DMC Neighbors sum 2015 v12

DMC NeighborsFall 2015
Cardiac Rehab Patient Inspires
Robotic Suit Helps Patients Walk
Advances in Spinal Cord Injury
Advances in Stroke Care
Sinai-Grace Unveils
$77 Million in Renovations

DMC Neighbors
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Inside this Issue
Overview of DMC Rehabilitation Services
What is a Cardiac Rehab Program?
Transitioning to a Diabetic Diet
Hand Therapy Puts World Back at Patient's Finger Tips
DMC Dance Medicine Program
Robotic Suit Helps Wheelchair Users Stand and Walk
App Helps Plan for Severe Weather, Other Emergencies
Woman Doesn't Let Stroke Define Her
Jazz Singer Refuses to be Silenced by Brain Injury
Rehabilitaion Ignites Inner Strength in Burn Survivor
Rehab Helps RIM Patient Race to Recovery
PT for Urinary Incontinence and Pelvic Floor Disorders
Therapists Help Patient Move Onward and Upward
Know the Signs of a Stroke
Early Rehab Intervention Leads to Better Outcomes
Sinai-Grace Celebrates Completed Renovations
RiverWalkers Opens to Record Numbers
Protect Your Back
How to Talk to Your Doctor
Friends & Family Medical Concierge Service
About the Detroit Medical Center
Helpful Phone Numbers
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Dear Neighbors,
In health care, we often are able to witness the resilience of the human spirit and will to
survive. At DMC Rehabilitation Institute of Michigan (RIM), we see hope in a young bride’s
beaming face when an auto accident paralyzed her, but realized her dream to walk down
the aisle. And in the laughter of a four year old with an autoimmune disease, who was
robbed of her strength and mobility, until RIM helped her learn to walk, run, and play again.
DMC's profile as a national leader in quality, safety and patient care continues to grow.
Our eight DMC hospitals provide leadership in multiple areas of science, technology and
quality, including the nationally recognized specialty programs at DMC’s RIM. But beyond
the clinical achievements are the individual stories of strength, resolve and recovery
unfolding when patients come through our doors.
At DMC our purpose is to improve the quality of life for every person that enters our doors.
And restoring quality of life for our patients at RIM is what our skilled and dedicated
teams are focused on.
DMC RIM is Michigan’s only freestanding academic rehabilitation hospital with a
continuum of care covering a full range of rehabilitation needs. RIM’s Center for Spinal
Cord Injury Recovery, one of the first hospital-based programs of its kind, has treated
patients from nearly 30 states and 10 countries. RIM has received millions in federal
and private research grants, and is a leader in cutting-edge
therapeutic technology.
With an outpatient network of more than 30 locations
throughout Southeastern Michigan, we help patients close
to home with access to RIM’s physical therapy specialists.
DMC and RIM are here to help your loved ones not only
meet, but exceed their health and rehabilitation goals.
Sincerely,
Joe Mullany,
Chief Executive Officer,
Detroit Medical Center
A Letter from the Chief Executive Oﬃcer of the DMC
www.DMC.org – 888.DMC.2500 3

With the permission of DMC Sinai-Grace
patient, De’Andre Barnes-Grady from Detroit,
we are following his progress through the
Cardiac Rehabilitation and diabetes education
programs at Sinai-Grace as he works to
achieve his goals of weight loss, endurance,
and more energy for life. This is the first part
of his story.
De’Andre Barnes-Grady from Detroit, 34, thought he
was having a simple asthma attack when he walked
into DMC Sinai-Grace’s Emergency Center in
November 2014. His symptoms included fatigue,
weakness, heart palpitations, shortness of breath, and
an elevated blood pressure of 200/100. Tests
eventually revealed that he was having a heart attack,
had heart failure, fluid on his heart and lungs, and
Type 2 diabetes.
“Basically, I was on my death bed,” he recalled. “I knew
how sick I was…I had been diagnosed with heart
failure in 2011… but I didn’t have insurance and
I wasn’t able to see a doctor regularly and wasn’t able
to keep up with medications,” added Barnes-Grady,
who is now considered disabled due to his diagnoses.
Although he was enrolled in Medicaid insurance in
2013 through the help of a DMC social worker, it
wasn’t until last November’s visit to the Emergency
Department that he started to take his condition
seriously. After the emergency episode, his cardiologist
and Cardio Team One member Dr. Syed Mahmood
sent Barnes-Grady to the Cardiac Rehab program at
Sinai-Grace, a program that is certified through the
American Association of Cardiovascular and
Pulmonary Rehab (AACVPR) for heart patients.“One
of my goals is to get to a healthy weight where I can
live my life normally,” Barnes-Grady said, mentioning
that he had tried fad diets before but felt like he was
only starving himself. “When I came here to Cardiac
Rehab – and also got referred to Diabetic Education–
that opened up another avenue for me to learn what I
can’t have and to portion out my foods in moderation.”
(See the story on page seven about how Diabetes
Education and Cardiac Rehab work together.)
Barnes-Grady has lost 23 pounds since starting the
cardiac rehab and diabetes education programs in just
over a month, going from 432 to 409 pounds. He
expects to continue losing, he says.“The weight loss
will make it easier on my legs and knees to stand
because I aspire to be a chef and I want to go to
school for that. If I can stand for long periods of time,
that will make that goal become a reality. Cardiac
rehab at Sinai-Grace is also giving me endurance
where I can do different tasks at a higher rate without
tiring myself out.”
He currently comes to cardiac rehab at Sinai-Grace
three days per week. He smiles as he talks about the
other cardiac rehab patients in the class.“I’m on them!
I ask who’s coming in, who’s not coming. We try to
push each other. We not only want to see growth in
ourselves, we want to see growth in others. If
someone’s missing for a long period of time, when
they come back, we welcome them with open arms.
When they’re missing, I ask,‘Why didn’t you come?’ ”
“Cardiac rehab has also helped my social life. I’m more
open and more vocal now,” he commented, adding
that losing weight is helping him build up his confidence.
4
World Class Rehab Services at the DMC
Cardiac Rehab Patient
Inspires Others as He Heals
(Continued on page 6)
Shown at right: Patient De'Andre Barnes-Grady was an inspiration to the
caregivers and other patients in Sinai-Grace's Cardiac Rehab program.
Sinai-Grace Cardiac Rehab Nurse, Jude Gingo worked with De'Andre
to develop a comprehensive care plan for his journey to greater health.

