SCMS BULLETIN - November/December 2017

The

Bulletin Saginaw County Medical Society

November/December 2017 Volume 76, No 3

Register Now for January Membership Meeting p. 5

ZEROSuicide: October Membership Meeting p. 8-9

Medical Missions Serving Others at Home and Abroad p. 16-21 www.SaginawCountyMS.com

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The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2017-2018 OFFICERS AND DIRECTORS President Julia M. Walter, MD President-Elect Zubeda S. Khan, MD

contents 5

16-21

Register Now for January Membership Meeting and Save the Dates for 2018

8

ZEROSuicide: October Membership Meeting Minutes

Past President Virginia R. Dedicatoria, MD

Medical Missions: Serving Others at Home and Abroad Carrie L. Valdez MD Anthony deBari MD Lawrence C. Whiting MD SCMS Volunteers at Soup Kitchen

Secretary Sanjay J. Talati, MD Treasurer Vacant (Interim to be named) Board of Directors B.L. Nahata, MD Mildred J. Willy, MD Gopi K. Nallani, MD Anthony M. Zacharek, MD Maliha N. Shaikh, MD Jorge M. Plasencia, MD Bulletin Editor Louis L. Constan, MD Retiree Representative Larry S. Kelly, MD

4

President’s Letter

26

6

From the Editor

27

10

Elvira M. Dawis, MD B.L. Nahata, MD Zubeda S. Khan, MD Sanjay J. Talati, MD Julia M. Walter, MD Virginia R. Dedicatoria, MD

2018 SCMS Physician Directory Advertising Now Being Accepted

Key Provider of the Month – HealthSource Saginaw

28 MSMS

11

December Birthdays

28

MiHIA – 9th Annual Conference

29

Applications for Membership

29

Great Lakes Bay Health Centers

30

Advertiser Index

32

Key Providers

32

Calendar of Meetings and Events

12

Resident Representative Abhishek A. Bhandiwad, MD MSMS Delegates

AMA Code of Medical Ethics

CMU College of Medicine CMU Health

13

January Birthdays

14

Covenant HealthCare

22

St. Mary’s of Michigan | Ascension

25

Choosing Wisely®

Mohammad Yahya Khan, MD Mildred J. Willy, MD

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

MSMS Alternate Delegates Caroline G.M. Scott, MD Waheed Akbar, MD

ON THE COVER: Dr. Tony deBari cares for a child in Iraq

Gopi K. Nallani, MD Anthony M. Zacharek, MD Steven J. Vance, MD J. Patricia Dhar, MD Danielle C. Duncan, MD Jorge M. Plasencia, MD Christopher J. Allen, MD Jacquelyn M. Charbel, DO Peer Review Ethics Committee Waheed Akbar, MD 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

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 | November/December 2017 3

PRESIDENT’S LETTER

New Year’s Hopes and Dreams for Myself and Others

By Julia M. Walter, MD

N

ew Year’s Hopes and Dreams for Myself and Others

• Create a Tai Chi class in Bliss Park to start the morning • Stop throwing mice when working on EHR • Ask a stranger, “How can I help” three times a week • Learn how to say “No” and how to say “Yes” • Remember daily to appreciate the honor of being able to care for patients • For older providers, be youthful, teach a peer a shortcut in EHR • For younger providers, be mature, have respectful humor with older providers and EHR • Learn to enjoy and eat beans

• Renew focus on personalized goals • Mean what you say and say what you mean • Create a movement for CPAP yoga • Reevaluate stress coping strategies and readjust those that are harmful to self and/or are offensive to others • Do not enter an encounter with a head of steam • Find a bridge over an impassable point and drop a fishing line over the edge • Be succinct in drawing the image, but be sure to finish with color and shading • Ask more questions, offer more ideas • Always schedule with an order • Be open to “button pushers” • Balance the familiar with the unfamiliar

• Build a rich community for it is the essence of a good life • Be a hero in a supporting role • Listen for the beat of the rhythm • Embrace that which is here to stay while working to make improvements • Give time and enthusiasm for family and friends • Give meaningful gifts not just to cross a name off of a list • Be the energy in the relationship that can break and create bonds for patients • Learn one new skill each year • Find purpose in the routine • Learn when to say “No” and when to say “Yes” • Commit to your own center of gravity Happy Holidays!

Remember daily to appreciate the honor of being able to care for patients

Julia M. Walter, MD

4

The Bulletin | November/December 2017

Mark Your Calendar Now for our 2018 Membership Meetings

REGISTER ONLINE NOW!

Tuesday, January 16, 2018 Membership Meeting Register now for the Tuesday, January 16, 2018, Membership Meeting joint with the Saginaw County Dental Society at Horizons Conference Center.

Jim P. Getzinger MD, a board certified Emergency Medicine physician from Beaumont, will present “Head/Neck Trauma – When a Pain in the Neck is Something Else.” Dr. Getzinger received his medical degree from Wayne State University School of Medicine, and completed his Emergency Medicine Residency at Beaumont Hospital.

Date:

Tuesday, January 16, 2018

Time:

6:30 p.m. Social (cash bar), 7 p.m. dinner, brief meeting and program

Place:

Horizons Conference Center 6200 State Street, Saginaw

Cost:

No cost for SCMS Members, CMU Medical Students and Saginaw County Dental Society Members (cash bar) Non-member physicians $100 each All others $60 each

Those who make a reservation and do not attend will be charged a $25 cancellation fee.

Click to make an online reservation

There are no Membership Meetings in February or March Save the Date for our 2018 Membership Meetings Save the Date!

Tuesday, April 17, 2018 Membership Meeting Mark your calendar now for our Tuesday, April 17, 2018, Membership Meeting at Horizons Conference Center.

The social with cash bar starts at 6:30 p.m., followed by dinner, brief meeting, program and panel discussion at 7 p.m. The tentative program is “Second Victims.”

Who is a Second Victim? Second Victims are “healthcare providers who are involved in an unanticipated adverse patient event, medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.” The Second Victim phenomenon can occur to any healthcare provider, in any organization.

Save The Date!

Tuesday, May 15, 2018 Annual Membership Meeting Mark your calendar now for our Tuesday, May 15, 2018, Annual Membership Meeting.

The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Dean George E. Kikano, MD will give an update on the CMU College of Medicine and medical student and resident training in Saginaw.

The Bulletin | November/December 2017 5

FROM THE EDITOR

Ben

By Louis L. Constan, MD

Q

uick, whose face is on the $100 bill? No, it’s not a president! It’s Benjamin Franklin.

So, why is a nonPresident so important that he gets his face put on currency? On this 234th anniversary of the signing of the Treaty of Paris, the agreement (which he brokered) with England that allowed the United States to become an independent country, it is perhaps right and proper that we give this man, without whose efforts our country would not exist, proper recognition, and to examine how he did what he did. You’ll see why it’s important shortly.

