Medical Directory - November 2018

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November 10, 2018

MEDICAL DIRECTORY

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MEDICAL DIRECTORY

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Nine tips to maintain eye health Family Features

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USE PROPER LIGHTING While there are many When considering making everyday ways to maintain changes to positively impact eye health and function, your well-being, many there is one simple yet overaspects of health may jump looked way to take care of to the forefront, from taking your sight: reducing eyecare of mental and emostrain. tional health to ensuring a While three out of four well-maintained body from Americans suffer daily from head to toes. eyestrain, according to an However, one sometimes online survey conducted overlooked area is your

by Russell Research, some eyes and the importance of people may not realize the vision care. lighting they use at work Despite nearly 4.2 million and home may be contributAmericans over the age of ing to the problem.

40 suffering from impaired One way to achieve a vision, according to the reduction in eyestrain is to American Academy of Oph- use indoor lighting such as thalmology, it’s an aspect the OttLite Wellness Series, of daily health that is some- a line of lamps that closely times neglected. matches the spectrum of To better care for your natural daylight to reduce eyes, consider these tips eye fatigue and eyestrain by that put the focus back on 51 percent. eye health: The line includes four models featuring stylish SCHEDULE AN EXAM designs with ClearSun LED While focusing on technology, high-quality enhancing care for your diffusers for clear illuminaeyes is a productive idea tion and multiple brightness regardless, it’s also import- settings, all intended to help ant to have your vision and reduce eyestrain by provideye health checked regularly ing “good” lighting, which by a professional. means providing enough This can help detect disnatural daylight-quality eases and conditions that illumination to see clearly cause vision loss and blind- without being blinded by ness, many of which show excessively high light levels little or no symptoms in the or glare. early stages, and a doctor The lamps also feature can help create a care plan adjustable necks and shades that preserves your eye to help direct light to fully health. illuminate an intended area and adjust for glare UNDERSTAND YOUR from reflective surfaces and FAMILY HISTORY smart features like USB Genetics can play a major ports to conveniently charge role in eye health, so talk your devices. to family members about Find more information at their vision history. If anyOttLite.com. one has been diagnosed with a disease or condition CLEAN CONTACT LENSES that impacts their eyesight, If you wear contacts, knowing can help determine make sure to take proper if you are at a higher risk precautions, which includes for developing a hereditary trait.

See EYE HEALTH page 4

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SATURDAY, NOVEMBER 10, 2018

A surprising solution for stress relief the University of North Florida’s Department of From finances and health Public Health shows that concerns to lengthy to-do living with flowers can siglists, there are numerous nificantly alleviate daily sources of strain in the lives stress. These findings folof most people. low decades of behavioral According to a survey research studies conducted conducted by Wakefield by researchers at universiResearch, 68 percent of ties including Harvard, Rutpeople feel stress on a week- gers and Texas A&M that ly basis and 32 percent are demonstrate flowers’ abilstressed every day. Women, ity to make people happy, in particular, are impactstrengthen feelings of comed, as 25 percent surveyed passion, foster creativity reported experiencing and even provide boosts of stress multiple times a day. energy.

However, today there is a The study, titled The surprisingly simple way to Impact of Flowers on Perrelieve stress: flowers.

New research from See STRESS page 5 Family Features

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MEDICAL DIRECTORY

EYE HEALTH Continued from Page 2 cleaning and rinsing each time you wear and remove the lenses.

When cleaning, use cleaners approved by an eye doctor, and don’t wear lenses longer than recommended.

MAINTAIN OVERALL HEALTH Living a healthy lifestyle overall can have a positive impact on your eye health, too.

For example, maintaining a healthy weight can help avoid risks like diabetes, which can lead to vision loss from diabetic eye disease or glaucoma.

In addition, eating a diet rich in fruits and vegetables aids eye health, along with fish high in omega-3 fatty acids.

WEAR SUNGLASSES Overexposure to the sun’s ultraviolet rays can increase the risk of age-related macular degeneration and blurred vision.

It’s important to protect the eyes from harmful UV rays when you’re outside by wearing sunglasses that block out 99-100 percent of UV-A and UV-B radiation.

SHIELD YOUR EYES While sunglasses help block out the sun, protective eyewear like safety glasses and goggles can help shield the eyes while conducting physical activities like yard work or playing sports.

