Clinical staff at McLaren Regional Medical Center ready equipmentfor a procedure in the Medical Center’s new hybrid Operating Room.ConnectionA Bimonthly Publication of McLaren Regional Medical Center Volume 10, Issue 5 August/September 2011What’s Inside.Hybrid Operating RoomNow in Use. 1Patient Tries Not to Skip a BeatDespite Atrial Fibrillation.3Bariatric ProgramReaccredited.4Palliative CareComplements Treatment.9Second Quarter 2011Beyond the Stars.9MRMCTop Medical Institution.10Local Surgeon NamedTop Doctor.11Key ServicesEarn High Marks.11McLaren First in Regionto Use Hybrid Operating RoomWhen the word “hybrid” is used these days, mostpeople probably think of cars. At McLaren, vascularsurgeons, cardiothoracic surgeons, interventionalcardiologists, neurosurgeons and surgical nursesthink of a very specialized operating room. McLarenRegional Medical Center (MRMC) recently openedits first hybrid Operating Room (O.R.). This hybridsurgical suite offers clinical advantages for bothsurgeons and patients. The room is equipped to makeit possible for surgeons to go from performing aminimally invasive procedure to an open procedure inminutes. Vascular Surgeon Robert Molnar, M.D., wasone of the first specialists to test drive the hybrid, so tospeak, at McLaren.“Now, with access to the hybrid O.R., there is reallyno area of the body that we cannot provide vascularintervention for,” states Robert Molnar, M.D. “We canaccess arms, legs, necks and abdomens with both openvascular and endovascular procedures. Previously,special needs arising with vascular patients in the CathLab during a procedure required moving them to atraditional O.R. Or, if it was a less emergent patient,they would have the inconvenience of being scheduledfor a surgery at a later time. This new suite is goodnews for surgeons and patients. As clinicians we can bemore efficient, and patients can endure less stress andanxiety, with even better outcomes.”Continued on page 2
McLaren First in Region to Use Hybrid Operating RoomContinued from page 1A Percutaneous Transluminal Angioplasty (PTA) isa common example of a minimally invasive vascularprocedure that could turn into an endarterectomy, theopen procedure used to treat vessel narrowing andblockages. A PTA involves inserting a wire throughthe groin to the artery that is being treated. A ballooncatheter is then guided over the wire and placed inthe blocked portion of the artery. Next, a small foldedballoon is inflated compressing the plaque causing theblockage, opening the artery wall, and improving bloodflow. When the blockage is too severe, an incision ismade in the affected artery and the plaque is surgicallyremoved from its inner lining. The hybrid room allowsfor the quick switch from the minimally invasiveprocedure to the open surgery when it is discoveredthat the patient’s disease state is more wide-spreador complex.The hybrid room at McLaren uses technology thatoffers optimal room layout design; a flexible, highresolution fixed imaging system; state-of-the-artcommunications, and the latest surgical equipment.By design, the imaging equipment is a very importantpart of a hybrid suite, which requires the use of flatdetector digital imaging. Still shaped as the letter“C”, like previous “C-arm” technology, the new flatdetector technology has several advantages. It takesup less space, is more maneuverable, allows for betterangulation, and provides magnified readings allowingfor lower amounts of radiation to be used, resultingRobert Molnar, M.D.Vascular Surgeon Robert Molnar, M.D.,was one of the first specialists to utilizethe hybrid O.R. at McLaren.in less exposure for patients and clinicians. Thedesign also requires a specialty imaging table, alongwith surgical support equipment including surgicallights, booms, flat panel arms and displays, as wellas advanced communications equipment to deliversurgical and radiological images when they areneeded most.The ability to handle and minimize high-risk situationswith the most efficient treatments available to save lives,is driving optimization of McLaren’s new hybrid O.R.McLaren Administrators were assisted by many staff during the processof making the hybrid O.R. a reality. Because so many of its uses are tied to heart and vascularprocedures, several Cath Lab staff helped with important steps along the way from selection of equipment andsupplies to training of O.R. staff. Thanks go to Kevin Flynn, RN, Manager Heart and Vascular; Erika Chevrette,Nurse Manger CVCU; Jan Nowaczyk, RTR; Bryce Lomerson, RTCV; Karan Jenkins, RTCV; Kathy Scholfield,RTR; Glen Walker, RN; Mary Dean, RN; and Jimmie Southern, RN. On the O.R. side, thanks go to SpecialtyCoordinators Jennifer Johnson, RN and Robin Marks, RN; Theresa Tithoff, Business Manager for Surgical andCardiovascular Services; and Renee Bradley, RN, Nurse Manager PACU.
