Hurley News You Can Use - October 2023

OCTOBER 2023

12 NICU BABIES 14 HURLEY PUMPKIN DECORATING CONTEST 16 HALLOWEEN TRUNK OR TREAT & HALLOWEEN FUN

CONTENTS 2

WELCOME NEW HIRES

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HURLEY DIVERSITY, EQUITY & INCLUSION COUNCIL

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MEET OUR LEADERSHIP

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HURLEY HEALTHY LIVING SERIES THROAT CANCER

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HURLEY IN THE NEWS

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CELEBRATING HURLEY PHYSICIAN ASSISTANTS

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PHOTO FEATURE

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PHOTO FEATURE

Send your stories and photos to PUhde1@hurleymc.com, Patricia Uhde, Marketing Logistics Coordinator

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PHOTO FEATURE

follow hurley

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HURLEY NEWS

@hurleymedicalcenter @hurleymedical @hurleymedicalcenter @hurleyfoundation @ hurleymedicalcenterhurleychildrenshospital

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Mildred Silva-Zuccaro Presenter: Tamer Ghanem, MD

NICU Babies

Hurley Pumpkin Decorating Contest Halloween Trunk or Treat & Halloween Fun Who is that Masked Man?

DAISY AWARD

Mary Kerr, RN, PCU

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PHYSICIAN CONNECTION

32

NOVEMBER BIRTHDAYS

WELCOME NEW HIRES • • • • • • • • • • • • • • • • • • • • •

Annyonne McGee, Registration Clerk Cassandra Avance, Med Social Worker II MSW Clarissa Baldwin, General Duty Nurse-BSN Colton Korhonen, General Duty Nurse-BSN Denise Brooks, Ambulatory Clinic Clerical Assistant Dismond Mallett, Environmental Aide Eva Lewis, Environmental Aide Gabrielle Gantos, General Duty Nurse-BSN Hali Tierney, Registration Clerk ITayveah Burke, Nurse Extern Jacqueline Goodman, Orderly Jacqueline Keene, Physical Therapy Student Jazené Lee-English, Health Unit Coordinator Jenna Bach, Physical Therapy Student Jennifer Pake, General Duty Nurse-BSN Jocelyn Steele, Physical Therapy Student Kathleen Jackson, Anesthesia Student Lindsey Carnes, Pre-Grad Nurse Extern Logan Collier, Public Safety Officer Lonnell Rice, Environmental Technician Maria Backstrom, Nursing Assistant 2 • HURLEY MEDICAL CENTER

• • • • • • • • • • • • • • • • • • • •

Maribel Hernandez, General Duty Nurse-BSN Melinda Tyler, Host/Hostess Michelle Ashmead, Ultrasonographer-Reg Nicholas Thompson, Grounds Maintainer Rachel Walenjus, Medical Technologist Rebecca Boik, Anesthesia Student Renee Gagnon, Social Work Intern Ryan MacArthur, Director Surgical Operations Sara Nankervis, Pre-Grad Nurse Extern Shadaria Tate, Environmental Aide Tarrell McDaniel, Public Safety Officer Teresa Brandon, Laboratory Assistant Terri Whitehead, Mental Health Technician Theresa Short, Medical Assistant Tia Coles, Trauma Recovery Center Coordinator Tracey Jackson, LPN Victoria Walden, Host/Hostess Yulia Agle, General Duty Nurse Zakiya Arnold, Environmental Aide Zakiya Long, General Duty Nurse

diversity, equity & inclusion council

DONATE YOUR OLD EYEGLASSES

'Virgin River' 's Doc Is Losing His Vision: What to Know About the Real Eye Disease

• • • • • • •

Lions Club (online or in person) Warby Parker (online) Walmart Vision Center Costco Optical Sam's Club Optical Center Pearle Vision LensCrafters

Keep an Eye on Your Eyes Technologies For Protecting Vision

VIRGIN RIVER The hit show follows Melinda "Mel" Monroe, who answers an ad to work as a midwife and nurse practitioner in the remote Northern California town of Virgin River, thinking it will be the perfect place to start fresh and leave her painful memories behind. It also highlights the lives and dramas of the townspeople and the town itself.

What doctors wish patients knew about improving eye health

Protecting Your Eyes in the Workplace

HURLEYMC.COM • OCTOBER 2023 • 3

hurley news

meet our M I L D R E D S I LVA - Z U C C A R O The Hurley Board of Managers is pleased to introduce Hurley’s newest Board Member, Mildred Silva-Zuccaro. Originally from Veracruz, Mexico.

Graduate of the Universidad Cristobal Colon in Medical Surgery. Since a young age, Mildred has enjoyed helping others with a strong sense of empathy. Mildred has a research article published in the International Journal for Vitamin and Nutrition Research. Moving to Flint, Michigan in 2016, Mildred began volunteering at the Latinx Technology & Community Center and is greatly aware of the difficulties that Latinos and Immigrants may experience in the United States. In 2018, Mildred created “Latinas en Flint” a women’s empowerment network. Mildred has helped families navigate the healthcare system, in the enrollment process for healthcare coverage and organized COVID-19 vaccination clinics. Mildred currently works for the University of Michigan Medicine, as a Subjects Research Coordinator, offering free vision exams in the Flint community. Mildred is currently working towards her goal to obtain her license to practice medicine in the United States as a medical physician.

When asked about being appointed to the Hurley Board of Managers, Mildred stated that she is excited to be appointed as a member of the board. She stressed her passion for the medical field and healthcare in general, as well as her hopes of being able to continue to render assistance to the community. She looks forward to serving on the board and advocating for Hurley, as it remains diligent to all members of the community, children, adults, seniors and families. She has great admiration for the men and women at Hurley who use their talents to serve the community. This commitment is what led her to pursue an appointment on Hurley’s Board.

