GLCI-McLaren Is The TrueBeam Technology. Connection

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GLCI-McLaren is the only cancer treatment facility in Michigan with the Varian TrueBeam technology. Connection A Bimonthly Publication of McLaren Regional Medical Center Volume 9, Issue 6 October/November 2010 What’s Inside. Chili Cookoff Spices Up the Workday.3 Central Michigan Community Hospital Joins McLaren Health Care System.5 Making Strides Against Breast Cancer October 16, 2010.10 GLCI-McLaren Unveils Game Changing Accelerator Most people would say that a map is a useful tool, but a GPS is better. Similarly, those in the field of radiation oncology know that a linear accelerator is an important innovation in cancer treatment, but GLCI McLaren’s new TrueBeam technology sets a new standard. This month, GLCI-McLaren unveils TrueBeam’s real-time imaging and treatment system – the only system of its kind in Michigan. A fully-integrated design, it treats moving tumors with unprecedented speed and accuracy. TrueBeam incorporates numerous technical innovations that synchronize imaging, patient positioning, motion management, and treatment delivery during radiotherapy or radiosurgery. The system delivers the appropriate dose more than twice as fast as any other linear accelerators and streamlines workflow to significantly reduce the number of steps needed to complete a treatment, according to Varian Medical Systems, makers of TrueBeam. “TrueBeam allows us to give more precise and faster radiation than ever before,” stated Hesham Gayar, M.D., medical director of radiation therapy at GLCIMcLaren. “Its precision--less than 1 mm--and better beam shaping saves normal tissue. Real-time imaging of target during treatment and better image Continued on page 2

GLCI-McLaren Unveils Game Changing Accelerator Continued from page 1 guidance is like GPS positioning of the tumor. This new technology enables us to treat some types of cancer with fewer visits, thereby reducing the patient’s radiation treatment course from weeks to days. The faster, more accurate and image guided treatment reduces delivery errors due to organ motion (like breathing during treatment). Our patients can expect leading edge care with better tools to fight cancer.” The increased level of precision enables GLCI oncologists to treat moving lung tumors as if they were standing still. By synchronizing treatment with tumor position changes throughout the respiratory cycle, physicians can reduce the margin of healthy tissue affected by the treatment beam. The TrueBeam system delivers gated RapidArc radiotherapy, which compensates for tumor motion by synchronizing imaging with dose delivery during a continuous rotation around the patient. This capability makes for an even more powerful tool for treating cancers of the thorax, such as lung and liver cancer, when tumor motion is an issue. “McLaren has set a new standard with TrueBeam. It is part of our long standing commitment to provide the latest and greatest technology to our patients,” said Brent Wheeler, Vice President of Ancillary and Support Services, McLaren Regional Medical Center. Along with Dr. Hesham Gayar, Radiation Oncologist, Wheeler traveled to Palo Alto, California to preview the technology at Varian Medical Systems in early 2010. Other innovations built into the TrueBeam system include: A streamlined treatment console with a modern, easy-to-use interface that consolidates controls for imaging, treatment, and motion management. A newly-designed X-ray tube for generating high volumes of quality 3-D (cone-beam CT) images. These 3-D images can be generated in 60% less time, with a 25% reduction in X-ray dose to the patient. A treatment couch that can be positioned with submillimeter accuracy in relation to imaging and beam delivery processes. A unique new non-clinical Developer Mode designed to facilitate collaboration with Oncology thought leaders interested in pioneering new treatment and imaging techniques.

