Warorial Meomspital H

www.warmemorialhospital.org     March 2014

Balloon Sinuplasty

Up Up and Away with Sinus Pain and Pressure

Ear, Nose and Throat specialist Dr. Mark Wallace and Medical Assistant Michaela Osborn are ready to provide relief for their next patient.

– PHOTO BY PICTURE THIS   PHOTOGRAPHY AND DESIGN

For Your Consideration

A message from CEO David Jahn

The pace of change in the healthcare industry continues to increase rapidly and trying to keep up with these changes is getting increasingly more difficult. From the Affordable Care Act and its impact, to reductions in reimbursement, to the consolidation that is occurring in the industry - we continue to try to

keep pace with the changes for the benefit of our community.  Many small hospitals are now affiliating or merging with larger healthcare organizations because of the advantages that a bigger organization can bring in regards to purchasing power and access to capital.  We at WMH are working hard to remain independent so that we can maintain local ownership and local decision making.  Do we have larger healthcare organizations who would like to affiliate or acquire us?  Yes, we have had offers from a number of different organizations. Will we need to affiliate or merge in the future in order to survive? Maybe. With the new healthcare environment you

Coming Soon: four new doctors at WMH Here is a sneak peek at the physicians joining the WMH medical community in the coming months.

Dr. Celine Rivera (Internal Medicine) will relocate from the Detroit area by June. She has been practicing traditional internal medicine (inpatient and outpatient) for the past 3 years and will continue to do so at WMH. She is engaged to marry Dr. Belisario Arango. Dr. Belisario Arango (Hematology/ Oncology) is currently finishing his fellowship in Miami and did his internal medicine residency in Detroit.  He is originally from Panama.  When he arrives in August, he will focus on advancing WMH HEALTHBEAT

WMH’s hematology/ oncology service. Dr. Marcus Ottochian (Pulmonology/ Critical care) is finishing his fellowship at the University of Southern California and is originally from Italy.  Starting in July, he will have both an outpatient pulmonary medicine practice and manage patients in the ICU at WMH.  He will work alongside Dr. Aboudaya, who continues to see patients for one week out of every month. Dr. Arthur Luka (Infectious Disease/Internal Medicine) is currently finishing his infectious disease fellowship in New York and is originally from Romania.  Starting in July, he will work 5 days/month doing outpatient infectious disease work, wound care and possibly a 2

will gain some benefit from being part of a larger organization, but what control or decision making are you giving up to be part of this larger entity? These are all questions that will have to be debated over the next year or so.  The only thing we really have control over is the patient care experience and the quality of care provided to the patients we serve and I can assure you that our entire team is committed to being the best in both of these areas.  No one really can be 100% certain of what the future holds for healthcare, but one thing that we can be certain of is that our great team of employees and physicians are working extremely hard to provide you with the best healthcare experience possible. 

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travel clinic for anybody who will be visiting overseas and needs to get various vaccinations.  He will also spend 10 days/month working as a hospitalist, which allows him to do inpatient infectious disease work at the same time. Look for more lengthy introductions of each physician in future Healthbeat editions and on the hospital’s website – www.warmemorialhospital.org MARCH 2014

Balloon Sinuplasty Minimallyinvasive relief for sinus trouble

Patients suffering from pain and pressure caused by chronic sinus problems can get relief in the comfort of a physician’s office, thanks to a procedure offered by local ear, nose and throat specialist Mark Wallace, D.O.

While the procedure is a familiar one, the location is a new development. Patients can choose WMH HEALTHBEAT

“The patient will feel some sensation, but not pain. We spend a lot of time making sure of that. For instance, we’ll use a topical anesthetic and then wait 20 minutes or so before injecting more anesthesia and then wait for that to take effect. After that, they will feel pressure, but not pain.” It is often a matter of personal choice whether a patient has the procedure in the office or in the hospital. Because the patient is awake, they will be able to see what is happening. “If you can handle a dental procedure in the office, you can handle this,” the doctor added.

to have balloon sinuplasty in a War Memorial Hospital operating room or they can have it performed in the doctor’s office.

Recovery requires maybe a day or two of rest to make sure any bleeding is minimal. After recovery, the speed with which a patient will notice improvement varies. “Some patients will notice improvement right away and others it takes longer, depending upon the underlying problem with the sinuses,” Wallace explained. Most people with chronic sinusitis can benefit from the procedure – but not all. People who have previously had sinus surgery, for instance, are not candidates for balloon sinuplasty. Additionally, Wallace said that some people just have particularly bad sinuses and no procedure will eliminate future sinus infections. But in the majority of cases, the procedure can make a difference.