A truly remarkable man, a selfmade man, came to his own in early Philadelphia, the most culturally and religiously diverse city in the American colonies. Dirt poor, with minimal schooling, he got into the printing business, then into the publishing business and eventually made a fortune. He believed fervently in self-improvement and in public service. Insatiably curious, he tinkered a lot, trying to make everyday life for the American colonists better.

Changing your glasses to do near and far work? Why not put them together as bifocals? Heat going up the fireplace in the winter? Invent the Franklin Stove. Homes getting hit by lightning and burning down during thunderstorms? Invent the lightning rod. It is impossible to understate the importance of the last invention, which made him the most famous man in America. Franklin’s experiments on electricity, the Gulf Stream and infrared light made him the most well-known scientist in the WORLD. When he decided to go into public service, he started the first public post office, the first fire department, the first public library and the first scientific society in America. Then, at the age of 69, when most of us are thinking of retiring, and during the tumultuous times in which the American colonies were preparing to risk separation from the world’s superpower of the day, Great Britain, he decided to jump right into the middle of events and to shape them with his considerable persuasive powers. He helped write, and then signed the Declaration of Independence. To the skeptics who

doubted the colonists could defeat the greatest military power on earth, he famously argued: “Always consider the possibility that you could be wrong.” He convinced the French to send military supplies and troops at a critical time to help General Washington. He helped write and argue for a strong central government in our new Constitution. He did it all.

Everyone knew him to be: • Eager to do what was morally right • Tolerant of other’s views • Careful to delay decisions until he had all the facts. He was willing to change his mind.

• Eager for information. He had a scientist’s mind. He respected the facts.

If his attitudes sound familiar, they should. They are attitudes shared commonly by physicians. We are heirs of people like Ben Franklin.

And it is precisely these attitudes that make us successful as physicians, as well as, why we see so little conflict within our medical community.

Another reason, of course, is that we are too busy taking care of patients to be bothered by peripheral issues.

continued on page 7

We are heirs of people like Ben Franklin.

And it is precisely these attitudes that make us successful as physicians, as well as, why we see so little conflict within our medical community.

Louis L. Constan, MD

6

The Bulletin | November/December 2017

continued from page 6

“You’re an MD/DO, Christian/Muslim, Conservative/ Liberal, Democrat/Republican? SO WHAT! We’ve got a patient to take care of. Let’s get on with it.”

I can just hear Mr. Franklin giving the same line to the delegates at the Constitutional Convention of 1787. “Small state/large state, farming state/trading state, slave state/free state. SO WHAT! We’re all Americans! We’ve got a country to build. Let’s get on with it!”

Well, we live in tumultuous times today. Americans at each other’s throats. Civil discourse is at a new low. What would Ben Franklin say to us today? I think he would say now what he said then.

Fellow Americans, he would say, devote yourselves to making this a better place for your countrymen, devote yourselves to becoming better persons, devote yourselves to your families and your communities, and stop worrying so much about whose philosophy you agree or disagree with.

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Always consider the possibility that you may be wrong, and he may be right, then move on.

Mr. Franklin was a wise man. Smarter than I. Smarter than most of us. There are many voices clamoring for our attention in the overheated political atmosphere of our day. Mr. Franklin is one voice which, through a lifetime of remarkable service and achievement, has earned the right to be foremost of those voices. I hope and pray that we can honor that voice.

www.SaginawCountyMS.com

Thank you SCMS for the opportunity to work with you!

With over 15 years in the industry, you can be sure the job is done right.

Call today to schedule an appointment

989-272-8123 IT Specialist to the SCMS and many physician practices Hours: MON-FRI 9 AM to 5 PM

advertising | marketing | publications logo design | direct mail brochures | flyers | newsletters creative direction and consulting creative strategy that provides results Lori Krygier | Graphic Designer 989.239.1056 or email lkrygier@charter.net

The Bulletin | November/December 2017 7

October Membership Meeting Minutes The regular Membership Meeting of the Saginaw County Medical Society was held on Tuesday, October 17, 2017, at HealthSource Saginaw. Julia M. Walter MD, SCMS President, called the meeting to order at 7:25 p.m.

Dr. Walter gave special thanks to Lisa Lapham, President & CEO of HealthSource Saginaw, along with all of her support staff, for hosting the meeting. She also welcomed members, CMU Medical Students, spouses and guests.

Dr. Walter thanked Key Providers in attendance for their ongoing support of SCMS programs: HealthSource Saginaw and Larry Greene of Healthway Compounding Pharmacy.

The new member approved at the Board Meeting prior to the Membership Meeting was announced: • Robert H. Nettleman MD (Covenant Medical Group Medical Director), Family Medicine.

Dr. Walter then conducted the following business of the SCMS: • The Minutes of the September 19, 2017, Membership Meeting were attached to the Agenda.

MOTION: Approve the September 19, 2017, Membership Meeting Minutes as printed. MOTION APPROVED. • Members were asked to submit articles on medical missions they have participated in for publication in the December Bulletin.

(From top) Drs. George Ascherl and Elvira Dawis, Dr. Millie Willy asks a question

continued on page 9

Survivors of Suicide hosts “Hope Starts Here” every year on the Saturday before Thanksgiving which is recognized as a national day to support loved ones bereaved by a loss to suicide.

The SCMS was proud to serve as one of the sponsors of this year’s event held in Frankenmuth on November 18 in appreciation of Barb Smith’s commitment to Survivors of Suicide including the training of health care professionals on ZEROSuicide and safeTALK. The SCMS would like to thank Dr. Harold and Pam Lenhart and Dr. Bernard Noveloso for their sponsorship of the event.

8

The Bulletin | November/December 2017

(Top - left to right) Jan Wagner and Dr. Colleen Linehan, Bethany Wirgowski, RN (Middle - left to right) Drs. Robert McNier, Caroline Scott and Larry Whiting, (Bottom - left to right) Drs. Millie Willy, Steve Vance and Tim Kaufman

continued from page 8 • The 26th Annual Robert M. Heavenrich MD Lecture will be held on Thursday, October 26, at 6 p.m. at Horizons Conference Center. Those wishing to attend must make a reservation by October 18.

• Volunteers are needed to serve at the East Side Soup Kitchen on Wednesday, November 8.

Program Barb Smith, founder and facilitator of Survivors of Suicide, presented a program on ZEROSuicide. Barb’s non-profit group has been supporting families and friends after a death to suicide for the past 26 years, and as a private grief and suicide consultant.

Together with the regional healthcare community, Survivors of Suicide has been collaborating to work toward a goal of ZEROSuicide.

Barb Smith presents ZEROSuicide ZEROSuicide is a commitment to suicide prevention in health and behavioral healthcare systems, and is also a specific set of strategies and tools. Bethany Wirgowski, RN of McLaren Bay Region and Survivors of Suicide, shared the emotional story of her husband’s suicide in 2014 as part of the presentation.