Revered McLaren Faculty Physician Honored for Excellence In a special award ceremony at the recent American College of Physicians - Michigan Chapter meeting, Dr. Carlos Petrozzi was recognized as “Great Internist of Michigan” for his “noteworthy contributions to Dr. Carlos Petrozzi health care and internal medicine in Michigan.” The criteria for the award are “outstanding clinical abilities and performance, along with service to the discipline of internal medicine, research and/or education.” Dr. Petrozzi has dedicated his clinical career to teaching medical students and residents. Dr. Petrozzi is annually honored by those he teaches with the “Master Teacher” Award. He was selected as a Laureate of the ACP Michigan Chapter in 2002. The Laureate Award honors those Fellows of the College who have demonstrated by their example and conduct an “abiding commitment to excellence in medical care, research, and service to their community, their ACP Chapter, and the American College of Physicians.” 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 of Michigan Associate Professor from 1977 to 1995, and in June, 1995, was honored with the Lifetime Achievement Award for Excellence in Teaching. Upon joining MRMC he was named to the Faculty of the College of Human Medicine, Michigan State University, where he was promoted to full Professorship in July 1999. He currently serves as Director of Academic Programs and Senior Faculty with the Internal Medicine Residency Program. Annetta Wilbon, Patient Relations has the scoop for Julie Jandreski and Ashley Kasdorf, both medical technologists in the Lab. Chili Cookoff Spices Up the Workday From sweet and saucy to hot and zesty, McLaren employees who attended the second annual Chili Cookoff on September 23 were able to sample ten homemade chili creations and vote for their favorite. Guests paid three dollars to sample and judge the entries. Congratulations to Sharyl Christiansen, audit coordinator in the Compliance Department. Sharyl’s chicken chili earned the most votes for the second year in a row. The Chili Cookoff is hosted by the Employee Campaign Committee with proceeds benefiting the “A Little Change Makes a Big Difference” fund. The McLaren Foundation initiated the Employee Campaign in 2007. Harry Mitchell serves up a hot dish to Erin Burke, GLCI-McLaren physician assistant. 3

Case Management Hosts Community Resource Day In an effort to recognize the role Case Managers and Social Workers fulfill in the health care system, McLaren’s Case Management team hosted a “Community Resource Day.” The event took place on Monday, October 11, the start of Case Management Week. Representatives from a host of agencies were on hand in the lobby of McLaren Regional Medical Center to highlight local services available. In these tough economic times Case Managers and Social Workers are an even more vital link between patients and the community resources they need for a range of health care needs. These include obtaining health insurance, mental health services, nutritional needs, in home care, social security and much more. 4 Area residents try their hands at the surgeon’s console of the da Vinci robotic surgical system and are able to zoom in to better visualize the surgical field. Seminar Attracts Interest in Robotic Surgery Trends More than 110 area residents and physicians attended a series of seminars Sept. 28 featuring the da Vinci surgical robotic system. Available in this region only at McLaren Regional Medical Center, the da Vinci surgical system features more precision and visualization for surgeons. Utilizing tiny incisions, the system also results in less pain, less blood loss and faster recovery for patients. Trained surgeons operate the robotic system for procedures in the areas of gynecology, cardiac surgery, oncology procedures, general surgery procedures and prostatectomies. The seminars were held at Warwick Country Club in Grand Blanc and featured handson demonstrations with a mobile robotic surgical system as well as presentations by McLaren physicians. Physician presenters included: Dr. Dale Wilson, OB/GYN, Dr. Alexy Levashkevich, OB/GYN, Dr. Joseph Metz, OB/GYN and Dr. Douglas Iddings, gynecological surgeon. For more information on the robotic surgery program at McLaren, go to mclarenregional.org Monica Blondin, RN, clinical specialty robot coordinator at McLaren assisted students on the Clarkston High School Robotics team as they “test drive” the da Vinci robotic system.

