TO YOUR GOOD HEALTH - Huron Valley-Sinai Hospital

FOR A REFERRAL, CALL 1-888-DMC-2500 • DMC HURON VALLEY-SINAI HOSPITALSAVE MONEY BYUSING GENERIC DRUGSJeffrey Herman, D.O.Internal MedicineOPTIONS FORTACKLING OBESITYNeha Patel, M.D.Family Practice MedicineIt is often assumed that well-known name brand medicines reflect ahigher level of quality than the generic products. However, genericdrugs are a safe, effective and less expensive option for a variety ofmedical conditions.The misconception lies in the thought that when you pay more for a“designer” name, you receive a superior product. Since prescriptiondrugs are different from clothing or other general consumer productsthe same thought process doesn’t hold true. Most generic drugs areclinically equivalent to their name brand counterparts. However, forcertain conditions name brand drugs are preferable. An examplewould be diseases which require specific drug levels for effectivetreatment.Generic drugs cost less because their manufacturers do not have tospend the hundreds of millions of dollars it takes to complete researchand development on the new, original medicine. When the patent on abrand-name medicine expires, other drug manufacturers can makeand sell the same medicine. This same medicine is sold under itschemical, or “generic”, name. They may be a different color, shape orsize, but just like their brand name counterparts, all generic medicinesare tested and approved by the Food & Drug Administration (FDA)before they can be sold to consumers. FDA approved genericmedicines are just as safe and effective as brand name medicines.How much money can you save? According to the FDA compared withname brand drugs, generics can cost 30 percent to 80 percent less. Todetermine how much money you can save on generics, compare yourgeneric co-pay or cost share to the name brand co-pay/cost share…then multiply the difference by how many prescriptions you mightneed per year. This will give you an idea of how much you can save peryear by choosing generics.These days everybody worries about their weight. While most are justcarrying a few extra pounds, some of us are above the obesitythreshold. Obesity is currently defined as a body mass index (BMI) >30. People whose BMI falls between 25-29.9kg/m2 are consideredoverweight. The health consequences of obesity include some of themost common chronic diseases in our society.Obesity is an independent risk factor for heart disease, strokes andsleep apnea. Obesity is also associated with other conditions andsymptoms such as type 2 diabetes, hypertension, high cholesterol,and osteoarthritis. All of these conditions are somewhat preventablewith weight loss.The long-term strategy for managing weight and obesity shouldinclude appropriate diet, portion control and regular exercise.Modest weight loss will improve glucose (blood sugar) metabolism,lipid (fat/cholesterol) levels and blood pressure. This leads to improvedhealth benefits not to mention feeling more energetic and healthy.Finally, surgery should be considered as a last resort option forthose with a BMI > 40 who attempted but failed an adequate exerciseand diet program with or without drug therapy. Those who are obeseand have health conditions such as hypertension, diabetes andobstructive sleep apnea may be candidates for surgery. A doctorpatientdiscussion of surgical options should include the long-termside effects of surgery such as possible need for re-operation, gallbladder disease and malabsorption to name a few.Remember, that weight control should be a lifelong goal andestablished as part of a healthy lifestyle not just as a quick means toget into to “summer shape”. Weight control should be part of yourdiscussion with your physician during routine exams.While generic drugs are generally safe and equally effective asbranded drugs; never make the switch to generic drugs without firstconsulting with your physician.Learn more about generic drugs at our FREE People’s Medical College Seminar on June 20, 2009.Location: Bakers of Milford 2025 S. Milford Rd. Milford, MI 48381Time: 10:00 a.m.Register for this event online at /www.dmc.org/PeoplesMedicalCollege/ or by calling 1-888-DMC-2500.3