Be sure to use safety glasses specifically intended for the use you’ll wear them for, as some varieties are designed for certain activities.

LIMIT EVENING SCREEN TIME The blue glare from traditional lighting and electronics (TV, cell phones, computers, tablets) used before bed may disrupt sleep patterns and circadian rhythm, and may even lead to sleep disorders, depression, cancer and cardiovascular disease.

TAKE A BREAK Your eyes work hard when you put extended focus on a computer screen or other activity. Take periodic breaks to avoid eye fatigue. Try the 20-20-20 rule: every 20 minutes, shift your gaze to something 20 feet away for at least 20 seconds.

OPTIMAL EYE HEALTH Your eyes are your window to the world, so protecting your eye health is

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an essential component of your overall wellbeing.

Symptoms like headaches and drowsiness can be signs of eyestrain, a feeling of discomfort caused by issues like poor lighting.

Keep your eyes in optimal condition and avoid problems like eyestrain by ensuring you’re utilizing proper lighting within your home and workspaces.

Natural daylight renders colors most accurately, which offsets the potential mood and energy level impact that occurs when you’re not able to perceive colors correctly.

However, when natural light isn’t practical while working at a desk or reading inside, rely on lamps that simulate natural light and have a high Color Rendering Index, such as those from the OttLite Wellness Series, which use diffusers to evenly distribute illumination and protect against glare with dimmable options for users if a lower light level is necessary.

To find more information, visit OttLite.com.

DON’T SKIP THE EYE DOCTOR If you’re having trouble with your vision, don’t hesitate to set up an appointment with an eye doctor.

These symptoms specifically, according to the Centers for Disease Control, are reasons to see a doctor as soon as possible: • Eye pain • Decreased vision • Double vision • Draining • Redness • Flashes of light • Floaters, or tiny specks that appear to float • Halos appearing around lights

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How to make smart decision during benefits enrollment seasons typically charge lower premiums but higher deductibles and other out-of-pocket Every fall, millions of American workers costs,” Adams said. “Because of these spend time making financial decisions additional financial burdens, I always that will affect them for the entire upcom- recommend taking advantage of your ing year. employer’s health savings account (HSA).”

Benefits enrollment season is a critical Money deposited into an HSA is tax time for choosing coverages that protect deductible even if you don’t itemize the health and financial stability of indideductions on your tax return. It grows viduals and families. Despite the importax-free and it can be withdrawn tax-free tance of these decisions, nearly half (49 for qualified medical expenses. Unlike percent) of people spend less than 30 min- some flexible spending accounts, the utes reviewing their options before makunused funds in HSAs roll over. ing selections, according to research from In addition to your HSA contributions, Unum, a leader in employee benefits. review your employer’s voluntary benefits Personal finance expert Laura Adams to help close gaps that can expose you to said not carefully reviewing all your financial risk. Getting this coverage at employee benefits options can mean leav- work can be one way to gain access to a ing money on the table or serious gaps in variety of affordable options. Voluntary your financial safety net. benefits are also generally available to “Employers are increasingly offering consumer-directed health plans, which See HEALTHCARE page 6 Family Features

Adding elements of nature, like flowers, promotes well-being.

STRESS Continued from Page 4 ceived Stress Among Women, concludes that adding flowers to indoor environments results in a statistically significant and meaningful reduction in stress.

“There is a growing body of research that illustrates how environmental design positively impacts health,” said lead researcher Erin Largo-Wight, Ph.D., associate professor of the University of North Florida’s Department of Public Health. “Now it is both intuitive and scientifically known that adding elements of nature, like flowers, to interiors promotes well-being.”

The specific results include: * The average reduction in stress among women who received and lived with flowers was minus-5.5 points on the perceived stress questionnaire, a significant statistical decrease in stress. * Flowers are a unique gift with the proven potential to reduce stress among women, likely because flowers provide the opportunity for nature contact, an established health-promoting environmental exposure. * Participants who received flowers overwhelmingly reported that flowers improved their moods.

“Our findings are important from a public health perspective because adding flowers to reduce stress does not require tremendous effort to generate a meaningful effect,” Largo-Wight said. “When life seems to be in a constant state of frenzy, flowers can provide a much-needed moment of calm.”

For more information about the study, along with tips on relieving stress, visit aboutflowers.com/stressless.

