mr. and Mrs. Ronald Warczinsky Pat E. Reif Mr. and Mrs. J. G. Sears The John Somerville family Janette A. Taglauer Alice T. Ward IN HONOR Ilene L. Reinhardt Secord Lake Marina of Gladwin Mr. and Mrs. Richard E. Sommer Mieko and Hitoski Takahashi Helen Ward In recognition of birthdays, John and Betty Reisner Marjorie Seelhoff Helen E. Ward Fred and Carolyn Sopcak Mr. and Mrs. Dan Talbot anniversaries and other Ellen Reiss Mr. and Mrs. Ron Seelye Dr. and Mrs. Daniel Sorenson TAP Pharmaceutical Products, Inc. Mr. and Mrs. Keith D. Ward RE/MAX of Midland Jim and Melissa Seitz Lucille Southwick Sherri Tarzwell Therese A. Ward special occasions, or simply Annie Rengering Elizabeth A. Selleck Brad Spaulding Amanda S. Taylor Mr. and Mrs. Don Wardin to say thank you, we received Dawn Renwick Mr. and Mrs. Joseph Servinski Marcia L. Spelman Elizabeth Taylor Virginia K. Waring gifts in honor of the following: Geoffrey and Sheila Rettig Servinski Sod Service, Inc. Timothy C. Spencer Maureen D. Taylor Debra Warner Mr. and Mrs. Richard H. Reynolds Ron and Mary Sexton Mr. and Mrs. Kenneth G. Spyker Ronald E. Taylor Judy Warner Ad Vantage Media Services Mr. and Mrs. Richard M. Reynolds Carol M. Shafer Craig Stadler Ruth Taylor Dr. and Mrs. David Warren Dr. Adelto N. Adan Mr. and Mrs. Richard L. Rhinehart Valerie S. Shaffer Mr. and Mrs. Donald M. Stagg Marjorie Teachout Sherri Warren All cancer survivors Bob and Sue Rhodes Betty Shangle Susie Staloch Dr. Kurt E. Tech Lawrence and Sherian Washington All Seasons Heating & Cooling Everett H. Richardson Linda M. Shangle Rita Stanley Barbara R. Teichman Mr. and Mrs. Richard Waterman American Express Financial Nancy L. Richey Dorian F. Shank Cathryn M. Starch Deborah A. Tenerelli Eva Marie Watson Dr. Oswald Anders and Edith Anders John E. and Margaret Ann (Ranny) Maria Sharapova Mr. and Mrs. Alan H. Stark Art and Hazel Teot Jean Weaver Kristen Anderson Riecker Suzzette Sharp Blanche Stark Mr. and Mrs. Thomas L. Theis Kip Weaver Area Plumbing Michael and Beverly Riggie Frances Shauger Nancy D. Stark Jean M. Thiele Christian and Ella Weber FUND D EVELOPMENT

