SCMS BULLETIN - October 2018

The

Bulletin Saginaw County Medical Society

October 2018 | Volume 77 | No 2

15th Annual Jingle Mingle Benefits Barb Smith SR&RN Suicide Programs p. 5

Maintenance of Certification Contact Rep. Vaupel NOW! p. 8-9

www.SaginawCountyMS.com

MSMS Opposes Proposal 1 Recreational Marijuana Ballot Initiative p. 10-11

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• Prostate cancer can be effectively treated if found early. 98% of men diagnosed and treated for it are still alive after 10 years. In fact, more than 2.9 million men who have had prostate cancer at some point are still alive today. ©2018 Covenant HealthCare. All rights reserved. Bus. Dev. (AQ/RF) Rev. 9/18 11267

Covenant Cancer Care Center 5400 Mackinaw, Saginaw This brief screening includes: • Health history • Prostate - Specific Antigen (PSA) blood test • Digital rectal examination Appointments are required. To schedule your appointment call 989.583.6278.

DOOR PRIZES!

The

Bulletin Saginaw County Medical Society

SAGINAW COUNTY MEDICAL SOCIETY 2018-2019 OFFICERS AND DIRECTORS

contents 5

8-9

President-Elect Zubeda S. Khan, MD

10-11

Secretary Caroline G.M. Scott, MD

MSMS Opposes Proposal 1 Recreational Marijuana Ballot Initiative

4

President’s Letter

Treasurer Mohammad Yahya Khan, MD Board of Directors Mildred S. Willy, MD Anthony M. Zacharek, MD

4

Kala K. Ramasamy, MD Tiffany K. Kim, MD Mark G. Greenwell, MD Bulletin Editor Louis L. Constan, MD

6

Retiree Representative Rustico B. Ortiz, MD Resident Representative Mary J. McKuen, MD MSMS Delegates Elvira M. Dawis, MD Zubeda S. Khan, MD Julia M. Walter, MD Virginia R. Dedicatoria, MD Mildred J. Willy, MD Anthony M. Zacharek, MD Jorge M. Plasencia, MD Christopher J. Allen, MD MSMS Alternate Delegates Caroline G.M. Scott, MD Waheed Akbar, MD Mohammad Yahya Khan, MD Danielle C. Duncan, MD Steven J. Vance, MD Amandeep S. Dhaliwal, MD Miriam T. Schteingart, MD Peer Review Ethics Committee Waheed Akbar, MD, Chair Caroline G.M. Scott, MD James R. Hines, MD MSMS District 8 Director Thomas J. Veverka, MD EXECUTIVE DIRECTOR Joan M. Cramer ADMINISTRATIVE ASSISTANT Keri Benkert

15

Walk for Hope & Hope Starts Here

16-17

September Membership Meeting

CMU College of Medicine | CMU Health

27

Medical Mission Articles Needed

27

MiHIA Live Your Life on Purpose

28

Covenant HealthCare

Save the Dates – 2019 Membership Meetings

30

BSSR&RN How Can You Help?

November Birthdays

30

From the Editor

11

14

Barb Smith SR&RN Community Impact Report

26

Free CME for your Membership Renewal by 11/15

Jorge M. Plasencia, MD

Maintenance of Certification Contact Rep. Vaupel NOW!

President Julia M. Walter, MD Past President Virginia R. Dedicatoria, MD

12-13

REGISTER NOW! 15th Annual Jingle Mingle Benefits Barb Smith SR&RN Suicide Programs

18 MSMS 30

MCVI’s Building Bridges – 2nd Cardio-Oncology Meeting Caduceus Meeting for Recovering Health Professionals

20

Applications for Membership

21

Member News

31

Advertiser Index

22

In Memory

32

2018-19 Key Providers

23

Ascension St. Mary’s

32

Calendar of Events

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

ON THE COVER: Drs. Kala Ramasamy, Stephanie Duggan, Waheed Akbar and Cathy Baase 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 | October 2018 3

PRESIDENT’S LETTER

Why Preventative Medicine is Failing

By Julia M. Walter, MD

C

hronic disease, such as obesity, diabetes and heart disease, to name a few, are worsening and affect health care. Some providers have a greater role in preventative medicine than others, but we all play a part. Our goals are to improve symptoms, in part, through effective communication and education. Our knowledge of the disease process has improved vastly over the years. We have pamphlets and videos on just about any disease process, and yet chronic disease appears to be worsening.

The problem is that often our education and health care paradigms do not take into account the individuality of the person. It is a fine line we walk: Do we treat gender, race and income differently? Of course not. Our health care is falling

short, especially when we look at preventative medicine.

The September SCMS Membership Meeting addressed the topic of why preventative medicine is failing.

Dr. Jason Wasserman presented compelling ideas of why this is so. He presented the idea that preventative medicine employs a fundamental misunderstanding of lifestyle by not fully acknowledging the interplay of class circumstances on socialization experiences.

Studies have shown there are disparities when it comes to mortality rates based on the places we live, class, race/ethnicity, profession and gender to name a few. Access to health care has not been shown to necessarily correlate with a decrease in mortality.

Dr. Wasserman presented a paradigm that showed that class circumstances

(age, gender, race and living conditions) lead to life chances and our socialization experience which leads to life choices. This interplay between life chances and life choices lead to a disposition to act (habits such as diet, exercise, tobacco use, alcohol, checkups, use of seat belts, etc.), which leads to health lifestyles.

As physicians, we communicate and educate our patients on topics such as exercise and healthy eating habits based on our knowledge of the disease process appealing to the cognitive mind. Perhaps we should think about how difficult it is to change our own habits as we try to change our patients. We may have better success if we work from within their personal dynamics appealing to behavioral habits in addition to a rational cognitive approach.

Studies have shown there are disparities when it comes to mortality rates based on the places we live, class, race/ethnicity, profession and gender to name a few.

Free CME for Your MSMS Membership Renewal by November 15 As a thank you for your loyalty as a member of the SCMS/MSMS and for paying early, all physicians who pay their 2019 dues by November 15 will receive a coupon for a free CME course at an MSMS educational session.

The strength and effectiveness of MSMS as your professional association is predicated on strong membership. The free CME course is just a small token of appreciation for your continued support of organized medicine.

For questions about membership, please contact Joseph P. Touchstone , Director of Sales at (517) 336-5753.

4

The Bulletin | October 2018

The Saginaw County Medical Society Alliance Presents:

15th Annual “Jingle Mingle”

Purchase Some of the Area’s Most Unique Gifts

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No charge to stop by and shop, but if you plan to stay for lunch, a reservation and payment must be received by November 26. Extra lunches will not be available the day of the event. n Please make a reservation for _____ people at $40 per person (Only RSVP’s will be included in the prize drawings!)

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Please return this form with your check made payable to the SCMS Alliance no later than Monday, November 26, 2018, to: SCMS Alliance • 350 St. Andrews Road • Suite 242 Saginaw, MI 48638-5988 Questions? Contact Keri Benkert at (989) 790-3590 or keri.benkert@sbcglobal.net The Bulletin | October 2018 5

FROM THE EDITOR

Frustration

By Louis L. Constan, MD

Q

uestion: Is there anything more frustrating than going through one of those TSA lines at the airport? Stand here! Take off your shoes!

Empty your pockets! No! Don’t do that!

Stand over here! Spread your legs! Open your bag! No! Put it in THAT bin! Is all of this really necessary? Is patting down an old woman in a wheelchair going to make me safer? Am I allowed to say anything about my frustration to anybody…or will it just make things worse for me? Maybe I should just drive next time.

A

nswer: Nothing is more frustrating, except perhaps getting pre-op labs and procedures. Here is your list of pre-op tests to do. But why do I need them? Because you need to be ‘cleared.’ Because they are ‘routine.’

Because they are “standard orders.’ Is all of this really necessary, or is it just adding to the already exorbitant cost of healthcare? Am I allowed to say anything about my frustration, or will it just make things worse for me? Maybe I should just try that alternative provider next time.

Last month, I discussed some fairly disturbing issues: There is evidence many

of our older patients simply cannot afford their health care; as much as a third of health care costs are wasted; and there is a marvelous initiative by all the specialty societies, CHOOSING WISELY®, which provides common sense guidelines for correcting this problem; but at least some people in the health care industry are not stepping up to their responsibility to pay attention to CHOOSING WISELY® and to reign in these costs; and patients are becoming increasingly frustrated with this state of affairs.

Let’s get specific. CHOOSING WISELY®1 has some very specific recommendations for pre-op chest X-Rays, written by the American College of Radiology, representing doctors knowledgeable about what can and cannot be gleaned from these tests. They say to have a pre-op chest X-Ray if: • You have known heart or lung problems • You have signs or symptoms of heart or lung problems • You are having surgery of the heart, lungs or chest • You are over 70 and haven’t had a chest X-Ray in six months They caution about the real risks of radiation exposure from unnecessary

tests, as well as, the possibility of incidental findings leading to additional unnecessary tests and the real risks of side effects from THOSE tests.

Well, as I mentioned last month, I have been teaching a class at the OLLI2 group at Saginaw Valley State University for the last three years, and I have been hearing from my students that these guidelines are not universally followed.

I am not in a position to corroborate this information but, as a person who has consumed an increasing amount of health care as I have aged, I can say from personal observation that much of health care is driven by ‘routine’ orders, some of which have not been updated to reflect the CHOOSING WISELY® guidelines.

It seems that it would be in the best interests of our patients and our profession to take action on this issue. The first thing would to become familiar with the CHOOSING WISELY® recommendations for our specialty.

That shouldn’t be too hard. Second is to review any and all ‘routine’ order tests that we have set up in our office, in the hospital, or in a surgicenter and continued on page 7

I can say from personal observation that much of health care is driven by ‘routine’ orders, some of which have not been updated to reflect the CHOOSING WISELY® guidelines.

