Volume 6,Issue 8,October/November2006

Rehab Department Recognizes One of Its Brightest STARSVerlen Webb, RN, is the nurse that everyone looks to for guidance on the 4th floor Rehab Unit. Many of her peers readily agree that Webb is an expert on the unit. She is always willing to share her knowledge with co-workers. She is thought of by her patients as an educator, always mindful to teach them about their conditions and treatment. After 18 years on the Rehab Unit, there probably isn’t much she does not know. For her outstanding focus on patient education and on orienting new RNs, Webb was chosen by her peers to be the recipient of the annual Rehab STARS service award.

“It is nice that we have managed to keep mostly the same nursing team for several years,” said Webb. “I love it here because in Rehab we can really see the patient get better. It is a good feeling to witness recoveries and know you helped in their healing.”

Webb was presented the award at an ice cream party to celebrate the occasion. In addition to her receiving her own plaque naming her as a Rehab STARS recipient, her name was added to a traveling plaque that is placed in the winner’s work area for a year, and she was given a $150 gift certificate to Genesee Valley Center.

Employees from Cardiac Rehab, Outpatient Therapies, and Rehab Nursing Unit are eligible to be nominated for the award. This year 13 employees, besides Verlen, received nominations.

They were:Dierdre DillRachell FultzDania Habeck*Alan Hammond**Carrie PuroCarrie WallsDeon Harper

“It is a good feeling to witness

recoveries and know you helped in the

healing.”– Verlen Webb, RN

Kevin Thomas**Tim WebbBeth ZelleySid MuldrewPaula WallaceLynn Staley

4C nurse manager Cris Mauro, RN, presents Verlen Webb, RN, the 2006 Rehab STARS award.

* recipient of movie tickets** recipient of $25 Genesee Valley

gift certificate

Good Times at the GrillEmployees gathered on the patio to bid farewell to summer and enjoy the last day of the outdoor grill on September 28. Great food, live music, and great prices kept the Thursday lunch crowd happy throughout the warm months. It took some extra hands to man the grill as well as run the indoor café. All of the extra effort by the Nutritional Services team is greatly appreciated.

Visitors including the construction crew settled in alongside MRMC employees for their lunch.

Left: Grill masters Chef Mike Price and Jason Crowe keep and eye on what’s cookin'.

Right: Andrea Bosma, Cathy Jablonski and a member of the

St. Paul latchkey staff select their toppings

Behind the Scenes

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Right: Kathy Sabat and Karl Peterson happily take in the

sunshine and some lunch before going back inside.

Left: Radiation therapists McKenzie Baragwanath-Bigger, Sue Bridges, Deb Hoffman, and Jennifer Reid from GLCI-McLaren’s radiation oncology department enjoy lunch al fresco beneath the shade of an old pine near the Sunset Ramp.

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Yet, only five percent of the population participates in blood donation every year, a percentage just barely corresponding to the four million people in need of blood annually.

The American Red Cross reports that due to the latest testing procedures, giving blood is safer than ever before. Each person’s donated blood is divided into three parts, each of which serves a specific function. Therefore one person’s blood can be used in up to three other people. These three elements include red cells, platelets, and plasma.

Red cells carry oxygen from the lungs to all other tissues in the body and can be used to help patients who are anemic due to blood loss. Platelets help form clots and stop bleeding. They can be used to help patients that are unable to produce enough platelets on their own while undergoing treatment for serious health problems such as leukemia, cancer, and aplastic anemia. Plasma is the component in blood that carries nutrients, removes waste, provides energy, regulates body functions, and fights infections. It can be used for transfusions, for people with clotting disorders, and for serious accident or burn victims.

MRMC’s most recent Blood Drive was held on July 19. Of the 55 people who attempted to give blood, 38 units were collected, with 10 first time donors.

Are You a Giving Person? Maybe It’s in Your Blood.Did you know that by undergoing the simple process of giving a single pint of blood you could save the lives of several people?

The next drive is scheduled for Tuesday, November 28.

To Register OnlineVisit the www.givelife.org website:

1. Type in McLaren at the Find-a-Site" box.

2. When completing the My Profile section, the sponsor code is McLaren.

3. Follow directions to complete the appointment process. You will receive an on-line confirmation of your appointment.

If you have tried to give blood in the past but were turned away due to specific prescriptive medications, try again. The criterion for accepatable donors has changed to allow for donation of the greatest volume of blood possible.

