The
Bulletin Saginaw County Medical Society
Spring 2022 | Volume 80 | No 2
REGISTER NOW!
Annual Membership Meeting p. 5
LET'S GOLF!
SCMS Foundation Golf Outing Deadline is May 20, 2022 p. 10-11 Slate of Nominees for 2022-23 p. 14 April Membership Meeting p. 16-17
www.SaginawCountyMS.com
Covenant Medical Group Cardiology MEET OUR HEART SPECIALISTS
Bashar Al Jayyousi, MD, FACC, FSCAI Interventional Cardiology
Umesh Badami, MD, FACC, FSCAI Interventional Cardiology
Mayar M. Jundi, MD, FACC Heart Failure Specialist
Bakri Kaakeh, MD Cardiothoracic Surgery
Loai F. Marouf, DO, FACC, FACOI Invasive Cardiology
Hossam Mustafa, MD, MSc, FACC, FHRS Electrophysiology
Mahir Sati, DO, FACC, RPVI, FANC, FASE Invasive Cardiology
Manoj Sharma, MD, FACC, FSCAI Interventional Cardiology
Michael Taipale, DO Cardiology
Pauline D. Watson, DO, FACC, FACP Clinical Cardiology
Anwar Zaitoun, MD, FACC, FSCAI, RPVI Interventional Cardiology
Covenant Medical Group Cardiology has exceptionally well-trained cardiologists and cardiothoracic surgeons, offering the region’s most comprehensive heart program with the latest medical innovation in cardiac diagnosis and treatment. CONTACT: 989.583.4700 Tel • 866.800.0995 Toll Free CovenantCardiology.com Bus. Dev. (AQ/RF) Rev. 7/20 13352
The
Bulletin Saginaw County Medical Society
contents
2021-2022 OFFICERS AND DIRECTORS
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President Anthony M. Zacharek MD President-Elect Tiffany K. Kim MD Past President Mildred J. Willy MD Secretary Caroline G.M. Scott MD Treasurer Miriam T. Schteingart MD Board of Directors Mark G. Greenwell MD Christopher J. Allen MD Furhut R. Janssen DO Harvey K. Yee MD Mary J. McKuen MD Kai Anderson MD Bulletin Editor Louis L. Constan MD Resident Representatives Jessica H. Faris MD Lydia T. Mansour DO Mohammed A. Saiyed MD Retiree Representative Caroline G.M. Scott MD Medical Student Representatives Ann Sobell, MD Candidate, Class of 2023 Mary Galuska, MA, MD Candidate, Class of 2024 MSMS Delegates Elvira M. Dawis MD Julia M. Walter MD Anthony M. Zacharek MD Christopher J. Allen MD Miriam T. Schteingart MD Kala K. Ramasamy MD Jennifer M. Romeu MD MSMS Alternate Delegates Caroline G.M. Scott MD Waheed Akbar MD Mohammad Yahya Khan MD Karensa L. Franklin MD Judy V. Blebea MD Elizabeth M. Marshall MD Nicholas E. Haddad MD Peer Review Ethics Committee Waheed Akbar MD, Chair Caroline G.M. Scott MD James R. Hines MD MSMS Region 7 Representative Mildred J. Willy MD MSMS President Thomas J. Veverka MD Executive Director Joan M. Cramer Administrative Assistant Keri Benkert
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REGISTER NOW! May Annual Membership Meeting SCMS Calendar of Meetings and Events for 2022 LET’S GOLF! DEADLINE MAY 20 SCMS Foundation Golf Outing Sponsorships & Team Registration
Slate of Nominees for 2022-23
16-17
April Membership Meeting
25
Man TherapyTM Michigan
31
Benefits of SCMS/MSMS Membership
19 19 19
President’s Letter Office Space for Sale or Lease From the Editor
Applications for Membership New Members Caduceus Meeting for Recovering Health Care Professionals
Retirees Meet for Lunch Thank you Key Providers! Barb Smith SRRN
20 23
MSMS Advocacy Legislative Alert In Response: What U.S. Health Care Will Look Like in 2032 New Online Learning Management System
24 26
15
In Memory - Pat Koenig and Dr. Sean Hoban
18
Member News - Drs. Akbar and Pruitt
18
14
Thank you Advertisers!
Ascension St. Mary’s CMU College of Medicine CMU Health Birthdays – May and June LARA Controlled Substance Administrative Rules
27 28 29 30 30
THRIVE Covenant HealthCare Physician Support Line Peer Review Ethics Committee Advertiser Index
The Bulletin can be viewed online at www.SaginawCountyMS.com under the Bulletin tab.
COVER PHOTO: COURTESY OF BROOKE KOWALSKI EDITOR Louis L. Constan, MD EXECUTIVE DIRECTOR Joan M. Cramer DESIGNER Lori Krygier
PUBLISHER Saginaw County Medical Society 350 St. Andrews Rd., Ste. 242, Saginaw, MI 48638-5988 Telephone (989) 790-3590 | Fax (989) 331-6720 Cell (989) 284-8884 | jmcramer@sbcglobal.net Hours By Appointment | SaginawCountyMS.com
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 | Spring 2022 3
PRESIDENT'S LETTER
How Involved Do You Want to Be? Anthony M. Zacharek, MD MHA
A
s a physician in the Saginaw County Medical Society (SCMS), you have a lot of competing interests for your time. Family, work and outside interests all demand your time. Which of these are most important to you? The answer to that question is different for everyone, but at the heart of any commitment is the question, “How involved do you want to be?” When it comes to your involvement in the SCMS, one way to meet more physicians and learn more about the issues facing medicine today is through the Michigan State Medical Society (MSMS) and the House of Delegates. Every year, typically in late April, the MSMS holds its annual meeting bringing physicians across the state together, in
what is called the House of Delegates (HOD). The HOD is an opportunity for physicians to submit resolutions that are important to them, and where those resolutions are debated to determine if they are supported by MSMS. A great example of the role that the SCMS played in the MSMS and HOD, and even the American Medical Association (AMA), is the resolution from 2018 regarding suicide awareness training for health care providers. Originally submitted to the HOD by the SCMS, this resolution was passed by MSMS in April 2018, and went on to be passed by the AMA in June 2018. Because of this resolution, the AMA now has a policy to increase awareness and physician training on suicide. The resolution was the idea of Joan Cramer, Executive
Director of the SCMS, was written by CMU medical students, and presented by a CMU medical student at the HOD. This example shows how our county medical society has the opportunity to affect healthcare at a state and national level. So, it goes back to my original question of “How involved do you want to be?” Any physician in our SCMS can get involved in the MSMS and HOD, and our medical society is always looking for new members and board members. Beyond the ability to affect healthcare policy, belonging to the SCMS hopefully will give you a sense of camaraderie and meaning as a physician in Saginaw County.
“The HOD is an opportunity for physicians to submit resolutions that are important to them, and where those resolutions are debated to determine if they are supported by MSMS."
GUEST WRITERS WELCOME! If you would like to write an article of interest to your colleagues for publication in a future issue of The Bulletin, please contact Joan Cramer at jmcramer@sbcglobal.net for further information. Articles are not designed for self-promotion, but rather as information for members. 4
The Bulletin | Spring 2022
Read previous issues of The Bulletin at www.SaginawCountyMS.com under the Bulletin tab
CALENDAR OF MEETINGS AND EVENTS FOR 2022* MAKE YOUR RESERVATION NOW! Tuesday, May 17, 2022, Horizons Conference Center 6200 State Street, Saginaw Board Meeting – 5:30 p.m. ANNUAL MEMBERSHIP MEETING and ANNUAL FOUNDATION MEMBERSHIP MEETING – Social (cash bar) at 6:30 p.m., followed by dinner and meetings at 7 p.m. Agenda: SCMS Annual Membership Meeting • Installation of Tiffany K. Kim, MD as President • Election of Officers, Directors, Delegates and Alternates for 2022-23 (See page 14) SCMS Foundation Annual Membership Meeting • Annual Report • Election of Trustees • Essay Contest Awards – Saginaw County high school juniors and seniors –“Why I Want to be a Physician in Saginaw County” Health Angel Awards • Carol B. Cottrell, Covenant HealthCare Foundation • Judith P. Ruland PhD RN CNE, Dean Retired, College of Health and Human Services Saginaw Valley State University Address of MSMS President – Thomas J. Veverka, MD Update on CMU College of Medicine – Dean George E. Kikano, MD CLICK HERE TO MAKE AN ONLINE RESERVATION or scan the QR Code Saturday, June 4, 2022 - SCMS Foundation Golf Outing – Saginaw Country Club (See pages 10-11 for more information)
Tuesday, August 16, 2022, CMU College of Medicine 1632 Stone Street, Saginaw Board Meeting – 5:30 p.m. There is no Membership Meeting in August. Tuesday, September 20, 2022 - Horizons Conference Center 6200 State Street, Saginaw Board Meeting – 5:30 p.m. Membership Meeting – Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Program – TBD Speaker – TBD Email meeting notices will be sent in early September. Online reservations are required. Tuesday, October 18, 2022 – Location TBD Board Meeting – 5:30 p.m. Membership Meeting – Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Program – TBD Speaker – TBD Email meeting notices will be sent in early October. Online reservations are required. Tuesday, November 15, 2022 - CMU College of Medicine 1632 Stone Street, Saginaw Board Meeting – 5:30 p.m. There is no Membership Meeting in November. *subject to change
Tuesday, June 14, 2022 (second Tuesday) CMU College of Medicine 1632 Stone Street, Saginaw Board Meeting – 5:30 p.m. There is no Membership Meeting in June.
OFFICE SPACE FOR SALE OR LEASE Medical Arts Building I 4705 Towne Centre Road, Suite 204 Saginaw, Michigan 48604 2,450 square feet Call for details (989) 284-2659
The Bulletin | Spring 2022 5
FROM THE EDITOR
Mirroring By Louis L. Constan, MD
W
hen, last month, I quoted Yogi Berra’s famous comment about “observing a lot, just by watching,” I was, technically, describing a process by which the image of an object from the outside world is duplicated on your retina, then your optical cortex…then analyzed by the frontal cortex of your brain. It is important to break down this sequence of events because, as I promised last time, I would today tackle another thorny problem, that of “going beyond the history of Present Illness” to get at the root of the patient’s complaint, which is sometimes more mental, financial, educational, social, familial, or attitudinal than purely “biological/ medical.” Consider that there is abundant evidence from recent neuroscientific studies that more than just images get duplicated onto our brains when we interact with the outside world. Pianists, for instance, when they hear a familiar piano piece, fire the appropriate neurons in their “motor” cortices, as well as, their visual cortices. They duplicate the keystrokes in their heads. Likewise, dancers, when watching other dancers, trigger their appropriate motor cortex neurons for the dance moves they are observing. They “dance” in their heads. In many ways, therefore, when we “see” the outside world, we also experience the outside world in a very real way.