Ashman Court Hotel Ieuter & Secor Insurance Dave and Fran Reece Madeline Kay Anderson Harry Cantrill Irving Dornacher Jane Auble Imageworks Rose Ann Reed Dr. Anderson Lillian and Joseph Carbone Verba Dornacher Ayre Rhinehart Realtors Pushpa Inbasekaran Dr. James E. Reif Nicholas Angelotti Mark A. Carey Fenton Draves Paul Baker J & D Plumbing & Heating Richard M. Reynolds Dorothy Arbury Steven Webster Carlisle Earl B. Droomer Sonja Barteck Jane Jaime Reynolds Refrigeration Howard H. Arbury Rhea Jean Carpenter Marie Ducham Mark Bartlett Chiqeeta Jameson Mr. and Mrs. Dick Rhinehart Marie A. Arbury Lena M. Carter Marion Dudd Jody, Kylie and Taryn Bauder Cam Jankowiak Riverside Place Senior Citizens Richard Armstrong Lois Casey Barney Dudzik Grandchildren of Mr. and Mrs. Lewis Margaret B. Jezowski Apartments Martha G. Arnold Loretta Casey Clara Dudzik E. Bauder Erik and Matt Johnson Dr. Tower and Dr. Robbins Jason Arthur Robert W. Cermak Cleone Dulude Behavioral Medicine Associates Joanne Johnston Catherine Rowland Ann Asadorian Arloa D. Cerva Robert Duncan Ruth Ann Bergstein Kathleen Kapp Jordan D. Rulapaugh Arthur A. Asadorian Daniel Chalup Maureen Dunckel Dawn Berlin Hedwig Kenessy Tricia Ruth Curtis and Lucille Ashworth Ann L. Chambers Maureen Dutcher Martha Bersani Rev. Dr. Charles Keyworth and family Saint Brigid’s Catholic Church Janice Bacon Dr. Harvey Chapin Ward V. Eadie Bruce J. Betz Dr. Lioudmila Kinachtchouk Logan Joseph Sanborn Steve Bacon Margaret Cheney John Eckhold Krys M. Bond Terry King Dr. Charles A. Sanislow Peggy Badour Children who were miscarried Robert Edwards Kristine Boot Rebecca Kinsman Schultz Benaway Heating & Cooling Bernard F. and Melissa Anne Bailey Christopher and Jay T. Lenora Eesley Holly Booth Dr. Paula J. Klose Norma Seelye Earl and Betty Bailey Brandon R. Church Gail Eggleton Dr. N. Craig Boss Suzanne J. Knoff Dr. Camella Serum Arthur and Ruth Ann Baker Louis Cielinski Elmer W. Ehlers Pamela Boundy Reverend David Koski Dianne Servinski Mary L. Baker Luther Clabusch Gus E. Ehli Jim Brooks Doug Lambeth Ashley Shankool Ruth A. Baker Dallas Cobb Clara Eichinger Dr. William R. Brooks Jr. Sheryl Lane Bud Sherven Clarence Baldwin Allen Cole Sr. Aina Elash MaryLou R. Brown Peggy J. Lark Lynne A. Shorkey Ruby Baldwin Lydia Cole Charles D. Elder Lynn Bruchhof Peggy Larkin-Kelly Roberta Sinclair Mr. and Mrs. Jay W. Ballagh Mary Cole Delores Eller Richard Buchanan Joyce Lechmann Kelly Sue Skimin Albert C. Balleria Roy Cole Robert Eller Mary Buckley Shurlee Lee Mr. and Mrs. Mark Skorczewski, Chase Donald N. Bantien Loretta Colletti Kenneth Emerson Bueker Development Eric Leikert and Hunter Sharon Barber Elaine J. Collier Carolyn Engee Buster’s Appliance Dr. Paul Lewis Angela L. Slykhouse Wendal E. Barrett Douglas Gregg Compson Carolyn Engel Leona M. Caldecourt Lifeskills Enrichment Center Kolleen Smith Charles M. Barry Conner and Daly families Kenneth Erickson Karen Calkins Dr. and Mrs. Linferd Linabery Rachelle Smith Chris Bartos William J. Conrad Robert Erickson Carol G. Campbell Theresa Linko Tom and Kristin Smith Jane E. Bath Ashlee E. Cook Margaret Eschenburg Dr. Jill Cappo Paula A. Liveris Dr. David W. Snider Father of Mr. and Mrs. Lewis E. Carol Cook Eyvonne Farison Mary Lou Carey Margaret Loessel Dr. Robert Snyder Bauder James Copeland Gina Fasone Lisa Cataline Kathleen M. Ludwig SPACE, Inc. Mary Bauers Jack Coppens Francis Federer Center for Independent Living Kenneth MacKinnon Cheri Standfest Evelyn D. Beamish Roberta Copperman Venita Federer Veronica M. (Ronnie) Cermak Dr. Alexander Magill Stanford LP Gas Leslie Becker Emerson L. Corbat Mr. and Mrs. Gust Fenske Charter Square Apartments Susan T. Marklewitz Rev. W. Roger Stauffer James Michael Beeson Helena Corbat Lawrence H. Fenske Chemical Bank & Trust Marilynn A. Marry Willa Stauffer Harold Benjamin Maynard B. Chenoweth Henry M. Martin John and Mary Stephen Barton D. Bennett Christy Guest Photography Lucille Mattes Mr. and Mrs. Ty Storrs and family Bonnie Bennett The Chuck Coté Company Lorie Mault Suderman Builders Robert Bennett and Betty BABY HATS Rarely does Hannah B. Church Rev. and Mrs. Wallace H. Mayton III Anne N. Swan Bennett a month go by that there City Sewer Cleaners and family Howard and Barbara Swift Mr. and Mrs. Emil Bensch Betty Clements Janette McCann Christina Tenerelli Ralph Bensch isn’t a special delivery of Cleveland Manor, Inc. Jane and Marty McDonough Three Rivers Corporation Fred R. Bentley handmade baby hats to Coleman Electric Bernardine McInerney Terry L. Thrush Lena Bertuleit Patricia Consolo McLaren Dental Associates Sally L. Tinney Ted Bertuleit MidMichigan’s Maternity Michigan Works! Diane Cooper John and Mary Towlerton Madeline and Donald Center from Elaine Preuss Natalie Crumb Midland Academy of Advanced & Duane O. Townley Binder D. A. Johnson Design Creative Studies Daisy Townsend Jeffery W. Bishop and her friends at River- Gilbert and Annette Deibel Midland Chamber of Commerce Hilda M. Trapp Janet Bitler Kristine Dexter Midland Convention & Visitors Tri-City Remodeling Walter Ralph Bixler side Place Senior Citizens Timothy A. Dick Bureau Agnes Trudgeon A. E. Bjork Apartments. Nestled in Janet Dominowski Midland County ESA Dr. Scott W. Trylch Madeline Bjork Mindy Doty Midland County Historical Society Jenna Urban John Blenkhorn Elaine’s arms is Jonathon The Dow Chemical Company Midland County Sheriff’s Department Jessica Urban Patricia Blenkhorn Sobeck, wearing one of Dow Corning Corporation Midland Guardians, Inc. Mr. and Mrs. Jeremy Vida, Kyla and Mabel Blessing Dow Gardens Midland Pathology Associates Colton Rozella E. Blink the hats. Rick Dowdle Midland Tomorrow Dorothy Waddell Elizabeth Blubaugh Mary Dunn Mid-Michigan Financial Heidi Wagner Ray Bogasky Electricorp MidMichigan Medical Center–Midland Rod Wagner Eulah Bolenbaugh David D. Cormier Donald and Lauretta Fenskie Eunice Everson Cardiac rehabilitation Matt, Tom, Anne and Mark Wakeman Diane Bolton Jack and Sally Costa Earnest Finney Beth Ewerth Center for Women’s Health staff Dr. Paul Walker Mabel N. Bonbrake Anna Costley Jack Finney Dr. Edward R. Farber Customer service department staff Ann Waltz Peggy Bond Donald R. Coultrip Loved ones of Sophia A. Finney Betty G. Fath Educational services and Jo Ann Waltz Clark Bonham Larry C. Coultrip Joshua L. Finney-Sanborn Rev. Gerald Ferguson development staff Ware Smith Woolever Funeral Benjamin J. Bonkowski Beverly Crandell Annabelle Fischer Mr. and Mrs. Hanford Ferguson Emergency Department Staff Directors Ray K. Bornsheuer Elmer Crawford Ester Hahn Fischer Rachel Lynn Finney Joyce and Kate from outpatient lab– John Waroe Helene Marie Bourne Donald Crockett Ethel Fitzgerald Wendy L. Fischer Campus Ridge Dr. and Mrs. David Warren James Lake Bourne Jacob P. Crockett Mary Flach Forest Glen Townhouses Respiratory care department Sherri Warren John W. Bowers Lisa Crockett Murry Florence Grandchildren of Mr. and Mrs. Eldon Peggy Mier Washington Woods Adeline Bradshaw Michael Crockett Ruth Ann Flynn E. Frisch Cammy Miller Rev. Dr. Susan K. Weier Hazel M. Braley Irvin E. Crosby Jimmy Forbes Veronica Fryfoggle Lorraine M. Miller William Whittier Walter W. Braley Vivian Crowder Charles B. Fort Dr. and Mrs. James Frye Dr. Michael J. Miller Blake and Aiden Whittington Walter W. Braley Jr. Edward Henry Cruse Kriss M. Fosgitt Dr. Faith D. Fuentes Darlene Mills Robin Wigger Charles H. Brant Wellman and Hilda Darley Mr. and Mrs. Eugene Foster G. E. Insulation MITECH + Wilds Heating & Air Conditioning Agnes Breault Cruz Davila Richard Foster Clark and Charlotte George Mobile Waterproofing Hilda Willson Edward and June Breault Juanita Davila Vicki Foster Susan German Terry and Carleen Moore Woodard Electric Harold C. Breault Urbano Davila Harold Fox Mr. and Mrs. Earl Gerstacker Morene Morris Woodland Place Apartments Thomas J. Brennan Jr. Travis S. Davis Leo Foy Tracy Goad-Walter Charlie Morrison Dr. Subramanyam Yadam Florence Breternitz Jack Dawson Alice R. Freer Dr. Mark Goethe MSU cooperative ext. office Dorothy Yates Carl Brown Mothers of Eldon and Mary Dean Ruth H. Frevel Ernest Golden Andrea Muladore Dr. George Zainea Gladys Brown Robert Degroat Kenneth Frieders Buck and Donna Goodwin Mary M. Neely Maurice (Hawk) Brownlee Glenna Deitsch Father Raymond Fron Dr. and Mrs. Christian T. Goralski Kyle Neithamer Virgil Brownlee William D. Deitsch Maybelle E. Furtaw’s loved ones who Emroy C. Groark Robin Nelson Walter Brugger Eugene Dekau died from cancer Maxine Guettler Mr. and Mrs. Les Nicholas Bernice Brunkan IN MEMORY The Bill Demers family Nora Gardner Lori L. Gwizdala Helen M. Nold James Brunkan Expressions of sympathy Jack Demers Norman Gardner Deb Hackman Donna Nottoli Colleen Bukowski were given in memory of the John L. Demers Gordie Garl Drs. Hale and Hale P.O.S. Card Service Mary Lou Bumgardner Frieda and Arthur Dettmer Charles E. Garneau Sue Haley Francine M. Padgett following: Frank R. Burghardt II Denise DeWyse Kathy Garrett Hardy Communications Mr. and Mrs. George Palm Bonnie Burgoon William H. Dickman Jr. James E. Geary Lois Haselwood Paper Moon Lyle Aamoth Lois A. Burke Meredith A. Diephouse Billy Geiling Reverend Kirk Havel Dale Parkinson Keithe Abbe Frank and Helen Burns Adam Dill Richard A. Gensel Lenette Hernandez Mr. and Mrs. Charles Pauler Ryan R. Abel Lauren Burns Richard Dilley Helen Louis Gerace Idonea Hersee Sheryl Pauler Bertha Adan Fred and Annie Burrack John and Ann Dining Irene Gerulski Mr. and Mrs. Wayne Holbrook Dr. Stephen R. Pavlock Carlos Adan Ann Busch Amelia Dittenber Verna Glomski Holy Scripture Lutheran Church Dane Plichta Karen J. Ahearn R. William Caldwell Arthur L. Dittenber Joanie Gluck Mary Jane Hoshaw Anita L. Porter Robert Ahlrich Clair Calkins Barbara W. Dittenber Mary Ann Glynn Debra L. Hughes Vernon L. Powis Jr. and family R. Keith Albee Evelyn Calkins Eric Dittenhafer Robert M. Gohlke Mr. and Mrs. Donald Hunkins Grandma Prax Anna Alcock Ann A. Camp Michael Ditzler Dieter Goldorf Cindy Hurley Pregnancy Aide of Midland County Jean Amos Dana Campbell Johan M. Dodge Blanche Gonglewski Dr. John W. Hysell Larry Randall Barbara Anderson Eddie W. Campbell Jean Dorn P. Duane Goodnight Real Estate Center Doris H. Anderson Mark Campbell FUND D EVELOPMENT