The next meeting will be held on Tuesday, January 16, 2018, at Horizons Conference Center. The speaker will be Jim P. Getzinger MD, an Emergency physician at Beaumont, who will speak on “Head and Neck Trauma and Evaluating Back and Hip Pain.”

The meeting was adjourned at 8:45 p.m.

Respectfully submitted, Joan M. Cramer, Executive Director

(Above - left to right) Lisa Lapham, Christine Bittner, Wendy Dornseifer, Dr. Christine Rohr, Glen Chipman, Pam Lenhart, Dr. Harold Lenhart and Dave Koepplinger, (middle) Dr. Dan and Deann Duffy, Dr. Dave Wiersema, (right) CMU Students - A.J. Shadrach, Elaina Molter, Amanda Shoemaker, Olivia Bolen and Craig Thomas

The Bulletin | November/December 2017 9

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DECEMBER BIRTHDAYS Waheed Akbar MD Syed S. Akhtar MD Syed K. Alam MD Henry B. Ancheta MD Arshad Aqil MD Gretchen E.R. Augustine DO Catherine M. Baase MD Berny Priyanthini Bastiampillai MD J.G. Marc Bertrand MD Marshall A. Brown MD Thomas M. Burkey MD Madline F. Chembola MD John F. Cherry MD Virginia R. Dedicatoria MD Rosalinda A. Elazegui MD William R. Engelman MD Walker N. Foland DO Frederick W. Foltz MD Jack E. Goodwin MD Victor H. Gordon MD Duane B. Heilbronn, Jr. MD Jennifer A. Henrich MD Randy D. Hicks MD

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The Bulletin | November/December 2017 11

Robert B. Petersen PhD of the CMU College of Medicine has been named a Fellow of the American Association for the Advancement of Science (AAAS). Election as an AAAS Fellow is an honor bestowed upon AAAS members by their peers. The tradition of AAAS Fellows began in 1874. As part of the Biological Sciences section, Dr. Petersen was elected for distinguished contributions to cell biology in post-translational mechanisms of gene regulation and in particular, for elucidation of a novel genetic mechanism underlying phenotypic heterogeneity. This year, 396 members have been awarded this honor by AAAS because of their scientifically or socially distinguished efforts to advance science or its applications. Dr. Petersen will be honored in February during the 2018 AAAS Annual Meeting in Austin, Texas. This year’s Fellows were formally announced in the journal Science on November 24. Dr. Petersen is a Professor of Pathology and the Chair of Foundational Sciences at the CMU College of Medicine.

Save The Date for 2018!

The CMU College of Medicine and CMU Medical Education Partners Research Symposium is scheduled for Wednesday, April 11, 2018. More details to come from the symposium organizers, Dr. Neli Ragina, Dr. Edward McKee and Dr. Mary Jo Wagner. Until then, direct any questions you may have to Dr. Ragina at ragin1n@cmich.edu. More details to come…

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Tel: (989) 799-5600 12 The Bulletin | November/December 2017 HOURS: Monday–Thursday 8am–5pm • Friday 8 am–Noon

JANUARY BIRTHDAYS Jamal U. Akbar MD Naveed Akhtar MD Sarosh Anwar MD Manohar L. Atri MD Edward Austin MD Ernie P. Balcueva MD John K. Bartnik MD Ronald A. Bays MD Abbas Bekhrad MD Kaitlyn E. Matz Bishop DO Robert L. Borenitsch DO Gary A. Brooks MD Paul B. Bry MD Lowell A. Butman MD Erica L. Canales MD Doris D. Cataquiz MD Bryon C. Chamberlain MD Moonyoung S. Chung MD Louis L. Constan MD Elvira M. Dawis MD Angie Lynn F. Domingo MD Robert M. (Matt) Dumas MD Richard D. Goldner MD Preeti Gudimella MD Leatha B. Hayes DO Gregory C. Hazen MD Mali Him MD

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Covenant Rehabilitation Program Receives CARF Accreditation CARF International announced that Covenant HealthCare has been accredited for a period of three years for the following programs: Inpatient Rehabilitation Programs - Hospital (Adults) Inpatient Rehabilitation Programs – Hospital (Children and Adolescents) Inpatient Rehabilitation Programs – Hospital: Brain Injury Specialty Program (Adults) Inpatient Rehabilitation Programs – Hospital: Brain Injury Specialty Program (Children and Adolescents) Inpatient Rehabilitation Programs Hospital: Stroke Specialty Program (Adults) This accreditation decision represents the highest level of accreditation that can be given to an organization, and shows the organization’s substantial conformance to the CARF standards. An organization receiving a Three-Year Accreditation has put itself through a rigorous peer review process. It has demonstrated to a team of surveyors during an on-site visit its commitment to offering programs and services that are measurable, accountable and of the highest quality.

CARF is an independent, nonprofit accrediting body whose mission is to promote the quality, value, and optimal outcomes of services through a consultative accreditation process and continuous improvement services that center on enhancing the lives of the persons served. Founded in 1966 as the Commission on Accreditation of Rehabilitation Facilities, and now known as CARF International, the accrediting body establishes consumer-focused standards to help organizations measure and improve the quality of their programs and services.

Local Resources; Pediatric Subspecialties Did you know our area offers a variety of pediatric subspecialists? Specialties include, but are not limited to: • Pediatric Cardiology • Pediatric Dentistry • Pediatric Gastroenterology • Pediatric Neurology • Pediatric Rheumatology • Pediatric Sleep • Pediatric Surgery • Pediatric Urology • Neonatal Intensive Care • Pediatric Intensive Care • And more.

Learn more by contacting the Covenant Office of Physician Relations at 989.583.4040 or your Physician Liaison.

Access Anywhere Covenant HealthCare is committed to providing patients with extraordinary care and making it easy for people to access care when they need it. We tell patients it is always best to call their primary care doctor first, but if it is not possible, other options are available as support.

MedExpress Covenant provides urgent care through five MedExpress locations. Easy online appointment scheduling is available and regularly updated wait times for each location allow patients to make the most of their time.

For more information about the accreditation process, please visit the CARF website at www.carf.org.

continued on page 15

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The Bulletin | November/December 2017

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continued from page 14 FastCare After they check-out, patients can get checked out at the Meijer Tittabawassee Road location. No appointment is needed - walk in and pay one flat rate for a visit including some basic lab work.

VirtualCare With the VirtualCare app, patients can see a board-certified physician from a smartphone, tablet or laptop, virtually anywhere in Michigan for specific urgent care needs.

MyChart Patients can renew prescriptions, access test results and medical records, make appointments and more using this online patient portal.

For more information, visit www.covenanthealthcare.com/ access

Find a Physician Directory Covenant features a find a physician directory to help patients connect with a primary care doctor or specialist.

Of course, for more serious health issues, Covenant’s Emergency Care Center, a Verified Level II Trauma Center for Adults and Pediatrics, is available 24/7.

Calendar of Events Are your patients looking for a support group?

Perhaps a free screening? Remember to visit www.covenanthealthcare.com to view our calendar of events by month.

