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According to the U.S.National Institutes of Health,at least 25 percent of womensuffer from uterine fibroids(non-cancerous tumors).Uterine fibroids can disrupt a woman’s normal activities,favorite pastimes and evenher sexuality.

“Uterine fibroids can have anoverwhelming effect on a woman’s life,” said Terrence Wilkin, MD, aninterventional radiologist with PremierRadiology. “That’s why we created the Borgess Fibroid Center. This Centercombines the expertise of gynecologistsand interventional radiologists to helpwomen with uterine fibroids, without solely relying on hysterectomy fortreatment.”

Less Pain, More Gain “I experienced four years of weaknessand abdominal pain due to heavy uterinebleeding. I was moody, anemic and felt sleepy all the time,” said PamelaDickinson, who underwent uterine fibroid embolization (UFE), an innovativeprocedure offered through the BorgessFibroid Center. “I try to practice healthyliving and didn’t want to just turn tohysterectomy for relief.”

A minimally invasive option that requiresonly a tiny incision, UFE involves passing a catheter (small, narrow tube) throughthe artery. During the procedure, aninterventional radiologist slowly releasesplastic particles the size of grains of sandinto the uterine arteries that supply blood to the fibroid tumor. Ultimately, blood flowis blocked, causing the tumor to shrink.Patients spend only one night in thehospital, and usually return to normalactivities within about a week.

Minimally Invasive

Treatment for Uterine Fibroids Can Produce Maximum Results

“UFE is not appropriate for everyone, but about 90 percent of women who were bothered by symptoms related to their fibroids will have significantimprovement,” Dr. Wilkin said.

Today, Dickinson, a social worker andnative of Richland, is more active and feels much better. Married with one son, the 47-year-old enjoys exercising at least a couple of times every week,staying connected with her church and volunteering whenever possible.Taking care of herself is extra important,as she lost her mother to complicationsfrom diabetes and has realized the impact lifestyle has on long-term health.

“I take pride in my family and want to go on living,” she added. “UFE changedmy life and made me a different person,and I’m very grateful for that.”

What are uterine fibroids?Fibroids are benign tumors that grow in the muscular wall of the uterus. They can range in size from very tiny to the size of a cantaloupe or larger.

What are the symptoms?Some women have no symptoms. For others, uterine fibroids may cause:

• Heavy, prolonged menstrual periods and unusual monthly bleeding• Anemia• Pelvic pain, or pain in the back or legs• Pelvic pressure or heaviness• Pain during sexual intercourse• Bladder pressure leading to frequent urination• Pressure on the bowel, resulting in constipation and bloating• Abnormally enlarged abdomen

Who usually develops uterine fibroids?About 20 to 40 percent of all women age 35 and older have uterinefibroids of a significant size. African-American women have a higher risk of developing fibroids.

Do uterine fibroids increase cancer risks?Fibroids are benign tumors that almost never develop into cancer.

How are uterine fibroids diagnosed?Fibroids are often detected during a routine pelvic exam. Following this exam, fibroids are usually confirmed by abdominal ultrasound or throughother painless diagnostic tests, such as magnetic resonance imaging(MRI).

How are uterine fibroids treated?The first approach for treatment is typically drug therapy, which mayinclude hormonal therapy or nonsteroidal anti-inflammatory drugs(NSAIDs). If further treatment is required, the Borgess Fibroid Centerworks with women to help them decide the best option. The Center offers access to all of the leading treatment solutions, focusing on uterus-sparing, minimally invasive procedures—from MR-guided focusedultrasound (MRgFUS) to UFE.

The only program of its kind in southwest Michigan, the Borgess FibroidCenter blends the skills of experienced gynecologists and interventionalradiologists. Interventional radiologists are board-certified physicians whoperform minimally invasive procedures, such as UFE, with the guidance of imaging technology. Minimally invasive procedures can reduce therisks associated with surgery and provide a more rapid recovery. To learnmore about uterine fibroids or schedule an appointment with the BorgessFibroid Center, call 269.226.8111 or visit fibroids.borgess.com.

Dr. Terrence Wilkin is an interventional

radiologist at theBorgess Fibroid Center

A Closer Look at Uterine Fibroids

I try to practice healthy livingand didn’t want to just turn tohysterectomy for relief.

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Every year, more than 1,400moms have their babies

at Borgess. If you’re one of thesemoms, preparing to bring a new lifeinto the world is both exciting andoverwhelming. Sometimes, you—and your family—need a little extraencouragement, understanding and

support in your corner.That’s why BorgessWomen’s Health offersCenteringPregnancy®,a program created by the Centering HealthcareInstitute.

