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MILLIONS OF AMERICANS HAVE ESSENTIAL TREMOR. IT IS THE MOST COMMON MOVE-MENT DISORDER WORLDWIDE; YET MOSTpeople have never heard of it. According to the International Essential Tremor Foundation, only a small percentage of people with this condition get medical help.

WhaT is essenTial TreMor? Essential tremor is uncon-trollable shaking, usually in the hands and forearms. The head may also move in a “yes or no” direction, and the voice may tremble. It occurs when muscles are in use, and it often shows up with actions such as lifting a fork or pouring into a cup.

The cause is unclear, but experts believe that it is related to abnormal communications between certain areas of the brain.

Most people with essential tremor have a family history of the condition, but the risk of developing the disorder increases with age. Twenty percent of people over 60 may have it, but younger adults and even children can have essential tremor. It affects men and women equally.

“The symptoms can truly make patients feel imprisoned by the things they can no longer do,” says Mark Jones, M.D., a neurosurgeon at Mid-Michigan Medical Center–Midland. “In fact, many people with essential tremor suffer from social embarrassment, and some retire early because

of functional diffi culties.”

hoW is iT TreaTed? People with mild tremor may not need treatment. For more severe tremor, medications may provide relief. But drugs won’t stop the tremor completely, and about half of all patients have symptoms that are not helped by medication.

Fortunately, a procedure now available at Mid-Michigan Medical Center–Midland offers new hope and improved quality of life for these patients.

Deep brain stimulation is a surgical option that involves implanting electrical leads in the motor control centers of the brain. These leads are then connected by wires under the skin to a pacemaker-like device called a neurostimulator.

The neurostimulator delivers electrical impulses that interrupt abnormal brain activity and provide symptom relief. They can be adjusted throughout the patient’s lifetime via a remote control programming device.

A worldwide clinical study found that the majority of essential tremor patients who had deep brain stimulation experienced signifi cant, usually im-mediate relief and improvement in performing activities of daily living.

MidMichigan Medical Center–Midland is the only provider in the region to offer this treatment. The surgery is performed by Mark Jones, M.D., who has more than 15 years of experience.

learn More If you are experiencing tremors that do not respond to medication, talk to your neurologist about whether this surgery may be right for you. If you do not have a neurologist, call MidMichigan Health Line toll-free at (800) 999-3199 for a referral or visit www.midmichigan.org/dbs.You may also wish to attend our free education program on deep brain stimulation on October 14. Please see page 4 for details.

Mark Jones, M.D.

neW hopei aM living My life againWithin a year of getting essential tremor, i was shaking so badly that i couldn’t paint, crochet or decorate cakes. My husband and i went out to eat at the casino, and i spilled my water. After that, i didn’t want to go out in public.

surenda Kaul, M.D., my neurologist at Mid-Michigan Medical cen-ter in Midland, had me try every possible medi-cation. He fi nally sent me to a neurosurgeon, Mark Jones, M.D., who told me about deep brain stimulation. Dr. Jones said i would be the fi rst patient to have it done at Mid-Michigan, but that was fi ne with me. i refused to go to Detroit and feel like a statistic.

i had tremors on both sides, so Dr. Jones performed deep brain stimulation on both sides.

Now, i’m back to do-ing all the crafts i love. And for our 59th an-niversary, my husband and i went to the casino for my favorite prime rib sandwich.

To learn more about whether this surgery is right for you, call (800) 999-3199 or visit www.midmichigan.org/dbs.

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Deep brain stimulation helps control symptoms of essential tremor by interrupting abnormal brain activity.

deep brain sTiMUlaTion offers

for essenTial TreMor

s e p t e m b e r / o c t o b e r 2 0 0 6 � t o y o u r h e a l t h

S e r v i c e S

TesTing The hearT

idMichigan offers a wide range of heart and vascular testing in convenient locations throughout the middle of Michigan. The table on the right shows some of the most com-monly used cardiology diagnostic tests and where they are available. These tests typically

require a doctor’s order.“Preventing heart disease is optimal,” says Rodney

Diehl, D.O., a cardiologist with Michigan Cardio-Vascular Institute who practices at MidMichigan Medical Center–Midland and MidMichigan Health Park–Mt. Pleasant. “How-ever, once diagnosed, we need to monitor the disease and tailor treat-ments. Having testing equipment and exper-tise available close to where the patients live is invaluable.”

According to Abraham Krepostman, M.D., medical di-rector of cardiovascular services at Gratiot Medical Center in Alma, “The earlier we can detect coronary artery disease, the better we can say how threatening it is to a person’s life. Early detection is the key.”

For more information about heart disease or to be re-ferred to a MidMichigan cardiologist, call the MidMichigan Health Line toll-free at (800) 999-3199.

Heart services available at MidMichigan

Alma Clare Gladwin Houghton

Lake

Midland Mt.

Pleasant

Ambulatory blood

pressure test

Records blood pressure

during a 24-hour period

X X X X

Cardiac

catheterization

Locates blockages or nar-

rowing in coronary artery

X X

Cardiolite®

Myoview™ or

Thallium

Checks heart function

before and after exercise

X X X X X

Echocardiogram Examines heart muscles

and valves

X X X X X X

Electrocardiogram

(ECG or EKG)

Detects abnormal rhythms

and heart damage

X X X X X X

Holter monitor

and event

recorder

Records heart activity


or longer

X X X X X X

Stress

echocardiogram

Detects abnormal changes

in the motion of the heart

X X X X

Transesophageal

echocardiogram

(TEE)

Takes images of the heart

from inside the esophagus

X X X

Tilt table test Examines blood pressure

between the heart and the

brain

X X

Treadmill test Detects ischemia (areas of

poor blood supply)

X X X X X X

Vascular

ultrasound

Detects blood clots and

other blockages

X X X X X X

M

idMichigan Medical Center–Midland offers a network of convenient diagnostic services sites right in your own back yard. Laboratory testing, general X-ray and ultrasound, and even physical therapy are services that can be found just around the corner in order to

help your physician facilitate diagnoses and treatments quickly and efficiently.

local diagnosTic services availableL A b o R A T o R y T E S T i n G

n orchard building Lab at MidMichigan Medical

Center–Midland, 4005 orchard Drive

n Wackerly outpatient Lab at Midland Professional

Suites, 555 W. Wackerly Road

n Medical offices Lab at MidMichigan Medical

offices–Midland

n Campus Ridge Lab at MidMichigan Medical

offices–Campus Ridge, 4401 Campus Ridge Drive

M A M M o G R A P H y

n MidMichigan Medical Center–Midland, Center for

Women’s Health, 2600 McCandless Drive

n Wackerly imaging Center at MidMichigan Profes-

sional Suites, 555 W. Wackerly, Suite 1725

i M A G i n G S E R V i C E S

n MidMichigan Medical Center–Midland,

4005 orchard Drive

n Wackerly imaging Center at Midland Professional

Suites, 555 W. Wackerly, Suite 1725

R E H A b i L i T A T i o n S E R V i C E S

n MidMichigan Medical offices–Campus Ridge,

4401 Campus Ridge Drive

n Hangtime Sports, 1321 E. Wackerly Road

n MidMichigan Medical Center–Midland,

4005 orchard Drive

n Midland Professional Suites, 555 W. Wackerly Road

if you have questions or would like more informa-

tion, call MidMichigan Health Line at (989)837-9090

or toll-free at (800)999-3199.

M

s e p t e m b e r / o c t o b e r 2 0 0 6 3 t o y o u r h e a l t h

Teachers: Free stroke education kits for kidsMost people think that stroke only happens to older people. Yet a stroke can happen to anyone at any age, including children. As our population ages, young people are also spending more time than ever with older adults. It is in-creasingly likely that a school-aged child will be the only one in the home who can react quickly and dial 911 when an older person has a stroke.

That’s why MidMichigan Medical Center–Midland has de-veloped a Do-It-Yourself Stroke Education Kit for teachers of grades 6 through 12. The kits include an entertaining eight-minute animated DVD, a teacher’s guide and sample lesson plan, a quiz and answer key, student handouts, discussion

questions with optional writing prompts, a stroke fact sheet, frequently asked questions and an educational poster.

Students will learn the simple “Smile, Reach, Speech” test to recognize stroke, to dial 911 if someone is having a stroke and much more.

Teachers may request a free kit through Mid-Michigan Health Line at (989) 837-9090 or online at www.midmichigan.org/strokekit.

Digital MaMMography

The better choice for some womenPhotographs taken with a digital camera can be enhanced at the computer, or even the drug store photo counter. Digital mammography uses the same principles to better detect breast cancer in some women.

With a digital image, a radiologist can zoom in on an area of concern, make a vague detail stand out or use soft-ware for more sophisticated analysis. Both the Center for Women’s Health, on the campus of MidMichigan Medical Center–Midland, and MidMichigan Medical Center– Gladwin have ordered digital mammography equipment and expect to offer this technology in early 2007.

better views of dense breast tissue According to a recent clinical trial sponsored by the National Cancer Institute (NCI), results showed that digital mammography helped spot cancer among women who: F Were under age 50 F Were pre- or perimenopausal F Had dense breast tissue.

According to the NCI, there is no apparent benefit of digital over film mammography for women who fit ALL of these categories: F Are over age 50 F Do not have dense or very dense breast tissue F Are not still menstruating.

same procedure, no processing From the patient’s point of view, the procedure is the same for a film or digital mammogram. Both create images from low-energy X-ray beams that pass through breast tissue.

Digital imaging has these other advantages:l The images can be digitally stored and sent electronically to other locations.l There is no processing, no need for processing equip-ment, no time or expertise required to maintain it, and no retakes because of processing problems.l There is more flexibility for positioning the patient dur-ing the mammograms, and therefore fewer retakes.

What should you do? A prior mammogram can show whether you have dense breasts. If you have questions about breast density, you can discuss it with your primary care physician. Women should not delay or repeat regularly scheduled mammograms to have a digital mammogram.

AGP & Associates, inc.Alert Medical care, inc.

All systems Go, inc.American venture capital co.

AMPM, inc.Angel Heart studio

Arnold center, inc.Behavioral Medicine Associates of

MidMichiganBierlein environmental

services, inc.Bolger + Battle

Branson Builderscarlson Marcy, D.v.M.

cBM services, inc.ccs capitol communi- cation systems, inc.

chemloc, inc.christopher & Banks circle Auto Parts, inc.

circle Travelcity of Midland

contours expresscr Microfilm center, inc.