DMC Neighbors

Cardiac Rehab Nurse Manager Jude Gingo, RN, agreed,
recalling that Barnes-Grady was very weepy during his
initial intake appointment. “He wanted to make things
better in his life. I sat down with him and went through
the risk factors for heart disease and identified what he
needed to change and he said, ‘Nurse Jude, that’s what
I’m going to do.’ It’s like night and day. He’s thriving now.
He’s the guy who’s bouncing in here.”
“Psychosocially, it’s a tremendous help,” she added,
noting that cardiac rehab patients make relationships
with each other because they have heart problems in
common. “It’s not just physical healing; it’s also a mental
and emotional healing. Patients tell us they have a new
lease on life; that this isn’t the end, it’s a new beginning.”
As part of his rehab, he is strengthening his heart by
using an exercise bike, treadmill and arm ergo meter.
“When I get under 400 pounds, which is my first goal,
I’ll be able to get on more machines. The long-term
goal is to use all the machines without restrictions.”
At the end of his 36 sessions in Phase II of the cardiac
rehab program, he said he wants to be off his diabetic
medication living a healthy lifestyle. He also wants to
motivate others by telling them his personal story, he
said. “I am overweight… I ate out of control, I ate
unhealthily, and I thought I was invincible. Then, I get
diagnosed with heart failure, high blood pressure, and
diabetes. With three blows like that, most people
would go into a straight depression…but, when I got
my wake up call, it’s either keep doing what I’m doing
and die, or change my lifestyle and live. I chose life.”
Story continued on page four6
DMC Neighbors
(Continued from page 5)
Diabetes educator Shannon Schmitt holds a monthly meeting at Sinai-Grace that De’ Andre attends as part of his Cardiac rehab journey.

The cardiac rehab program is a medically supervised
outpatient program designed to help people who
have had recent heart problems with their recovery.
Those who would benefit from the program are
people who have been discharged from the hospital
in the two to six weeks following a heart attack, open
heart surgery, stable angina, cardiac stents,
angioplasty, and heart valve replacement or repair.
The staff at the DMC Sinai-Grace Cardiac Rehab
program is comprised of specially-trained RNs and
exercise physiologists. Other health care workers in
the program include a dietician or nutritionist,
diabetic educator and pharmacist. The program is
overseen by a medical director, Dr. Juan Rojas, who
is also a cardiologist. One-on-one consultations are
done to identify risk factors for heart disease.
The aerobic exercise that patients participate in helps
to strengthen their heart and body and provides
them with a greater sense of wellbeing, explained
Jude Gingo, RN, nurse at Sinai-Grace’s certified
cardiac rehab program. “We work to motivate heart
patients to live more healthfully,” added Gingo.
“I’m the cardiac rehab nurse that does the intake
appointments and the one-on-one counseling and
education. I love to watch when the patients first
come in and when they graduate from the program
and how much better they’re doing...,” Gingo said.
“Not only have we made a difference in the patient’s
lives, they’ve made a difference in our lives.”
It’s important for patients who have been recently
discharged from the hospital with heart problems to
obtain a prescription from their cardiologist to be
enrolled in a cardiac rehab program. This is where
they'll receive the needed support, education and
motivation to affect change in their lives.
The DMC cardiac rehab units at DMC Sinai-Grace
and DMC Huron Valley-Sinai hospitals are certified
through the American Association of Cardiovascular
and Pulmonary Rehab. The certification is based on
strict criteria by the health, service, behavioral, and
clinical outcomes of patients.
For a referral to a DMC Cardiac
Rehab program that’s best for you or
your loved one, call 888.DMC.2500.
What is a Cardiac
Rehab Program?
Nurse Manager Gingo adds that her patient De’Andre
also wanted to have more energy, and he has already
achieved that goal. After he graduates, he wants to go
to the Phase III program, she noted. The Phase III
program is a medically-supervised self-pay program.
“Many patients say they don’t want to leave here to go
to a gym because they’ve made friends with the other
patients and we know how to take care of their hearts
if they have a problem.”
In addition to DMC Sinai-Grace Hospital, DMC
outpatient cardiac rehab programs are also
located at DMC’s Huron Valley-Sinai Hospital
in Commerce Township and the Rehabilitation
Institute of Michigan in Midtown Detroit.
Patients can be referred to any DMC Cardiac
Rehab program by calling 888.DMC.2500.

