Otsego Health & Life Fall 2010 by Wainscot Media

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Fall 2010

health&life T H E

G O O D

L I V I N G

M A G A Z I N E

f r o m

O T S E G O

M E M O R I A L

H O S P I TA L

YOUR SKIN: WHEN TO WORRY The doctor’s office of tomorrow 5 FACTS FOOD LABELS DON’T TELL

Golfers help save lives

+ BODY ACHE? Here’s what to take

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health&life

Contents

THE GOOD LIVING MAGAZINE from OTSEGO MEMORIAL HOSPITAL

OTSEGO STAFF CEO THOMAS R . LEMON

president, board of directors

MARY SANDERS

marketing coordinator KIMBERLY RULEY

marketing & foundation director

health&life

Fall 2010

CHRISTIE PERDUE

foundation coordinator SARA FREEMAN

WAINSCOT STAFF

4 Clinical update

An enhancement in medicine 3 Otsego Memorial Hospital Medical Group practices become “patient-centered medical homes.”

editor in chief RITA GUARNA

art director SARAH LECKIE

senior editor TIMOTHY KELLEY

managing editor

5 Better care

Pain-reliever rundown Is the one you’re taking right for you? A chart spells out differences among four over-the-counter products.

6 Healthy living

Your skin: When to worry If you’re afraid that wart or mole might be skin cancer, check out a leading dermatologist’s illustrated guide.

JENNIFER RYAN

assistant editor KRISTIN COLELLA

editorial intern

8 Eat smart 5 facts labels don’t tell you Here’s what’s missing from package nutrition data—and how to make savvy choices anyway.

DIANE SZULECKI

9 Glorious food Pod squad Foodies aplenty have declared their love for edamame, an increasingly popular bean that packs a hefty nutritional punch. Otsego Health & Life is published by Wainscot Media, 110 Summit Avenue, Montvale, NJ 07645, in association with Otsego Memorial Hospital. This is Volume 2, Issue 3. © 2010 by Otsego Memorial Hospital. All rights reserved. Material contained herein is intended for informational purposes only. If you have medical concerns, seek the guidance of a healthcare professional.

10 Friends of Otsego

Triumph at Treetops The OMH Foundation’s 13th annual golf outing raises funds for digital mammography.

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Clinical Update

AN ENHANCEMENT IN MEDICINE 3 OMH MEDICAL GROUP PRACTICES BECOME ‘PATIENT-CENTERED MEDICAL HOMES’

FALL 2010

In 2009, physicians across Michigan focused on implementing several elements into their medical practices to receive the PCMH designation. For OMH pediatrics, family practice and internal medicine patients, this means physicians will discuss with them clearly the roles and responsibilities of both the doctor and the patient, work with them to set individualized health goals, and use a team-focused, systematic approach to track appointments and ensure follow-up. In early 2010, Otsego Memorial Hospital put in place a “patient portal” system, an advanced medical home capability. It allows established patients direct access to communicate with the office whenever it’s convenient for them—any time, anywhere. The portal lets OMH patients request appointments and prescription refills, gain limited access to medical information and ask specific questions about the status of their accounts. “The OMH Medical Group patient portal is an added benefit for our patients who may have requests or needs outside office hours,” says Miller. I To learn more about the OMH Medical Group, or the Family Practice, Internal Medicine or Pediatrics departments, please visit the OMH website at myOMH.org. Brochures are available to view and print on each of the individual office pages, as well as inside each office.

MASTERFILE

THE “PATIENT-CENTERED MEDICAL HOME” IS a new idea aimed at redesigning primary care to improve outcomes, keeping more people well more of the time. Blue Cross Blue Shield of Michigan (BCBSM) now has the nation’s largest network of designated medicalhome physicians, with approximately 500 PCMH practices throughout the state. And 1,800 of 5,000 physicians working on implementing PCMH features in their practices have received the designation for 2010. Three Otsego Memorial Hospital (OMH) Medical Group practices— Family Practice, Internal Medicine and Pediatrics—have been designated as PCMHs by BCBSM. “We are excited to receive this recognition,” says Barb Miller, OMH Medical Group Director of Operations. “It affirms our commitment to provide high-quality care, with an emphasis on coordinating all the healthcare services our patients need, regardless of setting.” In BCBSM’s Patient-Centered Medical Home Program, patients work closely with their primary-care physicians (pediatricians, internists and family-practice doctors) throughout their journey across the healthcare system. Doctors lead their engaged healthcare teams to coordinate patients’ health status, manage chronic conditions, track all medications, offer extended access, coordinate complementary care (such as nutrition counseling) and practice ongoing health management to keep patients healthy and prevent complications.

