SCMS BULLETIN - August 2018 by SCMS Bulletin

The

Bulletin Saginaw County Medical Society

August 2018 | Volume 76 | No 9

safeTALK Suicide Alertness Training Saturday, November 10, 2018 p. 8

2018-19 Pictorial Directory p. 12-13

9th Annual SCMS Foundation Golf Outing p. 16-18

www.SaginawCountyMS.com

Covenant

Hybrid OR

Facts

• State-of-the-Art Technology. The new hybrid operating suite is equipped with the ARTIS pheno, a robotic C-arm angiography system used for minimally invasive interventional procedures. This robotic technology is the first of its kind in the Great Lakes Bay Region and second in Michigan.

• Patient Safety. A hybrid operating room is a traditional surgical room that is also equipped with advanced medical imaging x-ray devices. Hybrid ORs support minimally invasive surgeries and allow the surgical team to perform imaging studies in the operating room. The room: – Is set up to be dual functioning – it can accommodate procedures, but quickly flip to a traditional open surgical room. – Eliminates the need to move patients during a procedure. Less risk of infection; less time to reset. – Has the ARTIS pheno with an antimicrobial coating and sealed housing to help keep the system clean and may aid in preventing bacteria and viruses. • Adding to the Covenant Robotic Team. Covenant is excited to add the ARTIS pheno to our team of surgical robots, which currently includes three da Vinci robots and a MAKO for robotic partial knee replacements. • Assisting Patients of All Shapes. The ARTIS pheno equipment allows the surgical team to support patients of all shapes and sizes. Other C-arms often have size and weight limits that are restrictive and the positioning was not always optimal for the surgical team. Some of the procedures the hybrid OR will be used for are interventional cardiology, transaortic valve replacements, vascular surgeries, orthopaedic trauma, neurological cases and more. © 2018 Covenant HealthCare. All rights reserved. PK 7/18 10928

THE FUTURE OF

• Additional Square Footage. This investment of $7.2 million, added more than 12,000 square feet to the Covenant Cooper facility, including a 1,465 square foot hybrid operating room, office space, a renovated existing OR and a central sterile processing area.

EXTRAORDINARY SURGICAL CARE

THE FUTURE OF SURGICAL CARE

The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2018-2019 OFFICERS AND DIRECTORS

President Julia M. Walter, MD President-Elect Zubeda S. Khan, MD Past President Virginia R. Dedicatoria, MD

contents 8

safeTALK Suicide Alertness Training - Saturday, November 10, 2018

Save the Date! Shawn C. Shea, MD Nationally Known Suicidologist Monday, October 15, 2018

10-11

Dr. Ramesh Kumar Foundation Giving on the Green Saturday, September 8, 2018

Jorge M. Plasencia, MD

President’s Letter

Kala K. Ramasamy, MD

Secretary Caroline G.M. Scott, MD Treasurer Mohammad Yahya Khan, MD Board of Directors

12-13

Advertise in the 2018-2019 SCMS Membership Directory

16-18

9th Annual SCMS Foundation

Save the Date! Opioid Crisis And Pain Management Saturday, October 6, 2018

22-23

Golf Outing Nets $22,900!

Families Against Narcotics Hope Not Handcuffs

Mildred S. Willy, MD Anthony M. Zacharek, MD

Tiffany K. Kim, MD Mark G. Greenwell, MD Bulletin Editor Louis L. Constan, MD Retiree Representative Rustico B. Ortiz, MD Resident Representative Mary J. McKuen, MD

Update Your Information for the New Membership Directory

Save the Date – 2018-2019 Membership Meetings

Elvira M. Dawis, MD Zubeda S. Khan, MD

Julia M. Walter, MD

Virginia R. Dedicatoria, MD Anthony M. Zacharek, MD Jorge M. Plasencia, MD

Barb Smith SUICIDE RESOURCE & Response Network – How Can You Help?

Christopher J. Allen, MD

Application for Membership

September Birthdays

MSMS Alternate Delegates Caroline G.M. Scott, MD Waheed Akbar, MD Mohammad Yahya Khan, MD Danielle C. Duncan, MD Steven J. Vance, MD Amandeep S. Dhaliwal, MD Miriam T. Schteingart, MD Peer Review Ethics Committee Waheed Akbar, MD, Chair Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

CMU College of Medicine

20 MSMS 26

From the Editor

Mildred J. Willy, MD

Attention Retired Members

Caduceus Meeting for Recovering Health Care Professionals

MSMS Delegates

Covenant HealthCare MSMS Saves Michigan Physicians $2,000,000+

KeepSafe Connections

St. Mary’s of Michigan | Ascension

30 31 32 32

Health Professional Recovery Program Advertiser Index Key Providers Calendar of Events

The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.

ON THE COVER: Drs. Su Gudipati, Puneet Bhalrhu and Lioudmila Kinachtchouk and Jill Jaske EDITOR Louis L. Constan, MD

PUBLISHER Saginaw County Medical Society

EXECUTIVE DIRECTOR Joan M. Cramer

350 St. Andrews Rd., Suite 242, Saginaw, Michigan 48638-5988. Hours: Tuesday, Wednesday, Thursday 8:30 AM - 3:30 PM. Web: SaginawCountyMS.com

DESIGNER Lori Krygier

Telephone: (989) 790-3590. Fax: (989) 790-3640 E-Mail: jmcramer@sbcglobal.net

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 nonmembers, or non-Saginaw hospitals. The Bulletin is mailed free of charge to SCMS members as part of their membership. Complimentary copies are sent to various other parties. Others may subscribe at the rate of $50 per year.

The Bulletin | August 2018 3

PRESIDENTâ&#x20AC;&#x2122;S LETTER

TED Talks By Julia M. Walter, MD

n this age of technology and the internet, communication is more important than ever. We use it to innovate, problem solve, build teams, lead, develop and maintain relationships. It goes on and on. Communication is involved in everything that we do. As physicians, it is one of the primary tools we use every day. As a community medical society, the SCMS Board has been brainstorming ways in which we can improve our communication to provide value to the physicians of Saginaw County. Over the past year, we have focused on the individual by providing Membership Meetings covering such topics as physician resilience, suicide awareness and second victim.

In reviewing the impact of these meetings, some of the feedback we have received was the power our own local healthcare providers had in communicating their stories. In that light, at the SCMS Membership Meeting on Tuesday, April 16, 2019, we will present a night of TED Talks from our members. So what is a TED Talk? A TED Talk is about ideas. It is about real people making connections with other real people. These talks are concise, every word counts, lasting from 5-18 minutes. Generally these talks are delivered without notes, from memory, conveying passion and possibilities. A speaker need not be an educated professional. They can be illiterate. Their experience is what matters.

The audience plays a role in that they need to encourage if they feel the speaker is nervous. As a speaker, be real and kind. This is an opportunity to promote great ideas by working together to open each others eyes. The theme of the evening will be The Human Challenge of Healthcare. So bring excitement, energy and focus on your idea and its application to the lives of others. To join the list of guest TED Talkers to be considered for the meeting, please contact Joan Cramer at jmcramer@sbcglobal.net with a brief synopsis of your proposed TED Talk. All ideas will be submitted to the SCMS Board for review and consideration to present at the April Membership Meeting. Thank you.

A TED Talk is about ideas. It is about real people making connections with other real people. These talks are concise, every word counts, lasting from 5-18 minutes. Generally these talks are delivered without notes, from memory, conveying passion and possibilities. Julia M. Walter, MD

UPDATE YOUR INFORMATION FOR THE 2018-2019 DIRECTORY If you have had a change in group, office address, phone, fax or email in the past year, please contact Joan Cramer at the SCMS with the updated information at jmcramer@sbcglobal.net. The new 2018-2019 Directory is tentatively scheduled for delivery in late October.

The Bulletin | August 2018

There is no Membership Meeting in August Tuesday, September 18, 2018 Membership Meeting - ETHICS Mark your calendar now for our Tuesday, September 18, 2018, Membership Meeting joint with the Saginaw Valley Osteopathic Society at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Jason Wasserman, PhD, Associate Professor of Biomedical Sciences at Oakland University William Beaumont School of Medicine will present a program on “Why Preventative Medicine is Failing: Understanding the Human Nature Behind Social Determinants of Health.” Dr. Wasserman joined the Oakland University William Beaumont School of Medicine faculty in July 2013. He directs the Medical Humanities and Clinical Bioethics courses for M1 students, as well as, serving on the Admissions, Curriculum and Student Research committees among others.