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Cardiac Rehab patient, De’Andre Barnes-Grady is in his final
weeks of a 36-week program at Sinai-Grace Hospital in
Northwest Detroit. In addition to heart problems, he has
Type 2 Diabetes. He was referred to the Diabetes Education
program, which can also help strengthen his heart.
“What I used to eat was high-fat wing dings, barbecue
chicken, barbecue pork and a bunch of fatty, high-sodium
foods," Barnes-Grady recalled. “Because of diabetes
education, my diet now consists of baked chicken, low-
sodium foods, I don’t fry in oil – I pan-sear with cooking
spray. I don’t use salt in my diet. I eat more fruits and
vegetables…I don’t eat beef as much…they educate you
on how to utilize the foods you’re not comfortable eating
and how to make it taste good so that you’ll want to eat it
in everyday life,” he added.
Barnes-Grady says that he likes cooking soul food but that it
is typically cooked in a lot of oil, grease and salt. “What I’ve
learned is you can still have good taste without the salt, and
you can still have a lot of stuff without oil. It’s just how you
cook it. Flavors come from seasonings, not from the salt.”
The outpatient diabetes education program at DMC Sinai-
Grace is open to anyone with Type 1 or Type 2 Diabetes. It
is often paid for by insurance. There is also a free monthly
support group open to anyone. Certified diabetic educators
(CDE) are trained to work with the patient, their physicians,
and their family members to create a personal diabetic plan
that is based on their lifestyle. Barnes-Grady completed all
four sessions after a getting
complete assessment of his
health and a personalized meal
plan. He is now attending the free
support groups, said Conni Sroka,
RD, CDE, one of two educators
at the outpatient program.
Shannon Schmitt, RN,
CDE, is the other
educator. “We also
track their glucose
numbers when they attend the program. It helps them to
recognize where they’re at,” added Schmitt.
There are two types of diabetes, Type 1 and Type 2. Type 1
Diabetes is caused when the body no longer makes insulin
because the body's own immune system has attacked and
destroyed the cells where insulin is made. People with
type 1 diabetes must take insulin every day to live. There
is no known way to prevent or cure type 1 diabetes, but it
can be controlled by keeping blood glucose (sugar) levels
within a normal range.
Type 2 diabetes is the most common form. In type 2
diabetes, the body either doesn't make enough insulin or
can't use its own insulin as well as it should. Type 2 diabetes
has been linked to obesity, genetic risk factors, and inactivity.
Some racial and ethnic groups are at higher risk for Type 2
diabetes. These include American Indians, African Americans,
Hispanics/Latinos, Asian Americans and Pacific Islanders.
There is no known way to cure type 2 diabetes, but it can
be controlled by keeping the level of glucose (sugar) in the
blood within a normal range.
Talk to your primary care physician about participating in
the Outpatient Diabetes Education Program and obtain a
prescription referral. If you do not have a primary care
physician, call 313.966.4800. Once you have obtained a
referral from a primary care physician, call the Outpatient
Diabetes Education Program at 313.966.3150 to schedule
an appointment.
A Patient's JourneyTransitioning to a Diabetic Diet

Kathleen Lowry was making a smoothie in what she
calls her ninja blade blender. As she was pouring it into
a cup, the blade came tumbling out. Instead of letting it
fall to the floor, she tried to catch it, slicing the tip of
her right index finger.
"At first, I thought my injury was no big deal," she said.
"A few stitches and I'd be on my way. Wow! Was I
wrong. It's amazing how something seemingly so small
has made such a big impact on my life."
She went to see a hand surgeon, who said her tendon
had been severed and it had probably retracted into her
palm. Surgery was a must. Her doctor wasn't available
but her coworkers recommended a hand surgeon at
the DMC. Two weeks after her accident, Kathleen had
surgery to fish the tendon out of her palm and reattach
it. There was a 50/50 chance her fingertip nerves would
regenerate and she would regain functional use of her
finger. Her doctor sent her to a hand therapist at DMC
Rehabilitation Institute of Michigan (RIM) to give her
finger every chance for a positive recovery.
RIM's hand therapists have advanced training, experience
and certification in treating hand and arm conditions.
They work closely with the physician and patient to
provide a continuum of care, beginning within a few days
after injury or surgery right through to the patient's
return to work and an active and productive lifestyle.
"I've been going to the Rehabilitation Institute of Michigan
twice a week since my surgery," Kathleen reported.
"They are just terrific there. They're knowledgeable
and offer the most advanced treatments. But what
I'm most impressed about is they're taking care of me
emotionally too."
The injury happened to her dominant hand and left
her depressed and frustrated. "This has been difficult,"
she confessed. "I'm so thankful the Rehabilitation
Institute has been there to help me through it. From
the tip of my finger to my toes, they're worried about
the whole me. I look forward to going back to work
and getting back to life."
To find a Rehabilitation Institute of
Michigan hand therapist near you
visit www.RIMrehab.org/handtherapy
Hand Therapy Puts
World Back at
Patient's Finger Tips
DMC Neighbors

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The DMC Rehabilitation Institute of Michigan's (RIM)
Dance Medicine Program is dedicated to the health,
education, training and performance of dancers and
dance educators in southeast Michigan. The program
is designed to help dancers improve performance
through rehabilitation and injury prevention.
RIM's Dance Medicine Program recognizes dancers
as world-class athletes who endure extreme physical
demands and require specialized care, designed for
their unique physiques and lifestyles.
RIM's physical therapists and
athletic trainers are members
of the International Association
of Dance Medicine and Science.
They have advanced training
in dance medicine and
experience working with
professional, college,
school and studio
dancers in a variety
of dance genres.
The program offers specialized therapies for dancers
whose injuries may involve bones, muscles, tendons,
ligaments or joints.
"When a dancer comes into the RIM Dance Medicine
Program, our goal isn't just to treat the injury. It is
also to educate the dancer about how the injury
occurred and how to prevent it from happening again,"
said Mary Donahue, RIM physical therapist.
In addition to providing dance injury evaluation and
treatment, RIM's Dance Medicine Program also
provides dance specific training and conditioning
and educational lectures for dance teachers on
injury prevention and basic care.
For more information about RIM's
Dance Medicine Program and a
list of locations, please visit:
www.RIMrehab.org/dance.
When the Show Must Go on, DMC Dance
Medicine Program Is There to Help
DMC Neighbors