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Better Care by David Levine

Pain-reliever RUNDOWN IS THE ONE YOU’RE TAKING RIGHT FOR YOU?

Sources: U.S. Food and Drug Administration, American Academy of Family Physicians, American Chronic Pain Association

FIRST, THE GOOD NEWS: ALL FOUR OF THE most popular over-the-counter products—that’s acetaminophen, acetylsalicylic acid (aspirin), ibuprofen and naproxen—are largely safe, effective and economical, rarely causing side effects. In addition to relieving pain, all

four also reduce fever. So ... what’s the difference? In most cases it’s simply a matter of preference. But as the Food and Drug Administration pointed out when it called for label warnings on these products last year, no medicine is risk-free. Here’s a quick primer on how these differ.

ACETAMINOPHEN

ACETYLSALICYLIC ACID (ASPIRIN)

IBUPROFEN

NAPROXEN

BRAND NAMES

Tylenol

Bayer, St. Joseph

Advil, Motrin, Nuprin

Aleve

HOW IT WORKS

Acetaminophen blocks pain messages to the brain.

These nonsteroidal anti-inflammatory drugs (NSAIDs) block hormone-like substances called prostaglandins that cause pain by irritating nerve endings.

USED MOSTLY FOR:

• • • • • •

• mild to moderate pain • cardiovascular protection (check with your doctor)

• • • • •

MAY BE A GOOD CHOICE IF YOU:

• are allergic to aspirin • have stomach or intestinal problems • have kidney disease

• want to prevent cardiovascular disease

• want to cut your risk of Parkinson’s disease

• have muscle aches from sports activities • prefer to take fewer pills

RELIEVES SWELLING?

Yes

• are under 16

• • • •

DON’T TAKE IF YOU:

TELL YOUR DOCTOR IF YOU’RE ALSO TAKING:

headaches muscle aches toothaches back pain arthritis fever

• have liver disease • consume three or more alcoholic drinks daily • also take another product with acetaminophen

• other cough, cold, pain or allergy medications

headaches toothaches back pain menstrual pain minor injury

• arthritis and joint pain • menstrual pain

have kidney or liver disease have heart disease have a blood disorder take a blood-thinning medicine

• are pregnant (except on doctor’s orders) • are allergic to aspirin or other pain relievers • have inflammatory bowel disease or experience stomach or intestinal bleeding

• antidepressants • blood thinners • other salicylates • other NSAID medications

• antidepressants • ACE inhibitors • blood thinners • lithium • diuretics • steroids • other over-the-counter cough, cold or pain medications

O T S E G O H E A LT H & L I F E

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by Francesca Moisin

Your skin: When to worry FEAR THAT MOLE MIGHT BE SKIN CANCER? HERE’S WHAT TO LOOK FOR

FIRST, THE GOOD NEWS: “MOST OF THE SCARYlooking skin conditions people associate with cancer turn out to be benign, noncancerous growths—moles, freckles or seborrheic keratoses,” says Joseph L. Jorizzo, M.D., a professor of dermatology at Wake Forest University School of Medicine. Chances are high, then, that mole you’ve been concerned about is no cause for alarm. Still, skin cancer is the most common form of cancer in the United States—10 times more common than breast cancer. So when in doubt about a particular patch of skin, always consult a doctor. After all, prompt detection is vital. “When melanoma is caught early, the cure rate is 99 percent,” says Dr. Jorizzo. In this illustrated guide, Dr. Jorizzo explains when a growth is harmless, and when it needs to be checked out.