4 • HURLEY MEDICAL CENTER

hurley news

comprehensive

surgical group To Refer a Patient to Hurley’s Comprehensive Surgical Group,

CALL 810.262.6555 TEAM OF EXPERTS At Hurley Medical Center, our acute care surgeons are board-certified in a range of surgical disciplines and can treat a broad spectrum of cases and complexities, including: ￭ Acute Care Surgery/Burn Surgery ￭ Adult & Pediatric Trauma & Surgical Critical Care

Patrick R Beer, DO • Adult & Pediatric Trauma & Surgical Critical Care • Acute Care Surgery/Burn Surgery • General Surgery • Hernia Surgery/Hiatal & Giant/Complex Reconstruction • Minimally Invasive/Robotic Surgery

Adam Howell, DO 102 N Adelaide St. Suite D, Fenton, MI 48430 • 810.262.6024

• Adult & Pediatric Trauma & Surgical Critical Care • Acute Care Surgery/Burn Surgery • General Surgery • Hernia Surgery/Hiatal & Giant/Complex Reconstruction • Minimally Invasive/Robotic Surgery

￭ Bariatric Surgery

Gul Sachwani-Daswani DO, FACOS

￭ Emergency Surgery

• Trauma Medical Director • Adult & Pediatric Trauma & Surgical Critical Care • Acute Care Surgery/Burn Surgery • Bariatric Surgery • General Surgery • Hernia Surgery/Hiatal & Giant/Complex Reconstruction • Minimally Invasive/Robotic Surgery

￭ Gallbladder Surgery ￭ Hernia Surgery ￭ Minimally Invasive/ Robotic Surgery ￭ Reflux Surgery

1125 S. Linden Rd, Suite 100 Flint, MI 48532

FAX #: 810.262.9787

Kristoffer Wong DO, FACOS • Director of Hurley Hernia Center of Excellence • Director of Surgical Robotics • Adult & Pediatric Trauma & Surgical Critical Care • Acute Care Surgery/Burn Surgery • Bariatric Surgery • General Surgery • Hernia Surgery/Hiatal & Giant/Complex Reconstruction • Minimally Invasive/Robotic Surgery

HURLEYMC.COM • OCTOBER 2023 • 5

hurley news

hurley

HEALTHY LIVING SERIES

throat cancer: WHAT YOU NEED TO KNOW On September 20, 2023, Hurley hosted a Healthy Living Series on Throat Cancer. Tamer Ghanem, MD, Head & Neck Surgeon, hosted the virtual event. He explained throat cancer and available treatment options.

Throat cancer is more common than we assume with 12,000 new cases per year in the US. Over 70% are related to the HPV virus and 30% are related to smoking and alcohol. HPV related cancers are on the rise while HPV negative cancers are on the decline. HPV related cancers generally have a much better prognosis than HPV negative cancers. There are 11.8 cases per 100,000 in Michigan and 2.7 deaths per that 100,000.

The presenting symptoms include a lump mass in the neck, ear pain lasting more than 4 weeks, a sore throat lasting more than 4 weeks, difficulty swallowing and change in voice. The treatments available depend on the state, or how far the cancer has progressed. In the early stage, the options available are radiation therapy and robotic surgery. In the late stage, treatment options include radiation and chemotherapy.

Dr. Ghanem is board certified by the American Board of Otolaryngology for head and neck surgery and Otolaryngology. He was trained at the University of Utah. He attended the University of Virginia for his residency in Otolaryngology Head and Neck Surgery (ENT) and the Oregon Health & Science University Hospital for a Head & Neck Microvascular Surgery Fellowship.

dr. Tamer Ghanem TO SCHEDULE AN APPOINTMENT, CALL

Scan QR to watch Hurley Healthy Living Series: “Throat Cancer: What you need to know”

6 • HURLEY MEDICAL CENTER

HERE AT HURLEY

microsurgical cancer reconstruction 6140 Rashelle Dr. Flint, MI

Ihab R Saab, MD Plastic & Reconstructive Surgery

At Hurley Medical Center, we make it a priority to expand the scope of available treatments so we can provide world-class care for our patients. Double board-certified surgeon Dr. Ihab Saab offers a wide range of plastic and reconstructive surgeries, specializing in cutting-edge microsurgical techniques with multiple applications.

CANCER RECONSTRUCTION •

Breast Reconstruction for cancer patients following lumpectomies and mastectomies including implant based reconstruction and autologous reconstruction (using your own skin and fat to reconstruct a breast such as a DIEP flap surgery), oncoplastic breast reduction, breast reduction for symmetry, and nipple reconstruction

•

Lymphatic Microsurgery (lymphovenous bypass and lymph node transfers) to improve or prevent lymphedema, a form of limb swelling, in patients following certain breast cancer surgeries that required axillary lymph nodes to be removed

•

Facial Wound Repair following Mohs surgery for skin cancers and traumatic injuries resulting in loss of facial skin and soft tissue

FOR REFERRALS, CALL 810.262.8360

ABOUT DR. SAAB Dr. Saab finished his medical school training at the American University of Beirut and completed his General Surgery residency and Plastic Surgery fellowship training at Henry Ford Hospital in Michigan. He is passionate about surgical education and he is a clinical instructor in the Department of Surgery at Michigan State University.

His interests include: •

Helping patients with breast cancer feel whole again by giving back what cancer took away through autologous or implant based reconstruction and lymphatic reconstruction

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Restoring maximal function through limb salvage so patients can perform activities of daily living independently, including finger and hand replantations

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Helping amputees conquer their chronic nerve and phantom limb pain with cutting edge surgical techniques

To learn more about Hurley’s Plastic & Reconstructive Surgery, scan QR code to visit hurleymc.com/services/plastic-and-reconstructive-surgery/ #DESTINATIONHURLEY

HURLEYMC.COM • OCTOBER 2023 • 7

hurley in the news September 1, 2023 My City Magazine Hurley Level 1 Trauma ICU Nationally Recognized for Excellence Hurley Medical Center was awarded the Beacon Award of Excellence, which honors hospital units that demonstrate professionalism and excellence in five categories; Leadership Structures and Systems, Appropriate Staffing and Staff Engagement, Effective Communication, Knowledge Management and Learning Development, Evidence-based Practice and Processes and Outcome Measurements.