Louis L. Constan, MD

6

The Bulletin | October 2018

NO STATE INCOME TAX continued from page 6

make sure they are compatible with CHOOSING WISELY® guidelines for that condition. That will take longer, but will not need to be done all that often. Finally, and this will be harder, but is nonetheless important, is to review the orders of our consultants. By this I mean that when we make a referral and the consultant’s office asks for certain tests or procedures to be done before the patient is seen, it is incumbent on us, the ordering physician, to make sure that those tests and procedures are compatible with CHOOSING WISELY® and any other appropriate guidelines so as to minimize costs and risks to our patient. That may mean directly interacting with the consultant. It all matters that much.

Next month, more CHOOSING WISELY® guidelines. There are quite a few.

1

Find all of them at Choosingwisely.org

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The Bulletin | October 2018 7

Maintenance of Certification (MOC) House Bills 4134 and 4135

From MSMS:

With the impending retirement of the bills’ sponsor and limited session days left in 2018, time is of the essence.

House Bills 4134 and 4135 protect Michigan patients’ right to health care and physicians’ right to deliver it.

Michigan physician’s number one focus is our patients Michigan patients have a right to high quality health care, and Michigan physicians have a right and a responsibility to deliver that care to our patients.

Unfortunately, Maintenance of Certification (MOC) red tape and insurance company policies too often stand in between physicians and their patients. That’s not just a hassle—that’s dangerous.

State lawmakers introduced House Bills 4134 and 4135, bills to rein in maintenance of certification red tape, to ensure Michigan patients have a right to the highest quality health care, and that physicians have the right to deliver it.

What Can You Do? • Contact State Rep Hank Vaupel (District 47-R), Chair of the Michigan House of Representatives Health Policy Committee, and demand he bring the bills up for a vote this fall at (517)-373-8835 or HankVaupel@house.mi.gov.

• TAKE ACTION on MSMS’ website and contact your lawmakers directly. Simply enter your address to find your legislator. You will be directed to a prewritten letter you can edit or send as is once you enter your name and contact information. Learn more at Right2Care.org.

• Complete the MOC survey • Send any additional feedback to MSMS Director of State and Federal Government Relations, Christin Nohner, at cnohner@msms.org or 517-336-5737.

At the direction of MSMS, the SCMS and other county medical societies have been hosting round table discussions with lawmakers to help them better understand MOC and how House Bills 4134 and 4135 can help address some of the concerns held by the physician community.

Key Areas: MOC does not improve patient care • Currently, no evidence to prove it improves patient care.

• Studies conducted to assess potential variation between the clinical competency of physicians required to participate in MOC and those who are not required to participate in MOC show little or no change in outcomes.1 • Many of the courses required are not applicable in a physician’s practice, and physicians have little discretion over what courses are most appropriate to take given their patient population.

• The content is often outdated.

• Objective study is needed to determine value and efficacy of MOC. • MSMS would support the adoption of an evidence-based process that serves to improve patient care.

MOC is inconsistently applied • The rules for MOC vary wildly. Different specialties require wide ranging requirements that have little correlation to physician or patient needs.

• Many specialties permit a time-unlimited certificate which grandfathers many physicians from these requirements.

• If MOC were crucial, or even advisable, exempting such broad categories of physicians would be indefensible.

MOC may be a contributing factor to physician shortages • It’s a contributing factor for early retirement which may cause access issues in areas that are already facing shortages.

• Retired physicians who may want to work part-time and support the community would still be faced with MOC to continue to practice, a deterrent for many.

MOC is inconsistently conducted • Different specialties require different levels of participation to maintain certification. Some may require closed-book tests that focus on subjects outside of the practice area of a physician, others may embark on rigorous data collection activities from physicians with little alternative but to participate.

MOC is expensive • Internal medicine physicians can expect to spend $23,607 over a 10-year span.

• Physicians that specialize in treating cancer can expect to spend $40,495. 2 JAMA Study 1 and 2 available at http://right2care.org/latestnews

8

The Bulletin | October 2018

continued on page 9

continued from page 8

MOC takes time away from patients • Online modules need to be passed to amass enough points to be considered eligible to sit for the test in addition to quality improvement projects that must be done every five years for eligibility. Independent study is also a necessity for most physicians to pass.

• Amounts to a significant amount of time that physicians spend away from patients and their families with questionable benefits.

• It’s the rigors of MOC on top of everything else a physician has to do, including see patients.

MOC is the byproduct of a coercive monopoly • MOC curriculum is largely dictated by for-profit national bodies with no oversight or accountability.

• The increasing requirements of MOC track a growing effort to impose board certification requirements within insurance companies, accrediting bodies and governmental entities. While many, if not most, physicians see little value in participating in the costly process of MOC - the threat of losing their credential compels them to participate in this costly endeavor that primarily benefits the specialty board. o Specialty boards claim that physicians are already electing to participate in MOC in overwhelming numbers. If that is the case, these same specialty boards should not fear the legislation proposed in Michigan as physicians who see value in MOC will continue to participate. o The ABIM has been the subject of reporting by the same reporter that investigated ENRON, and the results have been pretty illuminating in terms of lavish expenditures, as well as, questionable accounting practices that appear to expose the selfinterest of the specialty boards.3 Annals of Internal Medicine Study: http://right2care.org/latestnews Newsweek: http://right2care.org/latestnews

2 3

Physicians are already required to do CME • Michigan law requires the completion of 150 hours.

• Michigan has some of the strictest CME requirements nationally.

• MSMS supports the CME requirements necessary for licensure.

Legislation Background:

MSMS supports House Bill 4134 and House Bill 4135, introduced by Representative Edward Canfield, DO (R-Sebewaing), which would - as a preemptive measure prohibit the state from requiring Maintenance of Certification (MOC) as a condition for licensure, as well as, prohibit payers from requiring MOC as a condition of receiving reimbursement.

The bills saw a hearing on March 24, 2017, in the Michigan House of Representatives Health Policy Committee but have since stalled due, in part, to opposition from physician specialty groups and more obviously, payers like Blue Cross Blue Shield.

MSMS has worked with the respective specialty groups to assuage concerns and, as a result, no specialty groups are opposed at this time. In light of this development, MSMS has asked the chair of the Michigan House of Representatives Health Policy committee to bring the bills up for a vote in the fall. In the meantime, MSMS is working to align the votes in the committee necessary to move the legislation forward in the fall.

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The Bulletin | October 2018 9

MSMS Opposes Recreational Marijuana Ballot Initiative This November, Michigan voters will be faced with the decision to legalize recreational marijuana in the State. If the ballot measure is approved, Michigan would become the 10th state, along with the District of Columbia, to legalize marijuana, although it remains illegal under federal law. During the 2018 House of Delegates, MSMS membership approved policy that further cements existing policy recognizing marijuana as a public health problem and calls on MSMS to oppose the ballot initiative due to the known, as well as, the unknown adverse health impacts of marijuana, particularly in the adolescent population.

While the ballot measure would only allow adults 21 and older to possess, use and grow marijuana, other states that have legalized recreational marijuana have witnessed an increase in youth marijuana use. Moreover, there is still much we don’t know about the health impacts of marijuana and, consistent with MSMS policy on medical marijuana, our position is that further research on the short and long-term effects (positive and negative) of marijuana is critical before we move forward with any policies to legalize its use.

Additional details of the November ballot proposal include: • Allow adults 21 and older to possess, use and grow certain amounts of marijuana.

• Impose a 10 percent excise tax at the retail level and the six percent sales tax on marijuana sales.

• Split those revenues with 35 percent going to K-12 education, 35 percent to roads, 15 percent to the communities that allow marijuana businesses in their communities and 15 percent to counties where marijuana businesses are located.

• Allow local governments, or electors via ballot proposal, to decide whether to limit or ban marijuana businesses.

• Restrict purchases of marijuana for recreational purposes to 2.5 ounces but allow individuals to keep up to 10 ounces of marijuana in their homes and cultivate up to 12 plants for personal use.

• Require the Michigan Department of Licensing and Regulatory Affairs to regulate and license marijuana businesses, ranging from growers, transporters, testers and dispensaries.

This November, Vote NO on the Ballot Proposal to Legalize Recreational Marijuana in Michigan 10 The Bulletin | October 2018

Seven Reasons Why MSMS Opposes 1) Marijuana has known adverse impacts on adolescents.

• According to the National Institute on Drug Abuse’s Monitoring the Future 2017 Survey, marijuana use increased to 24 percent among adolescents in eighth, tenth and twelfth grades combined, and one in ten twelfth grade students vaped marijuana in the past year.

• Marijuana is now the number one reason kids enter treatment for substance abuse - more than alcohol, cocaine, heroin, meth, ecstasy and other drugs combined.

• In Colorado, where recreational marijuana is legal, youth past month marijuana use for 2014-2015 was 55 percent higher than the national average compared to 39 percent higher in 2011-2012.

• The human brain does not reach maturity (by MRI) until age 25 or so, and it is in adolescence that the brain lays down its neurological platform for a person’s future life.

• We know some of the negative effects on adolescents include: a) Addiction; b) A dampening of motivation to take on life’s challenges; c) A lowered IQ compared with nonusers; d) Psychosis in some children/adolescents; and e) A peculiar hyperemesis syndrome for heavy users

2) Marijuana has addictive properties.

• The National Institute on Drug Abuse reports that one in six teens that use marijuana become addicted to its use.

3) Marijuana is directly linked to impaired driving.

• Drugged-driving fatalities doubled in Washington State following legalization of marijuana, according to the AAA Foundation for Traffic Safety.

• Marijuana-related traffic deaths increased 66 percent in the four-year average (2013-2016) since Colorado legalized recreational marijuana compared to the four-year average (2009-2012) prior to legalization.1

4) Legalized marijuana will lead to higher societal costs.

• In general, increased consumption of marijuana would likely lead to higher public health and financial costs for society.

• ER visits for marijuana use now exceed those for heroin and are continuing to rise - the yearly rate continued on page 11

SAVE THE DATES! Tuesday, January 15, 2019 | Membership Meeting

continued from page 10

of emergency department visits related to marijuana increased 35 percent after the legalization of recreational marijuana in Colorado (2011-2012 versus 2013-2015).2 • The yearly number of marijuana-related hospitalizations increased 72 percent after the legalization of recreational marijuana (2009-2012 versus 2013-2015).3 • Addictive substances, like alcohol and tobacco, already result in much higher social costs than the revenue they generate with the cost to society of alcohol alone estimated to be more than 15 times the revenue gained by their taxation, according to an Obama administration report that summarizes a Center for Disease Control (CDC) study.