Tuesday, October 16, 2018, Membership Meeting Mark your calendar now for our Tuesday, October 16, 2018, Membership Meeting hosted at and by HealthSource Saginaw. The social starts at 6:30 p.m., followed by dinner, meeting and a Candidates’ Forum for the November election at 7 p.m.

Tuesday, January 15, 2019, Membership Meeting Mark your calendar now for our Tuesday, January 15, 2019, Membership Meeting joint with the Saginaw County Dental Society at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Henry Reyna will present a program on “Surviving Acts of Violence.” Reyna was a law enforcement officer in Saginaw County for 32 years until his retirement in 2015. Additionally, he was also an instructor at the police academy for over 20 years, teaching recruits and in-service officers in the areas of defensive tactics, edge weapon defense, hand guns and the use of rifles. Henry owns a security consulting business, and has been providing his services to several local prominent businesses. He is a certified Crime Prevention Specialist, and has participated in multiple advanced crime prevention training programs around the country.

Tuesday, April 16, 2019, Membership Meeting Mark your calendar now for our Tuesday, April 16, 2019, Membership Meeting at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Topic: TED Talks – Do you have a topic you would like us to consider? Please contact Joan Cramer at jmcramer@ sbcglobal.net with your idea and details.

Caduceus Meeting for Recovering Health Care Professionals Tuesday Nights at 7 p.m. | Zion Lutheran Church | 454 7th Street, Freeland, Michigan (Behind Pat’s Grocery Store on Midland Road in Freeland)

Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs. Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists. We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members. The Bulletin | August 2018 5

FROM THE EDITOR

Only the Lonely (and Lonelier) By Louis L. Constan, MD

ast month, we discussed the efforts of Vivek Murthy MD, former Surgeon General, to get the word out about the epidemic of loneliness in the U.S., wherein 40 percent of the population is putting themselves at risk of heart disease, dementia, depression, and anxiety with a purely social problem, that of not having adequate supportive, nurturing social connections. I surmised that we doctors ought to be addressing this problem when we interact with patients because failure to do so would be to ignore a major cause of mortality and morbidity. Hippocrates would roll over in his grave. But I now must make a confession; Dr. Murthy’s crusade isn’t the least bit focused on the doctor/patient relationship, or even on doctors - he has a different audience entirely in mind. But before I tell you who that audience is, let’s put this 40 percent figure in perspective a bit. Imagine the number 40 percent. That’s a lot of people. Forty percent of the people you meet every day. Forty percent of the people who manage your money. Forty percent of the people who manage your public safety such as police and firemen. Forty percent of your neighbors. Forty percent of the people on the “help” line.

When we step out of our house in the morning or out of your car, there is a 40 percent chance that the first person you bump into will be suffering from a significant emotional problem. Now, imagine an even larger group of people, one with a 50 percent chance of being lonely, even worse than the population average. Yes, that group exists, it consists of leaders of American businesses1 , and it’s to THEM2 that Dr. Murthy is actually addressing his concerns. We know this because he presents his data primarily in business magazines like the “Harvard Business Review.” Now, I’m not suggesting that you read the Harvard Business Review, but I am suggesting here that you should be interested in what Dr. Murthy says about business leaders because YOU are essentially a business leader3 in this enterprise we sometimes laughingly call a “healthcare system.” His argument for business leaders goes like this: • People spend much, if not most, of their awake lives at work. • People desire that their work provide meaning in their lives. • Relationships are part of what provides meaning in peoples’ lives.

• When people have emotional support at work, they are more productive employees. • When people are emotionally healthy, they are mentally and physically healthy, therefore, Mr. CEO of the corporation, if you want a healthy workforce, just providing health insurance is not enough, you must also help employees build nurturing relationships among their fellow employees as well. His suggestions include modeling vulnerability, showing that you are human, opening yourselves up to advice, sympathy, and help. Providing opportunities, perhaps at staff meetings, perhaps informally, for members to share personal information about themselves, to make themselves human, outside of their personas as a physician, nurse, technician, or receptionist. Dr. Murthy says that making those human connections is an important step in developing nurturing social ties. As you know, previous Surgeon Generals have focused on single health issues, notably smoking, obesity and immunizations. Dr. Murthy could have picked any number of pressing ones: continued on page 7

For physicians, overworked as we are, giving us some responsibility for the emotional well-being of our patients and co-workers may seem unworkable - until we consider the benefits, which can be great. Louis L. Constan, MD

The Bulletin | August 2018

continued from page 6

Depression, suicide or violence. Instead, he picked an issue that is unabashedly not biomedical, stepping out of the traditional physician’s role and reaching out to the business community instead of the public at large. He says to that business community, to those people who provide the engine that made this the richest country in history: “Guys, what you’ve accomplished has come at a cost, the cost of our humanity. Your headlong rush for profits has led to record levels of heart disease, depression, violence and suicide. We doctors cannot fix this, no matter how much money you throw at us. Only YOU can fix this.” For physicians, overworked as we are, giving us some responsibility for the emotional well-being of our patients and co-workers may seem unworkable - until we consider the benefits, which can be great. After all, we physicians are suffering as much or more than anyone else, and, to the extent

that we can help, we probably should. Dr. Murthy suggests we learn to share our humanity with those with whom we work. That opens us up to receiving emotional support, as well as, modeling for others how to receive and provide the same much-needed emotional support. And that would certainly be worthwhile.

1 2

As the old adage goes “It’s lonely at the top.” You have to recognize a Zen-like character to this argument, where the people who are more sick are responsible for healing those who are less sick. It’s a little like asking doctors who get burned out by undue stress from our sick medical system to fix themselves.

Of course, being a business leader, you could find yourself personally being lonely in your work, unable to share your feelings of uncertainty, insecurity - must maintain that sanguine front before patients and staff.

ate SCMS Affili 18 Member 20 Sarah, LMT

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The Bulletin | August 2018 7

safeTALK Suicide Alertness Training Saturday, November 10, 2018 Registration 8-8:30 a.m.Training 8:30 a.m.-12 p.m. CMU College of Medicine1632 Stone StreetRoom 1008Saginaw, MI 48602 SPACE IS LIMITED TO 30 PARTICIPANTS Open to SCMS members, residents, medical students, health care professionals and anyone interested in becoming trained in suicide alertness. Additional sessions may be scheduled in the future based on need/interest. REGISTER ONLINE AT https://www.surveymonkey.com/r/safeTALK111018 Deadline for registration is October 31, 2018 At the request of our members following the October 2017 Membership Meeting, the Saginaw County Medical Society is hosting another FREE Suicide Alertness Training, safeTALK, to expand on the ZEROSuicide overview presented by Barb Smith SUICIDE RESOURCE & Response Network (formerly known as Survivors of Suicide). safeTALK is a half-day alertness training that prepares anyone 15 or older, regardless of prior experience or training, to become a suicide-alert helper. Most people with thoughts of suicide don’t truly want to die, but are struggling with the pain in their lives. Through their words and actions, they invite help to stay alive. safeTALK-trained helpers can recognize these invitations and take action by connecting them with life-saving intervention resources. Learning goals and objectives Over the course of their training, safeTALK participants will learn to:  Notice and respond to situations where suicide thoughts might be present  Recognize that invitations for help are often overlooked  Move beyond the common tendency to miss, dismiss and avoid suicide  Apply the TALK steps: Tell, Ask, Listen, and KeepSafe  Know community resources and how to connect someone with thoughts of suicide to them for further help Up to 45% of individuals who die by suicide have visited their primary care physician within a month of their death; additional research suggests that up to 67% of those who attempt suicide receive medical attention as a result of their attempt. Given these statistics, primary care has enormous potential to prevent suicides and connect people to needed specialty care - especially when they collaborate or formally partner with behavioral healthcare providers. Jerry Reed, PhD, MSW, Director, Suicide Prevention Resource Center Funded by a generous grant from the Dow Chemical Company Foundation Donor Advised Fund

Central Michigan University College of Medicine Office of Continuing Medical Education is accredited to provide continuing medical education for physicians. CMU College of Medicine Office of Continuing Medical Education designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Questions? Contact Joan Cramer at the SCMS at 790-3590 or jmcramer@sbcglobal.net 8

