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healthyconnections

Robotic Surgery's Helping Hands

TAKE THE LIVE WELL CHALLENGEPage 7

Know Your Choiceswith Health Reform

suMMit MEDicAl grouP sErVicEs At our state-of-the-art medical campus, patients of our multispecialty practice have ready access

to compassionate care from 300 highly qualifi ed healthcare providers.

2 healthy connections Fall 2013

Acupuncture Adolescent Medicine Allergy Ambulatory Surgery Anesthesiology Annual Wellness Visit Audiology Aviation Medicine Bariatric Surgery Behavioral Health Center Breast Care Center Cardiology Chiropractic Medicine Colon and Rectal

Surgery Community Health

Lectures Complementary

Medicine Corporate Health Cosmetic Dermatology Coumadin Clinic Dermatology Diabetes Live Well

Program Electrophysiology Emergency Medicine Endocrinology Endoscopic Ultrasound ENT Evening Primary Care

Facial Esthetics Family Medicine Gastroenterology General Surgery Genetic Counseling Geriatric Services Gynecology Hand Therapy Hematology Hospitalists Imaging Immunology Infectious Disease Integrative Medicine Internal Medicine Laboratory Services Laparoscopic Surgery Laser Hair Removal Laser Skin Resurfacing LASIK Male Infertility Massage Medical Research Nephrology Neurology Neurosurgery Neurotology Nutrition Obstetrics Occupational Health

Oncology Ophthalmology Orthopedics Otology Pediatrics Pharmacy Physiatry Physical Therapy Plastic Surgery Podiatry Preventive Medicine

Program Proctology Pulmonology Rheumatology Sleep Disorders Center Speech Therapy Spine Surgery Center Sports Medicine Surgical Oncology Therapeutic Massage Thoracic Surgery Travel Medicine Ultherapy Urgent Care Center Urodynamics Urology Vascular Screenings Vascular Surgery Vein Care Center Weight Management

Take a look at what we have to offer—you may be surprised! Visit our website, www.summitmedicalgroup.com, for information on more than 70 services and

specialties we offer, plus related links.

Tell us Your Story and Win a Target Gift Card!Tell us how Summit Medical Group is

helping you live well and stay well, and

you will be eligible to win a $200 Target

gift card. Email mbennett@smgnj.com or

write to:

Summit Medical Group

Your Letters c/o Marketing Dept.

1 Diamond Hill Road

Berkeley Heights, NJ 07922

You must be at least 18 years old to enter.

Summit Medical Group employees and

their immediate families are not eligible for

the drawing. ALL submissions may be

reproduced in part or whole for any SMG

patient comment project. “Tell Us Your

Story” is not part of the Summit Medical

Group Live Well Challenge.

Jeffrey LeBenger, MDChairman of the Board and CEOSummit Medical Group

a Message from the Chairman

Fall brings cooler weather and crisper air.

But if you have lung problems, it may be

hard to enjoy the season. Check our page

3 story on lung health and a new screen-

ing we offer. The Affordable Care Act

(ACA) is bringing many changes to health

care. We want to keep you informed of

your choices for your care—page 4 has

details. Paging Dr. Robot? Get an over-

view of robotic surgery and learn about a

lecture on these techniques offered by our

board-certifi ed surgeons, all on page 7.

What’s your health challenge? Is it

getting to or maintaining a healthy weight?

Do you have multiple conditions to man-

age? Does your family need help adopt-

ing a healthier lifestyle? If so, we have a

challenge for you! Page 7 has details on

our fi rst-ever Live Well Challenge and how

to get involved!

Finally, we hope you’ll join us for our

Annual Live Well Sports and Health Festi-

val, Sunday, October 6, noon to 4 p.m. Our

back page ad describes all the fun—bring

the whole family!

Yours in good health,

Keep up with breaking health news, new physicians, new services, events, videos, and

more from Summit Medical Group.

Get Social with Summit Medical Group!

facebook.com/summitmedicalnj

gplus.to/summitmedicalgroup

pinterest.com/summitmedicalnj

twitter.com/summitmedicalnj

slideshare.net/smgnj

youtube.com/smgnj

C A n C e R

If you are a current or former smoker concerned about lung cancer, a new

test being offered at Summit Medical Group may help put your mind at ease. Low-dose computed tomography (CT) scanning can detect early-stage lung cancer, pinpointing nodules as small as 4 millimeters in diameter, when the cancer is in its most treatable stages.