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MEDICAL DIRECTORY

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ACCEPTING NEW PATIENTS Covenant Medical Group Family Medicine Cheryl Canfield, DO and Devin Heinlein, NP

CHERYL C ANFIELD, DO

DEVIN HEINLEIN, NP

Family Care…

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employees at a lower rate than the cost of getting coverage individually.

Adams recommends carefully reviewing benefits materials provided by your employer prior to the open enrollment period, and paying special attention to the voluntary benefits that can help to reduce financial risk: * Disability insurance can help replace a portion of your paycheck should you get sick or injured and can’t work you can think of it as income protection. Most plans will pay up to 60 percent of your salary if you’re unable to work due to a covered illness or injury. * Term life insurance provides affordable protection for a specific period. Most people buy it during their working years so their death benefit can help loved ones manage their financial needs. * Accident insurance can pay you directly for costs associated with urgent care and emergency room visits, ambulance transportation and follow-up care. * Dental insurance is typically affordable and usually covers preventative cleanings, X-rays, exams and standard procedures. Fillings, crowns and other procedures are also generally included at a reduced rate to the policyholder. * Vision insurance is another low-cost voluntary benefit that covers routine eye exams, lenses, frames and, often, discounts on vision correction surgery.

While these are just a few of the more popular voluntary benefits options, it’s important to review everything your employer offers. Investing a little additional time on the front end can help reduce your family’s financial risk down the road.

For more information on different types of employee benefits, visit unum.com/benefits.

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MEDICAL DIRECTORY

Waking up to go to the bathroom multiple times is not because you’re ‘getting old’ walking to the bathroom. The impact of nocturia-induced It’s a common misconcepsleep loss can be wide-rangtion: the older you get, the ing, affecting physical and more frequently you need to mental health. Sixty-one use the bathroom at night. percent of nocturia sufferers Did you know waking up more experience daytime issues as a than once per night to urinate result of nighttime urination, is a medical condition known including: drowsiness, irritaas nocturia? Shockingly, 64 bility and reduced productivipercent of American adults do ty and concentration. not know.

Sixty-six percent of nocturia A recent Harris Poll of sufferers surveyed have never more than 2,000 U.S. adults, discussed their symptoms endorsed by The Simon with a healthcare profesFoundation for Continence, sional; half of respondents National Association for reported they thought it was Continence (NAFC) and the a normal part of aging, and Prostate Conditions Educa27 percent believed nothing tion Council (PCEC), found could be done to remedy the that approximately one-third problem. of them suffer from nocturia.

“We see patients who Nocturia, which forces indihave suffered with nocturia viduals to get up more than for many years, as it slowly once per night to urinate, is a progresses from getting up leading cause of sleep loss and twice to over four times per can put one’s health at risk. night to urinate,” said Roger “Before receiving treatment Dmochowski, M.D., a nocturia for nocturia, I typically wound sufferer and professor within up making five trips to the the department of urologic bathroom each night, which surgery at Vanderbilt UniI knew wasn’t normal,” said versity Medical Center. “In Jack Fagan, a 67-year-old my personal and professional resident of Sewell, NJ. “Treat- experience, nocturia can have ment has made a noticeable serious implications for an impact on my quality of sleep. individual’s emotional state I find myself more refreshed and daily life, due to sleep and have the energy to enjoy disruption, if not diagnosed time with family and friends.” and treated. Up until recently, Most people living with we didn’t have effective treatnocturia (72 percent) reported ments.” they are negatively impacted For more information on by the condition at night; 43 nocturia, visit www.whatispercent of whom have trounocturia.com, or www.simonble falling back to sleep, 12 foundation.org/nocturia. percent indicated they wake The Harris Poll survey was up their partners and 10 perfunded by Avadel Pharmaceucent expressed nervousness ticals and Serenity Pharmaabout tripping or falling while ceuticals.

