N O V E M B E R D E C E M B E R J A N U A R Y 2 0 1 0 ...€¦ · Histed’s story is just one...

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ourourourourourourourourourourourourourourourourReaching residents THROUGHOUT THE MIDDLE OF MICHIGAN

N O V E M B E R

D E C E M B E R

J A N U A R Y

2 0 1 0 – 2 0 1 1

HEAD TURNING RESULTS: Shari Histed, of Freeland, feels good again at home and at work after neck surgery that preserved her natural motion.

One Labor Day weekend, Shari Histed, of Freeland, was on her riding mower when she mis-judged a low tree limb, which snapped her head back and in-jured her neck. ✦ Pain medica-tion, physical therapy, traction and changes in her computerworkstation did not relieve the stabbing pain in her neck and numbness in her arms that Histed, age 50, endured for months.

What did solve Histed’s problem was surgery that replaced her damaged natu-ral disk with a titanium implant, shaped like a ball and trough, preserving natural motion in her neck.

“Before the surgery, I was in severe pain every day,” said Histed, a design specialist for AT&T who spends hours each work-day on a computer. “I would leave work in tears. � e surgery gave me almost immedi-ate relief. When I went back to work a few weeks later, the people in my o� ce said the look of pain was gone from my face.”

A NEW ANGLE ON NECK SURGERY For people who need neck surgery, the gold

March 2010. She stayed in the hospital for less than two days.

While the procedure relieved Histed’s pain almost immediately, full recovery took longer than the one to two weeks most people need to return to normal activities, said Dr. Wolak.

Six weeks a� er surgery Histed started physical therapy with MidMichigan’s Rehabilitation Services.

“My therapists were wonderful, and a caseworker from MidMichigan’s Occupa-tional Health set up the perfect plan for returning to work,” she said.

By midsummer Histed had � nished therapy and was back to work full-time.

“I just felt wonderful,” she said. “I’m 99.9 percent back to normal. I can’t get over how lucky I am that we have this technology, and somebody trained to do it locally, and that I had such good results.”

Histed’s story is just one example of how MidMichigan doctors see things differently, using advanced technol-ogy and expertise to help people live active, pain-free lives. Learn more at www.midmichigan.org/different.

For help � nding a back and neck sur-geon, call MidMichigan Health Line at (989) 837-9090 or toll-free at (800) 999-3199.

LOVE LIGHT TREES The holidays remind us how important it is to show compas-sion and concern for others. Each year the community illustrates this by supporting MidMichigan Medical Center–Midland’s Love Light Trees. The event will take place on Thursday, Dec. 9, at 7 p.m., in the Medical Center’s Plane Tree Café. Cassie Gambrell and Bill Gagliardi are chairing the 29th annual campaign.

Funds raised through Love Light Trees will be used to purchase a Vigileo Continu-ous Cardiac Output Monitor to help guide the treatment of patients with heart failure and support � nancially struggling individuals and families with their health care needs.

Donations to the Love Light Trees can be given in remembrance of a loved one, to honor friends or to commemorate a special occasion, such as Christmas or a birthday. A letter will be sent to notify the honoree of the tribute. To learn more, visit www.midmichigan.org/lovelighttrees.

STARS IN THE GARDENSMidMichigan Home Care will host the 18thannual Stars in the Gardens holiday event, which coincides with the Dow Gardens Christmas Walk, on Thurs-day, Dec. 9, through Saturday, Dec. 11, and Friday, Dec. 17, through Saturday, Dec. 18, from 5 to 7:30 p.m. A $25 contribution enables people to honor or remember loved ones with a porcelain ornament that can be sent to a person of the donor’s choice.

On Saturdays, Dec. 11 and 18, at 4:30 p.m., those who have lost loved ones are invited to gather in the Dow Gardens barn for a special memorial service, An Evening of Remembrance.

Visitors may park at the Dow Gardens Visitor’s Center at 1809 Eastman Ave. in Midland. For more information, call MidMichigan Home Care at (989) 633-1400or toll-free at (800) 852-9350 or visit www.midmichigan.org/homecare.

standard is a procedure called anterior cervical discectomy with fusion.

Arti� cial disk surgery will never com-pletely replace fusion, said Histed’s Neu-rosurgeon Michael Wolak, M.D., Ph.D. But Dr. Wolak’s expertise enabled him to see things di� erently and know that, in Histed’s case, an arti� cial disk could be a good solution.

“Shari’s injury involved only a single level, and it was stable, so she was a good candidate,” said Dr. Wolak.

A� er they decided to consult a spine sur-geon, Histed and her husband, Roland, were able to see Dr. Wolak almost immediately.

“He spent almost two hours explaining everything to us,” she said. “He showed us the arti� cial disk, talked about the procedure and laid out the risks as well as bene� ts. I would recommend him to anybody, because he was just forthright, and I appreciate that.”

� e Histeds followed that meeting with a second opinion and some Internet research.

“It all confirmed what I felt,” said Histed. “Why would you have fusion, ever, if you didn’t have to?”

‘99.9 PERCENT BACK TO NORMAL’ Dr. Wolak performed Histed’s surgery at MidMichigan Medical Center–Midland in

Relieving pain while preserving motiondifferently

Seeing neck surgery

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geon, call MidMichigan Health Line at free at

W E L L N E S S

MIDMICHIGAN HEALTH is proud to welcome a new cardiothoracic surgeon and a new dermatologist.

AKHILA YARRAMNENI, M.D. Cardiothoracic Surgeon Akhila Yarramneni, M.D., has joined Cardiothoracic Surgeon Robert N. Jones, M.D., at MidMichigan Phy-sicians Group–� oracic and Cardiovascular Surgery located in Midland and at satellite o� ces in Freeland

and Mt. Pleasant.Dr. Yarramneni is very enthusi-

astic about cardiothoracic surgery and its ability to improve patients’ lives.

“We have the ability to not only prolong life but also to improve quality of life for our patients,” she said. “It’s a blessing to be able to do this for our patients every day.”

Her interests include esopha-geal surgery for the treatment of

Welcome, new specialists cancer and gastroesophageal reflux disease (GERD). She also specializes in coronary artery bypass graft surgery (on- and off-pump); valvular heart surgery, including mitral valve repair; repair of aortic aneurysms and aortic dissections; video-assisted thoracoscopic surgery (VATS) for benign and malignant lung pathology; and esophagectomy for benign and malignant esophageal pathology.

Dr. Yarramneni welcomes patients by referral from their physician. Her o� ce is located in MidMichigan

Medical Offices–Midland, 4009 Orchard Drive, Suite 3025. You can reach her o� ce at (989) 488-5410 or toll-free at (888) 868-9977.

JENNIFER NASH, M.D. Dermatologist Jennifer Nash, M.D., practices in Midland at 728 W. Wackerly St., Suite 200. Dr. Nash diagnoses and treats diseases of the skin and specializes in the treatment of skin cancers.

Dr. Nash specializes in treating psoriasis; eczema; der-matitis; moles; acne; warts; rosacea; sun-damaged skin;

hair loss; fungal, bacterial and viral skin infections; autoimmune skin diseases, such as lupus and vitiligo; and many other rashes and skin conditions. � e surgical procedures she performs include skin biopsies, skin cancer excisions, excisions of benign skin lesions, phototherapy, cryotherapy and wart removal. In addition, she treats skin cancers such as basal cell carcinoma, squa-

mous cell carcinoma and melanoma. Dr. Nash said the specialty of dermatology � ts her

personality well. “Dermatology is interesting, challenging and reward-

ing,” she said. “I like getting to know my patients. I listen to each patient’s concerns and treat every person in a professional manner. In addition, my practice is focused on providing customer service so that patients’ visits are timely and professional.”