State of
Michigan App
Helps Families
Plan for Severe
Weather
and Other
Emergencies
Do you have a plan in
case of a severe weather
emergency? In the wake
of the recent flooding
in Michigan and strong storms seen elsewhere, the
State of Michigan has developed a free app named
Michigan Prepares. Families can use it to easily
import emergency contacts from their phone into
their emergency plan, designate meeting places,
create an emergency kit for the home and have
quick access to fact sheets and links to more
information about common hazards in Michigan.
Once complete, a printable version of the plan is
emailed so that the entire family can be prepared,
even when smart phones aren't available. "With
the colder weather approaching, now is the perfect
time to use some of these resources to create a
basic emergency plan and share it with family
members prior to needing one," commented Nick
Lyon, Director of the Michigan Department of
Community Health (MDCH). "Preparing to stay
healthy and safe during an emergency begins with
individuals and families." Lyon notes that it can take
up to 72 hours after a disaster before help arrives.
For a link to download the Michigan
Prepares emergency plan app for
iPhone or Android users, just visit:
www.michigan.gov/mipreparesapp
Exoskeletons are wearable
bionic suits that allow
wheelchair users to stand
and walk. The suit is worn
over the user's clothing.
Motors and sensors in the
robotic legs drive the legs
forward in a walking pattern.
DMC Rehabilitation
Institute of Michigan has two
types of exoskeletons. The
first is Ekso, which is used
by physical therapists for
rehabilitating patients who
have experienced a spinal
cord injury, stroke or brain
injury. The second type of
exoskeleton is the ReWalk.
ReWalk is the first FDA-
approved exoskeleton approved for patients with spinal
cord injuries to use in their homes and daily lives. ReWalk
does require 30 training sessions at RIM before the user
can purchase the device.
Robotic Suit Helps
Wheelchair Users
Stand andWalk
To learn more about exoskeletons,
please call RIM at 313.745.9932
To view a short video
about the Ekso Robotic
Exoskeleton, just scan
the QR Code at left
with your SmartPhone
QR Code Reader.

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Cassandra Gray has spent an entire career working in
healthcare, so on an early September morning when
she woke and started talking funny to her husband, she
knew immediately she was having a stroke.
Detroit EMS got to her house in five minutes and took
her to DMC Detroit Receiving Hospital, metro Detroit's
first certified primary stroke center.
The stroke affected her right, dominant side. Walking,
hand movements and talking were next to impossible.
She knew her next step had to be therapy at
Rehabilitation Institute of Michigan (RIM).
"Everything on my right side was dangling–my hand, my
leg. I was devastated and frightened. Thanks to the
support of my husband, who slept at the hospital with
me every night, I refused to let the stroke define me."
When she got to RIM, she was immediately placed in
occupational, physical and speech therapy where she had
to retrain her right side.
A stroke can be devastating, robbing people of their
mobility, speech, independence and freedom to live
their life. But recovery from stroke is possible.
Research shows that early and specialized rehabilitation
can help maximize a person's physical and cognitive
recovery and enhance their quality of life. RIM's
Neuroscience Unit for Stroke and Brain Injury Recovery
is equipped with the most advanced neurorecovery
technology available and is staffed by experts in stroke
rehabilitation.
"They were the tops," Cassandra said. "I wasn't just a
number on an ID bracelet. My team of therapists
cared about me like a family member. I received the
best therapy and exercises for my situation. It was
amazing how quickly I turned around."
Less than a month later, Cassandra walked out of RIM
with the use of her arm and leg and was able to talk
again. "I tell people I interact with how much is
possible when you partner with great medical teams
like those at the DMC."
For more information on RIM's inpatient and
outpatient stroke rehab, please visit us at:
www.RIMrehab.org/stroke-rehabilitation.
Woman Doesn't Let Stroke Define Her,but Refine Her

Jazz Singer Refuses to be
Silenced by Brain Injury
Shahida Nurullah is an accomplished jazz singer and
music teacher. However, a serious brain injury threatened
to silence this songbird. While crossing Van Dyke and
Kercheval to catch the bus, she was hit by a car. She
woke up two and a half weeks later in the hospital with
a broken arm, leg, knee, shoulder; and a brain injury that
affected her speech and memory.
"It was all mind-boggling," Shahida recalled. "I couldn't
remember anything about that day. When I regained
my memory, I grabbed my throat…all that mattered to
me was the condition of my voice."
Shahida spent two months on the brain injury unit at
the DMC Rehabilitation Institute of Michigan (RIM).
Physical and occupational therapists taught her to walk
again and regain her independence, while RIM's speech
therapists helped her to talk again.
RIM treats more brain injury patients than any other rehab
hospital in the state. Patients have access to some of the
most promising and advanced therapies for brain recovery
anywhere. "The Rehabilitation Institute of Michigan is
an extraordinary facility. I couldn't imagine my recovery
without it. I'm indebted to all the wonderful people there."
Shahida says the first time she got back on stage, it was
thrilling but challenging. Her physical limitations and
brain injury affected her stamina and memory. But with
the support of her fellow musicians, she did well.
Today, she performs regularly and also teaches music.
She sits through some portions of her sets and has to
pace herself. But she has adjusted to the differences and
credits RIM with helping her manage. "The Rehabilitation
Institute of Michigan gave me a voice, literally," she said.
"I can't imagine my life without it. I sing the praises
of the Rehabilitation Institute of Michigan. Go rehab!"
For more information on RIM's inpatient and
outpatient brain injury services, please visit us
at: www.RIMrehab.org/brain-injury-therapy.
DMC Neighbors

DMC Neighbors
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Rehabilitation Ignites Inner
Strength in Burn Survivor
Working for the Public Lighting Department of Detroit,
Mark Roseman says he’s blessed to be alive after a
horrible accident.
“I was underground when a 24-kilovolt cable exploded.
It knocked me to the ground and a flash fire engulfed
me. The only thing I had on to protect me, were my
electrical gloves. Fortunately, my partner heard what
happened and dropped a ladder down so I could
climb out,” said Mark.
When he got to the top, he had second and third
degree burns over more than half his upper body and
face. He was taken to DMC Detroit Receiving Hospital
where he was put into a medically-induced coma for
three weeks. During that time, Mark had multiple
skin grafts from his legs to transplant healthy skin on
his burned chest and arms.
“When I woke up, I was in a lot of pain. I couldn’t open
my mouth wide enough to talk well, I couldn’t lift my
arms and I couldn’t walk.
Three weeks later, Mark was transferred to the DMC
Rehabilitation Institute of Michigan's (RIM) burn rehab
program, where therapists helped him increase his range
of motion, stand, walk and speak clearly.
RIM's burn rehab staff includes therapists trained in scar
management and other techniques specific to burn healing.
“My therapists knew exactly how to handle someone
with burns. They pushed me but were also aware of my
limitations. I was surprised at how quickly I progressed.”
Mark went home three weeks later walking with a
walker, able to shoot a basketball and talking better. He
continued with his speech therapy for several more
months, and began working on an engineering degree
which he will soon finish at the University of Michigan-
Dearborn all while taking care of his two kids.
To learn more about burn rehabilitation services
available at DMC Rehabilitation Institute of
Michigan, visit www.RIMrehab.org/burn-rehab