Family Features

SATURDAY, NOVEMBER 10, 2018

ur Serving You and Yo 60 19 e nc Si Community 4675 Hill Street • Cass City 989.872.2121 • www.hdghmi.org

Cass City Family Practice 6190 Hospital Dr., Suite 106 Cass City

989.872.8303 989.872.5010

Donald H. Robbins, Jr. DO

Marie Havercamp

Surendra Raythatha, MD

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Cass City General Surgery Clinic

Ubly Medical Clinic

2254 Main St. Ubly

989.658.9191

Angela Weber

Family Nurse Practitioner

6190 Hospital Dr. Suite 107 Cass City 989.872.5582

Richard Moyer, DO

Hills & Dales Orthopedic Clinic 989-912-6115

Kingston Family Practice

5854 State St. • Kingston 989.683.8065

Family Health Care of Cass City 6230 Hospital Dr. • Cass City 989.872.2410

Melanie Kramer, MD

Erica Knoerr

Family Nurse Practitioner

Kimberly Knoll

Family Nurse Practitioner

Thumb Pediatrics

6190 Hospital Dr., Suite 105 Cass City 989.872.8503

Dr. Robert Van Howe

Also seeing patients at Millwood Street Primary Care

Nancy Wade, MD

Andrea Mosher

Pediatric Nurse Practitioner

Darcy Schlund-Tenbusch Family Nurse Practitioner

Cass City Medical Practice

4674 Hill St. Cass City 989.872.8202

John Bitner, MD

Richard Hall, DO

Marlene Schank

Family Nurse Practitioner

Mary Krause

Family Nurse Practitioner

Millwood Street Primary Care

130 Millwood St Caro

989.672.1555

Afonso Ferreria, MD

Norma Abbott

Family Nurse Practitioner

OFFICE HOURS MAY VARY • NEW PATIENTS WELCOME!

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MEDICAL DIRECTORY

SATURDAY, NOVEMBER 10, 2018

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What is targeted therapy for treating cancer Just like there are many types of cancer, there are many ways to treat cancer. The types of treatment cancer patients will receive depends on which type of cancer they have, and patients often receive a combination of treatments.

Targeted therapy is one type of treatment that doctors may suggest when speaking with their patients.

Understanding targeted therapy can help patients feel more in control as they begin treatment.

What is targeted therapy?

According to the National Cancer Institute, targeted therapy targets the changes in cancer cells that help them grow, divide and spread. Preventing cancer from metastasizing, or spreading to other parts

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of the body, is a goal of treatment, as doing so dramatically improves survival rates.

Are there different types of targeted therapy?

Targeted therapies often employ one of two types of drugs. Small-molecule drugs are so tiny that they can easily enter cells. These types of drugs are used to treat cancers in which the targets are located inside the cancer cells.

Monoclonal antibodies are another type of drug used in targeted therapies. Unlike small-molecule drugs, monoclonal antibodies cannot easily enter cells but can attach to targets on the outer surface of cancer cells.

Am I a candidate for target therapy?

The NCI notes that most of the time tumors will need be tested to see if they contain targets of drugs used during target therapies.

Such testing may require a biopsy, which involves the removal of a piece of the tumor so it can be examined for targets. Risks associated with biopsies depend on the size and location of the tumor, and doctors will explain these risks prior to conducting a biopsy.

How does targeted therapy work?

The NCI says most targeted therapies aim to interfere with specific proteins that help tumors grow and spread to other areas of the body. The following are just some of the ways that targeted therapies treat cancer.

• Assist the immune system in destroying cancer cells: Cancer cells are adept at hiding from the immune system, but some targeted therapies mark cancer cells, making it easier for the immune system to find and destroy them. Other targeted therapies may just bolster

the immune system as it fights the cancer.

• Prevent cancer cell growth: Some targeted therapies interfere with the proteins that tell cancer cells to divide. This slows the uncontrolled growth of cancer that can increase the likelihood of the cancer metastasizing.

• Stop signals that help form blood vessels: In order to grow beyond a certain size, tumors need to form new blood vessels. Targeted therapies known as angiogenesis inhibitors interfere with these signals, ultimately keeping tumors small by denying the blood supply necessary for them to grow.

Angiogenesis inhibitors can even cause blood vessels to die in tumors that already have the blood supply necessary to grow.

• Deliver cell-killing substances to cancer cells: In certain instances, monoclonal antibodies might be combined with toxins, chemotherapy drugs and radiation. In these instances, the antibodies attach to the surface of the cancer cells, which then take up the cancer-killing substances, causing cell death.

Are there drawbacks to targeted therapy?

Cancer cells can become resistant to targeted therapies. In such instances, targeted therapies are most effective when combined with other targeted therapies or treatments such as chemotherapy and radiation. In addition, the structure and/or function of targets on cancer cells sometimes makes it difficult to design effective drugs necessary for targeted therapies to succeed.