WORRY WARTS: 5 reasons to see a doctor “If your mole exhibits one of the characteristics shown in the ‘A to E’ guide below, make an immediate appointment with your dermatologist or primary care provider for evaluation,” says Dr. Jorizzo. That doesn’t mean every growth with one of these traits will be cancerous, only that it’s “better safe than sorry” time.

Border: Your mole

Color: Your pigment

half of your mole

has a border that is

patch varies in hue

Diameter: Your

Evolving: Your mole changes over

looks larger, darker,

irregular, scalloped

from one area to the

mole is greater

time in shape, size

more textured or

or poorly defined.

or color.

other. Some sides may

than 6 millimeters

in any other way

be tan and brown or

across.

different from the

tan and black, while

other half.

other areas are shaded red, white or blue.

FA L L 2 0 1 0

SHUTTERSTOCK; THE AMERICAN ACADEMY OF DERMATOLOGY

Asymmetry: One

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Healthy Living TROUBLE-FREE THESE SKIN GROWTHS AREN’T PRETTY, BUT THEY’RE HARMLESS “By going through the ‘A to E’ characteristics, three things lead me to believe this mole is not cancerous,” says Dr. Jorizzo. “The diameter is small, its pigmentation is even and its borders are not irregular.” “These tan and red skin splotches, or freckles, are often hard to distinguish from other sun-damaged brown spots or growths” says Dr. Jorizzo. “The best way to identify each is by observing their behav-

BE SKIN-SMART

ior: The latter two are always present on the body, while freckles pop out when skin is exposed to sun and fade away during the winter.”

TIPS FOR A HEALTHY EPIDERMIS • Apply sunscreen with an SPF of 15 or higher to all

“This noncancerous growth that arises on the

areas of exposed skin every day, paying extra atten-

epidermal layer of the skin is called a sebor-

tion to chronically sun-damaged spots.

rheic keratosis,” says Dr. Jorizzo. “It’s usually

• Seek shade during the hours of 10 a.m. to 4 p.m.

brown, though it can vary in color from tan

when the sun is at its strongest, or wear protective

to black, and it’s often confused with warts,

clothing like a long-sleeved shirt and wide-brimmed hat.

moles or melanoma because it can also display sev-

• Don’t let kids get sunburned. One blistering burn

eral of the ‘A to E’ characteristics. In this case the bor-

in childhood or adolescence more than doubles a per-

der is irregular, but its crumbly, brittle appearance

son’s chances of developing melanoma later in life.

defines it immediately as a seborrheic keratosis.

• Avoid tanning beds, all of which emit UV radiation.

Sometimes these resemble a blob of dirt stuck to your

Remember, there’s no such thing as a safe suntan.

skin, and many patients then scrape them off with a fin-

• Get checked by your dermatologist or primary care

gernail or while shaving. A mole, on the other hand, is

provider once a year, or every six months if you have

impossible to remove by hand because it extends into

a family history of skin cancer or sun-damaged skin.

the deeper layers of the skin.”

SOURCE: Joseph L. Jorizzo, M.D., Wake Forest University School of Medicine

“Seborrheic keratosis growths often occur in clusters,” says Dr. Jorizzo. “Someone could confuse this smattering with freckles, but again, these won’t fade like freckles do when not in the sun.” “Though scary to look at, this seborrheic keratosis is entirely harmless,” says Dr. Jorizzo. “A patient going through the ‘A to E’ checklist would rightly note that it’s asymmetrical, with a large diameter and great color variation. But again, the flaky, pasted-on appearance defines it immediately. Most individuals develop these growths later in life—they’re often called ‘barnacles of old age.’ Moles, on the other hand, usually appear in childhood.”