5) Legalizing marijuana has led to workplace problems.

• In states where marijuana is legal, employers are reporting more workplace incidents involving marijuana use, as well as, deaths from ingesting edible marijuana products; consideration must be given to the implications for the medical workplace.4

6) The ballot proposal is profit-driven.

• Legalized marijuana is being pushed in Michigan by growers in California and Oregon, and by cartels who have interest in capitalizing on the potential profit from marijuana marketing.

7) Further research on the short- and long-term effects of marijuana is needed.

• While we know marijuana could have several potential longterm side effects5,6, there is still much we don’t know because the federal government has continued to prohibit the study of the short- and long-term effects (positive and negative) of marijuana.

Physicians are on the front-line, addressing the prevention of predictable harmful outcomes of poisoning from substances such as marijuana. That is why the MSMS opposes the 2018 ballot initiative to legalize recreational marijuana in Michigan.

Bad for Health… Bad for Michigan http://www.rmhidta.org http://www.rmhidta.org 3 ibid 4 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410963/ 5 Nugent SM, Morasco BJ, O’Neil ME, et al. The effects of cannabis among adults with chronic pain and an overview of general harms: a systematic review. Ann Intern Med. 2017;167:319-31.

6 Murff HJ. Review: Weak evidence of benefits of cannabis for chronic neuropathic pain; moderate to weak evidence of adverse effects. Ann Intern Med. 2017 Dec 19;167(12):JC62. doi: 10.7326/ACPJC-20171 2

Mark your calendar now for our Tuesday, January 15, 2019, Membership Meeting joint with the Saginaw County Dental Society at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Henry Reyna will present a program on “Surviving Acts of Violence.”

Reyna was a law enforcement officer in Saginaw County for 32 years until his retirement in 2015. Additionally, he was also an instructor at the police academy for over 20 years, teaching recruits and in-service officers in the areas of defensive tactics, edge weapon defense, hand guns and the use of rifles. Henry owns a security consulting business, and has been providing his services to several local prominent businesses. He is a certified Crime Prevention Specialist, and has participated in multiple advanced crime prevention training programs around the country.

Tuesday, April 16, 2019 | Membership Meeting Mark your calendar now for our Tuesday, April 16, 2019, Membership Meeting at Horizons Conference Center. The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m.

Topic: “TED Talks* - The Human Challenge of Healthcare” Speakers: To be determined (see below) *So what is a TED Talk? A TED Talk is about ideas. It is about real people making connections with other real people. These talks are concise, every word counts, lasting from 5-18 minutes.

Generally these talks are delivered without notes, from memory, conveying passion and possibilities.

A speaker need not be an educated professional. They can be illiterate. Their experience is what matters. The audience plays a role in that they need to encourage if they feel the speaker is nervous. As a speaker, be real and kind. This is an opportunity to promote great ideas by working together to open each other’s eyes.

The theme of the evening will be The Human Challenge of Healthcare. So bring excitement, energy and focus on your idea and its application to the lives of others.

To join the list of guest TED Talkers to be considered for the meeting, please contact Joan Cramer at jmcramer@ sbcglobal.net with a brief synopsis of your proposed TED Talk.

All ideas will be submitted to the SCMS Board for review and consideration to present at the April Membership Meeting.

Tuesday, May 21, 2019 | Membership Meeting Mark your calendar now for our Tuesday, May 19, 2019, Annual Membership Meeting at Horizons Conference Center.

The social with cash bar starts at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Featured will be an update on CMU College of Medicine.

Community impaCt RepoRt

Barb Smith founded this grassroots organization (formerly Survivors of Suicide) and has grown it into a highly valued community resource – the only one of its kind in the area:

• Raising awareness of the prevalence of suicide • Preventing suicides by educating and training students, teachers, law enforcement, health professionals, community members, faith community and more • Providing a free 24/7 call line to support those who need help and for those who have lost a loved one by suicide

heRe’s a Look at the impaCt of suiCide and suiCide pRevention in ouR aRea.

$1.5 billion

miChigan’s Cost foR mediCaL and woRk Loss fRom suiCide

1,410

Lives Lost to suiCide – twice as many as in miChigan homicide and car fatalities eaCh yeaR Source cite: www.afsp.org

On average, one

peRson dies By suiCide eveRy 6 houRs in ouR state , making it the 10th leading cause of death in Michigan (2nd leading cause of death for ages 15-34)

Source cite: www.afsp.org

2,074

PeoPle called 9-1-1 rePorting or thReatening suiCide in saginaw, Bay and midLand Counties Last yeaR. More than 50 died by suicide. Likely 80% of them told or showed someone beforehand. Whether that ‘someone’ is a friend, family member, or a family physician, everyone should know how to recognize the signs and connect people to the right resources for full suicide intervention Source cite: Saginaw/Bay/Midland County Dispatch

Source cite: www.afsp.org

95%

the numBeR of suiCides that Can Be pRevented By the types of eduCation pRovided By BaRB smith suiCide ResouRCe & Response netwoRk Source cite: www.who.int

$100,000

Total of thRee sepaRate gRants awaRded to the barb Smith Suicide Resource & Response Network in 2018 to train teachers, students, health professionals, and first responders to recognize those at risk of suicide and refer them to the right life-saving resources

5,300

6,000

students from area schools interact annually with Barb Smith, learning how to reduce

peopLe tRained Last yeaR by the Barb

suicide through yeLLow

RiBBon and safetaLk pResentations

Smith Suicide Resource & Response Network team

FAlSE.

tRue oR faLse? Talking about suicide is counterproductive, putting thoughts of suicides into the heads of those most vulnerable.

325

CompLeteLy faLse!

If someone is thinking of suicide, there’s often a sense of relief when invited to get it out in the open. The Barb Smith Suicide Resource & Response Network team

trains people of all ages how to talk to others about suicide, using evidence-based programs.

Asking doesn’t plant a seed but instead conveys caring and concern.

peopLe in CRisis oR seeking heLp foR a Loved one in CRisis through the LoCaL ResouRCe Line (989) 781-5260

1,100

paRtiCipants in the waLk foR HoPe, a 5K walK/ Run hosted by the Barb

Smith Suicide Resource & Response Network to increase awareness and raise funds for depression and suicide prevention

moRe than

28,000

suppoRt gRoup paRtiCipants touched by the network’s monthly support group meetings, a service that has been on-going in the community for 28 years.

1

the Life you Can save

by learning more about suicide prevention and intervention or supporting the cause through a financial contribution.

Contact the Barb Smith Suicide Resource & Response Network to learn how you can support this vital community service dedicated to reducing suicides by increasing awareness, education & training, and aftercare services.

local resource line (989) 781-5260 National crisis line (800) 273-TALK

www.suicideresourceandresponse.net barb.smith@suicideresourceandresponse.net

Walk For Hope On Saturday, August 12, the Barb Smith Suicide Resource & Response Network held its 2018 Walk for Hope at Northwood University. Over 1,400 people participated, raising over $68,000 to work toward achieving Zero Suicide locally and statewide!

Joan Cramer was honored to be a presenter at the Walk for Hope opening ceremony. She spoke about SCMS efforts to mandate suicide awareness training for health care professionals that became nationwide AMA policy in June, as well as, programs the SCMS is hosting to increase suicide awareness and education.

Sophia Manlapit, daughter of Drs. Albert Manlapit and Iris Marteja, and LauraBeth Eugenio, and sister of Michael, along with Joan, remembering her son’s best friend, Ben, were part of the closing ceremony. They released doves in honor of Mike, Ben and all those whose lives were lost to suicide, and as a sign of hope for those left behind.

CLICK HERE to enjoy a short video of the Walk for Hope.

Top: Part of the group of more than 100 walkers who honored Ben Middle (from left): Chris and Joan Cramer with Ben’s parents, Denise and Tom Drs. Iris Marteja and Albert Manlapit Bottom: Release of doves

Hope Starts Here National Survivors of Suicide Day

HOPE

A day for family and friends left behind after a loss to suicide The Saturday before Thanksgiving is recognized as “National Survivors of Suicide Day” to support loved ones left behind after a loss to suicide. On Saturday, November 17, the Barb Smith Suicide Resource & Response Network will host survivors at the Bavarian Inn Lodge & Conference Center in Frankenmuth from 9 a.m. to 2:30 p.m.

The guest speaker is Frank R. Campbell, Ph.D., LCSW, CT. It was due to his more than twenty years of working with those bereaved by suicide that he introduced his Active Postvention Model (APM) most commonly known as the LOSS Team (Local Outreach to Suicide Survivors). His work with survivors and victims of trauma has been featured in three Discovery channel documentaries. Dr. Campbell will talk about surviving a suicide loss and empower the bereaved, breaking through the stigma survivors of suicide may often encounter from family members and non-kin alike, and bring attention to the conflicting 14

The Bulletin | October 2018

thoughts survivors might experience about the persons they lost to suicide.

In addition to Dr. Campbell, the event will feature local vendors and resource tables, an opportunity for survivors of suicide loss to share their grief journey and some experiences that were helpful and others not so helpful, lunch and remembrance activities.

To make a donation to help offset the costs of the day, please make checks payable to Barb Smith SRRN and mail to P.O. Box 6712, Saginaw, MI 48608-6712 or contact Barb at (989) 781-5260 or sosbarb@gmail.com to donate by credit card.

START S HERE

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Michael T. Bergeon MD

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Neil W. Love MD Asad I. Mehboob DO Kirstan K. Meldrum MD Mary E. Mullins MD Bernard D. Noveloso MD Loretta R. O’Donnell MD Christopher J. Osterbauer DO Niharika Perni MD Jorge M. Plasencia MD Tracie I. Potis MD Christopher L. Price MD J. Eugene Rank MD Happy Special Birthday!