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

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Extraordinary care for every generation.

The Bulletin | November/December 2017 15

Serving Others at Home and Abroad

Peru - International Surgical Health Initiative (ISHI)

Carrie L. Valdez MD Mid-Michigan Surgical Specialists I had the opportunity to go on my first surgical mission with the International Surgical Health Initiative (ISHI) in May 2017. A group of 20 volunteers from five states came together in Trujillo, Peru for ISHI’s 20th mission. Founded in 2009, ISHI is a volunteer-based organization dedicated to addressing international surgical needs. We completed 47 surgeries, including 18 laparoscopic cases, at the newly opened Centro de Especialidades Médicas UPAO. The hospital announced our mission through advertising, and the patients were screened by a local surgeon. On our first day, we triaged 70 patients and prepared three operating rooms for the upcoming week.

Each day, we would have a hearty breakfast at the hotel and travel by bus to the hospital over roads that had been washed out from flooding. The hospital is located within the Florencia de Mora neighborhood in Trujillo, and serves many of the poorest Trujillo citizens from the surrounding neighborhoods. Some patients walked many miles down the side of the mountain to come for their surgeries. In the evening, you could see where the electricity ended part way up the mountain. Instead of house lights, there would just be a few flickering yellow lights from cooking fires.

Riding through the city each morning, I would consider the surgeries we were planning for the day and looked around at the conditions my post-op patients would be returning to. The poverty is difficult to describe, other than there is nothing that compares to this in the states.

Once at the hospital, our nurses would start prepping the patients for the operating room. Each patient would get an IV and a paper gown. They would line up in folding chairs outside the OR - our makeshift pre-op holding area.

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The Bulletin | November/December 2017

Our resident surgeons and an attending would round on any patients that had stayed overnight. We had two large rooms that served as our ward, one for men and one for women, with about ten beds each. Any free hands available would help open up the ORs and get the instruments ready. We reused anything we could sterilize and did not open any unnecessary equipment. Bovies were saved for large cases.

Hemostasis was achieved in smaller cases with time, pressure and sutures. We worked out of two operating rooms; the large room hosted two operating tables. It was a very unique experience to look up during a case and see another surgical team at work.

Trujillo is known as Peru’s City of Eternal Spring. The weather is beautiful with a light breeze every day. Most buildings, including our hospital, are open air buildings. As we worked, a breeze would roll through the building and our breaks were taken on the rooftop where the surgical gowns and sheets were drying on a clothesline.

Santos was a patient of mine whose story highlights the need for groups like ISHI. Four years ago, Santos was shot by a group of kids as retaliation. He recalled all he did was continued on page 17

continued from page 16 ask them not to play in his yard the day before. Surgeons removed four bullets - two in his lower extremity, one in the abdomen and one near his spine. He spent months in the hospital recovering from multiple surgeries. As with most hospitals in Peru, the hospital would not discharge him until he paid his bill. The police eventually found the person responsible for shooting him. Santos worked out a financial agreement with the shooter’s family and they agreed to pay for his hospital bills. Eventually, the hospital agreed to the discharge.

After his colostomy reversal, he developed ongoing problems with an incisional hernia. He was readmitted to the hospital with multiple complications. During that time, the person responsible for shooting him died in another altercation. The family of the shooter felt they no longer had a financial obligation to pay Santos’ medical bills. Once again, he was in a hospital unable to pay for his care and too ill to pursue a lawsuit against the family. He reported he eventually sought help from the Governor who agreed to pay his hospital bills.

Since the time of the shooting, Santos has been physically unable to work. He used to work in construction while his wife was a homemaker. He recalled being a hard worker and taking pride in providing for his wife. When the shooter’s family stopped paying Santos’ medical bills, he told us his wife “saved” him. To financially support Santos and his medical bills, she started to recycle items she picked out of the trash.

As his hernia worsened, he told us he met with several doctors who told him there was nothing wrong. He questioned whether it was because they knew he couldn’t afford to pay for the treatment. He came to the clinic after seeing the advertisements for ISHI’s upcoming mission. Santos was triaged by the local surgeon, and I met him on our first day. He had a large hernia from his abdominal incision that was protruding and tender. We took him to the operating room the following day and completed a three-hour hernia repair with mesh. We did not have any drains, so we used a nasogastric tube with intermittent syringe suction by the bedside nurses. He did well postoperatively and teared up with gratitude each morning on rounds. He hoped this surgery would provide him a better quality of life by allowing him to eventually return to work. He cared mostly what it would provide his wife and hoped she would no longer have to pick out of the trash to support them. He affectionately held her hand while he told her he has hope that he will be able to work again thanks to ISHI. Santos’ story of surgical need unfortunately echoes that of many who await surgeries in underserved areas such as Trujillo, Peru. ISHI contributes to the unmet need for global surgery worldwide by taking part in volunteer surgical missions throughout the year. I will be going back to Peru in May 2018, and we are currently recruiting volunteers. ISHI also does missions in Ghana, Haiti, Sierra Leone, Guatemala and the Philippines. If you are interested in joining or supporting ISHI, you can learn more at ISHIglobal.org.

Iraq - Samaritan’s Purse Disaster Alert Response Team (DART) Anthony deBari MD I have been affiliated with Samaritan’s Purse (SP) for a number of years now. SP is an organization run by Franklin Graham, the son of Billy Graham.

Mission Statement Samaritan’s Purse is a nondenominational evangelical Christian organization providing spiritual and physical aid to hurting people around the world. Since 1970, Samaritan’s Purse has helped meet needs of people who are victims of war, poverty, natural disasters, disease and famine with the purpose of sharing God’s love through His Son, Jesus Christ. The organization serves the church worldwide to promote the Gospel of the Lord Jesus Christ.

Through SP, I have been on several mission trips including several to Nigeria, one to Kenya, one to the Democratic Republic of the Congo and one to Rwanda. This is in addition to others I have done since 2004.

In addition to those, I have served on the Disaster Alert Response Team, or DART, and have served in Nepal, Ecuador, Iraq and most recently, Dominica. The response in Nepal in 2015 was to an earthquake measuring 7.8 on the Richter scale. The response in Ecuador in 2016 was also to an earthquake measuring 7.8 and was the first time SP deployed an Emergency Field Hospital (EFH) where surgery could be performed to help the victims of a disaster. I was blessed to be one of the first responders and helped to put the hospital together.

In the fall of 2016, I received a call from SP to again be deployed as a first responder to help establish an EFH, but this time it was in Iraq in response to the initiative by the coalition forces to destroy ISIS and take Mosul back from them. ISIS had taken over the city and a large part of northwestern Iraq in 2014. They were evil and had murdered an amazing number of innocent people. SP was asked by the World Health Organization to establish an EFH outside of Mosul to take care of the expected injuries to citizens and soldiers of the military effort, and even ISIS soldiers, as needed.