For more information about Dr. Nash, visit www.midmichigan.org/doctors or cal l MidMichigan Health Line at (989) 837-9090or toll-free at (800) 999-3199.

Akhila Yarramneni, M.D., cardiothoracic surgeon

Jennifer Nash, M.D., dermatologist

MORE THAN 60 PERCENT of adults in the United States are considered overweight or obese, so it is no surprise that weight loss is among the most popular New Year’s resolutions.

Losing weight can be a challenge, but you don’t have to do it alone. At MidMichigan Health, our experts see weight loss di� erently. � ey know it’s not just about achieving a particular weight or body shape; it’s about improving your health, resolving weight-related medical conditions and giving you the energy to do the things you love.

We o� er a comprehensive weight-management pro-gram with a variety of approaches and all the motivation, resources and support that you need to succeed.

“Am I Hungry?” � is workshop series taps into your natural ability to eat the right amount of food and equips you to meet other needs in productive ways. It combines an innovative nondiet approach to weight loss with in-teraction, motivation and group support.

Eight weekly workshops cover how to handle head hun-ger, strategies for intuitive eating, getting more pleasure from less food and what to do if you slip up. Cost: $250.

Bariatric surgery. Bariatric surgery has proven ef-fective for many people when other weight-loss e� orts fail. Patients lose an average of 62 percent of their excess weight over a three-year period, and more than 90 percent experience improvement or resolution of obesity-related medical conditions such as type 2 diabetes, high blood pressure and sleep apnea.

MidMichigan’s bariatric surgeons in Alma and Mid-land perform surgery laparoscopically to minimize risk and recovery time. � e program also includes follow-up support services to help patients reach their goals and maintain a healthy lifestyle. Cost varies by procedure and is discussed in free informational seminars. Most

Seeing weight loss differently

RESOLVE TO LIVE HEALTHIER

insurance plans cover quali� ed patients.Group exercise classes. Exercise should be a part

of any weight-loss strategy and is essential for a healthy lifestyle. MidMichigan o� ers group exercise classes in convenient locations throughout the region; all of them

are taught by experts. Classes include yoga, Pilates, chiwalking, tai chi, weight train-ing and more. Visit www.midmichigan.org/classes for program dates and prices.

Personal training. � e Fitness Centers at MidMichigan’sMedical Centers in Alma and Midland provide members

with a world-class personal training program, which includes a physical � tness assessment, a personalized exercise program, one-on-one guidance in setting and reaching goals, plus state-of-the-art equipment and trained experts you won’t � nd in any other gym in the area. Cost: $20 to $35 per hour.

Nutrition counseling. Experienced registered di-etitians are available for one-on-one counseling at MidMichigan’s medical centers. Participants learn about healthy eating habits and behavior changes, nutrient content of foods, food preparation techniques, grocery shopping, food labels, and eating out. Counseling can also be tailored to address special dietary concerns such as diabetes, high cholesterol, food allergies, pregnancy, bariatric surgery and more. Cost: $25 to $40 for each 15-minute session. (Some insurance plans may cover this service. Check with your plan provider.)

Wellness coaching. Wellness coaching helps par-ticipants achieve their optimal health through personal responsibility, deep thinking, self-discovery and per-sonal e� ectiveness. � e one-on-one process includes a well-being assessment, an initial coaching session and biweekly follow-up sessions to review progress toward vision and goals. Sessions can take place in person or over the phone. Cost: $250 for three months.

WOW! Working Off Weight. WOW! is a four-month, medically supervised program at MidMichigan’s Gratiot Medical Center for people who want to lose weight, feel better and live healthier. Plans are personalized and con-sist of three meal plan options, including limited caloric intake, partial meal replacement and total meal replace-ment. Your weight-loss team includes an exercise physi-ologist, a registered dietitian and a behavioral specialist. Cost: $450 plus supplement costs.

LEARN MORE MidMichigan Health experts will present an overview of these programs, help you identify which may be best for you and answer questions in “Resolve to Live Healthier,” a free seminar o� ered in Midland on Tuesday, Jan. 18, and in Alma on Wednesday, Feb. 2. To register or for a referral to any of MidMichigan’s

weight-management programs and services, call MidMichigan Health Line toll-free at(800) 999-3199.

N O V . / D E C . / J A N . 2 0 1 0 2 0 1 1 2 T O Y O U R H E A L T H

FAMILY MEDICINE RESIDENCY PROGRAM: The program includes: (front row, from left) Chad Filson, M.D.; Dhanashree Joshi, M.D.; Amal Othman, M.D.; Susmitha Narayanan, M.D.; Muriam Afzal, M.D.; Troy Pearce, M.D.; Querobin Calvan, M.D.; (back row, from left) Shara Croff, M.D.; Miguel Balfour, M.D.; Beth Shelton, M.D.; Ross Ramsey, M.D.; Egle Klugiene, M.D.; Matt Taylor, M.D.; SriRam Chandran, M.D.; Donyelle Moore, M.D.; Erik Nimbley, M.D.; Rick Freier, M.D.; and Nathan Patel, M.D.

Spine Camp improves surgery experience


� e Family Medicine Residency Program at MidMichigan Medical Center–Midland recently welcomed seven new resident physicians into its three-year program.

� e program accepts medical school graduates who seek board certi� cation in family medicine a� er completing their training. A� er graduating from the program at MidMichigan Medical Center–Midland, many remain in the area, becoming family medicine physicians in various locations throughout the region. As a result, access to primary care in Midland and the sur-rounding areas has improved.

Back and neck surgeons at MidMichigan Medical Center–Midland are sending their patients o� to camp. � ese campers won’t be roasting marshmallows and paddling canoes, but they will learn everything they need to know in order to have a successful surgery and recovery.

Spine Camp is a new two-hour class that gives patients and their caregivers a chance to ask questions and get a clear picture of what happens before and a� er surgery. Topics include the admis-sion process, preparing for sur-gery, therapy, spine anatomy, exercise, pain management, precautions and limitations a� er surgery, home safety, equipment needs, and discharge planning. Spine Camp teaches a team approach to surgery and recovery, in which the patient and care-giver are members of the team, along with their doctors, nurses, physical and occu-pational therapists, discharge plan-

Family history can increase riskdisease can be delayed or even prevented if action is taken early with the � rst detec-tion of pre-diabetes.

Pre-diabetes is the beginning stages of the cells in the body’s resistance to insulin. � e diagnosis of pre-diabetes is made when the body’s blood sugar level

MidMichigan welcomes new family medicine residents

MidMichigan Medical Center–Midland has been training family medicine physi-cians for more than 40 years.

“� is year, we have yet another out-standing class of incoming residents who possess a wide range of life experiences, strong undergraduate medical education and interest in serving the primary care needs of our community,” said William H. Dery, M.D., program director and family

medicine physician.For more information,

visit www.midmichigan.org/residency.

is higher than normal, with a reading be-tween 100 mg/dL and 125 mg/dL. � ese high readings indicate that the body is either not producing enough insulin or there’s resistance in the cells to the action of insulin. Studies have found that insulin resistance and declining production of in-sulin frequently occur before the develop-ment of diabetes.

According to Greeley, the best strategy for patients diagnosed with pre-diabetes

is lifestyle intervention. “Adding a half hour of walking � ve days

a week is a good start toward a healthier lifestyle,” she said.

Along with exercise, maintaining a healthy diet by spreading carbohydrates throughout the day and choosing foods that are higher in � ber and lower in satu-rated fat help to reduce the risk of diabetes.