Heart Patient Tries Not to Skip a BeatMark Tripp expected the typical “Over theHill” gags and gifts when he turned 40.What he was not expecting was a diagnosisof atrial fibrillation. At that time he thoughtof himself as easy going, active and healthy,making the diagnosis a bit of a shock.Now 10 years later, Mark is glad he soughtmedical attention.“I have worked at Lapeer Regional MedicalCenter since high school, I know almosteveryone at the hospital so I didn’t wantto go to the Emergency Department andlook foolish, but I was pretty confident thatsomething was wrong with me,” says Tripp.“I wasn’t feeling well and I could hardlydo anything without being winded. Testsshowed my heart was in a state of atrialfibrillation.”Atrial fibrillation, or AF as it is commonlyreferred to, is the most common cardiacarrhythmia. With AF, the heart’s electricalimpulses are irregular and rapid, and, asa result, so are the heartbeats. At rest, anormal heart beats 60 to 100 times perminute. This normal rhythm is knownas sinus rhythm. At some point in ourlives, each of us feels a skip of a beat ora rapid pulse. This is a normal responseto excitement or stress. However, somepeople develop an ongoing pattern of quick,disorganized heartbeats. During AF, theupper chambers of the heart beat 300 to600 times per minute, making them appearto quiver or fibrillate. This makes it difficultfor the chambers to empty because theatria beat so quickly that they are unableto fully contract and pump blood properly.When blood is not pumped completely outof the atria, it may pool or clot. This putssomeone at risk for a stroke as even thesmallest clot can travel to the brain. Atrialfibrillation currently affects millions ofpeople worldwide. The disease is progressive,increasing in frequency and severity aspatients grow older.During Mark’s E.R. visit in 2001 his heartrate was corrected and he was dischargedwith a referral to a cardiologist. Like mostpeople he was first treated with medicationto try and control his heartbeat. Over thenext seven years he still had one admissionto the hospital per year due to his AF;medications were not working well enough.In the summer of 2008 he was referredto Abdul Alawwa, M.D., F.A.A.C., a boardcertified electrophysiologist, to see if he wasa candidate for a radio frequency ablationusing three-dimensional mapping.The procedure involves inserting cathetersinto veins on both sides of the groin through“paper cut” size incisions that are fed up intothe heart. On one side are the diagnosticcatheters used to locate the tissue causingthe irregular heartbeat. On the other side areablation catheters used to destroy the badtissue. Detailed 3-D mapping of the heart iscreated using the NAVX system. ComputedTomography (CT) imaging obtained prior tosurgery is transferred to the NAVX system,which puts the CT image over a true pictureof the heart. The two together show preciselythe places in the heart where the abnormaltissue is that needs to be cauterized. Thisis done using radio-frequency energydelivered through the ablation catheter. Thesmall area of heart tissue is heated by theenergy creating a tiny scar. As a result, thistissue is no longer capable of conducting orsustaining the irregular heartbeat.Mark Tripp, Manager ofEnvironmental Services at LapeerRegional Medical Center wasdiagnosed with Atrial Fibrillationright after turning 40. He hasspent the last three years in muchbetter health after undergoinga radio frequency ablation tocorrect his heartbeat.“I can do anything and I want to keepthings that way,” adds Tripp. “I don’twant something like AF to control mylife, I plan to stay on top of it.”And Tripp has plenty to keep him busy.During the day he is the Manager ofEnvironmental Services at Lapeer RegionalMedical Center. Away from work he enjoysspending time with his wife and coachingtheir three daughters in softball, soccer andbasketball.Mark continues to see Dr. Alawwa to makesure his heart is staying healthy.3