A SILent KILLerLung cancer is the leading cause of cancer deaths among men and women, resulting in more deaths every year than colon, breast, and prostate cancers combined, according to the American Cancer Society.

The main reason is that there hasn’t been an effective way to screen for lung cancer, explains Jessie Wilt, MD, a pulmonary and critical care specialist at Summit Medical Group. “A small nodule in the lung does not cause any symptoms,” she says. “By the time patients start showing signs like shortness of breath or chest pain, the cancer has usually spread.”

Are You A cAndIdAte?Dr. Wilt emphasizes that CT scans are not appropriate for everyone. A 2011 report from the National Lung Screening

Trial showed that the scans are useful only for individuals who:• Are 55 to 74 years old• Are current smokers or former smok-

ers who quit within the last 15 years• Have a history of at least 30 pack

years (the number of cigarettes smoked per day multiplied by the number of years the person smoked)

• Have no history of lung cancer

Dr. Wilt also notes that patients must have three consecutive negative annual CT scans (no abnormal fi ndings) to be considered “clear,” or to be 99 percent confi dent that cancer is not present. “However, no test will completely absolve someone of risk,” she says.

The scan itself takes 15 minutes, and the results are read by a radiologist within a day. If an abnormality is found, the next step may be a biopsy to remove the nodule and test it for cancerous cells. “Removing an isolated nodule also eradicates the cancer, if cancer is indeed present,” Dr. Wilt says. “If the cancer is still in its earliest stage, and has not spread to surrounding tissues, patients may not need chemotherapy or radiation. For the fi rst time, we have a tool that allows us to intervene early enough for patients to have a better outcome.”

CT Scans Catch Lung Cancer Early

908-273-4300 | summitmedicalgroup.com 3

Is Screening right for You?

Summit Medical Group is now offering lung cancer screening to promote early detection of lung cancer for those at high risk.

People at high risk include:• Smokers or former smokers ages

55 to 74• Those still smoking or who quit

smoking within the past 15 years• People with a history of 30 or more

“pack years” (the number of ciga-rettes smoked per day multiplied by the number of years smoked)

Low-dose CT scans without contrast are endorsed by the American Lung Association. CT scans are done once a year for three years in a row. The cost is not covered by insurance. Summit Medical Group is charging $199.

Questions? See your SMG primary care physician or pulmonologist. You may also call our Pulmonary Depart-ment at 973-277-8674 or check our online health library to learn more, at www.summitmedicalgroup.com/library/adult_care/ac-calung_dx.

n e w s t o u s e

With so many healthcare changes going into effect over the next few months, things can seem confusing at

times. One thing that has not changed is that patients have the right to choose which facilities or providers deliver their care—that choice is yours.

“While it’s a benefit to patients, it can also lead to some confusion because your health insurance company may tell you that another facility can perform a test you need for less,” explains Kathryn Vendemia, medical imaging manager at Summit Medical Group. “It’s your choice to go where you want, and although cost is important, there are many different factors to consider when choosing a healthcare facility.”

‘Second to none’For instance, Vendemia points out, “all of the imaging equipment at Summit Medical Group is state-of-the-art and the quality of services is second to none.” With appointments available seven days a week, including mornings and eve-nings, you can find a convenient time that works best with your schedule. You may even have the option of scheduling several screenings within the same appointment.

“After a test or screening, the images are available

instantaneously,” Vendemia adds. “Thanks to the electronic medical records, once the images from your test or screening are read by our in-house radiologists, your physicians can immedi-ately pull up the images wherever they are.” The electronic medical records also mean that all your information is stored in one place and all of your Summit Medical Group providers can access them at any time for seamless continuity of care.

Your next MoveTo make an informed decision, call your health insurer directly to find out what you can expect to pay, recommends Peter Saunders, Director of Revenue Cycle Management. “Confirm that Summit Medical Group is in your insurance network, and ask what your out-of-pocket costs will be,” he says. Your insurance company’s website also may have an online cost estimator to help determine what you can expect to owe. Keep in mind that routine screenings, such as a colonos-copy, are 100 percent covered under the Affordable Care Act.