Help is here “Our diabetes prevention program is modeled a� er several trials which have shown that lifestyle interven-tions aimed at weight loss and increased physical activity help patients with pre-diabetes decrease their risk of developing diabetes,” said Greeley.

� e Diabetes Center at MidMichigan o� ers both patient and professional educa-tion, including one-on-one consultations with the diabetes nurse or dietitian, small group education classes, a foot clinic, an insulin pump clinic, blood sugar screen-ings, as well as adult and insulin pump

support groups. To learn more about diabe-

tes, visit www.midmichigan.org/diabetes.

ners, and other clinical experts.“Before an operation, you’re concerned

about all the medical details; you don’t think about what you’ll need a� erward,” said Shari Histed, of Freeland, who had a titanium cervical disk implanted at MidMichigan. “Spine Camp demonstrated how to do important things like get in and out of bed—which was a huge issue—how to go up and down stairs, get in and out of a car, and even cope with using a hair dryer. At my age, I couldn’t imagine need-ing help with these things. It was extremely helpful and informative.”

MidMichigan is the only provider in the region to o� er this unique program, which is modeled a� er the successful Joint Camp program that MidMichigan has long provided for patients having hip, knee and shoulder replacements.

“We’ve found that Joint Camp speeds up

recovery and im-proves postsurgical outcomes,” said Nurse Manager Cathy Ahearn, C . M . S . , R . N . ,

B.S.N. “Now we’re doing the same for

back and neck pa-tients, helping them

get prepared and take the best possible care of themselves

throughout the process.”For more information about

Spine Camp, ask your back or neck surgeon or call Ahearn at (989) 839-3785.

Knowing about your family’s health his-tory goes a long way toward preventing or delaying the development of serious diseases like diabetes. During National Diabetes Month, observed in November, MidMichigan Medical Center–Midland diabetes educators encourage everyone to take steps to prevent diabetes in the future.

“You can’t change your family history, but knowing about it can help you work with your health care team to take action on the things you can change,” said Mary Greeley, M.S., R.D., C.D.E., manager of the Diabetes Center at MidMichigan Medical Center–Midland. “We encourage everyone to talk with their family members to � nd out if any close relatives have had diabetes. � is is all important information to share with your doctor.”

Pre-diabetes Type 2 diabetes affects millions of Americans every year. It is the leading cause of blindness, kidney disease and nontraumatic amputations. But the

D IA B E T E S

ourourTO YOUR HEALTH is published as a community service by MIDMICHIGAN HEALTH, 4005 Orchard Drive, Midland, MI 48670, (989) 839-3000.

Information in TO YOUR HEALTH comes from a wide range of medical experts. If you have any concerns or questions about specifi c content that may affect your health, please contact your health care provider. Models may be used in photos and illustrations.

Copyright © 2010 Coffey Communications, Inc. HST25802h

2010 MIDMICHIGAN HEALTH BOARD OF DIRECTORS William Henderson, Chair • Eric Blackhurst, Vice Chair • Jeff Allen, M.D. • Joan David • Nancy Gallagher • Lori Gwizdala • William Heinze • Karen Langeland • Mary Neely • Richard M. Reynolds, President • Ed Rogers • William Schmidt • Carl Schwind • Daniel Sorenson, M.D. • Robert Stafford • Ron Verch • W. Lynn Weimer

EDITORIAL BOARD Donna Rapp, Senior Vice President • Millie Jezior, Editor • Angela Nader, Production Assistant • James Bicknell IV, M.D., Physician Advisor

CONTRIBUTORS Carrie Breault • Warren Johnson • Christie Kanitz • Stephanie Leibfritz, R.N. • Rachel Pelton • Carlene Skorczewski • Bernadette Stocking • Matt Streitmatter • Megan Yezak

This issue of To Your Health was printed on 100 percent recycled paper.

SEASONAL SPLENDORResolve to Live HealthierLosing weight can be a challenge, but you

don’t have to do it alone. At MidMichigan

Health, our experts know it’s not just about

achieving a particular weight or body shape;

it’s about improving your health, resolving

weight-related medical conditions and giving

you the energy to do the things you love.

MidMichigan Health experts will present an

overview of a variety of weight-management

approaches, help you identify which may be

best for you and answer your questions.

� Tuesday, Jan. 18, MidMichigan Medical

Offi ces–Midland, Towsley Auditorium

� Wednesday, Feb. 2, Gratiot Medical

Center, Wilcox Auditorium

Facing the Holidays (Alma, Clare, Gladwin, Midland)

MidMichigan Home Care professionals

and volunteers will provide information to

help people handle the season this year.

Simultaneous programs will be offered

for adults, teens and children ages 5 and

older. Registration closes one week before

the session date.

Healthy Holiday Eating Call for locations

Join MidMichigan Health dietitians to

learn what changes will make holiday

foods nutritious as well as delicious. You

will also enjoy a sampling of holiday fa-

vorites and receive free, healthy holiday

recipes.

Infant and Child CPR (Midland)

Older Brother/Older Sister Class (Alma, Midland)

Preparation for Childbirth (Alma, Midland)

Refresher Childbirth (Alma)

HEALTH AND WELL-BEINGSpiritual Care Seminar: Is Death Really an ‘Option’?The annual medical ethics seminar pre-

sented by the Spiritual Care Program at

MidMichigan Medical Center–Midland will

explore issues such as ineffective treat-

ment and allowing natural death in an age

of technology and high-cost medical care.

Ethicist Carol Taylor, C.S.F.N., R.N., Ph.D.,

of Georgetown University, will share her

insights and propose a systematic method

for ethical and moral reasoning.

Thursday, Jan. 13, 9 a.m.–noon and

2–4:30 p.m. (lunch on your own),

MidMichigan Medical Offi ces–Midland,

Towsley Auditorium

Am I Hungry? Saturdays, Feb. 5–March 5, 1:30–3 p.m.,

MidMichigan Health Park–Mt. Pleasant,

$250

Cancer Survivorship: Facing Forward Series Fourth Monday of the month, Cancer

Services, 220 W. Main St., Suite 105,

Midland

Bariatric Surgery Options (Multiple locations)

SUPPORT GROUPSAll support groups are free.

Lung Disease Breathing Easy: Mondays, Nov. 1, Feb. 7,

11 a.m.–1 p.m., MidMichigan Medical

Offi ces–Midland, Towsley Conference Room

Adult Grief and Loss Moving-On: Wednesdays, 8:30 a.m.,

Main Café, 117 E. Superior St., Alma

Alzheimer’s Disease� Fourth Tuesday of each month, 7 p.m.,

MidMichigan Medical Center–Clare

� Third Wednesday of each month, 4 p.m.,

MidMichigan Medical Offi ces–Gladwin

Bariatric � First and third Wednesday of each

month, 6 p.m., Gratiot Medical Center

� Second Wednesday of each month,

6 p.m., MidMichigan Medical Offi ces–

Gladwin

� Second Wednesday of each month,

5 p.m., MidMichigan Home Care, Midland

� Second Tuesday of each month, noon,

MidMichigan Home Care, Midland

Diabetes For more information, call the Diabetes

Center at (800) 727-3123.

