SCMS BULLETIN - February 2016

wwwSaginawCountyMScom

BulletinThe

Saginaw County Medical SocietyThe Future of Medicinein SaginawWelcome CMUMedical Studentsto the SCMS

April Meeting onPhysician Wellness Burnout

Right2Careorg

Save the Date p 11

Maintenance of Certification p 8

January Opioid Presentationon wwwSaginawCountyMScom p 17

Dr Firas Alani

Love your heart

Dr Soheil Assar

Becalm

Dr Umesh Badami

Eat healthy

Dr Scott Huffaker

Get enough sleep

Stay in shape

Dr Parthiv Amin

Dr Daniel Meldrum

Stay active

Dr Mayar Jundi

Use lesssalt

Dr Loai Marouf

Talk to your

doctorStop

smoking

Dr Manoj Sharma

Dr Pauline Watson

Educateyourself

Our Covenant Cardiology heart specialists

To learn more about how Covenant Cardiology can help you or to schedule an appointment please call 9895834700 or 8668000995 toll free

29 DAYS29Healthier Heart

for a

In February Covenant HealthCare celebrates American Heart Month Join us in our month long celebration with special health screenings assessments discounts and events which are

featured in our 29 Days 29 Ways February heart health calendar

Copies of the calendar can be obtained at CovenantHealthCarecom

including the two newest members of our team

copy2016 Covenant HealthCare All rights reserved Bus Dev (AQRF) Rev 116 Extraordinary care for every generation

The Bulletin | February 2016 3

All statements or comments in the Bulletin are those of the writers and not necessarily the opinion of the Saginaw County Medical Society Contributions are welcome We publish committee reports letters to the editor Alliance reports public health activities of the members and some personal items (birthdays weddings graduations and like events) The Editor determines which are accepted Advertisements are accepted as space is available at our going rates Members may advertise office information professional services skills and procedures also at our going rates We do not accept advertisements from non-members or non-Saginaw hospitals The Bulletin is mailed free of charge to SCMS members Complimentary copies are sent to various other parties Others may subscribe at the rate of $30 per year

SAGINAW COUNTY MEDICAL SOCIETY2015-2016

OFFICERS AND DIRECTORS

contents4 155

SCMS Members Needed for Health Fair

Volunteers Needed to Serve at Soup Kitchen

January MembershipMeeting Minutes

Health Fair Vendor Registration Form

ON THE COVER CMU Medical Students (Front l-r) AJ Shadrach Taylor Boehler Kathleen Duemling Paige Piper and (Back l-r) Josh Donkin Brad Demijohn Doug Beckman

EDITORLouis L Constan MD

EXECUTIVE DIRECTOR Joan M Cramer

DESIGNERLori Krygier

PUBLISHERSaginaw County Medical Society 350 St Andrews Rd Suite 242 Saginaw Michigan 48638-5988 Hours Tuesday Wednesday Thursday 830 AM - 330 PM Web SaginawCountyMScom

Telephone (989) 790-3590 Fax (989) 790-3640 E-Mail JoanSaginawCountyMScom

BulletinThe

Saginaw County Medical Society

PRESIDENT Danielle C Duncan MDPRESIDENT-ELECT Virginia R Dedicatoria MDPAST PRESIDENT M Sohail Jilani MDINTERIM SECRETARY Caroline GM Scott MD TREASURER Thomas J Veverka MDDIRECTORSJulia M Walter MDBL Nahata MDZubeda S Khan MDMaliha N Shaikh MDSanjay J Talati MDGopi K Nallani MDBULLETIN EDITOR Louis L Constan MDRETIREE REPRESENTATIVE Larry S Kelly MDRESIDENT REPRESENTATIVE Rahul Jacob MDPEER REVIEW ETHICS COMMITTEE Waheed Akbar MDCaroline GM Scott MDJames R Hines MDMSMS DELEGATESElvira M Dawis MDBL Nahata MDZubeda S Khan MDMaliha N Shaikh MDSanjay J Talati MDJulia M Walter MDMeena Ramani MDVirginia R Dedicatoria MDMohammad Yahya Khan MDMSMS ALTERNATE DELEGATESCaroline GM Scott MDVijay K Chaku MDWaheed Akbar MDM Sohail Jilani MDGopi K Nallani MDAnthony M Zacharek MDDennis A Boysen MDSteven J Vance MDThomas J Veverka MDMildred J Willy MDDaniel J Wechter MDMSMS DISTRICT 8 DIRECTORDebasish Mridha MDEXECUTIVE DIRECTOR Joan M CramerEXECUTIVE ASSISTANT Jamie D Chamberlin

4 Presidentrsquos Letter

6 From the Editor 7 Imposter Posing as Physician

8 Right2Careorg

11 April Membership Meeting - Save the Date

11 Announcements

11 Golf Outing - Save the Date

11 Classified Ad

12 Three Tips for a Successful Medical Marriage

14 Key Provider of the Month

18 New Members

19 March Birthdays

1619 In Memory

20 Covenant HealthCare

22 MSMS

23 Physician Health amp Well-Being Committee

24 St Maryrsquos of Michigan

26 Medical Student Loan Applications Available

27 Nursing Scholarship Applications Available

27 wwwSaginawCountyMScom

28 Board Highlights 31 Advertiser Index

32 2015-16 Key Providers

32 Mark Your Calendar for 2016

Dr Firas Alani

Love your heart

Dr Soheil Assar

Becalm

Dr Umesh Badami

Eat healthy

Dr Scott Huffaker

Get enough sleep

Stay in shape

Dr Parthiv Amin

Dr Daniel Meldrum

Stay active

Dr Mayar Jundi

Use lesssalt

Dr Loai Marouf

Talk to your

doctorStop

smoking

Dr Manoj Sharma

Dr Pauline Watson

Educateyourself




for a






emember your White Coat Ceremony The pockets filled up quickly with Merck Manuals reflex hammers and the like As

we trained for the endurance event of medical practice our learned knowledge was shared with patients friends and family then those more junior in our programs Our pockets became less full as we assimilated our didactic and clinically acquired information and eventually the coats lengthened Some of us wear our coats daily others have set them aside pursuing administrative roles or preferring not to cover themselves in white polyester One Saturday morning each March people line up outside rain or shine (or snow) searching

6

6

PRESIDENTrsquoS LETTER

RBy Danielle C Duncan MD

Danielle C Duncan MD

4 The Bulletin | February 2016

We Need YOU atThis Yearrsquos Health Fair

out freebies information and experts wearing white coats The 12th Annual SCMS Health Fair ldquoThe Doctor Is Inrdquo scheduled for Saturday March 19 2016 from 9 am to 1 pm at Horizons Conference Center is an opportunity for donning your coat short or long and sharing information with county residents regarding wellness screening for disease and in general educating the public on areas of medicine and fitness you feel deserve

promotion within our community We wear the coats that day to identify ourselves as approachable and eager to share what wersquove come to know with people who have come to learn Who knows if you look good in white you may make the next cover of the new and improved Bulletin Contact Joan Cramer SCMS Executive Director at 790-3590 or jmcramersbcglobalnet or JoanSaginawCountyMScom to sign up

ldquoThe Doctor Is Inrdquo scheduled for Saturday

March 19 2016 from 9 am to 1 pm at

Horizons Conference Center is an opportunity

for donning your coat short or long and

sharing information with county residents

regarding wellness screening for disease

and in general educating the public on areas

of medicine and fitness you feel deserve

promotion within our community

SCMS members of all specialties are needed to staff the SCMS Booth Members will be scheduled in one hour shifts from 9 am to 12 pm Please see page 5 for Vendor Registration Form Contact Joan Cramer at 790-3590 or jmcramersbcglobalnet if you can help or if you are interested in purchasing a booth to promote your practice

SCMS Members Needed To Staff SCMS

Booth At the 12th Annual Health FairldquoThe Doctor Is Inrdquo

Saturday March 19 2016 9 am to 1 pm

Horizons Conference Center


SAGINAW COUNTY MEDICAL SOCIETY 12th Annual Health Fair ldquoThe Doctor Is Inrdquo Saturday March 19 2016 9 am ndash 1 pm