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The Bulletin | October 2018 15

The regular Membership Meeting of the Saginaw County Medical Society was held on Tuesday, September 18, 2018, at Horizons Conference Center in Saginaw.

The meeting was the 19th Annual Joint Meeting with the Saginaw Valley Osteopathic Society (SVOS). Julia M. Walter MD, SCMS President, called the meeting to order at 7:12 p.m.

See page 11 and save the dates for future membership meetings.

Dr. Walter welcomed Dr. Robert L. Borenitsch, SVOS President and members; our speaker, Jason A. Wasserman PhD; and St. Mary’s of Michigan | Ascension physicians, leaders and support staff including reactivated SCMS member, Dr. Stephanie J. Duggan, Dr. Ken Berkovitz, Cheryl Gueldenzopf, Dr. Clark Headrick, Alan Storm, Dr. Eric Bialaski and Dr. Syed Habib. Dr. Walter encouraged Drs. Bialaski and Habib to join the SCMS. She also thanked Christine Bittner of the SVOS for helping with registration.

Dr. Walter thanked Key Providers in attendance for their ongoing support of SCMS programs: Bieri Hearing Specialists, Covenant VNA and HealthSource Saginaw.

A new member approved at the Board Meeting prior to the Membership Meeting was announced: • Wendy S. Biggs MD - CMU College of Medicine-Director, Comprehensive Community Clerkship, Family Medicine.

New members and members attending their first meeting were introduced: • Andrew S. Goodrich DO - CMU Emergency Medicine Resident; • Furhut R. Janssen DO – CMU Health Psychiatry, Residency Program Director; • Tiffany K. Kim MD – CMU Health/Great Lakes Bay Health Centers, Ob/Gyn and SCMS Board Member; and • Menelito D. Lilagan DO – Covenant Digestive Care Center, Gastroenterology.

September Mem

(from left) Drs. Tony deBari and George Galsterer Drs. L. Madala, B. Maganti, R. Gudipati and A. Bhandiwad Full House!

Dr. Walter welcomed Dr. Borenitsch to the podium to conduct business of the SVOS. In addition to several announcements, Dr. Borenitsch mentioned Karla D. Witzke DO would take over as SVOS President in January 2019.

Dr. Walter then conducted the following business of the SCMS: • The Minutes of the May 15, 2018, Membership Meeting were attached to the Agenda and published in the May issue of The Bulletin. MOTION: Approve the May 15, 2018, Membership Meeting Minutes as printed. MOTION APPROVED. • Members were advised of upcoming meetings/events, how to register and to save the dates: 1) Maintenance of Certification (MOC) Round Table – Monday, October 1, 2018 2) Opioid Crisis and Pain Management Forum – Saturday, October 6, 2018 3) Suicide Assessment Training – Monday, October 15, 2018 4) SCMS Membership Meeting at HealthSource Saginaw – Tuesday, October 16, 2018 5) safeTALK Suicide Alertness Training – Saturday, November 10, 2018 6) SCMS Membership Meeting – Tuesday, January 15, 2019 – “Surviving Acts of Violence” 7) SCMS Membership Meeting – Tuesday, April 19, 2019 – TED Talks on “The Human Challenge of Healthcare” 8) SCMS Annual Membership Meeting – Tuesday, May 21, 2019 – Update on CMU College of Medicine

• Volunteers are needed to serve at the East Side Soup Kitchen on Wednesday, November 7, 2018.

Program Dr. Walter introduced Jason A. Wasserman PhD, Associate Professor of Biomedical Sciences at Oakland University William Beaumont School of Medicine. Dr. Wasserman’s program, “Why Preventative Medicine is Failing: The Ethical and Humanistic Dimensions of Social Determinants of Health,” is CME accredited, and satisfies LARA’s Ethics requirement for licensure.

Dr. Wasserman’s presentation was followed by an informational Q&A. The next meeting will be held on Tuesday, October 16, 2018, at HealthSource Saginaw. The program will be a Candidates’ Forum for the November election.

The meeting was adjourned at 8:34 p.m.

Respectfully submitted, Joan M. Cramer Executive Director

mbership Meeting

(from left) Registration Dr. Jason Wasserman

Free CME for Your MSMS Membership Renewal by November 15 As a thank you for your loyalty as a member of the SCMS/ MSMS and for paying early, all physicians who pay their 2019 dues by November 15 will receive a coupon for a free CME course at an MSMS educational session.

The strength and effectiveness of MSMS as your professional association is predicated on strong membership. The free CME course is just a small token of appreciation for your continued support of organized medicine.

For questions about membership, please contact Joseph P. Touchstone, Director of Sales at (517) 336-5753 or JTouchstone@msms.org.

MSMS Comments on Medicare Payment Proposals MSMS made its views known to the Centers for Medicare & Medicaid Services (CMS) regarding the proposed 2019 Medicare physician fee schedule and quality payment program (QPP) rule in two letters to CMS Administrator Seema Verma.

Joining the AMA and 168 other organizations, MSMS signed on to a joint letter to CMS opposing CMS’ proposals to collapse payment rates for eight E/M office visit services into two.

“We oppose the implementation of this proposal because it could hurt physicians and other health care professionals in specialties that treat the sickest patients, as well as, those who provide comprehensive primary care, ultimately jeopardizing patients’ access to care,” the letter states.

The joint letter also indicated support for CMS’ “Patients Over Paperwork” initiative, and urging three of its components to be enacted immediately to reduce “note bloat” redundancy.

Specifically, MSMS and the other organizations called for immediate adoption of the following proposals: • Changing required documentation of patient’s history to focus only on the interval since the previous visit.

• Eliminating requirement for physicians to re-document information that has already been documented in the patient’s record by practice staff or by the patient.

• Removing need to justify providing a home visit instead of an office visit. continued on page 19

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In a separate letter, MSMS further stressed its opposition to the proposed E/M changes and support for the recommendations in the health care stakeholder’s joint letter including the suggestion to allow the AMA’s workgroup to further analyze the issue and develop actionable recommendations for submission to CMS for consideration.

Additionally, MSMS noted its opposition to proposals to reduce payments for multiple services delivered in the same day, and mandatory use of 2015 Edition of Certified Electronic Health Record Technology under the Merit-Based Incentive Payment System (MIPS).

Finally, MSMS acknowledged proposals worthy of support such as removing the prohibition on same-day E/M visits billed by physicians in the same group or medical specialty, and adding the number of covered professional services as a third contributing element to the MIPS low-volume threshold determination.

A Quick Guide to Michigan’s No-Fault Law CPAN For years, auto accident survivors, their families, medical providers and hospital discharge planners have been asking for an easy to understand explanation of the Michigan Auto NoFault Law. With the assistance of CPAN Legal Counsel, George Sinas, and Associate Counsel, Tom and Steve Sinas, CPAN is

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The Physicians Foundation’s Sixth Biennial Survey Identifies Burnout and Social Determinants as Top Issues The Physicians Foundation, a nonprofit organization that seeks to advance the work of practicing physicians, recently released the findings of its 2018 survey of U.S. physicians. The new survey includes responses from almost 9,000 physicians across the country and underscores the overall impact of numerous factors driving physicians to reassess their careers.

READ MORE

MSMS Position on Federal Support for Vaccination Efforts In accordance with action requested under Resolution 33-18, which was approved by the MSMS House of Delegates in April, and in light of pending action by congress, MSMS is issuing the following statement of support for the 317 program: We know that vaccination of children prevents millions of illnesses, averts hundreds of thousands of deaths and saves over a trillion dollars in societal costs. MSMS continues to work in close partnership with the Michigan Department of Health and Human Services and health care stakeholders to improve vaccination rates around the state. READ MORE

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APPLICATIONS FOR MEMBERSHIP Please contact Joan Cramer at jmcramer@sbcglobal.net or 790-3590 if you have any questions or would like more information on the applicants.

FIRST READING Below are Applications for Membership that may be recommended for acceptance at the Tuesday, November 20, 2018, Board Meeting.

Nicholas E. Haddad, MD (CMU Health – Internal Medicine) Specialty: Internal Medicine (Board Certified 2000) and Infectious Diseases (Board Certified 2002) Medical School: American University of Beirut, Beirut, Lebanon, 1996 Internship/Residency: Indiana University School of Medicine, Indianapolis, IN, Internal Medicine, 6/97-6/00 Fellowship: Washington University School of Medicine, St. Louis, MO, Infectious Diseases, 7/00-6/02 Other Practice: Aleda E. Lutz VA Medical Center, Saginaw, MI, 12/02 to present Sponsors: Doctors Sudha Nallani and Sajeeda Nusrat Wynee S. Lou, DO (CMU Health – Primary Care) Specialty: Internal Medicine (Board Certified 2016) and Sports Medicine (Board Certified 2017) Medical School: West Virginia School of Osteopathic Medicine, Lewisburg, WV, 2013 Internship/Residency: Texas Tech University Health Sciences Center, Lubbock, TX, Internal Medicine, 2013-16 Fellowship: Texas Tech University Health Sciences Center, Sports Medicine, 2016-17 Prior Practice: EP Premier Medical Group, Attending Physician, Lubbock, TX, 8/17 to 7/18 Sponsors: Doctors Juliette M. Perzhinsky and S. Sethu K. Reddy

Venkat Maganti, MD (Ascension St. Mary’s Heritage Family Physicians) Specialty: Family Medicine (Board Certified 2016) Medical School: St. Matthew’s University School of Medicine, Grand Cayman, Cayman Islands, 2012 Internship/Residency: Doctors’ Hospital of Michigan, Pontiac, Family Medicine, 7/13-6/16 Sponsors: Doctors Bapineedu Maganti and Raghu Sarvepalli Michael W. Warren, MD (Advanced Diagnostic Imaging, PC) Specialty: Radiology – Diagnostic (Board Certified 2018) and Radiology – Vascular and Interventional Medical School: Wayne State University School of Medicine, 2012 Internship: Detroit Medical Center/Wayne State University, General Surgery, 2012-13 Residency: St. John Providence Hospital and Medical Centers, MSU, Southfield, MI, Diagnostic Radiology, 2013-17 Fellowship: William Beaumont Hospital, Royal Oak, MI, Vascular and Interventional Radiology 2017-18 Military: Michigan Army National Guard, 2003-15 Sponsors: Doctors Scott E. Cheney and Kristin M. Nelsen SECOND READING Below is an Application for Membership that may be recommended for acceptance at the Tuesday, October 16, 2018, Board Meeting.