“If the rest of your doctors are here, it just makes sense to get all of your medical services under one roof,” Saunders adds. “You have the choice to go where you are most comfortable and will get the best care.”

sort out billing confusion Our Billing & Insurance video series provides timely information and tips to help you understand a variety of billing and insurance topics related to your health care. Watch the News & Happenings videos on our YouTube page to learn more: www.youtube.com/user/SMGNJ.

4 healthy connections Fall 2013

Know Your Choices with Health Reform

FREE LECTURESAll lectures are held at Summit Medical Group, 1 Diamond Hill Road, Lawrence Pavilion, Conference Center (near Café), Berkeley Heights, NJ 07922, unless otherwise noted. For your convenience, please park in lot 1 or 2 and enter through the Lawrence Pavilion. Reservations required: 908-277-8889 or summitmedicalgroup.com/events.

OCTOBERultherapy: The First-ever FDa-Cleared Noninvasive Skin-lifting procedureWednesday, October 2, 7 p.m.peter Hyans, MD, plastic Surgeon and

Chief, Department of Surgery reza Momeni, MD, plastic SurgeonJoin us to learn more about and watch a demonstration of a noninvasive and effective ultrasound treatment for lifting, tightening, and toning skin on the neck, chin, and brow. Find out how Ultherapy, the novel, safe, and FDa-approved treatment, uses sound waves to gradually strengthen and tone the skin from deep within the skin’s layers. The lecture will also discuss how Botox and facial fi llers can be combined with Ultherapy or used alone to help you turn back the hands of time on your face and neck with no downtime.

Hair loss in WomenThursday, October 17, 7 p.m.emily altman, MD, DermatologistJoin us to learn more about what causes hair loss in women—one of the most common reasons patients see dermatologists. This lecture will discuss the typical reasons for hair loss, such as androgenetic alopecia, alopecia areata, and telogen effl uvium, which may be caused by nutritional defi ciencies, medications, stress, and health conditions. Treatment options will be discussed.

NOVEMBERupdate on anterior Cruciate ligament (aCl) reconstruction Techniques and Injury prevention programsWednesday, November 6, 7 p.m.Mike Shindle, MD, Orthopedic SurgeonBrady Blaszka, physical TherapistMichael Dunne, physical TherapistThis lecture will provide an update for athletes of all ages, coaches, parents, athlet-ic trainers, and physical therapists on current aCl injury prevention programs and discuss current techniques regarding anatomic aCl reconstruction surgery and how to optimize return to sports/activities.

Holiday Cooking and Coping with DiabetesThursday, November 14, 7 p.m.Margaret eckler, rD, Certifi ed Diabetes educatorYou can still enjoy holiday desserts while on a modifi ed diet. This program will offer a presentation by Margaret Eckler, RD,

SERIESConsidering Weight-loss Surgery? Mondays, November 11 and December 9, 7 p.m.Wednesdays, October 30 and December 18, 7 p.m.robert Bell, MD, Bariatric SurgeonDoes being overweight or obese have a negative affect on your life? learn how weight-loss surgery can help you improve your health, feel better, and get your life back! Join us for a review of surgical options, including a discussion about lifestyle changes to keep you on track with a healthy weight after weight-loss surgery.

sAVE & Post

Certifi ed Diabetes Educator, on how to effectively manage your diabetes during the holidays. Recipes, samples and taste-testing will be provided.

DECEMBERCommon Foot and ankle Injuries: You Don’t Have to SufferWednesday, December 4, 7 p.m.Warren Chiodo, Foot and ankle Trauma SurgeonJoin us for a lecture on common foot and ankle injuries, diseases, and conditions, including skin lesions/soft tissue masses, fungal nails, plantar fasciitis, bursitis, hammertoes, bunions, tendon-itis, ankle sprains, and arthritis. In addition to discussing causes, the lecture will focus on treat-ments that can help you get back on your feet.

Margaret eckler, rD, Certifi ed Diabetes

You can still enjoy holiday desserts while on a modifi ed diet. This program will offer a

live Well Sports and Health FestivalSunday, October 6, noon to 4 p.m.1 Diamond Hill road, Berkeley HeightsSave the date for our annual live Well Sports and Health Festival, Sunday, October 6, from noon to 4 p.m. at our 1 Diamond Hill Road campus. This free community health event features world-class athletes and offers outdoor activities and information on living well and staying well for the whole family. For more information, visit summitmedicalgroup.com.

SAVE THE DATE!