You must be healthy, i.e. feel well and perform normal activities.You must be at least 17 years old, or 16 if allowed by state law.You must weigh at least 110 pounds.You may not have donated blood in the last 8 weeks (56 days). If you have a chronic condition such as diabetes or high blood pressure, the condition must be treated and under control.

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Follow these blood-giving tips:Provide your body with extra hydration within 48 hours of donating in order to replenish the volume of blood you will lose and to prevent low blood pressure.Eat food containing complex carbohydrates or proteins such as bread, cereal, fruit, and/or lean-meats, and eat a small snack before you donate.Avoid eating fatty foods before you donate, as the lipids that appear in your blood after fatty-food consumption may make it difficult to test the quality of your blood.Eat plenty of iron-rich foods in order to boost the iron contained in your red blood cells. These foods include red meat, fish, poultry, broccoli, raisins, and beans, as well as foods rich in Vitamin C, which will help your body absorb iron as you eat.

After you donate:Drink extra, non-caffeinated fluids after your donation; eat plenty of iron-rich foods to replace the iron-containing red blood cells.

If you have any questions concerning the blood donation process, you may contact the American Red Cross or log on to their blood-giving website at www.givelife.org.

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Gender Specific Knee Replacements Available for WomenA new option is now available to women contemplating a knee replacement. Gender specific knee replacements now exist. Sidney Martin, M.D., an orthopedic surgeon with Family Orthopedic Associates, performed Mid-Michigan’s first gender specific knee implant at McLaren Regional Medical Center the first week they were released for use by the Food and Drug Administration.

“Now there are more options to match the patient’s anatomy, as opposed to the one size fits all replacements we have had to use in the past,” states Dr. Martin. “This new knee alternative is made just like current implants so we have safe, already proven technology, with the added benefit that the replacement is specifically designed to match the size of a woman’s kneecap better.”

Each year 56% of knee replacements are done on women. The typical knee implant design is based on averages, which for most females means the implant is too wide. Dr. Martin offers this analogy. Shoe sizes are also designed on averages. Men’s shoes are made with a “D” width while women’s shoes are made with a “B” width. A woman may be able to find a man’s shoe that fits lengthwise but odds are it is still going to be too wide.

A healthy knee joint is formed by the top of the shinbone called the tibia and the bottom of the thighbone, or femur. The kneecap is called the patella. Cartilage provides padding between the bones and helps make a smooth movement of the joint. The lining of the knee is the synovial membrane, which produces a lubricant that contributes to the smooth movement of the knee. However, when osteoarthritis intrudes, the most common reason for a joint replacement, the knee is unable to effectively cushion the body from impact and stress. The result is erosion of the joint and pain.

Gloria Parram, age 73 of Flint, received the area’s first gender specific knee implant on her right knee. Last summer Gloria had her left knee replaced with a traditional implant.

“I feel better already,” stated Gloria four days after having the procedure. “I haven’t even been taking pain medication. I put this off for too long, I’m going to tell people to have it done, don’t wait.”

Orthopedic surgeons consider age, weight, gender, occupation, disability level, pain intensity, interference with lifestyle and other medical conditions in selecting the appropriate implant for an individual.

How to assess if knee pain is affecting a person’s life. The person should ask him or herself if they have knee pain and discomfort when doing the following activities?

StandingSitting Walking up stairs or walking down stairsRising from sitting or rising from lying on a bed Bending to the floorSleeping through the nightGetting in or out of a carKneeling down, like in gardening or picking up a small child

If someone selected one or more of these activities they may want to talk to an orthopedic specialist.

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Gloria Parram, age 73 of Flint, was the first patient in Mid-Michigan to receive a gender specific knee implant, an exciting new knee replacement option for orthopedic surgeons.

Several Thousand Area Women Visit Exhibit at ExpoOnce again MRMC was a gold sponsor participant in the Women’s Expo presented by The Flint Journal. Several thousand area women visited the McLaren exhibit which featured the McLaren Bariatric Institute, the BirthPlace at McLaren, Joint Express, Family Practice resident physicians and Food and Nutritional Services. Representatives from select departments also gave a presentation on the Health stage at the event. Nicole Franklin, Psy.D., spoke about the Bariatric Institute. Pamela Brothers spoke about the importance of breastfeeding your baby. Darlene Richardson, RN, discussed the benefits of McLaren’s Joint Express program.