“The focus of thisprogram is threefold:

assessment, education and support.Each woman learns to monitor thewell-being of herself and her baby,”said Christina Majszak, a certifiednurse-midwife (CNM) with BorgessWomen’s Health and facilitator forCenteringPregnancy. “Participantsreally take ownership of theirexperience and their prenatal care,which I believe helps build confidencein parenting.”

In a group setting, theCenteringPregnancy program givesthose expecting what they shouldexpect: plenty of time, attention and guidance. Along with receivingprenatal checkups and care in groups,women also spend additional time with their health care provider andother expecting mothers, givingthem a greater opportunity to learn alot more about pregnancy, childbirth and parenting. “A key benefit of this program is that women formrelationships with other expectantmoms,” Majszak added. “In somegroups, birth partners also participate

and can get to know others. We gather the groups according to themonth in which the moms are due,so they experience common changeswith their group’s members.”

“Research has shown thatCenteringPregnancy decreases pretermbirth and low-birth weight, becauseparticipants empower themselves tomake better health decisions,” Majszaksaid. “It works for a first-time mom or a fourth-time mom. Each hassomething special to contribute andcan find some kernel of wisdom to take home.”

To sign up for CenteringPregnancy or learn more about the program,call Borgess Women’s Health at:269.226.5927 (Kalamazoo)269.321.7000 (Portage)269.685.1002 (Plainwell)

For more on the complete gynecologic and obstetric careavailable at Borgess Women’s Health, visit women.borgess.com.

ProgramEnsures Moms-to-Be Stay Center of Care

The CenteringPregnancy®

program focuses on:

GroupsAs part of the program, moms will be in a group with several other expectingmothers with similar due dates. Groupsmeet for two hours per session for 10sessions. Mothers will also have privatetime with their health care provider. “The education component is outstanding.We offer multimedia presentations, aswell as feature guests from Borgess andthe community at large, such as lactationconsultants, childbirth educators,pediatric care providers, a dietitian and a massage therapist,” Majszak said. “This lets moms know about availableresources that we might mention intraditional prenatal care, but could never provide in the same depth during a 15-minute office visit.”

Self-careBy taking their own blood pressure andweight, and charting this information,moms track their own pregnancy processand baby’s growth. As an expecting mom,you’ll also receive education and tools toenable you to make healthier choices foryou, your baby and your whole family.

You, the mom-to-beSurrounded by other moms-to-be, you’ll have the chance to share stories,talk about health issues, and discuss what you’re going through physically and emotionally. Groups meet everymonth at first; then, as the birthapproaches, every two weeks.

TimeBefore beginning, pregnant womenreceive a schedule of upcoming groupsessions, making it easier to arrangechildcare or meet work obligations.Enrollment in separate childbirth classeswill not be necessary, as everything willbe covered in the group setting.

Christina Majszak,CNM, is a

facilitator for theCenteringPregnancyprogram at Borgess

Women’s Health.

Q&A

BORGESS INSPIRE FALL 2009 | 6

From technological breakthroughs and proven “bestpractices” in hospital care, a new medical specialistemerged: the “hospitalist.” Coined by Drs. Robert Wachterand Lee Goldman in a 1996 New England Journal ofMedicine article, the term “hospitalist” refers to physicianswho exclusively care for hospitalized patients.

Today, Borgess Medical Center utilizes two teams of on-staff hospitalists. Physicians with Borgess InpatientServices coordinate care for patients with generalizedmedical needs, while those with Borgess Critical CareServices oversee patient care in the hospital’s five criticalcare/intensive care units. Both groups closely direct andcoordinate all aspects of a patient’s care during theirhospitalization.

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Today’s Experts on the Inside:

Reshaping Patient Care in the Hospital

What’s the benefit for patients? Namely, lower complicationrates and better overall outcomes.

“Research demonstrates that patients who receive care fromhospitalists experience fewer complications, recover fasterand have better outcomes,” said Melissa Olken, MD, PhD,a Borgess Inpatient Services hospitalist. “We work with a variety of clinical staff and other specialists, in addition to closely partnering with each patient’s primary carephysician. Our goal is to ensure the best care throughout the patient’s hospital stay.”

Since they only care for patients in the hospital setting andare onsite around the clock, hospitalists are readily availableto respond to a patient’s immediate needs. The majority(around 85 percent) of practicing hospitalists are trained

in internal medicine. About 5 percent of hospitalists, likethose physicians with Borgess Critical Care Services, havecompleted further specialized training, such as fellowships.These critical care “intensivists” have learned innovativetreatments that can raise the level of care for the mostcritically ill or injured patient.

When Critical Care Counts“When you have a critical illness or injury, you assumeyou’ll be taken to a place that staffs professionals who havethe training and experience to get you through your medicalcrisis,” said Paul Lange, MD, medical director, BorgessCritical Care Services. “But the fact is, most hospitals don’thave that level of sophistication or expertise.”