Peter C. Morden, MD (Advanced Diagnostic Imaging, PC) Specialty: Radiology – Diagnostic (Board Certified 2018) and Neuroradiology Medical School: Wayne State University School of Medicine, 2010 Internship/Residency: Beaumont Hospital, Royal Oak, MI, 2010-17 Fellowship: Henry Ford Hospital, Neuroradiology, 2017-18 Sponsors: Doctors Jamal U. Akbar and Gerard P. Farrar

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MEMBER NEWS Walker N. Foland, DO Named MCEP Emergency Physician of the Year Dr. Walker Foland, an Emergency Physician at Covenant HealthCare, received the Emergency Physician of the Year Award from the Michigan College of Emergency Physicians (MCEP) at their Summer Assembly on August 1 held on Mackinaw Island.

The purpose of this award is to recognize clinicians of unusual merit, to espouse and encourage members to pursue the ideals of emergency medicine and to convey these same ideals to the public through the news media. To be eligible for this award, the recipient must be a current member of MCEP, an outstanding emergency physician role model, maintain high professional standards and clinical orientation, provide quality health care and be active in community service and education.

Dr. Foland received his medical degree from Michigan State University College of Osteopathic Medicine, and completed his Emergency Medicine residency at Genesys Regional Medical Center. He is also a member of SWAT and Tactical Emergency Medical Support (TEMS). Congratulations, Dr. Foland!

Furhut R. Janssen, DO Elected Chair of AOBNP Dr. Furhut Janssen, Psychiatry Residency Program Director at CMU College of Medicine, was recently elected as the chair of the American Osteopathic Board of Neurology and Psychiatry (AOBNP).

Dr. Janssen received her medical degree from the Michigan State University College of Osteopathic Medicine. She completed a residency in Emergency Medicine at Genesys Regional Medical Center, and in Psychiatry at Michigan State University where she also completed a fellowship in Child and Adolescent Psychology.

Dr. Janssen serves nationally in setting and maintaining high standards for board certification as the child psychiatry representative to the American Board of Osteopathic Neurology and Psychiatry, as well as, to the Bureau of Osteopathic Specialists. Congratulations, Dr. Janssen!

S. Sethu K. Reddy, MD, Elected Secretary of the AACE Dr. Sethu Reddy, Professor and Chair of Medicine at CMU College of Medicine, was recently elected Secretary of the American Association of Clinical Endocrinologists (AACE) at its 27th Annual Scientific & Clinical Congress in Boston.

“With many future challenges on the horizon, AACE will no doubt require innovative thinking and focused energy. The medical profession is undergoing a rapid transformation and we, in endocrinology, must keep pace and adapt in order to not only survive but thrive,” said Dr. Reddy.

As secretary, Dr. Reddy will serve on the Association’s Executive Committee and Board of Directors. He will also serve on committees and task forces as appointed by the AACE President.

Dr. Reddy earned his medical degree at the Memorial University of Newfoundland, Canada, and completed a Fellowship in Endocrinology and Metabolism at the University of Toronto. His research fellowship in cellular and molecular physiology was conducted at Harvard Medical School/Joslin Diabetes Center in Boston. Congratulations, Dr. Reddy!

Juliette M. Perzhinsky, MD MSc Receives One of Three Picker Gold GME Challenge Grants Earlier this year, the Arnold P. Gold Foundation and the Gold Foundation for Humanistic Healthcare, Canada announced their Picker Gold Graduate Medical Education Challenge Grants, three exceptional projects designed to elevate patient-centered care in residency programs and support system-level shifts toward humanistic practices.

Dr. Juliette Perzhinsky of CMU College of Medicine, was awarded one of the grants to pilot a curriculum to facilitate communication between patient and provider around mental continued on page 22

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The Bulletin | October 2018 21

continued from page 21

health and chronic pain management in conjunction with an assessment of patient outcomes in her two-part study, “An Interprofessional Educational Curriculum for Optimizing Mental Health in Chronic Pain Treatment.” Congratulations, Dr. Perzhinsky!

Catherine M. Baase, MD Named Recipient of the Jerry Noyce Executive Health Champion Award Earlier this year, Dr. Cathy Baase received the Jerry Noyce Executive Health Champion Award. The award recognizes a senior leader who has made outstanding contributions to the advancement of employee health and well-being within their company, while acknowledging the significant role leadership plays in establishing and maintaining a culture of health in the workplace. It is one of four Health Enhancement Research Organization (HERO) Workplace Health and Well-Being Awards given annually at the HERO Forum to honor dedication and commitment to the well-being industry, and acknowledge the outstanding achievements of the leaders in the field.

“Cathy is a respected voice in the industry and a powerful advocate for improving health and well-being in the workplace, as demonstrated by her leadership at Dow. Under her guidance, Dow’s employee well-being programs were recognized repeatedly for their innovation and outcomes,” said

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The Bulletin | October 2018

Lindsay E. Murphy, M3, Elected Vice Chair to AMA Medical Student Section Lindsay Murphy has been elected to serve as the Vice Chair on the Region 5 Governing Council of the AMA Medical Student Section (MSS) for the 2018-19 school year. This elected leadership position is an honor within the AMA, and we would like to congratulate Lindsay on her accomplishments. Lindsay is an active student member in the SCMS/MSMS, and provided testimony at this year’s House of Delegates on various resolutions.

As a leader in Region 5, Lindsay is a key source of information on activities, programs and positions of the MSS. Region Governing Council members also work closely with the national MSS Governing Council and the MSS Standing Committees. The responsibilities for a role on a Region Governing Council are as follows: • Engage members to increase their involvement from a local level to a national level, including encouraging involvement in the AMA fostering relationships between seasoned and new students; • Facilitate the resolution writing process and provide mentorship and feedback to medical students across the nation; • Ensure that sections are represented at each national meeting; • Serve as a point of contact between the national MSS leadership and the local sections; and • Coordinate region meetings with targeted programming and guest speakers relevant to the members in their region.

Congratulations, Lindsay!

Contact us for a complimentary visit at 989-791-1040.

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Paul Terry, president and CEO of HERO. “Her efforts drove the Dow health strategy forward for years, and her work as chair of the board of directors for the Michigan Health Improvement Alliance, and as an author, has been vital to advancing the thought and action behind effective workplace well-being business case, strategies and practices.”

At Dow, Dr. Baase was responsible for leadership and management of occupational health, epidemiology, and health promotion programs and staff around the world.

She has also made significant contributions to thought leadership and research related to health strategy, prevention, occupational health and public health. Congratulations, Dr. Baase!

“Attention to detail since 1980.”

Please contact Joan Cramer at jmcramer@sbcglobal.net with newsworthy information on SCMS physician members or families.

Publication is subject to available space and the discretion of the Editor. Advertisements for physician practices, procedures, etc., will not be considered for publication as Member News. Display ads may be purchased for those purposes.

IN MEMORY Walter C. Averill III MD of Homosassa, Florida, formerly of Saginaw, died on Monday, September 10, 2018, at the age of 84. Dr. Averill was born on February 8, 1934, son of the late Walter Averill Jr. and Dorothy Schmid Averill.

Dr. Averill is survived by his wife, Jean, and brother, Carleton (Cap). He enjoyed four loving daughters, eight grandchildren and one great grandson with their mother and grandmother who preceded him in death, Ruth Evelyn Schultz Averill: Kaarin Averill (Ed Bretzlaff ), Ryan McColl (Ashley) and Mark McColl; Kathleen Dwan (Jeffrey Dwan DDS MS), Bradley Dwan MD, Nicholas Dwan DDS and Kristen Giladi (Aviram); Jennifer Roberts (Lee), Katherine VanBebber, Sara VanBebber and Rebecca VanBebber; Jill Franklin (John); and William McColl. He is also survived by two stepdaughters and five step grandchildren: Shay Edinger (Stephen), Salem Edinger and Joe Edinger; and Kristen Nyilas (Gary Langton), Kaden Nyilas, Sunny Nyilas and Grace Langton.

Walt was a graduate of the University of Michigan and earned his medical degree at Wayne State University. He practiced medicine in Saginaw as a Family Physician, and held elected offices on the Saginaw City Council, Saginaw School Board and Saginaw County Commission.

In retirement, he was president of Cypress Village, Florida.

Walt could repair any kind of machine and enjoyed helping others who often sought his advice. He enjoyed fly fishing, partridge hunting, working on cars (including vintage autos), woodworking and designing and building his own home. He was known for fearlessly speaking his mind.

According to his wishes, cremation has taken place. A private celebration will be planned by the family. Those planning an expression of sympathy may wish to consider memorials to the Saginaw County Medical Society Foundation or charity of their choice.

Donato M. Cabrera MD, loving father and grandfather, passed away on Thursday, September 20, 2018, in San Francisco, California at the age of 84. The son of the late Donato Cabrera Sr. and Angeles Martin Cabrera, Donato was born on February 28, 1934, in Baliwag, Philippines.

Dr. Cabrera earned his medical degree from Faculty of Medicine and Surgery University of Santo Tomas, Manila, in 1958. After moving to the United States and completing residencies in Chicago and Detroit, Dr. Cabrera established a successful medical practice as a general surgeon. He enjoyed tennis, literature, films and spending time with his grandchildren.