Certified nurse midwife Jeanne Philpotts, and LDRP nurse manager Kathy Reynolds promote the women’s services at MRMC through a game of BirthPlace Bingo.

Millie Wint, a registered dietitian at MRMC, dished out samples of lemon poppy seed bread and chicken spinach and artichoke wraps.

McLaren Recognized for Quality and Patient SafetyFor the second consecutive year, MRMC has been granted the prestigious 2006 Distinguished Hospital Award for Patient Safety by HealthGrades, Inc. This award ranks MRMC’s patient safety record among the top five percent in the nation. Members of the Quality Team received the Patient Safety Award at the August Manager’s Meeting. From left to right: Pat Robinson, HealthGrades representative Denise Youngquist, Pat Perrine, Kathy Sabat, Don Kooy, Janet McClain, Pat Forrester, Deb Stephenson, Debra Main, and Joan Maten.

MRMC was recognized as an industry leader in the quality of treatment and outcome for pneumonia cases by Premier. MRMC was one of three hospitals among 300 considered for the Premier award. On hand for the award presentation at a recent Director’s meeting were (left to right), Premier representative Christine Kawiecki, Ed Gullekson, M.D.; Anita Sparks, Don Kooy, Doris Monroe, and Pat Forrester.

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2006 MRMC Career Ladder ScholarshipAvailable to MRMC employees in good standing who have been accepted to Nursing school and completed pre-requisites with a 3.0 grade point average or aboveProvides $8,000 over two years to help the student complete an Associate Degree in NursingThree year work commitment to MRMC

BSN Completion ScholarshipAvailable to MRMC registered nursesProvides $5,000 to complete Bachelor of Science degree in NursingTwo year work commitment to MRMC post Completion of BSN Program

2006 MRMC Nursing School Senior Scholarship

Available to nursing school students within one year of graduationProvides $4,000 lump sumEighteen month work commitment to MRMC Post RN Licensure

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Jennifer Dubie, Mott Community College

Cathleen Hipps, Ferris State University

Tami Dutcher, University of Phoenix

Darlene Richardson, U of M Flint

Nursing School Senior Scholarship

Emily Hazen, Saginaw Valley State University

Rachel Green, University of Michigan – Flint

Oriana Restrepo, Baker College of Owosso

Staci Pabst, Baker College of Owosso

Michelle Anzures, Baker College of Flint

Hollie Faye Cook, Western Michigan University

Nursing Scholarships AwardedCongratulations to the recipients of the 2006 MRMC Nursing Scholarship Awards. The following individuals were recognized for their outstanding academic achievements in the field of nursing. Each of the nurses have been awarded in one of four scholarship categories.

Amanda Hubbard, Mott Community College

Kimberly Lanczynski, Delta College

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ApplauseFrederick Armenti, M.D., was selected among several prestigious candidates to deliver the commencement address for the 2006 winter graduates of Spring Arbor University. Dr. Armenti delivered a memorable address entitled “A Reflection of Character” to the more than 1,600 people in attendance. Dr. Armenti currently serves as President of the Michigan Society of Cardiovascular Surgeons and is Chief of Surgery at MRMC.

Ken Deighton has been named chairperson of the Customer Service Council for MRMC. In this role, he coordinates customer service inititatives throughout the Medical Center, including the STARS program. Deighton is the director for Behavioral Medicine at MRMC.

Hesham Gayar, M.D., was honored as Physician of the Year at the recent Ensure the Legacy Dinner and Awards Banquet presented by the American Arab Heritage Council. Dr. Gayar was recognized for his distinguished medical career in radiation oncology. He was also commended for his involvement on the Board of Trustees of the Flint Islamic Center and the Grand Blanc Islamic Center, the honorary board of the American Arab Heritage Council, and for serving as Vice Chairman of the Genesee County Cancer Connection. Dr. Gayar is the Chairman of the Department of Radiology and Director of Radiation Oncology for Seed Implantation at McLaren Regional Medical Center and Medical Director of Radiation Oncology at Owosso Memorial Cancer Center.