Software companies have stolen this idea. Apple has “Mirroring;” and Android “Miracast,” both of which cast anything you can get on your computer onto a television screen. Programs, music, movies. Anything your computer can come up with can be “experienced” on the big screen of your TV. Outside reality, as we have seen, has always been “mirrored” in our brains. When we absorb a patient’s history by asking them questions, their experience becomes “mirrored “in our brains. When that outside experience of our patients is of a sensory nature (pain, for instance), we (depending on our experience as physicians) may learn to, in some way actually experience the same sensations. With all that in mind, let me rephrase Yogi Berra, and make a quote of my own, perhaps a thesis: “You’ll know your patient’s pain when you feel your patient’s pain.” The sequence here: Your patient describes their symptoms (pain)…the information goes into your ears…into your auditory cortex…which sends it to your frontal cortex, which doesn’t understand it because pain is not a higher-order function. It is a primitive feeling, a sensation, an emotion. So your frontal cortex asks for help from more primitive brain areas involved with feelings, the so-called “lizard-brain” centers (thalamus and amygdala). The final understanding of the patient’s pain is a complex amalgam of intellectual and emotional knowing.
My thesis is two-fold. First. It seems obvious that you cannot understand a sensation such as discomfort (pain) unless you in some way “feel” that sensation. Thus: “You’ll know your patient’s pain when you feel your patient’s pain.” Second, physicians, who spend much of their lives processing information from patients about their discomfort (pains) actually become pretty good at doing just that. Practice makes perfect. This, perhaps, is where that physicianintuition I mentioned last month comes in. Physicians, masterful observers that they are, sometimes seem to come up with a diagnosis…and cannot explain how they did it. Intuition? Or clues they did not realize they were using? Could physician’s intuition be a result of the emotional mirroring effect described above? A profound understanding of the patient’s situation that transcends traditional data-gathering and rises to a level of symbiosis between frontal lobes and primitive lizard-brain centers. The doctor understands the patient. He understands what is wrong with the patient. He has the knowledge required to treat and hopefully cure him. The perfect resolution. We live in perilous times for our profession. The trust of the American patient in the American doctor is in decline. There are, of course, many reasons for this, many out of our control. continued on page 7
Likewise, dancers, when watching other dancers, trigger their appropriate motor cortex neurons for the dance moves they are observing. They “dance” in their heads.
6
The Bulletin | Spring 2022
Thank You Key Providers!
continued from page 6
But, perhaps, the exercise of the skill described here is one thing we can control. It is a skill we should be proud of. It is a skill possessed by all doctors, generalists, as well as, specialists. It is a skill not possessed by most other “practitioners.” Google has data, but cannot read patients. Computer diagnostic programs have algorithms, but they cannot do mind-to-mind mirroring as we can. Mid-Levels have “protocols,” but do not understand why they are important. We doctors, and we doctors alone, are the complete package, knowledge, skill, the ability to get into the mind of the patient and understand in a visceral way what he is going through. An accurate diagnosis is essential to successful treatment. We should embrace this skill, celebrate it, be proud of it, and USE IT. If you find it difficult to communicate with your doctor; if you find it hard to get personal attention from an 'impersonal healthcare industry'; if you don't understand all those insurance-company rules; if you don't know how to change your bad health habits; if you think you may be on unnecessary medications; if you are perplexed by those annoying health-product advertisements; and if you'd like to know which are your greatest health risks - you'll appreciate this Family Doctor's advice, gleaned from 44 years of practice. Each chapter is illustrated with real-life examples from his and other doctors' practices. Each chapter ends with 'bonus' essays written by the author and published in newspapers and magazines giving the doctor's viewpoint. This will give you a unique perspective and allow you to 'get into the mind' of a doctor. Sweet! Available on Kindle (different cover but same book) and paperback.
The SCMS would like to thank our dedicated Key Providers, old and new, for continuing to provide support for SCMS Membership Meetings. When you have a need for a service, please consider our Key Providers!
1
Available on Amazon by clicking HERE
RETIREES MEET FOR LUNCH! 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 questions, please contact Joan Cramer at (989) 284-8884 or Dr. Caroline Scott at (989) 295-2721. The Bulletin | Spring 2022 7
Michigan Suicide Prevention Skills Training Week
to come home to Charlottesville to take a break and to seek mental health treatment. Despite having no history of mental illness, she died by suicide shortly after returning to Virginia. At the time she May 15-21, 2022 died, she had recently co-authored a paper on the “alarming Take a class that could help you save a life! prevalence” of burnout among emergency room clinicians. QPR, ASIST, safeTALK, Mental Health First Aid and more And while Breen had never showed signs of burnout herself, Visit www.SRRN.net and find the class that is right for you her family fears she, like countless other health care workers, Calling all Michiganders to register for one of our suicide was silently enduring the burdens of her work and resisted intervention trainings offered throughout the state! Be part seeking mental health help - fearing professional repercussions. of this unprecedented opportunity to join hundreds of others When her family helped Breen seek treatment, “Lorna around the state to learn a lifesaving tool to help us work thought she was going to lose her license to practice medicine toward ZERO SUICIDES. Register now for one of the many in New York because she got mental health treatment one time levels of evidence-based trainings being offered. Suicide in her life,” Feist said, noting that she believed this so strongly prevention isn’t everyone else’s problem…we all play a role in even though it was contrary to the law. “She articulated that to suicide prevention. What are you willing to do? us from her hospital bed at UVA that she was going to lose her license to practice medicine.” Feist and his wife, Breen’s sister Jennifer Breen Feist, created the foundation after a “collective cry for help” from health care workers following Breen’s death, and soon began working with Named in honor of Virginia doctor who died by suicide, Kaine on the legislation in her name. Along with a national passes Congress was signed into law on March 18, 2022 awareness campaign, the bill also provides federal grants to www.washingtonpost.com health care providers to develop treatment and peer-support Almost two years since Dr. Lorna Breen died by suicide after becoming overwhelmed working on the front lines of the programs, as well as, to train employees about strategies pandemic, a bill named in her memory to boost mental health to cope with mental health issues, substance abuse and to prevent suicide. resources for health care workers was signed into law on Kaine said the bill’s journey through Congress was unusual March 18, 2022. given that funding for those grant programs were provided Breen’s family in Virginia had spent months advocating for in the American Rescue Plan last year before the Lorna Breen strengthening federal resources to fight burnout, prevent suicide and raise awareness about depression and other mental legislation had passed. The Department of Health and Human Services began distributing more than $100 million in grants health issues among overburdened health care workers who to health care providers across the country, including three have had little relief during wave after wave of the pandemic. in Virginia, last month. Kaine said the passage of the bill will On February 18, 2022, the Dr. Lorna Breen Health Care provide a permanent framework to continue supporting health Provider Protection Act championed by Sen. Tim Kaine care workers long after the pandemic subsides. (D-Va.) — passed the Senate on a voice vote. “This Breen bill deals with a problem that was acute before “This is a huge recognition to all those who have been COVID, but that is going to have a very long consequence once working so tirelessly on our behalf that we see you, and we COVID is in the rearview mirror, and it is about ultimately what hear you, and we are actually working hard to help you and Jennifer and Corey want: They really want a culture change,” to support you,” said Corey Feist, Breen’s brother-in-law and Kaine said. the co-founder of the Dr. Lorna Breen Heroes’ Foundation. Part of Breen’s family’s work through the foundation has “On a more personal level, Lorna cared so deeply about her colleagues … This law passing is an extension of her caring for centered on ensuring state regulations do not in any way suggest that health care workers could be penalized for her colleagues in the deepest possible way.” Breen had been treating coronavirus patients in a New York revealing their mental health history, and communicating to health care workers that it’s okay to seek help. Feist cited a City emergency room at the onset of the pandemic in 2020, recent Medscape survey of 13,000 physicians in which 43 when hospital beds there were flooded with patients and percent said the reason they had not sought help for burnout deaths skyrocketed. Breen came down with the virus herself and returned to work after taking minimal time to recover, but or depression was because they “don’t want to risk disclosure soon she appeared withdrawn. Her family encouraged her
Dr. Lorna Breen Health Care Provider Protection Act
continued on page 9
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The Bulletin | Spring 2022
continued from page 8
to the medical board.” Another quarter said they were concerned colleagues would find out. Feist said one particularly important piece of the Breen legislation is that it also provides for a comprehensive study of the prevalence and causes of burnout and mental health struggles among health care workers, which Feist said he hopes will illuminate more state and federal policy needs. “When we created [the Lorna Breen legislation], it was the beginning of the pandemic,” Feist said. “The mental health impact of the pandemic on the workforce has now magnified significantly, which means we are literally just getting started here from a policy perspective in supporting the well-being of the workforce.”
Are you in a crisis? Call 800-273-8255 or text TALK to 741741. Anyone who needs help can call the National Suicide Prevention Lifeline 24 hours a day, seven days a week, at 1-800-273-8255 or 1-800-273-TALK. Press 1 for the Veterans Crisis Line. Anyone under age 21 can ask to talk to a peer at Teen Link, 1-866-8336546. TTY users can use their preferred relay services or dial 711 then 1-800-273-8255.
New Location for Support Group!
Our Survivors of Suicide support group has changed locations. We meet on the first and third Tuesday of the month from 6:30-8 p.m. in Saginaw. If you or someone you know has been impacted by suicide, call us at (989) 781-5260 ext. 2 to learn more about our support group.
