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health source winter 2013 www.botsford.org Botsford Active Solutions for Growing Waistlines Employees Go the Extra Mile Doctors Taking Their Own Medicine plus Learn More About Medical Homes FREE Sinuplasty lecture Pg. 2 What’s New at Botsford New Procedure Provides contents Active Solutions for Growing Waistlines Lasting Relief for Sinus Problems Sinuplasty Procedure Step 1: A balloon catheter is inserted into the inflamed sinus. Step 2: The balloon is inflated to expand the sinus opening. Step 3: Saline is sprayed into the inflamed sinus to flush out the pus and mucus. Top Weight-Loss Tactics Are you plagued by a stuffy nose that lingers or comes back again and again? If so, it could be chronic sinusitis, an infection or inflammation of the sinuses. More than 37 million Americans suffer from chronic sinusitis, making it one of the most common health problems in the U.S. Sinus infections often occur following a cold, and they can be viral or bacterial. Viral infections typically go away on their own within a few weeks. If symptoms last longer, the problem could be a bacterial infection, which requires antibiotics. A new, minimally invasive procedure called balloon sinuplasty can help chronic sinusitis sufferers breathe easier. Unlike traditional sinus surgery, balloon sinuplasty doesn’t require any incisions. A thin, flexible tube with a small balloon on the end is inserted through the nose into the blocked sinus. The balloon is then inflated, which expands the sinus area and widens the opening. Research has found balloon sinuplasty to be safe and effective in relieving sinusitis symptoms. It is an outpatient procedure performed under general anesthesia. Patients face a lower risk of developing scar tissue that could reblock the sinus—a concern with conventional surgery. Many patients can return to their normal activities the next day, as compared with weeks later with traditional surgery. If you suffer from frequent sinusitis, ask your doctor if you might benefit from balloon sinuplasty. Healthy Events at Busch’s and great Casserole Recipe Employees Who Go the Extra Mile Home Sweet (Medical) Home Doctors Taking Their Own Medicine Calendar of events www.botsford.org Connect with Botsford Online! Blog www.botsford.org/blog/ www.facebook.com/BotsfordHospital www.twitter.com/botsfordnews www.youtube.com/botsfordhospital/ healthsource Botsford Produced by the Community Relations and Marketing Departments of Botsford Hospital. Botsford HealthSource is published by Botsford Hospital to provide general health information. It is not intended to provide personal medical advice, which should be obtained directly from a physician. © 2012. Printed in U.S.A. Sinus Sufferers: Relief is Here! Free Lecture on Balloon Sinuplasty! Step 4: The system is removed, leaving the sinuses open. 2 TUESDAY, JANUARY 22 • 6:30 p.m. Presenter: Community Room Warren Brandes, D.O. Administrative and Education Center Ear, Nose and Throat Specialist 28050 Grand River Avenue ENT Surgical Associates, P.C. Farmington Hills, MI Call 1-877-442-7900 to reserve your seat. Botsford healthsource WINTER 2013 Botsford Offers Active Solutions for Growing Waistlines Concerned about your weight and eating habits? Make an appointment for yourself or your child with a Botsford dietitian by calling 248-447-6100. When it comes to obesity, the people of Michigan can change the future. The statistics are startling. Michigan was home to the nation’s fifth highest prevalence of adult obesity in 2011, according to the Centers for Disease Control and Prevention (CDC). Obesity is defined as having a body mass index (BMI) of 30 or higher. BMI is based on your weight and height. To figure out your BMI, visit www.botsford.org/BMI. Overweight Kids Michigan’s youth are faring better than its adults, but it’s still not a healthy picture. Youth obesity is growing in the state and as of 2009, nearly 12 percent of Michigan’s youth were considered obese. The trend comes with worrisome health risks. These include diabetes, breathing problems, joint pain and psychological distress. Being obese can also lead to problems in the classroom. Severely overweight children and adolescents were four times more likely to report academic problems. In addition, obese children are more likely to grow into obese adults, which can