6/29/18 2:15PM

The Bulletin | August 2018

Save the Date Shawn C. Shea, MD

NO STATE INCOME TAX

“Suicide Prevention through Sound Suicide Assessment” College of

Medicine Date: Monday, October 15, 2018 Time: Two Sessions, 8 a.m.–12 p.m., and 1-5 p.m. Location: Horizons Conference Center (tentative) Speaker: Shawn C. Shea MD Topic: Suicide Prevention through Sound Suicide Assessment Invited: Medical students, residents, physicians and all health care personnel including nurses, social workers, physician assistants, nurse practitioners, EMT’s, etc. Cost: No cost for medical students. Cost to be determined for all others as plans are finalized. Registration: Electronic link to be made available as plans are finalized. Dean George E. Kikano MD, CMU College of Medicine and Barb Smith of Barb Smith SUICIDE RESOURCE & Response Network invite you to a suicide prevention workshop presented by Shawn C. Shea MD, an internationally acclaimed workshop leader and innovator in the fields of suicide prevention, building resiliency, clinical interviewing and improving medication adherence having given over 850 presentations worldwide. He is the creator of the highly acclaimed interviewing strategy for uncovering suicidal ideation and intent – the Chronological Assessment of Suicide Events (the CASE Approach). His other clinical interviewing innovations, including facilic supervision, macrotraining and the Medication Interest Model (MIM) have been adopted around the world. Dr. Shea is the Director of the Training Institute for Suicide Assessment and Clinical Interviewing (www.suicideassessment.com), a training and consultation service providing workshops, consultations and quality assurance design in mental health assessments. He is also in private practice. Funded in part by a generous grant from Dow Chemical Foundation

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How Can You Help? Do you want to raise awareness, volunteer or participate in an upcoming event? Contact Barb Smith at barb.smith@suicideresourceandresponse.net or 989-781-5260 and schedule a training or educational event or get more information. Barb Smith Suicide Resource & Response Network is supported solely by donations and grants. To make a donation, please make your check payable to Barb Smith SR&RN and mail to: Barb Smith Suicide Resource and Response Network PO Box 6712, Saginaw, MI 48608-6712 The organization is a 501(c)(3) nonprofit, and your donation is tax deductible (EIN 38-3400293). The Bulletin | August 2018 9

GIVING ON THE GREEN

Saturday, September 8, 2018 Saginaw Country Club 4465 Gratiot Rd, Saginaw, MI 48638 To register and/or sponsor, please contact (646) 766-1764 I Info@DrRKFoundation.org

• Registration: 10:00 AM • Shotgun: 11:00 AM • Dinner and Prizes: 5:00 PM

• 18 Hole • 4 Man Scramble • Prizes & Raffle

$165 per Golfer

(includes golf, lunch, & dinner)

$625 per foursome

The Ramesh Kumar Foundation

is dedicated to eliminating the barriers of financial burden on individuals and families in need of medical treatment, and also advocating for programs of medical research and education. Dr. Ramesh Kumar Foundation is a public foundation with tax exemption status under 501(a) of the Internal Revenue Code as described in Section 501(c)(3) for charitable organizations. Federal Tax ID. number 82-1463499.

10 The Bulletin | August 2018

Dr. Ramesh Kumar Foundation GIVING ON THE GREEN  2nd Annual Charity Golf Outing Saturday, September 8, 2018  Saginaw Country Club, Saginaw, MI Registration at 10 a.m.  Shotgun Start at 11 a.m.  Dinner at 5 p.m. SPONSORSHIP, AD & REGISTRATION FORM Company _________________________________________________________________________________ Address __________________________________________________________________________________ City __________________ State ____ Zip ________ Email __________________________________________ Business Contact __________________________________________ Phone (_____) ____________________ Golfer Name(s) 1) _____________________________________ 2) ______________________________________ 3) _____________________________________ 4) ______________________________________ FOR SPONSORSHIP PACKAGE DETAILS, VISIT OUR WEBSITE WWW.DRRAMESHKUMARFOUNDATION.ORG  Platinum Sponsor - $6,000  Gold Sponsor - $4,000  Silver Sponsor - $2,500  Food Sponsor - $3,000  Cocktail Sponsor - $2,000  Beverage Cart Sponsor - $2,000  Golf Ball Sponsor - $1,000  Hole Sponsor - $500  Flag Sponsor - $300 ADS:  $100 Full page ad (4.75”w x 7.25”h)  $75 1/2 page ad (4.75”w x 3.62”h)  $50 1/4 page ad (4.75”w x 1.62”h) ***willing to trade 1/2 page ads for sponsorship

 1 Golfer - $165  2 Golfers - $325  4 Golfers - $625  Will not be able to attend  Donation $_________________  Total Charge(s) $____________ For further details: Tony Provenzano Ben Arnold Kendall Padovani Dr. Sam Shaheen Dr. Ramesh Raju

(989) 239-4616 (269) 929-5658 (646) 766-1764 (989) 239-3667 (989) 860-5714

Ads should be submitted electronically via email to Info@DrRKFoundation.org. Please request confirmation of receipt when emailing ad. Black and white advertising only, no bleeds. ___________________________________________________________________________________ All ads must be received by August 1, 2018. If we do not receive your ad copy by the deadline, an ad will be created using your BUSINESS NAME ONLY. All proceeds go to charity. Payment Method  Payment enclosed  Please invoice me  Will pay at Golf Outing Amount $_____________  Check  Credit Card – please check one  Visa  Mastercard  Discover  American Express Credit Card # __________________________ Exp. Date ____/____ Security Code _______ Name on Card _________________________ Signature _____________________________________ Make checks payable to: Dr. Ramesh Kumar Foundation Send sponsorship commitment and check (if applicable) to: Dr. Ramesh Kumar FoundationP.O. Box 5365Saginaw, MI 48603 Questions? Please call (646) 766-1764Email Info@DrRKFoundation.orgFax (315) 215-3618 The Bulletin | August 2018 11

2018-2019 Saginaw County Medical Society Physician Directory

Attention all Physicians, Group Practices and Medical Partners

The 2018-2019 Physician Directory is produced by the Saginaw County Medical Society

To reserve a page for your company or physician, please call Joan Cramer at 989.790.3590 or email jmcramer@sbcglobal.net Space and Copy Deadline is Thursday, August 30, at 5 p.m. Previous year’s “Premium Position” advertisers have first right to those positions until Monday, August 13, at 5 p.m. To submit fully finished ads, please provide press quality pdf files with all fonts embedded. All ads submitted should be 300 dpi at 100% for best printing. All files should be CMYK color. If you need your ad designed, please provide ad copy in Word or Text format and art and logos as jpeg or eps files.

Promote your company, office and/or group practice with an advertisement in the 2018-2019 Saginaw County Medical Society Physician Directory. Join the many other medical suppliers and vendors and take advantage of this unique opportunity to promote your practice, group or medical company in this widely used, easy reference resource. There will be two separate versions of this conveniently sized Directory distributed in the Fall of 2018. The Private Physician version will be distributed to members’ offices, and the Public Directory will be marketed and delivered directly into the hands of the public at the Annual Health Fair, events and expos throughout the year. A limited number of additional copies will be available at the Saginaw County Medical Society office and available electronically for download at www.SaginawCountyMS.com under the Pictorial Membership Directory tab. Premium Positions Outside Back Cover Inside Front Cover Inside Back Cover Pages 3, 4, 5 and 7 Center Spread

Full Color Actual Size $1,800 6.25” wide x 9.62” high $1,700 6.25” wide x 9.62” high $1,700 6.25” wide x 9.62” high $1,700 6.25” wide x 9.62” high $2,900 2 center pages – 13” wide x 9.62” high

Randomly Placed Full Page Half Page Quarter Page

$1,600 $ 905 $ 490

6.25” wide x 9.62” high 6.25” wide x 4.75” high OR 3” wide x 9.625” high 6.25” wide x 2.37” high OR 3” wide x 4.75” high

Price includes both Physician and Public versions. All ad design services are at no additional cost.