Stella Goodrich Trudy Kain Mabel C. McKay Norma Reine Pack Lily I. Rowley Ralph Tyrna Emma and Walter Goralski Anne Marie Walsh Kaloustian Scott Minter McNally Ann Paeth Melissa Ruppel Uncle Fred Charles W. Gordon Eugene (Gene) Kaminski Kelly McNett Elnora Paige Grace Rupprecht Linda Utermark Thomas Gorham Thomas Kanary Anna Marie McNurlen William G. Palmer Donna Ryan The Honorable Philip M. Van Dam Shirley Goulette Virginia Kaweck Merl McNurlen Leona Parker Sylvia M. Ryans James Van Haften Larry Granger Michael Keeley Lloyd A. McPherson Norman L. Parker Genevive Rynkowski Vernon VanHorn Robert K. Granzo Arnold Keinath Mr. and Mrs. Justin N. Mead Harold Parkinson Ron Salogar Marshall Vanloon George Graves Mr. and Mrs. Jack Keller Earl Meekhof Liz Parks Arif Sams Arthur J. VanWert Sr. Georgina Graves Bernice H. Kenaga Bernard Mente Loretta and Bob Parks Margaret Sanislow John Vella Grace L. Gray Peter Kendall Michael Mente Phillip E. Patton Ann Sartori Peter Venman Kenneth W. Gray Helen Kennedy Lillian Mentel Colice Pearcy Malek Anthony Sartori Glenna J. Verbrugge Phyllis Greanya Marian B. Kennedy Harold Metcalf Renee Peckham Attilio Sartori Joseph J. Verbrugge Octave Grecu Agnes Kenny Harry L. Meyer Sr. James Peele Lloyd Saunders Robert Vink Mark Gribbith Victor Kenny Richard W. Meyer Betty B. Pennell Lee Sauvage Harley and Merle Vinton Sherman L. Griswold Mother of Dr. Charles Kerr Janet Tobey Meyers Blanche Peplinski Nicholas Sauve Phelps Vogelsang Jr. Melville Groom Dennis Kiely Bailey Miller Raymond Perry Leon M. Schneider Bill Wagner Zena Groom Robert B. Kiely Don Miller Mary F. Petrik Joan Schonwald-Cassell Husband of Mary Wagner Julie Grose Clarence Kietzman Donald J. Miller Donald Petrimoulx Patrica Schramm Dr. William Wagner William H. Gross Betty J. King Nota N. Miller Kathryn Phillips Rosemarie Schwab William Donald Waldron Dale Groves William King Phyllis Miller Oscar W. Pickering Thomas R. Schwartz Taylor James Walker Darrell Gruber Grover E. Kirk Walter Miller R. F. Pitt Sr. Floyd Schymanski Erwin Walter Ethel K. Gurnee Richard Klimpel Dorothy Minikel Jim B. Pontious Gertrude A. Schymanski Phillip Gary Walter Viola Gustafson Cheryl Klopf Bob Mitchell Robert Postma Iris M. Sczepanski Lois J. Wang Carl L. Gutchak Ervin Knochel Rose Mixan Wesley R. (Bob) Postma Nicole C. Seitz Freda Ward Louise W. Hadley Michael and Helen Knopic Ardis Mizer Carter Preston Celia Sellen Robert H. Ward Shelly Hafelein Emma Kober Rudy Moliterno John Prewozniak Arthur and Dorothy Sexton Minnie Wardin Carl Haiderer Henry Kober E. Byron Molter Sr. Burtice Price Judith Shadoff Otto Wardin Janice Hale Beverly Kopple Esther M. Molter Gwen Proctor Bob and Ellie Sharp Rev. James H. Waring Jack Hall Alex Koster Garth Monroe Ken Proctor Myrl Shaver Douglas Warren Arlene Halldorson Karen Kraft Cecil and Norm Moore David J. Pugsley Lowell L. Shepard Chet Wazny Jack Hallett John Ladner Harold Moore Bill Putman Lucille Shepherd Mickey R. Weaver Frances Hammond Nellie Lakomy Helen Moore M. Sheldon Putnam Marianne Sherven Kori Lenet Wedge Helen Hanson Jeremiah Lakso Linda Moore Nick Radakovich Frances R. Short Jean H. Weeks Julia L. Hargreaves Jack and Gregory Lamphere Allan Morse William H. Ragborg Norman D. Short Wilbur F. Weeks I. Frank Harlow Michael Laney Lowell Morse Pamela Ramsey James Shuell Donald and Nancy Weiler Jean Harlow Charlie A. Langhoff Charles J. Moss Elizabeth J. Rathbun Bruce H. Sias Dominic and Mary Jane Welch Laura J. Harmon Wanda Langston Lois J. Mroz Tracee Rathbun John H. Sias Harold Wellman Jeff Harper Charles F. Lanigan Florence M. Mudd Clifton K. Reavey Mr. and Mrs. Clifford Siebert Bernetta A. Wells JoAnne Harrigan Evelyn Lapham Elmer Mueting H. John Redelings Donald A. Simanskey Elmer R. Wells Jerry Harrington Parents of Mr. and Mrs. Rodrigue John F. Mulloy Barbara A. Reece Aaron and Adam Simonovic Donald R. Weyenberg Diane Hawley-Thomas LaPorte Evard (Bud) Murray Barbara M. Reece Bill Sirrine Arthur Wheeler Sr. Pansy Hawver Donna Jean Larsen Mary Mutter Nancy Reeves Nettie M. Skrade Betty Whisler Clara Hayes Margaret Larsen Robert V. Myers Dr. James R. Reif Sr. Dorothy Small Elizabeth Whittier Bob Hayhoe Bobbie Larson Robert Naegele Robert B. Reinhart Greg Smigiel Vera Wiley Martha Haynes Eleanor D. Larson Shirley Naples Michael Rettig Scott Smillie Lorna Wilging Stanley Lee Hayward Sr. The Laube family Shirley Nash Chad Revard Barbara Coolbaugh Smith David C. Williams Ed and Ruth Heinrich Jacqueline Laurette Roland Neal Marguerite Ridley Bonnie Smith Judith Morse Williams Dennis Heinze Dr. Michael Leahy Grace Neiger Dorothy Riggie Bud Smith Kenneth Williams Terry Hemann Adrienne Lee David Nellis Edward Riggie Helen C. Smith Lyla L. Williams Charles (Chuck) John Hennigar Loretta G. Lee Heidi Smith Nelson Michael E. Riggie Dr. James P. Smith Robert J. Williams Jim Hepinstall Marjorie Lefler Joe Nelson Cynthia Christine Ring Jane E. Smith James A. Williston Loved ones of Joyce Hepinstall Doris Leibfritz Roger Nelson Charles Rippee Kellie Jane Smith Grant Willsie Jr. Marie Hepinstall Barbara R. Letson Irma Nemeth Jerry L. Robb Michael Smith The Honorable James E. Wilson Sheldon Hepinstall Sean Lewis Jerry G. and Gloria J. Neuman Roy E. Robb Norman J. Smith Eleanor Joan Wirth Alex Herman Jr. Mr. and Mrs. Wendel Lewis Edna L. Niehaus Kay Roberson Robert Smith Robert Wirtz Alfred J. Hermann Anne Limberg Joyce A. Nightlinger Vicky Roberson Wesley Snider Dorothy Wise Marguerite Hermann Elwyn Limberg Kenneth C. Nold James E. Roberts Teddy F. Snow Benjamin Wishowski Jack Hiemenz Robert Lindauer Shirley A. Norris Ruth E. Robinson Gretta Sodini Helen Wishowski Adolph S. Hierholzer W. R. Lloyd Jerry North Kathleen Rock Mark Southworth Theresa Witucki Walter J. Hierholzer Frederic J. Lockhart Earl Noyes Joseph Roe and Lenora Roe Tree John B. Spanka Kenyon J. Wixson III Charles A. Hintz Joseph Lodari Albert Ocone Lucile Roels Milton Spaulding Berniece Wood Frank T. Hlavacek Kevin Longstreth Elise M. O’Donnell Marjorie M. Rogers Tressa Spitnale Ivan and Erma Wood Lloyd Hoag Pauline Lovely George V. O’Donnell Florence Rogner Robert St. Onge James Woodgate Ralph Hoffer Ray Lowery John and Elma Oja Brent Lee Romain Jake Stachowicz Emerson Woods Megan J. Holbrook Dickie Lowrey Helen Balch Olk Arnold and Helen Romel Joseph Stachowicz Jerry Woolever Gerald L. Hollowell George Lowrey Nicky Orvosh Derik Ropp Peg Starr Fred Woolman Richard W. Holm Sue Lughermo Richard G. Oswald Erna Rossnagel R. Gary Stauffer Kristina Workman Betty Holsather Roger Lunsford Lawrence C. Stein Edna Wyman Dr. James Hood Lang Luu Eloise (Holmes) Stevens Lawrence D. Wyman Connie Horner Maggie Maccombs Lyle J. Stevens Karl and Edna Yack Debra Mayers Horner Donald MacLaughlin Norman Stieve Walter J. Yarmuth Mr. and Mrs. Russell M. Horner Willie and Tish Madding Harry K. Strang Frank G. Yascolt Marilyn Hoshaw Mary Jean Maher Lydia Strang Josephine B. Yascolt Marilyn Joy Hoshaw Lloyd Maidens Morley Strauch Dr. G. James Yobst W. Wells Hough Peter C. Maneri Sandy Stuckey Jayne Yonkers Robert House Paul Manges Kayla L. Sutton Lillian Yuill Parents of Eloise M. Houvener Chris Margraf Marie Sweet Wilda Ziegler John J. Hovey Lawrence E. Markel Howard G. Swift III Vernon Zimmerman Franklin W. How Susan T. Marklewitz Maxine Swift Frieda Zonge Inga Hoyt Betty J. Marquiss Busia and Dzia Szeszulski Stuart Zurvalec Helen Hurtubise Gertrude C. Martin Clara TagLauer Sean A. Hutton Jean Martin Ruth and Lawrence Talbot Howard Inman Martha Martin Annette Taliercio LEGACY SOCIETY Stanley Inman Albert Mason Phillip E. Teachout The Legacy Society Dr. Larry L. Jackson Lucas William Mason BAKE SALE Fourth- and fifth-graders Robert F. Thompson represents people who Robert W. Jackson Rea Mason Stephanie Thompson Shirley Jackson Ernest E. Maxwell from Sanford Elementary and Carpenter Diane Thompson Hawley have provided a bequest Robert Jacobs or another type of planned Grace L. Maxwell Elementary raised more than $100 for the Rev. Collins and Louise Thornton Henry R. Jenkins Willard B. Maxwell Helen Tice gift to help the Medical Donald P. Jenks Beverly Mayer Cancer Fund at MidMichigan Medical Center– Richard G. Tiffany Center ensure a legacy of Martha Jensen Fran Mayhew Bruce Tigner trusted care. We appreci- Robert Jezewski Herb F. Mayhew Midland. Madison (Madi) Howell (right) Margaret Todd Derek V. Johnson Marlene McCandless organized the bake sale held at the Sanford Sherry Tomczak ate the special support Earl Johnson Edna M. McClesse Victoria Tomlinson the following people gave Margaret Johnson Dottie McClue IGA. Her helpers were (from left) Gabby Albert C. Topor in 2004: Orlin and Mary Johnson Mr. and Mrs. Malcolm E. McDonald Hagen, Ricki Seeleye and Kayla Simone. The Ruth Tower Viola Johnson Evelyn McDonnell Avery Bryce Trapp Bernard F. Bailey Thomas Joley Ethel McGraw friends joined together after Madi had the Fuhrman Tremain Margaret P. Cummings June R. Jones Tom McGraw idea for helping those with cancer. William Tucker Raymond Jones James S. McGrory L. Michael Tumbrink Jean Juengel Lydia McIntosh Jean Tway Rev. Wayne and Dorothy Julier Grace Lemke McIntyre Dorothy B. Twining WELLNESS