set them up for a lifetime of health problems. Providing Resources for People of All Ages Fortunately, Botsford Hospital offers a variety of programs to help Michigan’s adults and children slim down and stay healthy. “This is a problem that is well within our power to manage,” says Derrick Williamson, D.O., family medicine physician. “In fact, awareness and education are our best tools for addressing obesity and the life-threatening health problems that come along with it. When it comes to obesity, we really do have the power to change the future.” Helping Children Make Healthy Choices Getting guidance from a registered dietitian is one way for children and their families to combat obesity. At one local pediatric practice, Botsford Pediatric Associates, children with weight or health concerns can work with a dietitian to address these issues. Children learn about good eating habits and activity levels from the dietitian, who offers personalized education on healthy Derrick Williamson, D.O., is a family medicine physician at Personal Health Care, P.C., in Livonia. continued on page 4 8 botsford.org 3 To learn more about ReNew, call 248-473-3100 or see page 12 of this issue. Scale Down: Top Weight-Loss Tactics Dietitians and health experts agree that slow weight loss—no more than 1 to 2 pounds a week—is the safest, most healthy way to lose weight and keep it off. These tips can help you lose weight safely: »» Cut the fat, not the flavor, from food. In most recipes you can use one-third to one-half of the oil, butter or margarine called for. Adding more herbs and spices can compensate for any loss of flavor. »» Pay attention to portion size. A serving of chicken or meat should be the size of a deck of playing cards. Restaurant portions are usually two to three times larger than this. »» Count beverage calories, too. Most alcoholic drinks are fat-free, but their calories can add up. »» Read food labels. Different brands of similar products can have surprisingly different amounts of calories and fat. »» Cook with nonstick cookware and use vegetable oil spray. »» Eat at least three meals a day. Skipping meals is not a good idea. »» Eat breakfast. Research shows your metabolism—your body’s fat-burning potential—drops when you skip the morning meal. »» Control after-dinner snacking by setting a specific time for a light, healthy snack. »» Start and stick with a regular fitness routine. Eating light and exercising regularly are equally important to weight loss. 4 Botsford healthsource WINTER 2013 continued from page 3 South Redford School-Based Health Center diets, portion control, sample meal plans and snack options. Setting short-term goals and keeping a food diary are two other tools dietitians use to steer kids toward a lifetime is available to serve the health of good health. Since starting nutrition counseling needs of Redford residents through Botsford Pediatric Associates nearly from ages 10 to 21. For an two years ago, nearly 200 kids have received appointment with the dietitian, customized help from the dietitian. At the Botsford-affiliated South Redford call 313-242-0570. School-Based Health Center, located at Pierce Middle School in Redford Township, a registered dietitian regularly visits classrooms to teach students about nutritious diets, healthy cooking techniques, how to read nutrition labels and much more. The dietitian also works one-on-one with students with high BMIs and other weight or nutritional concerns. Students and young adults in Redford can be referred to the health center for free nutrition counseling. Getting Adults on the Road to Wellness Just like for children, obesity comes with health risks for adults. Obesity increases an adult’s risk of heart disease, hypertension, some cancers and type 2 diabetes. But there are resources to help keep adults away from these dangerous illnesses. Botsford offers diabetes prevention classes for adults, which is a five-session course on healthy lifestyles for only $20. Adults can also take advantage of the hospital’s free pre-diabetes support group. One of the keys to losing weight is exercise. Moderate physical activity, such as brisk walking, is safe for most people. Talk to your physician before starting an exercise program if you have heart disease, asthma, lung disease, diabetes, liver or kidney disease, or arthritis. In addition, adults