12 The Bulletin | August 2018

2018-2019 Saginaw County Medical Society Advertising Contract Name of Advertiser ___________________________________________________________________ Address ______________________________ City ___________ State _____ Zip __________________ Contact Name____________________________________ Phone (_____) _______________________ Email ____________________________________

Date Completed/Signed ___/___/____________

Signature of Authorized Representative ___________________________________________________ Please Check Ad Desired Full Color *Premium Positions n Outside Back Cover $1,800 n Inside Front Cover $1,700 n Inside Back Cover $1,700 n Pages 3, 4, 5 and 7 $1,700 n Page desired ____ (if available) n Center Spread $2,900 Randomly Placed n Full Page n Half Page n Quarter Page

$1,600 $ 905 $ 490

Actual Size 6.25” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 9.62” high 2 center pages – 13” wide x 9.62” high 6.25” wide x 9.62” high 6.25” wide x 4.75” high OR 3” wide x 9.625” high 6.25” wide x 2.37” high OR 3” wide x 4.75” high

*Current “Premium” advertisers have right of first refusal of current space until Monday, August 13, 2018, at 5 p.m. Space and copy deadlines for all ads is Thursday, August 30, 2018. The above agrees to place and pay for the advertisement(s) listed above in the 2018-2019 edition of the Saginaw County Medical Society Physician Directory (includes both Private and Public versions). The total price for the advertisement(s) is listed next to the ad dimensions. Publication date is scheduled for October 2018. All billing statements will be sent to advertisers immediately following receipt of this Advertising Contract, and the total is due and payable by September 1, 2018, or 20 days after receipt of the invoice, whichever is later. Please return this Advertising Contract to Joan Cramer at jmcramer@sbcglobal.net, or mail to: Saginaw County Medical Society | 350 St. Andrews Road, Suite 242 Saginaw, MI 48638-5988 | Office (989) 790-3590 | Fax (989) 790-3640 | Mobile (989) 284-8884 The Public Directory will be distributed at the 2019 Health Fair on Saturday, March 16, 2019, by mail and throughout the year at events and physician offices/medical facilities. The Private Directory will be distributed in October to physicians, group practices and the hospitals. Advertisers will receive both Directories which will also be available for download at www.SaginawCountyMS.com on the home page and under the Pictorial Membership Directory tab. Published by the Saginaw County Medical Society The Bulletin | August 2018 13

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Below is an Application for Membership that may be recommended for acceptance at the Tuesday, September 18, 2018, Board Meeting. Please contact Joan Cramer at jmcramer@sbcglobal.net or 790-3590 if you have any questions or would like more information on the applicant. Wendy S. Biggs, MD (CMU College of Medicine-Director, Comprehensive Community Clerkship) Specialty: Family Medicine, Board Certified 1994 Medical School: Baylor College of Medicine, Houston, TX, 1990 Residency: Baylor College of Medicine, Family Medicine, 3/90-7/93 Prior Practice: Dexter Village Family Physicians, Dexter, MI, 1993-98; Chelsea Community Hospital, Chelsea, MI, Interim Chief, Family Medicine Inpatient Service, 1/99-12/99 and Vice Chief of Medicine 1/00-12/01; Midland Family Medicine Residency Faculty, Midland, MI 1/02-12/10; American Academy of Family Physicians, Deputy Director, Medical Education Division, Leawood, KS, 1/11-5/13; and University of Kansas Family Medicine Residency Faculty, Kansas City, KS, 5/13-12/17 Sponsors: Doctors Delicia J. Pruitt and Steven J. Vance

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Don’t let pain keep you down. If you are Don’t let pain keep you down. If you are experiencing the following, WE CAN HELP! experiencing the following, WE CAN HELP!

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DAVENPORT DAVENPORT 3525 Davenport 3525 Davenport Saginaw, MI 48602 Saginaw, MI 48602 t: 989.497.6040 t: 989.497.6040 14

Arthritis Arthritis Head and Neck Pain Head and Neck Pain Sports Related Injury Sports Related Injury Work Related Injury Work Related Injury

SHIELDS SHIELDS 7680-4 Gratiot 7680-4 Gratiot Saginaw, MI 48609 Saginaw, MI 48609 t: 989.781.1258 t: 989.781.1258

SEPTEMBER BIRTHDAYS Altamash A. Amin MD Umesh A. Badami MD Leroy C. Barry MD Hassan H. Beiz MD Nicholas M. Bertucci DO Glenn J. (Jason) Bunn, Jr. MD Jacquelyn M. Charbel DO Radha Cherukuri MD Kristin M. Constantino MD Matthew D. Deibel MD Paul R. Goyt MD Nina R. House MD Parminder S. Jaswal MD Daniel B. Kehres DC Zaira Khalid MD Deirdre H. Knobeloch DO Palaniandy K. Kogulan MD John B. Llewelyn MD Ashley M. Lopez MD Sohaib M.H. Mandoorah MD Mary Jean McKuen MD Thersilla Oberbarnscheidt MD James E. Packer MD Arvind R. Patel MD Brian F. Perry MD Kaushik Raval MD Jennifer M. Romeu MD Naman A. Salibi MD Stacey L. Sharp MD Tory K. Snyder DO Venkataramana Somisetty MD Joseph C. Spadafore MD Dennis M. Tibble MD Prabhundha Vanasupa MD* *Happy Special Birthday!!! Mary Jo Wagner MD James R. Weir MD Lawrence C. Whiting MD Fakhar H. Zaidi MD

9/6 9/18 9/14 9/22 9/6 9/23 9/5 9/29 9/5 9/9 9/26 9/21 9/11 9/20 9/12 9/26 9/16 9/5 9/24 9/18 9/6 9/7 9/24 9/14 9/11 9/25 9/7 9/25 9/20 9/14 9/11 9/20 9/19 9/18 9/20 9/20 9/30 9/19

ATTENTION RETIRED MEMBERS! Retired physicians meet for lunch every Wednesday at 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw. Those attending are responsible for their own lunch, and the informal gathering lasts about an hour. Join your retired colleagues whenever you like! If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or by email at jmcramer@sbcglobal.net.

COMPLIANCE MADE SIMPLE

Assisted CEs & BAs in Passing Audits Protects the Organization Ensures Privacy & Security Compliance Cost Effective Easy to Implement

Call us today to schedule your

FREE DEMO

1.877.391.4795 hipaainfo@aperion.com

Focusing our practice on the needs of our community, we provide the following services for both individuals and businesses: n Monthly Accounting n Tax Planning n Financial and Business Consulting Service n Payroll Service n Tax Preparation Service n Retirement Planning Contact us for a complimentary visit at 989-791-1040. Three convenient locations to serve you in: Saginaw | Vassar | Frankenmuth

“Attention to detail since 1980.” The Bulletin | August 2018 15

SCMS Foundation Golf Outing

he SCMS Foundation held its 9th Annual Golf Outing at the Saginaw Country Club on Saturday, June 9, 2018. The day started out rainy, but cleared up shortly after the shotgun start at 1 p.m. In total, $22,900 was raised to support Foundation medical student loans, and scholarships and grants to medical students and residents. The Foundation was founded in 1968 by SCMS members, and is the charitable entity of the SCMS. The Foundation: • Provides low interest loans to medical students with ties to Saginaw with a maximum of $20,000 per student; • Forgives loan interest if the recipient returns to Saginaw to practice after completion of their residency; • Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is a dues paying member; • Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician; • Provides research grants and scholarships to medical students and residents through the CMU College of Medicine; and • Assists the SCMS Alliance in awarding nursing scholarships. Close to $193,000 has been raised from the annual Golf Outing that was started by past Foundation President and

current Trustee, Rao Gudipati, MD. Proceeds from this event are used for the above endeavors and to help assure the future of medicine in Saginaw County. The Foundation currently has over $222,000 in outstanding loans to medical students and residents. Steve Vance, MD on behalf of Title Sponsor, CMU College of Medicine and CMU Health, spoke at the Award Reception on the importance of the support of the SCMS Foundation, especially with the College of Medicine being at full capacity and increased financial need by students. Loan recipient and CMU College of Medicine M4, Brad Demijohn, had the following comments about the importance of SCMS Foundation support: My name is Brad Demijohn and I am a third-year medical student (soon to be fourth). I am a Swan Valley graduate and have worked in the area as an RN since 2004. One of the greatest blessings about receiving the SCMS Foundation loan four years in a row now, is that I personally know many of the outstanding people that have made it available for me. It is very personal and I am very grateful to be considered worthy of continued investment. Over the last few years, the loan has allowed me to curb the amount of government loans received. This year, however, you will also be helping my family with more personal needs as we have recently welcomed our third child into the family. With this loan instead of splitting time between studying and my job, I can study and be dad. From the bottom of our hearts, we thank you.

Mark your calendar for the 10th Annual SCMS Fo Right: Waiting for the rain to stop Below: (From Left) Covenant Medical Group, CMU College of Medicine - CMU Health, Drs. Nik Kinachtchouk and Bob Maganti

First Place Winner with a score of 59 was Dr. Rao Gudipati’s Team – Drs. Gudipati, Bob Maganti and Ramesh Raju and Chad Boyce. Second Place Winner with a score of 60 was Pain Consultants of Michigan Team B – Drs. Laks Madala and Harpal Singh, Justin Bellinger and Justin Holyszko. Other winners were Closest to the Pin Men #13 – Dr. Nik Kinachtchouk; Closest to the Pin Women #4 – Melissa Czubaj; Longest Drive Men #1 – Dr. Rao Gudipati; Longest Drive Women #14 – Lizzie Hernden; Putting Contest – Jon Pickelman; and Hit the Green 50/50 – Chris Deibel. The winner of the 50/50 drawing collected $205. The SCMS Foundation would like to thank the following sponsors for making this year’s event a success:

Title Sponsor College of

Medicine Event Sponsors

Putting Contest Sponsor

Beverage Sponsors Dornbos Printing Impressions Healthway Compounding Pharmacy Tri-Star Trust Bank

Lunch Sponsors Morgan Stanley The Great Lakes Bay Group Norton+Kidd Accounting & Consulting Oncology/Hematology Associates Drs. John Bartnik and Bei Liu Sound aSleep Lab Spence Brothers

Closest to the Pin Sponsor St. Mary’s of Michigan | Ascension

Golf Ball Sponsors

Longest Drive Sponsors Covenant Emergency Physicians Group Valley Infectious Disease

College of

Medicine Award Reception Sponsors

continued on page 18

oundation Golf Outing on Saturday, June 8, 2019!