Central Michigan Community Hospital Central Michigan Community Hospital Joins McLaren Health Care System Officials at McLaren Health Care announced on Sept. 30 the acquisition of Central Michigan Community Hospital (CMCH) in Mount Pleasant, MI. This move by Flint-based McLaren comes on the heels of two other hospital acquisitions and additional expansions within just the past four years. “The agreement with Central Michigan Community Hospital expands our health care footprint into a new region,” said Philip A. Incarnati, president and CEO of McLaren Health Care. “Despite the difficult economic conditions in the state, we’ve been able to attain yet another piece in the pattern of our overall growth strategy and further our mission to be Michigan’s best value in healthcare, as defined by quality outcomes and cost.” CMCH is a 118-bed acute care hospital. It is a notfor-profit, locally governed community hospital, offering a full range of health and wellness services from the hospital campus and off-site locations. It is recognized as an accessible and dependable source of quality medical care for residents of Mount Pleasant, Isabella County and central Michigan. CMCH is licensed by the Michigan Department of Public Health and holds high marks of accreditation from the American Osteopathic Association. CMCH has approximately 60 active staff physicians and is affiliated with more than 150 other top-notch health professionals. The hospital is one of the region’s largest employers, with more than 600 employees and another 200 volunteers. “This is a tremendous day for our hospital and our community,” said Bill Lawrence, CMCH president and CEO. “In the midst of one of our strongest years ever, we are joining with McLaren Health Care, a nationally recognized leader.” “We are pleased to welcome the board, physicians, staff, and volunteers of CMCH to the McLaren team, and we look forward to the opportunity to support the already high level of quality care they provide to the community,” added Incarnati. Philip A. Incarnati, president and CEO, McLaren Health Care McLaren Health Care acquired what is now Mount Clemens Regional Medical Center in 2006 and Pontiac Osteopathic Hospital (now POH Regional Medical Center) in 2007. McLaren Health Care Village at Clarkston was also launched in 2007 with Phase I opening in 2009. McLaren Health Care has been ranked as one of the top 25 integrated health care systems in the United States for the past 10 years. With an A1 rating from Moody’s Investor Services and AA from Fitch Ratings, McLaren Health Care has sustained a compounded annual revenue growth rate of 20% per year for 20 years. 5

McLaren Internal Medicine Resident Physicians Receive Top Honors for Clinical Research A panel of clinical experts judging clinical research projects at a recent meeting, bestowed more awards upon the residents of McLaren Internal Medicine Residency program than any other participating program. This recognition highlights the quality of residents, faculty and the research conducted at McLaren Regional Medical Center (MRMC). “We focus on creating a scholarly environment for our residents and faculty,” stated Susan Smith, program director for MRMC-MSU Residency Program in Internal Medicine. “We are very proud to see our residents recognized for their efforts. Having the right support system in place creates an environment for