He married Nancy J. Cabrera on October 31, 1980. She predeceased him on June 21, 2015. Surviving are one daughter and four sons: Cheryl (Mike) Mitri, Alan (Izumi) Cabrera, Donald Jeffrey (Gina) Cabrera, Steven (Russell) Cabrera and Brian Cabrera; six grandchildren, Brendan Mitri, Joshua Mitri, Eric Mitri, Megan Cabrera, Yoko Cabrera and Nobu Cabrera; and one great granddaughter, Chloe Cabrera. He is also survived by two step-daughters: Missy (Chris) WaitFila and Tracy (Andy) Concannon; five step-grandchildren, Alicia (Michael) Bradley, Jonathan (Amanda) Doerr, Haley Fila, Will Concannon and Ethan Concannon; four step-great grandchildren, Lincoln Bradley, Reese Bradley, Alice Doerr and Pierce Doerr; and six siblings, Lolit Navoa, Teddy Cabrera, Paquito Cabrera, Zeny Gotera, Rey Cabrera, and Tess Minev, along with several nieces and nephews. He was preceded in death by a sister, Celia Macasaet.

Services were held in Daly City, California on Sunday, September 30, 2018, at Duggan’s Serra Mortuary, 500 Westlake Avenue, Daly City, CA 94014.

Those planning an expression of sympathy may wish to consider memorials to the Saginaw County Medical Society Foundation or charity of their choice.

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989-272-8123 IT Specialist to the SCMS and many physician practices Hours: MON-FRI 9 AM to 5 PM The Bulletin | October 2018 23

Raghu Sarvepalli MD to be Honored at St. Mary’s of Michigan Foundation Cornette Ball

St. Mary’s of Michigan Foundation is proud to announce Raghu Sarvepalli MD as this year’s Spirit of St. Vincent Award honoree. Dr. Sarvepalli will be honored during the 24th Annual Cornette Ball on Saturday, November 10 at Horizons Conference Center in Saginaw.

With inspiration from Mother Teresa and Mahatma Gandhi, Dr. Sarvepalli has made his life mission to serve all patients, including the poor and vulnerable. His passion for charity started as a young medical student, making and selling candles to raise funds to support the sick children of India. Through years of hard work, dedication and longtime support of friends and colleagues, Dr. Sarvepalli established charities to help India’s blind and handicapped children grow and live successfully. HEAL, Health and Education for All, is one of Dr. Sarvepalli’s most cherished and beloved charities. His charity is thriving today by educating, providing housing, food, clothing and healthcare to orphaned and handicapped children of India, due to the support of many.

“I have three passions: Healthcare, charitable work and St. Mary’s of Michigan,” shared Dr. Sarvepalli. “The mission to serve the poor and vulnerable is what attracted Bhrama and me to St. Mary’s of Michigan and Saginaw in 1997.”

Since 1999, Dr. Raghu has served in various hospital executive leadership roles including Vice President of Medical Affairs and Chief Medical Officer, as well as, founding Medical Director of St. Mary’s Physician Hospital Organization. He has led the development, implementation and management of many quality, service and strategic initiatives for the regional health system and formed hundreds of relationships with physicians and providers across the Mid-Michigan region.

Dr. Sarvepalli returned to full-time family medicine practice in April 2018. He, along with his wife, Bhrama Sarvepalli MD, joined Heritage Family Physicians more than 20 years ago.

The festive evening includes a cocktail hour, magnificent gourmet meal, live music by Detroit’s Intrigue, extravagant silent auction and the Spirit of St. Vincent Award presentation.

Proceeds from the Cornette Ball support the purchase of monitoring systems for St. Mary’s of Michigan Neurodiagnostics Program.

Tickets and sponsorships available. For additional details, call the Foundation office at 989-907-8875.

St. Mary’s Offers 3D Mammography

St. Mary’s of Michigan offers the latest in breast imaging technology - 3D breast tomosynthesis for breast cancer detection. Also known as 3D mammography, this technology has the potential to improve cancer detection and reduce falsepositive findings.

Breast tomosynthesis generates a 3D image of the breast and gives physicians a clearer look through the overlapping structures of breast tissue. This more comprehensive view increases the ability to detect and diagnose small abnormalities or suspicions that could be early cancers. 3D breast

24

The Bulletin | October 2018

tomosynthesis can help radiologists rule out abnormalities that may have looked suspicious in a 2D mammogram, reducing the need for additional imaging or biopsies.

This digital technology improves images by digitally creating different angles of the breast tissue, as well as, digital reconstruction of the standard 2-view imaging without additional radiation. St. Mary’s 3D mammogram technology uses the latest FDA-approved technology that builds on firstgeneration tomosynthesis for better visualization of dense tissue, without added radiation exposure.

The purchase of the 3D breast tomosynthesis equipment was made possible thanks to the generous philanthropic support of the St. Mary’s of Michigan Foundation, the Joseph P. Kelly Family and the St. Mary’s of Michigan Volunteer Alliance.

St. Mary’s of Michigan Breast Care team of experts includes board-certified radiologists, board-certified surgeons with expertise in breast surgery, and female mammography technologists who have undergone special training and have advanced certification in mammography. St. Mary’s also offers a nurse navigator to help guide patients through the cancer treatment process.

To speak with a mammographer for more information about 3D mammography, call 989-497-3395, or to schedule a patient for a mammogram, call 989-907-8222.

St. Mary’s of Michigan Physician Practices Earn Patient-Centered Medical Home Designation from Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan has designated seven St. Mary’s of Michigan employed physician offices as patientcentered medical homes (PCMH) for 2018.

The PCMH designation means these practices continue to make improvements in health care quality. They are leading care teams that work with patients to keep them healthy, and monitor their care and individual health goals on an on-going basis.

The PCMH approach encourages patients to take a more active role in their own health care by working closely with their primary care physicians to better manage their health concerns and conditions. *In addition to our employed practices, a few privately owned practices that are in the St. Mary’s Physician Hospital Organization (PHO) also received PCMH designation.

PCMH Designated list: St. Mary’s of Michigan – Birch Run St. Mary’s of Michigan – Chesaning St. Mary’s of Michigan – Frankenmuth Family Physicians St. Mary’s of Michigan – Heritage Family Physicians St. Mary’s of Michigan – Saginaw Valley Pediatrics St. Mary’s of Michigan – Vassar St. Mary’s of Michigan – Women’s Health Center *Caro Health Plaza *Cass River Health Plaza *Harpal Singh MD *Ibtihaj Rajoulh MD *Karu Medical Associates *Nikolai Kinachtchouk MD & Lioudmila Kinachtchouk MD *Rama Mulpuri MD *Satnam Medical *Zubeda S. Khan MD

St. Joseph

Lung C a ncer Scr eening Progr a m

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

Is it covered by insurance?

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

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

Why is a lung cancer screening important?

• Can detect cancer long before symptoms are present • Identifies the cancer’s stage to help your doctor decide the best course of treatment.

• Early diagnosis can reduce the risk of death by up to 20%

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

What are the benefits of going to St. Mary’s of Michigan and St. Joseph Health System?

• Education about the benefits and risks of a lung cancer screening to help you make an informed decision.

• Noninvasive, painless and only takes a few minutes.

• Low-dose computed tomography with expert radiological interpretation.

Who should get a lung screening?

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

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

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

• Asymptomatic (no signs or symptoms of lung cancer)

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

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

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

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

Where do I go for my screening?

High-risk category 2a:

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

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

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

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

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College of

Medicine Psychiatry for the Non-Psychiatrist Psychiatry for the Non-Psychiatrist is the topic for the 3rd Annual Psychiatry Update Conference being held on Saturday, October 27, 2018, from 8 a.m. to 1:30 p.m. at the CMU College of Medicine Education Building, 1632 Stone Street in Saginaw.

Registration is open until Friday, October 19, 2018. Register now as space is limited.

The conference is specifically designed for primary care physicians and advanced professional practitioners from family practice, internal medicine, pediatrics, psychiatry and mental health practitioners from other disciplines. Questions?

Contact Ashley Lednicky at ashley.lednicky@cmich.edu or 989.746.7618.

CMU Health Expands Footprint Physician retires, Saginaw Township practice becomes part of clinical care group CMU Health has expanded its footprint into Saginaw Township for the first time by bringing the family practice of Lawrence L. LaLonde, MD into its team of health care providers.

LaLonde is retiring after practicing family medicine at 5421 N. Colony Drive for 29 years. During that time, he also taught CMU College of Medicine residents. He will continue to see patients part-time over the next year to help ensure a smooth transition to what is now called CMU Health Primary Care.

Wynee S. Lou, DO, an internal medicine physician, and Janet Ader, a CMU Health nurse practitioner, will lead the practice, which will be open five days a week and is accepting new patients. The number is 989.790.3141.

“Partnering with the Lawrence LaLonde Family Practice was an excellent opportunity to carry on the success of a historic local practice while expanding our footprint into Saginaw Township,” said Samuel J. Shaheen, MD, Executive Director of CMU Health.

LaLonde said, “I placed a high priority on finding the right partner to continue to care for my patients beyond my retirement. I have complete trust in the team at CMU Health to maintain the practice’s high standards of care for years to come.”

CMU Health CenteringPregnancy Program Delivers Quality Care to Expectant Mothers We are pleased to share with you the recent success of CenteringPregnancy at CMU Health in Saginaw in partnership with the Michigan Health Improvement Alliance (MiHIA).

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The Bulletin | October 2018

CenteringPregnancy is a model of care that brings women with similar due dates out of exam rooms and into a comfortable group setting to discuss and prepare for labor, delivery and infant care. The program combines interactive learning, health assessments and group discussions in a way that traditional prenatal care cannot.

Participants meet with their healthcare provider and other expectant mothers for 10 two-hour sessions during pregnancy, giving women 10x more time with their provider and creating lasting connections in ways not possible in traditional care. CMU Health is one of the only providers of this service in the area.

Some benefits of CenteringPregnancy: • Consistent/predictable appointment times, scheduled months in advance • Reduction in risk of premature births, NICU stays and low birth weights • Lower rates of gestational diabetes • Self-care and self-confidence • Improved detection and treatment of postpartum depression • Evening sessions to accommodate working parents • Support and lasting friendship through a network of local mothers • CenteringParenting program for childcare after birth – coming soon!

For more information about CenteringPregnancy at CMU Health in Saginaw, please call 989.746.7500 or visit www. cmuhealth.org.