Top Left to Right: Mid Michigan Vascular Surgery, Norton+Kidd Accounting Dr. Tom Veverka’s Team Left: Winning Team - Drs. Raju and Maganti, Chad Boyce and Dr. Gudipati

continued from page 17

Tee/Hole Sponsors Dr. Lowell Butman Dr. Tom Damuth Merrill Lynch The Provenzano-Bade-Rand Group Pain Consultants of Michigan Panda House

Team Sponsors Advanced Diagnostic Imaging Medical Student/Resident Team CMU College of Medicine | CMU Health Covenant Medical Group Covenant Pulmonary & Critical Care Associates Medical Student/Resident Team Dr. Matt Deibel Great Lakes Rehab Center Dr. Rao Gudipati Drs. Nik & Lioudmila Kinachtchouk Looby Baumgarten Dr. Revan Maragiri Michigan CardioVascular Institute Mid Michigan Vascular Surgery, PC Drs. Ron Bays and Ryan Kim Norton+Kidd Accounting & Consulting

ADVANCED DIAGNOSTIC IMAGING is proud to be part

of mid-Michigan’s well-established medical community. Our highlyexperienced, sub-specialized radiologists are the region’s trusted leaders for professional diagnostic and interventional services.

Pain Consultants of Michigan (two teams) Saginaw Medical Federal Credit Union St. Mary’s of Michigan | Ascension Tri-Star Trust Bank Dr. Tom Veverka Dr. Liaqat Zaman

SCMS Foundation Board Members Thomas E. Damuth, MD – President Iris A. Marteja, MD – Vice President/Secretary Matthew D. Deibel, MD – Treasurer Lowell A. Butman, MD – Trustee Rao V.C. Gudipati, MD – Trustee George J. Gugino, MD – Trustee

Volunteers Keri Benkert Joan Cramer Stephanie Krieger, s7 Consulting James Schilling Patience Schilling – 2018 Foundation Essay Contest Winner The SCMS Foundation would like to give special thanks to the Head Golf Professional at the Saginaw Country Club, Chad L. Boyce PGA; Golf Shop Manager, Amy Dreffs; and Sherry Charbonneau for all their help arranging and planning the golf outing.

THE RIGHT TESTS…THE RIGHT READS…RIGHT AWAY!

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3400 North Center Road, Suite 400 • Saginaw, MI 48603 LOCAL TEL: (989) 799-5600 HOURS: Monday–Thursday, 8 am to 5pm

18 The Bulletin | August 2018

College of

Medicine CMU College of Medicine/SCMS Student Members Represent at AMA Annual Symposium Following is a quick synopsis of what SCMS affiliated students accomplished at the AMA Annual Symposium (June 7-9 in Chicago): • Backed resolutions advocating for improved access to care and support services in cases of sexual assault; access to care for homeless, indigent, and undocumented populations; safety and education measures to reduce firearm violence; and improved nutrition for schoolchildren, SNAP recipients and those facing food insecurity. CMU College of Medicine was represented by delegates Lindsay Murphy and Paul Zeller, M3. • A.J. Shadrach, MD (CMU COM, 2018) concluded a successful year of service as chair of Region 5 Medical Student Section (Michigan, Indiana, Ohio, Kentucky and West Virginia) for the 2017-2018 term. His accomplishments include establishing routine section Web conferences to exchange ideas and promote advocacy among the schools of Region 5, and expanding student involvement in both Region 5 MSS and the Michigan State Medical Society MSS. • Lindsay Murphy, M3 (CMU COM, 2020) was elected as vice chair of Region 5 MSS for the 2018-2019 term. She is looking forward to continuing the work of Region 5 in leading

student advocacy efforts through the AMA-MSS MARC annual lobbying day in Washington, DC, and promoting state lobbying days for each of the Region 5 constituent schools. Thank you for all your assistance! Looking forward to another year of advocacy and service! Very respectfully, Lindsay E. Murphy, BSN, RN, CEN, CCRN Central Michigan University College of Medicine MD Candidate, Class of 2020

Save the Date!

Saturday, October 6, 2018 9:00 am to 12:00 noon

Opioid Crisis and Pain Management

Sponsored by

Continuing Medical Education

With a grant from the Michigan State Medical Society Foundation

Horizons Conference Center 6200 State Street, Saginaw Registration & Breakfast: 7:30 – 9:00 am CMU College of Medicine, Office of Continuing Medical Education, 1632 Stone St., Saginaw, MI 48602 989-746-7602 or 746-7555 CMEDCME@cmich.edu med.cmich.edu/cme

The Bulletin | August 2018 19

LARA/MDHHS Updated FAQs - Opioid Laws Based on some recent questions that both LARA and DHHS have received, they have updated the FAQs again, dated July 3, 2018. Click HERE to view Updated FAQs. Below is a highlight of the changes: 1. Page 6, question 7 - Start Talking Form: a. We updated most of the previous answers and changed them to better clarify between the use of the Start Talking Form and opioid education for minors versus adults. b. Under the provision of this law for minors, it references first prescription, in the course of a treatment; however “course of treatment” is not defined so it will be up to the prescriber to use his/her best medical/clinical judgement and document appropriately. Change in dosage would not require a new form for a minor. While not noted in the FAQs, it is important to be aware of the exceptions to the form for the minor patient. c. For adults there is no reference to “course of treatment” and, therefore, there is more flexibility under the law so it is noted that if a prescriber is prescribing or dispensing an opioid for the first time post June 1, 2018, then the Start Talking Form and opioid education would have to be completed, but if the prescriber changes the dosage or issues a new opioid, the form would not need to be completed again. d. It is also noted that the intent and spirit of the law is to provide education to the patients, regardless of age, as to the risks associated with taking an opioid. PLEASE NOTE: This should help address the concerns expressed by providers in dealing with a patient who may react negatively to an opioid and the need to change the opioid in a more expedient manner without making the patient or guardian sign a new form electronically or require the patient return to the hospital or go to the physician’s office to sign the document. 2. Page 10, question 3 - MAPS Check and “do not fill until date”: a. Added the DEA link that references the regulation related to the refilling of a schedule 2 controlled substance. This link is provided as an informational resource. Download the updated LARA/MDHHS Opioid Laws FAQs >>

20 The Bulletin | August 2018

Value-Based Reimbursement for Primary Care Physicians is Changing, Effective September 1, 2018 Blue Cross Blue Shield of Michigan (BCBSM) is making some changes to the value-based reimbursement fee schedule for primary care physicians, effective September 1, 2018. BCBSM uses the value-based reimbursement fee schedule to reward health care professionals who create value for health care users. As noted in the April 2018 Record article, “Value-based reimbursement and PCMH designation effective dates are changing,” the effective date of primary care physician valuebased reimbursement is changing this year to September 1, 2018, through August 31, 2019.