Targeted therapies are a potential treatment option for cancer patients. Learn more at www.cancer.gov.

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Symptoms of Celiac disease Gluten-free diets have garnered substantial attention over the last decade-plus.

Perhaps nowhere is the rise of gluten-free diets more evident than at local grocery stores, many of which now devote entire sections to gluten-free products.

Some may swear by gluten-free foods, but medical experts note that gluten-free diets are only necessary and beneficial to people with Celiac disease. Celiac disease is an autoimmune disorder in which the ingestion of gluten leads to damage in the small intestine. The Celiac Disease Foundation® notes that the disease affects roughly one in 100 people across the globe and even estimates that 2.5 million Americans are currently undiagnosed and at-risk for long-term health complications.

The CDF notes that people are not helpless against Celiac disease. In fact, the CDF, which disseminates information through a free mailing list, recommends men and women stay informed about the disease, seek immediate care if they suspect they have the disease and learn the symptoms of the disease, which vary between children and adults. Parents who suspect their children have Celiac disease can look for these common symptoms: • Abdominal bloating and pain • Chronic diarrhea • Vomiting • Constipation • Pale, foul-smelling, or fatty stool • Weight loss • Fatigue See CELIAC page 11

What is gluten?

Gluten-free foods are now more widely available than ever before, but unless they adhere to gluten-free diets, consumers may not know just what gluten is and why some people need to avoid it. According to the Celiac Disease Foundation, gluten is the general name for the proteins found in wheat, rye, barley, and the hybrid grain triticale, which is produced by crossing wheat and rye. Many foods and beverages, including breads, soups, beer, and cereals, contain gluten.

However, the CDF notes that many foods also are naturally gluten-free.

What’s more, many naturally gluten-free foods are very nutritious. These foods include fruits, vegetables, fish and seafood, dairy, beans, legumes, and nuts. And while it may seem as though people advised to avoid gluten must therefore remove grains and other starches from their diets, that’s not the case. In fact, the CDF lists a number of naturally gluten-free grains and starch-containing foods on its website (www.celiac.org).

For example, rice, cassava, corn, soy, potato, quinoa, nut flours, and millet are just a handful of the naturally gluten-free grains and starches that people who must avoid gluten can eat without fear of aggravating their conditions.

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SATURDAY, NOVEMBER 10, 2018

MEDICAL DIRECTORY

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10 early signs of Alzheimer’s disease

Scott M. Behnan, DDS, MS

118 North Hanselman St. • Bad Axe, MI 48413 •

989.269.6811

Braces for Kids • Invisalign for all ages Orthodontic treatment for adults • Most Insurances accepted The only Board-Certified Orthodontist in Huron County Providing Orthodontic Services from our office in Bad Axe, Michigan to patients from communities including: Bad Axe, Cass City, Sandusky, Caro, Huron County, Sanilac County, Tuscola County, Harbor Beach, Port Austin, Pigeon, Sebewaing, Kinde, Ruth, Marlette, Port Sanilac, Deckerville, Snover, Ubly, Vassar, Port Hope, Caseville, Thumb of Michigan

Change plays a big role in the aging process. As adults age, both their minds and bodies undergo changes.

The changes associated with aging are not uniform.

Some people may experience small changes as they inch toward and ultimately pass retirement age, while others may undergo changes that affect nearly every aspect of their lives.

Cognitive decline is the type of age-related change that can have a dramatic impact on a person’s life, affecting his or her ability to live independently.

A general term used to describe symptoms associated with a decline in memory or thinking skills such as judgment and reasoning, dementia is often mistaken as a normal part of aging.

However, the Alzheimer’s Foundation of America notes that dementia-related illnesses, including Alzheimer’s disease, are not a normal part of aging.

Because many people associate memory loss with aging, they may be compelled to accept some of the early signs and symptoms of Alzheimer’s as mere byproducts of growing older.

However, the Alzheimer’s Association urges men and women to report any of these 10 early signs and symptoms of Alzheimer’s to their physicians the moment they’re noticed.

Family members who notice these signs in their relatives also should report them to their loved ones’ physicians.

1. Memory loss that disrupts daily life: Examples of this symptom include forgetting recently learned information; forgetting important dates and events; and asking for the same information over and over.