September 1, 2023 My City Magazine Hurley Honors Team of the Season The Neuro/Trauma/Surgical/Burn (NTSB) ICU unit is Hurley’s current Team of the Season.

September 1, 2023 Study by Hurley doctors shows children’s constipation could be linked to Flint water crisis A new peer-reviewed study by doctors at Hurley Medical Center suggests another potential by-product of elevated lead in Flint water during the city’s water crisis—a significant increase in gastrointestinal tract problems for children.

September 11, 2023 Mid-Michigan NOW Hurley Trauma Center Fall Golf Classic returns with inspiring ambassador and life-changing cause The 39th annual Hurley Trauma Center Fall Golf Classic returns to the Flint Golf Club on Monday, September 11, 2023.

September 11, 2023 Mid-Michigan NOW Walk in Flint aims to raise awareness of sickle cell disease Dr. Susumu Inoue of Hurley Medical Center explains sickle cell disease ahead of a walk in Flint this weekend to raise awareness.

September 13, 2023 Mid-Michigan NOW Hurley Healthy Living Series: What you need to know about throat cancer Join us for a live discussion and learn about throat cancer treatment options from our premier head & neck surgeon, Dr. Tamer Ghanem.

8 • HURLEY MEDICAL CENTER

hurley in the news September 14, 2023 ABC12 Let’s Make Miracles Radiothon happening Thursday and Friday Thursday was the start of the Let's Make Miracles Radiothon, benefiting Hurley Children's Hospital. The event raises money to help bring the best possible medical care to children across Mid-Michigan and their families.

September 14, 2023 Mid-Michigan NOW “Let’s Make Miracles” radiothon to support local hospital The “Let’s Make Miracles Radiothon” is going on now, and you can help support Hurley Children’s Hospital.

September 18, 2023 ABC12 Medical Monday: Treatments can help improve balance Physical therapist, Tari Pethick, of Hurley Medical Center discusses the dangers of people falling and treatment options designed to improve their balance

September 20, 2023 ABC12 Legislation would require Michigan kids to be tested for lead poisoning The two-bill package passed the State Senate Tuesday and is headed to the Governor's Desk. It would have pediatricians test children during their regular visits at ages 1 and 2, unless a parent objects.

September 21, 2023 WNEM Hurley Medical Center named among top employers in region Hurley Medical Center and Hurley Children’s Hospital have been named one of the top employees in the region.

September 25, 2023 ABC12 Doctors help create good outcomes for high risk pregnancies Dr. Mohamed Satti explains how OB-GYN doctors help mothers bring high risk pregnancies to a positive outcome with a healthy birth.

HURLEYMC.COM • OCTOBER 2023 • 9

hurley news

join us in Celebrating Physician Assistants Treating patients in today’s complex healthcare settings takes an entire team of professionals. Among these medical professionals are Physician Assistants, broadly trained in a wide spectrum of conditions and tasks. Since 1985, Physician Assistants have been an integral part of Hurley Medical Center. The first department to utilize PA’s at Hurley was the TraumaSurgery Department. Their duties consisted primarily of assisting in the operating room, performing bedside surgical procedures, evaluating surgical consults in the Emergency Department and assisting with monitoring patients pre and post-operatively.

Soon after, more surgical PA’s were assisting in other departments, such as Medicine, OB/GYN, Orthopedic Surgery and the Emergency Department.

Today, PA’s can be found in just about every patient care department in the Medical Center. Hurley Physician Assistants are such a valuable part of our health care team. Join us as we celebrate our Physician Assistants and the advancements they continue to make daily!

Hurley Medical Center is very fortunate to have such a highly talented group of PA's helping take care of our patients. On behalf of the entire medical staff, we would like to give our sincere thanks and appreciation to this group of hardworking medical professionals.

-Michael Jaggi DO FACP FACEP Director, Emergency Services & Chief Medical Officer 10 • HURLEY MEDICAL CENTER

Hurley PAs are the most dedicated, skilled, and talented group of PAs I have had the pleasure to work with.

In particular, the Trauma and Acute Care Surgery PAs have made it their mission to provide the most compassionate and quality care for our injured patients. I'm truly blessed to be a part of their team.

-Gul Sachwani Daswani, M.D.

hurley news

The Physician Assistant profession is one of the most rewarding professions.

It strikes a great balance for those wanting a wider patient care scope of practice compared with a nurse but less than a physician. However, being a physician assistant at Hurley Medical Center stretches the scope of practice for a PA a little bit wider, and grants a level of autonomy that is quite frankly unmatched by most institutions. As a result, PAs trained at Hurley are often viewed as highly skilled and knowledgeable by peers and employers. There is a high level of respect that is shown by staff to APPs in general at Hurley and it's nice to feel respected as an important and valued member of the care team.

Let's keep adding to our stellar 38 year legacy at Hurley. To my fellow Hurley and non-Hurley PAs.....

Happy PA Week 2023!!

-Barton Scotland, PA-C, Trauma Services - 7B

Throughout my career at Hurley, I've had the privilege of working closely with many of the APPs. Over the past decade, I've come to understand that unity thrives on companionship, hard work is the foundation of excellence, and versatility is the key to conquering challenges. The APPs here thoroughly embody these qualities. The bond we share transcends a typical work relationship; it's evolved into a work family. During this Physician Assistant Week, I extend my heartfelt appreciation to my fellow APPs for their unwavering dedication, tireless commitment and remarkable adaptability. Together, we are making a meaningful impact on the lives of our patients and the field of medicine.