Balloon Sinuplasty involves the insertion of a specially-designed catheter into the patient’s nose and up into the inflamed sinus cavity, where a balloon is then inflated. The process reshapes and widens the sinus passage, allowing mucus to drain from blocked sinuses. Dr. Wallace has been performing the procedure since 2007. “This really opens up the sinuses and allows them to get better aerated and drain better in a very minimally-invasive way,” he explained. “It preserves all of the normal anatomy, which is different from the prior ways of doing sinus surgery.”

COVER STORY

Shown here fully inflated, this tiny balloon makes a big difference. The biggest difference is the use of anesthesia. In the hospital, patients are put under general anesthesia, while the office uses a local. Since the patient is awake in the office, a good amount of time is spent numbing the area, according to Dr. Wallace. 3

“For people who are in a bad cycle but don’t have bad sinuses, this can break them out of that cycle and get them well indefinitely,” he said. If you are wondering whether this procedure is right for you, talk to your primary care doctor or make an appointment to see Dr. Wallace by calling Soo Otolaryngology at (906) 259-0244. MARCH 2014

Meet our new Chief of Anesthesiology A native of the Detroit area became War Memorial Hospital’s newest Chief of Anesthesiology when Dr. Naeem Sattar joined the medical staff in January. “We are very happy that Dr. Sattar has joined the WMH team and welcome him to Sault Ste. Marie,” said CEO David Jahn. “Dr. Sattar is committed to providing high quality anesthesia care to the patients he serves and this supports the mission of WMH,” the administrator added. Sattar is board certified in anesthesiology and has worked in Michigan, Indiana and Ohio. He received his medical degree at Wayne State University and received residency training in anesthesiology and perioperative medicine at Wayne State and the University of Miami School of Medicine. Woodhaven, a small town of roughly 12,000 people located in the Downriver area south of Detroit, is

Sattar’s hometown. He relocated to Sault Ste. Marie from the Toledo area. The doctor fell in love with the community during visits over the years. “Sault Ste. Marie is a nice small city and the community has a good feel. I love the scenery – it’s absolutely gorgeous up here,” Sattar remarked. He’s also pleased with his new role at WMH. “I like the fact that I will have the opportunity to run my own anesthesia department,” he said, explaining that he will also serve as medical director of the respiratory therapy department. Sattar and the four Certified Registered Nurse Anesthetists (CRNA’s) in his department use their anesthesiology skills to assist patients in surgical situations, as well as in obstetrics. The doctor said he originally chose the field of

Bequest: It’s more than a gift – a

The ABC’s of Estate Planning

No matter your age or income level, estate planning is something every person should consider. Why does it matter for you?

bequest is a legacy. Whether it is a piece of property, a family heirloom, or a cash donation – a bequest is your way of impacting your legacy after you’re gone.

Community: Your estate can

make a long-lasting impact on the health of your community. At War Memorial Hospital, planned giving assists in projects like the

Expanded Emergency Department: With the help of gifts from generous individuals, projects like ER expansion bring ssurance: An estate plan gives enhanced care to the everyone peace of mind – you will EUP. When completed know that your family has been later this year, the adequately cared for and your family department will have will know they are carrying out your 18 private treatment rooms and a larger family wishes. waiting area.   WMH HEALTHBEAT

Dr. Naeem Sattar anesthesiology because he likes to help patients who may be feeling vulnerable. When he’s not working, Sattar immerses himself in athletics. “I’m a big sports fan - basketball, football and soccer – I love it all,” he said. Emergency Department expansion currently underway. Remembering WMH in your estate is an act of caring for your family and your community far into the future. Want to learn more about how you can help a variety of Chippewa County organizations through estate planning? Email [email protected] with your name and address to receive a free brochure.