In a 2006 report to Congress, the Health Resources andServices Administration of the U.S. Department of Health& Human Services estimated that intensivists (critical carephysicians) directed the care of only one-third of criticallyill patients. Borgess Medical Center has been a pioneer instaffing these inside experts.

Reshaping the delivery of critical care services at Borgessstemmed from examining evidence-based best practices.“We’ve reorganized our practice into a newer, better modelof care,” Dr. Lange said.

This new care model is a departure from multiple sub-specialists attending to patients, each with a single-organfocus. “Before, if you were in an ICU with respiratoryfailure, kidney failure and an infection, you might be seenby a nephrologist (kidney specialist), pulmonologist (lungspecialist) and an infectious disease specialist,” Dr. Langecontinued. “You’d receive advanced care from multipleproviders, but no one physician would fully coordinate that care. Intensivists possess broad-based training in all ofthose disease areas, enabling us to provide comprehensivecare and bring in the appropriate specialists when needed.”

Borgess Critical Care Services

Below are answers to some frequently asked questionsabout critical care services available at Borgess:

What is Borgess Critical Care Services?Borgess Critical Care Services is a group of intensivistswho have advanced training and experience in caring for critically ill patients. To provide continuity of carethroughout a patient’s hospitalization, these providersalso work in close collaboration with Borgess InpatientServices hospitalists, as well as referring and primarycare physicians.

What is an intensivist?An intensivist is specifically trained and certified in thecare of critically ill patients. These specialists performseveral critical care procedures, such as establishing andmaintaining artificial airways, mechanical ventilation,and placement of intravascular catheters and monitoringdevices.

Why does Borgess Medical Center have a critical care service? Studies demonstrate that the sickest patients have better outcomes when intensivists care for them. Borgess intensivists participate in daily care managementactivities and are physically present in the Borgessintensive care units, free of competing obligations.Patients are under their care 24 hours a day, seven days a week.

Borgess offers the full continuum of specializedmedicine and procedures necessary to provide criticalcare to the most severely ill patients. These servicesinclude trauma, neurosurgery, acute stroke managementand interventional neurology, interventional cardiology,acute care dialysis and nephrology, infectious diseasecare and more.

For additional information about Borgess Critical Care Services or Borgess Inpatient Services,please visit criticalcare.borgess.com orinpatientservices.borgess.com.

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The new Borgess.com has beenredesigned with versatility and simplicityin mind. From learning about services and finding a provider’s office to locating a doctor by specialty, requesting anappointment and more. “We’ve taken a fundamentally new approach to how we organize Borgess.com,” said JasonPawloski, Internet Marketing Manager,Borgess Health. “Our goal is to provide the same high level of satisfaction as any ‘real-world’ experience at a Borgessfacility or office.”

On the homepage, a rotating banner is an interactive way to discover moreabout Borgess services and news. Thenew Borgess.com also gives you theopportunity to learn about upcomingwomen’s health lectures, take a heart-health checkup, download a brochure,sign up for a health and wellness class,renew a prescription, pre-register for ahospital procedure, pay a bill or watch a patient story on video. For ease andspeed of use, most of the site’s contenthas been reorganized into three top-level categories:

• Medical Services—Click on Heart,Brain & Spine, Women’s Health,Vascular, Orthopedics or the Index toaccess 57 other service areas. Eachclick leads to several links with a varietyof detailed information.

• Locations—Looking for a Borgessphysician or facility near you? To help make your journey simpler, the“Locations” section of Borgess.comallows you to instantly interact with aGoogle® map. You can even zoom in andout, shift the map to show more territoryin any direction, get a satellite image or receive turn-by-turn directions.

• Physicians—This category enables youto search for a physician by specialtyand special interest—for example:Orthopedic Surgery/Sports Medicine or Pediatric Endocrinology.

As an added convenience, no matterwhere you “go” on Borgess.com, you’realways just one click away from MedicalServices, Physicians and Locations. Asearch bar and contact information arealso on every page.

“People come to our site for severaldifferent reasons,” Pawloski said. “Manyare looking for information, while othersare in search of a job. One person maycome to see a photo of a friend’s baby and send congratulations, while another is considering a donation to the BorgessFoundation.”

“We’ve organized the site so that keyareas are accessible for those who might be looking for them, but are notdistracting for those who aren’t,” hecontinued. “The homepage contains links For Patients, For Physicians, ForFamily & Visitors, For Job Seekers, and For the Community. Depending on whichgroup you fall into, you’ll be able to findthe information you need.”

Tell us what you think about the newBorgess.com. E-mail your comments andsuggestions to webmaster@borgess.com.

Point, Click, Discover the New

When you’re under the weather, you want to feel better as soon as possible—regardless of time or day of the week. But did you know that your trip to the local emergency room (ER) for strep throat could really cost you?