-Kelli Pyles Emergency Department Clinical Practitioner II

HURLEYMC.COM • OCTOBER 2023 • 11

photo feature

halloween in the nicu

12 • HURLEY MEDICAL CENTER

photo feature

HURLEYMC.COM • OCTOBER 2023 • 13

photo feature

First Place

ICU: WE ARE ALL MAD here wins PIZZA PARTY

second place

NUTRITIONAL SERVICES: WE ALL SCREAM FOR ICE CREAM WINS CIDER AND DONUTS

14 • HURLEY MEDICAL CENTER

third place NICU: CRUELLA WINS COOKIES

photo feature

HURLEYMC.COM • OCTOBER 2023 • 15

photo feature

Hurley NFP Team Hosts Trunk or Treat Hurley Nurse Family Partnership hosted a Trunk or Treat event on Monday, October 9, at the Flint Farmers’ Market with the purpose of inviting their clients to bring their infants out to trunk or treat in a safe environment. All members of their team (Steffany, Jessica, Sue, Mericlare, Ashley, Kendra, Kristi, Sara, Tiffany, Tracy and Rachele) participated, along with others from the Grand Blanc Pediatric Dentistry, Felicia from the GISD Parent Coalition, Ann from the MSU Extension and Kay from Early On.

16 • HURLEY MEDICAL CENTER

photo feature

halloween fun Thank you to the Pediatric Department for doing their best to make Halloween special for our pediatric patients who were not able to make it out for Trick or Treating.

Hurley Children's Hospital has a holiday wish list if you want to make the holidays better for sick kids who can't be at home. It's easy!

Just order from Amazon.

HURLEYMC.COM • OCTOBER 2023 • 17

hurley news

annual superhero fun run september 16 Hurley Director of Public Safety, Matt Murray, represented the Medical Center at the Voices for Children Advocacy Center Superhero Fun Run along with 30 volunteers from Team Hurley.

Team Hurley was thrilled to volunteer again to support kids and show them the heroes of this community care!

18 • HURLEY MEDICAL CENTER

¢ 75r bag

2023

pe

Limit: 2 Bags Per Person

Thursdays in 1 West Lobby

HURLEYMC.COM • OCTOBER 2023 • 19

daisy award recipient

MARY KERR, RN

Mary Kerr, RN is this month’s Daisy Award Honoree. The DAISY Award celebrates the extraordinary compassion a nurse shows to patients and their families.

that Hurley was the place where she wanted to remain. “It was the best experience, and I really enjoyed working with everyone here.”

Mary and her husband have two grown sons, ages 23 and 25. The family seems to be avid hunters with Mary explaining that she was As a PCU nurse, Mary provides first introduced to hunting by her husband care to patients who have when they began dating. He gifted her with stabilized and moved from the a bow, and she discovered that she truly ICU or other units. Other times enjoyed it. She now finds herself hunting a patient may be admitted directly to the each season. Mary is also a rock collector.

PCU instead of the standard hospital floor.

Her favorite area to hunt for rocks is Lake Patients treated may have a variety of chronic Superior. health conditions or may be recovering from Mary was nominated for the Daisy Award surgeries. Mary firmly believes that being a nurse is all about working together as a team by one of her patients. The patient to provide the best possible outcome for the emphasized Mary’s compassion stating patient. “The best part of working in the PCU that while having an AICD placed, she held their hand and reassured them the entire is working with all those in my department time. The patient was beyond thankful and caring for the different patients.” for Mary’s compassion and even informed Mary has worked at Hurley and in the her personally the following day. Mary’s PCU for 12 years helping many types of compassion for her patients is something that patients who need an intermediate level of just comes naturally so she was completely attention. She provides complete care for caught off guard when presented with patients, which entails many responsibilities her award. “I was completely surprised,” from working with her team to care for the she recounts. “I was overwhelmed by the patient to making certain that patients are as nomination that was submitted for me—I am comfortable as possible. Mary decided right very appreciative.” away, while performing her clinical rotation,

20 • HURLEY MEDICAL CENTER

daisy award recipient

Have you witnessed an extraordinary registered nurse in action? Nominate an exceptional RN for the DAISY Award. Nomination forms are available in the Cafeteria, 8W Nursing Office and on the Hurley intranet.

HURLEYMC.COM • OCTOBER 2023 • 21

hurley news

Learn ways to manage diabetes that fit YOUR life.

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22 • HURLEY MEDICAL CENTER

hurley news

Learn ways Learn ways to manage to manage diabetes that diabetes that fit YOUR life.

fit YOUR life.

Did you know? Personalized services to manage your diabetes can help you: Set and track your health goals.

Learn how to use knowledge, skills, and tools to manage your diabetes.

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G-2065 S. Center Rd. Suite D, Burton, MI 48519 Please call 810.262.2310 to learn how to control your diabetes you can live a healthy life.

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Scan qr code to visit hurleymc.com HURLEYMC.COM • OCTOBER 2023 • 23

physician connection

physician

connection 24 • HURLEY MEDICAL CENTER

physician connection

welcome new providers It is our pleasure to welcome the following providers to Hurley Medical Center.

We thank you for collaborating with us to provide quality healthcare to our patients.

We value your commitment and appreciate your service.