Making an Impact in Graduate Medical Education Mary Jo Wagner, MD is passionate about Graduate Medical Education (GME) - and it shows. Dr. Wagner is the Chief Academic Officer and Designated Institutional Officer of seven residency training programs located at CMU Health in Saginaw. In addition to the imperative roles she plays for the organization’s resident doctors, she is a professor of Emergency Medicine at the CMU College of Medicine.

Dr. Wagner is known for her leadership in medical education and faculty development, and is a nationally recognized continued on page 27

continued from page 26

speaker on GME topics. She was recently invited to speak at New York American College of Emergency Physicians’ “Emergency Medicine Resident Career Day” for the third consecutive year, and presented to more than 150 senior Emergency Medicine residents about how to fine tune their skills in career searching.

Thank you, Dr. Wagner, for investing in the future of patient care in the Great Lakes Bay Region and beyond!

Therese Mead, DO Elected to Board of Michigan College of Emergency Physicians At the recent Michigan Emergency Medicine Assembly of the Michigan College of Emergency Physicians on Mackinac Island, Therese Mead, DO, assistant professor of Emergency Medicine, was elected to the Board of Directors of MCEP. MCEP has over 2,100 members in Michigan, and their mission is to support quality emergency medical care and promote the interests and values of emergency physicians.

New Doctors at CMU Health – Saginaw • • • • • • • • • •

Christopher Archangeli, MD - Child & Adolescent Psychiatry Onoriode Edeh, MD - Child & Adolescent Psychiatry Frederick Eruo, MD - Obstetrics & Gynecology Nicholas Haddad, MD - Infectious Disease Jessica Li, MD - Internal Medicine Wynee Lou, DO - Internal Medicine, Sports Medicine Omar Marar, MD - Colorectal Surgery Brian Tesler, MD - Obstetrics & Gynecology Vivek Variar, MD - Endocrinology Lisa Winton, MD - Breast Surgery (Coming November 5, 2018)

Advanced breast cancer care close to home October is National Breast Cancer Awareness Month.

We are proud to welcome Dr. Lisa Winton to our team of surgeons in Saginaw this November.

As a fellowship-trained breast surgeon, she has the skills required to detect, evaluate and care for complex breast diseases.

You can count on our specialists to give you hope close to home.

CMU Health has experts in comprehensive women’s health, including: • Prenatal care

• Ultrasound

• Menopause

• Mammograms

• Gynecological exams

• Birth control

• Infertility services

• Centering®Pregnancy

• Laparoscopic procedures

Call (989) 746-7500 to schedule an appointment.

Lisa Winton, M.D. CMU Health Primary & Specialty Care • 1000 Houghton Ave. • Saginaw, MI 48602 • (989) 746-7500 • CMUHealth.org

FREE

MEDICAL MISSIONS ARTICLES NEEDED

SAVE THE DATE

Live Your Life on Purpose The SCMS will again feature the Medical Missions of our members (physicians, residents and medical students) in the December 2018 Bulletin. If you or someone you know of has participated in a medical mission (at home or abroad) within the last year or so, please contact Joan Cramer at jmcramer@ sbcglobal.net. We are looking for articles of approximately 400-800 words in length (submitted in Word format) along with photos (submitted individually as JPEGs) to publish for each Medical Mission article.

The deadline for submission is Tuesday, November 20, 2018, to jmcramer@sbcglobal.net.

Depending on the number of articles received, we may need to publish some of the articles in future issues of the Bulletin.

FOLLOW YOUR PASSION. ACHIEVE BALANCE. MAKING YOUR LIFE MEANINGFUL. SATURDAY, NOVEMBER 17TH, 2018 | 10:00AM TO 1:00PM DELTA COLLEGE - Lecture Theater (G-160) (B-Wing Parking lot) 1961 Delta Rd, University Center, MI 48710 EVENT PURPOSE Designed to inspire attendees to focus on their well-being and extend their lifespan. This free event is an opportunity for community members in the Great Lakes Bay Region to learn how to enrich their lives by taking charge of their health and discovering the necessity of having purpose in their lives.

“THE MYSTERY OF HUMAN EXISTENCE LIES NOT IN JUST STAYING ALIVE, BUT IN FINDING SOMETHING TO LIVE FOR.” FYODOR DOSTOYEVSKY MEET THE SPEAKERS This year’s speakers are Brian Pruitt and Chief Master Sergeant Ernest D. Crider. Mr. Priuitt is a former All-American athlete, author and entrepreneur. He discovered that people could accomplish just about anything if they had the right perspective, took the right approach, lived by the right principles and walked through the appropriate process.

Chief Master Sergeant Crider is the 6th Operation Center (Tanker Airlift Control Center) Superintendent where he is responsible for advising on the morale, welfare and quality of life of the 700 airmen assigned to Scott Air Force Base in Illinois. In addition, he is a presenter of Our Community Listens, concepts that are at the core of meaningful relationships and human connection.

WHO SHOULD ATTEND Anyone of any age seeking to do more with their life.

Michigan Health Improvement Alliance

For more information visit: www.mihia.org or contact Beth Pomranky: b.pomranky@mihia.org

Collectively Impacting Health

The Bulletin | October 2018 27

Covenant HealthCare Heart Failure Clinic

Heart Failure Clinic Offers Convenient Access to Cardiac Services Heart failure (HF) continues to be an epidemic with a 50 percent mortality rate in the first five years. It also poses a potential strain to medical resources and the economy.

According to the American Heart Association, by 2035, nearly half of Americans will have some form of cardiovascular disease, and the related cost of care will have soared to $1.1 trillion (up from $555 billion in 2016).

Heart Failure Clinic Growth The good news is that treatments for HF have significantly advanced, and today’s HF guidelines are calling for more and better care. However, there are growing penalties for hospital readmission that can affect practice and hospital ratings, and where patients go for care. The Centers for Medicare & Medicaid Services (CMS), for example, is tying the bulk of traditional Medicare payments to quality or value, and phasing in new payment models to hold providers more accountable for patient outcomes and satisfaction.

In response, a growing number of specialized HF clinics are being established to better serve patients with cardiomyopathy regardless of the etiology. HF clinics are designed to provide faster and more convenient access to a host of cardiac care services, beyond what a normal cardiology office can provide. The goal is to improve the morbidity and mortality of patients, specifically for those who require more frequent outpatient care and close attention to their symptoms.

Heart Failure Clinic Capabilities Patients are typically referred to HF clinics by their cardiologists and PCPs for further care, especially when they cannot be seen within seven days after inpatient discharge from the hospital – a vulnerable period of time for the patient.

The HF clinic: • Supports the cardiologist by handling acute events and developing an integrated care plan that goes beyond medication therapies, including patient education, selfmanagement and lifestyle goals.

• Will recommend any additional procedures for the patient’s cardiologist to perform.

• Will share progress notes to delineate the care plan and course of action. Physicians can help adjust the plan as the patient’s situation evolves.

• Deploys a highly experienced multidisciplinary team, ranging from cardiologists to nutritionists, transition coaches, dedicated nurse practitioners, physical therapists and for inpatients, visiting nurses if needed.

• Meets and tracks patient progress via face-to-face visits and telemonitoring as needed.

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The Bulletin | October 2018

Covenant HealthCare opened a HF clinic in May 2018 after significant planning and piloting. Located at 900 Cooper, the Covenant HF clinic: • Has a team of multidisciplinary cardiac experts that currently sees up to 35 outpatients weekly and approximately 10 inpatients daily.

• Has seen a 46 percent reduction in all-cause readmission rates for heart failure patients over the 2017 average.

The sooner that cardiac patients are referred to the HF clinic, preferably prior to hospital discharge, the more they can benefit from the full realm of cardiac resources.

The Covenant Heart Failure Clinic is overseen by Dr. Mayar Jundi. For more information, call 989.583.4700.

Covenant Orthopaedics Now Offers Outpatient Knee Replacement Surgery Covenant HealthCare is excited to announce that Dr. Colleen Linehan of Covenant Orthopaedics now offers outpatient knee replacement surgery in Saginaw. Advancements in pain medications have decreased the amount of immediate postoperative pain, allowing the patients to go home that same day.

The procedure typically lasts around 90 minutes and within one hour, the patient is up and walking. In one case, the patient walked out of the hospital only four hours later.

“It is significantly cheaper to have your knee done on an outpatient basis, and it’s even cheaper if you can have it done at an outpatient surgery center, especially for patients with higher deductibles. Anyone who is healthy and motivated is a candidate for having knee replacement done on an outpatient basis, and those who have chosen to do so really like that they were in control of their post-operative care,” says Dr. Linehan.

Benefits of an outpatient total knee replacement surgery include: • Lower cost Traditional knee replacement surgery is more expensive as it is performed in a hospital, with a one or two-night stay. Outpatient knee replacement surgery has a lower facility fee for the patients, as well as, removing the cost associated with an overnight stay.

• Better pain control Patients who recuperate at home can administer their own pain medicine when it’s needed.

• Ability to recover in your own home Typically, patients recover in the hospital for one or two nights. With outpatient knee replacement surgery, if the patient has a solid support system at home, he or she can spend the night in the comfort of their own bed in familiar surroundings. This means the patient isn’t awakened several times during the night for blood pressure checks and other wellness checks. It also greatly reduces the chance of infection. continued on page 29

continued from page 28

Not all patients are candidates for outpatient total knee replacement surgery. Below are some factors that impact who is eligible: • The level of activity and motivation of the patients.

Patients who are usually active tend to remain active.

Their muscles are strong and able to help support them through the recovery process. Also, people who are self-motivated are more likely to follow the doctor’s orders to complete the prescribed physical activities.

Pre-operative exercises also improve outcomes.

• The level of support available at home.

Patients must have a strong level of support when they leave the hospital. Family members or friends should be there to help during the first days at home, as well as, with any exercises to help recovery. Patients can usually return to routine activities like driving a car in two weeks.

• The general health and wellness of the patient.

Patients who are healthy recover more quickly. Smokers are required to quit smoking and be nicotine free prior to having surgery. Patients are required to perform routine exercises after surgery to aid in recovery.

If you are interested in outpatient knee replacement, call 989.583.7450. Please note, not all insurances cover outpatient knee replacement surgery.