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MARCH 2014

Ron Calery recalls his tenure on the WMH Board of Trustees

32 Years of Service Ask Ron Calery about his memories of 32 years as a member of the WMH Board of Trustees and he shares stories of challenges and successes, of people and of community. Woven together, they paint the picture of how a small hospital overcame financial hurdles to grow its facilities and medical staff. Over the years, he has measured hospital success by one standard. “Back then, my attitude was that the hospital better be good enough for my mother. Today, I feel like the local hospital better be good enough to take care of my kids and grandkids. After all these years, I’m damn proud

successful in building a new, 85-bed hospital. The process of securing bonding for the construction led to another major change at WMH – its designation as a non-profit organization. “A developer explained to us how we could pursue bonding with the county’s blessing while making the hospital responsible for any debts,” he said. That led to the current ownership arrangement, where the land is owned by Chippewa County, with a long-term lease to the non-profit War Memorial Hospital organization.

went up and down the street and found enough connections to put up the money for the Long Term Care. These guys taught me and I can’t say enough about them. They are two outstanding gentlemen,” he said. People are at the heart of many of the improvements the hospital has experienced over the years. With time, the loyalty and morale of employees, physicians and the community has all changed for the better. “We spent an enormous time building the hospital team. We have a lot of respect back and forth between the board, the employees, and the physicians. A lot of wonderful people work there and a lot of damn good doctors,” he said. Calery proudly tells the stories of collaborative successes, including the development of the Dialysis Unit with the help of Rosemary Gaskin and the Sault Tribe, and the opening of the Community Care Clinic – again with tribal help.

CEO David Jahn, Board Member Calery and Board Chairman Frank Sasso of that hospital,” he said in a recent interview. Calery joined the board at the invitation of three Chippewa County Commissioners with concerns about the hospital’s financial position. “I accepted their challenge. I remember being shocked at the financial condition of the hospital back then and, at the time, they had to either rehab the entire building or build a new hospital,” he explained. After looking at the changes in hospital billing and getting input from the state, Calery and his peers were WMH HEALTHBEAT

Calery trained as an xray technician in his younger years, but received an education of another kind from two men he refers to as his “secret consultants.” “Ken Shouldice and Don Gerrie Sr. are my heroes in development. I met with them on the QT over the years to get their opinions on community development,” he said. Calery credits the two with the construction of the Long Term Care unit. “Ken and Don went out and tapped all of their friends. They 5

He also praises the War Memorial Hospital Auxiliary, calling them “a very strong part of fundraising for hospital. They put unbelievable hours into the hospital, so if you’re going to talk about loyalty – start by looking at the Auxiliary.” While his tenure on the board ended in December, his service to his community hospital hasn’t ended. “I retired from the board, but not from the hospital. I’ll be of service in any way that will help the community,” he said. As the interview wraps up, Calery shows both his pride and his sense of humor when he says, “I look at the hospital and say to myself – ‘hey old timer, you did alright.’” MARCH 2014

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information & events for your health!

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April 16, 2014 – 7pm Bayliss Public Library Sault Ste. Marie, MI WMH Community Education Series

May 18, 2014 @ 3pm WMH Behavioral Health Center – Kincheloe

2nd Annual “Mental Health Mile” Each step helps stomp out the stigma of mental illness that affects one in four of our neighbors, friends, and loved ones. Join us for this inspiring event.

On-going support groups: Bariatric Surgery Support Group Last Wednesday of each month

To see a complete list of coming events and support group schedules, visit warmemorialhospital.org and click on Classes & Events.

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www.warmemorialhospital.org

Follow us on Twitter @WarMemorial

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Healthbeat is a publication of Chippewa County War Memorial Hospital, Inc.    Stories by Angela Nebel Summit Public Relations Strategies, LLC.    Printing and Design by Paul Ignatowski, Sault Printing Co. Pursuant to the authority granted to Det Norske Veritas Healthcare, Inc. by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, this organization is deemed in compliance with the Medicare Conditions of Participation for Hospitals (42 C.F.R. §482). This certificate is valid for a period of three (3) years from the Effective Date of Accreditation. Effective Date of Accreditation: October 26, 2011. War Memorial Hospital is an equal opportunity provider and employer.

WMH HEALTHBEAT

Patients are talking about the great care they received at WMH. Each month we will share excerpts from letters written to our CEO from patients and families:

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Topic: “Why am I here? The circumstances of how and why people are admitted to a mental health unit. Dr. Paul Sorgi, medical director of the WMH Behavioral Health Center, will talk about his experiences at BHC, what can be learned from the facility’s admissions, and the overall trends in mental health issues.

Gluten-Free Support Group 1st Tuesday of every Month

Hospital Chat

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““I’ve been admitted in and out of psych units and I have to tell you guys, this is the best experience I’ve ever had. Every staff member I came into contact with was sweet and kind. They had an answer for every question I had and actually came into my room and gave me education on my medication and my diagnosis. I wasn’t confused or frightened at all while I was here because everyone communicated so well with me. I want to say thank you from the bottom of my heart.” “Excellent food service. Very courteous and friendly! They poked me full of holes and stuff and still I thought your food was great!” “My husband recently had an emergency appendectomy and I wanted to express how grateful we are for the terrific care we received at War Memorial. During the initial emergency room visit, Chris Vandermeer and Andy Gibson provided absolutely exceptional care and even continued to check in with me after (he) was in surgery. … Our sincerest thanks to the wonderful surgical team: Dr. Paula Rechner, Joe, Hari and Amanda, who were all extremely thorough, professional and compassionate – especially at a very late hour since the surgery did not begin until 11pm.”