BEHAVIORAL HEALTH Erica L. Betts, DO Child & Adolescent Psychiatry Hurley Adolescent Behavioral Health Unit One Hurley Plaza, 3D Flint, MI 48503 Phone: (810) 262-7380 Fax: (810) 262-4768

Mark Kandary, MD Nephrology Kidney Disease & Hypertension Consultants, PC 2486 Nerredia Drive Flint, Michigan 48532 Phone: (810) 230-9901 Fax: (810) 230-9916

Abi Waqas, MD Pulmonary Disease & Critical Care Genesee Lung Associates, PC 8220 S Saginaw St. Grand Blanc, Michigan 48439 Phone: 810- 695-5864 Fax: 810- 695-2412

Melanie Wilson-Houge, MD Physical Medicine & Rehabilitation Hurley Children's Center 300 E. First Street, Suite 201 Flint, Michigan 48503 Phone: 810- 262-9773 Fax: 810- 262-9900

Fatina Kendall, NP Nurse Practitioner Hurley Behavioral Medicine One Hurley Plaza, 2C & 2D Flint, Michigan 48503 Phone: 810-262-9406 Fax: 810-262-6607

Michelle Most, NP Nurse Practitioner Mid-Michigan Gastroenterology Associates 1335 S Linden Rd, Suite B Flint MI, 48532 Phone: 810-733-6300 Fax: 810-733-6344

EMERGENCY MEDICINE Lindsey Dieck, PA-C Physician Assistant Hurley Medical Center One Hurley Plaza, ED Flint, Michigan 48503 Phone: 810-262-9020 Fax: 810-760-0853

Gabrielle Rogers, NP Nurse Practitioner Premier Medical Clinics Cardiology, PC 1165 S Linden Road, Suite A Flint, Michigan 48532 Phone: 810- 732-5400 Fax: 810- 733-1624

John Youssef, MD Pulmonary Disease & Critical Care Chest and Sleep Medicine Consultants 2284 S Ballenger Hwy, Suite H2 Flint, Michigan 48503 Phone: 810-720-1144 Fax: 810-720-1166

SURGERY Tamer A. Ghanem, MD Otolaryngology, Head & Neck Surgery Premier Head and Neck Surgery, PC G-4007 W Court St, Suite G2 Flint, MI 48532 Phone: 810-399-9931 Fax: 888-822-6954

MEDICINE Julia Briggs, NP Nurse Practitioner Mid Michigan Gastroenterology Associates 1335 S Linden Road, Ste B Flint, MI 48532 Phone: (810) 733-6300 Fax: (810) 733-6344

Matthew Roth, NP Nurse Practitioner Hurley Medical Center - ICCU One Hurley Plaza - 4E Flint, MI 48503 Phone: (810) 262-9020 Fax: (810) 262-6413

Abhijeet Ghatol, MD Pulmonary Disease & Critical Care Chest and Sleep Medicine Consultants 2284 S Ballenger Hwy, Suite H2 Flint, Michigan 48503 Phone: 810-720-1144 Fax: 810-720-1166

Danielle Smith, NP Nurse Practitioner Hurley Medical Center One Hurley Plaza, ICCU Flint, Michigan 48503 Phone: 810-262-9020 Fax: (810) 262-6413

OBSTETRICS & GYNECOLOGY Stephanie Newman, PA-C Physician Assistant Hurley Medical Center 1 Hurley Plaza, L&D 2N Flint, Michigan 48503 Phone: 810-262-9261 Fax: 810-262-6031 PEDIATRICS Clinton Cochran, MD Pediatric Cardiology Hurley Children's Clinic 300 E First St, Suite 201 Flint, MI 48503 Phone: (810) 262-9773 Fax: (810) 262-9900 Jessica Kata, NP Nurse Practitioner Hurley Pediatric Hematology Oncology Clinic One Hurley Plaza, 11W Flint, MI 48503 Phone: (810) 262-7303 Fax: (810) 262-9972

Ronald Lowe, DPM Podiatry Fenton Foot Care, PC 14229 Torrey Rd, Suite 1 Fenton, Michigan 48430 Phone: 810- 629-3338 Fax: 810- 629-9243 Kelsey Prince, PA-C Physician Assistant Hurley Trauma Services One Hurley Plaza, 7B Trauma Flint, MI 48503 Phone: (810) 262-9355 Fax: (810) 262-6341 Brittany L. Severn, PA-C Physician Assistant Hurley Trauma Services One Hurley Plaza, 7B Trauma Flint, MI 48503 Phone: (810) 262-9355 Fax: (810) 262-6341

HURLEYMC.COM • OCTOBER 2023 • 25

physician connection When one Flint-area resident used kratom - an herbal supplement derived from an evergreen tree in the coffee family and often consumed as tea, smoked, or chewed - he never expected it to cause difficulty breathing. But acute respiratory distress syndrome brought him to Hurley Medical Center, where his team of physicians figured out the problem fast enough to save his life, despite some challenges on his road to recovery.

That case was described by six resident physicians and faculty members at Hurley Medical Center, and it was published in the European Journal of Case Reports in Internal Medicine in March of 2023, with the lead author of Justine Chinnappan MD, a secondyear Internal Medicine resident physician at the time. The conclusion: Physicians need to be aware of the increasing use of kratom and its various serious side effects.

That paper is just one example of the type of scholarly activity at Hurley Medical Center.

See more details about it - and 21 others - below, with Hurley-affiliated authors in bold.