It’s important to remember that hospitalemergency rooms are designed to focuson medical emergencies, such as chestpain, severe traumas (e.g., automobileaccidents), uncontrolled bleeding, strokesymptoms and trouble breathing. Ingeneral, emergency care should be usedfor matters of life and death—injuries orillnesses that your regular doctor’s officewouldn’t be able to treat.

If you think you’re having a medicalemergency, call 9-1-1 or go to the nearestER. Otherwise, you might want to considercalling your primary health care provider’soffice for an appointment or heading to an Immediate Medical Care Center (IMC).Immediate medical care or urgent careclinics can handle all kinds of minor healthproblems—from sore throats, earachesand influenza to allergies, sprains andstitches—without an appointment. Often,these facilities are open evenings and on weekends.

Immediate medical care clinics can be a great option when you can’t or don’twant to wait for an appointment with yourregular doctor, or you simply don’t require

ER or IMC— Where to Find Cost-Effective Care, ASAP

Immediate Medical Care Center at Borgess at Woodbridge HillsMonday through Friday, 7 a.m. to 10 p.m.Saturdays, 8 a.m. to 8 p.m.Sundays and holidays, 9 a.m. to 5 p.m. (closed Thanksgiving and Christmas Day)

As an added convenience, the IMC is steps away from our onsitediagnostic and laboratory services and pharmacy.

the level of care provided in an emergencyroom. Treatment at an IMC costssignificantly less than treatment for thesame problem at an ER. Plus, if it’sdiscovered you’re having a true medicalemergency, the IMC will send you to an ER for appropriate treatment.

Immediate Medical Care at Borgess atWoodbridge Hills is open seven days aweek, as well as on most holidays—noappointment necessary. Our IMC offersfast relief for individuals needing treatmentfor many common medical conditions,including cuts and abrasions, respiratoryinfections, strep throat, simple fractures,workers’ compensation follow-up, and more.

For more information about the IMC at Borgess at Woodbridge Hills, call269.324.8405 or visit us online atwoodbridge.borgess.com.

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Sure, beauty is only skin deep, but your skin is still whatmany people notice first. To help you put your best faceforward, Borgess Integrative Medicine offers a completeskin care program designed for all skin types and all ages.Licensed estheticians at Borgess Integrative Medicineprovide an array of services—from customized facials and custom-tinted makeup to home skin care training and Swedish facial massage to waxing, hair removal andbody contouring.

PUT YOUR BEST FACE FORWARD WITH BORGESS INTEGRATIVE MEDICINE

Combined with a wide variety of services, the skin careprogram offers exclusive access to the Elina Herbal SkinCare™ line. These products contain a variety of natural,botanical ingredients, including yarrow, avocado oil,burdock root, geranium and essential oils. All of theproducts’ organically grown ingredients are alsohypoallergenic and pH-balanced.

“If you can’t eat it, you shouldn’t put it on your face,”said Holly Gilbert, a licensed esthetician with BorgessIntegrative Medicine. “This is Elina’s philosophy and thefoundation for her products. They’re better for your skinbecause they’re organic. They don’t contain the harshchemicals often found in traditional, over-the-countercosmetics.”

WASH WELL. Do you properly cleanseyour skin? If you wear makeup, be sure toremove all traces of it before bedtime, anduse extra care around the delicate tissuesof your eyes. Avoid strong soaps that canstrip oil from your skin and leave it feelingdry. If your skin is sensitive, watch out for products containing perfumes or dyes.Consider seeking professional help fortroublesome skin problems, such asrashes and acne.

MAINTAIN MOISTURE. Moisturizers helpmaintain your skin’s natural moisturelevels. The moisturizer that will work bestfor you will depend on your skin type, yourage and whether you have a specificcondition like acne. If you have sensitiveskin, consider products free of heavy dyes, perfumes or other additives.

DON’T LET THE SUN SHINE IN. The mostimportant way to protect your skin is toblock the sun. Over time, exposure toultraviolet (UV) radiation can causewrinkles, discoloration, freckles or agespots, benign (non-cancerous) moles orgrowths, and pre-cancerous or cancerousgrowths. Wear a sunscreen that has a sun protection factor (SPF) greater than15, and that has UVA and UVB coverage.Wear protective clothing, such as sun-glasses and a wide-brimmed hat, and tryto stay out of the sun during peak hours(between 10 a.m. and 4 p.m.).

EAT RIGHT. A healthy diet—comprised ofplenty of fruits and vegetables—can giveyour skin a healthy glow. Omega-3 fattyacids, found in fish and flaxseed, are goodfor your complexion—and your heart.Vitamin A is also essential for healthy skin. A diet rich in vitamin A includes darkorange (e.g., carrots, sweet potatoes) anddark green (e.g., broccoli, spinach, kale)vegetables. Vitamin E, in hazelnuts andalmonds, promotes healthy skin as well.Remember to drink plenty of water everyday to naturally hydrate your skin from the inside.