David J. Jackson Agency, inc.Dendritech, inc.

Dion’s vinyl repairDow corning

Dow GardensHangups

Health enhancement systemsHovey electric, inc.

Hoyle Athletic supply, inc.

By teaching employees about stroke, 62 area busi-

nesses are saving lives, preventing disabilities and

encouraging healthy lifestyles.

recent statistics show that Midland county has a

higher-than-average stroke death rate, and that area

residents aren’t dialing 911 in life-threatening stroke-

related emergencies. These businesses have accepted

a countywide “Healthy Workplace challenge” to present

an 8-minute video and educational material to their

employees, designed to help them recognize the warning

signs of a stroke and the importance of dialing 911.

That makes us smile, because we believe by working

together we can reduce death and disability caused by

stroke right here in Midland county.

it’s not too late to participate in the Healthy Workplace Challenge. To request a FREE Do-it-yourself

Stroke Education Kit for your business or civic group, call MidMichigan Health Line at

(989)837-9090 or toll-free at (800)999-3199 or visit www.midmichigan.org/strokekit.

A reason to smile

Jack Pine BuildersJanet Asphalt companyJanet Danek Design, inc.Lil’ chef restaurant Mcvittie construction, inc.

Metropolitan Appliance serviceMid-Michigan repair service

Midland Area community FoundationMidland Board of realtors, inc.

Midland Building companyMidland Dermatology, P.c.

Midland evangelical Freechurch

Midstate Alarm, inc.National education NetworkOld Oak Trails estatesPrince & Walter concrete

contractorsrcL construction co., inc.

reinke Mid-Michigan Landscaping

roll Arena, inc.stasik Market

Thomas Trading Post, inc.Titus computer services

Tri-city repair companyUnitrust, inc.

valley electrical contractorsvantekvern’s electrical service, inc.veteran’s Alarm, inc.village GreenWholesale Mattress and Furniture Warehouse, inc.


Deep brain Stimulation: offering new Hope for Essential TremorThe most common movement disorder

worldwide is essential tremor. MidMichigan

neurology experts will discuss symptoms

and management options for this disorder,

including a new surgical option—deep

brain stimulation. Attendees will hear fi rst-

hand experiences from people who have

had deep brain stimulation treatment and

how it has changed their lives.

Saturday, oct. 14, 10–11:30 a.m.,

MidMichigan Medical Center–Midland,

Center for Women’s Health, Community

Education Room

Fitness ClassesMidMichigan Health offers Kid Fitness,

Body shapers and Pilates classes at vari-

ous locations. call Health Line for more

information. Fees apply.

Freedom From Smoking (Alma, Clare, Gladwin, Midland)Fees apply.

Heartsaver CPR (Clare, Gladwin) Fees apply.

Heartsaver First Aid (Clare)Fees apply.

Heart-to-Heart TalksLearn about how the cardiovascular system

works, how heart disease is diagnosed and

treated, and your own personal risk factors.

You will be given guidelines for safe exer-

cise, coping with stress, healthy eating and

taking medications safely. come to any or

all of the classes.

Wednesdays, 9:30–10:30 a.m., MidMichi-

gan Medical offi ces–Midland, Campus

Ridge, Level b Conference Room F

Laparoscopic Roux-en-y andLap-band SeminarLearn about laparoscopic weight-loss

surgery and how it can improve your health

and your life. This seminar highlights lapa-

roscopic roux-en-Y and Lap-Band surgical

options. Programs are available in Alma,

Houghton Lake, Midland and Mt. Pleasant.

Look Good…Feel better (Alma, Gladwin, Midland)A cosmetologist trained in skin and hair

treatment options for arthritis, and the

benefi ts of different types of exercise,

assistive devices and joint protection.

n Thursday, Sept. 14, 4 p.m.,

MidMichigan Health Park–Mt. Pleasant,

Community Room

n Tuesday, nov. 7, 6:30 p.m.,


Towsley Auditorium

out of the ShadowJoin us for a viewing of Out of the Shadow,

an award-winning documentary that chron-

icles the fi lmmaker’s mother, Millie, who

has paranoid schizophrenia, as she goes

through the chaos of the mental health

system, as well as that of her own mind.

Following the fi lm, a panel of physicians,

psychiatrists, social workers, community

members and law enforcement offi cials

will recap the fi lm highlights and answer

audience questions. early registration is

encouraged, as seating is limited.

Wednesday, Sept. 20, 6:30 p.m.,

MidMichigan Medical offi ces–Midland,

Towsley Auditorium

Learn to Manage back PainJoin MidMichigan physical therapists for a

free seminar about back pain. Learn non-

surgical treatment options, such as medi-

cations, exercises, rehabilitation therapies,

stress management, spinal injections and

activity modifi cations that can help break

the pain cycle and get you moving again.

2 p.m.

n Thursday, Sept. 21, MidMichigan

Medical offi ces–Gladwin, Community

Education Room

n Thursday Sept. 28, Rehabilitation

Services, Freeland

n Monday, oct. 9, MidMichigan Medical of-

fi ces–Clare, Lower Level Conference Room

n Thursday, oct. 12, MidMichigan Medi-

cal offi ces–Midland, Towsley Conference

Room

n Monday, oct. 30, MidMichigan Health

Park–Mt. Pleasant, Community Room

Managing osteoporosis SymptomsOsteoporosis is a silent disease that, left

untreated, can progress to a reduction in

overall height, a fl exed posture, back pain

and even broken bones. An overview of

appropriate exercises and posture aware-

ness will be provided, along with nutrition

and other medical treatment interventions.

Guidelines for bone density testing will be

discussed, and you will have the opportu-

nity to register for a special workout series.

2 p.m.

n Tuesday, Sept. 26, MidMichigan


Education Room

n Thursday, oct. 5, MidMichigan Medi-

cal Center–Midland, Center for Women’s

Health, Community Education Room

coMMUniTy healTh edUcaTionAnswers to your Shoulder Pain QuestionsJoin MidMichigan physical therapists for

a seminar about the causes of shoulder

pain. Learn about advanced treatments,

medications, nutrition and exercise.

2 p.m.

n Tuesday, Sept. 12, MidMichigan Health

Park–Mt. Pleasant, Community Room

n Thursday, Sept. 14, Rehabilitation

Services, Freeland



Education Room


Medical offi ces–Clare, Lower Level

Conference Room

Living Well With ArthritisArthritis is one of the oldest known

diseases and the world’s leading health

complaint. However if you have arthritis,

there is no need to despair. There are

many treatment options aimed at pain

relief and increased mobility. Join us for a

discussion of medical and surgical

To register for any program or to learn more:

call MidMichigan health line at 837-9090 or toll-free at (800) 999-3199.

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

Unless otherwise noted, all programs are free.

www.midmichigan.org/classes

Unless otherwise noted,

Sept.Oct.healTh

Advance notice is needed to make ar range ments for people with disabilities. Call MidMichigan Health Line for a phy si cian referral, directions to any Mid Mich i gan affiliate or to report duplicate mailings of To Your Health.

Paths to good

DIABETES EDUCATIONSteps to Healthy Living: Reduce your Diabetes RiskDiabetes affects 21 million Americans.

risk factors include a family history of the

disease, inactivity and being overweight.

This program is for people who are at

increased risk of developing type 2 dia-

betes. Participants will use a pedometer

to monitor their exercise progress during

class. The last class includes a virtual

grocery store tour. space is limited.

call Health Line to register.

Ashley Shankool, R.D., C.D.E.

Tuesdays, Sept. 14, 21 and 28;

6–7:30 p.m.


Plane Tree Café, Private Dining Room

$25 per person or $40 per couple

insulin Pump information nightThis program will provide an introduction

to insulin pump therapy, including hands-

on button pushing. Learn about the ben-

efi ts of insulin pump therapy and what it

takes to commit to this method of insulin

delivery. call Health Line to register.

Thursday, Sept. 14, 7 p.m.,


Towsley Conference Room

Diabetes ExpoJoin us for an update on new medica-

tions and nutrition, provided by our

diabetes specialists. vendor displays will

exhibit the latest in diabetes technology,

and people with diabetes will have the

opportunity to network with each other,

and participate in screenings to help

reduce diabetes complications.

n Friday, nov. 3, 9 a.m.–noon,

MidMichigan Medical offi ces–Gladwin,

Community Education Room

n Saturday, nov. 4, 9 a.m.–1 p.m.,


Towsley Auditorium


infant and Child CPRThis course teaches lay rescuers skills in

cPr and relief of foreign body airway

obstruction for infants (birth to 1 year) and

children (1 to 8 years). Taught by certifi ed

instructors, the course also provides infor-

mation about the American Heart Associa-

tion Pediatric chain of survival, signs of

choking in infants and children, prevention

of the most common fatal pediatric injuries,

and reduction in the risk of sudden infant

death syndrome.

Mondays, Sept. 18, oct. 23 and nov. 6,

6:30–8:30 p.m.,


orchard Auditorium

$20 per person (includes book)

Preparation for Childbirth (Alma, Clare, and Midland)This class series prepares the expectant

mother and her labor partner for active par-

ticipation in the birth experience. classes

cover relaxation, breathing awareness,

hospital practices, the most up-to-date

techniques, and options for labor and deliv-

ery, including the unexpected and cesarean

birth. Fees may apply.

Refresher Childbirth EducationTuesdays, Sept. 26, oct. 24 and Dec. 5;

7–9 p.m.; Gratiot Medical Center,

ob Conference Room; $10 per couple

Sibling Classes (Alma, Midland)This class prepares children to welcome

a new baby into the family. children who

attend must be accompanied by an adult.

recommended ages are 2½ to 8 years.

sUpporT groUps n Alzheimer’s Disease and related Disor-

ders support Group (clare)

n Amputee support Group (Midland)

n Bariatric support Group (Alma)

n Breathing easy support Group (Midland)

n Better Breathers club (Alma)

n Breast cancer support Group (Midland)

n cancer support Group (Alma, Midland)

n Diabetes Adult support Group (clare,

Gladwin and Midland)

n Diabetes Youth support Group

(Midland)

n insulin Pump support Group (Midland)

n Liver support Group (Gladwin)

n Multiple sclerosis support Group (clare

and Midland)

n Newborn Parenting Group (Midland)

n Parkinson’s support Group (clare and

Gladwin)

n Pregnancy Loss support Group (clare)

n Prostate cancer support Group (Midland)

n stroke support Group and education

(Alma)

For dates, times and topics, visit

www.midmichigan.org/supportgroups.

changes due to cancer treatment leads

these free sessions. sponsored by the

American cancer society (Acs), partici-

pants learn how to manage skin changes

or hair loss using cosmetics and skin care

products donated by the cosmetic industry.