FOR A REFERRAL, CALL 1-888-DMC-2500 • DMC HURON VALLEY-SINAI HOSPITALWHAT IS PERIPHERALARTERY DISEASE?Most of us know that clogged arteries in the heart canlead to a heart attack. While the signs do not show up assuddenly, blocked arteries in the legs can also causeserious health problems.This condition, known as Peripheral Artery Disease or PAD,is caused by fatty deposits called plaque building up in theblood vessels. Blood flow is limited, which reduces oxygento the muscles.What are the risk factors?Many of the same risk factors you may have heard of forheart disease are also risk factors for PAD. You may be atincreased risk for PAD if you:• are a diabetic• are a smoker or used tosmoke• have a history of highblood pressure• have a family historyof or have had heartdisease or a stroke• are over age 50• are overweight• have abnormalcholesterol levelsHuron Valley-Sinai Hospital has established a PAD Clinic todiagnose and treat this serious disease. The PAD Clinicemphasizes the use of the least-invasive treatment possible.Call for more information or an appointment:The Vascular Clinic at Huron Valley-Sinai HospitalPhone number: (248) 937-3467Hours: Wednesday 8:00 a.m. – 12:00 p.m.RISK FACTORS ANDHEART DISEASEAbdul R. Halabi, M.D.Interventional CardiologistWhile many people take their health for granted, it is important to understandthe factors that could put you at risk for cardiovascular disease. Takingpreventative steps now will help ensure you lead a healthy and happy life.There are major risk factors that cannot be changed. Increased age,heredity and your gender all play a role in the likelihood that you may developcardiovascular disease. The good news is that there are lifestyle modificationsyou can make to drastically decrease your risk.Stop smoking: Smokers’ risk of dying from coronary heart disease is 2–3 timesthat of nonsmokers. Exposure to other people’s smoke increases the risk of heartdisease even for nonsmokers.Control high blood cholesterol: A low-fat, low-cholesterol diet can go a long wayin improving your lipid profile. Being aware of your caloric and fat intake,including vegetable, fruit, and fish in your diet are necessary steps that youshould take.Control high blood pressure: High blood pressure increases the heart’s workload,causing the heart to thicken, become stiffer, and possibly fail in advanced stages.Be physically active: Regular moderate-to-vigorous physical activity helps preventheart and blood vessel disease.Control your weight: People who have excess body fat — especially in the waistarea — are more likely to develop heart disease and stroke, even if they have noother risk factors. Excess weight does increase the heart’s workload.Control your diabetes: Even when glucose levels are under control,diabetes increases the risks of heart disease and stroke, but the risks remaingreater if blood sugar levels are not well controlled.LDL APHERESIS - WHEN DRUGS CAN’T CONTROL CHOLESTEROLWhat do you do if you have tried every cholesterol-lowering drug yourbody can tolerate, you follow a strict diet and exercise program, butyour cholesterol is still high?through a different vein, the plasma is run through another part ofthe machine that removes the LDL in the plasma. Thus, the blood is“cleaned” of the bad cholesterol.LDL refers to what is known as the “bad” cholesterol. The LDLapheresis procedure is performed by removing blood through an IV inone arm and filtering it through a machine that separates out theplasma. While the rest of the blood is passed back to the patientLDL apheresis is not for everyone. It is approved for use in peoplewhose cholesterol is over 200 mb/dL and cannot be controlled withprescription drugs. For more information, please call (248) 937-5076.5