The hospital-containing plane left North Carolina on December 25, 2016, and I left on December 26th.

Because of the nature of the response, we had to undergo security training, which included mine training by the UN, and safety training done by military contractors. We spent a number of days in Erbil, a city in Kurdistan, which is part of Iraq and about a 90 minute drive from Mosul. Because of wet weather, there was a delay in putting the hospital together, as it was to be built on a farm field that basically turned to mud.

The team that was there consisted of a number of specialties, including doctors, nurses, lab personnel, but also support personnel including the people who put the hospital complex together. There were people putting the tents up, running the plumbing and electrical infrastructure, and building what was necessary to get the project running.

There were supply personnel, IT personnel, human resource people and even chaplains. In all, we had somewhere between 150-200 people at the site. We slept at the hospital site and also ate our meals there. Overall, it was fairly comfortable.

The site itself was on an open farm field about eight miles east of Mosul across the road from a town named Bartella that had been destroyed by ISIS.

continued on page 19 18

The Bulletin | November/December 2017

continued from page 18 We had lots of security, as the hospital was surrounded by a moat or trench, piled up dirt, a barbwire fence, and finally a 12-foot high blast wall. We had a private security force, and in the first month, we also had protection by the Iraqi military, so we felt fairly safe. We could hear fighting going on in Mosul, and the ground would shake frequently as bombs went off in the city. There were a few episodes where we could hear machine gun fire pretty close to the EFH. Some of that was from apparent sightings of ISIS nearby, but some of it was from bored Iraqi soldiers with nothing better to do. In fact, one day, a loud explosion was heard from behind the EFH and an anesthesiologist and I climbed on top of one of the bunkers to investigate. We found out it was the Iraqi soldiers exploding some captured ordinance and not an attack on the EFH. In all, I made three trips to the EFH. The first was to help set it up and take care of the injured civilians and soldiers. There were three general surgeons, and I was the only orthopaedic surgeon. We saw a huge number of extremity injuries and I was quite busy with surgery.

The surgeons were pretty busy taking care of abdominal and chest injuries. Unfortunately, we saw a large number of women and children who had been targeted by ISIS with both sniper shootings and mortar attacks. There were a large number of people we were unable to save, and we also had to perform a large number of amputations.

My second trip was at the end of February, and I served as Medical Director, with the responsibility to make sure things ran smoothly from a medical personnel standpoint.

I was responsible for ethical decisions, such as deciding who we could and should help or not, to making sure surgeons and the emergency room doctors got along, and even decisions such as whether

Through SP, I have been on several mission trips including several to Nigeria, one to Kenya, one to the Democratic Republic of the Congo and one to Rwanda. This is in addition to others I have done since 2004.

we would take on victims of chemical warfare attacks. I also helped to arrange transfer of patients to hospitals in Erbil for the more definitive treatment of the injured patients. Our mandate was to treat the initial injury with stabilization and then to transfer them within 48 hours once they were stable.

This was to ensure that we were able to take in newer patients as the need arose, as we were the largest and most equipped center near Mosul.

My third trip to Iraq was in July where I was once again working as an orthopaedic surgeon and not initially as an administrator, although I wound up taking on that responsibility as well in my last 10 days there. ISIS had been driven out of Mosul by this time, so we were not seeing the same number of acute injuries, although there were still some renegade sniper attacks, and some people were injured by booby traps and even suicide bombers. Our mandate had changed to accommodate the type of patients we were seeing. Most of the patients I treated this time had been continued on page 20

continued from page 19 injured previously and needed definitive treatment for their fractures that had not healed or healed malaligned, or patients with chronic open wounds. This was challenging as the equipment we had was limited and not necessarily for the treatment of these types of problems. By this time, there was only one expat orthopaedic surgeon (me) and one expat general surgeon. Some national doctors helped us, and part of our responsibility was to make sure they were able to treat the patients appropriately. The numbers in the EFH had also changed. There were still about 150 people working there, but the number of expats (people not from Iraq) was down to about 30 or so, and mainly consisted of nurses and doctors, with a few administrative types as well.

SP turned over the EFH to the Iraqi government on September 30, 2017. They still have a presence in Iraq in several cities. They continue to distribute food and supplies to the displaced persons camps, as well as, others that have been affected by the scourge known as ISIS. I have been very blessed to be a part of such a wonderful organization that helps people in the name of Jesus regardless of their race, religion or country of origin. Please visit SP’s website Samaritanspurse.org to find more information about what they do and how to get involved.

Honduras Healing Needed for ‘Heart’ and Hand Lawrence C. Whiting MD Santonino (name changed for privacy) lives in the mountains of Honduras near the border with El Salvador above a village we have worked in for years. His family has endured much tragedy. Several years ago, a man came over the mountain from El Salvador and wanted to take Santonino’s 18-year-old daughter. Santonino refused. The man pulled out a gun, killed the girl in front of the family and fled. It has been a long process of healing!

Recently while walking home, a dog bit Santonino on the hand. There were no doctors, pharmacists or clinics nearby. Santonino wrapped an old rag around his hand and hoped it would heal. It didn’t. I arrived a few days after the bite which was now seriously infected. We cleaned the wound as best we could and applied a topical antibiotic and bandage. We injected one gram of ceftriaxone in each hip.

I told Santonino to return the next day for more medicine.

The injections were quite painful because I only had large 20 The Bulletin | November/December 2017

bore needles. I wasn’t sure he would return. He did and thankfully the hand looked great! He had a big smile and kept smiling as I gave him another injection and a bag of antibiotics to swallow for a number of days.

Some may wonder about vaccinations. I have never found tetanus or rabies vaccine in Honduras. Because of the heat and lack of refrigeration where we work, I have never brought them with me into the country.

Santonino’s wife is still angry at God for their daughter’s murder. The family’s emotional wounds need to heal as much as Santonino’s hand. There is no counseling in this remote area. Please keep them in your prayers.

The family’s emotional wounds need to heal as much as Santonino’s hand.

There is no counseling in this remote area. Please keep them in your prayers.

SCMS Volunteers at Soup Kitchen Twice each year, in March to celebrate Doctors’ Day and again in November, SCMS members, their families, friends and office staff volunteer at the East Side Soup Kitchen. Volunteers clean and prepare vegetables for future use in soups and gravies, pack lunches for the afterschool program, and help prepare and serve lunch to 250+ people. The SCMS also donates $600 for the food consumed the days we volunteer. The tradition was started many years ago by Dr. Bill Engelman.

The SCMS would like to thank those pictured who volunteered to serve at the Soup Kitchen this past year (if we’ve missed anyone, please contact the SCMS).

The SCMS would also like to acknowledge and thank SCMS members who staff the clinic at the Soup Kitchen on a regular basis.

(Left) Ben and Keri Benkert (Above clockwise) Ben Benkert with Martha and Dr. Jim Hines; Dr. Zubeda Khan; Sandy and Dr. Larry Kelly with Dr. Lou Constan; and Dr. Caroline Scott, Martha Hines and Ben Benkert.