To register, call the Acs at

(800) 728-2323.

nEW! Stretch and Stroll Bring your baby and have fun connecting

with other moms while becoming “mommy

fi t” for the stroller years. special prizes

will be given to registrants on the sept. 12

start date.

Tuesdays and Thursdays, 9:30–11:30 a.m.,

September to May, Midland Mall

$30 for unlimited classes; $3 per session

for drop-ins

faMily healTh edUcaTion breastfeeding: Healthy beginningsTopics discussed include breast changes,

milk production, positioning and feeding

frequency, returning to work, and weaning

options.

6:30 p.m.

Sept. 26, oct. 16 and nov. 14


Center for Women’s Health, Community

Education Room; $25 per couple

OF SPECIAL INTEREST

Just between Women SeriesJust Between Women programs are one-

hour educational courses presented by

MidMichigan health care experts. This

series is designed to fi t the busy schedule

of today’s women. Programs are held in

Alma, clare, Gladwin, Houghton Lake,

Midland and Mt. Pleasant.

12–1 p.m. Lunch included.

$5

n September: What Every Woman Should

Know About Health Choices

Women today are confronted with many

challenges. From the demands of home

and family, to the pressures of work and

school. Though the decisions women

make in these areas are important, noth-

ing infl uences their fate more than the

choices made regarding personal health.

Join us for a program that will provide

simple and manageable steps to guide

you toward a lifetime of good health and

well-being.

n october: Understanding the impor-

tance of Stress Management

Women have unique sources of stress in

their lives, such as multiple-role confl icts,

an inability to say “no,” perfectionism,

and the need to prove themselves and

“do it all.” However, when ignored, stress

can escalate to distress and make women

vulnerable to physical and emotional set-

backs. Learn a variety of coping strategies

to help relieve the “pile-up” effect of daily

hassles, get more out of the 24 hours in

a day and help create balance in your life.

n november: Eating Smart for the

Holidays

November signals the season of many

celebrated holidays. it is a special time

for visiting friends, preparing and enjoying

holiday feasts and attending parties. is the

fear of putting on extra pounds keeping

you from enjoying the holiday season? Our

dietitians will give you tips on how you can

eat well while still enjoying holiday favor-

ites. There also will be a cooking demon-

stration with holiday recipes to share.

WOMEN’S HEALTH

dealing WiTh colon cancerMidMichigan Medical Center–Midland’s

Pardee Cancer Center will host the

Elsa U. Pardee Memorial Cancer Lec-

ture on September 26 at 7 p.m. This

annual community cancer lecture is

free and will be held in the Towsley Au-

ditorium, located on the lower level of

MidMichigan Medical offi ces–Midland.

A n n U A L L E C T U R E

This year’s program will feature

Anthony Shields, M.D., from the barbara

Ann Karmanos Cancer institute. As a

specialist in colorectal, esophageal,

liver and stomach cancers, Dr. Shields

has the distinction of representing the

top 1 percent of physicians in the nation

as listed in the fi fth edition of the book,

Best Doctors in America.

His program will outline the latest

advances in colon cancer screening,

diagnosis and treatment. Joining

Dr. Shields will be cancer survivor and

national magazine writer Curtis

Pesmen, who brings his compelling

and inspirational experience of surviv-

ing colon cancer to people affected

by cancer. Author of The Colon Cancer

Survivors’ Guide, Pesmen empowers

and motivates those coping with the

diagnosis of cancer by providing insight

into how to navigate the fast-moving

research and treatment landscape.

Participants at this year’s lecture

will have an opportunity to view the

artwork of Richard Kline. His artwork,

including many holographic pieces, will

be on display in the Healing Arts Gallery,

located near the Towsley Auditorium.

T H E E L S A U . P A R D E E

F o U n D A T i o n

This annual lecture is supported by

the Elsa U. Pardee Foundation, which

was established in 1944. The Founda-

tion promotes the control and cure of

cancer and has been instrumental in

developing the MidMichigan oncology

program. The program is for patients,

caregivers, loved ones and those inter-

ested in learning more about cancer

risks, early detection and treatment.

in addition to support from the Elsa U.

Pardee Foundation, the lecture is sup-

ported by Pfi zer oncology in partner-

ship with the Colon Cancer Alliance,

a national patient advocacy organiza-

tion dedicated to ending the suffering

caused by colorectal cancer.Call Health Line to register for classes in your area.


rehab helps yoU recover QUicKly

hen accidents or illnesses happen that limit your physical ability, the profes-sionals at MidMichigan’s inpatient reha-bilitation can help you learn new ways to live. Inpatient rehabilitation units at the Medical Centers in Alma and Midland

specialize in returning people to independence as quickly and safely as possible after being hospitalized for acute illness or injury.

individUaliZed plans When a patient arrives at the rehabilitation unit, therapists, nurses, physicians and social workers provide a thorough evaluation. In part, they use a scorecard called the Functional Independence MeasureSM (FIM) to objectively record how well patients can perform daily activities and how they improve during their stay in the unit.

“We look at the FIM scores and the person as a whole. Then we custom-tailor a plan of care for that individual patient,” says physical medicine and rehabilitation specialist Amarish Potnis, M.D.

“We help them develop the skills necessary to get back to their daily routine—communicating, being able to shop and prepare a meal,” Dr. Potnis says. “To maximize their independence, they need to maximize their skills. We help them regain skills they lost or teach them to compensate for skills that cannot be regained.”

a faMily affair The goal of MidMichi-gan’s inpatient rehabili-tation units is to prepare patients to return home. That also involves pre-paring the family and caregivers for the return home.

“We teach the family hands-on help with con-tinuous recovery,” Dr. Pot-nis says. “Rehabilitation is a long-term, perhaps lifelong, commitment. Inpatient rehabilitation gives people a head start as they get back to every-day life.”

Patients are attended by a board certifi ed in-ternal medicine specialist or physiatrist. Patients receive treatment from certifi ed rehabilitation registered nurses, and physical, occupational, speech and recreational therapists. Clinical social workers can provide care manage-ment, links to helpful community organizations, counseling to help with adjustment, and education for patients and families. The chaplain or local clergy are available for sup-port and spiritual counseling.

preparing To reTUrn hoMe The length of stay varies with each patient; however, most stay be-tween seven and 10 days. Patients are discharged when they meet goals that allow them to manage safely at home. About 80 percent of patients do return home when discharged.

Before the patient goes home, plans are made to assure a successful transition. A social worker calls or visits to see about the patient’s home environment and how well family members and friends may be able to help with care. This helps identify and address issues such as stairs and bath-room facilities, the patient’s diet, and caregiver capability before the patient arrives home. Inpatient rehabilitation staff members will also provide a plan for continuing care, recovery and daily living.

find oUT More For information about inpatient rehabilitation at Gratiot Medical Center, call (989) 466-3382, and at MidMichigan Medical Center–Midland, call (989) 839-3531.

WNICE RECOVERY: Rehabilitation units help patients gain independence in a safe environment. Martha Northrup works on rehabilitation exercises with physical therapy assistant Peggy Essex.

W e l l n e S S

HeALTHiNsURANce

yoU’re covered

idMichigan Health is the pre-ferred provider of health care services to residents through-out the central region of the state. We contract with nearly all health insurance payors,

including HMOs and PPOs. We also have recently expanded our insurance participa-tion to include PPOM, Aetna and HealthPlus of Michigan.

The table to the right lists the organiza-tions with which MidMichigan Health cur-rently participates. We are also in discussion with other payors.

Please note that participation by the Medical Center is not a guarantee that your physician is also contracted for that health plan. Please be sure to contact your provider’s offi ce to verify the status of their participa-tion. For more information, call MidMichi-gan Health Network at (989) 839-1629 or toll-free at (888) 646-2429.

M

Aetna Midland, Clare, Gladwin, Gratiot

American Community Midland, Clare, Gladwin, Gratiot

Mutual

American Medical Midland, Clare, Gladwin, Gratiot Security

APS Healthcare Midland

Associated builders Midland, Clare, Gladwin, Gratiot and Contractors

Assurant Midland, Clare, Gladwin, Gratiot (Formerly Fortis)

bCE Emergis Midland, Clare, Gladwin

blue Care network Midland, Clare, Gladwin

blue Choice Midland, Clare, Gladwin, Gratiot

blue Cross blue Midland, Clare, Gladwin, Gratiot Shield of Michigan

blue Preferred PPo Midland, Clare, Gladwin, Gratiot

CCn network Midland, Clare, Gladwin, Gratiot

Central Health Plan Midland, Clare, Gladwin

Chandler Group Midland, Clare, Gladwin, Gratiot

CiGnA Midland, Clare, Gladwin, Gratiot

Community blue PPo Midland, Clare, Gladwin, Gratiot

ConnectCare Midland, Clare, Gladwin, Gratiot

DirectCare America Midland, Clare, Gladwin

Federated insurance Midland, Clare, Gladwin, Gratiot

First Health Midland, Clare, Gladwin, Gratiot

Golden Rule Midland, Clare, Gladwin, Gratiot

HCAP Midland, Clare, Gladwin, Gratiot

Health Advantage Midland

HealthPlus of Michigan Midland, Clare, Gladwin, Gratiot

Humana Midland, Clare, Gladwin, Gratiot

John Alden Midland, Clare, Gladwin, Gratiot

Liberty Union Midland, Clare, Gladwin, Gratiot Assurance

Magellan Gratiot

M-Care Midland, Clare, Gladwin, Gratiot

McLaren Medicaid HMo Gratiot

Medicaid Midland, Clare, Gladwin, Gratiot

Medicare Midland, Clare, Gladwin, Gratiot

Midland Health Plan Midland

Mid-Michigan Health Plan Gratiot

Molina (Medicaid HMo) Midland, Clare, Gladwin, Gratiot

MultiPlan Midland, Clare, Gladwin, Gratiot

PHP Midland, Clare, Gladwin, Gratiot

PPoM Midland, Clare, Gladwin, Gratiot

Principal Midland, Clare, Gladwin, Gratiot

Trustmark Midland, Clare, Gladwin, Gratiot

US Health and Life Midland, Clare, Gladwin, Gratiot

insurance plan Participating hospitals insurance plan Participating hospitals


MidMichigan expands in freeland

idMichigan Health continues to expand services in Freeland with the addition of family practitioner Ken MacKinnon, M.D., who has recently returned to the Tri-Cities area. Specializing in primary care, as a member of MidMichigan Physicians Group,

Dr. MacKinnon welcomes patients to his practice, located at 7340 Midland Road in Freeland, a location he shares with Thad Rathkamp, M.D.