Wheelchair to 5K:
Rehab Helps RIM Patient
Race to Recovery
Frank Amprim was enjoying a great day outdoors, riding
ATVs with his son while vacationing in Utah, when
tragedy struck. Frank's vehicle flipped. He fell off and
the ATV landed on top of him. Frank was unconscious
when his son made the tough decision to leave his dad's
side and go for help. "They airlifted me to the LasVegas
Medical Center two hours away. My back was broken.
They put in a titanium cage, screws and bolts. Doctors
said that I would never run or kick box again and would
always have difficulty walking."
Two weeks after his accident, Frank was flown to Detroit
to begin inpatient rehabilitation at DMC Rehabilitation
Institute of Michigan (RIM). "They got me up and walking
and by the time I left, I was using a walker," he said.
Frank started outpatient rehab at a center closer to his
home, but progress was slow. He remembered seeing
RIM's Center for Spinal Cord Injury Recovery, and said
to himself, "This is the place I need to be."
RIM's Center for Spinal Cord Injury Recovery (CSCIR) is
an advanced clinical facility, offering an intensive, activity-
based physical therapy program focused on maximizing
recovery in persons with spinal cord injury. RIM's
experienced staff treats clients from around the world,
using a full array of specialized equipment and techniques
in a program tailored to each person's needs and goals.
"From that first day, they just pushed and pushed me,"
Frank admitted. "Therapy was intense, but I got better.
One day my therapist said we were done with my
walker and I've never used one since."
Frank says he never would have improved to the extent
he has without RIM. "My therapists were always right
by my side. If I was running up and down stairs, or
lifting weights, they were, too. A year after the accident,
I signed up for a 5K and guess what? My therapist ran
with me. I don't know where else you could get that
kind of support. They're amazing."
For more information about the DMC
Rehabilitation Institute of Michigan's
Center for Spinal Cord Injury Recovery,
visit: www.centerforscirecovery.org
Frank Amprim, center, ran the Detroit Free Press Marathon with his son, Frankie, right; his RIM trainer, J'nise Ramsey, MS,ATC, left, ran it with him.

16
It may just be the best kept secret in the world of
rehabilitation: Pelvic floor physical therapy or
PFPT. For women with mild to moderate
urinary incontinence or the early stages
of pelvic organ prolapse, PFPT can be a
highly effective treatment. Instead of relying
on invasive surgical treatments, physicians at the
DMC’s Hutzel Women's Hospital often order this highly
specialized physical therapy for patients struggling with
urinary incontinence or pelvic organ prolapse.
"Surgery is seldom our first
choice to address pelvic health
issues. Physical therapy can be
a very effective way to treat
incontinence,” said Radwan
Asaad, M.D., an obstetrics and
gynecology specialist at Hutzel
Women’s Hospital. "In fact, in
many cases, physical therapy is
just as effective as surgery.”
PFPT is generally less effective in the advanced stages of
pelvic organ prolapse, but can help strengthen the pelvic
floor and prevent progression of early stage prolapse.
Many women are familiar with Kegel exercises. Pelvic
floor rehabilitation may include the practice of Kegel
exercises, but also includes other exercises and electronic
biofeedback monitoring to help women retrain and
strengthen their pelvic floor muscles. Other evaluations
and treatments may include:
g
Flexibility and strength assessments
g
Manual muscle testing (internal or external)
g
Postural exercises
g
Relaxation and breathing techniques
g
Development of a home exercise program
These specialized physical therapies and exercises help
women strengthen muscles that surround and support
the urethra, bladder, vagina and rectum, which helps treat
urinary incontinence and pelvic organ prolapse. “Even in
this day and age, women don’t like to talk about their
incontinence and pelvic floor disorders,” Dr. Asaad said.
“But these issues are common, especially in older women.
It’s important to know they are preventable and treatable.”
According to the National Association for Continence,
urinary incontinence affects an estimated 18.3 million
women in the United States. Pelvic organ prolapse affects
an estimated 3.3 million women in the United States, with
approximately half of all women over age 50 complaining
of symptoms associated with prolapse.
The subspecialty of Women’s Health physical therapy,
which includes pelvic floor therapy, is recognized by the
American Board of PhysicalTherapy Specialties (ABPTS).
At the DMC, pelvic floor rehab starts with a private, initial
consultation with a specially trained physical therapist.
When most people think of physical therapy, they envision
a gym-like setting with very little privacy. For pelvic floor
physical therapy, sessions occur in a private room…more
like a doctor's office than a physical therapy center.
Dr. Asaad notes that “It’s important to be open and
honest with your physician. If you address these problems
early, we can treat them with physical therapy and other
non-surgical therapies. If you wait too long, surgery may
be the only option.”
For more information, please visit:
www.RIMrehab.org/incontinence or
call 888.DMC.2500.
PhysicalTherapy for Urinary Incontinence and
Pelvic Floor Disorders
Radwan Asaad, MD