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The Bulletin | November/December 2017 21

Dr. Ghanem specializes in advanced laparoscopic and robotic general, endocrine and hepatobiliary surgery. He completed a fellowship in endocrine and oncologic surgery at Johns Hopkins University School of Medicine under worldwide distinguished surgeons, Drs. John L. Cameron and Martha Zeiger. Recently, he completed a fellowship in hepatobiliary surgery at the University of Pittsburgh Medical Center, the birthplace of advanced liver surgery. In 2015, Dr. Ghanem was the first surgeon north of Detroit to perform a robot-assisted distal pancreatectomy and splenectomy at St. Mary’s of Michigan.

The da Vinci robotic surgical system can be used for a range of surgeries. In addition to the robotic Whipple, the St. Mary’s of Michigan robotic surgery team currently uses the da Vinci for colorectal, general, gynecological, thoracic and urological robotic procedures.

St. Mary’s of Michigan Performs First Robotic Whipple Procedure New minimally invasive option to treat pancreatic cancer offers a shorter hospital stay and faster recovery Maher Ghanem MD and Samuel Shaheen MD, recently performed the first pancreatoduodenectomy (Whipple procedure) at St. Mary’s of Michigan. Both Drs. Ghanem and Shaheen are board certified surgeons with CMU Health Department of Surgery. Dr. Ghanem is the first surgeon in the state of Michigan to efficiently perform this state-of-theart surgery using the da Vinci robotic surgical system. The procedure was performed in six hours with minimal blood loss.

Only a few hospitals in Michigan have performed a robotic Whipple. The Whipple procedure, used to remove tumors from pancreatic cancer patients, is one of the most extensive operations as it involves removal of the head of the pancreas, the gall bladder, the duodenum (first section of the small intestine), the common bile duct and part of the stomach. The surgeon then reconstructs the digestive tract. A traditional Open Whipple procedure requires a large incision and a longer hospital stay; however, the robotic procedure involves only a few small incisions and a shorter hospital stay.

The robot-assisted approach alleviates some of the complexity by giving the surgeon a magnified 3-D view of the surgical site and by improving dexterity and ability to manipulate instruments safely within the body. With the robotic arms, a surgeon can perform delicate operations through tiny incisions. Robotic surgery offers many advantages including smaller incisions, less post-operative pain, less blood loss, shorter hospital stays, quicker recovery and a faster return to normal daily activities.

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The Bulletin | November/December 2017

St. Mary’s of Michigan Birch Run Welcomes New Primary Care Physician St. Mary’s of Michigan welcomes Tamra Maben MD to the Birch Run office location. Dr. Maben is a primary care physician with over 20 years of experience. She received her medical degree from Michigan State University College of Human Medicine and completed a residency at Henry Ford Hospital. She has special interest in chronic disease management and care for the entire family.

Dr. Maben joins family practice physician, Ruth Licht DO, and nurse practitioners, Chandra Rasmussen FNP-BC and Belinda Bryce FNP-BC, to provide compassionate and comprehensive care.

The St. Mary’s of Michigan Birch Run office is located at 9900 E. Birch Run Road in Birch Run and includes on-site laboratory, x-ray and physical therapy services.

James Van Tiflin Recipient of St. Elizabeth Ann Seton Mission Award The St. Mary’s of Michigan Volunteer Alliance honored James Van Tiflin as the 2017 recipient of the St. Elizabeth Ann Seton Mission Award.

The award was established in 2008 to recognize an individual or group that has dedicated themselves to exemplary service to St. Mary’s of Michigan in support of its healthcare mission over an extended period of time and who lives the core values. continued on page 24

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 lung cancer screening. 1-866-246-4673 The Bulletin | November/December 2017

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continued from page 22 Van Tiflin is the third recipient of this prestigious award that acknowledges St. Elizabeth Ann Seton’s generosity, spirit and legacy of charity work. Van Tiflin’s community service with St. Mary’s of Michigan started in 1995 when he joined the Foundation Board. Since then, he has been an active member and chair of many boards and leadership committees, including Chair of the St. Mary’s of Michigan Board, member of the Ascension Michigan Finance Committee, member of the Ascension Michigan Governance Committee and most recently, Chair of the Ascension Michigan Market Board.

During his more than 30 years of faithful service to St. Mary’s, he brought vision, strategic thinking, financial stewardship and fresh insight to the organization providing leadership during times of transformation.

The award was presented at the 23rd Annual Cornette Ball on Saturday, November 18 at Horizons Conference Center.

New 3D Mammography Now Available at St. Mary’s Towne Centre St. Mary’s of Michigan is proud to offer the latest in breast imaging technology - 3D breast tomosynthesis for breast cancer detection.

The GE Sengraphe Pristina, located at the Towne Centre imaging location, is an advanced type of mammogram that can offer better cancer detection and provides a higher diagnostic accuracy compared to conventional mammography. The new

imaging technique provides clearer images, greater accuracy in early detection, fewer unnecessary biopsies and improved patient comfort. In fact, it was designed with input from women to provide them with comfort, confidence and clarity.

“Digital breast tomosynthesis is an improvement over digital mammography, with higher cancer detection rates which translates into more lives saved,” says Julie Taylor MD, diagnostic radiologist at St. Mary’s of Michigan. “It will also decrease patient recalls for additional images, thereby decreasing patient anxiety while awaiting test results. With the improvements in design of the new next generation GE Healthcare 3-D mammography system, patients are experiencing a more comfortable mammography experience.”

The mammography unit is designed with rounded edges, lighting, and a new, thinner image receptor, on which the breast is placed. A patient can lean comfortably on the armrest which relaxes their pectoral muscle to simplify positioning, compression and improve image quality.

St. Mary’s purchase of the 3D breast tomosynthesis equipment was made possible thanks to generous philanthropic support of St. Mary’s of Michigan Foundation, combined with a $100,000 legacy gift from the family of the late Joseph P. Kelly and a $150,000 gift from the St. Mary’s Volunteer Alliance.

To schedule a patient for a mammogram, call St. Mary’s Scheduling at (989)-907-8222.

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The Bulletin | November/December 2017

Learn About Choosing Wisely® While Earning CME The ABIM Foundation’s Choosing Wisely® campaign brings together national clinician groups to identify specific tests, procedures or medications that are common - but often may not be necessary. As part of the campaign, leading national medical specialty societies develop and release evidencebased lists of tests and treatments that may be overused in their specific field. The goal of the campaign is to promote conversations between clinicians and patients to choose care that is supported by evidence, is not duplicative, has the lowest possible risk for harm and is truly necessary.

Physicians can learn how to utilize and implement Choosing Wisely® to help patients make smart and effective care choices while also earning CME credit at no additional cost.

The Advancing Choosing Wisely® module is one of many interactive 24/7 online practice modules available through the American Medical Association’s STEPS Forward™ initiative.