Fast skin cancer facts • Melanoma accounts for approximately 3 percent of skin cancer cases, but causes more than 75 percent of skin cancer deaths. • People who use tanning beds are 1.5 times more likely to develop basal cell carcinoma (the most common form of skin cancer) and 2.5 times more likely to develop squamous cell carcinoma (the second most common form) than others. • About 65 percent of melanoma cases can be attributed to ultraviolet radiation from the sun. • Caucasians and men 50 or older are at a higher risk of developing melanoma than the general population. Sources: The Skin Cancer Foundation and The American Academy of Dermatology

O T S E G O H E A LT H & L I F E

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Eat Smart

5 facts labels don’t tell you HERE’S WHAT’S MISSING FROM PACKAGE NUTRITION DATA— AND HOW TO MAKE SAVVY CHOICES ANYWAY Savvy shoppers know that checking food labels is a key to helping your family eat healthy. The bad news? “They’re incomplete,” says Bruce Silverglade, director of legal affairs for the Center for Science in the Public Interest (CSPI). He helped Otsego Health

& Life identify five important points food packages fail to reveal:

How much sugar. “If a cookie uses different types of sugars—high-fructose corn syrup, fructose, etc.—the label can show these as individual ingredients,” says Silverglade. “If they were grouped together, ‘sugar’ could very well be first.” Labels also do not separate out added sugars from natural ones (think of the innate sweetness of applesauce), and offer no guidance on how much to consume: For fat, sodium, etc., labels show a clear “% daily value” based on a 2,000-calorie daily diet—but not for sugar. “There should be one,” Silverglade says. What to do: The CSPI suggests limiting sugar to 40 grams per day and scanning ingredients for sugar’s aliases.

The whole story on whole grains. “The gov-

ernment recommends we eat more whole grains, but sets no rules on how much whole grain a food must have to be described as ‘made with whole grain,’” says Silverglade. “It could be a dusting.” CSPI favors labels that show clearly what percentage of grains are whole. What to do: For now, look for products for which the first listed ingredient begins with the word “whole.”

FALL 2010

Where the ‘trans fats’ have gone. Many food

packages today boast “0 trans fats.” But in some cases, says Silverglade, “the company has added plain old saturated fat to replace the trans fat, making the product just as bad as, or worse than, the original.” CSPI says a redesigned label should categorize these fat levels as “High,” “Medium” or “Low,” with red ink calling attention to “High” levels. What to do: Don’t be swayed by “trans fat” claims alone—judge each product after examining “saturated fats” too.

The ‘true’ fiber content.

The CSPI says “dietary fiber” should be termed simply “fiber” and include “only intact fiber from whole grains, beans, vegetables, fruit and other foods.” Today the FDA also permits the inclusion of such “faux-fiber” additives as maltodextrin and polydextrose. “It’s unlikely that they lower blood cholesterol or blood sugar,” says Silverglade. “Companies are basically padding the product to up the numbers.” What to do: Keep an eye out for fiber additives and try to get most of your fiber from natural sources. I

ROBIN G. LONDON 2008

Caffeine quantities. The CSPI says these should be required. “A bottle of Starbucks vanilla Frappuccino contains 96 milligrams, more than many brands of coffee have in

a 6-ounce cup,” says Silverglade. Even Dannon’s coffee yogurt packs in 30 milligrams. What to do: Exercise moderation until labeling information improves.

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Glorious Food

by Jenny Connell

Fried rice with scallions, edamame and tofu Serves 4

1 tablespoon plus 1 teaspoon canola oil

POD SQUAD

2 large cloves garlic, minced (about 2 teaspoons) 4 scallions (white and green parts), thinly sliced 1 tablespoon peeled and minced fresh ginger 4 cups cooked brown rice

diced red bell pepper 3 4

⁄ cup frozen shelled edamame, cooked according to package directions and drained

1 2

⁄ cup fresh or frozen (thawed) corn kernels 6 ounces firm tofu, cut into 1⁄4-inch cubes

2 large eggs, beaten 3 tablespoons lowsodium soy sauce

3 4

⁄ cup seeded and finely

• Heat 1 tablespoon of the oil in a wok or large skillet over high heat until very hot but not smoking. Add the garlic, scallions and ginger and cook, stirring, until softened and aromatic, 1 to 2 minutes. Add the rice, red pepper, edamame, corn and tofu and cook, stirring, until heated through, about 5 minutes. • Make a 3-inch well in the center of the rice mixture. Add the remaining 1 teaspoon oil, then add

RECIPE REPRINTED WITH PERMISSION FROM THE FOOD YOU CRAVE BY ELLIE KRIEGER (TAUNTON, 2008); PHOTO: ISTOCK

FOODIES APLENTY HAVE DECLARED THEIR LOVE FOR EDAMAME, AN INCREASINGLY

the eggs and cook until nearly fully scrambled. Stir the eggs into the rice mixture, then add the soy sauce and incorporate thoroughly. Serve hot.