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CLASSES & EVENTSClasses and events take place at Summit Medical Group, 1 Diamond Hill Road, Berkeley Heights, NJ 07922

Breast Cancer Support Group for Newly Diagnosed patientsMondays, September 16, October 14, November 4, December 2, 5 to 6 p.m.Berkeley Heights Campus, Breast Care Center Waiting areaCarol Boyer, apN-C, Breast Nurse Specialist; elizabeth Nikol, lCSW, aCT This program is for those who have recently been diagnosed with breast cancer. Patients are able to share concerns and advice about their experience with breast cancer treatments and more.

Breast Cancer Survivorship Group for patients Who are a Year or More postdiagnosisMondays, September 30, October 21, November 18, December 165 to 6 p.m.Berkeley Heights Campus, Breast Care Center Waiting areaCarol Boyer, apN-C, Breast Nurse Specialist; Jamie Schwartz, MSW, lCSW This group is for those who have experienced breast cancer and wish to receive support from others who have similar experiences, and to share information about ways to manage common concerns for breast cancer survivors.

The breast cancer support groups meet from 5 to 6 p.m. at the Berkeley Heights Campus, Breast Care Center Waiting Area. For more information or to register, please call 908-277-8670.

CLASSESBasic YogaWednesdays, 9:30 to 10:30 a.m.

Chair YogaMondays, 11 a.m. to noonDina leyden, pT, teaches both Basic Yoga and Chair Yoga in the exercise room in the lawrence Pavilion, ground fl oor. a 10-class card ($100) is good at either Basic or Chair Yoga class. To register for either class, please call 908-277-8936.

Tai ChiMondays and Thursdays, 10 to 11 a.m. risa Silverstein, MS, lac, teaches Tai Chi in the exercise room in the lawrence Pavilion, ground fl oor. The cost for 10 classes is $80. To register, please call 908-277-8936.

BREAST CANCER PROGRAMS

Special lectures at our live Well Sports

and Health Festival

Sunday, Oct. 6, noon to 4 p.m.

Noon Eric Mirsky, MD: The arthritic Knee in the

Middle-aged athlete

12:30 p.m. David Bullek, MD: The Knee: Common Problems

and Current Treatments

1 p.m. Rajesh Rao, MD: Back Pain in athletes

1:30 p.m. David abrutyn, MD: The Treatment of aCl Tears

2:30 p.m. Rohit Oza, MD: Injection Treatments for low-Back

Pain

2 NEW DOCTORS JOIN SUMMIT MEDICAL GROUP

Stephanie Cummings, MDObstetrician-GynecologistBerkeley Heights and Warren908-273-4300

908-273-4300 | summitmedicalgroup.com 5

Susan Simon, MDInternal MedicineBerkeley Heights and Westfield908-273-4300

ASSOCIATES IN OBGYN AND INFERTILITY HAS JOINED SUMMIT MEDICAL GROUP

ESSEX HEART GROUP JOINS SUMMIT MEDICAL GROUP

Summit Medical Group welcomes the seven outstanding physicians of the Essex Heart Group:

With the addition of Essex Heart Group, we have expanded patients’ access to all aspects of cardiology care. Essex Heart Group has been serving patients in Montclair and the surrounding area for more than 30 years. They will continue to see their patients at 62 South Fullerton Avenue, Montclair. For a convenient appointment, please call 973-746-8585.

Summit Medical Group is pleased to welcome the 10 esteemed physicians from Associates in OBGYN and Infertility. They will continue to practice at their current locations in West Orange and Verona.

In addition to access to Summit Medical Group’s multi-disciplinary team of medical experts, state-of-the-art diagnos-tic technology, imaging and laboratory, these physicians will now be in-network with most insurance providers.

For a convenient appointment with Associates in OBGYN and Infertility at Summit Medical Group, please call:

825 Bloomfield AvenueVerona973-239-5010

375 Mount Pleasant AvenueSuite 202 West Orange973-731-7707

Seated, left to right in front, are Dr. Hamilton, Dr. ladocsi, and Dr. DeGraaff. Standing, left to right, are Dr. luisi-purdue, Dr. Cohen, Dr. russo, Dr. Crane, Dr. Milano, and Dr. Hayes.