event listings6SUPPORT GROUPSGROUPAL-ANONALATEENAA MeetingsAlzheimer’s Family Support GroupArthritis Support GroupBreather’s ClubBreast Cancer Support GroupCardiac Rehab Support GroupDiabetes Support GroupH.U.G.S.(Help, Understanding and Grief Support)Journeys Cancer Support GroupMothers and More, Chapter 135Parkinson’s Support GroupPostpartum Adjustment Support ServicesGENERAL INFORMATIONVisiting Hours& Patient Information (248) 937-3300Emergency Services (248) 937-3400PATIENT MEDICAL SERVICESCardio-PulmonaryRehabilitation (248) 937-3606Cardiology Services (EKG) (248) 937-3467Medical Records (248) 937-3360Obstetrics/Gynecology (248) 937-5220Occupational Rehabilitation (248) 360-8700Oncology Services (248) 937-5077Orthopaedic Services (248) 937-4947Outpatient Laboratory (248) 937-3427Patient Representative/Relations (248) 937-3344Pharmacy (248) 937-5710DATE/TIMEEvery Sunday, 10 a.m.Every Sunday, 10 a.m.Every Sunday, 10 a.m.Second Monday, 7 p.m.Fourth Monday, 2 p.m.Third Thursday, 2 p.m.Third Wednesday, 12 p.m.Second & Fourth Thursday, 10 a.m.Call (248) 937-3606 for datesand times.Call (248) 937-3600 for dates, 7 p.m.Third Thursday, 7 p.m.First & Third Monday, 7 p.m.Third Wednesday, 7 p.m.Third Monday, 7 p.m.Every Thursday, 7 p.m.Support groups are free and held at Huron Valley-Sinai Hospital. Registration is notrequired unless otherwise indicated. Family members or friends are welcome. Note: somesupport groups may vary their schedules around holidays and during the summer.COMMONLY USED NUMBERSDMC Health AccessCenter/Physician ReferralServices888-DMC-2500Physical Rehabilitation (248) 360-8700Radiology/X-ray (248) 937-3440Respiratory Care (248) 937-3468Sinai Center for Women (248) 937-3800Social Work/Discharge Planning (248) 937-3383ADMINISTRATIVE SERVICESAdmitting (248) 937-3461Billing Information (313) 578-2700Community HealthEducation (248) 937-3314Human Resources (248) 937-4040Volunteer Services (248) 937-3505CPR/FIRST AID CLASSESFamily & Friends CPR, $25Covers CPR and choking for adults, children and infants.This course is intended for persons who wish to knowCPR but do not require training for work purposes.Heartsaver CPR, $35Covers CPR and choking for adults, children and infants.This course is intended for persons who need CPR forwork purposes. Participants receive a completion card.CPR and First Aid, $60Covers CPR/Choking/First Aid/AED for adults and children,and CPR/Choking for infants. This course is intendedfor persons who need training for work purposes.Participants receive a completion card.For CPR class dates and to register, please go toour website, www.hvsh.org and click on “OnlineRegistration/Forms” and then Community Education.DMC PEOPLE’S MEDICAL COLLEGEPeople’s Medical College is a DMC educational seriesdesigned to teach healthcare consumers about varioushealth topics. Topics can range from cardiovascular diseaseto joint replacements to women’s health. Held on bothweeknights and weekends, these short conferences willhelp you better understand various conditions and howto prevent and treat them as well. Registration is availableby going to www.dmc.org/peoplesmedicalcollege or bycalling 1-888-DMC-2500.TUESDAY TEAThe Sinai Center for Women (SCW) at DMC HuronValley-Sinai Hospital hosts a series of lectures on Tuesdayevenings. Tuesday Tea provides a gathering place forwomen while educating them on health-related concernswomen in our community face every day. These programstake place in the lobby of the SCW. Please call248-937-5055 for more information and to register.Space is limited.WELCOME NEW PHYSICIANS• Family MedicineNeha Patel, M.D.• Internal MedicineHarit Desai, D.O.David A. Lavine, D.O.Colleen A. Sheehan, M.D.Merfit Yaldo, PA-C• NeurologySheri Clements, PA-CHeather K. Lee, D.O.• Obstetrics/GynecologyAmber McLean, D.O.Yusif Addae, M.D.• Pain ManagementRichard K. Nadjarian, M.D.• PediatricsDenise Mackey, M.D.• PodiatryVanessa R. Adelman, D.P.M.