POPULAR BEAN THAT PACKS A HEFTY NUTRITIONAL PUNCH

Nutritional facts

per serving

400 calories • 12.5 grams fat • 7 grams fiber

TWO THINGS CATCH PEOPLE OFF GUARD about edamame, a bright-green bean that’s been slowly making its way from Japanese restaurants to the dinner tables of America. One is pronouncing the name—it’s eh-duh-MAH-may. And the other is the young soybeans’ somewhat fuzzy pod. When edamame is served as an appetizer, you see, the classic first-timer’s mistake is to eat the pod whole— not realizing that those “shells” are largely inedible and that most people just pop the beans right into their mouth. But however you eat it, edamame is a nutritional powerhouse. It contains all nine essential amino acids, as well as fiber, omega-3 fatty acids, calcium, iron, zinc and vitamin B. The Chinese made tofu out of edamame more than 2,000 years ago; the Japanese later began eating it out of the

• 56 grams carbohydrates • 465 milligrams sodium • 106 milligrams cholesterol • 16.5 grams protein

pod. But it’s only since the 1990s that edamame has been a common sight in the frozen-food sections of U.S. supermarkets (sold both with and without the pods). Now it’s prized by vegetarians and vegans as a meat-free protein source (a whopping 17 grams per cup), and its crisp texture and sweet, almost-nutty flavor make it a happy addition to soups, salads and stir-fries. Prefer simply to snack? To enjoy edamame à la your favorite Japanese restaurant, boil in salted water until tender and pat dry. Just be warned that once you pop, you may not be able to stop. I O T S E G O H E A LT H & L I F E

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Friends of Otsego

Grey skies didn’t stop golfers from bringing in almost $47,000 at Otsego Memorial Hospital Foundation’s annual golf outing.

TRIUMPH at Treetops THE OMH FOUNDATION’S ANNUAL GOLF OUTING RAISES FUNDS FOR DIGITAL MAMMOGRAPHY

THE NUMBER MIGHT HAVE GIVEN PAUSE TO the superstitious, as this was the Otsego Memorial Hospital (OMH) Foundation’s 13th annual golf outing. But the event—on Thursday, June 10, at Treetops Resort in Gaylord—was a resounding success, drawing more than 177 participating golfers to the Fazio Premier and Smith Signature courses. The golf outing is the Foundation’s largest annual fundraising function, and the funds raised from this year’s event will be dedicated solely to the Cancer Prevention and Mammography Campaign at OMH, aimed at upgrading the hospital’s current analog mammography units to digital, and enhancing cancer-

Awards Lunch Sponsor

Breakfast Sponsor

FALL 2010

Course Sponsors

prevention and cancer-awareness initiatives. Nearly $47,000 was netted from this year’s outing, and several area businesses showed their dedication to and support of this cause through various sponsorship opportunities. Charter Business was the event’s lunch sponsor, Health Plan of Michigan sponsored breakfast and Mayfair Plastics, Wright & Filippis, Jet Subsurface Pumps and Paxton Resources sponsored the two courses. Numerous other local businesses and organizations invested in player and golf cart sponsorships. “We are very excited and thankful for our new sponsors and grateful for our returning local, regional and national players and businesses who attend this outing in support of OMH and local healthcare,” says Sara Freeman, OMH Foundation Coordinator. Each year, players arrive early for breakfast, registration and a chance to warm up before the outing is called to commence with a shotgun start. Players have a chance to purchase mulligans, and prizes are awarded for first, second and third places, as well as men’s and women’s longest drive and longest putt. Nongolfers had the opportunity to support the cause through the purchase of raffle tickets for prizes, including Treetops Club 81 memberships, a weekend getaway to Mackinac Island, a Detroit Pistons game with a suite and tickets for the winner and 11 friends, and a Jay’s Sporting Goods gift basket. “This event is about having fun and bringing together people who have interest in advancing healthcare at OMH,” says Christie Perdue, OMH Foundation and Marketing Director. “We had a great event this year despite the chilly weather, and we look forward to seeing everyone out there again next year.” I

For more information about the OMH Foundation, or to make a donation, please call 989-731-2342 or visit the foundation’s website at myOMH.org.