� Diabetes Education and Support:

DIABETES EDUCATION Diabetes and Pre-Diabetes Education Classes (Alma, Clare, Gladwin, Midland)

FAMILY HEALTH EDUCATION Babysitting Clinic� Monday, Nov. 15, 9 a.m.–3 p.m., MidMichigan Medical Center–Clare, Fourth Floor Education Room, $30� Saturday, Nov. 20, 9 a.m.–3 p.m., MidMichigan Medical Offi ces–Gladwin, Community Education Room, $30

Baby Care Boot Camp Mondays, Dec. 6, Jan. 24, Feb. 7, 6:30 p.m., MidMichigan Medical Center–Midland, Center for Women’s Health, $25 per couple

Mom and Baby Fitness Class Tuesdays and Thursdays, 5:15 p.m., MidMichigan Medical Center–Midland, Center for Women’s Health, $48 for a 12-session punch card also valid for “Mommy-To-Be Fitness Class”

Mommy-To-Be Fitness Class Mondays and Wednesdays, 5:15 p.m., MidMichigan Medical Center–Midland, Center for Women’s Health, $48 for a 12-session punch card also valid for “Mom and Baby Fitness Class”

Breastfeeding: Healthy Beginnings (Alma, Midland)

Heartsaver CPR (Clare, Gladwin)

Fourth Tuesday of each month, 6:30 p.m.,

MidMichigan Medical Offi ces–Midland

� Diabetes Education and Support:

Second Tuesday of each month, 6 p.m.,

MidMichigan Medical Offi ces–Gladwin,

Community Education Room

� Diabetes Support Group: Fourth

Wednesday of each month, 1:30 p.m.,

MidMichigan Medical Center–Clare

� Insulin Pump Support Group: Quarterly,

6:30 p.m., MidMichigan Medical Offi ces–

Midland, Towsley Conference Room

Look Good…Feel Better (Alma, Gladwin, Midland)

Registration required. To register or for

more information, call the American Cancer

Society at (800) 728-2323.

Multiple Sclerosis � Second Wednesday of each month,

7 p.m., Harrison Community Library

� First Thursday of each month, 5:30 p.m.,

MidMichigan Home Care, Midland

Parkinson’s Disease� Third Thursday of each month, 2 p.m.,

MidMichigan Medical Center–Clare,

Conference Room 1

� Second Thursday of each month,

5 p.m., MidMichigan Gladwin Pines,

Conference Room

� Second Thursday of each month,

5:30 p.m., Commission on Aging,

2200 S. Lincoln Road, Mt. Pleasant

HEALTHPaths to good November

December January

This season, enjoy a variety of winter education classes and support groups. To REGISTER for any program or for a complete list of classes, screenings, support groups and costs:

Unless otherwise noted, programs are free.

Call MidMichigan Health Line at (989) 837-9090 or toll-free at (800) 999-3199.

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

O



Seeing neck surgery




























ourourourourourourourourourourourourourourourourHealth news from MIDMICHIGAN MEDICAL CENTER–CLARE

N O V E M B E R

D E C E M B E R

J A N U A R Y

2 0 1 0 – 2 0 1 1

LOVE LIGHT TREES The holidays remind us how important it is to show compas-sion and concern for others. Each year, the community illustrates this by supporting MidMichiganMedical Center–Clare’s Love Light Trees. The event will be held on Tuesday, Dec. 7, at 7 p.m. at the Medical Center entrance. Wendy Bicknell and Cops and Doughnutsare chairing the 25th annual campaign.This doughnut shop and bakery is owned and operated by nine police of� cers of the Clare City Police Department.

The proceeds from this year’s event will be used to purchase patient care equipment.

Donations to Love Light Trees can be made in remembrance of a loved one, to honor friends or to commemorate a special occasion, such as Christmas or a birthday. A letter can be sent to notify the honoree of the tribute. To learn more, including how to make a tax-deductible donation, visit www.midmichigan.org/lovelighttrees.





Take clots seriously

D E E P V E I N T H R O M B O S I S

REHAB THAT WORKS: After his left hip replacement, Vernon Doty, of Sugar Springs, went to MidMichigan Gladwin Pines for rehabilitation. While there, he had fond memories of making this sign and doing other projects before the replacement. Now he can once again enjoy working on do-it-yourself projects.

Something very small can sometimes pose a big problem. Deep vein thrombosis (DVT) is one of those things.

DVT refers to the formation of a blood clot, or thrombus, within a vein deep within the body. Most deep vein blood clots occur in the lower leg or thigh, but they can also occur in other parts of the body.

“When a clot partially or completely blocks the ° ow of blood through a vein, it can cause pain and swelling at the site and other symptoms,” said Obstetrician/Gynecologist Ahsen Tatar, M.D. “If the clot breaks free of the vein and lodges in the lungs, referred to as a pulmonary em-bolism, the condition requires immediate emergency treatment to prevent death.”

Risk factors Some risk factors for DVT include:● Having a personal history of DVT● Smoking● Being older than 60● Being overweight or obese● Having recent or ongoing treatments for cancer● Having a history of heart attack, stroke or heart failure● Taking hormone replacement or birth control pills● Having an injury to a deep vein from surgery, a broken bone or other trauma● Being immobile during long-distance travel or prolonged bed rest● Being pregnant. The risk continues through the � rst six weeks a� er giving birth● Having major surgery on your hip, knee, leg, calf, abdomen or chest

“Not everyone who develops DVT has symptoms,” said Dr. Tatar. “� ose who do may experience swelling of the leg or along a vein in the leg, tenderness or pain in the a� ected leg that worsens while walking or standing, swollen veins, a warm feeling in the area that’s swollen or painful, skin red-ness at the clot site, or foot pain.”

If you’re at risk for DVT: ● See your doctor for regular checkups or, if you have had DVT, for follow-up treatment ● Take all medicines your doctor prescribes ● Use compression stockings if your doctor rec-ommends them ● Get out of bed and move around as soon as possible a� er surgery or illness ● While traveling, try not to sit for long periods of time without walking.

If you experience any of the symptoms listed above, contact your doctor and seek immediate medical treatment. For a physi-

cian referral, call MidMichiganHealth Line tol l - f ree at(800) 999-3199.

Additional sources: National Institutes of Health; Society for Vascular Surgery

How to save your knees


Before having surgery to replace his le� hip, 88-year-old Vernon Doty did research to select a rehab facility that would help him get back to his normal routine. A� er visiting MidMichigan Gladwin Pines twice, he decided that was the place for him.

“I went to Gladwin Pines right a� er I

Building up the quadriceps mus-cles in the front of the thigh and the hamstrings in the back will help pre-vent injury, reduce knee stress and increase the joint’s shock-absorbing ability.

Good strength-building exercises in-clude climbing stairs and li� ing weights. If you already have some knee problems, try walking, swimming, cycling or water aerobics to strengthen the muscles that support the knee.

Keep in mind that strengthening ex-ercises tighten muscles and that tight muscles are more injury-prone. � at’s why stretching is important. Gentle stretching will keep muscles ° exible and help reduce soreness.

Be especially careful when you begin an exercise and stretching program. Go slowly and increase intensity gradually. You shouldn’t feel signi� cant pain during or a� er exercise.

Talk to your doctor or physical therapist

Do-it-yourselfer couldn’t do it without rehab

le� the hospital and stayed 3 ½ weeks,” he said. “� e people there worked real hard with me, and I worked hard with myself. I went in to get out.”

Now Doty, who owned an advertising agency in Battle Creek until he retired in 1990, is back to being independent and on the go. At home in Sugar Springs, near Gladwin, he enjoys working on do-it-yourself projects and driving to visit his friends.

Making progress In line with Doty’s goals, his therapy was aimed at return-ing him to his highest level of function. MidMichigan Gladwin Pines physical and

before you start an exercise routine.

Feed your knees Along with exercise, proper nutrition is also important. Eating right will help you control your weight and reduce the risk of some diseases, including those that a� ect bones and muscles.