Horizons Conference Center 6200 State Street Saginaw Michigan 48603

VENDOR REGISTRATION PLEASE NOTE Registration fee prior to February 26 2016 is $200 Registration fee after February 26 2016 is $250 Vendor booths include one eight foot skirted table and two chairs Coffee water and soft drinks will be provided Due to increased costs we are no longer able to provide lunch to vendors but you are welcome to bring a snack Sales from booths are prohibited but giveaways are encouraged If you require two tables you will be charged for two booths Booths are available on a first come first served basis and space is limited Participants are asked to staff their booth during the entire Health Fair Tear down will not be allowed until 1 pm Anticipated attendance - 1100 If you would like to participate in the 12th Annual Health Fair please complete and return this form and your check in the amount of $200 per booth (before 22616) or $250 per booth (after 22616) payable to the Saginaw County Medical Society to Joan M Cramer Executive Director SCMS 350 St Andrews Road Suite 242 Saginaw Michigan 48638-5988 Please contact the SCMS at jmcramersbcglobalnet or 989-790-3590 with any questions (fax 989-790-3640) The Vendor Registration form can also be downloaded from our website at wwwsaginawcountymscom The 12th Annual SCMS Health Fair is a privately sponsored event The SCMS reserves the right to refuse any vendors including but not limited to those who do not fit the mission and scope of the SCMS physicians andor businesses owned by physicians who are not members of the SCMS and hospitals outside of Saginaw County PLEASE PRINT Name of Organization Contact Person Address City State Zip Code

Office Phone Cell Phone Fax Email

What is planned for your space

Number of people working your booth

Will you provide a health screening If so what type Do you require electricity Please do not request electricity if you do not need it Electrical outlets are not available at all booth locations and booth placement is based partly on electrical needs If yes please bring an extension cord YES we need electricity NO we do NOT need electricity Each booth has two chairs If you are performing a screening or have more than two people staffing your booth please indicate the total number of chairs needed of Vendor Chairs Needed ____ of TestingWaiting Chairs needed ____ Will you donate an item to be raffled off at the Health Fair If so please bring the item the day of the Health Fair and label it with your organizationrsquos name YES we will donate an item for the raffle

Planned in association with CMU Health Covenant HealthCare Health Delivery Inc Michigan Cardiovascular Institute Saginaw County Osteopathic Society and St Maryrsquos of Michigan

his is the fifth in a series of articles on legacy the first four being about legacies in general legacies to our

profession legacies to friends and legacies to family This article where we discuss legacies to our colleagues has a very special meaning to me as you shall see Colleagueshellipletrsquos start by discussing collegiality a term bandied about freely and generally referring to a good relationship with our colleagues What it actually means is ldquoThe relationship between colleagues who are explicitly united in a common purpose to help each other work toward that purposerdquo Now letrsquos expand this by specifically defining the word help ldquoTo do something that makes it easier for someone to do a job to deal with a problem to make something less severe to make something more pleasant or easier to deal withrdquo Hmm has there ever been a time in your memory when you were in greater need of help doing your job Most everyone but your fellow doctors as you well know is making your job harder not easier Thus the need for collegiality thus the crying need to offer each other sincere informed and genuine help I contend that the biggest assistance we can give a colleague is not a consult not advice on helping a patient but help and encouragement negotiating the toxic environment in which we practice

FROM THE EDITOR

TBy Louis L Constan MD

Do You Want Help

Louis L Constan MD


continued on page 7

Collegiality can save us We can help each other through these times What could be a greater legacy than to help a colleague who is struggling with his computer with ICD 10 with meaningful use with PCMH with ACA (Obamacare) This actually happened to me I spent 37 years of my career in solo practice solving all my own problems usually very effectively but often at a cost to my well-being I was worn out and discouraged Then I found a partner at a crucial time when I was encountering full-blown burnout due to problems like those mentioned above and when I was having a particularly difficult relationship with my employer the hospital We shared the load She took the lead on some problems I took the lead on others Sometimes her knowledge and experience were helpful on a specific problem sometimes mine were Above all we encouraged each otherhellipa lot I learned to ask for and accept help she did the same We both grew

as human beings And we survived some pretty rocky times The practice thrived It was wonderful Her success is one of my proudest legacies my success is (I hope) one of hers Does such mutual support happen to other doctors I hope so but with the level of frustration anger and weariness I am sensing from many of you I donrsquot think it happens enough Sometimes it seems we doctors actually discourage others from helping us perhaps because our persona as healers does not allow us to be healed by others We doctors like many in the helping professions simply donrsquot like to receive help from others We need to get over that Collegiality can help us it can save us It is desperately needed Someday I believe doctors will regain their rightful prominence in the medical care system I say this not because I know how that would come about but because I know in my bones that doctors are the only ones in this crazy system who have the patientrsquos best interest at heart

We doctors like many in the helping

professions simply donrsquot like to receive

help from others We need to get over that

Collegiality can help us it can save us

It is desperately needed


continued from page 6

No one else although they are very sure how we should be practicing medicine swears a Hippocratic Oath Sooner or later patients are going to realize despite all the billboards all the ads on busses all the commercials on TV and all the flashy signs that hospitals insurance companies pharmaceutical companies government agencies

all of them are more interested in the almighty dollar than in helping the sick patient When that happens we should regain much of what we seem to have lost Until that happens though we need to survive and to find a way to help our patients when everyone else is working against us Until that happens we need to step up our

We have had several recent complaints of a caller identifying themselves as a physician who has been contacting local physicians in the area trying to obtain cell phone numbers The caller states ldquoHello I am Dr XXX could you please give me Dr XXXrsquos cell phone number I need to contact himher right away as this is an emergencyrdquo When the office person questions the caller as to what or who this is about the caller hangs up Please do not give out any information as these calls are not legitimate and they are trying to get physician

game employ every strength we have to help and encourage each other And when the tide turns we will be able to look back proudly and say ldquoI survived We survived We thrived because we helped each otherrdquo We will succeed we will help each other we will face this age together This is our legacyrdquo

Edgewood Assisted Living Center

Walk through our beautiful hallways from the comfort of your computer chair

wwwedgewoodalccom

For more information call Wendy at

(989) 497-9970

New Virtual Tour Experience



wwwedgewoodalccom


(989) 497-9970

New Virtual Tour Experience Edgewood Assisted Living Center


wwwedgewoodalccom

Walk through our beautiful hallways fromt the comfort of your comuter chair

For more informationCall Wendy at

Imposter Posing as Physician to Obtain Cell Phone Numbers

cell phone numbers If this has happened to anyone in your office please let me know If you get a call in the future please write down the caller ID information date and time and the name of the doctor the person is impersonating and call or email me with the information Thank you

Joan M Cramer Executive DirectorJoanSaginawCountyMScom or jmcramersbcglobalnetTelephone 989-790-3590

PLEASE SHARE WITH ALL OF YOUR STAFF


Michigan patients have a right to high quality health care from a physician of their choice

Michigan physicians have a right and a responsibility to deliver high quality care to their patients

Those rights are at risk because of a bureaucratic nightmare known as ldquoMaintenance of Certificationrdquo and new policies by some health insurance companies that could cut off patientsrsquo access to the physicians they know and trust

Thatrsquos not just a hassle mdash thatrsquos dangerous

Patients deserve access to high quality health care

New legislation in Lansing would make sure they get it Senate Bills 608 and 609 will protect and defend

bull A patientrsquos right to the health care and support they need from the physician they choose bull A physicianrsquos right to provide quality care to patients without costly troublesome ldquopay to playrdquo

requirements bull And a statersquos right to create a health care system that works for everyone

Itrsquos time to fight for Michiganrsquos Right2Care Learn more at wwwRight2Careorg

Michigan patients and physicians have a Right2Care

WHAT IS MAINTENANCE OF CERTIFICATION (MOC)

After completing 9-14 years of education and training physicians are eligible for board certification within their specialty

Herersquos the problem after obtaining certification various boards developed arbitrary and costly hoops through which physicians must jump to keep their certification For example the American Board of Internal Medicine devised a way to make huge profits through duplicative and unnecessary MOC

Now some health plans and insurance companies in Michigan are threatening to cut off patientsrsquo access to their highly trained highly qualified physicians unless those physicians jump through these bureaucratic hoops

HOW DOES MOC HURT PATIENTS AND PHYSICIANS

Physicians already maintain education requirements to keep their licenses to practice medicine and have the right to deliver high quality health care to their patients but

bull Maintenance of Certification is an out-of-state scheme that drives up the cost of health care while limiting physiciansrsquo time with their patients

bull A new health insurance company plan may use MOC to force some patients to leave the physicians theyrsquove grown to know and trust

DOES ELIMINATING MOC JEOPARDIZE THE QUALITY OF CARE

No As physiciansrsquo careers advance they take part in continuing medical education programs that keep them current with advancements in medicine and patient care The costs of this testing and training are paid by each physician and are necessary to allow them to practice in Michigan

The state of Michigan is a leader in quality improvement initiatives in which many physicians actively participate These programs drive lifelong learning that translates to better patient outcomes