This module is designed to help physicians incorporate Choosing Wisely® into their practices as follows: • Five STEPS to advancing Choosing Wisely® in your practice • Answers to frequently asked questions about Choosing Wisely® • Tools and resources to help you and your team implement Choosing Wisely®

Physicians play a critical leadership role in promoting and managing the delivery and use of health care resources - and beginning these conversations about appropriate care. However, having these difficult conversations about appropriate tests and treatments with patients can be a struggle. And, it is often difficult to know where to begin.

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AMA Code of Medical Ethics – First of Its Kind In 1847, physicians representing 22 states and the District of Columbia came together to establish America’s first national professional association for physicians, the American Medical Association (AMA).

As one of its first acts, the AMA created the first national codification of ethics for any profession anywhere in the world. As the first of its kind, the 1847 AMA Code was reprinted by medical societies in Berlin, London, Paris, Vienna and around the world.

Throughout the rest of the 19th century, it was the most commonly printed medical document in the English language. Today, the AMA Code remains the only codification of professional conduct for all US physicians regardless of their medical specialty, practice type or location.

Ethics guidance is regularly added or amended in the AMA Code to reflect changes in medical science and societal expectations. As with any “living” document that is authored by different individuals over many decades, the AMA Code became fragmented and unwieldy.

To address these issues, the AMA embarked on a multi-year “modernization” project to comprehensively review and update the AMA Code. After much deliberation and debate, the AMA House of Delegates adopted the modernized AMA Code last June.

“The modernization project ensures that the Code of Medical Ethics will remain a useful and effective resource that physicians can continue to rely on, while remaining faithful to the virtues of fidelity, humanity, loyalty, tenderness, confidentiality and integrity enshrined in the original Code,” AMA Immediate Past President, Steven J. Stack, MD, said.

A commemorative, leather-bound edition of the modernized AMA Code is available.

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The Bulletin | November/December 2017

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2018 Saginaw County Medical Society Physician Directory

Attention all Physicians, Group Practices and Medical Partners

The 2018 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 Monday, January 22, 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 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 early 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.

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The Bulletin | November/December 2017 27

It’s Renewal Time: MSMS dues are 88 percent tax deductible and SCMS dues are 100 percent tax deductible More than 15,000 physicians in all specialties and all practice settings are members of the Michigan State Medical Society (MSMS), and over 500 of those physicians are members of the SCMS. They see the value of banding together to speak with one strong voice for the profession and patients.

Physician leaders and expert staff are on duty every day to watch out for you with private and government payers, legislators and the bureaucracy. MSMS/SCMS works to smooth out problems in reimbursement processes, supports increased access to care and opposes inappropriate scope of practice expansion. Among dozens of other things, MSMS/ SCMS has stopped a proposed three percent physician tax and enacted legislation to make workplaces, including restaurants, smoke-free. MSMS/SCMS made those things happen.

Nation-leading tort reform, MSMS/SCMS made it happen.

You have the choice to become as involved in the organization as you want. You can take on leadership roles, or you can financially support the work of MSMS/SCMS with your dues payment. We need both.

Your predecessors in MSMS/SCMS worked for more than 150 years to build and preserve the profession of medicine, and we all need to help do the same for the next generation. It’s what professionals do.

With all of the tools MSMS/SCMS offers to increase the efficiency of your practice and the 88 percent tax deductibility of your MSMS dues and 100 percent tax deductibility of your SCMS dues, it more than pays for itself to be a member of MSMS/SCMS. RENEW NOW!

Who else has your back?

SAVE THE DATE...

Communities Achieving Excellence and Accountability

Michigan Ranks 35th in Nation for Overall Health Source - Crain’s Detroit Business Michigan slipped one spot from last year to 35th in the nation for overall health in 2017, according to an annual ranking from United Health Foundation. It also fell from a ranking of 31 in drug deaths last year to 35 this year. In addition, poor rankings in smoking, violent crime, public health funding, air pollution and excessive drinking landed the state in the bottom half for health in the nation. READ MORE Friday, January 26, 2018

8:15 a.m. - 12:30 p.m. ET Ott Auditorium - Regional Education Center, Saginaw Valley State University Simulcast at Central Michigan University and Kirtland Community College

Ninth Annual Conference: The Region’s Health and Healthcare Systems:

Checks and Balances for Money Safety at Your Practice Money safety. While there’s no surefire way to prevent a visitor to the office, a vendor, or an employee from stealing from your practice, taking a few simple steps can make theft a lot more difficult, and protect your partners and your staff while you’re at it. Jill Young, CPC, CEDC, CIMC is the founder and President of Young Medical Consulting, LLC in East Lansing, Michigan. She counsels healthcare practices across the state on the coding, billing and reimbursement process from start to finish. Money safety is a critical part of the process. READ MORE (member login required)

Confirmed speakers to date:

Raymond J. Fabius, MD, CPE, FACPE, Co-Founder and President, HealthNEXT Daniel B. Wolfson, MHSA, Executive CP and COO, Alliance of Community Health Plans Click here to view the Save the Date | Click here to view Conference Brochure Additional collaborating and contributing sponsors to be announced.

For more information or to inquire about becoming a contributing sponsor, please call (989) 964-4145.

Achieving population health in an efficient and sustainable manner calls for innovative and transformative actions. It requires outstanding vision to achieve better system performance, improve care coordination and reduce cost simultaneously. This can all be accomplished by building on ideas and models developed and catalyzed by national and regional thought leaders. Conference speakers will provide conceptual framework and case examples that will enable participants to continue examining and enhancing their efforts toward population health outcomes while improving quality and patient care experiences in the region.

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The Bulletin | November/December 2017

APPLICATIONS FOR MEMBERSHIP Below are Applications for Membership that may be recommended for acceptance at the Tuesday, February 20, 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 applicants.

Kai Anderson, MD

Jeffrey S. Milewski, DO

Hassan H. Beiz, MD

Faiz Tuma, MD

(CMU Health-Psychiatry) Primary: Psychiatry, Board Certified 1993 Medical School: Wayne State University School of Medicine, 1986 Sponsors: Doctors Furhut R. Janssen and Sunil D. Parashar

(CMU Health-Internal Medicine) Primary: Internal Medicine, Board Certified Medical School: Ross University, Dominica, 2008 Sponsors: Doctors J. Patricia Dhar and S. Sethu K. Reddy

(Valley ENT Associates) Primary: Ear, Nose and Throat, Board Certified Secondary: Facial Plastic Surgery, Board Certified Medical School: MSU-COM, 2002 Sponsors: Doctors Brian F. Perry and Keith E. Scharf

(CMU Health-Surgery) Primary: Surgery – General, Board Certified Medical School: Saddam University, Saddam College of Medicine, Iraq, 1994 Sponsors: Doctors John Blebea and Timothy R. Hackett

DECEMBER 2017

Victor H.L. Gordon, MD

(Covenant Pulmonary and Critical Care Associates) Primary: Internal Medicine, Board Certified Secondary: Pulmonary and Sleep Medicine, Board Certified Medical School: St. George’s University, Grenada, 2010 Sponsors: Doctors Ibrahim H. Abou Daya and Farhan Ansari

Asim A. Kichloo, MD

“Together Event” “Together Event”

Great Lakes Bay Health Centers invite

Great Lakes Bay Health Centers invite SCMS Members, Residents, Medical Students and SCMS to Members, Residents, and Community healthcare professionals a “Together Event” atMedical the JanesStudents Street Academic healthcare professionals to a “Together Event” at the Health Center, 1522 Janes Street in Saginaw.