For example, the right amount of cal-cium and vitamin D are needed to build strong bones and help prevent the bone-weakening disease osteoporosis.

Orthopaedic surgeons associated with MidMichigan Health treat osteoarthritis of the knees. For information about an orthopaedic specialist in your area, visit

www.midmichigan.org/doctorsor call MidMichigan Health Line toll-free at (800) 999-3199.

What do healthy knees need? A little nurture, lots of exercise and just the right amount of nutrition.

Taking steps to protect your knees is smart, since they’re the body’s largest joints and among the most easily injured, according to the American Academy of Orthopaedic Surgeons (AAOS).

Knee anatomy The knee consists of three bones, four ligaments and a variety of muscles, tendons and cartilage. All of these structures must work together for the joint to perform right. When they don’t, problems arise.

One of the most common knee prob-lems is osteoarthritis. It occurs when car-tilage, the rubbery tissue between bones, breaks down. Osteoarthritis can cause pain, sti� ness and swelling and make it hard to bend or straighten the knee.

Other common knee problems result from in° ammation or injury.

Protect your knees � ere are several ways you can keep your knees working right. Perhaps the most important is to develop strong, ° exible leg muscles, advises the AAOS.

occupational therapists provided him with a program that included strengthening, balance, self-care, joint safety and new ways to do day-to-day activities.

Doty was surprised to discover all that the therapists at MidMichigan Gladwin Pines were able to do for him.

“I used a wheelchair until I could walk with a walker,” he said. “We did exercises to build up the muscles in my new hip. It was hard, but I didn’t baby myself. I was persistent. I saw myself making progress, and that helped me keep going.”

Thrive, not just survive “Mr. Doty gave therapy the opportunity to help him thrive, not just survive,” said Gladwin Pines Pro-gram Manager Jerame Kopka, O.T.R./P.M. “Before surgery and rehab, he could hardly get in and out of a car because of his hip. Now he walks well—without even a cane—and is able to drive again.”

MidMichigan Gladwin Pines was ev-erything Doty expected and more, and he made so many friends during rehab that he comes back to visit every few weeks.

“I’m happy about everything they did for me,” he said. “� ey took good care of me. If I had it to do over, I’d go to the same place.”

To learn more about MidMichigan Gladwin Pines rehabilitation programs and

facility o� erings or to schedule a tour, call MidMichigan Gladwin Pines at (989) 426-3430.

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HEAD TURNING RESULTS: Shari Histed, of Free-land, feels good again at home and at work after neck surgery that preserved her natural motion.


Seeing neck surgery

























ourourourourourourourourourourourourourourourourHealth news for residents of GLADWIN COUNTY

N O V E M B E R

D E C E M B E R

J A N U A R Y

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LOVE LIGHT TREES The holidays remind us how important it is to show compas-sion and concern for others. Each year, the community illustrates this by supporting MidMichigan Medical Center–Gladwin’s Love Light Trees. The event will take place on Monday, Dec. 6, at 7 p.m. in the dining room of MidMichigan Gladwin Pines. Joyce Ann and Larry Thomp-son are chairing the annual campaign.

The proceeds from this year’s event will help purchase a video laryngoscope for the Medical Center’s Emergency Department. This equipment will facilitate intubation by providing a clear, real-time view of the air-way and the endotracheal tube placement.

Donations to Love Light Trees can be made in remembrance of a loved one, to honor friends or to commemorate a special occasion, such as Christmas or a birthday. A letter can be sent to notify the honoree. To learn more, visit www.midmichigan.org/lovelighttrees.








Less travel for treatments means more time to enjoy life



MAKING THE MOST OF LIFE: Marvin Nelson receives chemotherapy treatments at the Infusion Center at MidMichigan Medical Center–Gladwin and couldn’t be happier about getting his treatment so close to home. “I improve every day,” he said.

Chemotherapy close to home

REHAB THAT WORKS: After his left hip replacement, Vernon Doty, of Sugar Springs, went to MidMichigan Gladwin Pines for rehabilitation. While there, he had fond memories of making this sign and doing other projects before the replacement. Now he can once again enjoy working on do-it-yourself projects.



“When a clot partially or completely blocks the ° ow of blood through a vein, it can cause pain and swelling at the site and other symptoms,” said Obstetrician/Gynecologist Ahsen Tatar, M.D. “If the clot breaks free of the vein and lodges in the lungs, referred to as a pulmonary em-bolism, the condition requires immediate emergency treatment to prevent death.”

Risk factors Some risk factors for DVT include:● Having a personal history of DVT● Smoking● Being older than 60● Being overweight or obese● Having recent or ongoing treatments for cancer● Having a history of heart attack, stroke or heart failure● Taking hormone replacement or birth control pills● Having an injury to a deep vein from surgery, a broken bone or other trauma● Being immobile during long-distance travel or prolonged bed rest● Being pregnant. The risk continues through the � rst six weeks a� er giving birth● Having major surgery on your hip, knee, leg, calf, abdomen or chest

“Not everyone who develops DVT has symptoms,” said Dr. Tatar. “� ose who do may experience swelling of the leg or along a vein in the leg, tenderness or pain in the a� ected leg that worsens while walking or standing, swollen veins, a warm feeling in the area that’s swollen or painful, skin red-ness at the clot site, or foot pain.”

If you’re at risk for DVT: ● See your doctor for regular checkups or, if you have had DVT, for follow-up treatment ● Take all medicines your doctor prescribes ● Use compression stockings if your doctor rec-ommends them ● Get out of bed and move around as soon as possible a� er surgery or illness ● While traveling, try not to sit for long periods of time without walking.





the center specialize in outpatient intra-venous care.

“� e facility is beautiful and the nurses are just great,” said Nelson. “� ey’re all very careful to make sure I’m not hurting. If I am, they stop. I’m happy with the care I’ve had there.”

� e center’s manager, Mary Bell, R.N., B.S.N., said: “We use a gentle touch and constantly check to see that each patient is comfortable and doing OK with their treat-ment. We also maintain high standards of care to ensure patient safety.”

Nelson is moving ahead. In fact, Medi-cal Oncologist/Hematologist Syed Hassan, M.D., has said he can schedule Nelson’s chemotherapy around a cruise that he and Cheri are planning.

“People ask why I’m smiling,” Nelson said. “It’s because I woke up this morning! I saw the beautiful world around me. I’m making the best of life while I’m here.”

The best care anywhere The Infusion Center at MidMichigan Medical Center–Gladwin has been open since 2005 to provide patients with intravenous fluids for rehydration, antibiotics, specialty

medications and targeted therapies, as well as supportive care for blood disorders. Recognizing the need for outpatient chemotherapy in the Gladwin area, the center’s outpatient nursing staff and pharmacist received training to offer chemotherapy treatments. For

more information or to sched-ule an appointment, cal l (989) 246-9468.

Marvin Nelson loves life. He has family nearby, many friends and a sweetheart, Cheri. He sings karaoke, travels and plays Santa to hundreds of kids. � e General Motors retiree said he felt like he was 65 going on 25 before he was diagnosed with advanced cancer last year.

Even as he � ghts the disease, Nelson � nds much joy in every day. Being able to have his maintenance chemotherapy treatments close to home at the Infusion Center at MidMichigan Medical Center–Gladwin helps.

“I improve every day,” Nelson said. “I am walking better, talking better. I’m get-ting my taste buds back, so I’m starting to gain some of the weight I lost when I started treatment. I am enjoying my life.”

Still smiling At the center, Nelson relaxes in a quiet treatment room that overlooks a garden with a fountain. A refreshment cart and TV are in the room, along with a comfortable chair for visitors. Patients can connect to WiFi to use their comput-ers and do other quiet activities during treatment.