Venkat K. Rao, M.D., was elected chair of the American Medical Association Internal Medical Graduate Section for 2006-2007. Dr. Rao, a pulmonologist with Pulmonary Associates, P.C. in Flint served as vice chair of the AMA-IMG Governing Council this past year. He is an active member of the Michigan State Medical Society (currently serving on its Board of Directors), and he is past chair of the MSMS International Medical Graduates Governing Council.

A Heartfelt CeremonyMcLaren’s Chapel serves many purposes for many different people. September 25 was no ordinary day at the chapel for Linda Palmer and Charles Copeland of Davison Township.

As teenagers in the early 70’s the two came into each other’s lives when Linda moved in with Charles’ family. His sister was Linda’s close friend and the Copeland’s let her stay with them for awhile when things were not going so well. Fast forward 14 years, the two cross paths again. They went out but Linda did not hear from Charles again. He swears her phone number was lost when it got left in his pants pockets and put through the washing machine and dryer; Linda is still a little skeptical of the explanation. However, their third life encounter in 2002 was the charm; they have been together ever since. Ironically, during those three plus decades, neither had every married or had children. Plans for an August 11, 2006 wedding fell through as Charles encountered health problems. After a doctor's visit in September, it was decided Charles should be scheduled for a heart catheterization. Both a bit worried about the unknown, the couple chose to be wed before the procedure. With much help from family, friends and Harry Mitchell the McLaren Security Supervisor, details were arranged and the chapel was reserved so Linda and Charles could be married the morning of Charles’ heart catherazation. Reverend Glenn Tatterson from Flint Baptist Temple performed the ceremony before a small group of family and friends. Forty-five minutes later Charles was a patient.

Charles’ procedure did show he has a heart ailment, which for now, will be treated with medicine. Meanwhile, Linda and Charles are together, this time as husband and wife.

Linda Palmer and Charles Copeland became husband and wife in the McLaren Chapel on

September 25 shortly before Charles had a heart catheterization.

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Welcome to the Medical StaffSamer Ali, D.O., internal medicine specialist, has joined the medical staff at McLaren Regional Medical Center. He is currently seeing patients at his office located at 1335 South Linden Road, Flint. Dr. Ali completed his residency at Genesys Regional Medical Center in Grand Blanc. He received his medical degree from Kirksville College of Osteopathic Medicine in Kirksville, Missouri.

Rod Golovoy, M.D., a board certified interventional radiologist, has joined the medical staff at McLaren Regional Medical Center. His office is located at G-3239 Beecher Rd., Suite F, Flint. Dr. Golovoy completed a fellowship in vascular/interventional radiology at William Beaumont Hospital in Royal Oak. He completed his residency in diagnostic radiology at William Beaumont Hospital. Dr. Golovoy received his medical degree from Wayne State Medical School in Detroit.

Charles A. Guidot, M.D., an interventional neuroradiology specialist, has joined the medical staff at McLaren Regional Medical Center. His office is located at Progressive Medical Imaging located at 4200 Fashion Square Boulevard, Saginaw. Dr. Guidot is board certified in vascular and interventional radiology. He completed his residency at Mount Carmel Mercy Hospital in Detroit and received his medical degree from Michigan State University College of Human Medicine in Lansing.

Nicole Franklin, Psy. D., a clinical health psychologist, has joined the medical staff at McLaren Bariatric Institute. She is a member of the McLaren Regional Medical Center medical staff. The McLaren Bariatric Institute is located at G-3200 Beecher Rd. in Flint. Dr. Franklin received her doctorate in clinical psychology from Write State University in Dayton, Ohio. She completed a fellowship in psychology through McLaren Regional Medical Center.

Lisa Moody, M.D., a board certified internal medicine specialist, has joined the medical staff at the McLaren Community Medical Center-Flushing located at 2487 N. Elms Rd., Flushing. Dr. Moody completed her residency at the University of Wisconsin in Madison, Wisconsin. She received her medical degree from the University of Michigan in Ann Arbor.

Paula Turner, M.D., an internal medicine specialist, has joined the medical staff at McLaren Regional Medical Center. She has also joined Hospital Consultants, P.C. Dr. Turner is currently seeing inpatients as a hospitalist at McLaren Regional Medical Center. Dr. Turner completed her residency at Henry Ford Health System in Detroit. She received her medical degree from Wayne State University School of Medicine in Detroit.