RIM Therapists Help
Patient Move Onward
and Upward
Easter is that time of year when spring and hope and
sunny weather seem just around the corner. Vanessa
Nabors was on her way to an Easter dinner when another
car ran a "Yield" sign and crashed into her. "HeT-boned
me," Vanessa said, visibly unnerved by remembering it,
even this many months afterwards.
Her pelvis was broken and she was bleeding fast.
The Paramedics raced her to DMC Detroit Receiving
Hospital, the oldest and largest Level 1 Trauma Center
in the U.S. and the best place for injuries this severe.
"I had three surgeries in one week," she said, as if she's
surprised herself at the news. "I had fevers and felt
terrible. I didn't know what to do. I thought I was
always going to be like this."
Her doctor,Paul Dougherty,an orthopaedic traumatologist,
commented, "It's hard to face your whole world turning
upside down in a moment, but she was brave. She didn't
know it at the time, but she showed incredible courage
in the face of what had happened to her."
Vanessa's nurse, Sheree Allen, encouraged her to consider
going to the DMC Rehabilitation Institute of Michigan
(RIM). Sheree told her how they helped people in her
condition get back on their feet faster and with more
mobility in the long run. "I didn't want to move,"
remembers Vanessa, "but she kept encouraging me, so
finally I tried to go along with it."
The first day, it took her occupational therapist (OT) and
physical therapist (PT), Gabrielle Stauss, an hour to get
her out of bed. She stayed at RIM for ten days. Every
day that she stayed, she moved a little bit more…and
more. She got stronger, too, thanks to the inpatient rehab
program she embarked on.
Now it's a very different story. She can use a walker,
drive and use a "leg puller" to get in and out of bed.
"I'm living comfortably on my own," she said. "I don't
wish this experience on anyone, but if you ever find
yourself in bad shape through no fault of your own,
come to DMC Detroit Receiving and the Rehab
Institute. They helped me put my life back together."
For more information on RIM's
inpatient and outpatient services,
visit us at: www.RIMrehab.org.
DMC Neighbors

18
Stroke Rehabilitation–
Early Intervention Leads
to Better Outcomes
Stroke is the leading cause of disability among American
adults, but many stroke disabilities can be prevented or
minimized with early intervention by a specialist.
“It’s clear that rehabilitation
needs to begin as soon as
possible after a stroke,” said
Kumar Rajamani, MD, a board
certified stroke neurologist at
Harper University Hospital’s
Comprehensive Stroke
Program. “We work very
closely with rehabilitation
doctors as soon as the patient
comes in the hospital.”
The Comprehensive Stroke Program at Harper University
Hospital, in partnership with Wayne State University, is
one of the nation’s top stroke treatment and research
programs. It earned the Gold Seal of Approval™ from
The Joint Commission for Primary Stroke Centers. This
prestigious certification is granted to stroke care programs
that follow strict national standards and guidelines
proven to significantly improve outcomes for patients.
“To receive accreditation by the Joint Commission, we
need to get stroke rehabilitation specialists involved in
patient care very early on – usually within the first day or
two after a stroke,” Dr. Rajamani said. “Early intervention
makes a very big difference in the outcomes we see.”
The DMC’s stroke rehabilitation specialists are medical
doctors specializing in physical medicine and rehabilitation
with sub-specialization in stroke rehabilitation. Depending
on patient needs, a stroke rehabilitation team may include:
g
Physical therapists,
g
Occupational therapists, and
g
Speech-language therapists.
Kumar Rajamani, MD
Know the Signs of a Stroke
Want to avoid the need for stroke rehabilitation?
Learn the signs and symptoms of a stroke so you
can get prompt medical attention. For each minute
a stroke goes untreated and blood flow to the brain
continues to be blocked, a person loses about 1.9
million neurons. This could mean that a person’s
speech, movement, memory, and so much more
can be affected.
Learn as many stroke symptoms as possible so you
can recognize stroke FAST and save a life!
Stroke symptoms include:
g
SUDDEN numbness or weakness of face,
arm or leg, especially on one side of the body
g
SUDDEN confusion, trouble speaking, or
understanding
g
SUDDEN trouble seeing in one or both eyes
g
SUDDEN trouble walking, dizziness, loss of
balance or coordination
g
SUDDEN severe headache with no known
cause
Call 9-1-1 immediately if you observe any of these
symptoms. If possible, note the time of the first
symptom. This information is important and can
affect treatment decisions.
Source:American Stroke Association

Free DMC Emergency Guide
The DMC Emergency Guide tells you what to do and, even more importantly,
what NOT to do in an emergency that involves calling 9-1-1 or rushing someone
to the ER. It is updated with the new guidelines of the American Heart Association
and American Stroke Association for cardiac arrest (DMC specialist in chief for
Emergency Medicine, Brian O'Neil, MD, was part of the national team that
rewrote the guidelines). Call 888.DMC.2500 (888.362.2500) to have one mailed
to you. The DMC Emergency Guide is available in English, Spanish and Arabic.
The Guide is also available as an app, "DMC ER Now."
For a full list of apps the DMC oﬀers, go to:www.dmc.org.
<4A64=2H
Open in case of
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According to the American Stroke Association, general
recovery guidelines show:
g 10% of stroke survivors recover almost completely
g 25% recover with minor impairments
g 40% experience moderate to severe impairments
requiring special care, and
g 10% require care in a nursing home or other
long-term care facility.
“Because we get rehabilitation involved in care at the very
beginning, they are able to accurately predict what type of
ongoing therapy patients will need after being discharged
from the hospital,” Dr. Rajamani said. Depending on the
severity of a stroke, rehabilitation options can include:
g An inpatient stay at the DMC’s Rehabilitation
Institute of Michigan
g
A stay in a long-term care facility that provides
therapy and skilled nursing care
g Outpatient rehabilitation, or
g In-home therapy
The long-term goal of stroke rehabilitation is to improve
function so that the stroke survivor can become as
independent as possible. This must be accomplished in
a way that preserves dignity and motivates the survivor
to relearn basic skills that the stroke may have impaired
– skills like bathing, eating, dressing and walking.
“Every patient is different and every stroke is unique,”
Dr. Rajamani said.“An early start to rehabilitation is
always appropriate.”
For more information, please visit:
www.RIMrehab.org/stroke-rehabilitation
or call 888.DMC.2500.
DMC Neighbors

Sinai-Grace Celebrates
Completed Renovations
20
After three years and a $77 million investment in better healthcare for
Northwest Detroit, Sinai-Grace showed off its new front entrance, lobby,
admitting, intensive care units, and radiology center at a free Community
Health Party on June 20. After the official ribbon-cutting ceremony with
Detroit Mayor Mike Duggan, more than 1,500 community residents were
on hand to enjoy public tours, live entertainment, and broadcasts by
Mix 92.3, plus lots of family fun including trains rides, inflatables, carnival
games, face painting, pony rides and even a petting farm of baby animals.
The new 18,000 square foot lobby provides a welcoming and warm
entry point for visitors to Sinai-Grace and features the commissioned
artwork of local Detroit artists. Patients requiring imaging services will
also find that the new Radiology Center is easily accessible from the
new lobby. The new entrance and convenient free parking is located off
Schaefer Drive just south of West Outer Drive at the new traffic light.