A native of Michigan, Dr. MacKinnon received his medical degree from Wayne State University. He is a 1987 graduate of MidMichigan Medical Center– Midland’s three-year Family Practice Residency Program. He practiced in Midland for nearly 17 years before moving to North Carolina, where he practiced full-time for Pardee Urgent Care, located in the city of Hendersonville.

“My family and I are happy to be back in the area,” says

Dr. MacKinnon. “North Carolina was a nice place to live, but our roots were much deeper than we were aware. I am eager to become an active member of the Freeland community. I have watched the area evolve over the years and the area continues to grow. I’m looking forward to meeting with new patients, neighbors and area associates.”

Dr. MacKinnon welcomes patients to his new practice. Those interested in making an appointment should call (989) 695-2123.

MidMichigan WelcoMes neW physiciansMichael G. Beaulieu, M.D., has joined MidMichigan Physicians Group. His office is located at MidMichigan Medical Offices–Campus Ridge, Suite D2100, on the campus of the Medical Center in Midland. He joins family practitioners Bill Brooks, M.D.; Paula Klose, M.D.; Tammy Phillips, M.D.; Rebecca Phil-lips, M.D.; Lisa Neal, M.D.; Carl Lovell, M.D.; Sheree Clark, M.D.;

Dave Jordahl, M.D.; Liz Mussin, M.D.; and Tracy Brubaker, P.A.-C. Dr. Beaulieu will practice family medicine and obstetrics.

Marian Fuller, M.D., obstetrics and gynecology, has joined MidMichigan Physicians Group in The Women’s Practice, lo-cated in MidMichigan Medical Offices–Campus Ridge, Suite B 2200 in Midland. She has a special interest in treating bladder problems, including urinary incontinence and pelvic prolapse.

W e l l n e S S

Ken MacKinnon, M.D.

ith a smile that could have told the story alone, Genell Taglauer revisited the night that she met her husband, Harold “Tag” Taglauer, on a blind date. “I wasn’t going to get involved, but by the time he walked me to my door, we both knew it was the real thing,” she says.

love sTory Genell and Tag immediately connected and married five years later (a second marriage for both). Though Tag was a Dow Chemical employee, a volunteer firefighter and a part-time blacksmith, he still found the time to make Genell the center of his world. “He was such a gentleman,” Genell says. “Everyone who met him fell in love with him.”

In the next few years, each faced, and overcame, medi-cal difficulties. But Tag’s overall health began to decline in 2003. In January 2005, Stephen Mauger, M.D., an internist for MidMichigan Physicians Group, referred Tag to Saginaw cardiologist John Collins, M.D., who recommended Mid-Michigan Hospice. Genell remembers experiencing peace when the doctor suggested hospice. “We all knew it was the right thing,” she says.

‘The besT care possible’ After receiving hospice care for two months, Tag’s condition improved

enough for him to be discharged. But after seven weeks of normal activity, his health worsened and he began receiv-ing hospice services again. He and Genell made meaningful connections with the hospice nurses and aides. “We loved all of the hospice staff. Tag had the best care possible,” Genell says.

Genell recalls the morning of June 16, 2005. The nurse told Tag that there was someone there he wanted to see. When Tag looked up and saw Genell by his side, he gave her a warm, sweet smile, then closed his eyes and passed away peacefully. Tag died just three days before the couple’s twenty-fourth wedding anniversary.

Genell says that while hospice helped with practical tasks in Tag’s care, the emotional support provided was most important. Genell participated in a grief support group and other bereavement services offered through MidMichigan Hospice, including the Stars in the Gardens memorial service in December, which she considers to be the most special. “They helped me as much as they helped Tag,” she says.

Genell remains in contact with MidMichigan Hospice employees. She recently observed the anniversary of Tag’s death and what was to be their silver anniversary.

For more information regarding services available through MidMichigan Hospice, call (989) 633-1400 or toll-free (800) 852-9350, or visit www.midmichigan.org/hospice.

MidMichigan Hospice bereavement coordinator Deb Miller shares a special moment with Genell Taglauer.

Hospice

There’s help for saying The final goodbye

W

M

Michael G. Beaulieu, M.D.

Marian Fuller, M.D.

ourour

TO YOUr HeALTH is published as a com mu nity service by

MiDMicHiGAN HeALTH, 4005 Orchard Drive, Midland, Mi

48670, (989) 839-3000.EDiToRiAL boARD

Donna Rapp, senior vice President

Millie Jezior,editor

Leeza bacon, Production Assistant

Penny DanielsWarren JohnsonChristie Kanitz

Stephanie Leibfritz, R.n.Megan McHenry

Cal McintoshCarlene Skorczewskibernadette Stocking

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

Physician Advisor

information in TO YOUr HeALTH comes from a wide range of

medical experts. if you have any concerns or questions about

specifi c content that may affect your health, please contact your

health care provider. Models may be used in photos and illustrations.

Robert Stafford, chairW. Lynn Weimer, vice chairGregory bercher, M.D.Jerry brandtJoan David nancy GallagherLori GwizdalaWilliam HeinzeWilliam HendersonJ. Christopher Hough, M.D.Peg MierTerence F. Moore, Pres i dentMary neelyEd RogersWilliam SchmidtJerry SkocelasDaniel Sorenson, M.D.

MidMichigan Health Boardof Directors

2006

sepT./ocT.�006

n e W S

copyright 2006 coffey communications, inc. HsT19067h

Carry on the Hope sUPPOrTs fi ght against breast cancerin a continued effort to

help in the fi ght against

breast cancer, MidMichi-

gan Medical Center–

Midland will host Carry

on the Hope, a fundraiser

where proceeds will be

used to purchase a new

state-of-the-art mammogra-

phy unit with digital capa-

bilities. The technology will

be used in the Center for

Women’s Health, located

on the campus of MidMichigan Medical Center–Midland.

The event will take place from 5 to 8 p.m., Wednes-

day, october 11, at the Ashman Court Marriott Con-

ference Hotel in Midland. Attendees will enjoy hors

d’oeuvres, entertainment, and a live and silent auction

with items donated by national celebrities, professional

athletes and local businesses. items include:

n ViP passes to the “Dr. Phil” show in Hollywood.

n An original script from television’s “Law and order,”

autographed by the cast.

n Four nights at the Edgewater inn in Charlevoix.

To purchase tickets, call (989)839-334�, or for more

information, visit www.midmichigan.org/carryonthehope.

To learn more about digital mammography, please

turn to page 3.

ometimes it takes more than a conventional mammogram or breast ultrasound to locate or identify a suspicious mass, visualize a cancer to plan for surgery or answer other questions. When oncologists need more information, they are turning to magnetic resonance imaging (MRI).

Breast MRIs are now available in Midland, thanks to a collaborative agreement between MidMichigan Medical Center–Midland, Midland Radiology Associates and Re-gional Medical Imaging in Flint.

A breast MRI can be performed in Midland under the direction of two of the state’s leading breast MRI experts, radiologists David A. Strahle, M.D., and Randy D. Hicks, M.D., of Regional Medical Imaging.

Breast MRI is not a screening tool, though. “Mammo-grams remain important as the best screening test for all women,” says MidMichigan surgeon James Reif, M.D.

Another advance in treatment is the opening of groundbreaking clinical trials. MidMichigan Medical Center–Midland is participating in two new clinical trials affi liated with the Barbara Ann Karmanos Cancer Institute in Detroit. These trials recently opened and are enrolling newly diagnosed breast cancer patients.

One of these trials, called clinical trial S0307, is for patients with stage 1, 2 or 3 breast cancer and involves the

advances in breasT cancer TreaTMenT

sstudy of new medications that can potentially reduce the likelihood of breast cancer spreading to the bones.

Another, called clinical trial PACC-1: TAILORx, is for patients who have a breast cancer tumor in stage 1 or 2 with no lymph node metastases. This trial will use genetic testing to predict how likely the breast cancer is to recur, and that likelihood will determine the aggressiveness of a patient’s treatment.

For more information about participating in a clinical trial at MidMichigan, visit www.midmichigan.org/clinicaltrials or call (989) 839-3977.

Get PAMPereD during the Looking Glass Shoppe Open House in honor of breast Cancer Awareness Month, the Looking Glass Shoppe will host an open house to pamper women

who have had a mastectomy or lumpectomy.

The event will take place from 10 a.m. to 4 p.m. on Monday, october 2, at the Looking Glass Shoppe, located

within the Center for Women’s Health, 2600 McCandless Drive, Suite 2670, on the campus of MidMichigan

Medical Center–Midland. Enjoy light refreshments, free gifts, massages, drawings, new lingerie, swimwear, de-

signer wig displays and more. Certifi ed professionals will also be available to answer questions regarding breast

prostheses and other products.

For more information about the Looking Glass Shoppe, call toll-free at (800)388-77�1.

Two of MidMichigan’s leading breast Mri

experts are available

right here in mid-Michigan.

Carry on the Hope


70 years of caring for Clare CountyMedical Center booklet celebrates past, present and futureAs part of the 70th anniversary celebration of MidMichigan Medical Center–Clare, a booklet featuring stories, com-ments and information about the Medical Center’s past, present and future is being published this summer.

The Healing Heart of Our Community portrays the hospital’s ongoing relationship with Clare County through photo-graphs old and new, and visits with physicians, hospital staff and mem-bers of the community.