The Bulletin | Spring 2022 9
11th Annual Golf Outing – Sponsorship Form Saturday, June 4, 2022 Saginaw Country Club 12 p.m. Registration 1 p.m. Shotgun Start DEADLINE MAY 20, 2022 The Saginaw County Medical Society (SCMS) Foundation is the charitable entity of the SCMS and a 501(c)(3) nonprofit. The Foundation: • Provides low interest loans to medical students with ties to Saginaw; • Forgives loan interest if the recipient returns to Saginaw to practice after completion of their residency; • Forgives 25 percent or a maximum of $5,000 loan principal per year if the recipient returns to Saginaw to practice after completion of their residency and is a dues paying member; • Awards scholarships and mentors Saginaw County high school students who are interested in becoming a physician; • Provides research grants and scholarships to medical students and residents through CMU CoM; and • Assists the SCMS Alliance in awarding seven nursing scholarships each year. Proceeds from this event are used for the above initiatives to help ensure the future of medicine in Saginaw County. Title Sponsor - $6,000 (LIMIT OF TWO) • Company name in title of Golf Outing (including banner, program, all signage, etc.) • Company choice of (1) sleeve of golf balls with your company logo provided to each golfer; (2) golf towel with your logo provided to each golfer; or (3) ditty bag with your logo provided to each golfer • A representative from your company will be allowed to address the golfers from the podium at the Award Reception • Includes 4-person team Event Sponsor - $3,000 (LIMIT OF FIVE ) • Company name in golf carts and program • Company name on sign at driving range and practice putting green • Recognized from the podium R • Includes 4-person team GE N OgolfBballs Golf Ball Sponsor - $1,500 (SleeveLof LE with O A your company logo provided to each golfer) N AIL • Company name listed in program AV Scorecard/Scoreboard Sponsor - $1,500 • Company name on scoreboard and individual scorecards • Company name listed in program
Award Reception Sponsor - $1,000 • Company name listed on sign at reception, table-tents on reception tables and in program Putting Contest Sponsor - $750 • Company name on sign at tee and in program • Company representative on site Lunch Sponsor - $500 • Company name on sign in cookout area and in program Beverage Sponsor - $500 • Company name on sign at beverage stations and in program Team Sponsor - $600 (Payment for four person golf team of your players) • Company name listed in program Medical Student/Resident Team Sponsor - $600 (Payment for four person golf team of medical students/residents) • Company name listed in program Longest Drive Sponsor - $500 (Men & Women) • Company name on sign at tee and in program Closest to the Pin Sponsor - $500 (Men & Women) • Company name on sign at tee and in program Tee/Hole Sponsor - $500 (LIMIT OF TWO PER HOLE) • Company name on sign at tee and in program
We would like to be a sponsor for the 11th Annual SCMS Foundation Golf Outing, as follows: Company Name: __________________________________________________________________________ Contact Person: __________________________________________________________________________ Address: ________________________________________________________________________________ Phone: ____________________________Email: _______________________________________________ Sponsor Level: __________________________________________________________________________ RETURN FORM AND CHECK BY MAY 20, 2022, TO: SCMS Foundation 350 St. Andrews Road Suite 242 Saginaw, MI 48638-5988 Questions? Contact Joan M. Cramer, SCMS Executive Director, at jmcramer@sbcglobal.net or 989-284-8884 Forms are downloadable at www.SaginawCountyMS.com under the Golf Outing tab 4/25/22 3:03PM
NOTE: For income tax purposes, the following values are NOT tax deductible: Golf participant, $88 each. An IRS-compliant tax deduction receipt will be provided upon request.
10 The Bulletin | Spring 2022
11th Annual Golf Outing
Four Person Scramble Saturday, June 4, 2022 Saginaw Country Club 12 p.m. Registration 1 p.m. Shotgun Start
DEADLINE MAY 20, 2022
TEAM REGISTRATION FORM Please sign up the following golfers to participate in the 11th Annual SCMS Foundation Golf Outing on Saturday, June 4, 2022. Golfers may sign up as an individual, or as a four-person team. Those that sign up as individuals will be assigned to a four-person team. The charge per golfer is $150, and includes green fees, cart, practice range, cookout lunch, beverages (domestic draft beer, Coke and Pepsi products, bottled water) on the course, two drink tickets (soft drinks, draft beer, house wine) and heavy hors d’oeuvres award reception with prizes. Cash contests include 50/50 and Hit the Green. Mulligans available for purchase. REGISTRATION PRIOR TO THE GOLF OUTING IS REQUIRED! Please sign up the following golfers: GOLFER NAME
PLEASE PRINT! PHONE
1. 2. 3. 4. If team is sponsored, please indicate name of sponsor for program_______________________________ Please return form and check by May 20, 2022 ($150 Per Golfer) to: SCMS Foundation 350 St. Andrews Rd., Suite 242 Saginaw, MI 48638-5988 Call Joan Cramer at 989-284-8884 or email jmcramer@sbcglobal.net with questions. Forms are downloadable at www.SaginawCountyMS.com under the Golf Outing tab If play is stopped because of inclement weather before five holes are completed, there will be no guest fee charged. If play is stopped between five and 13 holes, the guest fee will be the nine-hole rate. Playing 14 holes shall constitute the playing of 18 holes, and guests will be charged the full guest fee. Groups playing less than five holes will still be subject to and responsible for all other non-golfing products and services for which they contracted. The Saginaw Country Club is a spikeless facility and golf course. NOTE: For income tax purposes, $88 of the total per golfer charge is NOT tax deductible: An IRScompliant tax deduction receipt will be provided upon request. 4/25/22 3:10PM
The Bulletin | Spring 2022 11
MSMS ADVOCACY LEGISLATIVE ALERT Urge Your Senator to Support the Medicaid Primary Care Rate Increase The Senate Appropriations Subcommittee on Community Health/Human Services recently adopted an MSMS-initiated budget proposal that would provide a Medicaid rate increase for primary care services. The budget bill which contains the funding, Senate Bill 828, appropriates roughly $95 million toward the initiative. Senate Bill 828 successfully passed the Senate Appropriations Subcommittee on Community Health/ Human Services on April 20, 2022, and now resides in the Senate Appropriations Committee for consideration. Lower payment rates in Medicaid have historically created substantial barriers for Medicaid beneficiaries in accessing health care, and these low reimbursement rates combined with increasing Medicaid enrollment exacerbates the financial instability of physician practices that provide essential care to Medicaid patients. The Medicaid uplift, which applies to both adult and pediatric primary care services, will expand access to care for Medicaid beneficiaries, support primary care and physician practice sustainability, and improve patient health. Now, more than ever, patients need timely access to primary care, and this important initiative will ensure that physician practices stay open to continue caring for patients who trust them. Take action to expand access to care and improve patient health. CLICK HERE TO CONTACT YOUR SENATOR TODAY and urge them to support the Medicaid primary care rate increase in Senate Bill 828.
In Response: What U.S. Health Care Will Look Like in 2032 Submitted by Leah C. Davis, DO Radiologist in Traverse City I read the ten predictions for the future of health care in the article written by The Doctors Company/TDC Group in the March/April 2022 edition of Michigan Medicine®. The fifth prediction perpetuated the myth that nurse practitioners and physician assistants (collectively nonphysician practitioners, or NPPs) are poised to “become the primary care providers for many Americans, reserving MDs and DOs for complex cases.” This was surprisingly out of touch with the current political landscape and in direct opposition to recommendations of the American Medical Association (AMA), the Michigan State Medical Society (MSMS), and other physician organizations.1-4 I felt extremely disappointed to see this published in Michigan
Medicine as it sends the wrong message to physicians and health care organizations in our state. Physician education and regulation is unmatched. The clinical authority of physicians is found in our education and regulation. The Flexner Report, published in 1910 when medical schools were unregulated and prolific, resulted in one out of every three medical schools being rated as “defective” and forced to close.5,6 Today, all 142 accredited medical schools are required to meet specific standards in order to receive accreditation through the Liaison Committee on Medical Education (LCME) or the Commission on Osteopathic College Accreditation (COCA).7-9 This accreditation ensures that 100% of medical school graduates are prepared for the practice of medicine before the MD or DO degree is awarded and their 3+ year internship and residency begin. Upon graduation, MDs and DOs are overseen by the Board of Medicine (BOM) and held to the highest standard of medical care in the courtroom. In contrast, and similar to where medical schools were in the early 20th century, proprietary NP (and increasingly PA) schools are popping up everywhere, with nonspecific accreditation and curricular standards, resulting in over 400 different NP curricula across the nation.10-13 The absence of educational standards, 100% acceptance rates at 20 NP schools, and 100% online preclinical courses at more than 45 NP schools results in a wide variability in the knowledge and skills of graduating NPs.14,15 As a recent study noted, “until this variability [in educational programs] is resolved, we conclude that NPs should not perform independent, unsupervised care in the ED regardless of state law or hospital regulations in order to protect patient safety.”16 Upon graduation, NPs are overseen by the Board of Nursing (BON) which does not have the authority to judge any NP by medical standards, creating a regulatory loophole that limits the accountability of NPs in the courtroom.17 Quality of patient care and cost-effectiveness of NPPs has not been proven. Advocates of “independent” or “unsupervised” practice by NPPs often refer to the most complete meta-analysis of nonphysicians in primary care, the Cochrane Collaborative, which found only 18 out of 4,847 screened studies were of adequate quality to analyze and noted that “in many of the studies, nurses could get additional support or advice from a doctor.”18 Clearly, this data does not represent a direct comparison of unsupervised NPP-led versus physician-led care, although it is almost always presented as such. Earlier this year, a 10-year retrospective review of physicianled and NPP-led primary care teams concluded that physicians performed better on 9/10 quality metrics for quality patient care (physicians scored less than 1% lower on quality metric continued on page 13
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of “average of HTN pts BP <140/90”).19 In this study, patients managed by NPPs had an 8% higher referral rate per disease to specialists and were 1.8% more likely to visit the Emergency Room, even when compared to patients with no medical care at all, supporting the conclusion that poor-quality health care is worse than no health care at all.20 Additionally, patients managed by NPPs paid $43 more out of pocket per month (translating to an additional $10.3M in spending per year across the attributed population) than patients managed by a physician, making NPPs less cost-effective for patients. To be clear, statements of “costeffectiveness” must be qualified in terms of their benefit to patients versus corporations because depending on the financial structure of the health care organization, more tests, specialty referrals and visits to the ER may result in less money in the pocket of the patient, but more revenue for the corporation. Access to care has not been solved by increasing the number of nonphysician practitioners. The originally published prediction also claimed that NPPs can improve access to care. This argument is commonly presented and offers hope for rural and underserved urban areas but does not materialize. Demographic assessments from many areas reveal the same finding: NPPs set up practice in the same general locations (urban > rural) as physicians and they “choose to work in adequately served urban areas and to subspecialize to earn higher compensation. This creates shortages of providers in inner city urban, poor and rural populations.”21-23 It is imperative that we refocus on safety, truth and transparency. Patient safety and the delivery of quality patient care are our highest priorities. Scope of practice discussions tend to devolve into individual battles, but we must deliberately shift the focus of these discussions beyond individual (physician or NPP) ideas, opinions, preferences, or predictions and back to the primary focus – our patients. Replacing primary care physicians with NPPs is not good for patients: • It places inadequately trained health care workers at the forefront of medical care.16 • It costs patients more money in the form of unnecessary referrals and lab work/tests.19
• It is confusing for patients, who often assume an introduction of "Dr. X" or the presence of a white coat implies "physician." • It places patients at higher risk for medical mismanagement while removing the ability to hold the NPP accountable for medical mistakes.17 That is not to say NPPs are not effective, valuable members of the health care team - they are! The Hattiesburg study concluded that patients who are “co-managed” by NPPs on physician-led teams have the best quality and cost outcomes of all.19 Based on their study conclusions, the Hattiesburg clinic enacted system-wide changes that require physicianled health care teams that alternate visits with a physician and an NPP for all patients and physician-only appointments for all new specialty care consults (except in emergency situations or with referring physician approval). As physicians, we must advocate for our patients, especially in the midst of profit-driven discussions at the corporate level and politically charged discussions on the legislative floor. Physician-led medical care is best for patients, as supported by recent studies yet the same old (now refuted) arguments continue to be promoted by lobbyists, nonphysician advocacy groups and even our fellow physicians. To counter this, I propose that The Doctors Company and similar organizations support the following which is based on recently published research and aligns with the goals of physicians, MSMS and the AMA: Updated Prediction #5: Physicians will be positioned at the head of the health care team, which may include nonphysician practitioners as valued health care team members, to provide the highest quality, safest, and most cost-effective medical care to patients. Click HERE for References
NEW Online Learning Management System After a year in the works, a new Learning Management System recently went live for the entire catalog of archived webinars. This internet-based program allows members to more easily access educational offerings and track their completed CME activities. It uses the same log in credentials as the MSMS website and can be accessed through msms.org/LMS. One important feature to highlight is all of your completed CME certificates from here forward are tracked in your user profile to be viewed, downloaded or printed at your convenience.