Right2Care is an initiative of the Michigan State Medical Society


MAINTENANCE OF CERTIFICATION (MOC) TALKING POINTS

bull MOC does not improve patient care Studies conducted to assess potential variation between the clinical competency of physicians required to participate in MOC and those who are not required to participate in MOC show little or no change in outcomes4 SOURCE JAMA Study 1 and 2 available at httpright2careorglatestnews

bull MOC is inconsistently applied The rules for MOC vary wildly Different specialties require wide ranging requirements that have little correlation to physician or patient needs Furthermore many specialties permit a time-unlimited certificate which grandfathers many physicians from these requirements If MOC were crucial or even advisable exempting such broad categories of physicians would be indefensible

bull MOC is inconsistently conducted Different specialties require different levels of participation to

maintain certification Some may require closed-book tests that focus on subjects outside of the practice area of a physician others may embark on rigorous data collection activities from physicians with little alternative but to participate

bull MOC is expensive Internal medicine physicians can expect to spend $23607 over a 10-year span Physicians that specialize in treating cancer can expect to spend $404954 SOURCE Annals of Internal Medicine Study httpright2careorglatestnews

bull MOC is the byproduct of a coercive monopoly The increasing requirements of MOC track a growing effort to impose board certification requirements within insurance companies accrediting bodies and governmental entities While many if not most physicians see little value in participating in the costly process of MOC -- the threat of losing their credential compels them to participate in this costly endeavor that primarily benefits the specialty boardo Specialty boards claim that physicians are already electing to participate in MOC in overwhelming

numbers If that is the case these same specialty boards should not fear the legislation proposed in Michigan as physicians who see value in MOC will continue to participate

o The ABIM has been the subject of reporting by the same reporter that investigated ENRON and the results have been pretty illuminating in terms of lavish expenditures as well as questionable accounting practices that appear to expose the self interest of the specialty boards

4 SOURCE Newsweek httpright2careorglatestnews

Learn more at wwwRight2Careorg




Commercial medications not meeting the needs

of your patients

bull Liquid solutions bull Discontinued medications

bull Topical medications

bull Human Identical Hormone Replacement for men and women

bull Sugar freedye free medications

bull Non narcotic pain medications

We produce customized medications specially suited to meet the patientrsquos needs thus allowing limitless prescribing opportunities

Key Provider to the SCMS

Healthway Compounding Pharmacy2544 McLeod Dr N | Saginaw MI 48604 | 9897911691wwwhealthwayrxcom

Focusing our practice on the needs of our community we provide the following services for both individuals and businesses

n Monthly Accounting n Payroll Service

n Tax Planning n Tax Preparation Service

n Financial and Business n Retirement Planning Consulting Service

Contact us for a complimentary visit at 989-791-1040

Three convenient locations to serve you in Saginaw | Vassar | Frankenmuth

ldquoAttention to detail since 1980rdquo


The SCMS Foundation will host its 7th annual golf outing on Saturday June 11 2016 at the Saginaw Country Club The SCMS Foundation makes low interest loans to medical students with ties to the Saginaw area in the hopes of encouraging the students to return to Saginaw to practice

Four Person Scramble12 pm Registration bull 1 pm Shotgun Start

Watch upcoming issues of The Bulletin for information and sponsorship opportunities

GOLF OUTINGSAVE THE DATE

June 11 2016

CLASSIFIED ADFOR SALE2006 Model EZ 10 Tuttnauer AutoclaveUsed only 507 times is well taken care of and just had service technician certify its function Does not have printer but could be an added feature You can see the autoclave at Healthway Compounding Pharmacy 2544 McLeod Drive in Saginaw or contact Mike Collins at 989-791-1691 or mcollinshealthwayrxcom

Membership MeetingJoint with the

Midland County Medical Society and MidMichigan Physicians

SpouseSignificant Other Invited

Tuesday April 19 2016

Gerald A Shiener MD Chief of Psychiatry at Sinai-Grace Hospital will present a program for members and their

spousesignificant other on ldquoPhysician Burnout and Wellnessrdquo We are applying for CME credit for the program Dr Shiener earned a bachelorrsquos degree in psychiatry from

Wayne State University and his medical degree from Michigan State University Dr Shiener speaks on a wide range of topics including family dynamics mental illness and violence and is a regular panel member on Detroitrsquos

Fox 2 News program ldquoLet it Riprdquo

Please plan to attend with your spousesignificant other

Date Tuesday April 19 2016

Time 630 pm social (cash bar) 7 pm dinner brief meeting and program

Program ldquoPhysician Burnout and Wellnessrdquo

Speaker Gerald A Shiener MD Chief of Psychiatry Sinai-Grace Hospital

Place Horizons Conference Center 6200 State Street Saginaw

Cost No cost for SCMS members and spouse significant other and Midland County Medical Society and MidMichigan Physicians and spousesignificant other Non-members and guests - $40 each and reservations are required

Invitations will be mailed and emailed in late March but please mark your calendar now to attend

ANNOUNCEMENTS Saginaw Health Plan Needs Physicians for Quality and Oversight Committee The Saginaw Health Plan (httpwwwsaginawhealthplanorgsaginaw-health-planhtml) is seeking local primary care physicians interested in serving on the Network Quality and Oversight Committee Meetings take place quarterly and work to discuss issues pertaining to meeting the needs of Saginaw Countys uninsured population post Affordable Care Act The role would be voluntary and advisory If you are interested or have questions please contact Dr Toby Long SCMS member HDI physician and Saginaw Health Plan Board member at tlonghealthdeliveryorg


Research shows that physicians commonly enter medical marriages but ensuring your marriage is a success requires much more than shared professional interests Similarly marriages between physicians and non-physicians have common challenges that come with medical careers Learn these key tips for physicians in medical marriages to strengthen your connection with your partner as your career and relationship progress In a a recent issue of the AMA Alliance publication Physician Family physician resilience experts offered some of the key lessons that can strengthen medical marriages particularly for female physicians Herersquos what they recommend to physicians and their partners

1 Expect to make ldquosoul-splittingrdquo decisions especially if yoursquore planning to have children

Starting a family is a wonderful life-changing event but one that requires meticulous planning especially for female physicians who face the ldquobittersweet combinationrdquo of finding time to care for patients and their own children In fact ldquowithin 10 years of completing medical training approximately 80 percent of female physicians are married and 85 percent of those become mothersrdquo according to the article If you see children in your future know that female physicians often report having to make more ldquointense soul-splittingrdquo decisions than their average female colleagues who donrsquot have children or male colleagues according to the articlersquos authors Wayne M Sotile PhD Mary O Sotile Julia E Sotile Orlando and Rebecca Sotile Fallon The Sotiles run the Center for Physician Resilience in Davidson NC and have counseled more than 10000 physicians on resilience techniques As you plan for children think carefully about how your family will align your long-term career or the time you may have to take off For instance ldquoin a national survey of 1248 physicians women reported interrupting their careers for 85 months for child rearing men reported interrupting their careers for less than one monthrdquo according to the article

Three Tips for a

SuccessfulMedicalMarriage

2 Communicate openly about your career goals and how they will impact your spouse

Research has shown that feeling that your spouse supports your career is imperative to happiness in any marriage However this need for open communication about career plans is even more crucial in medical marriages for which juggling the demands of medicine and family life can put a unique strain on the partners of physicians ldquoJust as has been the case for female spouses of male physicians traditionally male spouses of contemporary female physicians often report feeling overwhelmed by the combined home andor work responsibilities that fill their livesrdquo the Sotiles wrote ldquoThis in and of itself is not a risk factor [for a marriage] Harboring resentment and avoiding communication about this isrdquo To avoid building resentment the Sotiles emphasize the importance of communication and speaking honestly about major life decisions

3 Learn to compromise (Hint joint decisions are key)

This one may be tough to accept but itrsquos important to understand ldquoAs family life progresses even the most supportive partnerrsquos tolerance for the demands of medicine is likely to wanerdquo the Sotiles wrote ldquoThis is most clearly seen when a woman physician is married to a non-physicianrdquo However they noted that this ldquocan be avoidedrdquo when a physician takes time to hear their partnerrsquos perspective ldquoResearch has shown time and again that keys to success and resilience in medical families are communication compromise and joint decision-makingrdquo the Sotiles wrote ldquoWithout these three factors spouses of physicians run the risk of being made to feel less than or second to a career in medicinerdquo

Check out the Physician Family httpwwwamaallianceorgsitenewsphysician-family magazine for additional insights

By AMA staff writer Lyndra VassarAMA WIREreg 1142016 1125 AM


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9897985217 CELLJANIKNOWSAGINAWCOM

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6 Bedrooms 5 Full Baths

Custom Built in 1999

2BR Attached Guest House

37 Beautiful Acres

Pasture amp Wooded Acreage

2000sqft Garage + Outbuilding

Just a few minutes from town

The Arearsquos Best Luxury Homes

4531 Square Feet

4 Bedrooms 2 frac12 Baths


12 Acre Wooded Lot

Marble Countertops

Mid Century Charm amp Style

3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa

Modern Luxury Finishes

Wolf amp SubZero Appliances

The Sawmill Golf Course

3163 Square Feet


All Brick Built in 2001

3 Car Attached Garage

Open Kitchen amp Family Room

Viking Commercial Kitchen


Immediate Possession

bull When patients are in the hospital ndash our experts in the dedicated inpatient heart failure unit focus on improving their outcomes

bull Before discharge ndash we set up their appointment within 7-10 days at Saginaw Countyrsquos only comprehensive outpatient heart failure clinic located at Michigan CardioVascular Institute (MCVI) for