David M. Stone, D.O., a board certified pediatrician, has joined the medical staff at McLaren Regional Medical Center. Dr. Stone is seeing patients at the Children’s Heart Center, P.C., located at 1514 E. Michigan Ave. in Lansing. Dr. Stone received his Doctor of Osteopathic Medicine degree from Michigan State University. He completed a pediatric residency at Henry Ford Hospital and Children’s Hospital of Michigan in Detroit. In addition, Dr. Stone completed a fellowship in pediatric cardiology through the Children’s Hospital of Michigan.

Donald H. Williams, M.D., a board certified psychiatrist, has joined the medical staff at McLaren Family Practice Residency as a faculty member. McLaren Family Practice Residency is located at G-3245 Beecher Rd., Flint. Dr. Williams completed his residency in the Department of Psychiatry at University of Illinois, Research and Educational Hospitals in Chicago, Illinois. He received his medical degree from University of Illinois College of Medicine and is currently an Emeritus Professor at Michigan State University College of Human Medicine and College of Osteopathic Medicine. His clinical specialty is general psychiatry and his research interest is in the area of race and health disparities.

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Research NewsAbout the Research DepartmentThe research department is located on the 5th floor, north building and is under the direction of the Medical Education Department. The role of the research department is to coordinate clinical trials and non-clinical trial research studies. The research department seeks out new studies to be started here at our facility. All studies are approved by the MRMC Institutional Review Board (IRB) and are usually sponsored by pharmaceutical and/or medical device companies. If a study does not involve human subjects, a waiver for exemption must be obtained from the IRB. The physicians and research nurses monitor and follow-up with these patients and with these studies throughout the entire process.If you have research ideas or questions, or are interested in getting involved with the research department contact 810-342-4071.

Mission StatementThe McLaren Research Institute will achieve excellence in research participation by facilitating high quality, scientifically sound research protocols that bring prestige to McLaren and demonstrate our commitment to providing quality care to our patients.

Research TermsRandom sampling: The selection of a group of subjects (sample) for study from a larger group (population) so that each individual is chosen entirely by chance. Each member of the population has an equal probability of being included.Control group: The group in an experiment design that receives no treatment or a different treatment from the experimental group. The control group is needed to see if treatment is more effective that current approach.

CharismaThe results of the CHARISMA study (Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management and Avoidance) were published in March 2006. The study was investigating whether people with major vascular risks do better with antiplatelet agents or aspirin alone. Results of the study indicated:

Clopidogrel plus aspirin was not shown to be significantly more effective than aspirin alone in reducing the incidence of MI, CVA, or death by CV disease.The rate of severe bleeding was not significantly greater with clopidogrel and aspirin than with aspirin plus placebo.The risk of moderate bleeding was significantly greater with clopidogrel and aspirin as compared to aspirin plus placebo.

Bhatt, D., Fox, K., Hacke, W., et al. (2006). Clopidogrel and aspirin versus aspirin alone for the prevention of atherothrombotic events. The New England J. of Medicine, 354 (16), 1706-1717. Retrieved August 24, 2006, from MEDLINE database.

*It is important to remember that previous studies have documented the importance of clopidogrel combination therapy for patients who have MI’s or UA (unstable coronary syndrome) or who have had angioplasty with stent placement.--American Heart Association (March 15, 2006)

McLaren Research Institute StaffRadhika Kakarala, M.D.Director, Research InstituteRadhikaK@mclaren.org810-342-4174Tracy Martin, RN, BSNClinical Research CoordinatorTracyD@mclaren.org810-342-4071Cindy Reichert-Brooks, RN, BSNClinical Research CoordinatorCindyBr@mclaren.org810-342-4071

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Liz MihailoffIRB Coordinator/Research Departmentmihailoff@mclaren.org810-342-4174 and/or 810-342-2510Harland Verrill, PhD.IRB Chairperson810-342-2510

Services Offered by Research Department

Expert knowledge on clinical research trials. Assistance on research projects for both medical staff and residents. Preparation for Journal Club presentations. Critical Appraisal Instruction. Lecture series for PGY 1 residents on Evidence-Based Medicine. Assistance in preparation for the Flint Area Medical Education Forum (FAME) for faculty, residents, students and other health providers. Guidance on submission for research review and approval. Institutional Review Board (IRB) application assistance.Encourage and assist nurses in participating and developing research studies.