120 Years of Serving the Residents of Saginaw County! www.SaginawCountyMS.com The Bulletin | Spring 2022 13
A new service to support and assist frontline healthcare workers with behavioral health services is now available from the Saginaw County Community Mental Health Authority.
SLATE OF NOMINEES FOR 2022-23 Following is the Slate of Nominees for 2022-23 approved by the SCMS Board of Directors on Tuesday, April 19, 2022. The Slate will be voted on by the membership at the Annual Membership Meeting on Tuesday, May 17, 2022. President
MSMS Delegates
Tiffany K. Kim MD
Elvira M. Dawis MD Anthony M. Zacharek MD Christopher J. Allen MD Miriam T. Schteingart MD Kala K. Ramasamy MD Jennifer M. Romeu MD Karensa L. Franklin MD Judy V. Blebea MD Elizabeth M. Marshall MD
President-Elect Mark G. Greenwell MD
Past President Anthony M. Zacharek MD
Secretary Caroline G.M. Scott MD
Treasurer Miriam T. Schteingart MD
Board of Directors (Three year in line for presidency)
Christopher J. Allen MD Furhut R. Janssen DO Mary J. McKuen MD
Board of Directors (One year)
Kai Anderson MD Jennifer M. Romeu MD Elizabeth M. Marshall MD
MSMS Alternate Delegates Caroline G.M. Scott MD Waheed Akbar MD Mohammad Yahya Khan MD Nicholas E. Haddad MD Mary J. McKuen MD Kai Anderson MD Claudia C. Zacharek MD Cecilia E. Kraus-Horbal DO
Peer Review Ethics Committee Waheed Akbar MD, Chair Caroline G.M. Scott MD (re-election) James R. Hines MD
Free Confidential Counseling for Frontline Healthcare Workers Free, confidential counseling services are available for healthcare professionals and their immediate family to provide help coping with the stress and anxiety due to the COVID-19 pandemic. Professional counselors provide primary care screening, assessment and monitoring of key health indicators. These services are available to those that need extra help coping during this extremely stressful time. There is no shame in talking, in person or virtually, with someone.
Call the Saginaw Community Care HUB at
989.498.2266
for an immediate appointment
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14 The Bulletin | Spring 2022
IN MEMORY Note: I just became aware that Pat died in late 2020 during the pandemic. She was an active member and supporter of the SCMS Alliance for many years. Joan Cramer
Patricia “Pat” Ann Koenig Patricia “Pat” Ann Koenig, age 79, passed away at Hoyt Nursing & Rehab Centre on November 14, 2020. The daughter of Salih Kalel and Nazetta Farrah, Pat was born on April 22, 1941, in St. Louis, Missouri. She married Dr. Nick Koenig on June 12, 1965, and they shared 44 years of marriage. He preceded her in death in 2009. Over the years, Pat had two careers. She received her Bachelor of Science in Nursing degree from DePaul Hospital Nursing School in 1961. Pat was a pediatric nurse at Cardinal Glennon Children’s Hospital in St. Louis, Missouri. It was in St. Louis she met and married the love of her life, Nick. They moved to Saginaw, Nick’s hometown, where she met and made many lifelong friends. She began her second career as a Real Estate Broker/Owner and retired after 25 years in the business. Pat loved her granddaughters, shopping, and socializing with her many friends. Over the years, Pat was active in the Saginaw County Medical Society Alliance, Boys and Girls Club, Saginaw Board of Realtors and St. Raymond Maronite Church in her hometown of St. Louis, Missouri. Pat is survived by her loving children, Joseph “Joe” (Jean) Koenig, Mimi (Matt) Shier, and Mike (Amy) Koenig; beloved grandchildren, Jordyn Koenig, Kaitlyn Koenig, Heather Shier, and Ruby Koenig. She leaves behind many beloved nieces and nephews. She appreciated and adored her nephew, Jeff Koenig, who always loved and protected her. She was preceded in death by her husband, Dr. Nick Koenig, her parents, and her 12 siblings. Cremation has taken place. Due to the ongoing pandemic, Pat’s family plans to hold a memorial mass at a future date when it is safe to gather again. Those planning an expression of sympathy may wish to consider memorials to the Shriners Hospital for Children, Post Office Box 863765, Orlando, Florida 32886, or at www. shrinershospitalsforchildren.com. www The following Memorial for Sean Hoban, MD was written by Drs. Lou Constan and Louis Byrne.
Sean Hoban, MD Sean Hoban, MD was born in Westport, County Mayo, Ireland on August 22, 1932, and died in Milwaukee, Wisconsin on March 25, 2022. Dr. Hoban was educated, pre-med and Medical School, at University College Dublin, graduating in 1959. He came to Saginaw for his Internship, setting up a Family Practice on Michigan Avenue. He married Carmel Cassidy in 1962; she predeceased him in 2011. They had two children, Michelle and Dermot, who survive them. Dr. Hoban believed that Saginaw was a great place to practice medicine, and convinced over 100 Irish medical students to take Externships here; over 60 Irish doctors to
take Internships here; and 14 doctors to practice here. He left a large footprint in Saginaw. He was also a citizen of the world, doing medical missionary work in Africa, and practicing medicine in Saudi Arabia, California, as well as, other states in the U.S. Other interests, from his first day in medical school, included theology (he actually studied to be a Cistercian Monk), political advocacy for the poor and promoting musical artists.
All statements or comments in The Bulletin are those of the writer, and not necessarily the opinion of the Saginaw County Medical Society (SCMS). The Bulletin is made available electronically for members as an informational service. Reliance on any such information is at the user's own judgment. The SCMS, its officers and employees, cannot guarantee the accuracy, reliability, completeness or timeliness of any information, and may not be held liable for any individual’s reliance on our web or print publications. For questions or the latest information, please contact Joan Cramer of the SCMS at (989) 284-8884 or jmcramer@sbcglobal.net.
Creating a
safety network for our
community Our goal is to save lives through prevention, intervention, and aftercare.
Our Network trains individuals in evidence-based suicide prevention with the hope of destigmatizing suicide, increasing help-seeking behaviors, and caring for those impacted by suicide. To request trainings or resources, contact info@srrn.net I www.srrn.net I 989.781.5260 The Bulletin | Spring 2022 15
SCMS April Membership Meeting Minutes
T
he Saginaw County Medical Society Membership Meeting was held on Tuesday, April 19, 2022, at Horizons Conference Center. Anthony M. Zacharek MD, President, called the meeting to order at 7:09 p.m. Dr. Zacharek welcomed members, CMU residents, CMU medical students and guests. Dr. Zacharek thanked the following Key Providers in attendance for their ongoing support of SCMS programs: • Covenant HealthCare – Marcus Atkins • Renue Physical Therapy – Tom Hetzner, Casey Sowinski, PT, DPT and Mel Svorinic PT, DPT Dr. Zacharek then conducted the following business of the SCMS: • The Minutes of the January 18, 2022, Membership Meeting were attached to the Agenda and published in The Bulletin. MOTION: Approve the January 18, 2022, Meeting Minutes as printed. MOTION APPROVED. • Introduced CMU residents attending the meeting: o Carmen Avramut MD - PGY-1 Psychiatry o Chad Bambrick MD - PGY-2 Emergency Medicine o Sakshi Dhir MD - PGY-3 Psychiatry o Swetha Kondaveeti MD - PGY-1 Psychiatry o Jared Pugh DO - PGY-2 Psychiatry o Maria Qadir MD – PGY-1 Psychiatry o Mohammed Aamir Saiyed MD - PGY-1 Family Medicine and Resident Rep on the SCMS Board o Jisselly Salcedo MD - PGY-3 Psychiatry o Sara Schambach MD - PGY-1 Emergency Medicine o Shipra Singh MD - PGY-2 Psychiatry • Introduced CMU medical students attending the meeting: o Lauren Bootzin - M2 o Patrick Fewins - M2 o Mary Galuska - M2 and Medical Student Rep on the SCMS Board o F. Ann Sobell - M3 and Medical Student Rep on the SCMS Board o Matthew Welch - M3 • Shared news that Senate Bill 247 on Prior Authorization was recently signed into law. • Encouraged members to stay up-to-date with the SCMS by reading The Bulletin which is available on our website www.SaginawCountyMS.com under the Bulletin tab.