About Covenant Orthopaedics Covenant Orthopaedics has one of the largest orthopaedic teams in the region. The expert surgeons are committed

to improving health, mobility and quality of life. With 11 surgeons on staff and decades of combined experience, the team is able to treat every joint in the body and can diagnose and care for a broad array of musculoskeletal conditions and injuries. From sports injuries to pelvic fractures, hip replacements to shoulder injuries, and beyond, the team is here for the community.

Medication Take Back Event Scheduled October 27 Covenant HealthCare, in collaboration with Saginaw County Department of Public Health (SCDPH) and Saginaw Police Department, will host a Medication Take Back event Saturday, October 27 from 10 a.m.-2 p.m. in the parking lot of 800 Cooper, Saginaw (Physician Office Building).

Community members can drive-thru and drop off unwanted or unused prescription medications, including pills and capsules (no liquid filled), patches, pet medications, and expired or unwanted prescriptions (including controlled substances). No needles, syringes, inhalers, lancets or liquids will be accepted.

Saginaw City Police and Covenant employee volunteers will be on-site.

continued on page 30

PROVIDING NEW

COVENANT REGIONAL WOUND HEALING & HypERbARIC MEDICINE CENTER

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

www.covenanthealthcare.com

Extraordinary care for every generation.

The Bulletin | October 2018 29

continued from page 29

Here is how you can help: • Bring your own unused medications and tell a friend.

• Spread the word in your community and your patients.

• Share the event on social media.

Free Mammograms Available Year-Round by Appointment Free breast screening mammograms are available by appointment for those who qualify by calling the Covenant Breast Health Nurse Navigators at 989.583.5154 or 989.583.5263.

Patients must meet the below criteria: • Age 40 or over • Uninsured • Have not had a mammogram in the past 12 months • Eligibility based on household income Advance sign-up is required.

BUILDING BRIDGES: 2nd Cardio-Oncology Meeting Tuesday, November 13, 2018 - 5:30 – 7:30 pm St. Mary’s of Michigan Health Education Center 800 S. Washington, Saginaw, MI 48601

Moderators:

At the end of the meeting, participants will have understanding of the following topics: • • • •

•

Guidelines from the cardiology and oncology societies and how to incorporate into clinical practice Assessment of cardiovascular risk prior to, during, and after cancer treatment, everyday tools for cardiovascular clinician Recognize the cardiovascular implications of the latest oncology pharmacotherapies, immunotherapy, anti-angiogenic TKIs societies and how to incorporate into clinical practice Identify best practices when developing cardio-oncology team and building organizational framework for a financially viable model. Highlight the steps taken to consolidate this discipline at St. Mary’s of Michigan Role of new echo technology, like 4D EF and two-dimensional speckle tracking to guide cancer therapy and practical experience at MCVI

ATTENTION RETIRED MEMBERS! Retired physicians meet for lunch every Wednesday at 12 noon at IHOP, 2255 Tittabawassee Road in Saginaw.

Those attending are responsible for their own lunch, and the informal gathering lasts about an hour.

Join your retired colleagues whenever you like!

If you have any questions, please contact Joan Cramer at the SCMS office at 790-3590 or by email at jmcramer@sbcglobal.net.

How Can You Help?

Do you want to raise awareness, volunteer or participate in an upcoming event?

Contact Barb Smith at sosbarb@gmail.com or 989-781-5260 and schedule a training or educational event or get more information.

Barb Smith Suicide Resource & Response Network is supported solely by donations and grants.

To make a donation, please make your check payable to Barb Smith SR&RN and mail to: Barb Smith Suicide Resource and Response Network PO Box 6712, Saginaw, MI 48608-6712 The organization is a 501(c)(3) nonprofit, and your donation is tax deductible (EIN 38-3400293).

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The Bulletin | October 2018

Agenda:

Ernie P. Balcueva, MD, Clinical Associate Professor, MSU-CHM, CMU Naveed Akhtar, MD, Clinical Associate Professor of Cardiology, CMU

Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation council for Continuing Medical Education (ACCME) through the joint providership of Central Michigan University College of Medicine and Michigan Cardiovascular Institute (MCVI).

CMU College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

CMU College of Medicine designates this live activity for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure The planners and speakers of this activity have disclosed they have no relevant financial relationships with any commercial interests.

5:30 pm “Cardiovascular Complications of Cancer Therapy” Naveed Akhtar, MD 6:15 pm “Update of Cardio-Oncology Guidelines” Ernie Balcueva, MD 7:00 pm “Cardioprotective Effects of Neurohormonal Blockade During Anthracycline Therapy” Phoo Pwint Nandar, MD 7:08 pm “A Rare Side Effect of Ipilimumab: Impending Pericardial Tamponade and Bilateral Pleural Effusion” Phoo Pwint Nandar, MD 7:16 pm “Kounis Syndrome – A Case of Allergic Myocardial Infarction Caused by Paclitaxel” Abhishek Bhandiwad, MD 7:24 pm

“Nonbacterial Thrombotic Endocarditis: A Manifestation of Lung Cancer” Navya Sree Vipparla, MD

7:30 pm

Adjournment

Complimentary Registration: Please register for this event by contacting: Julie Lewis at (989) 754-3349 or Jenny Ross at (989) 754-3222 or julielewis@mcvi.com

2 CME Credits

Refreshments will be served Who should attend: Cardiologists, Oncologists, Surgical Oncologists, Hematologists, Radiation Oncologists, Internal Medicine, Family Practice, Residents, RN’s, NP’s, PA’s, Medical Students, & Echo Techs

Caduceus Meeting for Recovering Health Care Professionals Tuesday Nights at 7 p.m.

Zion Lutheran Church 454 7th Street, Freeland, Michigan (Behind Pat’s Grocery Store on Midland Road in Freeland)

Caduceus meetings are available to health care industry professionals, and have adopted many of the principles of 12-Step programs.

Caduceus meetings are “closed” meetings for recovering health care professionals including, but not limited to, nurses, doctors, dentists and pharmacists.

We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members.

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

Advanced Diagnostic Imaging, P.C.

Aperion Information Tech Ben Hamann Barb Smith Suicide Resource & Response Network Covenant HealthCare Covenant Wound Healing Center Jan Hauck – Century 21 Healthway Compounding Pharmacy Horizons Conference Center/Riverview Brownstones

18 9 9 2 29 7 31 7

Lori Krygier Graphic Designer Norton + Kidd Accounting & Consulting, P.C. Peak Performance PC Services ProAssurance Shields Chiropractic St. Mary’s of Michigan Wolgast Corporation

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Commercial medications not meeting the needs of your patients?

We produce customized medications specially suited to meet the patient’s needs; thus, allowing limitless prescribing opportunities.

• Liquid solutions • Discontinued medications • Topical medications • Human Identical Hormone Replacement for men and women • Sugar free/dye free medications • Non narcotic pain medications

Key Provider to the SCMS

Healthway Compounding Pharmacy 2544 McLeod Dr. N. | Saginaw, MI 48604 | 989.791.1691 | www.healthwayrx.com The Bulletin | October 2018 31

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

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

ADDRESS SERVICE REQUESTED

2018-2019 KEY PROVIDERS

These Area Businesses Support Saginaw County Medical Society Membership Meetings. When you have a need for a service, please consider our Key Providers.

Please mark your calendar for the following meetings and events in 2018-19. You will receive an email meeting notice and reminder each month for SCMS events.

Non-SCMS events are listed as a courtesy and you must contact the sponsor directly to register.

Thursday, October 18, 2018 Saginaw Country Club – CMU College of Medicine: “Meet the Physicians of CMU Health and CMU College of Medicine,” from 5-7 p.m.

Monday, December 3, 2018 Saginaw Country Club – “15th Annual SCMS Alliance Jingle Mingle.”

Proceeds benefit Barb Smith Suicide Resource & Response Network.

See page 5 for information.

Thursday, October 25, 2018 Horizons Conference Center – MSU College of Human Medicine presents the 27th Annual Robert M. Heavenrich, MD Endowed Lecture at 6 p.m. (cocktail reception, dinner and program). Quinn Capers IV, MD will present “Unconscious Racial Bias in Medicine: A Review of the Evidence and the Way Forward.” Reservations required by October 17, 2018, to Jude Dye at Jude.Dye@hc.msu.edu or 517.355-3308.

There is no Board Meeting in December.

Saturday, October 27, 2018 CMU College of Medicine Education Building in Saginaw: 3rd Annual Psychiatry Update Conference – “Psychiatry for the NonPsychiatrist” from 8 a.m. to 1:30 p.m. Registration is open until Friday, October 19, 2018. Register now as space is limited. (See page 26 for details) There are no Membership Meetings in November or December.

Wednesday, November 7, 2018 SCMS members, family and staff volunteer at the East Side Soup Kitchen. Contact the SCMS at 790-3590 or jmcramer@sbcglobal.net to sign up.

Saturday, November 10, 2018 CMU College of Medicine, 1632 Stone Street, Room 1008, Saginaw – “safeTALK Suicide Alertness Training,” 8-8:30 a.m. registration with training from 8:30 a.m. to 12 p.m. Training is limited to 30 people.

SEVEN SEATS OPEN! Click HERE or contact the SCMS at 790-3590 or jmcramer@sbcglobal.net.

Tuesday, November 20, 2018 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Tuesday, January 15, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting joint with the Saginaw County Dental Society with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “Surviving Acts of Violence.” See page 11 for more information.

Tuesday, February 19, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Saturday, March 16, 2019 Horizons Conference Center - 15th Annual Health Fair “The Doctor Is In!” from 9 a.m.-12 p.m.

Tuesday, March 19, 2019 CMU College of Medicine, 1632 Stone Street – SCMS Board meets at 5:30 p.m.

Tuesday, April 16, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and program at 7 p.m. Program: “TED Talks.” See page11 for more information.

Tuesday, May 21, 2019 Horizons Conference Center - SCMS Board meets at 5:30 p.m.

Membership Meeting with Social (cash bar) at 6:30 p.m. followed by dinner and Annual Meeting at 7 p.m. Program: “Update on CMU College of Medicine.”

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