o u R D o C t o R s

Kenneth S. Bannerman, MD, FaCC

John a. DiFilippo, MD

Julius a. Gutman, MD, FaCC

Harold J. Kim, MD, FaCC

Kevin McCoach, MD, FaCC

Kenneth p. Miller, MD, FaCC, FSCaI

Francis p. prior, MD, FaCC

M A n A G I n G Y o u R H e A Lt H

6 healthy connections Fall 2013

Morristown Otolaryngology Has Joined Summit Medical Group

Didier L. Peron, MD, Gregory J. Fleming, MD, and Marykate Vaughn,

AuD, CCC/A, have joined Summit Medical Group. The offices of Morristown Otolaryngology at Summit Medical Group will remain at 26 Madison Avenue, Morristown, N.J. Dr. Peron, Dr. Fleming and Ms. Vaughn will continue to see patients at that location.

Recognized as one of New Jersey’s leading otolaryngologists, Dr. Peron has expertise in endoscopic sinus surgery, Coblation® tonsillectomy and adenoidec-tomy, Balloon Sinuplasty™, the Pillar® procedure for snoring, ear surgery, and care of the professional voice. He is board certifi ed in otolaryngology.

Gregory J. Fleming, MD, has more than

25 years of experience providing medical and surgical care for disorders of the ear, nose and throat in children and adults. A well-respected, board certifi ed otolaryn-gologist, he is skilled at endoscopic sinus surgery, Coblation® tonsillectomy and adenoidectomy, Balloon Sinuplasty™ and the Pillar procedure for snoring.

Ms. Vaughn has more than 20 years’ experience in comprehensive diagnostic and hearing aid services for infants, children, and adults. Her expertise includes diagnostic audiologic evalua-tions, hearing aid dispensing, hearing aid counseling, speech mapping, pediatric visual reinforcement audiometry, pediat-ric conditioned-oriented response, and auditory processing.

Didier l. peron, MD

Gregory J. Fleming, MD

Summit Medical Group is pleased to announce that its newly redesigned facility at 95 Madison Avenue, Morristown, is now open.

The 25,000 square-foot space on Floor 2 is now home to physicians in Orthopedics and Sports Medicine, Podiatry, Physiatry, Plastic Surgery, and Pain Management. Physical Therapy has also moved to Floor 2 at 95 Madison to a spacious, well-equipped center. Ancillary services such as a lab and X-ray are also available and more medical services will be added in the future.

You can find updates to physicians and services available at 95 Madison Avenue, Morristown, on our website: summitmedicalgroup.com/locations.

Summit Medical Group95 Madison Avenue, Floor 2Morristown, NJ 07960973-285-7610

Marykate Vaughn, auD, CCC/a

REDESIGNED MORRISTOWN LOCATION REOPENS

Summit Medical Group Chief of Operations Karen Graham, right, welcomes patients for their fi rst visit to the new Morristown space at 95 Madison avenue, Floor 2.

If you ever need surgery, the doctor who is operating on you may be

seated a few feet away instead of stand-ing next to you. With robotic surgery, the surgeon uses a computer to remote-ly guide small instruments attached to a robot, while a tiny camera inside your body allows him or her to see what’s going on.

Once you’re fast asleep under general anesthesia, the surgeon, without the robot, makes small cuts into your body and inserts the robotic instruments, including a thin tube topped with a camera. (Because there are no big incisions, as there are with traditional open surgery, robotic surgery is what’s called “minimally invasive surgery.”)

MAGnIFIed vIeW The surgeon then sits at a nearby computer. Here, a monitor shows a highly magnifi ed, three-dimensional

view of the surgical site. The surgeon views the site through the monitor while using a set of controls to guide the robotic arms.

Robotic surgery comes with pros and cons. It can take longer than traditional surgery, given robot set-up time. And as with any surgery, you could have a bad reaction to the anesthesia, bleeding and infection. On the other hand, the surgeon is more comfortable sitting at a computer. The robot’s instruments can be easier to use than more traditional instruments, and they can reach places that open surgery and other minimally invasive methods can’t.

More exAct MoveMentS Using the robotic arms, the surgeon can make smaller, more exact movements than would otherwise be possible. For every inch that the surgeon’s hand moves, the robot moves only half an inch. And,

because it’s minimally invasive, robotic surgery means a shorter hospital stay, faster recovery, and smaller scars.