Otsego Memorial Hospital Foundation Quarterly Gift Registry All names listed have generously supported the Otsego Memorial Hospital Foundation in the second quarter of 2010 (4/1/2010 - 6/30/2010). The OMH Foundation is grateful for their support and dedication to quality local healthcare. Staff and Employee Circle of Friends

Ryan L. Allen Shirlee Andrews Sarah Authier Mr. and Mrs. R. Dale Mr. and Mrs. Richard Bartlett Susan Bennett Mr. and Mrs. Lloyd “Skip” Berry Esther Bessette Mrs. Brittany Beyers Amy Bilyea Karen Binder Connie Bisson Dennis and Laurie Black Mr. and Mrs. Ken Blust Geri Boadway Patty Bonner Mr. Dennis Borowiak and Mrs. Maureen Borowiak Mr. and Mrs. Rodney Bragg Faith Brinkman Romeo and Carolyn Buclay Lonny G. Burns Nichole Butcher Donna Chandler Donna Clark Sheryl Cody Matt and Maria Coger Don and Mary Beth Cook Ruth A. Coons Mr. and Mrs. Brett Crandell Jessica Crane Nicole Cryderman Mr. and Mrs. Jon Deming Mr. and Mrs. Carl Dennis Mrs. Marguerite Duncan Marlene Dzwik Linda D. Eastwood Gregory Ehle Amy Ellison Mrs. Julie Ellison Patricia Ferguson Mr. and Mrs. Kevin R. Fogle Catherine Foust Cynthia Francis Vicki L. Garlitz Mr. and Mrs. Dan Glomski Ms. Lori Gonzalez Elizabeth Goodrich Cindy Gordon Justine Gorman Allison Gougeon Mr. and Mrs. Danny Griffith (Cindy) Suzanne Griswold Howard and Chris Grosser Mr. and Mrs. Todd Harding Suzanne Hardy Amelia Harmon Mr. Timothy Hella Jennifer Henderson Marlene Hinchliffe Steven Holman Ms. Christine A. Hoogerhyde Ms. Rhonda Howard Ms. Sharon Jann Ms. Beverly Johnson Kelly Joles Greg and Dawn Jones Mrs. Kathleen Jones Linda Kaufmann Stephanie Fahler Beatriz F. Kelly Jeanie C. Kelsey Ms. Kristina Klepadlo John and Linda Kremkow Peg Kretchmar Mr. and Mrs. Tom Krzemien Ms. Kathy Kucharek Tiffanie LaHaie Della Lambert Jill LaMotte Andrew Lanway Mrs. Twilla L. Coon Ms. Pamela Lynch Mrs. Lisa Mackowiak Ann Mahan Ashley Manns Cynthia Marcenaro Lisa Mason Monica McClure Mrs. Gloria McDonald