with 40 pounds or more to lose can benefit from the weight management program ReNew. The program is a medically monitored weight loss plan that includes high-quality meal replacements, coaching and classes. Through various Botsford resources, obese children and adults alike can take control of their weight—and ultimately improve their health—in a supportive environment. If you’re interested in receiving more information on Botsford’s diabetes programs, call 248-477-6100 or see page 12 of this issue. Buffalo Chicken Casserole Healthy Events at Busch’s Nutrition Workshop Tips for Successful Weight Loss Learn the best strategies for getting healthy from weight-loss pros and a registered dietitian. 1. Thursday, January 10, at Busch’s Fresh Food Market in Farmington Hills 2. Thursday, February 7, at Busch’s Fresh Food Market in West Bloomfield 3. Thursday, March 14, at Busch’s Fresh Food Market in Livonia 6:00 to 7:30 p.m. Cost: $5. Attendees will receive a $5 Busch’s coupon. Cooking Demonstration Healthy Casseroles and One-Pot Dinners Save time and eat healthy with yummy weeknight dinner recipes from Busch’s Chef Rebecca Wauldron and a Botsford dietitian. 1. Thursday, January 31, at Busch’s Fresh Food Market in Livonia 2. Thursday, February 21, at Busch’s Fresh Food Market in Farmington Hills 3. Thursday, March 7, at Busch’s Fresh Food Market in West Bloomfield 6:00 to 7:30 p.m. Cost: $10. Your $10 ticket includes recipes, samples, cooking tips, a $10 Busch’s coupon and more. Register today! Seating is limited. Registration is required for all events. Register by calling or visiting the Busch’s Guest Services Counter at the hosting store. Busch’s Fresh Food Market 24445 Drake Road, Farmington Hills 248-427-7400 Busch’s Fresh Food Market 37083 Six Mile Road, Livonia 734-779-6100 Busch’s Fresh Food Market 33300 West 14 Mile Road, West Bloomfield 248-539-4581 Bonus! More healthy recipes located at botsford.org/recipes. You can adapt the basic ingredients into a spicy casserole. Check the condiments aisle of your supermarket for all the variations of hot sauce. How hot is up to you! Ingredients: 4 cups cooked, skinless chicken, cut into bite-size pieces ¼ cup bottled hot sauce 1 tbsp. butter 1 tbsp. flour 2 cups skim milk 2 oz. blue cheese crumbles, divided 3 cups cooked rotini or other chunky whole wheat pasta 1 cup of carrot shavings, using about 3 carrots 1 cup of thinly sliced celery, about 3 stalks Directions: 1.Put chicken into a bowl. Add hot sauce and toss, until all pieces are well coated. 2.Put cooked pasta into a three-quart casserole dish—a 13- x 9-inch pan is fine. Mix with the shaved carrot pieces and set aside while you make a simplified white sauce. 3.In a small pan, melt butter. Stir in flour and keep cooking but don’t burn. Add milk a little at a time and keep stirring, until sauce begins to thicken. Turn off heat and add most of the blue cheese crumbles—reserve about a quarter cup for the top. 4.Pour sauce over pasta and veggies. Cover with chicken. Sprinkle blue cheese on top. 5.Bake 20 to 25 minutes in an oven pre-heated to 400 degrees. All you want to do is heat everything thoroughly. Casserole can be refrigerated and cooked later. Makes six servings. Each serving contains approximately 340 calories, 11 g fat (5 g saturated fat, no trans fat, 86 mg cholesterol), 548 mg sodium, 27 g carbohydrate, 3 g dietary fiber, 6 g sugars, 32 g protein. botsford.org 5 Employees Who Go the Extra Mile Botsford Hospital is focused on treating the patient as a whole person, not just a set of symptoms. One of the hospital’s core values is service excellence. Staff members take this mission as a daily commitment by providing excellent medical care in a timely, personalized and compassionate way. See how five Botsford employees put into action the values of the organization and in doing so, how they make a difference in the community. teacher saves toddler’s life When Lead Teacher Lisa Bame at the Botsford Hospital Child Care Center renewed her CPR certification, she didn’t realize how soon her skills would be needed. The following day, Bame didn’t hesitate when a 2-year-old suddenly started to choke. “I maneuvered over to him and said, ‘I am going to help you,’” she recalls. Bame performed one abdominal thrust on the toddler, dislodging a small piece of fruit. “He immediately started crying, and I