“This publication is our way to acknowledge and thank generations of physi-cians, employees, volunteers, supporters and other individ-uals who have made it possible to care for our community,” says Lawrence F. Barco, president of MidMichigan Medical Center–Clare. “Those who appear in the book exemplify the contributions of many people.

“As we enjoy looking back, it’s also an opportunity to see the progress that has taken place over 70 years and look toward the future of the Medical Center, including the new operating rooms scheduled for completion next year,” he says.

The Healing Heart of Our Community will become a keepsake for residents of Clare County and anyone who has been associated with the Medical Center throughout the years. To receive a copy of the booklet, call MidMichi-gan Health Line at (800) 999-3199 or visit our Web site, www.midmichigan.org/clare70. You’ll also fi nd online several expanded interviews and more information about opportu-nities to become part of the hospital’s development.

CataraCtS

Treatment can sharpen a blurry lensYour eye is a lot like a camera—both “see” and process images.

Each has the capacity to focus and to control how much light is let inside.

Both an eye and a camera use a lens to make these things happen. Have a clear lens? Then you’re likely to see clear images. Have a cloudy lens? Then images may not be so clear.

In the case of your eye, a cloudy lens might mean you have a cataract.

what causes cataracts? Most cataracts occur late in life. The wear-and-tear effect of aging can slowly cloud

To receive a copy of The Healing Heart of Our Com-munity, call MidMichigan Health Line at (800) 999-3199 or visit www.midmichigan.org/clare70. The Web site also includes several expanded interviews and more information about opportunities to be part of the hospital’s development.

Scanned images of internal organs and structures guide diagnosis, surgery and treatment. The new Philips Brilliance CT multislice scanner, now providing diagnostic imaging at MidMichigan Medical Center–Clare, supports other medical advances that depend on highly detailed images.

New CT scanner reveals highly detailed images

your eye’s lens. More than half of all Americans have cataracts by the time they turn 80, according to Prevent Blindness America.

But younger people can develop cataracts too, some-times over a short period of time and often due to illnesses such as diabetes.

Other factors linked to cataracts include: ✦ Smoking ✦ Drinking alcohol ✦ Taking certain medications, such as steroids ✦ Having a family history of cataracts.

symptoms and diagnosis Your eye’s lens controls the amount of light and quality of the pictures sent to your brain. That’s why symptoms of cataracts involve dim im-ages and blurry vision.

You should suspect cataracts if: You have blurred or double vision, “ghost images,” or the feeling that a fi lm is covering your eye. Lights seem too dim for reading. Strong light seems “dazzling” or glaring. Colors appear faded or less bright. You change eyeglass prescriptions often, but your vision doesn’t improve.

treating cataracts The only treatment for cataracts is to replace the lens in your eye with an implant (usually plastic).

It’s the most common surgical procedure in the United States, and vision is improved in 95 percent of cases, ac-cording to the American Academy of Ophthalmology.

You can’t prevent cataracts, but regular eye exams can fi nd any problems early.

In Clare, ophthalmologist and eye surgeon Thomas Claringbold III, D.O., performs cataract surgery. For more information about Dr. Claringbold, call MidMichi-

gan Health Line toll-free at (800) 999-3199 or visit MidMichigan’s Web site online at www.midmichigan.org/doctors.


W e l l n e s s

It’s easy enough to tell your kids to go play outside. But how about joining them the next time?

Along with a healthy diet, regular exercise can help keep your whole family fit. And staying active is a great way for

your family to spend more time together.Here are some ideas from the American

Physical Therapy Association on how to get everyone moving. Plan your weekend around activities that involve exercise. For instance, take everyone out for a game of bowling or miniature golf. You don’t need to join a health club or buy fancy exercise equipment to be active. Play some basketball or soccer before din-ner. Or organize a daily walk or bike ride after dinner. Limit television, computer time and video games to two hours or less per day. Use a fun physical activity, such as in-line skating or a trip to the park, as a reward instead of food. Make activity a game. Try dividing up ac-tive household chores, such as mowing the lawn or vacuuming the carpeting, and have a contest to see who finishes first.

One thing to keep in mind: Most experts agree that kids need at least 60 minutes of physical activity each day. So in addition to family exercise, you might also encourage your child to try an individual sport, such as swimming or tennis. Or help your child plan group

move to famIly exercIsefamilyhealth

extra weIght may harm chIldren

ormal usually isn’t a word that makes parents nervous. But if your child is at the high end of a normal weight range, there may be cause for concern.

Researchers tracked 314 children, evaluating their height, weight and blood pressure, first

when they were between the ages of 8 and 15 and again roughly 10 years later. Here’s what they discovered:

Those whose weight fell in the upper half of the normal weight range as children were more likely than their leaner peers to become overweight—and even obese—as young adults. Boys with the beginning of a weight problem also had a heightened risk of developing high blood pressure as adults.

“There has been widespread recognition in the past few years of how important it is to prevent obesity in children,” says investigator Matthew Gillman, M.D. “These findings underscore that even children who are in the high-normal weight range may have adverse outcomes later in life, and their challenges may be even greater than we thought.”Source: Obesity Research, Vol. 13, No. 1

activities with friends. Hiking or ice skating might be fun options.

Finally, set a good example. Exercise regularly on your own and limit your time in front of the television and computer.

n

healthinsurance

you’re covered




Please note that participation by the Medical Center is not a guarantee that your physician is also contracted for that health plan. Please be sure to contact your provider’s office to verify the status of their participa-tion. For more information, call MidMichi-gan Health Network at (989) 839-1629 or toll-free at (888) 646-2429.

m

Aetna Midland,Clare,Gladwin,Gratiot

AmericanCommunity Midland,Clare,Gladwin,GratiotMutual

AmericanMedical Midland,Clare,Gladwin,GratiotSecurity

APSHealthcare Midland

AssociatedBuilders Midland,Clare,Gladwin,GratiotandContractors

Assurant Midland,Clare,Gladwin,Gratiot(FormerlyFortis)

BCEEmergis Midland,Clare,Gladwin

BlueCareNetwork Midland,Clare,Gladwin

BlueChoice Midland,Clare,Gladwin,Gratiot

BlueCrossBlue Midland,Clare,Gladwin,GratiotShieldofMichigan

BluePreferredPPO Midland,Clare,Gladwin,Gratiot

CCNNetwork Midland,Clare,Gladwin,Gratiot

CentralHealthPlan Midland,Clare,Gladwin

ChandlerGroup Midland,Clare,Gladwin,Gratiot

CIGNA Midland,Clare,Gladwin,Gratiot

CommunityBluePPO Midland,Clare,Gladwin,Gratiot

ConnectCare Midland,Clare,Gladwin,Gratiot

DirectCareAmerica Midland,Clare,Gladwin

FederatedInsurance Midland,Clare,Gladwin,Gratiot

FirstHealth Midland,Clare,Gladwin,Gratiot

GoldenRule Midland,Clare,Gladwin,Gratiot

HCAP Midland,Clare,Gladwin,Gratiot

HealthAdvantage Midland

HealthPlusofMichigan Midland,Clare,Gladwin,Gratiot

Humana Midland,Clare,Gladwin,Gratiot

JohnAlden Midland,Clare,Gladwin,Gratiot

LibertyUnion Midland,Clare,Gladwin,GratiotAssurance

Magellan Gratiot

M-Care Midland,Clare,Gladwin,Gratiot

McLarenMedicaidHMO Gratiot

Medicaid Midland,Clare,Gladwin,Gratiot

Medicare Midland,Clare,Gladwin,Gratiot

MidlandHealthPlan Midland

Mid-MichiganHealthPlan Gratiot

Molina(MedicaidHMO) Midland,Clare,Gladwin,Gratiot

MultiPlan Midland,Clare,Gladwin,Gratiot

PHP Midland,Clare,Gladwin,Gratiot

PPOM Midland,Clare,Gladwin,Gratiot

Principal Midland,Clare,Gladwin,Gratiot

Trustmark Midland,Clare,Gladwin,Gratiot

USHealthandLife Midland,Clare,Gladwin,Gratiot

Insuranceplan Participatinghospitals Insuranceplan Participatinghospitals


W e l l n e s s

Family practice

Family practice

Family practice

ith a smile that could have told the story alone, Genell Taglauer revisited the night that she met her husband, Harold “Tag” Taglauer, on a blind date. “I wasn’t going to get involved, but by the time he walked me to my door, we both knew it was the real thing,” she says.

love story Genell and Tag immediately connected and married fi ve years later (a second marriage for both). Though Tag was a Dow Chemical employee, a volunteer fi refi ghter and a part-time blacksmith, he still found the time to make Genell the center of his world. “He was such a gentleman,” Genell says. “Everyone who met him fell in love with him.”

In the next few years, each faced, and overcame, medi-cal diffi culties. But Tag’s overall health began to decline in 2003. In January 2005, Stephen Mauger, M.D., an internist for MidMichigan Physicians Group, referred Tag to Saginaw cardiologist John Collins, M.D., who recommended Mid-Michigan Hospice. Genell remembers experiencing peace when the doctor suggested hospice. “We all knew it was the right thing,” she says.

‘the Best care PossIBle’ After receiving hospice care for two months, Tag’s condition improved

enough for him to be discharged. But after seven weeks of normal activity, his health worsened and he began receiv-ing hospice services again. He and Genell made meaningful connections with the hospice nurses and aides. “We loved all of the hospice staff. Tag had the best care possible,” Genell says.

Genell recalls the morning of June 16, 2005. The nurse told Tag that there was someone there he wanted to see. When Tag looked up and saw Genell by his side, he gave her a warm, sweet smile, then closed his eyes and passed away peacefully. Tag died just three days before the couple’s twenty-fourth wedding anniversary.

Genell says that while hospice helped with practical tasks in Tag’s care, the emotional support provided was most important. Genell participated in a grief support group and other bereavement services offered through MidMichigan Hospice, including the Stars in the Gardens memorial service in December, which she considers to be the most special. “They helped me as much as they helped Tag,” she says.

Genell remains in contact with MidMichigan Hospice employees. She recently observed the anniversary of Tag’s death and what was to be their silver anniversary.

For more information regarding services available through MidMichigan Hospice, call (989) 633-1400 or toll-free (800) 852-9350, or visit www.midmichigan.org/hospice.