FOR A REFERRAL, CALL 1-888-DMC-2500 • DMC HURON VALLEY-SINAI HOSPITALKNEE PAIN SLOWINGYOU DOWN?Learn more about a unique new patient specific procedure toresurface the knee joint at DMC Emery King’s Medical VideoLibrary: http://www.dmc.org/VideoLibrary/.For heart attacks – the only hospitalin the area with emergency angioplasty.iUni, preformed by Orthopaedic Specialists Ronald Lederman,M.D. and Mark Kwartowitz, D.O., is a customized knee implantoffering quicker recovery times and often times less pain. HuronValley-Sinai Hospital was the first hospital in Michigan to offerthis procedure.A personal knee implant made only for you - it’s just anotherreason why Huron Valley-Sinai Hospital is a better place to getbetter.When it’s serious, go to DMC Huron Valley-Sinai Hospital.DMC 29 Minute E.R. Guarantee*********************************************Family Life EducationWhether you’re expectant parents for the first time or thefifth, Huron Valley-Sinai Hospital has an array of Family LifeEducation classes to help you prepare for life with a baby.Questions regarding any of our classes and associated feescan be directed to (248) 937-3619. You can register online atwww.hvsh.org. Register early as our classes fill up quickly.• Big Kids Class• Birth Awareness• Birth Review• Breastfeeding• Bringing Baby Home• Gestational Diabetes• Siblings at BirthH.U.G.S. (Help, Understanding and Grief Support)Huron Valley-Sinai Hospital offers grief counseling forfamilies who have suffered a pregnancy or newborn loss.Please call (248) 937-4847 for more information.Mothers Supporting MothersThis group meets every Thursday at 6:45 p.m. in theCharach Center located near the Garden Entrance.Questions? (248) 937-3619*********************************************If you have chest pain, it’s critical you get treated as quickly aspossible. The faster a blocked coronary artery is opened and bloodflow restored, the less damage is done to the heart. Here, you’llbe seen quickly because we guarantee all E.R. patients are seen bya doctor in 29 minutes or less.You can feel confident your heart attack can be treated quicklyby some of America’s best heart doctors with expertise from theDetroit Medical Center.For a referral, call 1-888-DMC-2500DMC Huron Valley-Sinai Hospital at Commerce andCommerce in Commerce.1 William Carls Drive • Commerce, MI 48382-2201248-937-3300 • www.hvsh.org7

DECKERWELCH RD.PONTIAC LAKE RD.WALTON BLVD.HICKORY RIDGE RD.COMMERCE RD.MILFORD RD.LIVINGSTON RD.PETTIBONE LK. RD.DUCK LK. RD.Brighton25 minutesDUCK LK.COOLEY LAKE RD.BOGIE LK. RD.E. COMMERCE RD.ELIZABETHBOGIE LK. RD.White Lake5-10 minutesCARROLL LK. RD.LAKE RD.WISE RD.COMMERCE RD.WILLIAMS LAKE RD.UNION LK RD.HOSPITAL RD.AIRPORT RD.COOLEY LAKE RD.WILLOW RD.HILLER RD.CRESCENT LAKEELIZABETH LAKE RD.WestBloomfield5-15 minutesTELEGRAPH RD.ORCHARD LK. RD.BUNO RD.GENERAL MOTORS RD.KENT LAKE RD.MILFORD RD.SOUTH HILLWIXOM RD.BUNO RD.WIXOM RD.DUCK LK. RD.SLEETH RD.BASS LAKE RD.WIXOM RD. GLENGARY RD.N. COMMERCE RD.BENSTEIN RD.S. COMMERCE RD.NEWTON RD.S. COMMERCERICHARDSON RD.MARTIN RD.OAKLEY PARK RD.PONTIAC TRAILHAGGERTY RD.HALSTEADGREEN LAKE RD.PONTIAC TRAILWALNUT LAKE RD.ORCHARD LK RD.LONG LAKE RD.LONE PINE RD.WIXOM RD.W. MAPLEPOTTER RD.S. COMMERCE RD.MAPLE RD.W. MAPLEPONTIAC TRAIL14 MILE RD.OLD PLANKWIXOM RD.WEST RD.BECK RD.WEST PARK DR.S. LAKE DR.NOVI RD.13 MILE RD.HALSTEAD RD.MIDDLEBELT RD.DRAKE RD.FARMINGTON RD.11 MILE RD.Novi15 minutes11 MILE RD.BECK RD.12 MILE RD.TAFT RD.GRAND RIVERNOVI RD.MEADOWBROOK RD.9 MILE RD.HAGGERTY RD.10 MILE RD.ToU.S. 10downtownDMCCampusFor assistance with directions, please call 248-937-3300.For a physician referral, call 1-888-DMC-2500.1 William Carls DriveCommerce, MI 48382-2201248-937-3300www.hvsh.orgboard membersDMC HuronValley-Sinai HospitalBoard ChairMerle HarrisDavid AronowMehmet Bayram, M.D.Jack Belen, D.O.Marc Bocknek, D.O.Karol BreenBarbara DobbBrian A. DerisleyJim Doyle, Ph.D.James R. Geisler, Ph.D.Christina HamillChristopher Heberer, M.D.Jacqueline JohnstonJay Kozlowski, M.D.Lila LazarusKim Margolis, M.D.Robert McGeeMichael J. MooreGeorge M. NymanPaul OsterMark SteinbergLyle B. TylerLynn M. TorossianYour link to top docs in Oakland Countywww.hvsh.org