comforted him,” she says. Bame insists any other teacher in the center would have done the same. “We are all very aware of everything that goes on,” she explains. “The trust parents place in us is monumental. You can’t put a price on peace of mind.” mechanic, carpenter help cancer patient When a patient in Botsford Cancer Center’s Radiation Oncology Department needed a device called a Total Skin Electron Stand to more safely and comfortably receive treatment, two Botsford Hospital employees made sure that he got it. “We both agreed that building the stand sounded like a rewarding challenge we were ready to take on,” recalls Randy Klebs, a maintenance mechanic. After being given a design, Klebs and Tom Trost, a carpenter, completed construction in just two days. By building it themselves, they also saved the hospital about $9,000. For both men, the project was about more than the bottom line. “What was most rewarding about this project was knowing 6 Botsford healthsource WINTER 2013 Parents Jeremy and Julie Frame—holding Coral, 7 months, and Rohan, 2 1/2—are grateful to the entire team at the Botsford Child Care Center for saving Rohan’s life. Candice Sorrell, far right, noticed the toddler’s distress, and called to Lisa Bame, near left, who performed first aid for choking. Finding the Perfect Fit “My wife and I searched for a great daycare facility for our then 5-month-old son Rohan who was born prematurely,” says Jeremy Frame, the father of the toddler whose life was saved. “We wanted a place where a whole team would care for him. The entire staff came to talk with us when we visited the Botsford Child Care Center. This was the place for us! We’re teachers in Farmington Public Schools, so the center is perfect for our family.” Need a nurturing daycare? To enroll your infant, toddler or preschooler at the Child Care Center, call 248-471-8102. Photo credit: Photo provided by Joni Hubred-Golden, farmington-mi.patch.com. Tom Trost (left) and Randy Klebs (right) created this Total Skin Electron Stand. Radiation Therapist Kristin Zoller shows how to use the stand. Medical physicist Roy Taylor stands behind her. Terry Seraceno and her dog Apple bring cheer to Botsford Hospital patients, along with her other dogs, Jazz and Nova. Jillian Kaminga (left), along with other volunteers like Arlene Smithson (right), volunteered for the Life Remodeled project. “I love walking the dogs. You have no idea how much it means when a patient says thank you for making my day,” says Seraceno, who has worked at the hospital for 18 years. Seraceno’s dogs are able to reach patients who might be sad or lonely in a way that nothing else can. On particularly hard days, therapy dogs can also give the hospital staff a much-needed boost. An experienced dog handler, Seraceno founded the local nonprofit agency, Dr. Paws Pet Assisted Therapy. For more information, visit www.drpaws.org. Surgical Tech Fixes up neighborhood we helped make treatments easier for this patient,” notes Klebs. The stand made it easier and more comfortable for the patient to receive treatments by providing much-needed support. The entire Maintenance Department is dedicated to providing Botsford Hospital and its patients with high-quality services and products in the most cost-effective way. Trost explains, “I never feel prouder than when I can directly help a patient.” secretary sends dog joy to patients On her days off, Nursing Staffing Secretary Terry Seraceno strolls Botsford Hospital with one of her three golden retrievers, Apple, Jazz and Nova. As trained therapy dogs, these purebreds are on a mission to brighten the day of anyone who crosses their path. Officially, they are members of Dr. Paws’ volunteers at Botsford; each dog wears its own hospital ID badge. When Surgical Technologist Jillian Kaminga learned the local nonprofit, Life Remodeled, needed volunteers to clean up the Olde Towne section of Farmington Hills, she committed four Saturdays. “Many of the people in that community would choose Botsford Hospital for their care. Because it’s so close, I thought it would be important for me to participate,” says Kaminga. Kaminga was part of a team that pulled weeds and trimmed bushes at the local Salvation Army. “Once the outdoor work was done, we went inside to help in painting the gymnasium,” Kaminga says. “Other Saturdays we painted mobile homes and