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MARCH 2014

The truth about seasonal changes and mood disorders After a long winter, the arrival of spring is thought to be a welcome change for people in northern climates like the Upper Peninsula. In fact, spring can be a particularly difficult time for people suffering from depression, bi-polar disorder, and attention deficit disorder (ADD). Longer days after a period of winter hibernation affect everyone, but for some, the change takes a toll on the nervous system, according to Dr. Paul Sorgi, medical director of the WMH Behavioral Health Center. “It’s an overreaction to the stimulus of light. It creates a surge in neurochemicals that are associated with energy. In some people, that system isn’t well controlled and when daylight lengthens, those neurochemicals surge and there isn’t any way to turn them off,” he explained.

People can manage their reaction to seasonal change by being mindful of a few things and it begins with sleep.

any time, you have concerns about suicidal tendencies, the psychiatrist recommends a conversation.

“It is important to make sure that your sleep period doesn’t shorten. A deficiency in sleep will trigger mood cycling. And it’s not just the amount of sleep, but also the timing. You need to go to bed at 10 or 11 pm and get up at 6 am so you don’t get a surge in chemicals at the wrong time of day,” the psychiatrist explained.

“The best thing you can do is tell the person you are worried about them and ask directly – ‘are you depressed’ or ‘are you thinking of harming yourself’ and usually the person with a mood problem will be honest with their answer,” Sorgi said.

A Melatonin supplement is another option. “Melatonin is a naturally occurring hormone that promotes a stronger sleep cycle,” Sorgi said. “The person takes melatonin mid-afternoon because that is when your natural melatonin is supposed to surge and that will trigger sleep 8 hours later.” Exercise is another method of easing the seasonal transition. Vigorous exercise can help offset the effects, so people trying to support and encourage a struggling friend or family member might participate in regular physical activity together. Being proactive is important. Change in season can exacerbate symptoms and struggles of those with bi-polar disorder, depression and ADD to varying degrees. While many people have a mild reaction, some people feel the effects more intensely, leading to thoughts of suicide. Family members may notice a change in behavior patterns, sleep patterns, levels of isolation, irritability, and negativity in those who are depressed. If you know someone with bi-polar disorder, watch for manic periods with a surge in energy and a decreased need for sleep. If, at

WMH HEALTHBEAT

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Local resources are available for those suffering from mood-related conditions and for anyone who has concerns about potentially suicidal loved ones. Your primary care doctor can help you deal with sleep problems and depression, as can the providers at Blue Water Behavioral Health. The Behavioral Health Center is an option for people in danger of harming themselves and in need of more focused treatment. Hiawatha Behavioral Health Center has an emergency team ready to respond to calls about imminent suicide threats. The team is available 24 hours per day by calling (800) 839-9443.

For a consultation on these or other mental health conditions, contact Blue Water Behavioral Health at 906-635-2969. MARCH 2014

Your local health care providers FAMILY PRACTICE *P.W. Niemi, D.O. (906) 632-1100 Bay Mills Health Center D. Maloney, M.D. Lisa VanHevel, D.O. (906) 248-5527 Bridgeview Family Medicine *T.E. O’Connor, M.D. *J. Garlinghouse, M.D. *J. Peterman, M.D. (906) 253-9374 Community Care Clinic G. Pramstaller, D.O. S. Bartz, P.A. T. Malloy, N.P. D. Rick, P.A. S. Croasdell, N.P. T. Siesel, N.P. R. Brand, NP (906) 635-4401 LSSU Health Care Center S. Bartz, PA-C M. McLeod, NP-BC (906) 635-2110 Riverside Medical Associates M. Crawford, CFNP *R.H. Mackie, M.D. T. Malloy, FNP-BC P. Nichols, CFNP *J.P. Ockenfels, D.O. *A.L.T. Postma, D.O. *T.N. Tetzlaff, D.O. (906) 632-1800 Sault Tribe Health Center C. Behling, CFNP E. Javellana, M.D. V. Sherman, M.D. L. Styer, M.D. R. Werner, M.D. (906)632-5200 Superior Family Medical *J.M. Pahn, M.D. (906) 632-0370 VA Community Based Outpatient Clinic (906) 253-9383 WMH Community Care - Kinross C. Harris, M.D. Brenda Buchanan, N.P. (906) 495-1344 WMH Family Care – Cedarville K. Duman, PA-C B.M. Slater, D.O. (906) 484-2295 WMH Family Care – DeTour S. Aldridge, M.D. S. Daniels, PA (906) 297-3204 Drummond Island Family Health Care, PC C. Cordray, CFNP, MSN (906) 493-6644 Drummond Island Medical Center S. Aldridge, M.D. S. Daniels, PA (906) 493-5221 SAULT PRINTING CO.