residents to conduct quality and compelling scholarly projects.” The key faculty members involved with the scholarly activity are Radhika Kakarala, M.D., Director of Scholarly Activity for Internal Medicine; Siva Talluri, M.D.; and Jami Foreback, M.D., currently serving as chair of McLaren’s Institutional Review Board. There is also significant contribution to residents’ scholarly activity from many other faculty members. The winners. Their research. First Place awarded to Ali Eskander, M.D. Ali Eskander, M.D. In the Category of Quality Improvement/ Evidence-Based Medicine- Oral Presentation: For the research “Assessing Compliance with the American Thoracic Society COPD guidelines in the internal medicine and family medicine residency clinics” Authors: Dr.Ali Eskander, Dr.Azharuddin Tahera, Dr.Ragni Bundesmann, Dr.Gautham Gadiraju, Dr.Hilana Hatoum, Dr.Jami Foreback First Place awarded to Vidya Kollu, M.D. In the Category of Quality Improvement/ Evidence-Based Medicine-Scientific Poster Presentation “There is an expectation set here that all residents will participate in scholarly activity,” Vidya Kollu, M.D. stated Dr. Kakarala. “First we set that For the research expectation, then we empower them.” “Are venous ammonia levels useful in Research projects were reviewed at the the diagnosis and prognosis of hepatic American College of Physicians (ACP) encephalopathy in pts. with chronic liver Michigan Chapter annual meeting held in disease?” Kalamazoo on Friday, October 1. Of 14 Authors: Dr. Vidya Kollu, Dr. Jyosthan possible prizes handed out in six categories, Taalluri, Dr. Siddesh Besur, Dr.SivaTalluri, McLaren Internal Medicine residents took First Place awarded to Ali, Eskander, home one third place, one second place and M.D. three first place awards. Seventeen internal medical residency programs throughout In the Category of Research- Scientific Poster the state, including those from Henry Ford, Presentation Wayne State, Michigan State and University For the research “Presentations and outcomes of Michigan, submitted research projects for of small cell lung cancer: African americans consideration. versus whites and males versus females” Authors: Dr. Ali, Eskander, Dr. Saad Sirop 6 Second Place awarded to Mohammad Kanaan, M.D. In the Category of Research -Oral Presentation For the research Mohammad Kanaan, M.D. “Repeat peritoneal cytology as a prognostic factor in ovarian cancer” Authors: Dr.Mohammad Kanaan, Dr.Saad Sirop, Dr.David Wiese, Dr.Mohammad Mozayen, Dr.Sunil Nagpal, Dr.Sukamal Saha Third Place awarded to Edsil deOcampo, M.D. In the Category of Research-Poster Presentation For the Research “Inappropriate Use of Stress Ulcer Edsil deOcampo, M.D. Prophylaxis (SUP) in Staff Medicine Patients Admitted to the General Medical Floor” Authors: Aditya Neravetla, MD; Maral Kojain, MD; Maria Smith, MD; Naveed Klair, MD; Radhika Kakarala, MD, MS Everyone who received awards at the recent meeting will have the opportunity to compete at the ACP National Meeting in San Diego in April, 2011 with traveling expenses provided by ACP-Michigan Chapter. Special thanks are extended to the faculty mentors who provided guidance on all scholarly projects that were submitted. Also, the Internal Medicine Residency faculty expresses their sincere appreciation to graphic artist William Joy, for his efforts in creating posters and materials of superb quality.