2. Challenges in planning

or solving problems: Someone exhibiting this symptom may have trouble following a recipe or paying monthly bills.

3. Difficulty completing familiar tasks at home at work or at leisure: Forgetting the rules of a favorite game or experiencing trouble driving to a familiar location are some examples of this symptom.

4. Confusion with time or place: People with Alzheimer’s lose track of dates, seasons and the passage of time.

5. Trouble understanding visual images and spatial relationships: Some people with Alzheimer’s have difficulty reading, judging distance and determining color or contrast.

6. New problems with words in speaking or writing: Difficulty joining or continuing a conversation and calling things by the wrong name are some examples of this symptom.

7. Misplacing things and losing the ability to retrace steps: People with Alzheimer’s sometimes put things in unusual places and then cannot retrace their steps to find those things.

8. Decreased or poor judgment: Poor judgment and decision-making often affects people with Alzheimer’s.

9. Withdrawal from work or social activities: People with this symptom may begin to withdraw from favorite activities or avoid being social because of the changes they’re experiencing.

10. Changes in mood and personality: Mood changes affect people with Alzheimer’s, who may become confused, suspicious, depressed, fearful, or anxious.

Learn more about Alzheimer’s disease at www.alz. org.

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11

Vegan diet potential benefits A nutritious diet is an integral component of a healthy lifestyle. One of the great things about eating right is there are many ways to do so. A healthy diet that works for some people might not work for others with different tastes, and it doesn’t have to.

Eating right can boost immune systems and help people be more productive, and some people even tailor their healthy diets to align with their personal beliefs. One such example is veganism. Adherents to veganism do not eat or use animal products, and many do so to advocate for the ethical treatment of animals.

Regardless of why people choose vegan diets, the potential health benefits of such decisions are myriad.

• Shed excess weight: Vegan diets may help people shed excess weight. A 2015 study published in the journal Nutrition found that vegan diets may result in greater weight loss than more modest recommen-

CELIAC

dations.

• Improve kidney function: Studies have indicated that people with diabetes who replace the meat in their diets with plant protein may reduce their risk for poor kidney function.

• Protect against certain cancers: The World Health Organization says that roughly one-third of all instances of cancer across the globe can be prevented if people make the right lifestyle choices. That includes their choice in diets.

• Reduce risk for heart disease: Fruits, vegetables and fiber also have been linked to a lower risk of heart disease.

A study from researchers in Japan found that intakes of plant-based foods, particularly fruits, were associated with reduced mortality from cardiovascular disease.

Vegan diets may necessitate an adjustment period when starting out. But over time, the benefits of such diets are numerous.

• Arthritis • Osteoporosis or osteopenia Continued from Page 9 (bone loss) • Liver and biliary tract disor• Irritability and behavioral ders (transaminitis, fatty liver, issues primary sclerosing cholangitis, • Dental enamel defects of the etc.) permanent teeth • Depression or anxiety • Delayed growth and puberty • Peripheral neuropathy ( tin• Short stature gling, numbness or pain in the • Failure to thrive hands and feet) • Attention Deficit Hyperac• Seizures or migraines tivity Disorder (ADHD) • Missed menstrual periods Adults are less likely than • Infertility or recurrent mischildren to experience digestive carriage symptoms indicative of Celiac • Canker sores inside the disease. For instance, the CDF mouth notes that only one-third of • Dermatitis herpetiformis adults who are ultimately diag- (itchy skin rash) nosed with Celiac experience Celiac disease can produce diarrhea. These symptoms are uncomfortable symptoms. more likely to appear in adults But the good news is that a with Celiac disease: gluten-free diet can effectively • Unexplained iron-deficien- resolve symptoms and prevent cy anemia future complications. More • Fatigue information is available at www.

• Bone or joint pain celiac.org.

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MEDICAL DIRECTORY

McLAREN THUMB REGION WELCOMES Julie Zachwieja, DO General Surgery

Julie Zachwieja, DO is now welcoming general surgery patients at McLaren Thumb Region’s Surgical Services Office located at 1060 S. Van Dyke, Suite 500, Bad Axe, MI 48413 (behind the hospital) Dr. Zachwieja specializes in: • General Surgery • Breast Surgery • Endoscopy • Minimally Invasive Laparoscopic Surgery • Hernia Repair For more information or to make your appointment, please call (989) 269-8701

Accepting new patients in Bad Axe

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