MIPS Payment Adjustment Targeted Review: Request by September 30 If you participated in the Merit-based Incentive Payment System in 2017, your MIPS final score and performance feedback is available for review on the Quality Payment Program website. If you believe an error has been made in your 2019 MIPS payment adjustment calculation, you can request a targeted review until September 30. READ MORE

Sexual Harassment Allegations in Healthcare: Rising Risks Healthcare providers are not immune from the growing number of reported incidents of alleged sexual harassment in the workplace. Accusers may be employees, patients, thirdparty vendors or visitors. Individuals alleged to have acted inappropriately may include coworkers, both supervisors and subordinates, professional staff - and even patients. READ MORE

Protect Your Patients and Your Practice with Cyber Liability Coverage As the conversion of paper files to electronic formats continue, a greater amount of risk is assumed in complying with new legal or regulatory requirements. These risks may result in data security breaches and even damage to your reputation. It’s happening every single day. In 2015 alone, the Office of Civil Rights published information which showed more than 30,000 individuals in Michigan were affected by a security breach. Furthermore, there were several health care organizations that had some kind of security breach. READ MORE continued on page 21

continued from page 21

New Medicare Cards May Have QR Codes New Medicare cards may have a square code, also referred to as a QR code (a type of machine-readable code). The QR codes on Medicare cards allow the contractor who prints the cards to ensure the right card goes to the right person with Medicare or Railroad Retirement Board benefits. Physicians cannot use it for any other purpose. The RRB issued cards may have a QR code on the front of the card, while all other Medicare patients may get a new card with a QR code on the back of the cards. These are legitimate (official) Medicare cards. READ MORE

MSMS.org Launches Enhanced, User-Friendly Website The Michigan State Medical Society has recently launched its refreshed and enhanced website. The updated website is user friendly, streamlined, clean, and eye catching, making the user experience more enjoyable. It was made for you, with your needs in mind. READ MORE

5580 State St Suite 4 Saginaw, MI 48603

J AN H AUCK & A NDREW H AUCK 989.798.5217 â&#x20AC;˘

IKNOWSAGINAW . COM

â&#x20AC;˘ 989.798.2981

The Bulletin | August 2018 21

www.familiesagainstnarcotics.org

Families Against Narcotics

PUBLIC FORUM MEETING Every 2nd Thursday of the month @ 7:00 pm. Delta College

1961 Delta Rd. | University Center 48710 email: glbrfan@familiesagainstnarcotics.org

knowledge saves lives...

THE T A B COM MIC OF E lers EPID l i k n i

Pa ion n o i t crip n Addict s e r P roi & He UR IN O UNITIES M COM

what is the1-989-439-5507 new face of addiction?

What is the new face of addiction?

An Initiative of Families Against Narcotics

Are you interested in helping someone that suffers from drug or alcohol addiction? Would you be willing to donate a little of your time to have a direct impact on someone’s path to recovery? The Hope Not Handcuffs program is growing and we need volunteer ‘Angels’ to continue its success! What is Hope Not Handcuffs Hope Not Handcuffs is an initiative of Families Against Narcotics (FAN), aimed at bringing law enforcement and community organizations together in an effort to find viable treatment options for individuals seeking help to reduce dependency with any substance including heroin, prescription drugs, and alcohol. A person can come to a participating law enforcement agency and ask for help. They will be greeted with compassion and respect. An Angel volunteer will be called to assist until a treatment option is found. In the first year, Angels helped connect over 900 participants with the support and resources they deserve.

What is an Angel Angels help participants complete paperwork and place a call to the appropriate provider for treatment assistance. Meetings are safe and always take place at a participating police station. Once a treatment option is found, transportation will be arranged by a third-party resource. Volunteers pick their days and hours to be “on call”. The only requirement is a compassion to help those in need. To complete the online application and select a training date, please visit www.hopenothandcuffs.com. 833-202-HOPE · hopenothandcuffs.com · hnh@familiesagainstnarcotics.org

Covenant HealthCare Unveils Hybrid Operating Room; Technology is One of Two in Michigan In July 2017, a groundbreaking ceremony kicked-off a major renovation for the Covenant HealthCare Surgical Services Department. On Monday, June 25, 2018, Covenant unveiled the new hybrid operating suite and home of the ARTIS pheno, a robotic C-arm angiography system used for minimally invasive interventional procedures. This new robotic technology is the first of its kind in the Great Lakes Bay Region, second in Michigan, and it’s changing the way surgeons view the human body. “This operating room is the future of surgical care,” says John Germain, Director of Surgical Services at Covenant. “We are excited to make this technology available to patients in our region.” The addition and renovation represent an investment of $7.2 million, adding three levels and more than 12,000 square feet to the Covenant Cooper facility. The new space has a 1,465 square foot state-of-the-art hybrid operating room with the latest technology, additional office space, renovation of an existing OR and a central sterile processing area. A hybrid operating room is a traditional surgical room that is also equipped with advanced medical imaging X-ray devices. Hybrid ORs support minimally invasive surgeries and allow the surgical team to perform imaging studies in the operating room. The room is set up to be dual functioning - accommodating procedures, but able to quickly flip to a traditional open surgical room if needed. This eliminates the need to move patients during a procedure. Less movement is good for many reasons, including a reduced risk of infection and less time to reorganize the room. “This is the culmination of years of dedication for us to be the leader in vascular surgery in Michigan,” says Dr. Ron Bays, a local vascular surgeon who was active in the development of this project. “We strive to give every patient the most up-todate care available, and our team has come together to make

that dream a reality. I can’t wait to get started and take our mission to the next level and beyond.” One of the things that makes the new Covenant hybrid OR so unique is the state-of-the-art technology in it. Covenant is the second hospital in Michigan to have the specialized C-arm, the ARTIS pheno. The ARTIS pheno is a robotic piece of equipment that allows advanced X-ray imaging to be incorporated into a surgical suite. Covenant is excited to add this to the existing team of robots in the OR, which currently includes three da Vinci robots and two MAKOs for robotic knee replacement surgeries. While the concept of a hybrid OR isn’t entirely new, the expanded scope of patients Covenant can help is. The ARTIS pheno equipment can properly support patients of all shapes and sizes. Other c-arms often have size and weight limits that are restrictive, and the positioning was not always optimal for the surgical team. In addition, the ARTIS pheno has an antimicrobial coating and sealed housing to help keep the system clean and may aid in preventing bacteria and viruses. In the surgical setting, lowering the risk of infection for patients is critical. Covenant is also excited for the opportunity to help recruit up and coming physicians to the area. As Germain says, “Surgeons train on the latest equipment, and they expect that equipment to be available when they graduate. Covenant wants the best of the best in our region, as that is what our patients deserve. When hospitals [like Covenant] have the latest technology, it helps attract new and experienced physicians to Saginaw to offer services to our community.” The hybrid OR will be used for advanced vascular surgical procedures including aortic aneurysm repair and peripheral vascular interventions, interventional cardiology procedures including transaortic valve replacements, orthopaedic trauma, neurological procedures and more.

Radiation Center Expanding, Adding Second Linear Accelerator to Support Radiation Therapy; Construction Underway As part of the health system’s commitment to maintaining a quality-driven, state-of-the-art cancer treatment facility, Covenant HealthCare is adding a second linear accelerator to continued on page 25

The Bulletin | August 2018

continued from page 24

the Covenant Radiation Center. In 2016, Covenant unveiled the first linear accelerator at the radiation center. In 2017, the team of cancer providers saw the need to add additional resources in the fight against cancer. After State approval in the spring of 2018, construction began at 4141 Tittabawassee Road. Construction will continue through the summer, and will be followed by rigorous testing. The second system will begin treating patients in February of 2019, allowing the radiation team to treat more patients with shorter wait-times. The expansion will include a second vault to house the second linear accelerator, the Elekta Versa HD. Included in the addition is 3,615 square feet of new construction and 3,430 square feet of renovated space. The Versa HD by Elekta leverages the latest technology to enable sophisticated approaches to traditionally challenging cases. The system’s patented technology allows precise targeting of the tumor, allowing Covenant Radiation Center clinicians to administer higher doses that can enhance treatment effectiveness, while protecting critical structures such as the heart, spine or bladder. The result is highly precise treatments with shorter treatment times, and the ability to offer highly advanced treatments while minimizing side effects and enhancing our patients’ quality of life. Versa HD allows Covenant to safely and efficiently deliver conventional radiation treatment to treat a broad spectrum of tumors throughout the body. It also allows treatment of highly complex cancers that require extreme targeting precision.

Dr. James Fugazzi, Medical Director of the Covenant Radiation Center, says the second linear accelerator will be equipped with BrainLab technology. “This will allow Covenant to offer stereotactic radiosurgery (SRS), the most sophisticated radiation treatments, to patients with small brain tumors,” Dr. Fugazzi states. “This allows us to deliver very high doses of radiation to an extremely small tumor. SRS is very convenient for patients as they only need to come in for a few treatments (often one).” Covenant is Michigan’s first and only certified member of MD Anderson Cancer Network®, a program of MD Anderson Cancer Center, a world-renowned leader in cancer care. Covenant is utilizing MD Anderson’s acclaimed clinical standards and expertise to elevate the quality of care for patients in the region. Joining forces with the Network allows Covenant to offer patients access to the latest in evidence-based care from one of the leading cancer centers in the nation. The Covenant Radiation Center has a highly-trained treatment team of experts including radiation oncologists, registered nurses, radiation therapists, a social worker, dietitians and support staff who provide specialized care for patients and their loved ones. To learn more about the Covenant Cancer Center, visit www.covenantcancercare.com.