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WAR MEMORIAL HOSPITAL 500 Osborn Blvd. Sault Ste. Marie, MI 49783

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ALLERGIST/ASTHMA Great Lakes Allergy & Asthma Center, PC P. Ranta, M.D. (906) 253-0400 ANESTHESIOLOGY Joe Beccario, CRNA *J.D. Boldan, M.D. L. Knittle, CRNA D. Montgomery, CRNA N. Sattar, M.D. E. Woolever, CRNA (906) 635-4589 BARIATRIC (WEIGHT LOSS) Advanced Surgical Care *J. Adair, MD *J. Cipriano, D.O. S. Cipriano, D.O. (906) 253-9770 BEHAVIORAL HEALTH SERVICES Blue Water Behavioral Health L. Armstrong, NP *P. Sorgi, M.D. D. Wilson, N.P. M. Vitelli, M.D. (906) 635-2969 (906) 495-2209 CARDIOLOGY Soo Cardiology *R. Alkiek, M.D. *W. Doghmi, M.D. (906) 253-2760 DERMATOLOGY I. Siniakov, M.D. (906) 253-2652 EAR, NOSE & THROAT Sault Otolaryngology *M. Wallace, D.O. (906) 259-0244 ER SERVICES-WMH J. Bender, M.D. W. Jamros, N.P. J.M. Neri, D.O. M. Oates, M.D. L. Showers, M.D. S. Vix, M.D.

GENERAL SURGERY *K.L. Mc Cullough, M.D. (906) 635-1048 Advanced Surgical Care *J. Adair, MD *J. Cipriano, D.O. *P. Rechner, M.D. (906) 253-9770 INTERNAL MEDICINE *E.J. Ranta, M.D. (906) 632-6823 Chippewa Medical Associates *A. Mursaleen, M.D. (906) 632-6013 Lakeview Internal Medicine *T. Chander, M.D. Danielle Paquette, PA (906) 635-9090 NEPHROLOGY *M. Haider, M.D. (906) 632-6013 NEUROLOGY Superior Neurosciences *R. Spitzer, M.D. (906) 632-5824 OB/GYNECOLOGY Sault Women’s Healthcare *L. Anghel, M.D. *N. Cristof, M.D. *A. Donmyer RN, CNM *M. Guevara, D.O. (906) 635-3002 ONCOLOGY Chippewa Medical Associates C. Burton, CFNP (906) 632-6013 OPHTHALMOLOGY Grand Traverse Ophthalmology M. Madion, M.D. D. Thuente, M.D. P. Sneed, M.D. P. vonKulajta, M.D. J. Wentzloff, M.D. (906) 635-9802

ORTHOPEDIC SURGERY International Orthopedic and Sports Medicine Center *R.W. Ganzhorn, M.D. (906) 632-4740 Greater Peninsula Orthopedics *S.M. Woolever, D.O. (906) 635-5100 PAIN MANAGEMENT Upper Peninsula Pain Institute *Andrew Alshab, M.D. Brenda Buchanan, N.P. (906) 253-2665 PATHOLOGY C. Liu, M.D. (906) 635-4434 PEDIATRICS Sault Pediatrics *R. Beckman, D.O. (906) 253-2605 PODIATRIC SURGERY R. Sehgal, D.P.M. (248) 553-4040 K. Tabor, D.P.M. (906) 225-7709 PULMONARY/CRITICAL CARE Chippewa Medical Associates *I. Abou Daya, M.D. A. Ellis, N.P. (906) 632-6013 RADIOLOGY Cedar Straits Medical Associates, PC R.J. Duman, M.D. S. Bailey, M.D. (906) 635-4438 SLEEP MEDICINE J. Sand, D.O. (906) 253-2788 UROLOGY *L. M. McCormick, D.O. (906) 632-5808

*indicates WMH admitting privileges