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Mrs. Melissa Meadows Kathleen Mecomber Donna Meredith Linda T. Mesler Amy Monarch Charlene M. Morris Linda and Pete Morris Mr. Steven A. Moulding Shelley Mousseau Mr. and Mrs. Douglas F. Mowery Kellie Mumford Ms. Danielle Mundt Mrs. Pamela R. Nemeth Sarah Nolan Sharon A. Oliverson Mr. and Mrs. Brian Olsen (Heather) Sandra and Robert Oltersdorf Michael O’Neill Nicole Owens Andrea and Mike Parke and Family Mr. Kenneth and Mrs. Kathleen Pawlanta, FNP Robert and Marlene Peterson John and Mollie Peterson Mr. and Mrs. Michael Piper Mr. and Mrs. Joseph Prebenda Jessica Price Tamyra Purgiel Mrs. Teresa Raithel John and Marilyn Record Joanne Reichert Margaaret Rempe Bobbie Jo Repar Betsy Rich-Czarnik Allison Robbins Mr. and Mrs. Tyler Roberts Kelly Roberts-Zielinski Mr. and Mrs. Rosenburg Jay Ruddy Kimberly Taylor Ruley Juanita Sarzynski Ms. Catherine Schalau Mac Scribner Rick Shaw Ms. Mary R. Shelson Julie and Lucas Shepherd Mike and Trista Sitz Mr. and Mrs. Gordon Smith Karen Smith Mr. and Mrs. Joseph Spyhalski (Eileen) Ms. Mary Steele Darlene Stroyan Mr. Donald Suddon Diane Suttles Amy Szymanski Ms. Sharon Taylor Brian and Tami Techel Tamula Techel Lisa Thackeray Nicholas Thaxton Mrs. Kalynn Thayer Mr. and Mrs. Wayne Thomas (DiAnne) Maryann Thurston Neil Tomes Mr. David B. Trimbath Kaarina M. Veihl Stacy Vizina Ms. Jennifer Vogel Julia Vultaggio Kevin Wahr Mr. and Mrs. Jack Warren Mr. and Mrs. LeRoy Watson Theresa M. Weber Amy Wells Kathy Wilcox Beth Wilson Mrs. Theresa Wood Deborah Worm Mr. and Mrs. Dan Yale (Karen) Mr. and Mrs. Matthew Zaleski Staff and Employee Good Samaritan Society Bonnie J. Byram Mr. and Mrs. Thomas Corby (Cindy) Sara and Jimmy Freeman Paul Hagan Tad and Kay De Luca

David Kramp Doug and Nancy Kussrow Mike and Barb Miller Mr. and Mrs. Ralph D. Pardo Mr. and Mrs. Thomas Pudvan Kenneth and Nancy Ragan Ronald and Kathy Respecki Brad, Laura and Ryan Sincock Frank Stroyan Cynthia A. Tallent Staff and Employee Cornerstone Society Mr. and Mrs. Michael Burke (Nancy) Dave and Diane Fisher Bob and Skip Kasprzak Tom and Jean Lemon Michael and Christie Perdue Hippocrates Society This society recognizes all gifts from physicians and those made in their honor. Mr. Richard and Dr. Becky Ashley Dr. and Mrs. Collazo John and Wendy Frye Dr. Peter and Amy Handley Janelle Hendrian, DO Changxin Li Dr. and Mrs. Keith Y. Miyamoto John and Mitch Moffat Kasey and Wendi Nelson Dr. Medina H. Shaltry Dr. Joy L. Williams Dr. and Mrs. Steven J. Wisniewski Honorariums In Honor Of Dr. Steven Wisniewski Mary Jane Hewitt Mrs. Delphine Rogers Leon VanOrsdal In Honor of Dr. David Miner Mary Jane Hewitt In Honor of Dr. Donald Cousineau Paulette Weber Cornerstone Society This Giving Society recognizes all donors who give or pledge an annual gift of $1,000 or more to the OMH Foundation. Mr. and Mrs. R. David Briney Mr. and Mrs. Glen A. Catt Jim and Jan Cotant The Easton Ville Gang Eugene and Barbara Fleming Gaylord Eye Care Center -Dr. Ronald Mead -Dr. Peter Oppermann -Dr. Robert Slezak Keith H. Gornick Family Edward and Barbara Kakenmaster Scott and Janice Lampert Mr. and Mrs. William J. Muzyl Otsego Memorial Hospital Auxiliary Mary MacGregor Sanders Karl and Laverne Scheiterlein Charles and Sheila Simpson Sklarczyk Seed Farm Jeffrey and Lynne Smetzer Dale J. and Marlene A. Smith Carolyn and Jon Study The Hees Family Foundation Trailing For Triumph Marcus and Sharon Wegmeyer Mr. and Mrs. Athel E. Williams

Good Samaritan Society This Giving Society recognizes all donors who give or pledge an annual gift of $500-$999 to the OMH Foundation.