PROVIDING NEW

COVENANT REGIONAL WOUND HEALING & HypERbARIC MEDICINE CENTER

900 Cooper, Fourth Floor Saginaw, Michigan 48602 989.583.4401 Tel Hours: Monday – Friday 8 am – 5 pm

www.covenanthealthcare.com

Extraordinary care for every generation. The Bulletin | August 2018 25

JOIN THE MOVEMENT! JOIN THE MOVEMENT! Join the SCMS/MSMS by clicking HERE Join the SCMS/MSMS by clicking HEREHERE. or join through MSMS directly by clicking or join through MSMS directly by clicking HERE. When the Michigan State Medical Society (MSMS) learned Blue Cross Blue Shield of When the Michigan State Medical Society (MSMS) learned Blue Cross Blue Shield of Michigan Michigan (BCBSM) was going to pay evaluation and management (E&M) services billed (BCBSM) was going to 80 paypercent, evaluation andtook management with modifier 25 at MSMS action. (E&M) services billed with modifier 25 at 80 percent, MSMS took action. During several conversations with BCBSM, MSMS provided tangible evidence proving thereseveral was noconversations overlap in services when an E&Mprovided is billed with officeevidence procedures. As there a During with BCBSM, MSMS tangible proving result, BCBSM canceled the implementation of the policy, restoring it back to 100 percent was no overlap in services when an E&M is billed with office procedures. As a result, BCBSM and saving Michigan physicians than $2 million. canceled the implementation of themore policy, restoring it back to 100 percent and saving Michigan physicians more than $2 million. "This is a tangible benefit for MSMS members," said MSMS President Betty S. Chu, MD, MBA. "Withoutbenefit MSMS for at the table representing physicians, “This is a tangible MSMS members,” said Michigan MSMS President Bettywe S. would've Chu, MD,lost MBA. more than $2 million in care services. I strongly urge all Michigan physicians to join “Without MSMS at the table representing Michigan physicians, we would’ve lost more than MSMS in because we needI strongly them to be our tell our story and us."because we $2 million care services. urge allvoice, Michigan physicians tosupport join MSMS need them to be our voice, tell our story and support us.” MSMS and the Saginaw County Medical Society have been advocating on behalf of physicians and their patients for more than 150 years and 116 years, respectively. MSMS and the Saginaw County Medical Society have been advocating on behalf of physicians Become a member today, and help affect change in the practice of medicine. and their patients for more than 150 years and 116 years, respectively. Become a member today, and help affect change in the practice of medicine.

The Bulletin | August 2018

KeepSafe Connections KeepSafe Connections are Able, Approachable and Available to help with suicide. They know how to do suicide first aid (trained in suicide intervention). Different kinds of helpers in your community may have this training, but some may not. The following are those trained as KeepSafe Connections (there may be additional resources in your community not listed). Crisis (Distress) Center 1-800-273-TALK (8255) Suicide Prevention Center 1-800-273-TALK (8255), Text 741741 Teen Line Text 741741 Rape/Sexual Assault Center Underground Railroad 989-399-0007 Child & Family Services of Saginaw 989-790-7500

Pine Rest Christian Mental Health Services (Grand Rapids) Inpatient/Hospitalization for immediate help 1-800-678-5500 Counseling/Outpatient Services 1-866-852-4001 Michigan Medicine (UM) Department of Psychiatry (Ann Arbor) If you are having a Psychiatric Emergency, call 734-936-5900 or 911 To make an appointment, call 734-764-0231 or 1-800-525-5188 Henry Ford Health System (Detroit and surrounding areas): Call 1-800-422-1183 for same day assessment for 24-hour residential treatment facility. For adult patients in crisis, Henry Ford offers 24/7 emergency evaluations at Henry Ford Macomb Hospital’s Mt. Clemens campus (215 North Ave., Mount Clemens, MI 48043) as an alternative to an emergency room visit. Medical Clinic Great Lakes Bay Health Centers 989-755-3619

Domestic Violence Hotline Underground Railroad 989-399-0007

AIDS Information & Testing Sites Saginaw County Department of Public Health 989-758-3800

Sexual Abuse Hotline Underground Railroad 1-888-399-8385 or 989-755-0411

Children’s Services HealthSource Saginaw 989-790-7742

Child Abuse Hotline CAN Council Great Lakes Bay Region 989-752-7226 Michigan Department of Health & Human Services 1-855-444-3911 Police/Emergency Medical Services 911 Mental Health Crisis & Outreach Clinic Saginaw County Community Mental Health Authority 989-792-9732 or 1-800-233-0022 Emergency Shelters City Rescue Mission (Saginaw) 989-752-6051 Good Samaritan (Bay City) 989-893-5973 Michigan Coalition Against Homelessness 1-800-274-3583

Katherine Arkell, LMSW RPT-S, Family Therapist (Saginaw) 479-685-7830 Child & Family Services of Saginaw 989-790-7500 Children’s Grief Center of the Great Lakes Bay Region (Midland) 989-495-9335 Parent Training Child & Family Services of Saginaw 989-790-7500 Self Help Groups Barb Smith SUICIDE RESOURCE & Response Network 989-781-5260 Children’s Grief Center of the Great Lakes Bay Region (Midland) 989-495-9335 Substance Abuse Counseling DOT Caring Centers 989-790-3366 Saginaw Odyssey House 989-754-8598

Youth Shelter Innerlink 989-753-3431

Alcoholics Anonymous Saginaw Valley Alcoholics Anonymous 989-776-1241

Psychiatric Clinics HealthSource Saginaw Behavioral Medicine Center (Saginaw) Call 911 or go to nearest Emergency Department

Legal Assistance - Victim/Witness Assistance MDHHS 517-373-7373; Victims only may call 877-251-7373

The Bulletin | August 2018 27

Dr. Stephanie Duggan named Regional President of St. Mary’s, Ascension Michigan’s Northern Ministries Ascension Michigan welcomes Stephanie J. Duggan, MD, back to her home state of Michigan to serve as Regional President of St. Mary’s of Michigan in Saginaw and Standish, and St. Joseph Health System in Tawas. Dr. Duggan began her medical career as a physician at St. Mary’s of Michigan in Saginaw in 1998. She will start in her new role on August 6. Dr. Duggan has been serving as Chief Clinical Officer at St. Vincent’s Health System in Birmingham, Alabama for the past two years. In 2017, she was listed as one of the Top Women in Medicine by B-Metro Magazine, a Birmingham-based business publication. Previously, she served for five years at Sacred Heart Hospital in Pensacola as Chief Medical Officer, as well as, an emergency physician. Both St. Vincent’s Health System and Sacred Heart Hospital are a part of Ascension. “Based on her outstanding credentials, her experience within Ascension, her commitment to our mission of service, and her knowledge of the northern Michigan communities, Stephanie Duggan is an excellent choice to lead the reinvestment and revitalization of the Northern Ministries,” said Jean Meyer, Chief Operations Officer, Ascension Michigan. “Her enthusiasm and passion are contagious, and she will be able to be immediately effective and connected with associates, physicians and the community.” Dr. Duggan grew up in southwestern Michigan, graduating from Berrien Springs High School and Hope College. She received her medical degree from Wayne State University in Detroit, and completed her Emergency Medicine residency through Wayne State at Sinai-Grace Hospital. While on staff at St. Mary’s, she was honored by the Michigan College of Emergency Physicians as the 2008 Michigan Emergency Physician of the Year. She received the Outstanding Clinical Teaching Award numerous times. She is also a member of the Ascension Leadership Academy.

St. Mary’s Now Offering Advanced Robotic Assisted Joint Replacement with Mako Innovative Robotic Technology Allows Surgeons to Personalize Total Knee and Total Hip Replacement Procedures to Each Patient St. Mary’s of Michigan is proud to offer new robotic-arm assisted total knee and total hip replacements with the Mako System. This latest advancement in joint replacement surgery is transforming the way joint replacement procedures are performed. 28

The Bulletin | August 2018

Drs. Tarek Taha and Waheed Akbar

Robotic-arm assisted surgery is a new approach to joint replacement that offers the potential for a higher level of patient-specific implant alignment and positioning. The technology allows surgeons to create a patient-specific 3D plan and perform joint replacement surgery using a surgeon controlled robotic-arm that helps the surgeon execute the procedure with a high degree of accuracy. “With the Mako robot, we can provide each patient with a personalized surgical experience based on their specific diagnosis and anatomy,” said Tarek Taha, MD PhD, St. Mary’s of Michigan orthopedic trauma and total joint surgeon. “Using a virtual 3D model, Mako allows surgeons to create each patient’s surgical plan pre-operatively before entering the operating room. During surgery, we can validate that plan and make any necessary adjustments while guiding the roboticarm to execute that plan. The robot enhances the accuracy of the operation while keeping the surgeon in complete control.” The Mako Total Knee and Total Hip application are treatment options designed to relieve the pain caused by joint degeneration due to arthritis. “It’s exciting to be able to offer this transformative technology across the joint replacement service line to perform total knee and hip replacements,” said Dr. Taha. “The addition of Mako to our orthopedic service line further demonstrates our commitment to provide the community with outstanding cutting edge orthopedic care”. For more information or to refer a patient for Mako, call St. Mary’s of Michigan Orthopedics at (989) 790-6719.