Pictured l-r are: Jane Miller, RN, Clinical Documentation Specialist and Lynette Spears, Nutritional Services. 3 Central Perk Coffee Shop Opens 3 Central Perk Coffee Shop is now open to employees and visitors. An open house with free samples was held on Tuesday, October 26. 3 Central Perk will be open weekdays from 7:00 a.m. until 5 p.m. In addition to Seattle’s Best coffee, a selection of fresh baked goods, sandwiches, salads, snacks, and cold drinks are available. Hot food for sale includes oatmeal during the morning and soup and chili in the afternoon. Pictured is Deborah Lee-Tyiska, RN, MA, CCM, Clinical Documentation Specialist. 7

Welcome to the Medical Staff John Bete Jr., O.D., a physical medicine and rehabilitation specialist, has joined the medical staff at McLaren Regional Medical Center. He is caring for patients at Back Pain and Sports Rehabilitation Specialists, 3400 Fleckenstein Dr., Suite 1, Flint. Dr. Bete completed his residency in Physical Medicine and Rehabilitation at Michigan State University in Lansing. He received his medical degree from the University of New England College of Osteopathic Medicine in Biddeford, Maine. John Bete Jr., O.D., Leena Jindal, D.O., F.A.A.P., F.A.C.O.P., a board certified pediatrician, has joined the medical staff at McLaren Regional Medical Center. She is caring for patients at Hamilton Community Health Network, G-3375 S. Saginaw St., Burton. Dr. Jindal completed her residency through Michigan State University in Lansing. She received her medical degree from Oklahoma State University Center for Health Sciences in Tulsa, Oklahoma. Leena Jindal, D.O., F.A.A.P., F.A.C.O.P. Jessica Jewart Kirby, D.O., an emergency medicine specialist, has joined the medical staff at McLaren Regional Medical Center. She is caring for patients in McLaren’s Emergency Department. Dr. Kirby completed her residency at Genesys Regional Medical Center in Grand Blanc. She received her medical degree from Midwestern University-Arizona College of Osteopathic Medicine in Glendale, Arizona. Matthew Sardelli, M.D., an orthopedic surgeon, has joined the medical staff. Jessica Jewart Kirby, D.O. Matthew Sardelli, M.D. He is caring for patients at Family Orthopedic Associates, 4466 W. Bristol Rd., Flint. Dr. Sardelli completed a Fellowship in Sports Medicine at Tria Orthopaedic Center in Bloomington, Minnesota. He completed his Residency in Orthopedic Surgery at University of Utah Hospitals and Clinics in Salt Lake City, Utah. He received his medical degree from Wayne State University in Detroit. Ajay Srivastava, M.D., an orthopedic surgeon, is now caring for patients at Family Orthopedic Associates, 4466 W. Bristol Rd., Flint. Dr. Srivastava completed a Fellowship in Research Adult Reconstruction at Shirley Center for Orthopedic Research and Education in LaJolla, California. Her completed his residency at McLaren Regional Medical Center in Flint. He received his medical degree from Seth G S Medical College in Mumbai, India. Ajay Srivastava, M.D. Hameem Changezi, M.D., F.A.C.C., F.S.C.A.I. Hameem Changezi, M.D., F.A.C.C., F.S.C.A.I., a board certified interventional cardiologist, is seeing patients at Regional Cardiology Associates, P.L.C., 3399 Pollock Rd, Grand Blanc. Dr. Changezi completed a Fellowship in Adult Cardiovascular Medicine and a second in Interventional Cardiology, both at Tufts University School of Medicine in Springfield, Massachusetts. He completed his Internship in Internal Medicine at Oakwood Hospital and Medical Center in Dearborn, Michigan. Dr. Changezi received his medical degree from King Edward Medical College in Lahore, Pakistan. January 29, 2011 Holiday Inn Gateway Flint, Michigan 8 For more information, contact (810) 342-4087 20 s ‘ the ROARING club 401

New and expectant parents are all ears as McLaren BirthPlace nurse Maria Balderrama, RN, leads the Baby Bingo game at the Great Start Baby Shower. BirthPlace Showcased at Great Start Baby Shower Nurses from the BirthPlace at McLaren were all fun and games at the Third Annual Great Start Baby Shower. Expectant mothers and young families gathered around the McLaren informational tables for their chance to play Baby Bingo. The game provided an opportunity for nurses to share some infant health and safety tips as well as relay key features of McLaren’s BirthPlace while parents had the chance to win a safety sleeper. Jean Phillpotts, certified nurse midwife, was on hand to answer questions about midwifery care. Kathy Olsen, RN, perinatal education coordinator at MRMC, provided safe sleep presentations to the attendees at the You need to know TOO! You need to know TOO! September 25 event at Courtland Center. More than 1,200 people attended the event which showcased community services available to expectant parents and families with children under the age of five in Genesee County. In efforts to improve access to information within our network of cancer center staff and affiliated hospitals, Great Lakes Cancer Institute’s website will provide updated links to Continuing Medical Education opportunities both within the McLaren Health Care system, and through national oncology program providers. In efforts to improve access to information within our network of cancer center staff and affiliated hospitals, Great Lakes Cancer Institute’s website will provide updated links to Continuing Medical Education opportunities both within the McLaren Health Care GLCI will continue to offer annual CME conferences highlighting new research system, and and national oncology advancements in theprogram field ofproviders. oncology to all its staff andour provider members. See center Inthrough efforts to improve access to information within network of cancer www.glci.com the Continuing Education for Cancer Professionals forprovide GLCI will continue to offerunder annual CME conferences highlighting newtab research and advancements in the field ofmore oncologyupdated to all its staff and affiliated hospitals, Great Lakes Cancer Institute’s website will information. staff and provider members. See www.glci.com under the Continuing Education tab for Cancer Professionals for more information. links to Continuing Medical Education opportunities both within the McLaren Health Care system, and through national oncology program providers. CLICK HERE! GLCI will continue to offer annual CME conferences highlighting new research and advancements in the field of oncology to all its staff and provider members. See www.glci.com under the Continuing Education tab for Cancer Professionals for more information. 9