A dedicated congestive heart failure care team that helps patients take a more active role in their treatment

Specialized services such as home monitoring treatment supervision and follow up phone care

Education on diet exercise medication management and symptom recognition

HeartFailureHeart

SuccessFor a longer more comfortable life

Treatment Education Encouragement For a longer more comfortable life(989) 754-3324 bull wwwstmarysofmichiganorg

CHF-85x11-SCMSindd 1 12216 1016 AM

KEY PROVIDER OF THE MONTH

ldquoKey Providersrdquo provide support for SCMS

membership meetings Each month a Key Provider

is featured in The Bulletin


The Saginaw County Medical Society will again volunteer at the Soup Kitchen on Wednesday March 30 2016 from 930 am to 1230 pm in celebration of National Doctorsrsquo Day The Soup Kitchen is located in the Hunger Solution Center 940 East Genesee in Saginaw (corner of Janes Street)

In November our members and their families prepped food for another day packed 271 lunches for the after school program and served lunch to 291 people Please consider donating your time on Wednesday March 30 2016 to help those in need in Saginaw The tradition was started many years ago by Dr Bill Engelman

Volunteers are asked to sign up to work at the Soup Kitchen for various one hour shifts from 930 am ndash 1230 pm or for the entire morning if desired

I will work at the Soup Kitchen at the following time (check shift(s) you will work)

n 930 am to 1030 am n 1130 am to 1230 pm n Other time am to ampm

n 1030 am to 1130 am n Entire time - 930 am to 1230 pm

Name Phone Email

PLEASE PRINT (we will callemail to remind you)

WEDNESDAY MARCH 30 2016 - TIME TO SIGN UP

IT IS VERY IMPORTANT THAT YOU HONOR THIS COMMITMENT We will be the only organization volunteering that day If our members are not in attendance there will be no other workers there to serve and pack lunches Please fax to the SCMS office at 989-790-3640 or mail to 350 St Andrews Road Suite 242 Saginaw Michigan 48638 Thank you

Most Insurance Plans Accepted | Apptrsquos within 48 hrs | Featured on PTandMecom

Back Pain

Strains or Sprains

Foot and Ankle Pain

ShoulderArmHand Pain

Arthritis

Head and Neck Pain

Sports Related Injury

Work Related Injury

Donrsquot let pain keep you down If you are

experiencing the following WE CAN HELP

BAY ROAD 3901 Bay RoadSaginaw MI 48603t 9897976040

DAVENPORT 3525 DavenportSaginaw MI 48602t 9894976040

SHIELDS 7680-4 GratiotSaginaw MI 48609t 9897811258


Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury






Top Left to Right Drs Ron Jenson Paul Bry Umesh Badami and Manuel Perea Dr Carl Christensen Bottom Left to RightDrs Julia Walter Juliette Perzhinsky and Jyothi SahniDrs Elvira Dawis Dan Wechter and Larry Kelly Dr Lester Webb and CMU medical student Brad Demijohn

Danielle C Duncan MD SCMS President called the meeting to order at 630 pm Dr Duncan welcomed Saginaw County Dental Society members guests Carl W Christensen MD (speaker) Jyothi Sahni MD (non-member we are recruiting) and CMU medical students Dr Duncan thanked the following Key Providers in attendance for their ongoing support of SCMS programs bull Bieri Hearing Specialists ndash Cathy Bieri-Ryan and Jerd Clayton bull St Maryrsquos of Michigan ndash Marcia Conaway and Sue Wehner and bull Wellspring Lutheran Services Home Health amp Hospice ndash Dayna Altom and Colleen Koski Dr Duncan invited a member of the Saginaw County Dental Society to the podium to conduct business and make announcementsDr Duncan then conducted the following business of the SCMS bull The Minutes of the October 2015 Membership Meeting were attached to the Agenda and published in the November Bulletin MOTION Accept the October 2015 Meeting Minutes as printed MOTION APPROVED

The 27th Annual Joint Membership Meeting with the Saginaw County Dental Society was held on Tuesday January 19 2016 at Horizons Conference Center

NEXTMEMBERSHIP MEETINGTUESDAY APRIL 19630 pmHorizons ConferenceCenter

January 2016 Meeting Minutes

Dr Christensenrsquos slide presentation has been uploaded towwwSaginawCountyMScomwith embedded hotlinks to allow for easy reference navigation The presentation is on the homepage under ldquoHot Topicsrdquo and also under ldquoMeetings amp Calendar of Eventsrdquo

REMEMBER If you prescribe an opioid prescribe a stool softener as constipation is the most common long-term after effect of opioids that does NOT resolve with time

bull Announced new members approved at tonightrsquos Board Meeting Ibrahim H Abou Daya MD (Covenant Pulmonary and Critical Care Associates) Joseph G Adel MD (St Maryrsquos of Michigan Neurosurgery Associates) Ashley N Huff MD (CMU Health ndash Emergency Medicine Fellow) Sudha Nallani MD (St Maryrsquos of Michigan-Heritage Family Physicians) and Mark S Pankonin MD (Covenant Digestive Care Center) bull Introduced new members in attendance Sudha Nallani MD (St Maryrsquos of Michigan-Heritage Family Physicians) and Juliette M Perzhinsky MD (CMU Health ndash Internal Medicine Associate Professor of Medicine and Associate Program Director) bull Displayed the new and improved Bulletin bull Informed members of Right2Careorg an initiative of MSMS to fight Maintenance of Certification legislation bull Notified members of an upcoming training on suicide assessment for healthcare professionals bull Requested members read the announcements and encouraged participation in events Dr Duncan welcomed William T Lichon DDS to the podium Dr Lichon introduced the eveningrsquos speaker Carl W Christensen MD Director of the Health Professional Recovery Program Dr Christensenrsquos CME presentation was ldquoERLA Opioid REMS Achieving Safe Use While Improving Patient Carerdquo The meeting was adjourned at 842 pm

Respectfully submittedJoan M CramerExecutive Director

Top Left to RightColleen Koski and Dayna Altom of WellspringDrs Todd Marino and Antonio WilliamsSue Wehner and Marcia Conaway of St Maryrsquos of MichiganMarie and Dr Jorge Plasencia Drs Arup Sarkar Toby Long and Brenda Coughlin

Bottom Left to Right Drs Miriam Schteingart and Miles LightDr Louis Byrne and CMU medical student Doug Beckman

continued on page 18

NEW MEMBERSIbrahim H Abou Daya MD Covenant Pulmonary and Critical Care Associates800 Cooper Suite 4Saginaw MI 48602Office (989)-583-7380Fax (989)-753-2198wwwcovenanthealthcarecomInternal Medicine Pulmonary amp Critical Care

Joseph G Adel MD St Maryrsquos of Michigan Neurosurgery Associates4677 Towne Centre Ste 301Saginaw MI 48604-2848Office (855)-298-9888Fax (989)-497-3128wwwstmarysofmichiganorgSurgery - Neurological

Ashley N Huff MD CMU Health - Emergency Med1000 HoughtonSaginaw MI 48602-5303Office (989)-583-6817Fax (989)-583-7436wwwcmicheducollegescmedEmergency Medicine - Fellow

Sudha Nallani MD St Maryrsquos of Michigan-Heritage Fam Phys3570 Shattuck RoadSaginaw MI 48603-3153Office (989)-792-5353Fax (989)-792-3033wwwstmarysofmichiganorgInternal Medicine

Mark S Pankonin MD Covenant Digestive Care Center900 Cooper 4th Floor Ste 4300Saginaw MI 48602-5182Office (989)-583-7460Fax (989)-583-7432wwwcovenanthealthcarecomInternal Medicine Gastroenterology


More from our 27th Annual Joint Membership Meeting

AboveDrs Dennis Boysen Phadej Keopunna and George Gugino

RightDrs Carl Christensen and Bill Lichon

Above Drs Greg Movsesian Jeff Dwan and Carl Hubinger

BelowDrs Tom Veverka and Anthony Zacharek with Cathy Bieri-Ryan and Jerd Clayton of Bieri Hearing


BIRTHDAYSFaith Abbott DO 31Robert P Ainsworth MD 329Veerayyagari Annapurna MD 326Joseph N Aquilina MD 37Ashwathy Balachandran Pillai MD 31Edward S Bernreuter MD 319Harold Blumenstein MD 322Aditya D Bulusu MD 318Louis F Byrne MD 330Brenda M Coughlin MD 313Jonathon P Deibel MD 320Danielle C Duncan MD 39Maher Ghanem MD 38Timothy R Hackett MD 324Timothy H Kaufman MD 329Lauren A Kershnar MD 311Andrew M LaFleur MD 322James R LaFleur MD 39James A Letson Jr MD 329Veronica E Lorenzo MD 327Marcus WC MacNealy MD 38Luigi Maresca MD 319Michelle M McLean MD 327Kurt A Menapace MD 36Dylan A Mezey MD 315