DMC Neighbors
Above:The new entrance to DMC Sinai-Grace
opened to the public June 25.
Left: COO London Quicci and CEO Paula Autry
enjoy the festivities in the new Sinai-Grace lobby.
Below: the MosaicYouth Theatre entertained
VIPs at the Sinai-Grace ribbon-cutting ceremony.

22
DMC Neighbors
Last year on opening day, the RiverWalkers opened with
nearly150 more walkers than the year before, with 500.
On June 2, 2015, more than 900 seniors showed up.
"We love the program," said Patricia McBride. "In 2011,
I couldn't walk a block. I've been coming to RiverWalkers
since then and I'll never stop." Vera Morris comes for
another reason. "I had a stroke eight years ago. I know
that for me, walking is the best exercise." Audrinee Smith,
who recently moved here from San Francisco, commented,
"The socialization is so good. We're all close to the same
age and have similar experiences."
Walkers meet Tuesdays and Thursdays in June, July and
August from 8:30 to 10:30 a.m. at Rivard Plaza, just a few
blocks east of the Renaissance Center. "This year we
expanded parking, with the help of Chene Park," added
Ruth Kremer, Marketing Director for Detroit Receiving.
"We have an additional 500 spaces there and shuttles
running every five minutes from Chene Park to Rivard
Plaza and back. And from the way things are going, we're
going to need every one of those parking spaces."
Lower health care costs with our free
prescription programs
Just bring in your prescription for one of these programs
and we'll cover the cost - no strings attached:
• select antibiotics
• select prenatal vitamins
• metformin immediate release
• atrovastatin calcium (generic substitute for Lipitor®*)
Save time with our other great services
• Health screenings- including cholesterol panel (HDL, LDL,
total and triglycerides), body mass index (BMI), blood
pressure, blood glucose and A1C
• Immunizations- many vaccines available, including flu,
whooping cough, pneumococcal, hepatitis A and B,
meningococcal, HPV, shingles and tetanus
Visit your
Meijer Pharmacy
for more details.
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RiverWalkers Senior
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to Record Numbers

How’s your current Medicaid coverage? If you’re a Wayne County resident –
eligible for Medicaid health coverage—check out all HARBOR Health Plan
has to offer:
Top hospitals, like all DMC hospitals, Oakwood, Botsford &
Garden City hospitals in Wayne County.
Personal Care Counselors to help you navigate the
right healthcare choices.
Focus on prevention and wellness, with beneﬁts through
a large network of doctors, specialists and pharmacies.
To enroll in Harbor Medicaid in Wayne County, go to:
HarborHealthPlan.com or call 1-800-543-0161.
Your new choice for Medicaid in Wayne County.
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Protect Your Back
Back pain can strike at any age, and you
can do simple things to help prevent it,
starting at any age. Here are some basics:
Energy Conservation: Pace Yourself
Change the way you do activities:
g
Alternate sitting or standing when you can
g
Organize your tasks so that you alternate between
hard and easy ones
g
Use assistive devices, if needed
g
Stop and rest often
g
Know your limitations
Proper Nutrition
Eating a balanced diet gives your body the nutrients it
needs for strengthening and healing.
g
Eat more fruits, veggies and whole grains
g
Choose low sodium foods
g
Drink water instead of sugary drinks
g
Eat lean proteins like chicken, fish, eggs and nuts
g
Avoid oversized portions
g
Avoid high fat and fried foods
g
Avoid processed foods because they can increase
inflammation.
For more information about healthy eating and weight
loss, visit www.choosemyplate.gov.
Lifestyle Changes
g
Weight management
g
Smoking cessation
Home Modifications
g
Use lumbar support for prolonged sitting.
g
Position yourself with supports for better rest
and sleep.
g
Use supportive seating.
g
Use a "hinge" or proper squat to bend or
pick items up.
g
Keep items close to your body and maintain
posture to make them easier to handle.
g
Carry items equally on each side.
Activities of Daily Living
g Store frequently used kitchen items or clothes in
cabinets/drawers at waist to shoulder level
g Use non-skid surfaces in tub and shower.
g
Wear supportive footwear.
g
Install safety rails in or by the shower and near
the toilet.
24

How to Talk
toYour Doctor
When you visit your doctor, there are three questions
you should always have answered before you leave:
1. What is my problem?
2. How am I doing?
3. What do I need to do?
Also, before your appointment, do the following:
A. Write down any questions or symptoms you've
been having so you don't forget when you're in
with the doctor.
B. Bring a full list of your prescriptions, including
any over-the-counter supplements or
medications you take.
C. If you're not feeling well, ask someone to go
with you to write down what the doctor says.
DMC Neighbors
Self Help
g Use ice for sharp pain.
g Use heat for tightness/stiffness.
g Self traction for relief.
Exercise for Wellness
Why should I exercise and stretch?
Exercise can decrease stress and increase your
energy level. It also improves strength and flexibility.
Why should I stretch?
Flexibility allows for increased mobility; decreases
joint stress; decreases joint pain; decreases tightness
and the feeling of stiffness.
How do I stretch?
g
Stretching should not be painful, but you should
feel a strong pull.
g
Hold your stretch for 20-30 seconds.
g
Stretching should be repeated 3-5 times on each side.
Exercise Guidelines:
g
Low impact exercise is best.
g
Try for two or three times a week and make it a
regular habit.
g
Pace yourself: take breaks and slow down as
you fatigue.
g
Listen to your body and stop before your limit.
g
Stop exercising if the pain lasts longer than two
ours (you probably did too much).
g
You may experience some muscle pain/ soreness/
stiffness. This is different from joint pain.
g
Ask for help if you need it.
To schedule an appointment with a DMC
Rehabilitation Institute of Michigan physical
therapist at one of our 30 locations, call
888.DMC.2500 or visit www.RIMrehab.org