MidMichigan Physicians Group ortho- causes pain, loss of movement  Exercise helps lessen pain, increases range-of-move- paedic surgeon and sometimes swelling. Some ment, reduces fatigue and helps people with arthritis feel John Murphy, types of arthritis are: better overall. Your doctor, a physical therapist or other D.O., discusses Osteoarthritis, a degen- specially trained health professionals can show you range- osteoarthritis with patient erative joint disease in which of-motion exercises and strengthening exercises that are Edna Grove. the cartilage that covers the good for arthritis. ends of bones in the joint  Water exercise is especially good for people with deteriorates, causing pain, arthritis because it allows exercise without putting excess swelling and loss of move- strain on joints and muscles. An aquatic exercise program ment as bone begins to rub is offered through MidMichigan Medical Center–Clare. against bone. Osteoarthritis This program gives participants the opportunity to do most often affects the ends of gentle activities in the pool, with guidance from a trained fingers, thumbs, neck, lower instructor. Although it is a nonclinical program (one back, knees and hips. It is that will not replace a prescribed regimen of therapeutic the most prevalent form of exercise), participants report physical benefits such as arthritis. decreased pain and stiffness. Osteoarthritis can be  After strenuous exercise and on days when pain and caused by a combination swelling are more intense, resting the joint can provide relief. of factors, including aging,  Several types of medications are used to treat the pain COPINGCOPING being overweight and joint and swelling of arthritis. Nonsteroidal anti-inflammatory stress from work and sports drugs, such as ibuprofen and aspirin, help reduce symp- activities. toms. Analgesics lessen pain, and biological response WITHWITH ARTHRITISARTHRITIS Rheumatoid arthritis, an modifiers, once used to treat rheumatoid arthritis, are autoimmune disease in which now helpful in treating certain symptoms. Steroids are s a former major-league baseball player and now the joint lining becomes inflamed as a result of activity in also used to treat some forms of joint degeneration. as an orthopaedic surgeon, John Murphy, D.O., the body’s immune system. Rheumatoid arthritis is one  For more severe symptoms, Dr. Murphy advises his knows how injuries and stress to joints can lead of the most serious and disabling types, affecting mostly patients to use canes, crutches, walkers and splints to to osteoarthritis. Dr. Murphy shares this infor- women. help relieve stress and strain on joints. mation with patients in his Clare, Mt. Pleasant Gout, which affects mostly men, is usually the result of a  Physical therapy is helpful to learn exercises and treat- and Midland orthopaedics practices and in defect in body chemistry. This painful condition most often ments (such as heat) to decrease stiffness and increase Acommunity health education programs. His goal is to help attacks small joints, especially the big toe. Fortunately, gout muscle strength around injured joints. people with arthritis lead active, productive lives and learn almost always can be completely controlled with medica-  Occupational therapy helps patients learn methods of to cope with the symptoms of arthritis. tion and changes in diet. performing daily tasks in a manner less stressful to the In 2005 the National Arthritis Foundation estimates that joints. 66 million people (one in three adults) will be affected by FINDING RELIEF Dr. Murphy recommends a com- some form of arthritis. Almost one-third are women, and bination of different treatments depending on the type of You can live well with arthritis many are younger than 65. Almost 300,000 children will be arthritis his patients experience. Here are some of the top- To learn more about the causes and treatment for arthri- affected by arthritis this year, and Michigan has one of the ics Dr. Murphy discusses with patients and in community highest rates of arthritis in the nation. education programs: tis, plan to attend “Living With Arthritis.”  Weight control helps to decrease load stress placed on  Tuesday, May 17; 6:30 p.m.; Doherty Hotel in Clare WHAT IS ARTHRITIS? Arthritis encompasses more joints. Most people gain a pound or two per year as they (See page 4 for details.) than 100 diseases and conditions affecting a body’s joints, age. This can stress already fragile joints. Develop a weight To make an appointment with Dr. Murphy in surrounding tissues and other connective tissues. Arthritis management plan early to prevent this stress to joints. Mt. Pleasant, Clare or Midland, call (989) 837-9280. DR. MEHTA WELCOMES PEDIATRIC PATIENTS onali Mehta, M.D., appreciates the innocent na- them throughout their and good follow-up care. She is accepting new patients; ture and resilience of the children she treats in different developmental call (989) 539-4096 for more information or to schedule her new practice in Harrison. Dr. Mehta recently stages, from infants to an appointment. joined MidMichigan Physicians Group in Harri- teenagers. Helping a sick The addition of Dr. Mehta to the pediatric staff of son and the active medical staff of MidMichigan child get better or watch- MidMichigan Physicians Group will improve access to the Medical Center–Clare. ing a healthy child grow current pediatric coverage offered in the region. Dr. Mehta SDr. Mehta was drawn to medicine because she wanted is very satisfying.” to be a part of healing people in a one-on-one environ- As a member of Dr. Mehta believes that some of the best ment. Dr. Mehta graduated from Seth G.S. Medical College MidMichigan Physicians and K.E.M. Hospital at the University of Bombay, India, Group, Dr. Mehta is look- medicine she can provide is reassurance, where she also completed her pediatrics residency. Further ing forward to developing teaching and good follow-up care. To schedule postgraduate training included a pediatrics residency at the long-term relationships State University of New York’s Upstate Medical University with her patients and an appointment, call (989) 539-4096. in Syracuse. She is board-certified in pediatrics. their families. She lives Throughout her education and experience Dr. Mehta in Mt. Pleasant with her will be working with Virnaliza Cassidy, M.D., who practices learned how much she enjoyed working with children. husband, Rajil Mehta, pediatrics in Clare, to provide on-call support to each other “The science behind children’s medicine is the same Sonali Mehta, M.D., M.D., who is an internal and to their patients. pediatrician as in other fields, but I find it particularly relaxing to medicine physician and MidMichigan Physicians Group is located at 815 N. work with patients who have such an innocent nature nephrologist at Gratiot Medical Center in Alma. Clare Ave., West entrance, in the MidMichigan Medical and who often show an amazing ability to bounce back Dr. Mehta believes that some of the best medicine Offices–Harrison. For more information about Dr. Mehta, to a healthy state,” Dr. Mehta says. “I enjoy taking care of she can provide to her patients is reassurance, teaching visit www.midmichigan.org/doctors.