Nageshwari Palanisamy, Justine Chinnappan, Ghassan Bachuwa. Pain Management Options in a Patient with Livedoid Vasculopathy and Peripheral Neuropathy. Eur J Case Rep Intern Med. 2023 Jan 30;10(1):003727. PMID: 36819654 Justine Chinnappan, Murtaza Hussain, Dominic Awuah, Ekwevugbe Ogbon, Ghassan Bachuwa, Philip McDonald. Extraintestinal Clostridioides difficile Infection (CDI): A Recurrent Battle with Resilient Abdominal Wall Abscess. Eur J Case Rep Intern Med. 2023 Jan 5;10(1):003711. PMID: 36819648 Alsayid M, Ahmad Taftaf, Harmouch KM, Alabkaa A, Pappas SG, Singh A. Sarcoidosis of the Bile Duct. ACG Case Rep J. 2023 Feb 1;10(1):e00964. 2023 Jan. PMID: 36743331 Idolor O, Edigin E, Eseaton PO, Trang A, Kichloo A, Shaka H, Efosa Martins Bazuaye, Okobia NO, Eboma JE, Uwumiro F, Sandhu VK, Manadan A. Systemic lupus erythematous readmissions have reduced: a 9-year longitudinal study of the nationwide readmission database. Clin Rheumatol. 2023 Feb;42(2):377-383. PMID: 36534352 Karna R, Smit Deliwala, Ramgopal B, Mohan BP, Kassab L, Becq A, Dhawan M, Adler DG. Efficacy of topical hemostatic agents in malignancy-related GI bleeding: a systematic review and meta-analysis. Gastrointest Endosc. 2023 Feb;97(2):202-208.e8. PMID: 35944608 Cummings BC, Blackmer JM, Motyka JR, Farzaneh N, Cao L, Bisco EL, James D. Glassbrook, Michael D. Roebuck, Gillies CE, Admon AJ, Medlin RP Jr, Singh K, Sjoding MW, Ward KR, Ansari S. External Validation and Comparison of a General Ward Deterioration Index Between Diversely Different Health Systems. Crit Care Med. 2023 Mar 16. PMID: 36927631 Justine Chinnappan, Abinash Parajuli, Huda Marcus, Ghassan Bachuwa. Constipation in transverse myelitis. BMJ Case Rep. 2023 Mar 6;16(3):e254409. PMID: 36878618 Ramai D, Enofe I, Smit Deliwala, Mozell D, Facciorusso A, Gkolfakis P, Mohan BP, Chandan S, Previtera M, Maida M, Anderloni A, Adler DG, Ofosu A. Early (<4 weeks) versus standard (≥4 weeks) endoscopic drainage of pancreatic walled-off fluid collections: a systematic review and meta-analysis. Gastrointest Endosc. 2023 Mar;97(3):415-421.e5. PMID: 36395824

26 • HURLEY MEDICAL CENTER

physician connection Edigin E, Trang A, Ojemolon PE, Eseaton PO, Shaka H, Kichloo A, Efosa Martins Bazuaye, Okobia NO, Okobia RI, Sandhu V, Manadan A. Longitudinal trends of systemic lupus erythematous hospitalizations in the United States: a two-decade population-based study.

Clin Rheumatol. 2023 Mar;42(3):695-701. PMID: 36287285 Mack D, Mohamed Hussein, Gul Sachwani-Daswani, Kristoffer Wong. Extraocular sebaceous carcinoma of the chest wall: A case report. Int J Surg Case Rep. 2023 Apr 13;106:108195. PMID: 37068454 Jacob Nosewicz, Nash J. Resolution of post-zoster granulomatous dermatitis with valacyclovir.

Int J Dermatol. 2023 Apr;62(4):e205-e207.

Skolarus LE, Dinh M, Kidwell KM, Lin CC, Buis LR, Brown DL, Rockefeller Oteng, Giacalone M, Warden K, Trimble DE, Whitfield C, Farhan Z, Flood A, Dominic Borgialli, Montas S, Michael Jaggi, Meurer WJ. Reach Out Emergency Department: A Randomized Factorial Trial to Determine the Optimal Mobile Health Components to Reduce Blood Pressure. Circ Cardiovasc Qual Outcomes. 2023 May;16(5):e009606. PMID: 37192282 Clinical Trial.

Rami Al-Handola, Justine Chinnappan, Murtaza Hussain, Abdullahi Mahgoub, Ghassan Bachuwa. Antimitochondrial Antibody-Negative Primary Biliary Cholangitis: A Retrospective Diagnosis.

Cureus. 2023 Mar 17;15(3):e36309. PMID: 37073193.

Mack D, Mohamed A. Hussein, Gul Sachwani-Daswani, Kristoffer Wong. Extraocular sebaceous carcinoma of the chest wall: A case report. Int J Surg Case Rep. 2023 May;106:108195. PMID: 37068454.

Justine Chinnappan, Jesus Aguirre, Huda Marcus, Qazi Azher, Ghassan Bachuwa. A Fatal Case of Systemic Calciphylaxis in the Gastrointestinal Tract: A Case Report and Literature Review. Cureus. 2023 Mar 24;15(3):e36641. PMID: 37101995.

Justine Chinnappan,Yasaman Navari, Diane Casini, Nageshwari Palanisamy, Niraj Parikh, Elfateh Seedahmed. Kratom-Induced Acute Respiratory Distress Syndrome (ARDS). Eur J Case Rep Intern Med. 2023 Mar 29;10(4):003835. PMID: 37051477.

Deepesh Yadav, Sailendra Shah, Ghassan Bachuwa. A Rare Presentation of Sarcoidosis: Dysphagia, Pancytopenia, and Acute Renal Failure. Cureus Journal of Medical Science 2022;14(6).

Tessema ST, Abdullani E. Mahgoub, Nakhleh R. Angiosarcoma: A Rare Malignancy Linked to Chemical Exposures. Cureus. 2022 May 24;14(5):e25289. PMID: 35755516.

Warring SK, Cope AG, Youssef Youssef, Burnett TL, Langstraat CL, Behm KT, Khan Z. Excision of Deep Endometriosis of the Rectosigmoid: Individualizing Care to the Presenting Pathology. J Minim Invasive Gynecol. 2022 Jun 22:S1553-4650(22)00255-2. PMID: 35752391 Ramai D, Smit Deliwala, Chandan S, Lester J, Singh J, Samanta J, di Nunzio S, Perversi F, Cappellini F, Shah A, Ghidini M, Sacco R, Facciorusso A, Giacomelli L. Risk of Hepatocellular Carcinoma in Patients with Porphyria: A Systematic Review. Cancers (Basel). 2022 Jun 15;14(12):2947. PMID: 35740611 Akram Al-Salman, Dominic Awuah, Ann Sedeeq, Mohammed L Alkotob. Unmasking acute aortic root dissection in otherwise stable atypical chest pain. Clin Case Rep. 2022 Jun 13;10(6):e5962. PMID: 35734192 Aisha Akhtar, Santosh Dhungana, Nidhi Bhagat, Ghassan Bachuwa. Left internal jugular vein thrombosis secondary to pacemaker insertion. PMID: 35662772

HURLEYMC.COM • OCTOBER 2023 • 27

physician connection

continuing medical education (cmE) Continuing Education Michigan Department of Requirements for Licensing and Regulatory Michigan Medical Doctors Affairs (LARA) Authority: Public Act 368 of 1978, as amended

Mandatory Training Standards

REQUIREMENTS FOR RENEWAL The continuing education requirements apply to every physician renewing a Michigan medical license who has been licensed in the 3-year period immediately preceding the application for renewal. The requirements apply whether or not the physician is actively engaged in the practice of medicine. No one, including medical school faculty and resident physicians, is exempt from this requirement.