IN MEMORYIt is with sadness that the SCMS acknowledges the passing of the grandson of longtime SCMS member Dr Jim and Ilse Letson

Hunter Thomas Letson beloved son of Jim and Tammy (OConnor) Letson passed away suddenly on January 10 2016 in St Augustine Florida at the age of 14 Hunter was born December 3 2001 The Letson family has been residing in St Augustine Florida for the past six years after moving from Saginaw Township Hunter is survived by his sister Elise Grace Letson and his grandparents Jack and Janet OConnor and Dr Jim and Ilse Letson Hunter was adored by many uncles aunts and cousins Todd and wife Cindy Kyle Sara and Nicole OConnor Tracy (OConnor) Schugars Madison and Kennedy Schugars Trisha (OConnor) Greenwood and Rick Jack and Neal Greenwood Lisa (Letson) Conlee Kristin (Letson) Snyder and husband Jim Wolfgang Snyder and Uncle Andrew Letson Hunter was predeceased by his

Omer S Mirza MD 328James R Mlejnek II MD 317Nobou Nakagawa MD 38Sajeda Nusrat MD 324Christopher J Oravitz MD 33Rustico B Ortiz MD 331Neil K Patel MD 320A O Rajagopal MD 327Conchita D Riparip MD 320Rex Edward B Roda MD 39Jennifer R Schmidt DO 317Shiraz H Shariff MD 33Michael J Slavin MD 37Wael A Solh MD 319Edward P Sorenson MD 38Kristine K Spence DO 329Bryan R Taylor MD 322Robert J Toteff MD 37Tyler J Weese MD 319Eyad M Wohaibi MD 324Scott C Woodbury MD 311Jerry Xavier MD 39Harvey K Yee MD 320Yong C Yoon MD 312Asim Yunus MD 35

twin brother Connor James Despite health issues he continuously warmed the hearts of every one with whom he met His great sense of humor his enthusiasm for horseback riding and an unmatched passion for his iPad gave him much happiness A Memorial Mass was held at St Dominic Catholic Church (formerly St Stephens) in Saginaw on Friday January 29 2016 For those wishing to keep Hunters memory alive Jim and Tammy Letson have set up Hunters Foundation on Gofundmecom which will provide iPads for the special needs students of St Johns County in St Augustine Florida The Hunter Foundation is being established in honor of our 14 year old son Hunter was a student in the ESE (Special Education) program at Switzerland Point Middle School Our goal is to be able to provide iPads as well as other assisted technologies to the ESE programs of St Johns County School District Hunter derived such great joy and entertainment from his iPad our mission is to provide the same to the students and families of SJCSD Thank you for your thoughts prayers and support for the Hunter Foundation

MARCH


Symposium synopsis This course offers a multidisciplinary team perspective and is a primer for the evaluation and assessment for early intervention care It will be an examination of the typical and atypical development in children 0-18 months and the impact of the biomechanics and neuromuscular systems at an early age Participants will build strategies to identify and treat red flags and will immediately apply their course knowledge to bull Define the intricacies of neurologic and motor assessment of newborn patients bull Identify two orthopaedic examination methods for a child bull Identify three indicators for when to refer to Occupational Therapy bull Define all six components of a childrsquos speech and language skills bull Describe five benefits of prone positioning on the development of gross motor skills bull Demonstrate correct facilitation of prone positioning

to promote increased head control and weight bearing through bilateral upper extremities bull Identify how infants and toddlers may respond differently to pain compared to older children This activity will provide 675 contact hours The Pediatric Symposium for Early Intervention is set for Wednesday March 16 from 730 am to 415 pm in the Mackinaw campus Lower Level Conference Room Please RSVP by March 7 to Kathy Bocade at 9895836414 Additional details and the dayrsquos agenda can be found online at wwwcovenanthealthcarecom under ldquoAbout Usrdquo in the Event Calendar

Go the Extra Mile for Covenant Kids

People can set out to accomplish their New Yearrsquos Resolutions with the 7th Annual Go the Extra Mile for Covenant Kids Registration is now open for this USATF-Sanctioned Half Marathon Run and Hand Cycle 5K RunWalk and 1 Mile Fun Run on Sunday April 24 2016 at Swan Valley High School (8400 OrsquoHern Saginaw MI 48609) New this year is a free training program organized by the McDonald GMC Cadillac Pacer Team for Go the Extra Mile for Covenant Kids and sponsored by Dawn of a New Day Coffee House and Cafeacute All training runs and seminars will begin at Dawn of a New Day Coffee House and Cafeacute (210 South Washington Saginaw MI 48607) Runs will consist of a four mile loop through Downtown Saginaw and the Riverfront Saginaw Trail Aid stations will be located at mile two and mile four (Dawn of a New Day) Distances above are a suggestion only participants can run as much or little as they like The course and aid stations will be open at least three hours Full details and registration are available at wwwcovenantkidsracecom For more information on sponsorships or volunteering contact Race Director Laura Fiore at lfiorecovenantkidsracecom All event proceeds benefit Covenant Kids a fund supporting programs services and equipment that enhance care for infant and pediatric patients at Covenant HealthCare

Scholarship Opportunities Available To help develop the next generation of health care leaders Covenant HealthCare Foundation is proud to offer scholarship

Save the Date Pediatric Symposium March 16



copy201

3 Cov

enan

t Hea

lthCa

re A

ll righ

ts re

serve

d Bu

s De

v (A

QPK

) 913

We are the regionrsquos most experienced

diabetes management team Our program is certified by the American

Association of Diabetes Educators (AADE) through the Michigan Department of Community

Health (MDCH) We are certified to provide education for patients of all ages and diabetes

diagnoses including pregnant women

Put your trust in the regionrsquos most experienced diabetes management team your

Patient-Centered Medical Home partner To refer a patient or for more information call

9895835193

While it canrsquot be cured the good news is that more than 95 of it can be managed by understanding diabetes

setting goals and planning how to achieve them

258 millionpeople are affected

by diabetes ndash83 of the

US population

diabetesSelf Management

Program

opportunities to area students to help further their education High school seniors from Saginaw Bay Tuscola Arenac Huron Sanilac or Midland County pursuing an undergraduate degree in human medical sciences or a field directly related to health care are encouraged to apply Additional scholarships are available for current Covenant HealthCare employees and legal dependents of Covenant HealthCare employees Over the past 10 years the Foundation has granted over $225000 in scholarship money through the High School Scholarship program Nursing scholarships and the Zeile awards A formal presentation of the scholarships are made at the Foundationrsquos Spring Second Century Reception in May of each year Application forms are available at the Covenant HealthCare Foundation office the hospitalrsquos front desks high school counselors or online at wwwCovenantHealthCareFoundationcom Completed applications must be returned electronically or via mail no later than March 4 2016 For questions contact the Covenant HealthCare Foundation at 9895837603 or tmuellerchs-micom

Covenant Volunteers Seek Friendly Facesto Join Their Team Covenant HealthCare has an immediate need for volunteers at the information and surgical waiting desks as well as the Gift Shops

bull Volunteers at the information desks greet visitors answer phones and help patients and visitors find their way bull Surgical desk volunteers are the communication link between the operating rooms and the patientsrsquo family The volunteers provide a comfortable atmosphere for the waiting families while giving them needed information such as when the patient enters recovery is transferred to a room or the physician is present to speak with the family bull Volunteers are also needed in the Covenant HealthCare Gift Shops Volunteers assist guests in selecting items operate the cash register and stock merchandise On the job training is provided for each of these volunteer opportunities Each position requires a friendly outgoing personality and willingness to treat each patient guest and employee with respect and dignity Individuals interested in either of these opportunities should apply online in the ldquoGivingrdquo section of wwwcovenanthealthcarecom or contact Volunteer Services at 9895836040 There are a variety of morning afternoon and evening shifts available with a minimum commitment of four hours per week Volunteers must possess a positive attitude and be committed to serving the needs of others For questions please contact Volunteer Services volunteeringchs-micom or 9895836040



Updated Online Michigan Physician License Renewal Application Includes Question and Attestation on Medical Records Policy The Michigan Department of Licensing and Regulatory Affairs recently revised its online physician license renewal

application form to include a question and attestation addressing compliance with the Michigan Public Health