garages, sanded and painted porches and helped out where we could.” “I learned that there are many people who are not as fortunate as I am,” Kaminga says. “A few hours on a weekend is not a lot of time to donate, and I honestly felt better for having done this.” botsford.org 7 Home Sweet { Medical } Home man with diabetes has stopped checking his blood sugar levels. The device he uses to monitor his condition is 10 years old and doesn’t work anymore, but he can’t afford a new one. Meanwhile, a woman goes to her primary care physician complaining of fatigue and unexplained weight gain. Her physician orders blood tests. But a week later, when she sees a specialist recommended by a friend, the specialist unknowingly orders the exact same tests. Stories like these are all too common. But what if the man received a prescription for a low-cost glucose meter and met with a diabetes educator to help him learn more about monitoring his condition? What if the woman’s primary care physician communicated regularly with the specialist who had access to all the test results? That’s what can happen when patients find a “patient-centered medical home,” or PCMH. It sounds like a place, but it’s actually a team. a 8 Botsford healthsource WINTER 2013 Your Personal Medical Team “The patient-centered medical home is a model that creates a patient-physician partnership allowing for improved, more personal health care,” explains Andrew Cykiert, D.O., President of the Botsford Hospital medical staff and Director of Continuing Medical Education. “The ‘home’ is led by your primary care physician, who will coordinate your health care needs in a team approach.” ” Michelle Bartle, R.N., is a care coordinator at Botsford Primary Care. She considers herself “a name, a face and a phone number” for patients in need. Active Role for Patients Andrew Cykiert, D.O., is an internal medicine physician at Midwest Internal Medicine Associates. Dr. Cykiert’s practice in Livonia, Midwest Internal Medicine Associates, has the PCMH designation by Blue Cross/Blue Shield of Michigan. Like other PCMH practices, a physician is on call around the clock. Sameday appointments are available and care coordinators follow up with patients and help answer their questions. Michelle Bartle, R.N., is the care coordinator for Botsford Primary Care in Dearborn Heights. “I am a resource for the patient. I am a name, a face and a phone number. Patients know there is someone in the office responsible for getting things done for them,” she says. “In a medical home, the team works together and communicates regularly. Care is more consistent and more efficient. This leads to better outcomes.” Patient visits are preplanned. “Before you come in, your chart has been reviewed. Your test results are already here,” Bartle says. “This way you can focus on your relationship with your doctor.” Under the direction of your primary care doctor, the medical home team may include a number of players, including specialists, dietitians, social workers and pharmacists. On this team, patients are more than just benchwarmers. “Patient education and self-management is a big part of the medical home. We want to get patients involved in their own care,” says Bartle. “It’s not just high-risk patients. Preventive medicine is also an important part of the medical home.” New electronic medical records help with coordination of care. “We can better track patients who fall through the cracks and monitor how often patients are undergoing tests,” notes Bartle. “If we don’t see patients in a while, we can send reminders.” Patients will receive a summary of their care plan after each visit, detailing what follow-up is required, what medications they are on and any other steps that are needed, such as physician referrals or tests. Soon, they will also access their medical history, schedule appointments and communicate with their doctors online. “We are utilizing technology, focusing on better communications and going back to the team approach,” says Bartle. “This way, we work more efficiently to keep our patients healthier.” BOTSFORD-AFFILIATED MEDICAL HOMES Practices designated PCMH: »» »» »» »» »» »» »» »» »» »» »» »» »» »» »» »» »» »» »» Botsford Primary Care Physicians Cherry Hill Doctors Clinic Common Sense Primary Care Family Medicine Family Practice Center of Livonia Farmington Family