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• Asked everyone to plan on participating in the SCMS Foundation’s Annual Golf Outing on Saturday, June 4, 2022, at the Saginaw Country Club. The Foundation raises money to provide low interest loans to medical students, scholarships and awards for medical student and residents, and assists the Alliance with providing nursing scholarships. TONIGHT’S PROGRAM Dr. Zacharek introduced speakers Sasha P. Savage MD, Family Physician and Chief Health Officer of THRIVE; Mark G. Greenwell MD, Family Physician; Claudia C. Zacharek MD, Nephrologist; and Jisselly Salcedo MD, PGY-3 Psychiatry Resident who each gave TED Talks on “Overcoming Obstacles in Health Care.” Each presentation was unique and heartfelt, and coincidentally followed a common theme of emotional intelligence as referenced in Dr. Zacharek’s Winter 2022 article in The Bulletin. According to Bradberry and Greaves, “emotional intelligence is your ability to recognize and understand emotions in yourself and others, and your ability to use this awareness to manage your behavior and relationships.” (Bradberry, T, Greaves, J. “Emotional Intelligence 2.0”, 2009). Dr. Zacharek thanked Drs. Savage, Greenwell, Zacharek and Salcedo for sharing their very personal stories of overcoming obstacles in health care. The SCMS Annual Membership Meeting and SCMS Foundation Annual Membership Meeting will be held on Tuesday, May 17, 2022, at Horizons. Featured during the Annual Meetings will be an address from Thomas J. Veverka MD who will be installed as MSMS President on April 30 at the House of Delegates in Kalamazoo. Dr. Veverka is only the fifth MSMS President from Saginaw. Dean George E. Kikano MD will also give an update on the CMU College of Medicine. There being no further business, the meeting was adjourned at 8:27 p.m. Respectfully submitted, Joan M. Cramer Executive Director
Top row, from left: Covenant’s Marcus Atkins Drs. Jisselly Salcedo, Furhut Janssen and Kai Anderson Heidi Tracy, Drs. Mike Sullivan, Sasha Savage and Tom Veverka Second row, from left: Drs. Caroline Scott, Mark Greenwell, Anu Gollapudi, Rama Mulpuri and Dave Wiersema Drs. Jill Paveglio, Kathleen Cowling and Sara Schambach Third row, from left: Renue’s Casey Sowinski, Mel Svorinic and Tom Hetzner with Dr. Caroline Scott CMU Residents Drs. Maria Qadir, Carmen Avramut, Jared Pugh, Jisselly Sanchez Salcedo, Sakshi Dhir, Shipra Singh, Swetha Kondaveeti and Chad Bambrick Bottom row, from left: Medical Students Patrick Fewins, Matthew Welch, Mary Galuska and Ann Sobell Drs. John and Judy Blebea, Miriam Schteingart and Nicholas Haddad
The Bulletin | Spring 2022 17
MEMBER NEWS Dr. Waheed Akbar Honored with Drum Major Award at MLK Regional Celebration Three champions for diversity, understanding and support of underserved people in the Great Lakes Bay Region were selected to receive the Martin Luther King, Jr. Drum Major for Community Service Award. The award honors people in the Great Lakes Bay Region who perform everyday acts of service with reliability and commitment, but who seldom receive recognition and whose work exemplifies one or more of Dr. King’s values or beliefs. The three leaders, representing Bay, Midland and Saginaw counties, were recognized during the Martin Luther King, Jr. Regional Celebration, which was held virtually on Wednesday, January 19. Dr. Condoleezza Rice, 66th Secretary of State, was the featured guest in a moderated fireside chat. The 2022 Drum Major Award honorees are Waheed Akbar, MD (Saginaw County), Darold Newton (Bay County) and Erin Patrice (Midland County). They received a $1,000 award for a charitable organization of their choice. Dr. Akbar is an orthopedic surgeon with Ascension Medical Group and has been a dedicated community volunteer, serving on boards of directors for a number of organizations, including Ascension St. Mary’s, the Saginaw Valley State University Foundation and the Saginaw Branch of the NAACP. He established the Dr. Raana Akbar Memorial Lecture on Islam and Culture at SVSU in memory of his wife, and he is active in Interfaith Saginaw. “I have strongly felt that it is important to bring diversity, to bring love, to bring understanding and to bring forgiveness in everything we do in our day-to-day life,” Akbar said. “I have worked relentlessly on interfaith dialogue and discussion and to bring understanding and diversity and to bring people representing minority groups together and on to the same platform.” Congratulations, Dr. Abkar! Dr. Delicia Pruitt Receives Governor’s Service Award Congratulations to CMU Health's family medicine physician, Delicia J. Pruitt, MD, for receiving the Governor's Service Award for going above and beyond during the pandemic! Just as COVID-19 was making its way into the U.S. in January
of 2020, Dr. Delicia Pruitt began working as the Medical Director of the Saginaw County Health Department. “When Saginaw County had its first case in March 2020, I immediately gathered the medical community to discuss our approach to handling COVID-19,” said Dr. Pruitt. With local healthcare professionals, Dr. Pruitt - who has worked as a doctor in Saginaw for 19 years - organized a task force to provide care for the community and met weekly to decide how to distribute medical supplies and other resources when the demand was high, but supply was low. When vaccine rollout began, Dr. Pruitt could sense that many individuals were hesitant and concerned about receiving their COVID-19 vaccines. She, along with her colleague, Health Officer Chris Harrington, live-streamed receiving their first doses of the COVID-19 vaccine. The pair aired 65 episodes on Facebook Live with psychiatrists, pediatricians, infectious disease experts, and other physicians as guests to inform the public about important COVID-19 information. Dr. Pruitt hoped this would increase vaccine confidence, especially among people of color. “In African American culture, it’s a mistrust that’s been there for years, and there are definitely disparities when it comes to health care access,” she said. Understanding this, Dr. Pruitt wrote for a grant to give underserved communities access to vaccinations. She gathered resources and organized mass vaccination clinics at four churches located in underserved areas with the help of multiple health systems. In just two days, over 2,500 vaccines were administered at these clinics, thanks to volunteers from the churches and health systems, including Dr. Pruitt herself. In addition to these important efforts during the COVID-19 pandemic, Dr. Pruitt has also been appointed by Governor Whitmer to the Protect Michigan Commission (PMC) and the Food Security Council. Dr. Pruitt felt drawn to assist the Food Security Council due to growing up food insecure herself. “It was important for me to have a voice in how we can help identify and help those who are food insecure,” she said. “I felt that food insecurity should be a medical diagnosis so that insurance and other medical professionals, like social workers, could easily identify these patients and make it easier to give them help.” Congratulations, Dr. Pruitt!
THANK YOU, ADVERTISERS!
The SCMS would like to thank our dedicated advertisers. When you have a need for a service, please consider our advertisers first! All Seasons Skin and Surgery Center Andersen Eye Associates Ascension St. Mary’s Hospital Barb Smith Suicide Resource & Response Network Covenant HealthCare
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The Bulletin | Spring 2022
Print Express Covenant Wound Healing Center Shields Chiropractic Jan Hauck – Century 21 Healthway Compounding Pharmacy Wellspring Lutheran Services Home Health & Hospice Lori Krygier Graphic Designer Peak Performance PC Services
APPLICATIONS FOR MEMBERSHIP FIRST READING: Application for membership for first reading at the May 17, 2022, Board Meeting: Rikat E. Baroody MD (CMU Health – Surgery) Specialty: Surgery – Trauma, Critical Care – Board Certified 2021 Medical School: State University of New York (SUNY) Upstate Medical University, College of Medicine, Syracuse, NY, 2013 Residencies: The Alpert Medical School of Brown University, Providence, RI, Surgery Preliminary, 2013-14; Lincoln Medical Center, Bronx, NY, Surgery Categorical, 2014-15; and CAMC – WVU Charleston Division, Charleston, WV, General Surgery, 2015-19. Fellowship: Wright State University, Dayton, OH, Surgery Critical Care, 2019-20. Sponsors: Doctors John Blebea and Chet A. Morrison SECOND READING: Applications for membership for second reading and approval at the May 17, 2022, Board Meeting: Cecilia E. Kraus-Horbal DO (CMU Health – Internal Medicine) Specialty: Internal Medicine – Board Certified 2019 Medical School: Lake Erie College of Osteopathic Medicine at Seton Hill, Greensburg, PA, 2016 Residency: Henry Ford Hospital, Detroit, MI, Internal Medicine, 2016-20 Sponsors: Doctors Judy V. Blebea and Nicholas E. Haddad Jacquelyn G. (Albosta) Small DO* (Covenant MedExpress) Specialty: Family Medicine – Board Certified 2022 Medical School: Michigan State University – College of Osteopathic Medicine, 2019 Residency: Ascension Macomb-Oakland Hospital, Warren, MI, 7/19-6/22 Sponsors: Doctors Thomas E. Damuth and Matthew D. Deibel *Dr. Small is a Foundation Loan recipient taking advantage of the loan forgiveness program.
Caduceus Meeting for Recovering Health Care Professionals Third Thursday of each month 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.
George P. Malliaras MD (Covenant Plastic Surgery) Specialty: Surgery – Plastic, Hand, Reconstructive and Cosmetic – Board Certified 2019 Medical School: Ross University School of Medicine, Portsmouth, West Indies, 2013 Residency: Western Reserve Health Education/NEOMED, Warren, OH, General Surgery, 2013-18; and Oklahoma University Health Sciences Center, Oklahoma City, OK, Plastic Surgery, 2018-21 Sponsors: Doctors Ronald C. Barry and Anthony M. Zacharek Xia Wang MD (CMU Health-Internal Medicine) Specialty: Internal Medicine – Board Certified 2000 and Clinical Medical Genetics – Board Certified 2002 Medical School: Peking Union Medical University, Beijing, China 1990, and Doctor of Philosophy, Wayne State University School of Medicine, Detroit, MI 1996 Research Associate: Wayne State University, Department of Otolaryngology, 1996-97. Residency: William Beaumont Hospital at Grosse Pointe, Grosse Pointe, MI, Internal Medicine, 1997-2000; and Detroit Medical Center, Detroit, MI, Clinical Medical Genetics, 2000-02 Sponsors: Doctors Robert F. Battisti and Nicholas E. Haddad
NEW MEMBERS Dafina W. Allen MD
Vishal Saini MD
Wise Weight Management
SoundASleep Sleep Diagnostics Lab
3069 Bay Plaza Drive Saginaw, MI 48604-2534 Office (989) 272-3215 www.wiseweightmd.com
4701 Towne Centre, Ste. 201 Saginaw, MI 48604-2833 Office (989)-793-1040 Fax (989)-793-7113 Family Medicine, Obesity Medicine www.soundasleeplab.com Joshua S. Grant MD
Family Medicine, Sleep Medicine
Great Lakes Eye Institute
Nicholas D. Shokoohi MD
2393 Schust Road Saginaw, MI 48603-1334 Office (989)-793-2820 Fax (989)-793-9132 www.greatlakeseyeinst.com
Great Lakes Eye Institute
Ophthalmology
Daniel J. Lin MD
2393 Schust Road Saginaw, MI 48603-1334 Office (989)-793-2820 Fax (989)-793-9132 www.greatlakeseyeinst.com Ophthalmology
Great Lakes Eye Institute
2393 Schust Road Saginaw, MI 48603-1334 Office (989)-793-2820 Fax (989)-793-9132 www.greatlakeseyeinst.com Ophthalmology
We engage in group discussions where members may want to speak up, ask questions or share thoughts with fellow members.