Registered nurses and pharmacists at

Before having surgery to replace his le� hip, 88-year-old Vernon Doty did research to select a rehab facility that would help him get back to his normal routine. A� er visiting MidMichigan Gladwin Pines twice, he decided that was the place for him.

“I went to Gladwin Pines right a� er I

Do-it-yourselfer couldn’t do it without rehab

le� the hospital and stayed 3 ½ weeks,” he said. “� e people there worked real hard with me, and I worked hard with myself. I went in to get out.”

Now Doty, who owned an advertising agency in Battle Creek until he retired in 1990, is back to being independent and on the go. At home in Sugar Springs, near Gladwin, he enjoys working on do-it-yourself projects and driving to visit his friends.

Making progress In line with Doty’s goals, his therapy was aimed at return-ing him to his highest level of function. MidMichigan Gladwin Pines physical and

occupational therapists provided him with a program that included strengthening, balance, self-care, joint safety and new ways to do day-to-day activities.

Doty was surprised to discover all that the therapists at MidMichigan Gladwin Pines were able to do for him.

“I used a wheelchair until I could walk with a walker,” he said. “We did exercises to build up the muscles in my new hip. It was hard, but I didn’t baby myself. I was persistent. I saw myself making progress and that helped me keep going.”

Thrive, not just survive “Mr. Doty gave therapy the opportunity to help him thrive, not just survive,” said Gladwin Pines Pro-gram Manager Jerame Kopka, O.T.R./P.M. “Before surgery and rehab, he could hardly get in and out of a car because of his hip. Now he walks well—without even a cane—and is able to drive again.”

MidMichigan Gladwin Pines was ev-erything Doty expected and more, and he made so many friends during rehab that he comes back to visit every few weeks.

“I’m happy about everything they did for me,” he said. “� ey took good care of me. If I had it to do over, I’d go to the same place.”

To learn more about MidMichigan Gladwin Pines rehabilitation programs and

facility o� erings or to schedule a tour, call MidMichigan Gladwin Pines at (989) 426-3430.

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Seeing neck surgery




























Health news for residents of GRATIOT AND MONTCALM COUNTIES

N O V E M B E R

D E C E M B E R

J A N U A R Y

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LIGHTS OF LOVE The Gratiot Medical Center Auxiliary is pleased to an-nounce that their rich tradition of offering the Lights of Love celebration will continue for the 23rd consecutive year. The event will be held on Thursday, Dec. 9, at 7 p.m., beginning in the MedicalCenter’s Wilcox Auditorium. Money raised from the event will be used to help Gratiot Medical Center with priority projects. To learn more, including how to make a tax-deductible donation, visit www.midmichigan.org/donations.

STARS IN THE GARDENS MidMichigan Home Care will host the 18th annual Stars in the Gardens holiday event, which coin-cides with the Dow Gardens Christmas Walk, on Thursday, Dec. 9, through Satur-day, Dec. 11, and Friday, Dec. 17, through Saturday, Dec. 18, from 5 to 7:30 p.m.

A $25 contribution, which bene� ts MidMichigan Home Care patients, enables people to honor or remember loved ones with a porcelain ornament that can be sent to a person of the donor’s choice. Contribu-tions made before Dec. 3 are included on a placard listing the donors’ and honorees’ names during the event.

An Evening of Remembrance . On Saturdays, Dec. 11 and 18, at 4:30 p.m., guests may gather in the Dow Gardens barn for An Evening of Remembrance, a special memorial service. The touch-ing services recognize home health and hospice patients and community members who have passed away.



Health news for residents ofGRATIOT AND MONTCALM COUNTIES

Holiday ourourourourourourourourourourourourourourourour

� e holiday season is � lled with parties, decorations, celebrations and time with friends and family. It is a time of fun and laughter, but for some people it is a time of sadness.

According to Psychiatrist Geetha Chandrasekaran, M.D., holiday blues may be the result of stress, fatigue, unrealistic expectations, over commercialization, � nancial problems and relationship ten-sion. In addition, balancing the demands of the season may contribute to feelings of being overwhelmed and increased tension.

To head off holiday stress and depression:

Beat the holiday blues

● Acknowledge your feelings. If a loved one has recently passed away and it is dif-� cult to be with other loved ones, realize that it’s normal to feel sadness or grief. ● Seek support. If you’re feeling isolated or down, seek support and companionship. ● Be realistic and fl exible. As families change and grow, traditions and rituals o� en change as well. ● Set differences aside and practice for-giveness. Try to accept family members and friends as they are, even if they don’t live up to expectations.● Stick to a budget. Before going shop-ping, decide how much money to spend on gi� s and other items.● Plan ahead. Set aside speci� c days for shopping, baking, visiting friends and other activities. ● Learn to say no. Believe it or not, people will understand.

● Don’t abandon healthy habits. Don’t let the holidays become a dietary free-for-all. Continue to get plenty of sleep and sched-ule time for physical activity. ● Take a breather. Spending just 15 min-utes alone, without distractions, may be just enough time to regroup. ● Set realistic resolutions.● Forget about perfection. Holiday TV specials are � lled with depictions of per-fect holidays. Accept imperfections. ● Seek professional help if necessary.

Holidays can trigger stress and depres-sion. Take steps to manage and prevent additional stress, and talk with your health care provider about the e� ects of holiday stress. For a list of physicians

accepting new patients, call MidMichigan Health Line toll-free at (800) 999-3199 or visit www.midmichigan.org/doctors.

MidMichigan Health Line toll-free at www.midmichigan.org/doctors



“Our 23-year-old daughter, Anna, who was attending dental school in Pennsylvania, died from a pulmonary embolism as a result of an undiagnosed deep vein thrombosis (DVT) in May 2010. She was healthy, athletic and beautiful and was so responsible for her health. Her only risk factors for DVT were her use of birth control pills and recent travel. We believe awareness of DVT risk factors and medication side effects may have saved her life and are committed to our community becoming as informed as possible.” —SARA WASSENAAR AND RICH FRUTIGER, OF ALMA

PLAN AHEAD: Set aside specific days for shopping, baking, visiting friends and other activities.

MidMichigan welcomes the following new health care providers.

Scott Kastning, P.A.-C., is now wel-coming patients at his new practices at Family Medical Care–Breckenridge and St. Louis Fam-ily Clinic. He has a master’s degree in physician assistant studies from Butler University, and he received his certi-

� cation from the National Commission of Certi� cation of Physician Assistants (NCCPA). Kastning specializes in family medicine and provides preventive care and treatment as well as ongoing care for chronic medical conditions.

April Heyer, P.A.-C., is now welcoming patients at her new practice with Gra-tiot Health Partners in Mt. Pleasant. She has a master’s de-gree in physician as-sistant studies from Butler University, and she received her certification from NCCPA. Heyer spe-

cializes in family medicine and provides preventive care and treatment as well as ongoing care for chronic medical conditions.

For more information about ei-ther of these providers, call MidMichigan Health Line at (800) 999-3199 or visit www.midmichigan.org/doctors.

Welcome, new providers

MidMichigan Health Line at www.midmichigan.org/doctors

April Heyer, P.A.-C

Scott Kastning, P.A.-C



“When a clot partially or completely blocks the flow of blood through a vein, it can cause pain and swelling at the site and other symptoms,” said Obstetrician/Gynecologist Ahsen Tatar, M.D. “If the clot breaks free of the vein and lodges in the lungs, referred to as a pulmonary

embolism, the condition requires im-mediate emergency treatment to prevent death.”