Physicians Farmington Village Family Practice Ruth R. Kamienecki, D.O., PC Livonia Family Medical Center Livonia Family Physicians, PC Main Center Family Medicine Medical Group Practice, PC Michigan Family Physicians, PC Midwest Internal Medicine Associates Millennium Medical Group West PC/ Westland Clinic Northside Medical Center Northville Family Medical Center Stout Family Medicine Toni B. Trate, D.O., PC To find a PCMH in your area that takes your insurance, call Botsford Physician Referral at 1-877-477-Doc1. botsford.org 9 Doctors Taking Their Own Medicine Every day, doctors talk with their patients about the importance of a healthy diet and exercise. But physicians at Botsford Hospital don’t just talk about living a healthy lifestyle—they’re actually doing it. Despite demanding jobs, these three doctors take their own advice to heart by eating right, being physically active and carving out time to de-stress. LIVING LIKE A KID Doing outdoor activities together, such as hiking, help Carla Oska-Gerak, D.O., her husband, Jeffrey, and their kids, Sonia, 4, and Noah, 6, to stay fit. 10 Botsford healthsource WINTER 2013 Working up to 70 hours a week, pediatrician Carla Oska-Gerak, D.O., admits she has little time for the gym. But with a big yard, a husband and two young kids, Dr. Oska-Gerak, 34, doesn’t need four walls and a treadmill to stay fit. “I stay active by being with my kids,” she says. “We also have a neighborhood that is great for walking.” On weekends, she can also be found jumping with her little ones in a bouncy castle. Dr. Oska-Gerak has recently taken up the dance-based workout Zumba. “It’s so much fun,” she says. “I may have two left feet, but I have rhythm.” Also a trained nutritionist, she makes a point to prepare healthy meals ahead of time. “I buy fruit and veggies and cut them up at the beginning of the week, so I can just grab them and go,” she says. Dr. Oska-Gerak offers two more healthy choices that she has made: to never smoke and to wear sunscreen every day. Savitha Balaraman, M.D., and her children Siddharth, 15, and Sadhna, 13, use the 5,000-year-old practice of yoga to de-stress, improve flexibility, increase lung capacity through deep and mindful breathing, and ultimately, realize their ultimate potential. Peter R. Schoeps, D.O., here with his mother, Margo, and wife, Jody, tells his patients that exercise is the fountain of youth. ANCIENT TECHNIQUES Savitha Balaraman, M.D., an oncologist, says her patients often ask her how she manages to look so good at the end of a long day. Dr. Balaraman, 40, says it’s all about being proactive. “You constantly have to stay ahead of the game,” she explains. “To stay ahead is to stay healthy.” Growing up in southern India, Dr. Balaraman’s ideas about health were shaped early on. Taking cues from her parents, she began practicing Hatha Yoga and meditation when she was just 8. Today, she and her husband, Ramesh Ramanathan, still make time for Isha Yoga and meditation daily. These techniques help them get through even the most difficult days with a sense of calm. “I’ve experienced significant benefits from a mental balance and a physical health standpoint,” says Dr. Balaraman. “It becomes a way of being.” Yoga and mediation are also a way of life for Dr. Balaraman’s family members, including her teenage son and daughter. She notes it has brought tranquility into their fast-paced lifestyle. “We may still be running around, but it is not stressful anymore; we live joyfully,” Dr. Balaraman says. “If things don’t go our way, we just laugh about it. It has made us come together beautifully.” When she was young, her family also followed a vegetarian diet—something she continues today. “The high fiber content is extremely healthy. It’s also a well-balanced diet,” she notes. “We use all the colors— green, orange, yellow and red. We also eat tons of berries.” Dr. Balaraman walks or jogs on hilly terrain four to five times a week. Music also helps her achieve balance in her life. “Indian and American fusion is just amazing. It takes me to a whole new level,” she says. DEDICATED RUNNER As a family medicine-geriatric medicine specialist, Peter R. Schoeps, D.O., says exercise is the fountain of youth. “I tell this to my patients daily and try to motivate change,” says Dr. Schoeps. His own mother Margo, 90, a resident of the Botsford Commons Senior