KICK THOSE BUTTS. Smoking, which can lead to many life-threateningdiseases, also accelerates the aging ofyour skin and increases wrinkles. Smokingcauses narrowing of tiny blood vessels,decreasing blood flow, and depletes theskin of essential oxygen and nutrients.

“Some people think you have to have plastic surgery or just get old,” Elina Fedotova (product creator) added in an interview with the Kalamazoo Gazette. “I would like to promote non-dangerous, noninvasive, affordable holisticskin care.”

Fedotova makes her Elina Herbal Skin Care products by handand Borgess Integrative Medicine has been selling them foraround nine years. The products are bought and beloved bypeople in southwest Michigan, Chicago, and even as far awayas California and Australia.

Elina’s line includes everything from cleansers, scrubs andalcohol-free toners to moisturizers for all skin types, eye and pigment spot treatments, and anti-oxidant night creams.Because every face is different, the products are specificallyformulated for each individual skin type. “What’s amazingabout these products is that they can be tailored just for yourskin,” Gilbert said. “There truly is something for everyoneand she is constantly refining her formulas so that your skincan’t ‘beat the system’.”

For additional information on the Elina Herbal Skin Care Line, visit Borgess Integrative Medicine for a freeconsultation. Borgess Integrative Medicine’s licensedestheticians offer 90-minute facials for only $70 and 60-minute mini-facials for $40. You can learn more aboutavailable skin care services at integrative.borgess.comor by calling 269.552.2282.

FIVE HEALTHY HABITS FOR GLOWING SKIN

Want to keep your skin looking youngand healthy—without relying on somemagical fountain of youth? Follow thesefive habits:

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GO AHEAD,

EAT TO YOUR HEART’SCONTENT

2009 Light Hearted Living Cookbook Now Available At last, the long-awaited third edition of the Borgess LightHearted Living Cookbook is now available for purchase.The new edition has been specifically designed to help youcook lighter, without lightening up on flavor.From food label guidelines to healthand exercise tips to more than 200low-fat, low-cholesterol recipes, ourLight Heart Living Cookbook willgive you what you need to eat to yourheart’s content—and live a longer,more satisfying life.

“Our staff and patients submitted manyof the recipes, and they were prepared,tasted and rated at the Borgess Health &Fitness Center kitchen,” said Joyce Ross, registereddietitian, Borgess Health. “Each recipe included in ourlatest cookbook was thoroughly analyzed by a dietitian toensure that it met our ‘light hearted’ criteria, such as beinglow in saturated and trans fat. If a recipe didn’t meet thesecriteria, we adjusted the ingredients [often reducing theamount of fat] or simply didn’t use it.”

Created to appease just about every appetite, the exclusive cookbook is packed with heart-healthy, tastyrecipes for appetizers, breakfasts and breads, salads, redmeat, vegetarian dishes, desserts, and more. Recipes are low in fat, cholesterol and sodium.

Get Cooking: Order Your Cookbook TodayThe Borgess Light Hearted Living Cookbook can be purchased for $19.95 at The Seasons Gift Shop inside Borgess Medical Center or by visitingcookbook.borgess.com. Ordering online will include an additional cost for shipping and handling.

Only Borgess Takes Your Heart Health to HeartAt Borgess, we recognize that an ounce of prevention—like eating right—can have a profound impact on yourheart. That’s why our cardiac care program incorporates thelatest in prevention, diagnosis, treatment and rehabilitation.As southwest Michigan’s undisputed leader in cardiacmedicine, our specialists treat over 15,000 heart patientseach year, more than any other area hospital.

For more on how we take your heart health to heart, visitheart.borgess.com.

ANYONE ADMITTED to Borgess MedicalCenter for surgery is now guaranteed a private room throughout their stay. Thesingle occupancy rooms are available toindividuals undergoing orthopedic surgery,vascular surgery, bariatric surgery, jointreplacement, critical care and generalsurgical procedures.

“Borgess is pleased to offer this improvedprivacy and convenience to our patientsand their families,” said Shahin Motakef,Executive VP & Chief Operating Officer,Borgess Hospitals and Extended Care

Division. “We will also continue ourpolicy of placing non-surgical andgeneral medical patients in private roomsupon their request, wherever possible.”

The transition to private rooms forsurgery patients took place in Octoberafter several patient floors werereorganized to accommodate singleoccupancy rooms. The Borgess Birthing Center as well as all outpatientservices—medical and surgical—hasprovided private rooms since the hospitalcompleted its renovations and openedthe Stryker Center in 2005.

“We understand the desire for privaterooms,” Motakef continued. “For thatreason, the Stryker Center outpatient care facility was created with onlyprivate rooms. And for many years,Borgess has been accommodatingrequests from inpatients for privaterooms. In the majority of cases, thoserequests have been honored.”