Course Sponsors Mayfair Plastics, Inc. Jet Subsurface Pumps Paxton Resources, LLC Wright & Filippis, Inc.

JJean Appleton Melanie and Charlie Harrison Robert and Sharon Johnson Leo and Sylvia R. Schuster Jean Stevenson Wright & Filippis, Inc.

Player Sponsor Smith Haughey Rice & Roegge

Circle of Friends This Giving Society recognizes all donors who give or pledge an annual gift of $50-$499 to the OMH Foundation. Anonymous Jack and Ginny Anderson B & B Construction, Inc. Chuck and Patty Berlin Dr. John and Dalores Burau Geraldine Carlin John R. Deming Mr. and Mrs. Tim Eckert Joyce Engel Flowers By Evelyn Flowers By Josie Mr. and Mrs. Theodore J. Geboski, Jr. Mary Anne Gohl Deborah S. Haskell Mary Jane Hewitt Independent Bank Chester and Cynthia Janssens Lewiston Lioness Lions Club Paul and Sheri Lochinski Mr. and Mrs. Robert J. Manuszak Mrs. Marilyn Nemeth Professional Tax Service Stephen and Donna Renton Mr. and Mrs. Jackson H. Riling Mrs. Delphine Rogers Mr. and Mrs. Joel Sietsema Pete and Pat Slominski Mr. and Mrs. Russell Soffredine Mr. and Mrs. Richard Thams Twigs N’ Blooms Mr. and Mrs. Joe Uhl Richard and Doris Wood Honorariums / Memorials 2010 Otsego Memorial Hospital Foundation proudly lists the gifts made in honor or memory of others. May they each be honored through the Hospital’s healing mission. Honorarium In Honor of Virginia B. Borts Mary Jane Hewitt Memorials In Memory of Patrick J. McNamara, D.O. Jack and Ginny Anderson In Memory of Sue Melone Chuck and Patty Berlin In Memory of Sue Rea Jim and Debby Haskell In Memory of Sarah and Norman A. Glasser Edward and Barbara Kakenmaster

Corporate Sponsor 3M Healthcare Bud Jones Insurance Burdco, Inc. Citizens Bank Dale J. Smith Realty Eagle 101.5 FinCor Solutions Gaylord Golf Mecca Lange Vending, Inc. LeJeune Puetz Investment Counsel, L.L.C. Lewiston Lions Club Munson Healthcare Northern Michigan Chapter of A.P.I. Plante & Moran, PLLC Remer Plumbing, Heating & Air Conditioning, Inc. Sunrise Construction Three Rivers Corporation Treetops Resort VALIC Financial Advisors, Inc. Winthrop Resources Corporation Additional Sponsors and Players Bensinger, Cotant & Menkes, P.C. Black Bear Golf Club Blue Cross Blue Shield of Michigan BreitBurn Energy Partners L.P. R. David Briney Brogan & Partners Convergence Marketing CBCS Daniel S. Smith, C.P.A. K. Douglas Deck Elk Ridge Golf Club Denise Fernandez Fifth Third Bank Gaylord Country Club Gordon Food Service GrandXRay Green Trees Golf Course Jay’s Sporting Goods, Inc. Mr. and Mrs. Kevin E. Johnson Lakes of the North Lakeshore Energy Lilac Tree Hotel Marsh Ridge Resort mBank Michaywe Pines Golf Course Michigan Spine and Pain Mountain Lake Golf Club Northern Imaging Associates, P.C. Northwestern Bank Osprey Construction + Development Otsego Club Priority Health Robert T. Westerman II, PLC Shepler’s Mackinac Island Ferry Jeffrey A. Smetzer The Christman Company The Loon Golf Resort The Palace of Auburn Hills Todd L. Seidell Architect, LLC Wilderness Valley Black Forest

In Memory of Achellie M. Lochinski Professional Tax Service 2010 Golf Sponsors and Participants Premier Lunch Sponsor Charter Business Breakfast Sponsor Health Plan of Michigan

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