Codersquos provisions on medical records applicable to all licensed health professionals The question asks physicians whether or not they have adopted a written policy for protecting maintaining and providing access to their medical records per Section 16213 of the Code and addressing compliance with the Codersquos medical records provisions in the event of retirement a sale closure or other cessation of licensed medical practice In addition the online renewal application form includes an attestation statement By submitting the renewal application the physician certifies that he or she has a compliant written medical records policy Until recently MLARA has not included the medical records policy question and attestation statement in physician license applications The medical records policy question and attestation are included in the current online physician license renewal application However they are not presently included in the print versions of the physician license application forms available on MLARArsquos website For licenses in the current renewal cycle (ie licenses expiring on January 31 2016) MSMS understands that if a physician states on the online renewal application that he or she does not have a written medical records policy MLARA will simply mail the physician a notice advising that a written medical records policy is required by the Code Additionally MSMS understands that the physician will not be required to follow-up with MLARA in response to the notice Upcoming publications from MSMS will include an update on the Codersquos medical records provisions and a model medical records policy for use by physicians and their practices

MSMS Launches Dynamic New Online Tool to Match Physicians with Michigan Job Opportunities MSMS recently unveiled MSMS Medical Opportunities

a dynamic new resource to connect healthcare providers with professionals in

search of new jobs Also known as MSMS MedOpps this program acts as a one-stop shop for both physicians looking for a job and healthcare providers searching for strong candidates for their open positions Free for job seekers potential candidates can enter their credentials and are matched with jobs they qualify for Employers can also post job opportunities on the site as well MSMS MedOpps can be accessed at httpsmsmsmedoppsorg Medical Opportunities was originally founded and is currently operated by the Michigan Health Council an organization founded in 1943 by the Michigan State Medical Society The program delivers a customized matching algorithm connecting their database of thousands of candidates with the available opportunities for which they are best qualified For additional information on the MSMS MedOpps program visit httpsmsmsmedoppsorg

Insurer Placing Pharmacists in Patient-Centered Medical Homes Blue Cross Blue Shield of Michigan in collaboration with the University of Michigan Health System is placing pharmacists in patient-centered medical homes throughout the state The effort is part of the Michigan Pharmacists Transforming Care and Quality program and is designed to improve medication adherence Initially clinical pharmacists will work with PCMHs at 10 physician organizations in Michigan


SCMS Physician Health amp Well-Being CommitteeConfidential assistance to physician members with

personal issues affecting their private and profesional lives

The SCMS Physician Health amp Well-Being Committee is a CONFIDENTIAL resource for SCMS members who have issues affecting their private andor professional lives The Committee acts totally independently

and NO INFORMATION is shared with the SCMS Board members or staff If you are in need of confidential assistance or know of another member who is having a difficult time please contact Dr Kaushik Raval

Chair of the Committee at (989) 790-7742 If he is not available leave a message and he will return your call

Complexities of End-of-Life Care to be Examined at MSMS Conference The MSMS Foundation is pleased to announce its conference titled ldquoSupporting End-of-Life Carerdquo The conference will take place at MSMS Headquarters in East

Lansing on Wednesday March 16 2016 End-of-life care is complex and uniquely challenging

requiring support from physicians families and caregivers However physicians are often times inadequately prepared to manage end-of-life care and engage in difficult conversations This conference will provide insight on the complexities of end-of-life care and guidance in maintaining the best quality-of-life for the patient Speakers include bull Thomas Lynch Funeral Director Author of ldquoThe Good Funeral Death Grief and the Community of Carerdquo bull Leslie Brickner MD Director of Hospice Henry Ford Health System and Kristine Chasteen Henry Ford Health System bull Nadia Tremonti MD Medical Director for Palliative Care Childrenrsquos Hospital of Michigan and Medical

113 13

Director Kaleidoscope Kids Hospice Henry Ford Hospice bull Kathryn Smolinski MSW Director of Legal Advocacy for People with Cancer Clinic Wayne State University bull Carolyn Stramecki Director Honoring Healthcare Choices bull Rose Seavolt BSN RN CCP Advance Care Planning Coordinator and Next Steps Organizational Faculty Spectrum Health System Grand Rapids Learning objectives include bull Explain best practices in communication and outreach strategies bull Summarize the physicianrsquos responsibility as the end-of-life draws near bull Define the Patient Self Determination Act and other ethical and legal issues bull Apply Advance Care Planning and implementation practices bull Describe recommendations to assist in maintaining the best quality of life for the patient bull Compare the Gunderson Model of end of life care to other models For more information about this conference or to register please visit msmsorgeo or contact Caryl Markzon at 517336-7575


bull Dually trained neurosurgeon in endovascular interventional procedures as well as open vascular and skull base surgeries

bull Practices with E Malcolm Field MD and Naman Salibi MD at St Maryrsquos of Michigan Neurosurgery

St Maryrsquos of Michigan Neurosurgery bull Medical Arts Building III 4677 Towne Centre Saginaw MI 48604

Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI

hellipOur commitment to excellence in the neurosciences is unmatched in the area We produce exceptional results for our patients ndash often reversing the effects of acute stroke and aggressively treating complex pathology of the brain and spine that not only save lives but also preserves and improves quality of life

Joseph Adel MD Dually Trained Neurosurgeon

St Maryrsquos of Michigan Neuroscience

Center of Excellence

SCMS-Adel-FullPgindd 1 12216 1006 AM

St Maryrsquos of Michigan Named Blue Distinction Center+ St Maryrsquos of Michigan has been named a Blue Distinction Center+ in cardiac care by Blue Cross Blue Shield (BCBS) The Blue Distinction Specialty Carereg is a national designation program recognizing healthcare facilities that demonstrate expertise in delivering quality specialty care ndash and has recently been expanded to include more robust quality measures focused on improved patient health and safety The Blue Distinction Center+ is the highest accolade from BCBS Quality is the key Only those facilities that first meet nationally established objective quality measures for Blue Distinction Centers are considered for designation as a Blue Distinction Center+ The selection criteria used to evaluate facilities were developed with input from the medical community and include general quality and safety metrics as well as program specific metrics St Maryrsquos of Michigan met rigorous program standards and demonstrated quality and improved outcomes for patients with low rates of complications and readmissions

New Radiation Treatment Planning System Starting in February all St Maryrsquos of Michigan Seton Cancer Institute locations will be upgraded with the latest radiation therapy treatment planning technologies Varian Eclipse and Velocity Now Seton Cancer Institute radiation oncologists medical physicists and dosimetrists from the Saginaw Marlette and West Branch locations will have access to all treatment plans entered into the system The new technology will enable this care team to work together in real-time to create new strategies with the option of viewing cases at the same time Radiation treatment plans for even the most complex cancer cases will be shared seamlessly between all three sites instantaneously The Varian Eclipse and Velocity radiation treatment planning system funded 100 percent by the St Maryrsquos of Michigan Foundation will also allow clinicians to create and evaluate plans with remote access This means faster solutions created when cancer patients need them With accessible data across all sites there will no longer be a need to import and export data minimizing the risk of error This new integrated state-of-the-art treatment planning system will ensure the radiation oncology team is able to provide the best possible service to our cancer patients

29th Annual St Maryrsquos of Michigan Neuroscience Nursing ConferenceReasons for Lesions amp Other Neurological Conditions Join us on Friday February 26 from 8 am ndash 345 pm at

the St Maryrsquos of Michigan Health Education Center for this yearrsquos Neuro Nursing Conference This program is designed for nurses and other health care professionals interested in neurological anatomy assessment and emergencies A multidisciplinary faculty will present on the assessment care and management of patients with neurological emergencies including brain abscess Conference goal is to enhance knowledge and appreciation for the important role of collaboration in providing quality patient care to the neurological patient Participants who attend the entire conference and return a completed evaluation will receive six (6) contact hours St Maryrsquos of Michigan (OH-328 1-7-17) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91) an accredited approver by the American Nurses Credentialing Centerrsquos Commission on Accreditation Please contact Kaitlyn VanOchten at (989) 907-8232 with any questions To register please visit httpwwwstmarysofmichiganorgservicescenters_of_excellenceneuroneuro_conf_regphp

A Matter of Balance ProgramMany older adults experience a fear of falling People who develop this fear often limit their activities which can result in physical weakness making the risk of falling even greater St Maryrsquos of Michigan Field Neurosciences Institute will host ldquoA Matter of Balance Managing Concerns About Fallsrdquo - a program designed to reduce the fear of falling and increase activity levels among older adults ldquoA Matter of Balancerdquo includes eight two-hour sessions for a small group led by a trained facilitator This nationally recognized program was developed at the Roybal Center for Enhancement of Late-Life Function at Boston University During the class participants learn tobull View falls as controllablebull Set goals for increasing activitybull Make changes to reduce fall risk at homebull Exercise to increase strength and balance The program is designed to benefit community-dwelling older adults who are age 60 or older ambulatory and able to solve problems Program activities include group discussion problem-solving skill building assertiveness training videotapes sharing practical solutions and exercise training The program is free to attend Sessions are on Tuesdays and Thursdays from 9-11 am at Center Courts located at 3320 N Center in Saginaw Township To maximize outcomes attendees are encouraged to attend all eight sessions Tuesday February 9 Thursday February 11 Tuesday February 16 Thursday February 18 Tuesday February 23 Thursday February 25 Tuesday March 1 and Thursday March 3 The next class begins on Tuesday March 15 Registration is required please call 1(844) 907-8000




Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI







Do you know of a medical student (with ties to the Saginaw area) in need of a loan The SCMS Foundation may be able to help The Foundation was formed in 1969 and originally funded through physician donation of earnings from educational and charity work The Annual Golf Outing and donations now fund the Foundation which makes low interest loans to medical students with ties to the Saginaw area The intent is to encourage physicians to return to Saginaw County to practice medicine Current SCMS Foundation officers are President Matthew D Deibel MD Vice PresidentSecretary Lowell A Butman MD Treasurer Rao VC Gudipati MD and Trustees Thomas E Damuth MD George J Gugino MD and Iris A Marteja MD If any SCMS member knows of a medical student in need (with an interest in the Saginaw area) please encourage him or her to contact the SCMS office at (989) 790-3590 or JoanSaginawCountyMScom for loan

MEDICAL

APPLICATIONS AVAILABLESTUDENT LOAN

application details Applications may be downloaded from the SCMS website wwwSaginawCountyMScom under the ldquoFoundationrdquo tab Deadline for applications is March 31 2016

When you need it in Michigan

ProAssurancecom

Medical professional liability insurance specialists providing a

single-source solution in Michigan

9897528600


The Saginaw County Medical Society Alliance announces that applications for the annual $500 Nursing Scholarships are now available Interested individuals should be residents of Saginaw County who are currently enrolled in a nursing program and have a GPA no lower than 279 Students who reside in Saginaw County only to attend Delta or SVSU are not eligible High school seniors are also not eligible to apply Applications may be downloaded from the SCMS website wwwSaginawCountyMScom under the ldquoAlliancerdquo tab or available from the Saginaw County Medical Society 350 St Andrews Road Suite 242 Saginaw Michigan 48638 The telephone number is (989) 790-3590 or e-mail at jamieSaginawCountyMScom Deadline for applications is March 31 2016

NURSING

APPLICATIONS AVAILABLESCHOLARSHIP

wwwSaginawCountyMScomVisit our website today

Includes information onbull ICD-10 including updates from MDHHS MSMS and AMA bull Human Trafficking Toolkit to help physicians screen identify and get help for trafficked victims

bull RSVP for upcoming Membership Meetings

bull View the Cleveland Clinicrsquos ldquoShared Purposerdquo video on the home page

bull CMU College of Medicine CME 3 Credit reporting information

bull Read ldquoThe Bulletinrdquo

bull Direct link to MSMS Advocacy Center to contact your lawmakers with ease

bull Information on Key Providers bull Calendar of Meetings and Events bull And more

Digital Diagnostic X-Ray ACR Accredited Ultrasound Services bull General bull Vascular bull Musculoskeletal Specialty Vein Services bull VenaCure Laserreg Treatment bull Phlebectomy bull Sclerotherapy Outpatient Consultation for Interventional Radiology Procedures

24-Hour Report Turn-Around Same Day Call Reports for Urgent Studies

The right tests the right reads right away

18665122ADI bull wwwadiradscom

CONVENIENTLY LOCATED IN SAGINAW TOWNSHIP3400 North Center Road bull Suite 400Saginaw Michigan 48603Tel (989) 799-5600

HOURS MondayndashThursday 8amndash5pm bull Friday 8 amndashNoon







CONVENIENTLY LOCATEDIN SAGINAW TOWNSHIP3400 North Center Road bull Suite 400Saginaw Michigan 48603Tel (989) 799-5600HOURS Monday-Thursday 8 am-5pm bull Friday 8 am-Noon



BOARD HIGHLIGHTS


business | benefits | home amp auto | sbuinscom

bull Professional liability bull Employment practices liabilitybull Directors amp officers liabilitybull Contingency excess liability bull Own occupation disabilitybull Group health benefitsbull Key person lifebull Umbrella policies

The November meeting of the Board of Directors of the Saginaw County Medical Society was held on Tuesday November 17 2015 in the boardroom at Michigan CardioVascular Institute in Saginaw Danielle C Duncan MD President called the meeting to order at 530 pm The minutes of the October 20 2015 Board meeting were reviewed MOTION Approve the October Board Meeting Minutes MOTION APPROVED Dr Veverka presented the Treasurerrsquos Report for October 2015 MOTION Approve the October Treasurerrsquos Report MOTION APPROVED

OLD BUSINESS1 CMU Update ndash Dr Vance indicated CMU College of Medicine is in need of more primary care physicians (Family Medicine Internal Medicine and Pediatrics) to work with the students Please let Dr Vance know if you are interested and can assist2 Retiree Representative ndash Dr Neil Love has asked the Board to find someone to serve as Retiree Representative in his place Dr Dedicatoria spoke with Dr Larry Kelly and Dr Kelly has agreed to serve as Retiree Representative MOTION Appoint Larry S Kelly MD as the Retiree Representative to the SCMS Board MOTION APPROVED Joan will send a thank you letter to Dr Love for his service and will also contact Dr Kelly with dates and times of meetings

3 Resolutions to MSMS House of Delegates ndash Dr Duncan reminded Board members resolutions to this yearrsquos MSMS HOD are due in February and if they have an issue they would like to address to start on it now

NEW BUSINESS1 Applications for Membership ndash In Dr Paidipatyrsquos absence Dr Talati presented the following applications for their second reading a Shivani Bhutani MD (CMU Health-Geriatrics) Internal Medicine and Geriatrics board certified sponsored by Drs Chirdeep Bhutani and Alison L McElhone b George E Kikano MD (CMU Health-Dean of College of Medicine) Family Medicine board certified sponsored by Drs Samuel J Shaheen and Steven J Vance and c Ricky A Meyer MD (Covenant Digestive Care Center) Internal Medicine and Gastroenterology board certified sponsored by Drs Mark J Heinzelmann and Asad I Mehboob DOMOTION Approve the applications of Drs Bhutani Kikano and Meyer for membership MOTION APPROVED Dr Talati then presented the following applications for their first reading


OUR HOSPITAL IS PART OF SELECT MEDICALrsquoS NETWORK OF MORE THAN 100 LONG-TERM ACUTE CARE HOSPITALS

IF YOUR PATIENTS NEED MORE TIME TO RECOVER WE CAN HELPOur specialized acute care hospitals use multi-disciplinary teams to carefully manage patient care

WE SPECIALIZE IN TREATING Medically Complex Conditions Pulmonary Conditions Neurological Disorders Cardiac Conditions Renal Disorders Infectious Disease Post Trauma Care Surgical Complications Orthopedic Care and Wound Care

Select Specialty Hospital - Saginaw1447 N Harrison St Saginaw MI 48602

Referrals 9895834193 saginawselectspecialtyhospitalscom

a Ibrahim H Abou Daya MD (Covenant Pulmonary and Critical Care Associates) Internal Medicine Pulmonary and Critical Care Medicine board certified sponsored by Drs Farhan Ansari and Thomas E Damuth b Joseph G Adel MD (St Maryrsquos of Michigan Neurosurgery Associates) Surgery ndash Neurological board certified sponsored by Drs E Malcolm Field and Naman A Salibi c Sudha Nallani MD (St Maryrsquos of Michigan-Heritage Family Physicians) Internal Medicine board certified sponsored by Drs Palaniandy K Kogulan and Gopi K Nallani and d Mark S Pankonin MD (Covenant Digestive Care Center) Internal Medicine and Gastroenterology board certified sponsored by Drs Asad I Mehboob and Sanjay Talati 2 New Bulletin Format ndash Joan presented a sample of the new Bulletin format to the Board for review Dr Constan was excused from the meeting but had met with Joan to discuss and review a week ago The Bulletin will cost slightly more the first year until we adjust our advertising rates this summer to compensate for full color and larger size ads The Board was very pleased with the new format and full color layout MOTION Approve the new full color magazine-style Bulletin MOTION APPROVED3 Resolution to MSMS House of Delegates ndash Dr Willy is interested in writing a resolution to be debated at this yearrsquos HOD Her topic is how we are going to increase resources to take care of the baby boomers Dr Willy will

do further research on the issue and bring back to the Board for discussion4 2016 Budget ndash Dr Veverka presented the Budget for 2016 which was followed by discussion MOTION Approve the 2016 Budget as presented MOTION APPROVED5 Staff Bonus ndash The Board discussed awarding bonuses to Joan and Jamie 6 House Bills 45824583 Interstate Medical Licensure Compact ndash Joan learned of these bills from her county executive colleagues She was interested in knowing if anyone on the Board knew of this pending legislation It was noted the issue was addressed at this yearrsquos MSMS House of Delegates but that was before the legislation was introduced Joan will look into the matter further and report back to the Board in January7 Mission Trip Opportunity ndash Dr Dedicatoria mentioned an opportunity to go on a mission trip in 2016 Anyone who would like further information should contact her directly