Risk factors Some risk factors for DVT include:● Having a personal history of DVT● Smoking● Being older than 60● Being overweight or obese● Having recent or ongoing treatments for cancer● Having a history of heart attack, stroke or heart failure● Taking hormone replacement or birth control pills● Having an injury to a deep vein from surgery, a broken bone or other trauma● Being immobile during long-distance travel or prolonged bed rest● Being pregnant. The risk continues through the � rst six weeks a� er giving birth

● Having major surgery on your hip, knee, leg, calf, abdomen or chest

“Not everyone who develops DVT has symptoms,” said Dr. Tatar. “Those who do may experience swelling of the leg or along a vein in the leg, tenderness or pain in the affected leg that worsens while walking or standing, swollen veins, a warm feeling in the area that’s swollen or painful, skin redness at the clot site, or foot pain.”

If you’re at risk for DVT: ● See your doctor for regular checkups or, if you have had DVT, for follow-up treatment ● Take

all medicines your doctor prescribes ● Use compression stockings if your doctor rec-ommends them ● Get out of bed and move around as soon as possible a� er surgery or illness ● While traveling, try not to sit for long periods of time without walking.





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Seeing neck surgery




























ourourourourourourourourourourourourourourourourHealth news for residents of ISABELLA COUNTY

N O V E M B E R

D E C E M B E R

J A N U A R Y

2 0 1 0 – 2 0 1 1

LIGHTS OF LOVE The Gratiot Medical Center Auxiliary’s Lights of Love celebra-tion will be held on Thursday, Dec. 9, at 7 p.m., beginning in the Medical Center’s Wilcox Auditorium. Money raised from the 23rd annual event will be used to help Gratiot Medical Center with priority projects. To learn more, including how to make a tax-deductible donation, visit www.midmichigan.org/donations.

LOVE LIGHT TREES Love Light Trees at MidMichigan Medical Center–Midland will also take place on Thursday, Dec. 9, at 7 p.m. in the Medical Center’s Plane Tree Café. Cassie Gambrell and Bill Gagliardi are chairing the 29th annual campaign.

Funds raised from Love Light Trees will be used to purchase a Vigileo Continuous Cardiac Output Monitor.

To learn more, visit www.midmichigan.org/lovelighttrees.

STARS IN THE GARDENSMidMichigan Home Care will host the 18thannual Stars in the Gardens holiday event, which coincides with the Dow Gardens Christmas Walk, on Thurs-day, Dec. 9, through Saturday, Dec. 11, and Friday, Dec. 17, through Saturday, Dec. 18, from 5 to 7:30 p.m. A $25 contribution enables people to honor or remember loved ones with a porcelain ornament.

On Saturdays, Dec. 11 and 18, at 4:30 p.m., those who have lost loved ones are invited to gather in the Dow Gardens barn for An Evening of Remembrance.



New procedure o� ers hope

G E R D

M i d M i c h i g a n Health is pleased to introduce April Heyer, P.A.-C., who is now welcoming patients to her new practice with Gra-tiot Health Partners in Mt. Pleasant. She has a master’s de-

Welcome, new provider



gree in physician assistant studies from Butler University and received her certi-� cation from the National Commission of Certi� cation of Physician Assistants. Heyer specializes in family medicine and provides preventive care and treatment, as well as ongoing care for chronic medi-cal conditions.

To learn more, call MidMichigan Health Line toll-free at (800) 999-3199.

“Our 23-year-old daughter, Anna, who was attending dental school in Pennsylvania, died from a pulmonary embolism as a result of an undiagnosed deep vein thrombosis (DVT) in May 2010. She was healthy, athletic and beautiful and was so responsible for her health. Her only risk factors for DVT were her use of birth control pills and recent travel. We believe awareness of DVT risk factors and medication side effects may have saved her life and are committed to our community becoming as informed as possible.” —SARA WASSENAAR AND RICH FRUTIGER, OF ALMA

April Heyer, P.A.-C.

Risk factors Some risk factors for DVT include:● Having a personal history of DVT● Smoking● Being older than 60● Being overweight or obese● Having recent or ongoing treatments for cancer● Having a history of heart attack, stroke or heart failure● Taking hormone replacement or birth control pills● Having an injury to a deep vein from surgery, a broken bone or other trauma● Being immobile during long-distance travel or prolonged bed rest

How to save your knees



“When a clot partially or completely blocks the ° ow of blood through a vein, it can cause pain and swelling at the site and other symptoms,” said Obstetrician/Gynecologist Ahsen Tatar, M.D. “If the clot breaks free of the vein and lodges in the lungs, referred to as a pulmonary embolism, the condition requires immedi-ate emergency treatment to prevent death.”

● Being pregnant. The risk continues through the � rst six weeks a� er giving birth● Having major surgery on your hip, knee, leg, calf, abdomen or chest

“Not everyone who develops DVT has symptoms,” said Dr. Tatar. “Those who do may experience swelling of the leg or along a vein in the leg, tenderness or pain in the affected leg that worsens while walking or standing, swollen veins, a warm feeling in the area that’s swollen or painful, skin redness at the clot site, or foot pain.”

If you’re at risk for DVT: ● See your doctor for regular checkups or, if you have had DVT, for follow-up treatment ● Take all medicines your doctor pre-scribes ● Use compression stockings if your doctor recommends them ● Get out of bed and move around as soon as possible a� er surgery or illness ● While traveling, try not to sit for long periods of time without walking.





Millions of Americans have frequent heartburn, regurgitation or nausea be-cause of acid re° ux disease, also known as gastroesophegeal re° ux disease (GERD). A new surgical procedure—performed without an incision—o� ers relief and is now available at Gratiot Medical Center.

What is it? GERD is a condition in which the esophagus becomes irritated or in-° amed due to acid backing up from the stomach. If this condition is le� untreated, the constant irritation in the esophagus can lead to serious complications, includ-ing a narrowing or obstruction of the esophagus, lung damage, bleeding, chest pain, or a precancerous change in the lin-ing of the throat.

Some people can be treated with life-style and diet changes but others may re-quire medication or surgical intervention. Medications can help relieve heartburn symptoms, but will not solve the under-lying anatomical problems or prevent further disease progression.

Putting out the fire � e new procedure, called transoral incisionless fundoplica-tion (TIF) allows most patients to eat and drink foods they have avoided for many years.

� e procedure is performed by Je� rey Smith, M.D., and Ernest Cudjoe, M.D., both general surgeons and members and fellows of the American College of Sur-geons. � e procedure is performed tran-sorally (through the mouth). It reduces hiatal hernia and creates a valve between the stomach and esophagus, restoring the natural anatomy to prevent gastroesopha-geal re° ux. Because the procedure is inci-sionless, there is less pain, faster recovery and no visible scar. A one-night stay is typically all that is required of patients a� er the surgery.

For more information about upcoming free informational seminars, call MidMichigan Health Line at (800) 999-3199.

working right. Perhaps the most important is to develop strong, flexible leg muscles, advises the AAOS.

Building up the quadriceps muscles in the front of the thigh and the hamstrings in the back will help prevent injury, reduce knee stress and increase the joint’s shock-absorbing ability.

Good strength-building exercises in-clude climbing stairs and li� ing weights. If you already have some knee problems, try walking, swimming, cycling or water aerobics to strengthen the muscles that support the knee.

Keep in mind that strengthening ex-ercises tighten muscles and that tight muscles are more injury-prone. � at’s why stretching is important. Gentle stretching will keep muscles ° exible and help reduce soreness.