The Bulletin | Spring 2022 19
Ascension St. Mary’s Orthopedic Surgeon Authors Publications Congratulations to Tarek A. Taha, MD, PhD, an Orthopedic surgeon and Section Chief at Ascension St. Mary’s Hospital in Saginaw, who authored the following robotic and bone transport publications: • Elsevier's Arthroplasty Today, with a case report that discusses robotic arm-assisted total hip arthroplasty to correct leg length discrepancy in a patient with spinopelvic obliquity. This approach helped with the patient’s symptoms and gait, as well as, radiographic pelvic alignment. • Journal of Orthopedic Surgery and Techniques, with a case report on robotic arm-assisted total knee arthroplasty in patients with flexible versus fixed deformities. A “skim cut protocol” was used and effectively restored alignment of rigid knees while minimizing soft tissue releases. • The Journal of Bone and Joint Surgery, Inc., with a case report on the salvage of bone transport with the induced membrane technique in an open tibia fracture with a segmental defect. Economic Development Award Presented to Ascension St. Mary’s Hospital Ascension St. Mary's Hospital received an Economic Development Award from Saginaw Future at their annual meeting. The award recognizes Ascension's multi-million dollar investment in operational capital towards their northern Michigan health ministries in Saginaw, Standish and Tawas City. In November 2021, Ascension St. Mary's Hospital completed an $18 million emergency care and trauma center expansion. Stephanie J. Duggan, MD, Regional President and CEO, Ascension Michigan Northern Ministries, and Ascension Michigan Northern Ministries Board Member, Paul Furlo, received the award. Also pictured (l-r): Shelli Langenburg, Dr. Stephanie Duggan and Sarah Maher. Trauma Awareness Night a Success at the Saginaw Spirit Hockey Game As part of Traumatic Brain Injury month in March, Ascension St. Mary's Hospital teamed up with the Saginaw Spirit Hockey Club to host a trauma awareness event. Hospital leaders 20 The Bulletin | Spring 2022
and staff from trauma, emergency, stroke, neurosciences, orthopedics and rehabilitation participated in pre-game activities that included education and preventative tips on how to avoid injuries, especially those to the head and brain. Field Neurosciences Institute provided 100 free bike helmets and fitting for kids ages 2-15. A recent trauma patient, Denise Wolfe, who was transported by FlightCare to Ascension St. Mary’s Hospital, shared her story and expressed thanks and appreciation for all caregivers who saved her life. Ascension St. Mary’s trauma surgeons, nurses, clinical staff and FlightCare crew members participated in a ceremonial puck drop. The inaugural event was well attended and a huge success. Welcome Dr. Nishtha Sareen Nishtha Sareen, MD, MPH, will join Ascension Medical Group Riverfront Cardiology on May 1, 2022. She is a highly experienced board-certified interventional cardiologist who joins us from the Detroit market, most recently having worked at Ascension St. John Providence Hospital in Southfield. Dr. Sareen has been a practicing Interventional Cardiologist, specializing in cardiac and vascular disease, in Michigan since 2012. She is board certified by the American Board of Internal Medicine in Interventional Cardiology, Nuclear Cardiology, Echocardiography, Coronary CTA, Endovascular medicine, General Cardiology and Internal Medicine. Proud to have completed her undergraduate and medical school training at the Rabindranath Tagore University in India, medical school clinics with High Honors at Harvard Medical School; she went on to complete her Internal Medicine residency training at Hofstra North Shore Hospital in New York. Dr. Sareen was Chief Cardiology fellow at St. Joseph Mercy Oakland hospital and trained for Interventional Cardiology at Mount Sinai Medical Center in New York, one of the top continued on page 22
Welcome New Providers Ascension Medical Group is pleased to welcome the following new providers to our employed medical staff.
Selina Akbar, MD
Toby Blosser, AT
Internal Medicine AMG Primary Care Towne Centre
Athletic Trainer AMG Orthopedics & Sports Medicine
Carlyn Hinish, DPM
Jasleen Kaur, MD
Podiatry AMG Orthopedics & Sports Medicine
Rheumatology AMG Rheumatology
Pragna Dholakia, NP Cardiology AMG Riverfront Cardiology
Sports Medicine AMG Orthopedic & Sports Medicine
Sports Medicine/Ortho AMG Orthopedic & Sports Medicine
Cardiology AMG Riverfront Cardiology
Electrophysiology AMG Riverfront Cardiology
Angela Ritter, PA
Joginder Singh, MD
Tiffany Wirtz, NP
Family Medicine AMG Family Physicians Gratiot
Taylor Sinda, PA Plastic/
Urology Placed with TriCity Urology
Melissa Fritch, NP
Medical Oncology AMG Medical Oncology & Hematology
Christopher Kukla, PA Alexey Levashkevich, MD Michael Mishkin, DO
Marisa Mohammed, PA Anirudh Penumetcha, DO Amanda Petzold, PA
Neurosurgery AMG Neurosurgery
Leigh Gilpin, DO
Orthopedics AMG Orthopedics
UroGynegology AMG Obstetrics & Gynecology - Genesys
Cardiology AMG Riverfront Cardiology
Sefako Phala, MD
Patchawan 'PorPor' Phunwutikorn, PsyD
Family Medicine AMG Bay City Family Physicians
Psychology AMG Bariatrics
January 2022 The Bulletin | Spring 2022
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continued from page 20
ten training programs in the country. Dr. Sareen furthered her education by receiving a Master in Public Health from the University of Nevada. Dr. Sareen has been appointed faculty at various hospitals throughout the state. She is very passionate about education and is involved in many committees and task forces. She is co-chair for the Educational Webinars, WIN with the Society for Coronary Angiography and Interventions. She is an editor for clinician well-being web pages with the American College of Cardiology and part of the Hypertension Working Committee Preventive Work Force with the American College of Cardiology. Additionally, Dr. Sareen is one of the elected advocacy representatives for the American College of Cardiology in the state of Michigan for 2022. She also serves on the committee for racial disparity by the American College of Cardiology. Dr. Sareen serves as the medical director for the Ascension Providence Heart Institute Women’s Heart Clinic in Southfield and will be bringing this role to Ascension St. Mary’s Hospital in Saginaw. Dr. Sareen is accepting new patients, referrals and appointments can be made by calling 989-754-3000. Ascension St. Mary’s Hospital Foundation Golf Outing May 20, 2022 Join the fun at the 2022 Ascension St. Mary's Foundation Golf Classic. This year’s tournament proceeds support the purchase
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of surgical neuromonitoring and neurodiagnostic equipment upgrades. Intraoperative neuromonitoring is used to assist in preventing injury and preserving functionality of the brain, spinal cord and nerves during high-risk surgeries. Continuous EEG monitoring is used for early detection of abnormal brain patterns in critically ill patients who have suffered a stroke, traumatic brain injury or undergone brain surgery. Friday, May 20, 2022 Apple Mountain Golf Club in Freeland 8 a.m. - Registration 9 a.m. - Shotgun Start Sponsorships are available. To register for the golf classic, click here. For more information or to register by phone, call Tammy Weighman at (989) 907-8300. COVID-19 precautions and protocols will be in place to keep all attendees safe. Look for streamlined registration, breakfast, box lunches, course raffles, games and more.
Invitation to Participate in Leadership Development Series CMU College of Medicine Office of Faculty Development would like to invite you to a new virtual Leadership Development Series! The series will feature regional leaders who have had to navigate a health system through the challenging COVID-19 pandemic while continuing to make a very positive impact on our community. Throughout the series, our leaders will cover a range of topics and provide insight on their particular leadership style and philosophy. Our first workshop will feature Stephanie J. Duggan, MD, the regional president and CEO of Ascension Michigan’s Northern Ministries. When: Friday, June 17, 2022 Time: 2-3 p.m. When it's time, join your Webex meeting here. Join by meeting number Meeting number (access code): 2623 080 9556 Meeting password: S6q5xK4BE3E Mark your calendar for Friday, October 21, 2022, from 1-2 p.m. Our next workshop will feature Beth Charlton, BSN RN, MHA, President and CEO of Covenant HealthCare. For more ways to join, contact: Nicole Wright, MBA, Coordinator, Training & Professional Development, College of Medicine P: 989-774-7862 | E: nicole.wright@cmich.edu
CMU College of Medicine Celebrates Successful Match Day By Kate Worster Central Michigan University College of Medicine fourthyear students gathered at Dow Diamond in Midland at noon on Friday, March 18, 2022, to open envelopes containing the names of the residency programs in which they will continue their physician training for the next three to seven years. At that exact moment, thousands of medical students around the United States and the world were opening similar envelopes or emails. The annual event is known as Match Day - and it is one of the most significant milestones in the life of a medical student. “Match Day confirmed that residency programs across the country know the CMU College of Medicine recruits and
educates fabulous students,” said Tina Thompson, Senior Associate Dean of Academic Affairs at CMU College of Medicine. “They are an amazing group of individuals - bright and dedicated, socially responsive, and eager to positively impact their patients and the communities in which they serve. We are very proud!” One hundred and five students from the College of Medicine participated in the match process this year. In fulfillment of the College’s mission to train culturally competent physicians to provide comprehensive health care and services to underserved populations in Michigan and beyond, 67 percent of CMU medical students matched to primary care residencies - internal medicine, family medicine, pediatrics, combined internal medicine and pediatrics, psychology, obstetrics and general surgery. CMU medical students also matched to programs including orthopedic surgery, pathology and diagnostic radiology. Approximately half the class, 52 percent, will remain in Michigan. Four students matched with the CMU Medical Education Partners residency programs in Saginaw, and four students matched to CMU affiliated hospitals. Two students matched with the United States armed services.
Hamadeh Named Chair of Medical Disciplines By Kate Worster The College of Medicine has named Ghassan Hamadeh, MD the Chair of Medical Disciplines. In his new role, Dr. Hamadeh will lead the academic development for faculty physicians and community educators in the medical discipline, provide mentorship, and support a positive and productive culture. For more than thirty years, Dr. Hamadeh has served as a physician, educator and health services leader. Passionate about patient-centered primary care, Dr. Hamadeh earned his medical degree at the American University of Beirut (AUB) where he was inducted into the prestigious Alpha Omega Alpha Honor Medical Society in 1985. He completed his family medicine residency at the Medical University of South Carolina, and faculty development fellowship at the University of North Carolina at Chapel Hill. He is currently board certified in family medicine and clinical informatics. Dr. Hamadeh served as the chair of the Department of Family Medicine at AUB from 2005-2021. He came to CMU in early 2021 as a professor of family medicine and the Chief Medical Information Officer for CMU Medical Education Partners. Dr. Hamadeh has extensive experience as primary care and medical education expert consultant with the World Health Organization, the World Bank and Middle Eastern governments. Dr. Hamadeh began his role as Chair of the Medical Disciplines on March 1, 2022. The Bulletin | Spring 2022 23
BIRTHDAYS MAY
Thomas M. Minnec MD Rajesh Mithalal MD Brent A. Oldham MD Yvonne V. Pacquing MD Trusha Patel MD Jill M. Paveglio MD Olivia A. Phifer-Combs MD Gregory A. Pinnell MD J. M. Prasad MD Kala K. Ramasamy MD Chalichama A. Rao MD K. K. Ravindran MD Stuart J. Rupke MD Mohammed A. Saiyed MD Payton Salomon Student Insija I. Selene MD Samuel J. Shaheen MD Haley Shumway DO Williams T. Starbird Student Vivek Variar MD Lester E. Webb MD William Yuen MD Harrison J. Zeitler MD Hani H. Zreik MD
Samer Abboud MD Joseph G. Adel MD Fares Alghanem Student Marina I. Ananich MD Binish Ather MD Keri Benkert Eventure D. Bernardino MD Sultan M. Bhimani MD Adam Z. Cote DO Kenneth W. Distler MD Daniel J. Dymek MD Carly Farr MD Douglas B. Forsyth MD Greyson Gillett Student Pruthvi Goparaju MD Suhasini Gudipati MD George J. Gugino MD Enam B. Hanna MD Mayar M. Jundi MD Shweta Kambali MD Adeeba S. Khan MD Waqas M. Khan MD Ryan J. Kim MD Jacob M. Long Student Michael T. McAvoy MD Igor D. Middlebrook DO Jeffrey S. Milewski DO
JUNE
Khurshid Ahmad MD Happy Special Birthday!