AnnouncementsBariatric ProgramReceivesReaccreditationJim NielsenPaul Puste’ has joined MRMC as Director of Heart andVascular Services. Paul comes to McLaren with 17 yearsof progressive management experience in cardiovascularservices. He has a Bachelor of Science in Health Services &Planning, and a Masters of Business Administration withconcentrations in Management and Accounting. McLaren Bariatric InstituteJim Nielsen has been promoted to the position of Directorof Hospital Laboratory Operations for McLaren Health Care.In Jim’s new capacity, he will have the overall responsibilityfor the operations within the subsidiary hospitallaboratories. Currently there are seven full service hospitallaboratories and three outpatient laboratories within thesystem. Jim received his undergraduate degree in MedicalTechnology from Ferris State College and his Master’s degreein Health Services Administration from Central MichiganUniversity. His early career included stints at St. JosephHospital in Flint and the Memorial Hospital in Owosso.Jim joined McLaren Health Care in 1986 and has directedthe laboratory and other clinical departments, includingRadiology and Pharmacy.Paul Puste’achieved a three-year renewal of theCenter of Excellence designation forBariatric Surgery. In addition, bothDr. Harris Dabideen and Dr. Michael Kia,bariatric surgeons, were also grantedrenewal of their Bariatric SurgeryCenter of Excellence (BSCOE)designee status for three years,which puts all components of theprogram on the same renewal cycle.Cindy Dougherty, R.N.Cindy Dougherty, RN, has joined MRMC as NurseManager for 11 South. Cindy comes to MRMC with 37years of clinical and management experience in nursingincluding Emergency Care and PACU. Most recently, sheheld a management nursing position in Emergency Care inFlint. Cindy formerly served as a clinical faculty member inUniversity of Michigan Flint’s Nursing Department whereshe taught Leadership and Management.Kathi Scruggs, RN, has accepted the position of AssistantNurse Manager for 11 South. Kathi has 18 years healthcareexperience working at McLaren, serving the last eight yearsin Case Management.Kathi Scruggs, R.N.4
One week after a short leaveto attend her niece’s wedding,Evelynn Hoschna is readyto be discharged from theRehabilitation Floor. Here,she stands with her nurse aideMary Cassiday.Rehab Patient Receives SpecialAttention for Special EventEvelyn Hoschna helped plan almost everypart of her niece’s wedding, but she did notplan on breaking her hip one week beforethe big day. Evelyn had raised her nieceand was determined to be at the weddingceremony. McLaren’s Rehabilitation staffmade some special arrangements on Friday,July 22 to let Evelyn experience the day asshe planned. Occupational Therapist MargoPhillips altered the weekly ADL (Activitiesfor Daily Living) to accommodate Evelyngetting dressed, applying make-up andstyling her hair. Nurse aide Mary Cassiday,who cared for Evelyn during her stay,attending the wedding and reception to lookafter the needs of her special patient.“Mary has taken excellent care of me duringmy whole stay, beyond going to the weddingwith me,” remarked Evelyn.“She is a real sweetheart.”Pulmonary Rehab Patient InspiringAn inspiring Pulmonary Rehab patient got some special recognition the week ofJuly 25. Although you would never guess it, Mort Henick turned 89 on July 28,and Pulmonary Rehab staff decided that was worth celebrating. Mort has the honorof being the Program’s most senior patient although he looks and acts youngerthan his years. He has been with the Program for three years and attends sessionsthree days a week. For Mort, going to McLaren’s Pulmonary Rehab Program is animportant part of maintaining his overall health. When staff presented Mort witha cake in honor of his big day he said, “Hey, 89 is no big deal, I plan on being herefor my 100th birthday too.” Mort says he highly recommends the program for anyone whohas Chronic Obstructive Pulmonary Disease (C.O.P.D.). Pictured with Mort are members ofMcLaren’s Pulmonary Rehab Staff from l-r: Cynthia Devasher, RRT; Mort Henick, patient;Val McLeod, Manager Pulmonary Rehab; and Shawn Fatheree, RRT.5
Golf Classic On Par to Support Cancer Patients and Their FSupporters of MRMC‘teed up’ for a day of funand fundraising at the 20thannual MRMC Golf Classic.Over 213,000 in gross revenues were raisedfrom golf sponsorships, raffle ticket sales,and on-course events. Proceeds will supportservices for cancer patients and their families.Jeff Ringvelski, Karla Grunow, Chris Brummeland Laureen BeaudryRick Wyles,Jonathon Hartman,Don Kooy, andBrian McDonaldJoe Caine, Brent Wheeler,Jason Crowe and Chris CurtainRoxanne Caine and Ann Boller6