MAY/JUNE/JULY/AUGUST 2005 3 TO YOUR HEALTH WELLNESS

LOSS AND TRANSITION LUNG CANCER Get the latest information Internal medicine physician Chidambaram Palani, M.D., will present the most up-to-date cancer detection and WHERE ARE treatment options for lung cancer. The program will WAYS TO COPE explore the causes, symptoms, diagnosis and treat- hroughout life, most people face some type of loss ment for lung cancer. or transition. Losses can occur in many different WE TODAY? To register for this free program, call MidMichigan ways, such as when a person loses a family mem- Health Line at (800) 999-3199, or register online at ber or favorite pet, experiences divorce, changes hey are the words no one wants to hear. “You have www.midmichigan.org/classes. jobs or relocates to a different city. lung cancer.” If you have heard those words from  Wednesday, May 25; 6:30 p.m.; Doherty Hotel in Often these losses can cause feelings of sad- your doctor, you know how frightening they can Clare ness,T anger and confusion. While a multitude of feelings sound. And if a friend or loved one has been diag- are expected, following these steps may help you or some- nosed, you know how overwhelming it can seem.  Coughing up blood or rust-colored phlegm.  Recur- one you know cope: “The prevalence of lung cancer in Michigan ring pneumonia or bronchitis.  Face and neck swelling. Acknowledge the loss or transition. Accepting the andT in Clare County is high,” says Chidambaram Palani, M.D.,  Chest pain.  Appetite and weight loss. situation often proves to be the hardest part. Incorporating of MidMichigan Physicians Group in Clare. “The good news If you experience any of these symptoms, says Dr. Palani, memories or fond thoughts into everyday activities may, at is that it is largely preventable if people do not smoke.” As see your doctor right away. Your doctor will most likely want times, ease some of the burden. Those who have relocated more people stop smoking and better cancer treatments to run some tests—especially if you smoke or have other or lost a loved one may find photos or mementos comfort- are discovered, progress is being made in the fight against risk factors for lung cancer. ing. While the memory can heighten feelings of loss, it may lung cancer. By using tests specific for lung cancer also cause acceptance of the situation. With new treatments and early detection, detection, your doctor can choose the best people with lung cancer have better options treatment for the kind of lung cancer you Join us for “Coping with Life’s in fighting the disease. And new drugs and have. Losses and Transitions” on tests on the horizon could potentially save The most common form of the disease is thousands of lives. called non-small cell lung cancer. It grows Wednesday, May 11, 6:30 p.m. “There are 150 drugs in development for more slowly than small cell lung cancer. Your lung cancer,” says researcher Paul A. Bunn doctor will also use the tests to determine Find someone to confide in and trust. Developing a Jr., M.D., former president of the American what stage the disease is in, or how advanced strong support system—whether it involves close friends, Society of Clinical Oncology. “Some of them it’s become. For example, early-stage lung family members or a counselor—encourages a safe place will undoubtedly become approved drugs for cancer exists only in lung cell layers and has to talk. Expressing true feelings and emotions can be dif- treatment. And they’re going to make survival not spread. In later stages, the cancer may ficult unless the support system is one that can be trusted, better, one drug at a time.” spread to distant parts of the body, such as particularly during such a vulnerable time. Future genetic research will also help the lymph nodes, liver, bones or brain. Write it down. The release of emotions is a vital com- combat lung cancer, Dr. Bunn predicts. And ponent to the grieving process. Many people find comfort researchers hope one day to establish effec- Chidambaram TREATMENT OPTIONS Treatment in expressing their feelings in journals or letters. Writing Palani, M.D., tive screening tests for the disease. internal medicine plans for lung cancer depend on individual down past memories can provide some needed comfort, needs, but the most common involve: especially when talking seems too exhausting. PREVENTION FIRST Smoking cigarettes or other  Surgery to remove the cancer. Identify individual coping mechanisms. No two expe- tobacco products causes nearly 90 percent of cases, the  Chemotherapy drugs to kill cancer cells throughout the riences are the same, and each person copes with different American Lung Association reports. The best way to fight body. situations in very unique ways. Discovering healthy, produc- the disease is to never start smoking—or to quit.  Radiation therapy to kill cancer cells or shrink tumors. tive coping techniques may take time, but most people find Dr. Palani says, “We are beginning to see great strides  Photodynamic therapy to kill cancer cells using lasers. one or two activities that offer some comfort. While some toward reducing smoking, and this will have an impact on Recent studies suggest that some patients may also people become more involved in their spirituality, others the number of lung cancer diagnoses.” benefit from promising new treatments. Dr. Palani recom- choose to engage in a new hobby or physical activity. This is an essential step. Lung cancer is the leading cause mends talking to your physician about the latest treatment of cancer death for men and women in the United States. options. “Clinical trials and new treatments may be available Counselors present ways to cope It kills more people than colon, breast and prostate cancer to patients with lung cancer.” MidMichigan Hospice bereavement counselors Deb combined, according to the American Cancer Society. As improvements in treatment options increase, so will Miller and Ellie Garrett will present “Coping with What makes lung cancer such a deadly disease is that it the number of people who are “former lung cancer patients. Life’s Losses and Transitions.” For more information is often diagnosed late, when treatment is less successful. That is a day to look forward to,” Dr. Palani says. or to register, call MidMichigan Health Line That’s because it doesn’t always cause symptoms in its early Dr. Palani is accepting patients at MidMichigan Medical at (800) 999-3199. stages. When symptoms do strike they include:  Chronic Offices–Clare, 602 Beech St. Call (989) 802-5945 to make  Wednesday, May 11; 6:30 p.m.; MidMichigan coughing.  Shortness of breath, wheezing or hoarseness. an appointment. Medical Offices–Clare, 602 Beech St., Clare

JOIN US FRIDAY, JUNE 24 FIREFLY GOLF TOURNAMENT BENEFITS HOSPICE he eighth annual Firefly Four-Lady Golf Scramble funds provide hospice services, medications and supplies the support we receive from Clare County. Each year, busi- to benefit MidMichigan Hospice will be held Fri- for terminally ill patients in Clare County. nesses and individuals generously donate to the cause. It is a day, June 24, at Firefly Golf Links, 7795 S. Clare MidMichigan Hospice cared for more than 160 patients wonderful feeling to provide a fun event for the community, Ave., north of Clare. The scramble, led by Karen with life-limiting illnesses in Clare County alone last year. while generating support for MidMichigan Hospice at the Jones of Campbell Printing, and co-sponsor The program provides home nursing care, medicine, sup- same time.” Nancy Keenon of Firefly Golf Links, is open to plies and social work support for patients, and respite and For more information about the Firefly Four-Lady Tfour-woman teams and begins at 8:30 a.m. bereavement support for families. Golf Scramble or to make a donation, contact Proceeds from hole sponsorships and raffles are do- Tournament co-founder Karen Jones says, “My co- Karen Jones at 386-3407. To register for the Golf nated to MidMichigan Hospice in Clare County. These founder, Nancy Keenon, and I are absolutely thrilled with Scramble, call 386-3510.

MAY/JUNE/JULY/AUGUST 2005 6 TO YOUR HEALTH WELLNESS

The radiotracer, injected into a vein, emits What does NUCLEAR gamma radiation. diagnose? A gamma MEDICINE camera scans Nuclear medicine can diagnose many different kinds the radiation of diseases, and it can be used to identify abnormal le- area and creates an image. sions deep in the body without more invasive surgery. It can also determine whether or not certain organs are functioning normally. For example, nuclear medicine can determine whether or not the heart can pump blood adequately, if the brain is receiving an adequate blood supply, and if the brain cells are functioning properly. Nuclear medicine can also determine whether or not the kidneys are functioning normally, and whether the stomach is emptying properly. It can determine a NUCLEAR MEDICINE patient’s blood volume, lung function, vitamin absorp- tion and bone density. Nuclear medicine can locate the smallest bone fracture before it can be seen on an SAFE AND PAINLESS DIAGNOSIS x-ray. It can also identify sites of seizures, Parkinson’s idMichigan Medical Center–Gladwin recently This combination is a called a radiopharmaceutical. There disease and Alzheimer’s disease. After a heart attack, added nuclear medicine to its menu of imag- are many different radiopharmaceuticals available to study ing services. Nuclear medicine is a medical different parts of the body. nuclear medicine procedures can assess the damage specialty that is used to diagnose and treat Radiopharmaceuticals can be introduced into the to the heart. Nuclear medicine can find cancers and diseases in a safe and painless way. patient’s body by injection, swallowing or inhalation. The determine whether they are responding to treatment. Nuclear medicine procedures help doc- amount given is very small and is designed to go to a spe- Mtors find medical information that would otherwise have cific place in the body where there could be disease or an of reaction is two to three incidents per 100,000 injections to be found through surgery or more expensive tests. The abnormality. The radiation emitted is then detected using (more than 50 percent of these reactions are rashes) as procedures can often identify abnormalities very early in a special tool called a gamma camera, which shows what compared to 200 to 300 per 100,000 injections of x-ray the development of a disease—long before some medical is happening inside your body. contrast media. problems are apparent with other diagnostic tests. This During the imaging procedure, the patient lies on a bed Nearly 18 million nuclear medicine procedures are early detection allows a disease to be treated sooner, when and then the camera is placed a few inches over the patient’s performed in the United States every year; nearly that a more successful outcome may be possible. body. Images are taken over the next few minutes, which many additional procedures are performed in the rest of are then reviewed by a radiologist. the world, and the number is increasing. WHAT IS NUCLEAR MEDICINE? Nuclear medi- Nuclear medicine imaging is very safe and has been If your physician orders nuclear medicine testing for cine refers to medicine (a pharmaceutical) that is attached used longer than computerized tomography (CT), mag- you, ask to have it done close to home at MidMichigan to a small quantity of radioactive material (a radioisotope). netic resonance imaging (MRI) and ultrasound. The risk Medical Center–Gladwin.