•

LARA requires a one-time mandatory training in Opioids and Other Controlled Substances Awareness for prescribers and dispensers of controlled substances.

•

LARA requires a one-time mandatory training in Identifying Victims of Human Trafficking.

•

LARA requires a minimum of three hours, every 3-year renewal cycle, in Implicit Bias Training.*

Each medical doctor is required to complete 150 hours of continuing education in courses or programs approved by the Board of Medicine, of which a minimum 75 hours of the required *NEW - revised LARA general rules pertaining 150 hours must be earned in courses or to Implicit Bias Training include: programs designated as Category 1 programs.

1. Allowing asynchronous webinars or other A minimum of 1 hour of continuing education recordings as acceptable modalities (no must be earned in the area of Medical Ethics. longer mandated to be live).

A minimum of 3 hours of continuing education must be earned in the area of Pain and Symptom Management, and at least 1 of the 3 hours must include controlled substance prescribing.

2. The minimum of three hours training now count as part of the CME credit hours required every 3-year renewal cycle.

For more information or questions, please visit: michigan.gov/lara

28 • HURLEY MEDICAL CENTER

physician connection

continuing medical education (cmE) New DEA Training Requirement via the MATE Act The Medication Access and Training Expansion (MATE) Act, part of the federal Consolidated Appropriations Act of 2023, requires ALL new or renewing DEA-registered practitioners who prescribe schedule II, III, IV or V drugs to undergo a one-time, eight-hour training requirement incorporating education on the treatment and management of patients with opioid and other substance use disorders.

Beginning June 27, 2023, practitioners must have completed the one-time training requirement before applying for a license for the first time or to have their license renewed.

Recently, the US Drug Enforcement Administration (DEA) and Substance Abuse and Mental Health Services Administration (SAMHSA) issued guidance on how the MATE Act expands opportunities for practitioners to fulfill this new training requirement, including how current state-mandated training may count towards the required eight-hours of training.

See Michigan State Medical Society (MSMS) for further FAQs at: msms.org > NEWS

Hurley offers the following FREE CME on Demand courses that fulfill requirements and have been approved for AMA PRA Category 1 Credit ™: •

Hypertension Management in the Hospitalized Child

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Human Trafficking and the Role of the Healthcare Provider (This activity fulfills the LARA mandatory training standards for identifying victims of human trafficking.)

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Identifying Drug Endangered Children

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Impact of Bias, Discrimination & Racism on Children and Adolescents

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Managing the Chronic Opioid User (This activity fulfills the CE requirements for pain and symptom management.)

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Pediatric & Adolescent Obesity

•

Pediatric Intellectual/Developmental Disabilities Please visit: education.hurleymc.com/cme/calendar

HURLEYMC.COM • OCTOBER 2023 • 29

physician connection

continuing medical education (cmE)

1-888-409-0141

Please visit: education.hurleymc.com/cme/calendar

7 DAYS A WEEK 8AM - 1AM ET Please visit: education.hurleymc.com/cme/calendar Coronavirus Educational Resources

There is a Novel Coronavirus Education Resources webpage on the ACCME website at www.accme.org/coronavirus-resources that includes a list of accredited continuing education (CE) activities and additional Coronavirus Educational Resources resources can help the clinician community respondwebpage to the novel There is a that Novel Coronavirus Education Resources on the coronavirus public health emergency.

The majority of the CE activities area ACCME website at www.accme.org/coronavirus-resources that includes Free. listSupport of accredited education (CE) activities and Physician Line is continuing a national, free and confidential support lineadditional service made up of 600+

PHYSICIAN SUPPORT LINE

volunteer psychiatrists, joined together in the determined to provide resources that can help the clinician communityhope respond to the peer novelsupport for our physician colleagues and medical students. Physician Support LineCE wasactivities created with coronavirus public health emergency.

The majority of the are the mission of physicians supporting physicians as we navigate the many professional and personal Free. intersections of our lives.

Physician Support Line promises to provide emotional support and a safe holding space for physicians and medical students.

HURLEY REGULARLY SCHEDULED SERIES (RSS)

www.physiciansupportline.com | Facebook: Physician Support Line | @PhysicianLine RSS TITLE

CREDIT HOURS

DEPT

1.00

Oncology

LOCATION

DAY & TIME

CONTACT NAME & NUMBER

HURLEY REGULARLY SCHEDULED SERIES (RSS)

Multidisciplinary Tumor Board

RSS TITLE Pediatric Grand Rounds Multidisciplinary Tumor Board Pediatric Oncology Tumor Board Pediatric Grand Rounds

CREDIT HOURS DEPT 1.00 Pediatric 1.00 Oncology 1.00 1.00

Oncology Pediatric

Virtual

Wednesdays, 7:00-8:00 AM WEEKLY

LOCATION Virtual and Ed Center Rm 123 Virtual

DAY & TIME Wednesdays, 8:00-9:00 AM WEEKLY Wednesdays, 7:00-8:00 AM WEEKLY

For Location, Day, and Time, please call the Pediatric Dept Wednesdays, at 810-262-7045 Virtual and 8:00-9:00 AM Ed Center Rm 123