There is no Board meeting in December The next meeting of the Board will be held on Tuesday January 19 2016 at Horizons Conference Center prior to the Membership Meeting which is joint with the SaginawCounty Dental Society The meeting was adjourned at 725pm

Respectfully submittedJOAN M CRAMERExecutive Director


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Advanced Diagnostic Imaging PC 27

Covenant HealthCare 2

Covenant Diabetes Self-Management Program 21

Edgewood Assisted Living Center 7

Jan Hauck ndash Century 21 13

Healthway Compounding Pharmacy 10

Horizons Conference Center 31

ADVERTISER INDEXWhen you have a need for a service please consider our dedicated advertisers first

Norton + Kidd Accounting amp Consulting PC 10

ProAssurance 26

Regional Medical Imaging 30

Saginaw Bay Underwriters 28

St Marys of Michigan 25

Select Specialty Hospital 29

Sport amp Spine Physical Therapy and Rehab 15

Weddings Catering Anniversaries Graduation Parties Corporate Events Holiday Parties

HORIZONS Center 9897994122 6200 State Street Saginaw MI wwwHORIZONSCentercom

PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

350 ST ANDREWS ROAD | SUITE 242SAGINAW MI 48638-5988

These Area Businesses Support Saginaw County Medical Society Membership Meetings

When you have a need for a service please consider our Key Providers

MARK YOUR CALENDAR FOR 2016

2015-2016 KEY PROVIDERS

Tuesday February 16 2016SCMS Board meets at MCVI at 530 pm in second floor board room There is no membership meeting in February

Tuesday March 15 2016SCMS Board meets at MCVI at 530 pm in second floor board room There is no membership meeting in March

Saturday March 19 201612th Annual SCMS Health Fair ldquoThe Doctor Is Inrdquo at Horizons Conference Center

Wednesday March 30 2016SCMS serves at East Side Soup Kitchen in honor of Doctorsrsquo Day Volunteers needed ndash see page 15 to sign up

Tuesday April 19 2016SCMS Board meets at Horizons Conference Center at 530 pm Membership Meeting at Horizons Conference Center ndash spouses invited Joint with the Midland County Medical

Society and MidMichigan Health physicians Social at 630 pm (cash bar) followed by meeting and program at 7 pm Program Physician WellnessBurnout Speaker Gerald A Shiener MD Chief of Psychiatry at Sinai-Grace Hospital

Saturday-Sunday April 30-May 1 2016 151st Annual MSMS House of Delegates at The Henry in Dearborn

Tuesday May 17 2016SCMS Board meets at Horizons Conference Center at 530 pmMembership Meeting at Horizons Conference Center ndash Annual Meeting Social at 630 pm (cash bar) followed by meeting and program at 7 pm Program Update on MSMS House of Delegates

Saturday June 11 20167th Annual SCMS Foundation Golf Outing at the Saginaw Country Club

Joan CramerSCMS | Office 790-3590 | Fax 790-3640 | JoanSaginawCountyMScom or jmcramersbcglobalnet

Dr Firas Alani

Love your heart

Dr Soheil Assar

Becalm

Dr Umesh Badami

Eat healthy

Dr Scott Huffaker

Get enough sleep

Stay in shape

Dr Parthiv Amin

Dr Daniel Meldrum

Stay active

Dr Mayar Jundi

Use lesssalt

Dr Loai Marouf

Talk to your

doctorStop

smoking

Dr Manoj Sharma

Dr Pauline Watson

Educateyourself




for a










contents4 155











BulletinThe





8 Right2Careorg


11 Announcements


11 Classified Ad



18 New Members

19 March Birthdays

1619 In Memory


22 MSMS









Dr Firas Alani

Love your heart

Dr Soheil Assar

Becalm

Dr Umesh Badami

Eat healthy

Dr Scott Huffaker

Get enough sleep

Stay in shape

Dr Parthiv Amin

Dr Daniel Meldrum

Stay active

Dr Mayar Jundi

Use lesssalt

Dr Loai Marouf

Talk to your

doctorStop

smoking

Dr Manoj Sharma

Dr Pauline Watson

Educateyourself




for a








6

6

































FROM THE EDITOR


Do You Want Help

Louis L Constan MD


continued on page 7
















wwwedgewoodalccom


(989) 497-9970




wwwedgewoodalccom


(989) 497-9970



wwwedgewoodalccom














































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

lthCa

re A

ll righ

ts re

serve

d Bu

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v (A

QPK

) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228




















contents4 155











BulletinThe





8 Right2Careorg


11 Announcements


11 Classified Ad



18 New Members

19 March Birthdays

1619 In Memory


22 MSMS









Dr Firas Alani

Love your heart

Dr Soheil Assar

Becalm

Dr Umesh Badami

Eat healthy

Dr Scott Huffaker

Get enough sleep

Stay in shape

Dr Parthiv Amin

Dr Daniel Meldrum

Stay active

Dr Mayar Jundi

Use lesssalt

Dr Loai Marouf

Talk to your

doctorStop

smoking

Dr Manoj Sharma

Dr Pauline Watson

Educateyourself




for a








6

6

































FROM THE EDITOR


Do You Want Help

Louis L Constan MD


continued on page 7
















wwwedgewoodalccom


(989) 497-9970




wwwedgewoodalccom


(989) 497-9970



wwwedgewoodalccom














































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

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ts re

serve

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) 913








9895835193





US population


Program






















113 13






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BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



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NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228


















6

6

































FROM THE EDITOR


Do You Want Help

Louis L Constan MD


continued on page 7
















wwwedgewoodalccom


(989) 497-9970




wwwedgewoodalccom


(989) 497-9970



wwwedgewoodalccom














































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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re A

ll righ

ts re

serve

d Bu

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v (A

QPK

) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228



























FROM THE EDITOR


Do You Want Help

Louis L Constan MD


continued on page 7
















wwwedgewoodalccom


(989) 497-9970




wwwedgewoodalccom


(989) 497-9970



wwwedgewoodalccom














































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

lthCa

re A

ll righ

ts re

serve

d Bu

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228


















FROM THE EDITOR


Do You Want Help

Louis L Constan MD


continued on page 7
















wwwedgewoodalccom


(989) 497-9970




wwwedgewoodalccom


(989) 497-9970



wwwedgewoodalccom














































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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re A

ll righ

ts re

serve

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) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228
























wwwedgewoodalccom


(989) 497-9970




wwwedgewoodalccom


(989) 497-9970



wwwedgewoodalccom














































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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re A

ll righ

ts re

serve

d Bu

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) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228























































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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re A

ll righ

ts re

serve

d Bu

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) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228
































of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228


















of your patients





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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re A

ll righ

ts re

serve

d Bu

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) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228





















June 11 2016























Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

t Hea

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ll righ

ts re

serve

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) 913








9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228




















Three Tips for a













9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

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US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




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9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228





















9171 Square Feet




37 Beautiful Acres





4531 Square Feet



12 Acre Wooded Lot

Marble Countertops


3 Car Heated Garage


7612 Square Feet



4 Car Garage

Indoor Pool amp Spa




3163 Square Feet













HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

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US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

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MEDICAL




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NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228





















HeartFailureHeart















Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

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re A

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ts re

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

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MEDICAL




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9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228























Name Phone Email





Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury







Back Pain

Strains or Sprains

Foot and Ankle Pain


Arthritis

Head and Neck Pain


Work Related Injury



































MARCH










copy201

3 Cov

enan

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228













































MARCH










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3 Cov

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228








































MARCH










copy201

3 Cov

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t Hea

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

































MARCH










copy201

3 Cov

enan

t Hea

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serve

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228






















MARCH










copy201

3 Cov

enan

t Hea

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ll righ

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

























copy201

3 Cov

enan

t Hea

lthCa

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ll righ

ts re

serve

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

















copy201

3 Cov

enan

t Hea

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ll righ

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serve

d Bu

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9895835193





US population


Program






















113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

































113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

























113 13






Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228




















Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI














Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228



















Phone (855) 298-9888 bull Fax (989) 497-3128

BECAUSEhellipI








MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228


















MEDICAL




ProAssurancecom



9897528600



NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228


















NURSING

























BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228

















BOARD HIGHLIGHTS





















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228





























Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228



















Fashion Square Mall

30thanniversary


rmipcnet (989) 341-7893













ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228


























ProAssurance 26








PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228
















PRSRT STDUS POSTAGE

PAIDSaginaw MI

48605PERMIT 228
















Documents

SCMS BULLETIN - February 2016