GENERAL SURGEON Golf scramble benefits Auxiliary The 38th annual “Doe Day” golf scramble is spon- sored by the MidMichigan Medical Center–Gladwin WELCOME DR. PATACSIL Auxiliary. The cost is $200 per four-person team. This obert Patacsil, D.O., F.A.C.O.S., is the newest College in South Haven, includes 18 holes of golf, two golf carts, coffee and physician to receive active staff privileges at Michigan. doughnuts, prizes, and lunch. All proceeds will be MidMichigan Medical Center–Gladwin. A gen- A member of Mid- used by the Auxiliary to purchase medical equipment eral surgeon, Dr. Patacsil developed an interest in Michigan Physicians Group, for the Medical Center. medicine while with emergency medical services Dr. Patacsil provides general Call 246-6283 to register. The first 36 teams will in San Francisco. surgery at MidMichigan be accepted. R“I encountered a lot of trauma during my EMT days,” Medical Center–Gladwin, Dr. Patacsil says. “I was influenced by several surgeons I and is in an on-call rota- Robert M. Patacsil, D.O.,  Wednesday, August 3 (rain or shine); admired, and that led me to pursue a career in surgery.” tion with Barbara Miller, F.A.C.O.S., general Registration: 7 to 7:45 a.m.; Tee-off: 8 a.m.; surgeon Dr. Patacsil graduated from the University of San Fran- M.D. He is licensed in the Gladwin Heights Golf Course cisco in California with a bachelor of science degree in biol- state of Michigan and is certified with the American Os- ogy. He worked for several years with emergency medical teopathic Board of Surgery. services in the San Francisco Bay area while also doing Dr. Patacsil holds professional memberships in numer- master’s research. ous organizations, and has interests in a range of medical Dr. Patacsil studied medicine at Michigan State Univer- specialties, including breast disease, burn trauma/wound sity, where he graduated from the College of Osteopathic care, surgical critical care and laparoscopic procedures. Medicine. He completed an internship at Metropolitan He says he wants his patients to feel comfortable asking Hospital in Grand Rapids, Michigan, and a residency in questions and to feel confident that they have a competent general surgery at Botsford General Hospital in Farmington surgeon who cares about them. Hills, Michigan. To schedule an appointment or to discuss your surgical Prior to coming to MidMichigan, Dr. Patacsil practiced as needs, call Dr. Patacsil’s MidMichigan Physicians Group a surgeon in Harrisburg, Pennsylvania, and throughout the office at (989) 246-6450. His office is located at southwestern region of Michigan. He has taught anatomy MidMichigan Medical Offices–Gladwin, and physiology to nursing students at both the University 609 Quarter St. in Gladwin. For more information, of San Francisco, and the new Lake Michigan Community visit www.midmichigan.org/doctors.

MAY/JUNE/JULY/AUGUST 2005 3 TO YOUR HEALTH WELLNESS

Gladwin Pines ad- ministrator Shawn LOSS AND TRANSITION Coughlin brings experience to his position, and he WAYS TO COPE brings Sparty, his nursing home therapy dog.. hroughout life, most people face some type of loss or transition. Losses can occur in many different ways, such as when a person loses a family mem- ber or favorite pet, experiences divorce, changes jobs or relocates to a different city. Often these losses can cause feelings of sadness, anger and confusion.T While a multitude of feelings are expected, fol- lowing these steps may help you or someone you know cope: Acknowledge the loss or transition. Accepting the situation often proves to be the hardest part. Incorporating memories or fond thoughts into everyday activities may, at times, ease some of the burden. Those who have relocated or lost a loved one may find photos or mementos comfort- ing. While the memory can heighten feelings of loss, it may also cause acceptance of the situation. Find someone to confide in and trust. Developing a GLADWINGLADWIN strong support system—whether it involves close friends, family members or a counselor—encourages a safe place to talk. Expressing true feelings and emotions can be dif- PINESPINES ficult unless the support system is one that can be trusted, particularly during such a vulnerable time. Write it down. The release of emotions is a vital com- ponent to the grieving process. Many people find comfort WELCOMESWELCOMES in expressing their feelings in journals or letters. Writing down past memories can provide some needed comfort, especially when talking seems too exhausting. NEWNEW ADMINISTRATORADMINISTRATOR Identify individual coping mechanisms. No two expe- riences are the same, and each person copes with different hawn Coughlin recently joined MidMichigan team of professionals who are totally committed to provid- situations in very unique ways. Discovering healthy, produc- Gladwin Pines as administrator. He brings con- ing quality care to our residents.” tive coping techniques may take time, but most people find siderable experience to the position, having been Coughlin attended Ferris State University in Big Rapids, one or two activities that offer some comfort. While some the administrator of Hoyt Nursing and Rehabili- Michigan, where he received a bachelor of science degree people become more involved in their spirituality, others tation Centre in Saginaw since 2002. in health care administration. choose to engage in a new hobby or physical activity. Coughlin was the administrator of Heartland Coughlin and his wife, Jenean, have three children: SHealth Care Center–Briarwood in Flint, Michigan, from Carlee, Ben and Bryce. The family dog, Sparty, has been Counselors present ways to cope 1995 to 2002. His first administrative position was at the a nursing home therapy dog for nine years and visits the MidMichigan Hospice bereavement counselors Deb Gladwin Rehabilitation and Nursing Centre, where he residents of MidMichigan Gladwin Pines daily. Coughlin Miller and Ellie Garrett will present “Coping with worked from 1991 to 1995. enjoys hunting and being outdoors. Life’s Losses and Transitions.” For more information “I am in the process of meeting and becoming ac- MidMichigan Gladwin Pines is a 120-bed nursing home or to register, call MidMichigan Health Line at (800) quainted with residents, their family members and all located adjacent to MidMichigan Medical Center–Gladwin. 999-3199. staff,” Coughlin says. “Although relatively new to the job, For more information, call MidMichigan Gladwin Pines at  Tuesday, May 17; 6:30 p.m.; MidMichigan I can already see that I am working with an outstanding (989) 426-3430, or visit www.midmichigan.org/pines. Medical Center–Gladwin, 515 Quarter St., Gladwin ORGAN DONORS WILL BE HONORED FRIDAY, JULY 8 HONORING THOSE WHO HAVE GIVEN Gift of Life rose-planting ceremony is scheduled Gift of Life, the Michigan organ and tissue donation tion of health care professionals and interested parties to take place on Friday, July 8, at 1 p.m. in the program, is a nonprofit, independent corporation certified that supports philanthropic and educational foundation living garden at MidMichigan Medical Center– by Medicare and designated by the Centers for Medicare to Gift of Life. Gladwin. and Medicaid Services as an organ recovery organization People of all ages and medical histories should consider This ceremony is designed to remember for Michigan. themselves as potential organ, tissue and eye donors. A and honor past organ donors as well as to raise Gift of Life works with the donor hospital and the trans- person’s medical condition at time of death will determine Aawareness for the need of more people to become donors. plant center by providing all of the services necessary for what can be donated. Various dignitaries will be present, and the public is wel- organ and tissue donation. Because of the critical need for more deceased donors, come to attend. The organization was incorporated in 1971 by transplant there is a growing number of living donors. Living donation Currently there are more than 2,500 Michigan residents surgeons in Michigan in order to have a central coordina- includes a kidney, part of a lung or part of a liver. waiting for transplants of organs such as kidneys, hearts, tion network for sharing kidneys. If you are interested in becoming a donor, call Gift of Life lungs, livers and pancreas. Every day hundreds of people in As transplant surgery was developed for other organs, at (800) 482-4881 or visit www.giftoflifemichigan.org. our state are in need of other tissues, such as heart valves, Gift of Life also became responsible for recovering those For more information about the rose-planting veins, tendons, bone and corneas, in order to survive or organs. Gift of Life maintains an affiliate relationship with ceremony in July, call (989) 426-4715 or (989) maintain their quality of life. Gift of Life Foundation, a nonprofit membership corpora- 435-2047.