Community in Farmington Hills, performs 30-minutes of exercise while sitting six days each week, with encouragement from a recreation assistant. She benefits from improved circulation, greater endurance, better balance and an overall boost in energy. Dr. Schoeps says, “Mom is a great example that those who keep moving live longer—with a better quality of life.” Taking his own advice, Dr. Schoeps, 56, does what he did in high school to stay fit and de-stress: run. “I run two to four miles at least every other day, or spend about 35 minutes on the elliptical trainer,” he says. “I feel better and it allows me to be more focused at work, handling other people’s problems.” Dr. Schoeps says there is truth to the old expression, “If you don’t use it, you lose it.” “So often people retire and slowly lose their sharpness,” says Dr. Schoeps. “Life is constantly changing and the way we deal with that change makes a difference.” He notes, however, that no one is perfect and being healthy isn’t always about deprivation. “As physicians, I think we all try to lead by example, but life is short and we also have to enjoy those things that bring us pleasure,” he explains. “It’s just important to do everything in moderation. Balance is the key.” botsford.org 11 Where to find us Botsford General Hospital 28050 Grand River Ave. Farmington Hills, MI 48336 Non-Profit Org. U.S. Postage PAID Botsford General Hospital 675M calendar of events winter 2013 New! Dial-In Alzheimer’s Support Group Sponsored by Alzheimer’s Foundation, Senior Helpers and Botsford Commons. For more information, go to www.botsfordcommons.org. First Tuesday of each month: December 4, January 8, February 5 12:00 to 1 p.m. FREE Call 248-865-1000 or email [email protected] to register. Registration is required. Go DEEP: Diabetes Encouragement and Empowerment for Prevention Diabetes Prevention Do you have pre-diabetes? Take our five-week, action-packed class to help make lifestyle changes for diabetes prevention. January 8 through February 5 Tuesdays, 6:30 to 7:30 p.m. $20 Botsford Hospital Call 248-477-6100 to register. Diabetes Saturday Sizzler Learn how to manage your medications, how technology can help improve diabetes control and how to snack smarter. Saturday, March 2 9:00 a.m. to 12:00 p.m. $5 Botsford Hospital A&E Center, Community Room Call 248-477-6100 to register. An education and support program for people with pre-diabetes or who are at risk of developing diabetes. Tuesday, March 12 6:30 to 7:30 p.m. FREE Botsford Hospital Call 248-477-6100 to register. Nutrition Food Lab Our popular food lab is back! Come to a fun, activity-filled evening, and learn how to read food labels, choose correct portion sizes, select nutrientdense foods and plan meals. Wednesday, January 16 6:30 to 8:00 p.m. $10 Botsford Hospital Call 248-477-6100 to register. Space is limited. ReNew Weight Management Program A medically supervised, 20-week weight-loss program. Small classes, focusing on long-term weight-control strategies. Features meal replacements, fruits and vegetables. Supportive, comprehensive, proven approach. FREE information sessions: »» Saturday, January 5 at 11:30 a.m. »» Monday, January 7 at 7:00 p.m. »» Saturday, January 12 at 11:30 a.m. »» Saturday, January 26 at 11:30 a.m. »» Monday, January 28 at 7:00 p.m. »» Saturday, February 2 at 11:30 a.m. »» Monday, February 4 at 7:00 p.m. »» Saturday, February 16 at 11:30 a.m. »» Saturday, March 2 at 11:30 a.m. »» Monday, March 4 at 7:00 p.m. »» Saturday, March 16 at 11:30 a.m. Call 248-473-3100 to register. Sinus Treatment Seminar Warren Brandes, D.O., an ear, nose and throat specialist, will discuss balloon sinuplasty, a new minimally invasive, safe, effective procedure to help sinus sufferers. Tuesday, January 22 6:30 p.m. FREE Botsford Hospital A&E Center, Community Room Call 1-877-442-7900 option #1 to register. log on Botsford.org Find a full, searchable list of events, classes and support groups at: botsford.org/events. Walk with a Doc Botsford Hospital hosts community walks led by a health caregiver, emphasizing exercise and providing health tips. Annie Arrey-Mensah, M.D., an immunologist and allergist, will talk about asthma and allergies. Thursday, March 21 12:00 p.m. FREE Nature Center at Heritage Park, Farmington Road, between 10 and 11 Mile Roads, Farmington Hills. Register by calling 1-877-477-Doc1.