MidMichigan Hospice bereavement coordinator Deb Miller shares a special moment with Genell Taglauer.

hOsPice

there’s helP for sayIng the fInal goodBye

w

mIdmIchIgan welcomes new doctorsreden delgado, m.d., family medicine, has

joined the MidMichigan Physi-cians Group and practices at the MidMichigan Medical Offices, 602 Beech St., Suite 3200, in Clare. Dr. Delgado received his medical degree from the College of Medicine, De La Salle Uni-versity, located in Dasmarinas Cavite, Philippines.

carrIe nIcholson, m.d., family medicine, has joined the MidMichigan Physicians Group and is in the MidMichigan Medica l Offices, 815 N. Clare, in Har-rison. Dr. Nicholson received her medical degree from and completed her residency at the University of Michigan Medical School. Dr. Nicholson has a strong focus in women’s health care.

roBert vanderBrooK, m.d., family medicine, has joined the MidMichigan Physicians Group and practices at the MidMichigan Medical Offi ces, 602 Beech St., Suite 3200, in Clare. Dr. Vanderbrook received his medical degree from the University of Michigan Medical School and is a member of the American Academy of Family Physicians and Uniformed Services Academy of Family Physicians. He is board certifi ed

by the American Board of Family Practice.For more information about these physicians or any

other MidMichigan physicians, call MidMichi-gan Health Line toll-free at (800) 999-3199, or visit www.midmichigan.org/doctors.


W e l l n e s s

teachers: free stroke kits for kids

M teachers may request a free stroke

education kit through MidMichigan

health Line at (989) 837-9090.

testing the heart






Heart services available at MidMichigan


Lake

Midland Mt.

Pleasant

Ambulatory blood

pressure test

Records blood pressure


X X X X

Cardiac

catheterization

Locates blockages or nar-


X X

Cardiolite®

Myoview™ or

Thallium

Checks heart function


X X X X X


and valves

X X X X X X

Electrocardiogram

(ECG or EKG)


and heart damage

X X X X X X

Holter monitor

and event

recorder

Records heart activity


or longer

X X X X X X

Stress

echocardiogram



X X X X

Transesophageal

echocardiogram

(TEE)



X X X



brain

X X


poor blood supply)

X X X X X X

Vascular

ultrasound


other blockages

X X X X X X

M

ost people think that stroke only happens to older people. Yet a stroke can happen to anyone at any age, including children. As our popula-tion ages, young people are also spending more time with older adults. It is increasingly likely that a school-age child will be the only

one in the home when an older person has a stroke.That’s why MidMichigan Medical Center–Midland has

developed a Do-It-Yourself Stroke Education Kit for teach-ers of grades 6 through 12. The kits include an entertaining eight-minute animated DVD, a teacher’s guide and sample

lesson plan, a quiz and answer key, handouts, discussion questions, a stroke fact sheet, and an educational poster.

Students will learn the simple “Smile, Reach, Speech” test to recognize stroke symptoms, to dial 911 if someone is having a stroke and much more.

Teachers may request a free kit through MidMichigan Health Line at (989) 837-9090 or on MidMichigan’s Web site at www.midmichigan.org/strokekit.


PhySIatry

Help for managing your chronic painPain can change your life. Chronic pain affects your mind and spirit as well as your body. Whether the result of ill-ness or injury, chronic pain can affect your ability to earn a living, take care of yourself and stay connected to the world around you.

Physiatrists, doctors who specialize in physical medicine and rehabilitation, help people who are struggling to control chronic pain, and help people regain function after surgery, a stroke or an injury.

Physical medicine deals with the treatment, prevention and diagnosis of disease by physical means. Medica-

tion, pain-blocking injections, braces and artifi cial limbs are some of the treatments used by physiatrists. They also prescribe diverse therapies such as heat and cold, electrotherapies, mas-sage, biofeedback, traction, and therapeutic exercise.

restor ing funct ion, l i fe Amarish Potnis, M.D., of Mid-Michigan Physicians Group, is

Amarish Potnis, M.D.

A second opinion without a second mammogramThe subtle science of interpreting mammography images is reaching new levels of accuracy through the use of FDA-approved computer-aided detection (CAD) technology. At MidMichigan Health, well-trained and experienced radiologists read and interpret every mammogram, visu-ally scouring the X-ray image for signs that could indicate breast cancer.

The new CAD technology assists radiologists in pin-pointing suspicious changes in breast tissue to discover cancers that might otherwise be missed. Mid-Michigan Radiology Associates of Mt. Pleasant now supplements regular mammograms with screening using a CAD system called Second Look®, from iCAD, Inc.

Computer-aided detection has been shown to improve cancer detection rates by as much as 10 percent. This means that more breast cancers can be caught in the early stages when, according to the American Cancer Society, the rate of successful treatment is 98 percent.

highlighting suspicious areas The Second Look system is based on research in the areas of artifi cial intelligence, enhanced image processing, pattern recognition, math-ematical formulas and statistics.

After viewing the original mammogram, the physician sends the X-ray to a computer for analysis. In seconds the computer program identifi es and marks any areas of the mammogram showing small tissue changes that may mean cancer. The highlights alert the physician to look at these areas especially closely. It’s like having a second medical opinion without the need for any additional procedures or testing.

Who should be screened? Regular screening mam-mograms, along with clinical breast exams and monthly breast self-examinations, are recommended for women age 40 and older who are not high-risk.

At MidMichigan Health Park–Mt. Pleasant, mammog-raphy is provided in conjunction with Mid-Michigan Radiology Associates. To schedule your mammogram, call (888) 367-2778.

a board certifi ed physiatrist. Dr. Potnis is the medical di-rector for the inpatient rehabilitation unit at MidMichigan Medical Center–Midland, where he collaborates closely with neurologists, neurosurgeons and rehabilitation therapists to create a plan of care designed to help patients manage pain and recover functionality.

Physical medicine is often called the “quality of life” branch of medicine. “When someone is in chronic pain, the pain is in control and every part of his or her life is affected,” Dr. Potnis says. “As a physiatrist my goal is to help patients regain their maximum function. I want them to reach their highest level of mobility and activity and to be as pain-free as possible. We help patients regain control of their lives.”

Physiatrists are specialists in the diagnosis and treatment of patients of all ages in three major areas of medical care:● Musculoskeletal injuries and pain syndromes. These could include injuries due to accidents or conditions such as arthritis. ● Electrodiagnostic medicine. This specialty in physical medicine and rehabilitation requires special training in electromyography and nerve conduction. ● Rehabilitation of patients with severe impairments.Physiatrists treat neurologic rehabilitation conditions includ-ing stroke, brain and spinal injury, sports injury, and disabling conditions such as amputations, multiple trauma and burns. They lead teams of professionals that may include physical and occupational therapists, rehabilitation nurses, psychologists, social workers, speech-language pathologists, and others.

Dr. Potnis is accepting new patients. For information, call Health Line at (989) 775-1650.

At MidMichigan Health Park–Mt. Pleasant, mammog-

CataraCtS





What causes cataracts? Most cataracts occur late in life. The wear-and-tear effect of aging can slowly cloud





You should suspect cataracts if:● You have blurred or double vision, “ghost images,” or the feeling that a fi lm is covering your eye.● Lights seem too dim for reading.● Strong light seems “dazzling” or glaring.● Colors appear faded or less bright.● You change eyeglass prescriptions often, but your vision doesn’t improve.







W e l l n e S S

BreastcanceraWarenessMonth

stereotactic Breast BioPsy now availaBleccording to the American Cancer Society, one in eight women will experience breast cancer dur-ing her lifetime. Annually, almost 50,000 women in the United States die from the disease.

A key to the successful treatment of the most common cancer affecting women is its early de-

tection. Mammography is the best test available for fi nding small breast cancers. Until recently, however, women with an abnormality found on a mammogram had to have a surgical biopsy.

Stereotactic breast biopsy is a precise and accurate way to sample tissue from a suspected abnormality found on a mammogram without surgery. This advanced medical technique is now available at Gratiot Medical Center in Alma. Since the majority of women with an abnormal mammogram do not have breast cancer, stereotactic breast biopsy spares most women the discomfort and scarring associated with a surgical breast biopsy. The entire biopsy

october is Breast cancer awareness

Month. schedule your mammogram today!

call (989) 466-3295.

a

testing the heart






Heart SerViCeS available at MidMichigan

Alma clare gladwin houghton

lake

midland mt.

Pleasant

Ambulatory blood

pressure test

records blood pressure


X X X X

cardiac

catheterization

locates blockages or nar-


X X

cardiolite®

myoview™ or

Thallium

checks heart function


X X X X X


and valves

X X X X X X

Electrocardiogram

(Ecg or EKg)


and heart damage

X X X X X X

holter monitor

and event

recorder

records heart activity


or longer

X X X X X X

Stress

echocardiogram



X X X X

Transesophageal

echocardiogram

(TEE)



X X X



brain

X X


poor blood supply)

X X X X X X

Vascular

ultrasound


other blockages

X X X X X X

M

is obtained through a tiny nick in the skin. There is usually no need for sutures. Within days, the skin has healed, with no evidence of a biopsy.

“The major advantage of the procedure, besides its wonderful accuracy, is that there is virtually no scar,” says Sister Mary Rebecca Koterba, M.D., a general sur-geon at Gratiot Medical Center. “Compared to surgery, stereotactic breast biopsy is also quicker, less painful and less costly—there are fewer complications, and the procedure requires minimal recovery time. The decision as to whether a lesion or tumor can be removed by a stereotactic biopsy is made by the surgeon and inter-ventional radiologist.”

Mammograms are an essential part of the screening process for breast cancer. The generally accepted recom-mendations for mammograms include a screening mam-mogram at age 35 and annual mammograms after age 40. Monthly self-breast examinations are also recommended for all women.

During Breast Cancer Awareness month, observed in October, Gratiot Medical Center is offering mammograms

at a reduced rate of $82. Insurance will not be billed for this offer. To schedule an appointment, call (989) 466-3295.