In total, Borgess now has a complementof more than 300 private rooms forinpatient and outpatient care.

BORGESS MEDICAL CENTER NOW OFFERS

Private Rooms for Surgery and Outpatient Care

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Borgess Women’s Health Adds New DoctorJennifer Frink, DO, anobstetrician and gynecologist,has joined Borgess Women’sHealth at the Portagelocation. Dr. Frink is a MichiganState University College ofOsteopathic Medicine graduateand completed an obstetrics

and gynecology residency at Ingham RegionalMedical Center in Lansing, Michigan. Herspecial interests include treating urinaryincontinence and irregular bleeding.

Intensivist Joins Borgess Critical Care Services

Borgess Critical Care Serviceswelcomes Jeff Wilt, MD,a pulmonary medicine andcritical care specialist. Dr. Wiltis a graduate of the Universityof Michigan, Grand RapidsMedical Education andResearch Center, and gained

his fellowship training at West VirginiaUniversity. He oversees patient care in theBorgess intensive care and critical units.

Borgess Boards Make New AppointmentsDaniel Stewart, MD, has been appointed asVice Chair of the Board of Trustees of BorgessHealth, Borgess Medical Center, BorgessAmbulatory Care and Borgess Nursing Home.Dr. Stewart has served on the Borgess MedicalCenter and Borgess Health Boards since 2004and the Borgess Ambulatory Care and BorgessNursing Home Boards since 2007. Sister MaryEllen Gondeck, CSJ, was appointed to theBorgess Health, Borgess Medical Center,Borgess Ambulatory Care and Borgess Nursing Home Board of Trustees, effective July 1, 2009. Sister Mary Ellen is a member ofthe Congregation of St. Joseph and serves onthe Congregation of St. Joseph’s Justice Team.Area businessman, Larry Lueth, has beennamed Chair of the Borgess Board of Trustees.Mr. Lueth replaces Shirley Larkins, who servedfor two years in this position. Mr. Lueth hasserved on the Borgess Board since March 2005.

Sleep Program Continues Accreditation The Borgess Sleep Disorders Center hasreceived five-year program re-accreditationfrom the American Academy of Sleep Medicine(AASM). Accreditation is only granted toprograms that meet or exceed all standards forprofessional health care designated by AASM.

Borgess Brain & Spine Institute Expands Services

Five new specialists joined the Borgess Brain & Spine Institute. Hunter G. Brumblay,MD, with Neurosurgery of Kalamazoo, offersminimally invasive spine surgery expertise in the areas of spinal deformity and scoliosis.Dr. Brumblay is a University of VermontMedical School graduate and completed his neurosurgery residency and fellowshipeducation at the University of Michigan. ArvindNehra, MD, a neurointerventional radiologist,provides treatment expertise for aneurysms,embolisms and other conditions of the brain. Dr. Nehra is a New York Medical Collegegraduate and earned his postgraduateeducation at MacNeal Hospital in Illinois,Harbor-UCLA Medical Center in California andMallinckrodt Institute of Radiology in Missouri.New Borgess Spine providers include physicalmedicine and rehabilitation physicians JoelRojas, MD, and Gene Yu, DO, and chiropractorLeighia Wells, DC. Dr. Rojas is a MichiganState University College of Human Medicinegraduate and completed his residency atWilliam Beaumont Hospital in Michigan. Dr. Yu is a graduate of Michigan StateUniversity College of Osteopathic Medicine and fulfilled residency training at University of Wisconsin Hospital and Clinics, MadisonWisconsin. A board-certified chiropractor, Dr. Wells is a graduate of Palmer College ofChiropractic and the McKenzie Institute.Borgess Spine offers intensive, non-surgicalcare for back and neck pain.

ProMed Physicians-Pediatrics Adds StaffNurse practitioner MeganFoley, RN, BSN, is a new staff member with ProMedPhysicians-Pediatrics inRichland. Ms. Foley is agraduate of Grand Valley State University and providesgeneral care services fornewborns to children aged 18.

Physician Assistant Joins Plainwell PracticeMegan Niergarth, PA-C,has joined Borgess FamilyMedicine in Plainwell. Ms.Niergarth is a graduate ofHope College and completed a physician assistant programat Midwestern University inDowners Grove, Illinois. Sheprovides general and urgent

care services for individuals of all ages.

Center of Excellence Earned by Brain & Spine InstituteThe Borgess Brain & Spine Institute isrecognized among the nation’s top spinetreatment programs as a “Center ofExcellence” following the first comprehensivestudy of spine care programs. NeuStrategy and the SpineMark Corporation conducted the study, which included 99 hospitals andspine programs across 35 states and threeinternational locations.