MAY/JUNE/JULY/AUGUST 2005 6 TO YOUR HEALTH W ELLNESS

LOSS AND TRANSITION WAYS TO COPE

MidMichigan hroughout life, most people face some type of Physicians Group loss or transition. Losses can occur in many dif- OB/GYN Renee ferent ways, such as when a person loses a family Sundstrom, D.O., member, experiences divorce or changes jobs. and mother-to-be Angela Penning- These losses can cause feelings of sadness, anger ton discuss how and confusion. These steps may help you cope: to have a healthy TAcknowledge the loss or transition. Accepting the pregnancy. situation often proves to be the hardest part. Incorporating memories or fond thoughts into everyday activities may, at times, ease some of the burden. Those who have relocated or lost a loved one may find photos or mementos comfort- ing. While the memory can heighten feelings of loss, it may TIPSTIPS FORFOR AA also cause acceptance of the situation. Find someone to confide in and trust. Developing a strong support system—whether it involves close friends, HEALTHY PREGNANCY family members or a counselor—encourages a safe place HEALTHY PREGNANCY to talk. Expressing true feelings and emotions can be dif- HEALTH PARK SPECIALIST OFFERS  Ask your doctor about prescription medicines and ficult unless the support system is one that can be trusted, herbal remedies. Some may cause problems during particularly during such a vulnerable time. ADVICE FOR MOMS-TO-BE pregnancy. Write it down. The release of emotions is a vital com- f you’re planning to become pregnant, you can give your  Have a pre-pregnancy checkup. This is a good way to make ponent to the grieving process. Many people find comfort baby a very early healthy start by being healthy when sure that you’re healthy before you become pregnant. in expressing their feelings in journals or letters. Writing you become pregnant,” says Health Park obstetrician/ down past memories can provide some needed comfort, gynecologist Renee Sundstrom, D.O. WHEN YOU THINK YOU’RE PREGNANT Call especially when talking seems too exhausting. For women planning to have a baby, she recom- your doctor as soon as you think you might be pregnant. A Identify individual coping mechanisms. No two expe- mends the following steps: physical exam early in your pregnancy may include family riences are the same, and each person copes with different I Take off extra pounds before becoming pregnant. Being history, medical history, height and weight measurements, situations in very unique ways. Discovering healthy, produc- overweight during pregnancy can cause high blood pressure blood pressure exam, pelvic exam, and blood and urine tive coping techniques may take time, but most people find and diabetes. Do not take off too much weight because be- tests. This is a good time to ask questions of your physi- one or two activities that offer some comfort. While some ing thin may raise the chance of having a baby whose birth cian about pregnancy. Consider discussing:  Pregnancy people become more involved in their spirituality, others weight is low. Never diet during pregnancy. discomforts such as nausea, sleepiness, backache, consti- choose to engage in a new hobby or physical activity.  If you smoke, quit before you become pregnant. Avoid pation, indigestion, inability to sleep and ways to relieve secondhand smoke. Smoking increases the chance of mis- these symptoms.  Emotional changes you can expect, Counselors present ways to cope carriage, premature delivery and low-birth-weight babies. including mood swings and irritability.  Your relationship MidMichigan Hospice bereavement counselors Deb  Don’t drink or use illegal drugs. During the early months with your partner.  Childbirth and breastfeeding classes. of pregnancy it can cause birth defects, premature birth or  What to expect during labor and delivery. Miller and Ellie Garrett will present “Coping with Life’s miscarriage. Dr. Sundstrom practices with Lydia Watson, M.D.; Cheryl Losses and Transitions.” For more information or to reg-  Take folic acid. Dr. Sundstrom recommends taking a Dwyer, D.O.; Shirley Layko, M.D.; and Jennifer Glance, D.O.; ister, call MidMichigan Health Line at (800) 999-3199. prenatal vitamin with 1 milligram of folic acid. This im- in The Women’s Practice, which schedules appointments at  Wednesday, May 18; 6:30 p.m.; MidMichigan portant mineral helps prevent birth defects of the spine MidMichigan Health Park–Mt. Pleasant. Health Park–Mt. Pleasant, 4851 E. Pickard Road, and brain. To schedule an appointment, call (989) 837-9400. Mt. Pleasant

when the nerve in the tarsal tunnel is pinched, which can cause burning or jabbing sensations in the heel and arch. Other less common heel injuries include: RELIEF FOR SORE FEET Haglund’s deformity, which is a bony outgrowth on the HEEL PAIN IS A COMMON, may go away with walking, upper back of the heel bone. This may be felt when shoes BUT TREATABLE, AILMENT but might return after con- rub against the back of the heel. tinued movement. Stress fracture, which is a crack in the heel bone. It may t may start with a dull ache and worsen as the day Tendonitis. Common cause pain during extended activities. goes on. For some people, it may be a sharp pain that sites for tendonitis are the “We have many resources for the treatment of heel pain,” is felt while walking. For others, it is at its worst in the Achilles tendon, which is Dr. Snider says. Immediate care may start with rest, icing morning upon rising from bed. located in the back of the leg to reduce swelling and elevating the affected foot. Physi- Heel pain is a common ailment that can be caused and attached to the heel and David Snider, D.P.M., cal therapy, medications and exercise may be prescribed. by wearing poor shoes, improper foot function or from the posterior tibia tendon. podiatrist Custom-made shoe inserts often provide lasting comfort. Ibeing overweight, says MidMichigan podiatrist David The posterior tibia tendon is Sometimes surgery is required to release pinched nerves Snider, M.D., of Midland Podiatry Associates. located along the inside portion of the foot and functions as and tight ligaments or to smooth bone spurs. “Walking has become a popular exercise,” he says. As a a support of the arch. In the meantime, if you’re beginning a walking result, “We are noting more frequent heel pain complaints.” Heel spurs. These bony outgrowths at the base of the program, be sure to wear shoes that provide side-to-side heel bone cause pain on the bottom of the heel. The pain support and a strong arch. Doctors David Snider, D.P.M., COMMON INJURIES Some common foot injuries are: is caused when the spur pinches a nerve or presses against and Todd Laughner, D.P.M., see patients at MidMichigan Plantar fasciitis. The inflammation of this ligament, the plantar bursa. This pain may be felt upon rising from Health Park–Mt. Pleasant, located at 4851 E. Pickard St. To which runs from the heel to the ball of the foot, may be a sitting position. learn more about Dr. Snider and Midland Podiatry Associ- felt in the bottom or inside of the heel when standing. It Tarsal tunnel syndrome. This inflammation is caused ates, call 631-8200 or go to www.midmichigan.org/doctors.