FamiliesRoger Jacks, Mary Evelyn Duberg,Cheryl Ellegood and James Chambers, D.O.Volunteers from Therapy Services,Sue Hillager and Terri HardingSharon Bakerand Cindy DuncansonOver 213,000 raisedto support services for cancer patients and their families.Nancy AdadoRay Demers, M.D.; Laurie Prochazka,Jane Enos, and Kevin TompkinsGai Clemmer, Harry Mitchell,Cathy Stacey and Manny Quintos7
Welcome to the Medical StaffDunyue Lu, M.D., Ph.D.PsychiatryNathan Landesman, D.O.GastroenterologyVaibhar Sahni, M.D.NephrologyMaria E. Smith, M.D.Internal MedicineEducationEducationEducationEducationPh.D., NeurologyMichigan State University CollegeMaulana Azad Medical CollegeThe National UniversityTianjin Medical Universityof Osteopathic MedicineNew Delhi, Indiaof San MarcosTianjin, ChinaEast Lansing, MIMaster of Science, PsychiatryW. China Universityof Medical SciencesChendu, ChinaResidencyPsychiatrySUNY Downstate Medical CenterBrooklyn, NYOffice LocationMcLaren Regional Medical Center401 S. Ballenger Hwy.Flint, MI 48532Lima, PeruResidencyResidencyDrexel UniversityFellowshipInternal MedicineCollege of MedicineDermatologyGenesys Regional Medical CenterPhiladelphia, PAWake Forest UniversityGrand Blanc, MISchool of MedicineFellowshipWinston-Salem, NCFellowshipNephrology and HypertensionAdvanced Therapeutic EndoscopyNorthwestern University andResidencyAurora St. Luke’s Medical CenterFeinberg School of MedicineInternal MedicineMilwaukee, WIChicago, ILMcLaren Regional Medical CenterGastroenterologyOffice LocationGenesys Regional Medical CenterNephrology & Hypertension, P.C.Grand Blanc, MIG-1071 N. Ballenger Hwy.,Flint, MISuite 310Office LocationFlint Gastroenterology600 Health Park Blvd.,Suite DGrand Blanc, MI 48439Flint, MI 48504DermatologyThe National Universityof San MarcosLima, PeruOffice LocationInternal Medicine ResidencyGroup PracticeG-3230 Beecher Rd.,Suite 2Flint, MI 485328
Palliative Care Offeredto ComplementExisting Medical TreatmentA new Palliative Care Program has been implementedat McLaren. Palliative care (PC) focuses on thephysical, emotional, and spiritual needs of people withserious illness and their families, and assures comfort,dignity, and quality of life. Palliative care is providedsimultaneously with all other medical treatments. ThePC team consists of Dr. Frazer Wadenstorer, MedicalDirector; Nancy Walsh-Clifford, Social Worker, andCindy Reichert-Brooks, Nurse Practitioner. The PCteam has special expertise in helping patients feelbetter through serious illness with care that includesrelief of pain and symptoms, respect for patient’svalues and personal choices, assistance and supportin making difficult medical decisions, assurance thatpatients are as comfortable and active as possible,coordination of care and treatment among doctorsand at all stages of illness, and identifying servicesto support patients and families after leavingthe hospital.Referral to a PC consult must be written by aphysician. The primary care doctor can continue totake care of the patient or may choose to turn careover to the PC physician. Palliative care is differentfrom Hospice care in that the PCteam is basedin the hospital. Patients can receive palliative care atany time during an illness and can receive all othertreatments at the same time. Hospice care is providedat home or a residential hospice facility. People inhospice forgo curative treatments for their illness andreceive symptom control.Palliative care will follow a patient home throughMcLaren Homecare PC nurses. The nurse will see thepatient in their home within 24 hours of their hospitaldischarge. The caregivers will continue symptommanagement and also offer social work and spiritualcare to the patient and family.The Palliative Care office is locatedon the 5th floor of the South building.Monday - Friday, 8:00 a.m.-4:30 p.m.,and the contact number is 810-342-2546.Beyond the StarsAwarded toKaren PowellThe Second Quarter 2011 Beyond the Stars recipientis Karen Powell in Environmental Services. Karen waspresented the award on August 25. Her nominatorhad the following praise for Karen.“Besides being an outgoing bubbly personality,we believe Karen actually saved my husband’s life.She was walking by his room and heard his call forhelp. He was gasping for breath. Karen ran to thenurses’ station and reported the situation. The nursesran to the room and inserted a ventilator tube andgot him to ICU. I honestly believe if she had not caredenough to investigate, he would have died. She is anemployee that McLaren can be extremely proud tohave in their employment.”9