Visit our web page at: http://www.mclaren.orgClick on Clinical Trials

orGraduate Medical Education,

then Research

Current Studies Throughthe Research InstituteEach study has a McLaren physician to oversee patient care. The physician in this role is called a Principal Investigator (PI). While there are nine studies currently open in the McLaren Research Institute, there are over 245 studies with IRB approval currently open in the McLaren Health System.

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David J. DeSimone, CHE, has recently joined the McLaren Healthcare team as Director for Planning and Business Development. DeSimone will be responsible for driving referral and hospitalizations to McLaren from its affiliated and other community physicians, maintain positive relations and portray collaborative image within the medical community. This includes the development of services that solidify McLaren’s standing as the provider of choice for accurate inpatient care and diagnostic services within our market. He will also provide oversight for McLaren’s Bariatric Surgery Institute. DeSimone received a Masters of Arts degree in Psychology from Eastern Michigan University and is board certified in healthcare management through the American College of Healthcare Executives. He has over 30 years experience in healthcare leadership. Most recently DeSimone served as Physician Development Administrator for Nebraska Medical Center in Omaha, Nebraska. In addition, he is a retired Lieutenant Colonel of the US Army. DeSimone is married with two teenage sons.

Nicola Pavelka, B.S.N.,R.N., has recently joined the McLaren Healthcare team as Director of the Spine Program at McLaren. Pavelka has 15 years experience in developing and managing centers focused on treating patients with chronic back pain. She received a Masters of Business Administration degree from Ashbourne University in New York in addition to a Bachelor of Science in Nursing Administration/Education from Shepperton University in New York. Pavelka became a registered nurse through Hurley Medical Center. Pavelka lives in Clarkston with her husband and son. Opening its first location in November of 2006, the Spine Program at McLaren treats patients with acute and chronic neck and back pain with objective diagnostics and objective rehabilitation as well as physiatry, orthopedics, neurosurgery, psychology, and physical medicine. These disciplines will be working in conjunction with one another utilizing the same protocols and procedures.

Welcome to McLaren

McLaren OB/GYN Opens New Office

l to r: Brenda Hill, office manager;

Jennifer Wilson, receptionist; Tenise

Houston, Medical Assistant; and L.

Wynette Murphy, M.D., were on hand

to meet and greet physicians and

colleagues that toured the new office

during their Grand Opening in August.

Among the ob/gyn services Dr. Murphy

offers are: 3-D/4-D ultra sound,

adolescent gynecology, menopause

management, pelvic pain management,

infertility care, minimally invasive

surgery, in-office tubal ligation and

endometrial ablation.

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MISSION: McLaren Health Care Corporation, through its subsidiaries, will be Michigan’s best value in healthcare as defined by quality outcomes and cost.

VISION: McLaren Regional Medical Center will be the recognized leader and preferred provider of primary and specialty healthcare services to the communities of mid-Michigan.

Visit our website and view Connection online: www.mclaren.org

A monthly publication for employees and friends of McLaren Regional Medical Center.

Donald Kooy, President and CEO,McLaren Regional Medical Center

Managing Editor: Laurie Prochazka,Director of Marketing Communications, McLaren Health Care Corporation

Editor: Ellen Peter

Contributing Authors:Sherry Stewart, Ellen Peter, Laurie Prochazka, and Amanda Armenti

Photography: Ted Klopf and contributions from McLaren employees

Design: Shamiah Specht,McLaren Art Department

Printing: McLaren Graphics Department

We welcome comments, suggestions, and ideas: ellenp@mclaren.org or call (810) 342-4478

GLCI-McLaren Celebrates its PatientsAs part of the STARS program in the Cancer Center, team members hold a “Patient Appreciation Day” once a quarter. Throughout the day, patients and their family members are treated to breakfast and lunch items. Staff from the Center contribute to the event by bringing in food items from home.

Pictured here are members of the radiation oncology team and patients from Owosso at the recent event held on August 25.

The Specialty Center front offices staff take the new identity requirements very seriously. Apparently, the patients have been paying close attention and are compliant. Larry Rouse arrived at the registration window ready for action! The surprised staff enjoyed a good laugh with this good sport. Thanks Larry!

Be Prepared to Show ID