Surgical Conference Pediatric Oncology Tumor Board

1.00

Surgery

1.00

Oncology

Surgical Critical Care Journal Club Surgical Conference

1.00

Surgery

1.00

Surgery

Trauma Conference

1.00

Trauma

Surgical Critical Care Journal Club

1.00

Surgery

30 • HURLEY MEDICAL CENTER

Trauma Conference

1.00

Trauma

WEEKLY

Virtual and 3rd Friday, 7:00-8:00 AM For Location,Rm Day,MONTHLY and Time, please call 7B Conference

Robyn Hatch 810-262-9585 CONTACT NAME & NUMBER Audrina Roberts 810-262-7045 Robyn Hatch 810-262-9585 Audrina Roberts Audrina Roberts 810-262-7045 810-262-7045

Virtual and 7B Conference Rm Virtual and 7B Conference Rm Virtual and 7B Conference Rm Virtual and 7B Conference Rm

4th Friday, 7:00-8:00 AM MONTHLY 3rd Friday, 7:00-8:00 AM MONTHLY 1st Friday, 7:00-8:00 AM MONTHLY 4th Friday, 7:00-8:00 AM MONTHLY

Pauline Tippett 810.262.6823 Audrina Roberts 810-262-7045 Pauline Tippett 810.262.6823 Pauline Tippett 810.262.6823 Pauline Tippett 810.262.6823 Pauline Tippett 810.262.6823

Virtual and 7B Conference Rm

1st Friday, 7:00-8:00 AM MONTHLY

Pauline Tippett 810.262.6823

the Pediatric Dept at 810-262-7045

physician connection

continuing medical education (cmE) The 2023 Needs Assessment Survey Results are in!

Thank you to everyone who completed a survey.

The following results will be the focus for continuing education in 2024:

CME Needs Assessment Survey gift card Winner is:

Michael Gotlib, MD Psychiatry, Hurley Mental Health Associates

HURLEYMC.COM • OCTOBER 2023 • 31

Adam Czubachowski Amanda Cavazos Amanda Lautner Amanda Lucas Amanda Rushton Amira‑Amy Helal Amy Bujak Angela Gagne Anita Frierson Anita Wilhelm Annie Shelton Anthony Patrick Ashley Coleman Ashley Gonzalez Ashley Ledford Ashley Morgan Beth Grable Betty Sprinkle BreAishia Vickers Brenda Cruthers Breonna Whaley Brian Nicholson Brianna Richards Bridget Wilkerson Brittaney Jones Brittany Clark Carol Fechik Carolina Berlanga Carrie Powell Carson Adams Catherine Jando Chelsea Bennett Cheryl Crane Christi Anderson Clayton Erickson Colleen Donovan‑Wilber Corinne Pacheco Darrin Wade David Dow Deanna Malcolm Deanna Pirtle Deborah Coleman

Demetrius Sanders Denise Miller Edith Wolverton Edward Labeau Emily Pauls Erika Tymczak Gary Ireland Gay Sluder Gazzala Aslam Gina Murphy Gloria Lahoud Haleena Sawa Hannah Fetterhoff Heather Irvan Heather Terpenning Ignatius Pillainayagam Iris Owens Jaime Connell Jaimee Shemanski Jalynn Holmes James Ethridge Jamicka Garner Jeanette Howard Jeffery Townsend Jeffrey Moore Jennifer Hendrick Jenny Goss Jill Al‑shabani Jody Basso Kari Huggard KayLynn Turner Kenneth Evans Kevin Venner Kiara Edwards Korie King Kristin Tanner Kristina Brookshire‑Gay Kristina Dixson Lakeyla Brown Lannette Moriarity Larunda Doby Laura Caldwell

G E N E R A L

N O T I C E S

Laura Jasso Laura VanDenBoom Laurie Cooper Liliana Cassidy Lindsey May Lindsey Sheroski Lisa Stuart Lynita Sweet Madugodaralalag Gunaratne Marie York Marvin Riley MaShaun Wilson Matthew Persails Mattison Larson Mckenzie Nadeau Meagan Ruggirello Melinda McDowell Melissa Alexander Meosheumikee Welch Michael Clark Michael Gatica Michael Marshall Michelle Landis Michelle‑irene Sepanak Mohamed Ali Monique Byrd Morgan Townsend Muna Elsiddig Myra Globuschutz Nicole Nixon Nicole Walker Nicole Walker Nikisha Dorsey Nina Wagner‑Morris Olivia Rogers Patricia Crain Pretoria Eagle Rachel White Randi McCary Raveen Coleman Rhodora Loredo‑Herzog Riley Caswell

Romel Morgan Salsabeel Sweidan Samantha Lipford Sandra Guerra Sarah Contreras Sarah Merrow Sarah Weiss Secola Mitchell‑Johnson Sesily Gray Shadaria Tate Shamere Lundy Shannon Hagemeister Sheri Back Shiday Skelton Sonya McKerchie Srujan Edupuganti Stephanie Daprai Summer Jenkins Sylusha Gadipudi Tammy Thom Tamra Raab Tanisha Williams Tasha Demps Taylor Cochran Tiffany Starling Tina Dunavant Tonya Battle Travis Senk Triena Rudder Trinity McGruder Trishanda Wesley Tyanne Key Tyler Walters Tysha Logan Valorie Frank Vanessa Beaugard Vanessa Nelson Vicki Hammond Yasaman Navari

CORPORATE COMPLIANCE HOTLINE: 1.866.835.0555 • Reports are taken anonymously by an independent hotline service.

Hurley prohibits the taking of retaliatory and/or disciplinary action against employees for reporting safety or quality of care concerns to The Joint Commission.

Office of Quality Monitoring: Employees with safety or quality concerns at Hurley may contact The Joint Commission.

Email: complaint@jointcommission.org • Fax: 630.792.5636 • Mail: The Joint Commission, 1 Renaissance Blvd., Oakbrook Terrace, IL 60181