MAnY dIFFerent uSeSSurgical robots can be used for a variety of procedures. They remove gallbladders and kidneys, replace hips and do hyster-ectomies, cut out cancer tissue and perform coronary artery bypasses. At this time robotic surgery can’t do more complex operations, however. And certainly it’s true that the skill of the surgeon is a key factor in the outcome of any surgery.

To know if robotic surgery is your best choice, read as much as you can about it, and talk with your surgeon. Ask what his or her experience is with it. Investigate all the methods for performing the surgery you need. Robotic surgery may not be for you, or it could be just what the doctor ordered.

learN MOre aT Our Free leC Ture at tend our f ree community health lecture, “robotic Technology in General Surgical procedures,” on Wednesday, September 18, at 7 p.m. Summit Medical Group Surgeons Farshad abir, MD; William l . Diehl, MD, FaCS; and andrew Gumbs, MD, will explain the advantages of robotic surgery and identify the k inds of surgical procedures for which it can be appropr iate. registrat ion is required. Visit summitmedicalgroup.com/events.

M A n A G I n G Y o u R H e A Lt H

908-273-4300 | summitmedicalgroup.com 7

Be Part of Our Live Well Challenge!Want to improve your health and fitness — and share the adventure with others? Summit Medical Group’s first-ever #LiveWellStayWell Challenge is looking for people like you! During the #LiveWellStayWell Challenge, 10 people will pursue their health and fitness goals over 90 days while Summit Medical Group chroni-cles their experiences. Participants will be provided with a Fitbit Flex personal fitness tracker and access to appropriate health and wellness specialists. The #LiveWellStayWell Challenge kicks off Sunday, October 6, during our Live Well Sports and Health Festival! For your chance to participate, send us 250 words or fewer detailing your health and fitness goals and why they’re important to you. Writers of the 10 best stories will be invited to participate. Submit your stories on Facebook at www.facebook.com/summitmedicalnj or email events@smgnj.com now through September 15.

Robotic Surgery’s Helping Hands

PRSRT STDU.S. Postage

PAIDSummit

Medical Group

summit Medical Group1 Diamond Hill RoadBerkeley Heights, nJ 07922

He alT HY CONNeC T IONS Jeffrey LeBenger, MD, chairman of the board of directors. For more information or suggestions concerning this publication, please call the Marketing Department at 908-277-8834 or email mbennett@smgnj.com. Healthy Connections is published by Summit Medical Group. The information within this publication is intended to educate readers about subjects pertinent to their health and is not meant to be a substitute for consultation with a personal physician. © 2013. Printed in U.S.A.

Postmaster: Please deliver within sept. 9-13

816M

My pregnancies have been anything but routine, but Summit Medical Group was there every step of the way to ensure a happy outcome.

It all began November 22, 2005. Dr. Whalen was my main obstetrician, and my baby was due on January 13, 2006. I went to Summit Medi-cal Group in Warren to see Dr. Gibbons. It was supposed to be a normal, routine exam, but an exam showed I was 4 centimeters dilated. I was told to go right to the hospital!

An Early ArrivalAt the hospital, every effort was made to keep my baby from being born so soon. But she was going to be born that day. Dr. Whalen eased my anx-iety throughout the delivery.

Kassandra Marie came into the world at 5 pounds, 13 ounces, and so beautiful. Thanks to the Summit Medical Group team of skilled physi-cians, my premature baby was born healthy. She is now 7½ and is more than 4 feet tall.

Summit Medical Group came into play again about a year later. I went to the Urgent

Care Center at Summit Medical Group because of pain, red-ness and swelling in one arm.

It turned out to be a deep vein thrombosis, or blood clot, in my arm. To top it off, I found out in the hospital that I was pregnant again. I was admitted for two days to receive heparin intravenously.

Team Effort Pays OffThroughout my pregnancy, I had to inject myself with a blood thinner. Not only were the obstetricians at Summit Medical Group there for me, but the hematologist team at Summit Medical Group was there for me as well.

Bryan Jr. was born on May 23, 2007—two weeks early, but not premature. Thanks again to the obstetric team at SMG. I have a lot of trust and confidence in the physicians at Summit Medical Group.

Thank you all for the won-derful medical care you gave me. I am blessed with two wonderful children, thanks to your expertise!

Sincerely,Maria Ruban

SMG Helped Me Have Healthy ChildrenYour Letters:

 SHare YOur SMG C are experIeNCe WITH OTHerS. See pages 2 and 7 for details!