Save the Date! CyberKnife 10th Anniversary Open House – Wednesday, September 26 from 11 a.m.-1 p.m. Seton Cancer Institute at St. Mary’s of Michigan is excited to be celebrating the 10th anniversary of their CyberKnife program. The program first launched in 2008 under the continued on page 30

St. Joseph

Lung C a ncer Scr eening Progr a m

Take charge of your lung health A lung screening could save your life!

Is it covered by insurance?

If you’re a long-time smoker age 55 to 80, you’re at a higher risk for developing lung cancer. National studies have shown a low-dose CT (computed tomography) lung screening can diagnose early stage lung cancer, when it can be more effectively treated. An early diagnosis could save your life.

• Medicare covers an annual low-dose CT lung cancer screening for beneficiaries who meet the criteria.

Why is a lung cancer screening important? • Can detect cancer long before symptoms are present • Identifies the cancer’s stage to help your doctor decide the best course of treatment. • Early diagnosis can reduce the risk of death by up to 20%

• Most private insurances now cover all or a majority of the screening cost. A self-pay option is also available.

What are the benefits of going to St. Mary’s of Michigan and St. Joseph Health System? • Education about the benefits and risks of a lung cancer screening to help you make an informed decision.

• Noninvasive, painless and only takes a few minutes.

• Low-dose computed tomography with expert radiological interpretation.

Who should get a lung screening?

• Interdisciplinary lung nodule review by physicians for every positive screening result.

High-risk category 1: • Age 55-80 years (77 with Medicare)

• A thorough follow-up report and recommendation is sent to your primary care physician.

• Asymptomatic (no signs or symptoms of lung cancer)

• Immediate access to experts in the treatment of lung cancer.

• Smoked at least 30 pack years (1 pack a day for 30 years OR 2 packs a day for 15 years, etc.)

• Patient Navigator to coordinate care, answer questions and provide support.

• Currently smoking or have quit smoking within the last 15 years

Where do I go for my screening?

High-risk category 2a:

St. Mary’s of Michigan & St. Joseph Health System offer two convenient locations:

Age 50 or older with a 20+ pack year history AND one additional risk factor (family history of lung cancer, emphysema, pulmonary fibrosis or exposure to certain carcinogenic substances).

• Located inside St. Mary’s of Michigan Towne Centre 4599 Towne Centre Road, Saginaw • Located inside St. Joseph Health System 200 Hemlock, Tawas City

Call now to learn about your options and to schedule your The Bulletin | August 2018 lung cancer screening. 1-866-246-4673

continued from page 28

guidance of E. Malcolm Field, MD and has since provided well over 6,000 treatments to patients from across the country. Boasting pinpoint precision and extreme flexibility, the CyberKnife provides a treatment option for tumors anywhere in the body that are often hard to reach and difficult to treat with other methods. Known for its convenience, CyberKnife treatments are completed quickly in five sessions or less, with little to no recovery time or side effects, making it a highly sought after treatment option we are proud to offer here to our local community. To commemorate the 10-year milestone of this amazing program, an Open House will be held on Wednesday, September 26 from 11 a.m. to 1 p.m. at the St. Mary’s of Michigan Seton Cancer Institute. Refreshments will be provided along with prizes, tours of the facility, and a

re-blessing of the CyberKnife that it may continue to provide treatment and healing. Please mark your calendars and plan to attend to join in the celebration.

St. Mary’s Towne Centre Pharmacy Expansion Nearing Completion In March, work began to add a sterile compounding pharmacy located at St. Mary’s Towne Centre. Located on the 2nd floor, the new and enhanced pharmacy will support the growing medical oncology service line and treatments in the Short Stay unit. The pharmacy will also improve the patient experience, quality and safety. It is anticipated to officially open in mid-August.

Program Helps Impaired Health Care Professionals Health care professionals are not immune to substance abuse or mental health disorders. Many otherwise highly qualified professionals may develop these problems due to stress, long hours, a genetic predisposition, or a tendency to self-medicate. To assist health care professionals impaired by these disorders, consider the care monitoring services of the Health Professional Recovery Program (HPRP). The Michigan HPRP was established by legislation in 1993 to assist impaired professionals before their actions harm a patient or damage their careers through disciplinary action. Any licensed or registered health care professional in the State of Michigan is eligible to participate in the program. To maintain participant confidentiality, the HPRP is operated by a private-sector contractor under the authority of the Health Professional Recovery Committee (HPRC), a committee comprised of a representative from each of the health professional licensing boards. The Michigan Department of Community Health, Bureau of Health Professions provides administrative services to the HPRC.

Participation in the HPRP is confidential. If a licensee/registrant is referred to the program, has a qualifying diagnosis and complies with the HPRP requirements, his/her name will not be disclosed to state regulatory authorities or the public. Provided there is no readmission, records of HPRP participants are destroyed five years after successful completion. Referrals to the HPRP may come in the form of a self-referral from a licensee/registrant or from colleagues, partners, employers, patients, family members or the State. Any of the 20 health professional licensing boards may also refer licensees/ registrants to the HPRP for monitoring as a condition to regain or retain their license to practice. The names of individuals reporting a licensee/registrant suspected of impairment are also kept confidential. For more information on the HPRP, call 1-800-453-3784 or visit www.HPRP.org. Informational presentations on the HPRP are available to employers and health professional groups at no charge. Call the toll-free number to arrange a presentation at your facility.

TO MAKE A REFERRAL OR SELF REPORT, CALL 1-800-453-3784 The SCMS Physician Health & Well-Being Committee is a CONFIDENTIAL resource for SCMS members who have issues affecting their private and/or 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.

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2017-2018 KEY PROVIDERS

These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers. Please mark your calendar for the following meetings and events in 2018-19. You will receive an email meeting notice and reminder each month for SCMS events. Non-SCMS events are listed as a courtesy and you must contact the sponsor directly to register. Tuesday, September 18, 2018 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting joint with the Saginaw Valley Osteopathic Society with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Why Preventative Medicine is Failing: Understanding the Human Nature behind Social Determinants of Health,” an ethics program designed to fulfill LARA requirements. Saturday, October 6, 2018 Horizons Conference Center – “Opioid Crisis and Pain Management” sponsored by CMU College of Medicine. Breakfast and registration begin at 7:30 a.m., with the program from 9 a.m. to 12 p.m. See page 19 for more information. Tuesday, October 16, 2018 HealthSource Saginaw - SCMS Board meets at 5:30 p.m. Membership Meeting with Social at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Candidates’ Forum.” Spouse/ Significant Other invited. Thursday, October 18, 2018 Saginaw Country Club – CMU College of Medicine: Meet new physicians who are joining the CMU team in the Great Lakes Bay Region. Tentatively scheduled for 5:30-7:30 p.m. There are no Membership Meetings in November or December. Saturday, November 10, 2018 CMU College of Medicine, 1632 Stone Street, Room 1008, Saginaw – safeTALK Suicide Alertness Training, 8-8:30 a.m. registration with training from 8:30 a.m. to 12 p.m. Training is limited to 30 people. See page 8 for details and to register.

Tuesday, November 20, 2018 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m. Monday, December 3, 2018 Saginaw Country Club – 15th Annual SCMS Alliance Jingle Mingle. There is no Board Meeting in December. Tuesday, January 15, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting joint with the Saginaw County Dental Society with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Surviving Acts of Violence.” Tuesday, February 19, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m. Saturday, March 16, 2019 Horizons Conference Center - 15th Annual Health Fair “The Doctor Is In!” from 9 a.m.-12 p.m. Tuesday, March 19, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m. Tuesday, April 16, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “TED Talks” See pages 4-5. Tuesday, May 21, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m. Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and Annual Meeting at 7 p.m. Program: “Update on CMU College of Medicine.”

Joan Cramer/SCMS | Office 790-3590 | Fax 790-3640 | Cell 284-8884 | jmcramer@sbcglobal.net