(CMU Health-Internal Medicine) Janes Street Academic Community Health Center, Primary: Internal Medicine, Board Certified Thursday, January 25|Thursday, February 22|Thursday, March 22 1522 Janes Street in Saginaw.

Medical School: Acharya Shri Chander Meet and Greet with registration and light refreshments at 5:15 p.m.

Tour from 5:30-6:30 p.m.

College of Medicine, 2009 Thursday, January 25 | Thursday, February 22 Sponsors: Doctors J. Patricia Dhar and Tours include personal stories fromThursday, staff, patients and volunteers who illustrate the mission of March 22 S. Sethu K. Reddy nonprofit community-based Great Lakes Bay Health Centers.

Meet and Greet with registration and refreshments at 5:15 p.m.

TOlight REGISTER FOR ANY OF THE EVENTS: Call Jill Armentrout, GLBHC Fund Development Tour from 5:30-6:30 p.m. Coordinator, at

Menelito D. Lilagan, DO

(989) 751-8866 or email jarmentrout@glbhealth.org.

Tours include personal stories from staff, patients and (Covenant Digestive Care Center) Private group tours are also available other times at the Bayside Health and Dental Center i volunteers who at illustrate the mission of nonprofit Bay City and the David R. Gamez Community Health Center in Downtown Saginaw.

Primary: Internal Medicine, Board Certified community-based Great Lakes Bay Health Centers.

Secondary: Gastroenterology, Board Certified Medical School: Touro University Nevada College of Osteopathic Medicine, Henderson, Nevada Sponsors: Doctors Asad I. Mehboob and Mark S. Pankonin

Touching Lives|Healing People| Building Community Together

TO REGISTER FOR ANY OF THE EVENTS: Call Jill Armentrout, GLBHC Fund Development Coordinator, at (989) 751-8866 or email jarmentrout@glbhealth.org Private group tours are also available at other times at the Bayside Health and Dental Center in Bay City and the David R. Gamez Community Health Center in Downtown Saginaw Touching Lives | Healing People | Building Community Together

The Bulletin | November/December 2017 29

ADVERTISER INDEX When you have a need for a service, please consider our dedicated advertisers first!

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Healthway Compounding Pharmacy Horizons Conference Center/Riverview Brownstones Isabella Bank

12 2 15 13 25 24 30 21

7 Mid-Michigan Surgical Specialists 31 Norton + Kidd Accounting & Consulting, P.C. 30 Peak Performance PC Services 7 Rehmann 11 Shields Chiropractic 26 St. Mary’s of Michigan 23 Wolgast Corporation 14 Lori Krygier Graphic Designer

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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.

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The Bulletin | November/December 2017

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

“Attention to detail since 1980.”

B a ri atri c • Col orec t a l • Crit ica l Ca re •G ene ra l

Kamal Certifies with American Board of Colon & Rectal Surgeons Tareq Kamal, MD, has been certified by the American Board of Colon & Rectal Surgeons and the American Board of Surgery. This certification provides him national recognition as a specialist in the management of diseases of the colon and rectum.

Dr. Kamal is part of the colon and rectal team at MidMichigan Surgical Specialists. Together with Jacquelyn Charbel, DO, FACOS, he offers comprehensive evaluation and treatment for disorders and disease of the colon, rectum and anus. Drs. Kamal and Charbel are extensively trained and certified in robotic and advanced minimally invasive colorectal surgical procedures. They are part of Covenant Cancer Center’s multi-disciplinary team for the treatment of colon and rectal cancer. Both physicians are available for referrals and new patients with any colorectal disease.

MidMichigan Surgical Specialists serves patients throughout the Great Lakes Bay Region, offering surgeons who also offer expertise in general and bariatric surgery. For scheduling or for more information, contact us today!

MidMichigan Surgical Specialists 5415 Cardinal Square Blvd.

Saginaw, MI 48604 (989) 790-4855 www.mmssurgery.com

S e r vi n g the G re at La ke s B ay R e gion

PRSRT STD U.S. POSTAGE PAID Saginaw, MI 48605 PERMIT #228

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

ADDRESS SERVICE REQUESTED

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 for 2018. 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, January 16, 2018 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting (Joint with the Saginaw County Dental Society and Saginaw Valley District Dental Society) with Social at 6:30 p.m. followed by dinner and program at 7 p.m. Program: Head and Neck Trauma – When a Pain in the Neck is Something Else.” Speaker: Jim P. Getzinger MD, Emergency Medicine at Beaumont. See page 5 for more details and to register.

Friday, January 26, 2018 Ott Auditorium at Saginaw Valley State University from 8:15 a.m. to 12:30 p.m. Simulcast at CMU College of Medicine and Kirtland Health Sciences Center in Grayling. See page 28 for details.

Tuesday, February 20, 2018 SCMS Board meets at 5:30 p.m. at CMU College of Medicine, 1632 Stone Street, Saginaw in Room 1016. There is no membership meeting in February.

Saturday, March 17, 2018 14th Annual Health Fair “The Doctor Is In,” at Horizons Conference Center, 9 a.m. to 1 p.m.

Tuesday, March 20, 2018 SCMS Board meets at 5:30 p.m. at CMU College of Medicine, 1632 Stone Street, Saginaw in Room 1016. There is no membership meeting in March.

Tuesday, April 17, 2018 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. Tentative Program: “Second Victim.”

See page 5 for more details.

Thursday, April 19, 2018 CMU College of Medicine, 1632 Stone Street, Saginaw – “Thanks for Staying,” Rotary Scholarships 2018 Fundraising Event sponsored by the Rotary Clubs of Mid-Michigan from 5:30-7:30 p.m.

Ticket information at www.thanksforstaying.org. See page 12 for more details.

Tuesday, May 15, 2018 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Annual Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner at 7 p.m. Program: “Update on the CMU College of Medicine,” by Dean George E. Kikano, MD. See page 5 for more details.

Saturday, June 9, 2018 Saginaw Country Club - 9th Annual SCMS Foundation Golf Outing.

Proceeds are used for low interest medical students loans, research grants and scholarships to medical students, residents and high school students interested in medicine.

Wednesday, April 11, 2018 CMU College of Medicine, 1632 Stone Street, Saginaw - CMU College of Medicine and CMU Health Research Symposium from 12-5 p.m.

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