Borgess Physician Receives National HonorJanice Werbinski, MD,Medical Director of BorgessWomen’s Health, has beenrecognized with the AmericanMedical Association’sPresident’s Award for hernational work on women’shealth issues. Dr.Werbinski has

been a nationally renowned women’s healthcare advocate for more than 20 years.

Physician Honored with Teaching AwardRajiv Rangrass, MD, anOB/GYN physician withBorgess Women’s Health, hasbeen honored with the ClinicalFaculty Excellence in TeachingAward by Michigan StateUniversity-Kalamazoo Centerfor Medical Studies resident

physicians. The annual award is bestowed to a faculty member selected as the best teacher.

Occupational Medicine Director AppointedRajesh Ethiraj, MD, MPH,has joined Borgess CorpFit asMedical Director. Dr. Ethiraj isa graduate of Dr. MGR MedicalUniversity in India andcompleted an internal medicineresidency at John H. StrogerJr. Hospital in Chicago, Illinois.

Borgess CorpFit provides occupational healthconsultations and services to area businesses.

HIGHLIGHTS

Megan Foley, RN,BSN

Megan Niergarth,PA-C

Dr. Brumblay Dr. Nehra

Dr. Yu Dr. Wells

Dr. Werbinski

Dr. Rangrass

Dr. Rojas

Dr. Frink

Dr. Wilt

Dr. Ethiraj

Seven Borgess Practices Designated Patient-Centered Medical Homes Blue Cross Blue Shield of Michigan hasdesignated ProMed Physicians–FamilyPractice at Woodbridge, Richland and ThreeRivers; ProMed Physicians–Pediatrics atWestnedge, Richland and Woodbridge; andBorgess Internal Medicine on Currier Drive,as Patient-Centered Medical Home (PCMH)practices. PCMH-designated practices offercoordinated, comprehensive care for the wholeperson to improve quality and lower healthcare costs by reducing preventable hospitaladmissions and emergency room visits, andproviding better care outcomes.

Hospitalist Program Grows

Samin Sharma, MD, Ramesh Subedi, MD,Lokesh Marigowda, MD, Xiarong Yan, MD,MPH, and Patrick Daugherty, PA-C have joinedBorgess Inpatient Services. Dr. Sharma is agraduate of BP Kiorala Institute of HealthScience in Nepal and completed an internalmedicine residency in New York DowntownHospital. Dr. Subedi is a Tribhvan UniversityInstitute of Medicine graduate and fulfilled an internal medicine residency at RochesterGeneral Hospital in New York. Dr. Marigowdagraduated from Rajiv Gandhi University ofHealth Science in India and completed aninternal medicine residency at McLarenRegional Medical Center in Flint, Michigan. Dr. Yan is a graduate of Shandong MedicalUniversity in China and fulfilled an internalmedicine residency at New York DowntownHospital, New York, NY. Patrick Daugherty, PA-C is a Western Michigan Universitygraduate and is certified by the NationalCouncil of the Certification of PhysicianAssistants. All five providers specialists arededicated to caring for patients hospitalized at Borgess.

Borgess Satisfaction Rates in Top 5%Avatar International, Inc. has recognizedBorgess Medical Center for placing in the top5% nationally for highest combined score inpatient satisfaction. The organization alsoacknowledged Borgess-Pipp Hospital forpatient loyalty and facility endorsement toothers, and Borgess Ambulatory Care for itsinnovation in improving patient satisfactionscores.

Women’s Health Care Rates in Top 5%Borgess Medical Center was rated among thetop 5 percent of U.S. hospitals for women’shealth care, by HealthGrades, an independentorganization that published its rankings in June2009. The 2009/2010 Women’s HealthExcellence Award, was presented to 169hospitals throughout the nation that rate in thetop 5 percent for women’s care outcomes.

Woodbridge Immediate Medical CareWelcomes Staff

Emergency physician StevenHuneycutt, MD, has joined the Woodbridge ImmediateMedical Care staff locatedwithin the Borgess atWoodbridge Hills facility in Portage.

American Heart and American StrokeAssociations Honor Borgess Borgess Medical Center received a 2009 SilverAnnual Performance Award from the AmericanHeart Association and American StrokeAssociation for its treatment of heart failure.Honorees were listed in the August 2009 issueof US News & World Report.

Bariatric Center of Excellence

Borgess Medical Center has been designatedas a Bariatric Surgery Center of Excellence®

by the American Society for Metabolic andBariatric Surgery (ASMBS). The ASMBS onlyrecognizes programs with demonstrated trackrecord of favorable outcomes in bariatricsurgery. Blue Cross and Blue Shield ofMichigan also recognized the program as aBlue Distinction Center for Bariatric Surgery®.