MAY/JUNE/JULY/AUGUST 2005 6 TO YOUR HEALTH WELLNESS

LUNG CANCER WHERE ARE WE TODAY? hey are the words no one wants to hear. “You have lung cancer.” If you Get the latest information have heard those words from your Internal medicine physician Chidambaram doctor, you know how frightening Palani, M.D., will present the most up- they can sound. And if a friend or to-date cancer detection and treatment loved one has been diagnosed, you options for lung cancer. The program knowT how overwhelming it can seem. will explore the causes, symptoms, “The prevalence of lung cancer in Michi- diagnosis and treatment for lung cancer. gan is high,” says Chidambaram Palani, M.D., To register for this free program, call of MidMichigan Physicians Group in Clare. MidMichigan Health Line at (800) “The good news is that it is largely prevent- able if people do not smoke.” As more people 999-3199, or register online at stop smoking and better cancer treatments www.midmichigan.org/classes. are discovered, progress is being made in the  Wednesday, May 25; 6:30 p.m.; Chidambaram Palani, Doherty Hotel in Clare fight against lung cancer. M.D., internal medicine With new treatments and early detection, people with lung cancer have better options If you experience any of these symptoms, says Dr. Palani, in fighting the disease. And new drugs and tests on the ho- see your doctor right away. Your doctor will most likely want rizon could potentially save thousands of lives. to run some tests—especially if you smoke or have other “There are 150 drugs in development for lung cancer,” risk factors for lung cancer. says researcher Paul A. Bunn Jr., M.D., former president of By using tests specific for lung cancer detection, your the American Society of Clinical Oncology. “Some of them doctor can choose the best treatment for the kind of lung will undoubtedly become approved drugs for treatment. And cancer you have. The most common form of the disease is they’re going to make survival better, one drug at a time.” called non-small cell lung cancer. It grows more slowly than Future genetic research will also help combat lung small cell lung cancer. Your doctor will also use the tests to cancer, Dr. Bunn predicts. And researchers hope one day to determine what stage the disease is in, or how advanced it’s establish effective screening tests for the disease. become. For example, early-stage lung cancer exists only in lung cell layers and has not spread. In later stages, the cancer PREVENTION FIRST Smoking cigarettes or other may spread to distant parts of the body, such as the lymph WELCOME tobacco products causes nearly 90 percent of cases, the nodes, liver, bones or brain. American Lung Association reports. The best way to fight the disease is to never start smoking—or to quit. TREATMENT OPTIONS Treatment plans for lung DR. YACISEN Dr. Palani says, “We are beginning to see great strides cancer depend on individual needs, but the most common NEW ORTHOPEDIC SURGEON toward reducing smoking, and this will have an impact on involve: SPECIALIZES IN SPORTS MEDICINE the number of lung cancer diagnoses.”  Surgery to remove the cancer. This is an essential step. Lung cancer is the leading cause  Chemotherapy drugs to kill cancer cells throughout the rthopedic surgeon and sports medicine special- of cancer death for men and women in the United States. body. ist Joseph R. Yacisen, D.O., is now seeing patients It kills more people than colon, breast and prostate cancer  Radiation therapy to kill cancer cells or shrink tumors. at MidMichigan Health Park–Houghton Lake, combined, according to the American Cancer Society.  Photodynamic therapy to kill cancer cells using lasers. MidMichigan Medical Offices–Roscommon What makes lung cancer such a deadly disease is that it Recent studies suggest that some patients may also and MidMichigan Medical Offices–Clare. is often diagnosed late, when treatment is less successful. benefit from promising new treatments. Dr. Palani recom- After graduating from Nova-Southeastern That’s because it doesn’t always cause symptoms in its early mends talking to your physician about the latest treatment OUniversity in Davies, Florida, Dr. Yacisen completed an stages. When symptoms do strike they include: options. “Clinical trials and new treatments may be available internship and four-year orthopedic residency program  Chronic coughing. to patients with lung cancer,” he says. at Genesys Regional Medical  Shortness of breath, wheezing or hoarseness. As improvements in treatment options increase, so will Center in Flint, Michigan.  Coughing up blood or rust-colored phlegm. the number of people who are “former lung cancer patients. He then completed a sports  Recurring pneumonia or bronchitis. That is a day to look forward to,” Dr. Palani says. medicine fellowship at New  Face and neck swelling. Dr. Palani is accepting patients at MidMichigan Medical England Baptist Hospital in  Chest pain. Offices–Clare, 602 Beech St. Call(989) 802-5945 to schedule Boston. During his fellow-  Appetite and weight loss. an appointment. ship training, Dr. Yacisen also worked with the Na- tional Basketball Association (NBA), where he cared for players from several teams. Following three years of service in the United States Navy as a staff orthopedic surgeon, Dr. Yacisen began Joseph Yacisen, D.O., his orthopedic practice in orthopedic surgeon Grayling in 2002. He looks forward to expanded service to the residents of central and northern Michigan. To make an appointment, call (989) 422-BONE (2663).

MAY/JUNE/JULY/AUGUST 2005 3 TO YOUR HEALTH W ELLNESS

LOSS AND TRANSITION WAYS TO COPE hroughout life, most people face some type of loss or transition. Losses can occur in many different ways, such as when a person loses a family mem- ber or favorite pet, experiences divorce, changes jobs or relocates to a different city. Often these losses can cause feelings of sad- ness,T anger and confusion. While a multitude of feelings are expected, following these steps may help you or some- one you know cope: Acknowledge the loss or transition. Accepting the situation often proves to be the hardest part. Incorporating memories or fond thoughts into everyday activities may, at times, ease some of the burden. Those who have relocated or lost a loved one may find photos or mementos comfort- ing. While the memory can heighten feelings of loss, it may also cause acceptance of the situation. Find someone to confide in and trust. Developing a strong support system—whether it involves close friends, SAVE ON MEDICATIONS family members or a counselor—encourages a safe place to talk. Expressing true feelings and emotions can be dif- PRESCRIPTION ASSISTANCE physicians also may be eligible if they are regular primary ficult unless the support system is one that can be trusted, DISCOUNT PROGRAM BEGINS care users from one of the approved facilities. particularly during such a vulnerable time. Insurance coverage does not matter, except that patients Write it down. The release of emotions is a vital com- IN ROSCOMMON COUNTY covered under Medicaid fee for service are not eligible due ponent to the grieving process. Many people find comfort atients of MidMichigan Health Park–Houghton to a separate governmental program for these people. in expressing their feelings in journals or letters. Writing Lake and MidMichigan Medical Offices–Roscom- Patients covered under Medicaid-managed care plans are down past memories can provide some needed comfort, mon are now able to get medications at a consid- eligible. especially when talking seems too exhausting. erable cost savings through a special prescription Following federal guidelines, qualified entities must Identify individual coping mechanisms. No two expe- assistance discount program. either have a licensed pharmacy on-site or contract with riences are the same, and each person copes with different Through this program, called PAD (Prescrip- a licensed pharmacy. Locally, the organization has entered situations in very unique ways. Discovering healthy, produc- Ption Assistance Discounts), the costs of prescription medi- into a contract with Kronner Pharmacy to dispense the tive coping techniques may take time, but most people find cations are often considerably less than average retail. prescribed medications under this agreement. Kronner one or two activities that offer some comfort. While some The goal of PAD is to help all patients to lower their Pharmacy is located at 778 West Houghton Lake Drive, people become more involved in their spirituality, others medication costs, particularly those who have little to no Prudenville. choose to engage in a new hobby or physical activity. drug coverage and low income. While all eligible patients This program is made possible through federal legis- will receive a discount below average retail, people without lation and guidelines (Section 340b of the Public Health Counselors present ways to cope insurance or with a low income may receive larger discounts. Service Act), and is only available to certain federally MidMichigan Hospice bereavement counselors Deb Miller supported agencies or health providers. As MidMichigan and Ellie Garrett will present “Coping with Life’s Losses WHO IS ELIGIBLE? To be eligible for discounts un- Health Park–Houghton Lake and MidMichigan Medical der this program, a patient must see and receive a prescrip- Offices–Roscommon are part of a federally qualified health and Transitions.” For more information or to register, tion from one of the providers at either MidMichigan Health center, the organization was able to become one of 10,000 call MidMichigan Health Line at (800) 999-3199. Park–Houghton Lake, MidMichigan Urgent Care–Hough- certified 340b participants nationwide.  Wednesday, May 25; 6:30 p.m.; MidMichigan ton Lake or MidMichigan Medical Offices–Roscommon. If you have questions about the new PAD program, call Health Park–Houghton Lake, 9249 W. Lake City Patients with prescriptions from other specialty referral Darrell E. Milner, executive director, at (989) 422-5148. Road in Houghton Lake

FREE HEALTH FAIR JUNE 15 SENIOR LIFE WITH STYLE ark your calendars now and join in on the (“good” cholesterol), LDL (“bad” cholesterol) and VLDL fun at the 23rd annual Senior Life With Style. cholesterol. Participants are encouraged to fast overnight This health fair will be held on Wednesday, to ensure accurate results. June 15, from 8:30 a.m. to 12:30 p.m., at the Activities will include a keynote address titled “Preserv- Quality Inn, located adjacent to the U.S. 27 ing Vision for a Lifetime” by ophthalmologist Thomas V. and M-55 intersection. The event is spon- Claringbold II, D.O. Family practitioner Jeffrey Stickler, M.D., Viguilla, M.D., will provide skin cancer screenings, Touseef Msored by MidMichigan Health Park–Houghton Lake and will serve as program moderator. Dr. Claringbold’s presenta- Rehman, M.D., will answer internal medicine questions and MidMichigan Medical Offices–Roscommon. tion will address four especially serious and surprisingly provide a memory screening, and Kevin Denlinger, D.O., The health fair will offer more than a dozen health common diseases associated with aging eyes: macular de- will be with the Alzheimer’s Association. screenings, including blood pressure, balance testing, generation, glaucoma, cataracts and diabetic retinopathy. Health exhibits, door prizes and refreshments will help headache, sleep, memory, diabetes, vision and skin cancer. MidMichigan physicians Rafael Quiñones, M.D., general round out the educational and fun-filled morning. Participants will also have an opportunity to have their surgeon; Ravinder Jarial, D.O., general surgeon; and Joseph Although the event is free, registration is requested. You blood tested for a full lipid profile. A lipid profile provides R. Yacisen, D.O., orthopedic surgeon, will answer questions can register by calling MidMichigan Health Line at (800) information on cholesterol including triglicerides, HDL about general and orthopedic surgeries. Also, Roberto 999-3199 or visiting www.midmichigan.org/classes.

MAY/JUNE/JULY/AUGUST 2005 6 TO YOUR HEALTH