Be especially careful when you begin an exercise and stretching program. Go slowly and increase intensity gradually. You shouldn’t feel signi� cant pain during

or a� er exercise.Talk to your doctor or physical therapist

before you start an exercise routine.

Feed your knees Along with exercise, proper nutrition is also important. Eating right will help you control your weight and reduce the risk of some diseases, including those that a� ect bones and muscles.

For example, the right amount of cal-cium and vitamin D are needed to build strong bones and help prevent the bone-weakening disease osteoporosis.

Orthopaedic surgeons associated with MidMichigan Health treat osteoarthritis of the knees. For information about an orthopaedic specialist in your area, visit

www.midmichigan.org/doctorsor call MidMichigan Health Line toll-free at (800) 999-3199.

What do healthy knees need? A little nurture, lots of exercise and just the right amount of nutrition.

Taking steps to protect your knees is smart, since they’re the body’s largest joints and among the most easily injured, according to the American Academy of Orthopaedic Surgeons (AAOS).

Knee anatomy The knee consists of three bones, four ligaments and a variety of muscles, tendons and cartilage. All of these structures must work together for the joint to perform right. When they don’t, problems arise.

One of the most common knee prob-lems is osteoarthritis. It occurs when car-tilage, the rubbery tissue between bones, breaks down. Osteoarthritis can cause pain, sti� ness and swelling and make it hard to bend or straighten the knee.

Other common knee problems result from in° ammation or injury.

Protect your knees There are sev-eral ways you can keep your knees

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Seeing neck surgery













LOVE LIGHT TREES The holidays remind us how important it is to show compas-sion and concern for others. Each year, the community illustrates this by supporting MidMichiganMedical Center–Clare’s Love Light Trees. The event will be held on Tuesday, Dec. 7, at 7 p.m. at the Medical Center entrance. Wendy Bicknell and Cops and Doughnutsare chairing the 25th annual campaign.This doughnut shop and bakery are owned and operated by nine police of� cers of the Clare City Police Department.

The proceeds from this year’s event will be used to purchase patient care equipment.

Donations to Love Light Trees can be made in remembrance of a loved one, to honor friends or to commemorate a special occasion, such as Christmas or a birthday. A letter can be sent to notify the honoree of the tribute. To learn more, including how to make a tax-deductible donation, visit www.midmichigan.org/lovelighttrees.




















Holiday ourourourourourourourourourourourourourourourour

Health news for residents of ROSCOMMON COUNTY

N O V E M B E R

D E C E M B E R

J A N U A R Y

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Take one for the team

VAC C I NAT I O N O P T I O N S F O R AT H L E T E S

Renovations of MidMichigan Medical O� ces–Roscommon are complete. � e building has been a medical clinic since 1977 and has been owned by MidMichiganCommunity Health Services since that time.

While largely cosmetic, the major struc-tural changes to the building include the addition of a drive-through canopy in front

R O S C O M M O N M E D I C A L O F F I C E S

Look at us nowof the entryway. � is canopy will allow pa-tients to be dropped o� at the entryway in a protected environment that shields them from the elements.

In addition to the drive-through canopy, the current roo° ine was changed with the addition of some new trusses on the south side of the structure. � e building now has a metal roof and vinyl siding, along with brick and stone accents on the drive-through pillars and other points along the sides of the building. � e end result is a more e� cient, environmentally friendly and aesthetically pleasing structure.

What’s the best shot an athlete can take? A long pass on fourth down, a penalty kick, a solid spike, a half-court shot, a hole in one, a grand slam?

It is not always going to be a game win-ner, but a ° u vaccination might just be a life-saver. According to the Centers for Disease Control and Prevention (CDC), an annual vaccination is the single most e� ective way to prevent in° uenza, a serious respiratory illness that can have life-threatening con-sequences. In fact, ° u causes about 36,000 deaths and more than 200,000 hospitaliza-tions in the U.S. each year.

Getting vaccinations is not always about what we do as an individual—sometimes it is about what we do for our families, friends and even our teammates. One team member who shows up to a game with active ° u-like symptoms can expose teammates, fans, o� cials and coaches to the virus.

According to the Michigan High School Athletic Association, Michigan has more than 300,000 student athletes and draws more than 1.6 million fans to 28 di� erent sporting tournaments each year. In North-ern Michigan, high school sports are o� en the main source of entertainment and community pride. When one athlete or fan is sick, transmission happens quickly because of the close proximity to other

New sleep lab near youEveryone has the occasional night when sleep is less than ideal. But if your oc-casional night of bad sleep has turned into a routine thing, then you may have a sleep disorder.

stroke, diabetes and depression are just some of the medical conditions that have been linked to sleep disorders.

Types of tests � ree tests are commonly given at sleep centers. All are painless and noninvasive, though each requires at least several hours to complete. ● Polysomnogram. � is overnight exam is o� en used to detect sleep apnea, a common sleep disorder characterized by pauses in breathing, shallow breaths and snoring.

Sensors are placed on your head, face, chest, legs and a � nger. As you sleep, the sensors record brain waves, eye move-ments, heart rhythm and rate, air° ow from nose or mouth, blood-oxygen levels, and other functions.● Multiple sleep latency test. � is day-time test can help diagnose narcolepsy, a rare but potentially serious neurological sleep disorder marked by excessive day-time sleepiness and sudden episodes of muscle weakness.

With sensors attached to your head, face and chin, you try to nap. A techni-cian checks your brain activity to see if

Signs of a sleep disorder include:● Fatigue ● Pauses in breathing ● Restless sleep● Irritability ● Snoring ● Falling asleep at the wheel

If you have any of these signs, talk to your doctor. A� er an initial exam, he or she may refer you to a sleep center for more tests.

High blood pressure, heart disease,

and how quickly you fall asleep and how deeply you sleep.● Maintenance of wakefulness test. � is exam gauges your daytime alertness. It may be used to evaluate sleep-disorder treatments or to show if you’re awake enough to drive or perform other func-tions safely.

During the trial, you simply sit up in bed and try to stay awake. Sensors attached to your head, face and chin monitor your progress.

No matter which tests you have done, they can help your doctor diagnose and treat your sleeping problem.

A new sleep lab MidMichigan Health Park–Houghton Lake is opening a new sleep lab this fall. If you are concerned that you are getting poor or not enough sleep, talk to your family physician about a referral for a sleep study. For a referral to a family physician, call MidMichi-

gan Health Line toll-free at (800) 999-3199. Most health insurance plans provide cov-

erage for all or part of sleep testing and treatments for sleep disorders.

Get a good night’s sleep

players and fans. � e H1N1 virus created a lot of havoc

for schools and communities last year, and according to the CDC the danger is not over. Active cases of H1N1 continue to be reported across the U.S., and like other diseases, vaccinations can prevent trans-mission. H1N1 has proven to be especially dangerous to healthy young people. � e highest proportion of H1N1 ° u infection has been recorded in the 10- to 19-year-old population.

The school-based health centers at Roscommon Middle School and Houghton Lake High School are joining forces with Michigan Department of Community Health in recommending that student athletes get educated about vaccination options each year. For more information, call your health care provider or the school-based health centers at Roscommon Middle School at

(989) 275-6658 or HoughtonL a k e H i g h S c h o o l a t (989) 366-2061.

COME SEE US: Family Medicine Physician Roberto Viguilla, M.D., stands next to the recently renovated MidMichigan Medical Offices–Roscommon located at 135 Lake St.

GET A FLU SHOT: One team member who shows up to a game with active fl u-like symptoms can expose teammates, fans, offi cials and coaches to the virus.


N O V E M B E R D E C E M B E R J A N U A R Y 2 0 1 0 ...€¦ · Histed’s story is just one...

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