Borgess Welcomes New Physicians

The following physicians have recently joined the medical staff of Borgess MedicalCenter: Patrick Albus, MD, a neuroradiologist, with Premier Radiology; Robert Hilliard, MD,an anesthesiologist with KalamazooAnesthesiology; Latisha Carter-Blanks, MD,a pediatrician with Michigan State UniversityKalamazoo Center for Medical Studies; Suresh Potluri, MD, a urologist with HealthcareMidwest Urology; Daniel Johnston, MD, ageneral and vascular surgeon with AdvancedVascular Surgery; Anna Hoekstra, MD,a gynecologic oncologist with the WestMichigan Cancer Center; Matt Berner, MD,Amy Bishop, MD, and Amy Dahlgren, MD,all emergency medicine physicians withKalamazoo Emergency Associates; and DeanCopley, MD, and Brandon Tominna, MD, withPreimer Radiology.

Cardiac Center of Excellence DesignationBorgess Medical Center has been designatedas a Cardiac Center of Excellence by BlueCross and Blue Shield of Michigan. To benamed, hospitals must demonstrate high-quality care processes for heart attack andcongestive heart failure treatment.

Dr. Sharma Dr. Subedi

Dr. Huneycutt

Dr. Berner Dr. BishopDr. Marigowda

Dr. Dahlgren

Dr. Potluri Dr. Johnston Dr. Hoekstra

Dr. Albus Dr. Hilliard Dr. Carter-Blanks

®

Bariatric Surgery Center ofExcellence® is a registeredtrademark of the American Societyfor Metabolic and Bariatric Surgery(ASMBS). Used by permission ofASMBS. All rights reserved.

Blue Care Network of Michiganis a nonprofit corporation andindependent licensee of theBlue Cross and Blue ShieldAssociation.

Dr. Yan Patrick Daugherty,PA-C Dr. Copley Dr. Tominna

HIGHLIGHTS continued

1521 Gull RoadKalamazoo, MI 49048

Non-profitOrganization U.S. Postage

PAI DKalamazoo, MIPermit No. 844

November 2009Blood Pressure & Stroke AssessmentsNovember 21, 10 a.m.-2 p.m.Hardings Market, Woodbridge Hills No appointment required

December 2009Peripheral Arterial Disease ScreeningDecember 14, 1-4 p.m. Borgess Family Medicine-Plainwell

January 2010Healthy Heart ScreeningJanuary 13, 7 a.m.-Noon

Healthy Heart ScreeningJanuary 15, 8 a.m.-NoonProMed Physicians, Three Rivers

Thyroid ScreeningJanuary 25, 1-4 p.m. Borgess Family Medicine-Plainwell

Registration is required for all screeningevents unless noted. To register or for more information, call 269.226.8135 or1.800.828.8135.

Borgess among 101 Best & Brightest For the sixth year in a row,Borgess Health has beennamed one of the 101 Best &Brightest Companies to WorkFor by the Michigan Business& Professional Association.

Borgess Earns Environmental AwardFor the third time, Borgess Medical Center washonored with the Environmental LeadershipAward by Practice Greenhealth, a nationalorganization of the Environmental ProtectionAgency and American Hospital Association.The award is the nation’s highest recognitionfor environmentally responsible health carepractice in recycling and reduced energyconsumption.

Portage Internist Recognized for Diabetes Care

Jesse Duranceau, DO, withBorgess Internal Medicine inPortage, has been recognizedby the American DiabetesAssociation and the NationalCommittee for QualityAssurance for providingexcellence in diabetes patient care.

ER Guarantee Earns AwardThe BMC Level I Emergency & Trauma Centerand the Borgess-Pipp Hospital EmergencyRoom have been honored with the AdvantageAward from Thomson Reuters for the successof their guarantee to see a physician within 30 minutes. Award nominees were judged on criteria including level of innovation andperformance improvement.

OB/GYN Earns Specialized CertificationScott Piereson, MD, hasearned board certification inthe specialty of phlebologyfrom the American Board ofPhlebology, becoming the firstphysician in the Kalamazooarea to earn board certificationin the treatment of veins andvein diseases.

Borgess Receives Joint Commission Honors Borgess Medical Center has received multiplehonors and recognitions by The JointCommission, the nation’s leading health careaccreditation organization. The honors includethe Joint Commission’s Gold Seal of approvalas a Primary Stroke Center and for HeartFailure disease management.

11/09

Borgess Inspire is a publication of Borgess Health. Informational content is not intended to substitute or replace the specific advice from yourpersonal physician. To receive additional copies of Borgess Inspire or to be removed from our mailing list, please call 269.226.4878 or visitinspire.borgess.com to make your request.

Dr. Piereson

Dr. Duranceau

120 Years and Counting…Borgess Medical Center, Kalamazoo’s firsthospital, celebrates a 120-year milestone ofproviding care to residents of Kalamazoo andthe surrounding area.