McLaren Ranked Among America’sTop Medical InstitutionsMcLaren Regional Medical Center has joined theprestigious ranks of America’s top medical institutionsin the 22nd annual U.S. News & World Report guide to“Americans Best Hospitals”. McLaren Regional earned“High Performing” rankings in 10 specialty areas,earning one of the top 5 rankings among hospitalsin the greater Detroit Metro Area, and the highestranking in Genesee County.Covering 94 metro areas in the U.S., the regionalhospital rankings complement the national rankingsand are aimed primarily at consumers whose care maynot demand the highly-specialized tertiary expertise ofa major ranked institution.McLaren Regional was ranked “High Performing”in the medical specialties of Cancer; Ear, Nose andThroat; Gastroenterology; Geriatrics; Gynecology;Nephrology; Neurology and Neurosurgery;Orthopedics; Pulmonology; and Urology.“The hospitals we call “high performers” are fullycapable of giving most patients first-rate care, evenif they have serious conditions or need demandingprocedures,” noted Avery Comarow, U.S. News HealthRankings Editor.Criteria evaluated for the ranking include: advancedtechnology, patient services, patient volumes, nursestaffing, reputation with physician specialists, survivalrates and patient safety.“These national rankings reflect the skill, commitmentand patient-focused care provided by our entiremedical team, including physicians, employees,governance and volunteers,” noted Donald C. Kooy,President/CEO of McLaren Regional Medical Center.“Our focus at McLaren is to provide the highestquality of care, utilizing evidence-based medicine andadvanced technologies and treatments to give ourpatients optimum care and servic
Flint. Cindy formerly served as a clinical faculty member in University of Michigan Flint’s Nursing Department where she taught Leadership and Management. Kathi Scruggs, RN, has accepted the position of Assistant Nurse Manager for 11 South. Kathi has 18 years healthcare experience working at McLaren, serving the last eight years in Case .
Inpatient Rehabilitation Unit 3250 E. Midland Rd. Bay City, MI 48706 (989) 894-3138 McLAREN FLINT Inpatient Physical Rehabilitation - 4 North 401 South Ballenger Hwy. Flint, Michigan 48532 (810) 342-5201 McLAREN MACOMB Inpatient Rehabilitation Unit 1000 Harrington St. Mt Clemens, MI 48043 (586) 493-8100 McLAREN NORTHERN MICHIGAN
UNIFORM CREDENTIALING APPLICATION FOR MEDICAL STAFF & ALLIED HEALTH PROFESSIONALS It is the policy of McLaren Health Care Corporation that no person, on the basis of race, gender, sexual orientation, national origin or . MCLAREN HEALTH CARE CREDENTIALING APPLICATION ALL MEDICAL PROFESSIONALS Rev. 08/2018 Page 5 SECTION E - EDUCATIONAL DATA
McLaren: 1965 Mk1/M1A, Chassis# 20/09 This document is to provide an overview of Elva-McLaren, chassis# 20/09. Though there is a good amount of detail within this document, it is only a brief synopsis of what has been collected by the . January 1966, Cover of Sports Car Graphic, Pete Biro photo. 1965 (continued) During this effort, Doane .
Dr. Petrozzi joined McLaren Regional Medical . Center on October 1, 1995. Prior to that he had taught at Universidad Peruana, Cayetano Heredia in Lima, Peru, (1964-1976) where he was promoted to Associate Professor. He taught at Henry Ford Hospital as University
The Clinical Program is administered by the Clinical Training Committee (CTC) under the leadership of the Director of Clinical Training (DCT) and the Associate Director of Clinical Training (ADCT). The program consists of three APA defined Major Areas of Study: Clinical Psychology (CP), Clinical Child Psychology (CCP), Clinical Neuropsychology .
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We started racing over 50 years ago and have pushed the boundaries . of better ever since. This thinking is what makes a McLaren a McLaren. . So nothing draws your attention away from the experience – and fun – of driving. Of course, you’ll probably want to make the environment your
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