Sukaina A. Alali MD Christopher J. Allen MD Abishek Bala MD Cynthia L. Blount DO Kinga E. Budnicka MD Usha K. Bulusu MD William M. Capina MD George A. Carty MD Rachel A. Cleminson Student Sara Dadashzadeh Student Steven G. Fettinger MD Joshua D. Forsyth MD Michael D. Gallo MD Frances Greathouse Student Rao V.C. Gudipati MD Val Hereza MD James R. Hines MD James J. Jesko DO Larry S. Kelly MD Happy Special Birthday! Asim A. Kichloo MD Tiffany K. Kim MD John A. Kremski MD Happy Special Birthday! Eric R. Kuhn Student Jacob M. Lynn Student Lakshmana R. Madala MD Binu Malhotra MD
Albert S.M. Manlapit MD Lydia T. Mansour DO Elizabeth M. Marshall MD Rama C. Mulpuri MD Robert Muterspaugh Student Manuel M. Perea MD Juliette M. Perzhinsky MD Miroslav Predny MD Isaac T. Prows DO Nasser O. Qadri MD Joshua Z. Rarick MD Todd G. Richardson MD Chad D. Ringley MD Kyle J. Rutledge DO Vishal Saini MD Raghu Sarvepalli MD Robert A. Sasso MD Keith E. Scharf MD Viraj S. Sidhu MD Rajeev S. Sudhaker MD Joseph E. Talbot MD William G. Underhill MD Thomas J. Veverka MD Antonio J. Williams, Sr. MD Susanna M. Zurecka MD
All statements or comments in The Bulletin are those of the writer, and not necessarily the opinion of the Saginaw County Medical Society.
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Controlled Substance Administrative Rules Promulgated The Bureau of Professional Licensing (BPL) within the Department of Licensing and Regulatory Affairs (LARA) would like to inform you that the new Controlled Substance Rules were effective as of January 6, 2022. A list of the notable changes is below. This is not intended to provide a comprehensive listing of all changes or current requirements. Licensees should review the rules and statute for a complete understanding of all applicable requirements. • Except for a few exceptions, adopt the complete list of drugs and substances that are controlled substances under the federal Controlled Substances Act. • Clarify who must obtain a controlled substance license and reorganize the licensing rule. • Require physician’s assistants to meet the opioid training requirements that apply to controlled substances licensees. • Expand the individuals who must take the opioid/ controlled substances training. • Exempt an individual who prescribes or dispenses
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Proud to be the Designer for the Saginaw County Medical Society Lori Krygier | Graphic Designer 989.239.1056 | lkrygier@charter.net lorikrygier.com
The Bulletin | Spring 2022
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controlled substances only for research on animals from taking the opioid/controlled substances training. Eliminate the drug treatment program prescriber license. Clarify when inventories and records are required. Require that technologies are in place and used, such as bar-coding, when stocking of an automated device is delegated. Require information to be submitted to the Prescription Drug Monitoring Program (MAPS) database. Require electronic transmission of prescriptions when the same is required by the Federal Centers for Medicare and Medicaid Services, pursuant to the Public Health Code. Provide a state waiver from the electronic transmission of prescriptions at any time a waiver is granted by CMS. Provide a process and basis to obtain a waiver from the mandate to electronically transmit prescriptions. Provide specific exceptional circumstances to the waiver rule. Align the requirements to treat an individual with a substance use disorder for maintenance and detoxification with federal regulations. Use “individual with substance use disorder” instead of “drug dependent person.” Clarify the definition of a “program.” Update prescription requirements. Update emergency and partial dispensing of controlled substances. Update refilling of prescriptions. Clarify that a cash discount card is a cash transaction for entry into the MAPS program.
Our office is diligently working on updating relative information on our website to reflect the revisions of the revised rules. For more information, please visit our website at www.michigan.gov/bpl. Please send questions about the revised rules to BPLHELP@michigan.gov. Bureau of Professional Licensing Licensing Division (517) 335-0918
Substance Use Treatment and Actions in the Great Lakes Bay Region THRIVE is helping to advance substance use education, prevention and treatment occurring throughout the region including multiple efforts around training and community outreach.
Connecting Treatment Courts and Health Professionals Regional Cross Training The Great Lakes Bay Region was recently recognized as a leader for their work in the treatment of and programs supporting substance use disorders (SUD). Recent training and education efforts included a program titled Connecting Treatment Courts and Health Professionals Regional Cross Training, that took place last year in three areas around the state, including the Great Lakes Bay Region, as well as, Grand Traverse and surrounding areas and the Upper Peninsula. The feedback from these sessions was overwhelmingly favorable, with several inquiries about what next steps and actions could be taken. In response, additional trainings will be held, building upon this work, focusing on how stakeholders can implement and sustain change in their communities. Survey work is currently being completed by the Wayne State University Center for Behavioral Health and Justice (CBHJ), focused on initiating best practices and coordination of care for individuals who participate in the treatment court system. The outcome will help to shape future training and education efforts in the region and beyond.
Drug Courts as a Bridge to Help Another current effort is the work being done with drug treatment courts locally to reach individuals who need help with SUD. Drug treatment court is designed to be non-adversarial and is implemented via a team approach to address underlying substance use, mental health and trauma issues. Drug courts employ evidence-based practices as a sentencing alternative that provides life-saving treatment to people living with serious addiction and mental health conditions. Some of the partners in this work include the Michigan Department of Corrections, County Sheriff’s and prosecutor’s offices in the Great Lakes Bay Region, Great Lakes Bay Health Centers, Ten16 Recovery Network, THRIVE and the Underground Railroad.
THRIVE is working with Judge Andre Borrello from the Michigan 4th District Court of Appeals to strengthen the ties previously set between MiHIA, THRIVE and drug courts locally, and within Michigan State Medical Society’s training pursuits with drug court personnel. Treatment courts are part of a multi-pronged strategy to offer MOUD (medication for opioid use disorder) to those in both the medical system (ED, hospitalization, or EMS) and the criminal justice system. In 2021, the CAREring Quick Response Team (QRT), comprised of partnerships between THRIVE, Ten16, Mobile Medical Response, Great Lakes Bay Health Centers and Peer360, served 280 people with assistance and support after an overdose. Another 260 people participated in an alternative pain management pilot with Great Lakes Bay Health Centers, a model that could be implemented at scale. Currently, THRIVE is working on distributing 1,300 fentanyl strips throughout the region in an effort to provide the community with safe, effective testing resources. Fentanyl testing strips, also known as FTS, are a simple, inexpensive, and evidence-based method for averting an overdose. FTS detect the presence of fentanyl in any form, either pills, powder, or injectables and is a lifesaving tool for users that enable educated decision-making about a user’s safety.
Congratulations in Order for Dr. Tom Veverka! We are thrilled by Dr. Tom Veverka’s recent installation as president of the Michigan State Medical Society. The appointment was made official on April 30 at the House of Delegates meeting in Kalamazoo. “We would like to recognize and congratulate Dr. Tom Veverka for being named president of the Michigan State Medical Society. His appointment exemplifies the years of dedicated work to serve both patients and his fellow professionals. In this important role, he will further advance health and play a pivotal role in furthering progress, best practices and outcomes throughout the state of Michigan,” said Dr. Catherine Baase, board chairperson for MiHIA. “We are honored to have Tom serve on the MiHIA Board of Directors, and we value the tremendous expertise he brings in advising our work. We look forward to seeing the impact his efforts will have for years to come.”
“We would like to recognize and congratulate Dr. Tom Veverka for being named president of the Michigan State Medical Society. His appointment exemplifies the years of dedicated work to serve both patients and his fellow professionals. The Bulletin | Spring 2022 27
Dr. Tessa Dake Joins Covenant Medical Group – Family Medicine Covenant HealthCare welcomes Tessa K. Dake, MD, as a member of the Covenant Medical Group. Dr. Dake joins the Covenant Primary Care team at 2429 Trautner Drive, Saginaw, MI 48604 and can be reached at 989.583.5514.
Covenant Surpasses 10,000 Robotic-Assisted Surgeries Just over 12 years after the first da Vinci® Surgical System arrived at Covenant HealthCare, the team has now completed more than 10,000 robotic-assisted surgeries. The da Vinci® Surgical System integrates robotics and sophisticated computer technology with the skills of the surgeon. The system enhances a surgeon's ability to perform delicate operations with great precision and maneuverability, while only requiring tiny incisions. This in turn leads to smaller wounds, quicker healing and shorter hospital stays for patients. The team of 28 robotic surgeons at the Covenant Center for Advanced Robotic Surgery have more than 220 combined years of experience. “This accomplishment would not have been possible without the extraordinary dedication of the entire surgery team at Covenant,” says Sujal G. Patel, MD, Robotic Surgeon and Trauma Medical Director for Covenant. “The commitment from administration to have the foresight to grow the program and the buy in from the staff that work in the operating room to get the appropriate training has enabled us to improve the surgical experience for thousands of patients.” With three da Vinci® X, one da Vinci® Xi, and two Mako robots, Covenant continues to lead robotic surgery in the Great Lakes Bay Region with more than 1,300 robotic procedures completed annually. “More than 70 percent of soft tissue surgeries conducted at Covenant are done robotically. The amount of coordination and collaboration it takes to accomplish this volume is exceptional with three da Vinci ® Systems,” explains Aimie Goodrow, Director of Surgical Services. “We are a Robotic Center of Excellence thanks to every team member’s commitment to continuously promoting consistency in patient safety and timely access to care.” The array of procedures Covenant surgeons can now perform robotically is still growing more than a decade 28
The Bulletin | Spring 2022
later. The current roster of robotic offerings includes general surgery, colorectal, endocrinology, gynecological oncology, gynecology, hepatobiliary, liver, pancreatic, surgical oncology, urology and thoracic.
About Covenant HealthCare Center for Advanced Robotic Surgery By bringing the region’s leading surgeons together with the most advanced robotic technology, patients experience less pain, fewer complications and shorter recovery times. Our state-of-the-art robotic technology, board-certified surgeons and compassionate environment gives patients the extraordinary confidence they need when undergoing surgery. Learn more at www.covenanthealthcare.com/ch/ davinciroboticsurgery.