Peter Bruno, M.D., f.a.c.s., general surgeon, received his medical degree from the University of Michi-gan in Ann Arbor in 1977. He completed his residency at Mayo Graduate School of Medicine in Rochester, Minnesota. Dr. Bruno is board certified by the American Board of

of Medicine in Greenville, North Carolina in 1997. He was fel-lowship trained in laparoscopic surgery at North Shore–Long Island Jewish University Hospital in Manhasset, New York. Dr. Cudjoe is board certified by the American College of Sur-geons and is a fellow of the American College of Surgeons. Dr. Cudjoe is accepting new patients in his Alma office.

sister reBecca Mary KoterBa, M.D., f.a.c.s., general surgeon, received her medical degree from Michigan State University in East Lansing in 1983. She completed her residency at Saginaw Cooperative Hos-pitals, Inc., in Saginaw. Dr. Koterba is board certified by the American Board of Surgery and is a fellow of the American College of Surgeons. Dr. Koterba is accepting new patients in her Alma office.

Jeffrey sMith, M.D., f.a.c.s., general sur-geon, received his medical degree from Medical College of Wisconsin in 1988. He completed his residency at Saginaw Cooperative Hospitals, Inc., in Saginaw. Dr. Smith is board certified by the American Board of Surgery; is a diplomate of the American Board of Surgery; and is a fellow of the American College of Surgeons. Dr. Smith is accepting new patients in both his Alma and Mt. Pleasant offices.

Ernest Cudjoe, M.D., F.A.C.S.

Sister Rebecca Mary Koterba, M.D., F.A.C.S.

Peter Bruno, M.D.,F.A.C.S.

Laparoscopicsurgery

you can recuPerate faster

ot so long ago, a person who had gallbladder surgery would have been discharged from the hospital five days after surgery with a prominent scar and would spend the next month recovering. Today, thanks to laparoscopic surgery, a person is likely to be home the same day and back to a

Jeffrey Smith, M.D., F.A.C.S.

Meet the surgical exPerts at gratiot MeDical center

Surgery and is a fellow of the American College of Surgeons. Dr. Bruno is accepting new patients.

ernest cuDJoe, M.D., f.a.c.s., general surgeon, received his medical degree from East Carolina University School

normal routine within a week—with only a few bandages to show for the surgery.[ What is laparoscopic surgery?] Laparoscopic surgery, also referred to as minimally invasive surgery, describes the surgical technique that uses the assistance of a video camera and several long, narrow instruments. During this procedure, small incisions of up to a half an inch are made and plastic tubes called trochars are placed through these incisions. Through these trochars, instruments are inserted. The surgeon uses these instru-ments to manipulate, cut and sew tissue.[ How is laparoscopic surgery performed?] During laparoscopic surgery, carbon dioxide gas is infused through one of the trochars into the patient’s abdo-men. The gas pushes the anterior abdominal wall upward, and makes room for the surgeon to work. A camera, in-serted through one of the trochars, links to a video monitor,

S u r g e r y

GettinG ready for your surgerySo you’ve decided to have surgery. What happens now?

While every operation is different, there are some general things you can do to get

ready.

First, talk to your surgeon. It’s important for you to have a thorough understand-

ing of the operation, recovery time and postoperative rehabilitation, according to the

American Academy of Orthopaedic Surgeons.

Once you know what’s ahead, you can take action:

If you smoke, try to stop or at least cut down. Smoking delays healing and slows

recovery.

Eat a healthy, balanced diet. Your doctor may put you on a special diet, advise you

to lose weight or recommend iron supplements before surgery.

Tell your doctor what medications you take, including over-the-counter medicines

and vitamin and herbal supplements. You may need to stop taking some medicines

before surgery. For example, aspirin or anti-inflammatory medicines should not be

taken within a week of surgery to reduce the risk of bleeding.

P l A n F O r h O m E c O m I n g

line up someone to help with cooking, laundry and shopping while you recover.

make home modifications, if needed. Perhaps you’ll need grab bars or handrails in

the shower or an elevated toilet seat.

Put items such as the phone, TV remote, facial tissues, water and medications in

one easy-to-reach place.

giving the surgeon a view of the inside of the abdomen. [ What surgeries can be performed laparoscopically? ] Gratiot Medical Center has performed the following laparoscopic procedures for several years: F Gallbladder removal F Esophageal surgery F Gastroesophageal reflux repair F Colon resection F Hernia repair F Gynecological surgeries F Gastric bypass, Lap-Band F Surgery on the stomach and spleen. [ What are the benefits of laparoscopic surgery?] F Less post-operative discomfort F Quicker re-covery F Shorter hospital stays F Quicker return to full activities F Much smaller scars.

As with any surgical procedure, it is important to discuss all surgical options and their respective risks and benefits with your surgeon before deciding which procedure or treatment option is right for you.n


f

welcoMe, new DoctorsnirMal Patel, M.D., family practice, has recently

joined the active medical staff at Gratiot Medical Center. He received his medical degree from M.S. University, Government Medical College in Vadodara, India in 1998. He completed his residency at MidMichigan Medical Center–Midland. Dr. Patel is accepting new patients in his Breckenridge office.

aMarish Potnis, M.D., physiatry, has recently joined the courtesy medical staff at Gratiot Medical Center. He received his medical degree from Wayne State University School of Medicine in Detroit in 1995 and completed his residency at Temple University Hospital in Philadelphia. Dr. Potnis is board certified by the American Board of Physical Medicine and Rehabilitation, the American Board of Internal Medicine and

the American Board of Independent Medical Examiners. Dr. Potnis is accepting new patients.

W e l l n e S S

Family practice

helP for wounDs that won’t heal

or many Americans, the aging process, diabetes and other conditions lead to nonhealing wounds. If not treated properly, these wounds can take weeks, months or even years to fully heal, significantly affecting quality of life.

By listening to community members, Sister Mary Rebecca Koterba, M.D., a general surgeon at Gratiot Medical Center, recognized a need for the care of these wounds in the communities the Medical Center serves. Dr. Koterba received advanced training in specialized wound care through intensive wound care courses at Ohio State University and spent a year working in a wound clinic in Saginaw. Since beginning a wound care clinic at Gratiot Medical Center, Dr. Koterba frequently sees 16 or more patients on Wednesdays at the clinic.

“We have an older population today, which leads to an increased concern for wound care,” Dr. Koterba says. “In Gratiot County, diabetes is a prevalent illness. These patients often face wounds that need special care. The pain, risk of infection and activity limitations these wounds cause are difficult for both the patient and their loved ones.”

a safe, convenient aPProach Gratiot Medical Center uses a multidisciplinary approach to wound care that includes physicians, nurses, physical therapists, infection control professionals, dietitians and other special-ists all at one location. The goal is to promote healing and

Physiatry

prevent infection and reinjury.Services and procedures provided at the wound clinic

include:l A thorough wound assessment identifying underlying disease factors. l Conventional and specialty wound treatment. l Patient, family and professional education, providing vital information on disease processes, treatments and services. l Dietitians providing nutrition counseling. l Access to home medical equipment when needed.

To receive a detailed wound assessment, implementa-tion of care, education and follow-up by a team of health care professionals, contact your primary care physician for a referral to Gratiot Medical Center’s Wound Care Clinic. Appointments are scheduled through central scheduling at (989) 466-3295.

heaLthinsurance

you’re covereD




Please note that participation by the Medical Center is not a guarantee that your physician is also contracted for that health plan. Please be sure to contact your provider’s office to verify the status of their participa-tion. For more information, call MidMichi-gan Health Network at (989) 839-1629 or toll-free at (888) 646-2429.

M

Aetna midland, clare, gladwin, gratiot

American community midland, clare, gladwin, gratiot mutual

American medical midland, clare, gladwin, gratiot Security

APS healthcare midland

Associated Builders midland, clare, gladwin, gratiot and contractors

Assurant midland, clare, gladwin, gratiot (Formerly Fortis)

BcE Emergis midland, clare, gladwin

Blue care network midland, clare, gladwin

Blue choice midland, clare, gladwin, gratiot

Blue cross Blue midland, clare, gladwin, gratiot Shield of michigan

Blue Preferred PPO midland, clare, gladwin, gratiot

ccn network midland, clare, gladwin, gratiot

central health Plan midland, clare, gladwin

chandler group midland, clare, gladwin, gratiot

cIgnA midland, clare, gladwin, gratiot

community Blue PPO midland, clare, gladwin, gratiot

connectcare midland, clare, gladwin, gratiot

Directcare America midland, clare, gladwin

Federated Insurance midland, clare, gladwin, gratiot

First health midland, clare, gladwin, gratiot

golden rule midland, clare, gladwin, gratiot

hcAP midland, clare, gladwin, gratiot

health Advantage midland

healthPlus of michigan midland, clare, gladwin, gratiot

humana midland, clare, gladwin, gratiot

John Alden midland, clare, gladwin, gratiot

liberty Union midland, clare, gladwin, gratiot Assurance

magellan gratiot

m-care midland, clare, gladwin, gratiot

mclaren medicaid hmO gratiot

medicaid midland, clare, gladwin, gratiot

medicare midland, clare, gladwin, gratiot

midland health Plan midland

mid-michigan health Plan gratiot

molina (medicaid hmO) midland, clare, gladwin, gratiot

multiPlan midland, clare, gladwin, gratiot

PhP midland, clare, gladwin, gratiot

PPOm midland, clare, gladwin, gratiot

Principal midland, clare, gladwin, gratiot

Trustmark midland, clare, gladwin, gratiot

US health and life midland, clare, gladwin, gratiot

Insurance plan Participating hospitals Insurance plan Participating hospitals


W e l l n e S S

BuilDing for the future

multiyear construction initiative is transforming the way Gratiot Medical Center, an affi liate of MidMichigan Health, is delivering health care to its patients and their families.

This $56 million construction project is the largest and most encompassing building en-

deavor in Gratiot Medical Center’s history. A new combined emergency department, urgent care and occupational health area and a new four-story patient care tower are all being built on the Alma campus, with completion dates in 2007 and 2008, respectively. This extraordinary project was designed with patients in mind; they were at the center of every decision.

Patient care tower The new four-story patient care tower will house 90 private rooms and will complement the remaining 52 semi-private patient rooms. Although these rooms will be about the same size as the current pa-tient rooms, there will be dramatic differences designed to make each patient’s experience as restful and comfortable as possible. Each patient room will have its own bathroom and shower for convenience and will provide privacy for our patients to talk with their physicians, visitors, pastors or family members.