M a k i ng St r ide s Making Strides Against Breast Cancer October 16, 2010 At least one hundred of the 4,000 people in Downtown Flint for the Making Strides Against Breast Cancer Walk were McLaren employees or family members. from Radiology include: Nancy Adado, Chavella Hilden, Dana Alden, Jeni Dixon, Rebecca Pelch, Larry Kohn, Tabatha Butler-Kohn, Lynn White, Trisha Isham, Brandy Cummings, and Donna Brown. Members of McLaren’s Radiology Department have supported the Making Strides Walk for at least five years. Jeni Dixon and Nancy Adado are big advocates for the Radiology Department’s participation in the Walk. Participants Kristin Chevrette, RN, and Jennifer Kopchak coordinated GLCIMcLaren’s presence with a large team of walkers, including staff and patients. GLCI-McLaren employees donated refreshments for the McLaren team on the morning of the walk. Fundraiser proceeds and donations to the GLCI-McLaren team totaled 988. Mel Henry led the efforts of Medical Oncology and Hematology Associates at GLCI-McLaren who raised 1,500 to donate to the American Cancer Society (ACS). Fundraisers included a pink ribbonthemed shop in the GLCI-McLaren lobby which sold a variety of breast cancer awareness items such as decorations, apparel and jewelry. Inpatient Pharmacy has been a champion of fundraising for Making Strides since 2003 and this year was no exception. With a bake sale and gift basket drawing, they were able to raise almost 2,300 for the ACS. This year they had one of their biggest teams ever. The Pharmacy team considers Making Strides a very worthy cause that is close to their hearts. Two Pharmacy employees who participated are breast cancer survivors. Members of the Pharmacy team include Lynn Ramm, Diane Oppenheiser, Diane Maule, Pam Tobias, Kristy Holmes, Fadia Badr, Eric Trevino and Lisa Chantelois. 10 (Above) April Walker and Julie Coon from Accounting showed their pink spirit with their pink pig tails.

(Left) McLaren walkers included representatives from GLCI-McLaren, GLCI Corporate office, McLaren Regional Medical Center, McLaren Health Care, McLaren Imaging Center, McLaren Visiting Nurse and Hospice and McLaren Medical Group R adio l o g y Inpatien t P h a rm acy 11

Connection A bimonthly 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 Editor: Ellen Peter, Marketing Communications Specialist Contributing Writers: Sherry Stewart, Ellen Peter, Laurie Prochazka, and contributions from McLaren employees Photography: Ted Klopf, Sherry Stewart, Ellen Peter Design: Shamiah Specht, Graphic Designer, McLaren Art Department Printing: McLaren Graphics Department We welcome comments, suggestions, and story ideas. Contact ellenp@mclaren.org or call (810) 342-4478. McLaren Sponsors Crim Festival of Races MRMC was once again the exclusive sponsor of the Crim 10-Mile Run and Walk held on Saturday, August 28, in downtown Flint. Staff from therapy services, nutritional services, Joint Express, and marketing staffed prime booth space at the Crim Expo at the Old Character Inn on Thursday, August 26 and on Friday August 27 featuring promotional information, running tips, stretching tips and a drawing for Garmin watches for runners or walkers. Dr. Matthew Sardelli, a new orthopedic surgeon who is fellowship trained in sports medicine, conducted shoe evaluations for runners. He also spoke on the Expo’s main stage focusing on race readiness for runners and walkers. Misson Statement: McLaren Health Care, through its subsidiaries, will be Michigan’s best value in healthcare as defined by quality outcomes and cost. Better doctors. Better care.sm mclarenregional.org

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

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