Covenant Cardiology Earns PCI Re-Accreditation from Corazon The Percutaneous Coronary Intervention (PCI) program at Covenant HealthCare has once again earned accreditation by Corazon, a national leader in services for the cardiovascular specialty based in Pittsburgh. PCI is a minimally invasive procedure to open blocked coronary (heart) arteries. The Covenant Cardiology team has demonstrated their commitment to providing the highest level of extraordinary care to patients throughout the rigorous accreditation process. “Our dedicated team of doctors, nurses, technicians, and support staff at Covenant continually strive to provide high quality, compassionate care in our cardiac catheterization labs,” said Manoj Sharma, MD, Medical Director of Cardiovascular Services. “I’m proud of this team that works diligently to keep our labs equipped with state-of-the-art technology, while maintaining high quality PCI care metrics at both state and national levels.” To earn PCI accreditation, Covenant met or exceeded requirements established by the Michigan Department of Community Health (MI DCH), in accordance with Certificate of Need Review Standards for Cardiac Catheterization Services. Requirements include, but are not limited to, providing 24hour coverage for PCI emergencies and undergoing detailed quarterly quality reviews to ensure outcomes and practices meet or exceed national standards. As an accrediting agency on behalf of the MI DCH, Corazon helps to ensure high-quality, life-saving PCI services are provided in communities across the state. For more information, visit www.corazoninc.com. continued on page 29
n ce e r e f if D e h T e e S “Come
continued from page 28
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About Covenant Cardiology With clinics in nine locations, Covenant strives to provide outstanding patient care while keeping heart services close to home. This comprehensive program offers the latest medical innovations in cardiac diagnosis and treatment. Our expert physicians are committed to patients, with a focus on quality care and customer service. Learn more and meet the team at www.covenantcardiology.com. • Comprehensive Eye Exam
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WE LEAD IN HEALING CHRONIC WOUNDS What is Hyperbaric Oxygen Therapy? Hyperbaric Oxygen Therapy (HBOT) is the administration of 100% oxygen in a pressurized environment. Diffusing oxygen throughout the body promotes angiogenesis, allowing a chronic wound to get the nutrient and oxygen rich blood it needs to heal. Specialized wound care, including HBOT, is often necessary for optimal treatment of chronic wounds. HBOT is an effective adjunctive therapy used in conjunction with advanced wound care. Along with proper attention to nutrition and other underlying medical problems, we achieve greater healing results. HBOT is a proven treatment for: • Chronic Refractory Osteomyelitis • Lower Extremity Diabetic Ulcers • Radiation Cystitis/Proctitis or Radiation Necrosis
David Gustavison, DO Medical Director
Covenant Wound Healing Center “There are approximately 6.5 million patients in the U.S. suffering from chronic wounds (e.g. diabetic foot ulcers and pressure ulcers) and approximately 140,000 patients are hospitalized every year with new wounds. Currently, over 23 million people have been diagnosed with diabetes.”* Covenant Wound Healing & Hyperbaric Medicine Center has a team of experts trained to evaluate your patient’s wound and develop a treatment plan. Using the most advanced technology and research, our wound care team can work with you and your patients to heal wounds quickly.
Anthony de Bari, MD, CWSP
Scott Byron, DPM, FAAPSM
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ONLY ACCREDITION IN MICHIGAN; SECOND IN THE U.S. COVENANT WOUND HEALING & HYPERBARIC MEDICINE CENTER 900 Cooper, Saginaw, Michigan 989.583.4401 • covenanthealthcare.com
The Bulletin | Spring 2022 29
PEER REVIEW ETHICS COMMITTEE The Saginaw County Medical Society has a Peer Review Ethics Committee (“Committee”) which is comprised of Waheed Akbar, MD – Chair, Caroline G.M. Scott, MD and James R. Hines, MD. Members of the Committee are elected by the membership. The following is the definition of the Committee pursuant to Chapter IX Conduct and Discipline of Members of the SCMS Bylaws: Section 5. PEER REVIEW ETHICS COMMITTEE. This Society shall have a standing committee designated the Peer Review Ethics Committee, charged with duties and powers concerning the maintenance of standards of conduct and discipline of members including the duties and powers specifically set forth in this chapter. Whenever any matter of alleged misconduct is referred to the Peer Review Ethics Committee, such Committee shall have the right to conduct investigations and hearings thereon, both informal and formal, and to make findings of fact and recommendations for discipline. If you need to refer a matter to the Committee, please contact Drs. Akbar, Scott or Hines, or Joan Cramer at the Saginaw County Medical Society office. All matters are confidential and are not to be disclosed to the Board or membership.
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BENEFITS OF SCMS/MSMS
MEMBERSHIP T he Saginaw County Medical Society (SCMS) is the professional association of physicians in Saginaw County, and a component of the Michigan State Medical Society (MSMS). In order to be a member of one, you must be a member of both. I have been asked many times by both members and nonmembers “Why should I belong to the SCMS and MSMS?” “What do you do for me?” Some have responded they “don’t use their membership because they don’t attend SCMS meetings.” SCMS and MSMS membership is so much more than membership meetings. We are not only support for you, but for your office staff as well. I’m hoping the information below will help members who are on the fence about paying their dues decide to remain members, and also convince nonmembers why they should belong. We represent physicians in all specialties and in all types of practices – solo, group, employed, etc. Active membership is open to MDs and DOs. • Active physician dues are $795 per year ($495/MSMS and $300/SCMS). One hundred percent of SCMS dues and 87 percent of MSMS dues are tax deductible as a business expense. • The SCMS offers a discount for first year physicians, and MSMS offers discounts for first, second and third year physicians, as well as, physician spouses when both are members. • Resident and medical student memberships are also available.
What We Offer SCMS Members and Their Staff: • Five Membership Meetings per year where our members have an opportunity to network and enjoy the camaraderie of fellow physicians who love the practice of medicine and want to see progress made in the Saginaw medical community. In addition, our meetings include interesting speakers and an opportunity to earn FREE CME credit. A few recent and future program topics include: - Surviving Acts of Violence - Physician Resiliency - Ethics - Suicide Awareness Training - Human Trafficking - Second Victim - Implicit Bias - What to do if a complaint - Opioids has been filed against you • Representation of physicians in all specialties and in all types of practices–solo, group, employed, etc. • Communication and camaraderie with physicians of other specialties in a neutral setting. • Liaison with MSMS for assistance on practice issues, billing and coding, health information technology, legal alerts, legislative issues, insurance and much more. • An independent voice for physicians on issues they face at the hospitals. • The Bulletin with articles and information pertinent to SCMS members and their staff.
120 Years of Caring for Saginaw County Residents Joan M. Cramer, SCMS Executive Director
• Pictorial Membership Directory is published annually and used by members and their staff on a regular basis. Our Private Directory provides information on your practice to other member physicians outside your specialty. In addition, a Public Directory that includes office address and phone (but not fax numbers or email) is printed and distributed to 1,000+ households in Saginaw County. The response from the public on this listing of SCMS physicians has been extremely positive. • Website which is full of useful information and resources www.SaginawCountyMS.com. • Referrals to patients seeking a physician. • Contact with local, state and federal legislators regarding issues of importance in Saginaw County. The SCMS maintains contact with local legislators to provide issue education and help them understand the impact of healthcare legislation. • A unified voice on medical issues to our legislators, our area hospitals, insurance companies, etc. • Political activism in support of medicine-friendly candidates. • Loans and scholarships to local medical students, residents and nursing students. • Community service to actively and tangibly give back to the community where you live and work through SCMS sponsored projects, such as our annual Health Fair for the Saginaw community attended by 1,100+ offering free health screenings and information, plus the opportunity for residents to speak with our member physicians directly to answer questions and promote your practice. • An active Peer Review Mediation Committee to provide a forum for patient complaints to be heard. Peer Review reduces the number of malpractice lawsuits. • An active Peer Review Ethics Committee for physician to physician issues. • Confidential assistance for members with substance abuse or personal issues affecting their practice of medicine. • And more!
WHY PAY DUES? • Because all physicians need to “fund their voice.” • National polls show physicians as one of the most respected professions. Sadly, they don’t use their clout often enough to preserve their profession and protect their patients. • There is strength in numbers. Together we are stronger. If you or your office staff need assistance on an issue of any kind, please feel free to contact me at jmcramer@sbcglobal. net, (989) 790-3590 (office) or (989) 284-8884 (cell) and I will work with you to come up with a resolution for your problem through a variety of resources available to you as a SCMS/ MSMS member.
SERVING ALL SPECIALTIES AND SOLO, GROUP AND HOSPITAL EMPLOYED PHYSICIANS SINCE 1902 Visit www.SaginawCountyMS.com for a Membership Application under the “Membership” tab
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2022 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.
CALENDAR OF MEETINGS AND EVENTS FOR 2022* Tuesday, May 17, 2022 Horizons Conference Center, 6200 State Street, Saginaw Board Meeting – 5:30 p.m. ANNUAL MEMBERSHIP MEETING and ANNUAL FOUNDATION MEMBERSHIP MEETING – Social (cash bar) at 6:30 p.m., followed by dinner and meetings at 7 p.m. Agenda: SCMS Annual Membership Meeting • Installation of Tiffany K. Kim, MD as President • Election of Officers, Directors, Delegates and Alternates for 2022-23 SCMS Foundation Annual Membership Meeting • Annual Report • Election of Trustees • Essay Contest Awards – Saginaw County high school juniors and seniors –“Why I Want to be a Physician in Saginaw County” Health Angel Awards • Carol B. Cottrell, Covenant HealthCare Foundation • Judith P. Ruland PhD RN CNE, Dean Retired, College of Health and Human Services Saginaw Valley State University Address of MSMS President – Thomas J. Veverka, MD Update on CMU College of Medicine – Dean George E. Kikano, MD CLICK HERE TO MAKE AN ONLINE RESERVATION or scan the QR Code Saturday, June 4, 2022 SCMS Foundation Golf Outing – Saginaw Country Club (See pages 10-11 for more information)
Tuesday, June 14, 2022 (second Tuesday) CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting – 5:30 p.m. There is no Membership Meeting in June. Tuesday, August 16, 2022 CMU College of Medicine, 1632 Stone Street, Saginaw Board Meeting – 5:30 p.m. There is no Membership Meeting in August. Tuesday, September 20, 2022 Horizons Conference Center, 6200 State Street, Saginaw Board Meeting – 5:30 p.m. Membership Meeting – Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Program – TBD Speaker – TBD Email meeting notices will be sent in early September. Online reservations are required. Tuesday, October 18, 2022 Location TBD Board Meeting – 5:30 p.m. Membership Meeting – Social (cash bar) at 6:30 p.m., followed by dinner, meeting and program at 7 p.m. Program – TBD Speaker – TBD
*subject to change
Joan Cramer/SCMS | Office 790-3590 | Fax 331-6720 | Cell 284-8884 | jmcramer@sbcglobal net | www.SaginawCountyMS.com