The nursing station offers easy access and increased visibility to all patient rooms. “This new design for private patient care rooms is the new standard for health care,” says Christine Ludlum, vice president of nursing and patient care services. “The private rooms enable the patients to recuperate faster and help ensure privacy for the patient and his or her health care team.”

ratiot Medical Center’s ongoing “Yours for Life, Building on Tradition” fund drive received a boost when the Kresge Foundation awarded it a $100,000 challenge grant in late June.

“We’re thrilled this preeminent foundation has offered us this opportunity. It shows they

agree that the Medical Center has strong support from the community,” says president and CEO Thomas DeFauw. “The Kresge Foundation grant is earmarked specifi cally for the construction costs of the new emergency department, urgent care and occupational health area.”

The grant requires that the Medical Center raise $427,775, which is needed to reach the campaign’s goal of $3.35 million. These funds must be raised by July 1, 2007. Currently, gifts and pledges stand at slightly over $2.81 million.

“We are now in the broadest part of the fund drive,” DeFauw says. “We are reaching out to everyone in the communities we serve to ask for help in reaching this goal. All gifts received will help to earn this most prestigious grant.”

Thank you for your support and helping us building for the future.

Yours for Life, Building on Tradition

Gratiot Medical Center’s $56 million construction project is under way. The new fourstory patient care tower will house 90 private rooms and will complement the remaining 52 semiprivate patient rooms.

construction Progress Progress of the building project, which began in May, includes the demo-lition of the G-wing. Construction work continues on the foundation and footings for the patient care tower and the new combined emergency department, urgent care and occupational health area.

During construction, patient and visitor access will re-main in the front of the Medical Center. Alternate parking areas will continue to be accessible throughout the duration of the construction. Thank you for your patience as Gratiot Medical Center builds for the future.

capitaLcaMpaign

Kresge founDation awarDs grant

gYours for Life, Building on Tradition

Kresge Foundation Challenge Grant OpportunityI/We wish to support the construction of the new patient tower and emergency department, urgent care and oc-

cupational health area and to help bring The Kresge Foundation challenge grant to gratiot medical center.

name: _______________________________________________________________________________________________

Address: _____________________________________________________________________________________________

city: __________________________________________ State: _______ ZIP code: __________________________

❑ Yes, I/we wish to commit $100 a year for fi ve years to gratiot medical

center’s Kresge Foundation challenge.

❑ Yes, I/we wish to support gratiot medical center’s fund drive with the

enclosed gift. Amount: _______________________

To make a gift by mastercard or Visa, please call (989)4��-�272. Or mail this form, along with your check payable

to gratiot medical center, to: Administration, gratiot medical center, 300 E. Warwick Drive, Alma, mI 48801.

Thank you for your support of gratiot medical center.

a

Please print name as you would like to be recognized in campaign materials

watch us growWeekly construction updates are available online

at www.midmichigan.org/construction. This Web

page will keep you informed of any necessary

changes in parking or building access,

as well as the overall progress of this

extraordinary building project.

✁


W e l l n e s s

testIng the heart






Heart SERVICES available at MidMichigan


Lake

Midland Mt.

Pleasant

Ambulatoryblood

pressuretest

Recordsbloodpressure

duringa24-hourperiod

X X X X

Cardiac

catheterization

Locatesblockagesornar-

rowingincoronaryartery

X X

Cardiolite®

Myoview™or

Thallium

Checksheartfunction

beforeandafterexercise

X X X X X

Echocardiogram Examinesheartmuscles

andvalves

X X X X X X

Electrocardiogram

(ECGorEKG)

Detectsabnormalrhythms

andheartdamage

X X X X X X

Holtermonitor

andevent

recorder

Recordsheartactivity

duringa24-hourperiod

orlonger

X X X X X X

Stress

echocardiogram

Detectsabnormalchanges

inthemotionoftheheart

X X X X

Transesophageal

echocardiogram

(TEE)

Takesimagesoftheheart

frominsidetheesophagus

X X X

Tilttabletest Examinesbloodpressure

betweentheheartandthe

brain

X X

Treadmilltest Detectsischemia(areasof

poorbloodsupply)

X X X X X X

Vascular

ultrasound

Detectsbloodclotsand

otherblockages

X X X X X X

m

s your child shouldering a heavy load?Wearing a heavy backpack, especially if it’s not worn

correctly, can injure a child’s muscles and joints, accord-ing to the American Academy of Pediatrics (AAP). The result may be posture problems as well as serious back, neck and shoulder pain. The following steps, from the

AAP, can help ease the load and protect your child from the bane of a burdensome backpack.

Select comfort. Look for a lightweight pack that has two wide, padded shoulder straps, a padded back and a waist strap. These features will make carrying the pack more comfortable and help distribute the weight more evenly.

Wear it right. Loading and carrying the backpack cor-rectly will help your child avoid injury. Keep in mind: A full backpack should not weigh more than 10 to 20 per cent of your child’s weight. The heaviest items in a backpack should be placed near the center of the back. Carrying a pack over just one shoulder can strain mus-cles or cause the spine to curve. Be sure your child always puts one arm in each strap. Keep straps tight so that the backpack sits close to the back and about 2 inches above the waist.

Lighten the load. If your child’s backpack is simply too heavy to carry, a backpack with wheels might be the best

bacKpacKs: taKe a load off KIds

Ioption. Remember that your child may still need to carry the pack on bus steps or fl ights of stairs.

Another option would be to purchase a second set of schoolbooks to keep at home. That way your child won’t have to lug books home for homework.

Talk to school officials.Find out whether your child has time to stop at his or her locker throughout the day. That way only the books necessary for one or two classes need to be kept in the backpack at any given time, rather than carrying a day’s worth of books around.

To request a FREE Steps to Backpack Safety fl yer, call MidMichi-gan Health Line toll-free at (800) 999-3199.

To request a FREE


A legacy of hopelocal high school senior receives Bernardo scholarship

MidMichigan Health Park–Houghton Lake has awarded the Grace Bernardo, M.D., Memorial Scholarship to Justin S. Balyo. The Grace Bernardo Scholarship Committee selected Balyo after reviewing numerous applications received from fellow high school seniors.

Balyo graduated from Houghton Lake High School this year and plans to become a certifi ed athletic trainer. He credits his relationship with Brian Locke, the former cer-

tifi ed athletic trainer from MidMichigan Health Park–Houghton Lake, as his inspiration for pursuing a career in athletic training.

The scholarship fund was created as a memorial to Grace Bernardo, M.D., who was a highly regarded p hy s i c i a n i n t h e Houghton Lake com-munity, specializing in primary care pediat-rics. This scholarship, of which Balyo is the fi fth recipient, was es-tablished in her honor and memory.

“Dr. Bernardo was professional, highly respected by her peers and practiced very good medicine,” says Dar-rell E. Milner, executive director of MidMichigan Health Park–Houghton Lake. “She loved people, especially chil-dren, and she loved medicine. Unfortunately, Dr. Bernardo was only with us for a short time, as she sadly fell victim to the ravages of cancer shortly after the birth of her son. This scholarship fund serves as an encouragement for graduating seniors who are considering careers in health care.”

Justin S. Balyo, a graduate of Houghton Lake High School, received the Grace Bernardo, M.D., Memorial Scholarship.

Discount program is here to helpThe medical care discount program is available to any patient meeting income guidelines with a primary care provider at MidMichigan Health Park–Houghton Lake or MidMichigan Medical Offi ces–Roscommon. This program now helps with prescrip-tions, co-pays and deductibles, as well as signifi cant discounts on a variety of medical services offered at these facilities to those who qualify.

Eligibility and discounts are based on income, family size, and/or special circum-stances. It does not matter whether you have insurance or not. (A family is defi ned for this program as all persons related by blood, marriage or adoption that live together in one

house.) The medical care discount ranges from 40 per cent to 95 percent off the cost of covered services listed below.

covered services This program covers the following services at MidMichigan Health Park–Houghton Lake and MidMichigan Medical Offices–Roscommon: ✦ On-site primary care offi ce visits ✦ On-site urgent care visits✦ On-site laboratory testing ✦ On-site X-ray procedures ✦ On-site patient education services and counseling ✦ Limited dental service referrals ✦ Some prescription medications.

The enrollment process is simple with a short, easy-to-fi ll-out application. To receive the medical care discount program application and income guidelines, call MidMichigan Health Park–Houghton Lake at (989) 422-5122 or MidMichigan Medical Offices–Roscommon at (989) 275-8931.With more specific questions, contact the medical care discount program coordinator at (989) 275-8957, ext. 35.

examplesofDiscountsavailable

(Basedonfeb.200�incomeGuidelines)

IncomeRange PercentDiscount

Familyoffour $35,001to$40,000 40%

Familyoffour $20,000orless 95%

Familyoftwo $23,101to$26,400 40%

Familyoftwo $13,200orless 95%

Individual $17,151to$19,600 40%

Individual $9,800orless 95%

Health clinic opens on school campusMidMichigan Health Park–Houghton Lake is moving for-ward with plans to open two school-based health clinics in Roscommon County. The fi rst, at Houghton Lake High School, opened on a pilot basis in May. The clinic was open two hours a day and gave the school health planning team time to put its plans in action and make adjustments for the fall. The clinic will be open three to four hours a day when school starts. The team also plans to open a similar site at Roscommon Middle School.

The school-based health clinic will provide a full range of primary health care services, including sports physicals, well-child checks, injury and illness treatment, and preven-tive care for children ages 10 to 18. The team continues to seek sources of funding to support these school-based health clinics in the future.

For appointment information, call the school-based health clinic at (989) 366-2061.

CataraCtS





what causes cataracts? Most cataracts occur late in life. The wear-and-tear effect of aging can slowly cloud





You should suspect cataracts if: You have blurred or double vision, “ghost images,” or the feeling that a fi lm is covering your eye. Lights seem too dim for reading. Strong light seems “dazzling” or glaring. Colors appear faded or less bright. You change eyeglass prescriptions often, but your vision doesn’t improve.






Documents

4005 Orchard Drive Midland, MI 48670 our · 4005 Orchard Drive Midland, MI 48670 Nonprofit Org. U.S. Postage PAID Platteville, WI Permit No. 7 reAcHiNG resiDeNTs THrOUGHOUT THe MiDDLe