Friends & Family
A Medical Concierge Service
Do you need help finding a new doctor's office? Do you
want to see the specialist sooner than five or six weeks?
Are you not sure how to get an MRI or other test?
Call 877.362.5222 to talk to a friendly operator at
the DMC Friends & Family program. They’ll sign you
up for medical VIP services, such as:
g Assistance with finding a doctor
g Assistance getting in to see a doctor more
quickly, in many cases
g Help scheduling an MRI, X-ray or other test
within 72 hours
g Discounted valet parking
g Escort you to your appointment, upon request
Call 877.362.5222
Shown left to right: Christine Smith-Johnson; Michelle Morasso, Director of
Friends & Family; and Treva Smith. Ms. Smith-Johnson and Ms. Smith work
in guest relations at Detroit Receiving Hospital.
With the Friends & Family
key fob that comes with
membership, you can valet
park at discounted rates
at every DMC facility.
"The most important part of our service," notes Michelle
Morasso, director of Friends & Family, "is making a
complex part of your healthcare really easy. That includes
finding you a specialist, getting you an appointment with
a convenient office, helping with parking, and much more."
The program has grown in less than nine years to more
than 135,000 members. The surveys indicate a very high
satisfaction rate among users. "We're like air traffic
controllers at the airport," Michelle comments. "We tell
you which planes to board, which runways to use and
where the trip will take you. We help you through the
logistics of getting your appointments and tests handled."
26
DMC Neighbors

The Joint Commission, the leading accreditor of health care
organizations in the U.S., has recognized five
DMC hospitals for its "Top Performer" awards in 2013:
DMC Children's Hospital of Michigan
DMC Detroit Receiving Hospital
DMC Harper /Hutzel Hospital
DMC Huron Valley-Sinai Hospital
DMC Sinai-Grace Hospital
Hospitals with this recognition have met stringent criteria
for evidence-based outcomes across ten services lines with
scores of 95 percent or higher.
Patient Safety
A national organization that recognizes hospitals for patient
safety, excellent outcomes and efficient use of
resources has named four DMC hospitals to its 2014 list:
DMC Harper /Hutzel Hospital
DMC Huron Valley-Sinai Hospital
Additionally, all four hospitals received "straight A's" for safety.
About the Detroit Medical Center (DMC)
The DMC includes nine hospitals and one institute,
plus many nationally recognized medical experts. Each
year, hundreds of DMC doctors are included on the
list of “America’s Best Doctors”. TM
A reputation for
excellence draws patients to world-class programs in
oncology, organ transplant, cardiology, women’s services,
neurosciences, stroke treatment, orthopaedics, pediatrics
and rehabilitation. The DMC is the leading academically
integrated system in metropolitan Detroit and the
largest health care provider in southeast Michigan. The
DMC has more than 2,000 licensed beds and 3,000
affiliated physicians.
About this Magazine
DMC Neighbors magazine is published by the Marketing
Departments of DMC Detroit Receiving Hospital, DMC
Harper University/ Hutzel Women’s Hospitals, DMC
Huron Valley-Sinai Hospital, and DMC Sinai-Grace
Hospital. Information in this magazine is intended to
educate readers about the services available to assist in
the management of their care. It is not intended to be a
substitute for care they receive in their doctors’ offices.
For comments or questions, call Editor Ruth Kremer at
313.745.8260. To opt out of future mailings, please call
the editor or email rkremer@dmc.org.
A leading national news magazine has recognized the DMC
for "Best Hospitals" in 20 specialties, including Neurosciences.

3663 North Woodward Avenue
Detroit, Michigan 48201
Presorted
Standard
U.S. Postage
PAID
Detroit, MI
Permit #3663
Detroit Medical Center (DMC)
DMC Call Center..................................................... 888.DMC.2500 ............. 888.362.2500
DMC Heart Hospital
Information ............................................................................................. www.dmc.org/heart
Cardio Team One®
.................................................. 888.DMC.2500 ............. 888.362.2500
Main Number ................................................................................................... 313.745.3000
Information Desk ............................................................................................. 313.745.3100
DMC Harper/Hutzel Hospital
Harper Main/Information Number ............................................................ 313.745.8812
Hutzel Main Number ..................................................................................... 313.745.7552
Hutzel Information Desk .............................................................................. 313.745.2305
DMC HuronValley-Sinai Hospital
Main Number ................................................................................................... 248.937.3300
Information Desk ........................................................................................... 248.937.3466
DMC Rehabilitation Institute of Michigan
Main Campus Information ............................................................................. 313.745.1203
Main Campus Inpatient Referrals ................................................................ 313.745.1000
Main Campus Outpatient Referrals ............................................................. 313.745.5727
Main Number .................................................................................................. 313.966.3300
Information Desk ............................................................................................. 313.966.4500
DMC Children’s Hospital of Michigan
Main Number ..................................................................................... 313.745.KIDS (5437)
While the physicians quoted in this magazine are members of the medical staff of the Detroit Medical
Center (DMC), some of them are independent contractors who are self-employed. As a result, these
doctors are neither employees nor agents of the DMC and the DMC is not responsible for any actions
which the doctors take in their medical practices.
Like us on Facebook,
follow us on Twitter and look for us on YouTube.
Watch for news, photos and videos on our social media pages.

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DMC Neighbors sum 2015 v12