McLaren Health Care
Award Winning Care

Karmanos Cancer Institute and Wayne State University approved for a $149,324 engagement award for project on COVID-19

A team at Karmanos Cancer Institute and Wayne State University has been approved for a $149,324 funding award through the Eugene Washington Patient-Centered Outcomes Research Institute (PCORI) Engagement Awards program to support a new project: “Supporting Detroit Communities as Leaders and Partners in COVID-19 Research.” The funds will support a COVID-19-related project enhancement to the previously funded and ongoing project, “Best Practices to Engage Black Men in the Development of a Cancer Health Eq...

Lauren M. Hamel, Ph.D. named among the nation’s 40 Under 40 in Cancer Class of 2020

Karmanos Cancer Institute congratulates Lauren M. Hamel, Ph.D., assistant professor and member of the Population Studies and Disparities Research Program at the Karmanos Cancer Institute and Wayne State University School of Medicine (WSU SOM) for being named among the nation’s 40 Under 40 in Cancer Class of 2020. This award initiative identifies and recognizes the contributions being made by rising stars and emerging leaders under the age of 40 in the United States. “I’m honored to be among these elite ...

Susan Eggly, Ph.D. receives Kales Award for research on patient-doctor communication

Susan Eggly, Ph.D., professor and a member of the Population Studies and Disparities Research Program at the Barbara Ann Karmanos Cancer Institute and Wayne State University (WSU) School of Medicine has been selected as winner of the Anthony and Joyce Danielski Kales Endowed Faculty Award for Innovative Cancer Researcher for her research into communication between black cancer patients and their medical oncologists. Dr. Eggly said she is very honored to receive the award, which she said was unexpected. ...

Karmanos physicians named HOUR Detroit’s 2020 Top Docs

Several physicians from the Barbara Ann Karmanos Cancer Institute have been named to HOUR Detroit's 2020 Top Doctors list, which appears in the October 2020 edition of Hour Detroit Magazine. Each year, the publication conducts an online peer-to-peer review survey to determine the top physicians in southeastern Michigan. The publication requires hospitals only to list active "primary" physicians, even though others have privileges. Physicians are nominated and voted on by their peers. The M.D.'s or D.O.'...

Karmanos Cancer Institute receives renewal of National Cancer Institute Core Grant

The Barbara Ann Karmanos Cancer Institute is pleased to announce that its National Cancer Institute (NCI) Core Grant has been renewed. This renewal extends Karmanos’ prestigious NCI designation through 2025. Karmanos is among 51 centers nationwide to receive this designation. NCI-designated cancer centers are characterized by scientific excellence and the capability to integrate a diversity of research approaches to focus on the problem of cancer. They play a vital role in advancing towards the goal of ...

Karmanos receives $630,000 CATCH-UP grant to recruit minority, rural patients to clinical trials

Researchers at the Barbara Ann Karmanos Cancer Institute have secured a one-year, $630,000 grant from the National Cancer Institute (NCI) that will help support the Institute’s clinical trials targeting underserved populations in Detroit and in the rural areas that Karmanos serves. CATCH-UP is short for the NCI P30 Cancer Center Support Grants to Create Access to Targeted Cancer Therapy for Underserved Populations. The grant supplements Karmanos’ P30 grant, a cancer center core grant that supports the e...

Karmanos Specialty Pharmacy receives full, three-year accreditation from the Utilization Review Accreditation Commission

Karmanos Specialty Pharmacy (KSP) is pleased to announce that it has received full accreditation from the Utilization Review Accreditation Commission (URAC). This accreditation is valid for three years. The achievement serves as a key differentiator and independent validation of quality. With this designation, KSP is able to continue with its provision of specialty oral oncolytic agents. Additionally, it allows for the provision of agents in other specialized areas, such as HIV, gastroenterology, neurol...

McLaren Greater Lansing recognized by Healthgrades with Patient Safety Excellence Award

McLaren Port Huron recognized by Healthgrades with Patient Safety Excellence Award

Healthgrades, the leading source that connects consumers, physicians and health systems, awarded McLaren Port Huron with a 2020 Patient Safety Excellence Award. Released annually, Healthgrades’ Patient Safety Excellence Award recognizes hospitals that have the lowest occurrences of 14 preventable patient safety events. Inclusion on the list places McLaren Port Huron among the top 10 percent of acute care hospitals nationwide in patient safety. “At McLaren Port Huron, excellence is about the constant purs...

Susan Eggly, Ph.D., wins two 2020 Telly Awards

Congratulations to Susan Eggly, Ph.D., professor and a member of the Population Studies and Disparities Research Program at Karmanos Cancer Institute and Wayne State University School of Medicine and her research team for being recognized with gold and silver 2020 Telly Awards. These accolades were given for the Partnering Around Cancer Clinical Trials (PACCT) informational video. The gold was won in the category of Non-Broadcast: Employee Communications and the silver for Non-Broadcast: General Recruit...

Kay Carolin recognized as a 2020 Crain’s COVID-19 Hero

Congratulations to Kay Carolin, chief nursing officer at Karmanos Cancer Institute, for being recognized as a 2020 Crain’s COVID-19 Hero! This special section recognizes those who were on the front lines of the coronavirus crisis, whether in hospitals or businesses, who stepped up in unimaginable circumstances to save lives. From Crain’s Detroit Business: When the coronavirus pandemic swept through Michigan, the stakes were especially high at the only cancer-specific hospital in the state. The responsib...

Gerold Bepler, M.D., Ph.D., named 2020 Crain's Health Care Hero

Congratulations to Gerold Bepler, M.D., Ph.D., president and chief executive officer, for being recognized as a 2020 Crain’s Health Care Hero! This award celebrates outstanding people who are dedicated to breaking down barriers in the health care system, improving access to care, and above all, serving patients. Dr. Bepler’s leadership and vision have allowed Karmanos Cancer Institute to expand outstanding cancer care throughout the state of Michigan, giving patients their best chance in the fight again...

McLaren Caro Receives Clinical Laboratory Improvement Amendments (CLIA) certification

Caro, MI – McLaren Caro Region (MCR) is pleased to announce that their Laboratory Department has received their Clinical Laboratory Improvement Amendments (CLIA) certification from the State of Michigan. Inspectors from the Centers for Medicare and Medicaid Services (CMS) came onsite and spent an entire day interviewing the department, reviewing policies and procedures, verifying quality controls, and making sure all employees are up-to-date on education and credentials. The objective of the CLIA progra...

Lauren Lawrence named one of Crain’s Notable Women in Health

Congratulations to Lauren Lawrence, vice president, Karmanos Cancer Network, who was named one of Crain’s Notable Women in Health. Lawrence’s “experience and understanding of complex geo-political considerations makes her an essential executive for Karmanos Cancer Institute,” said Karmanos Cancer Hospital President Justin Klamerus, M.D., MMM. The year’s list includes 41 women who are making a difference for patients, their businesses and in the field. Those who know them praise their vision, acumen and ...

McLaren Northern Michigan Verified as Level II Trauma Center

McLaren Northern Michigan is proud to announce they are a verified Level II Trauma Center by the Verification Review Committee, an ad hoc committee of the American College of Surgeons. This achievement recognizes the commitment of McLaren Northern Michigan to providing optimal care for injured patients. McLaren Northern Michigan has pledged to enhance trauma capabilities in order to provide access to high-quality trauma care to northern Michigan and surrounding areas. This achievement confirms the ongoi...

McLaren Central Michigan Earns Blue Cross Blue Shield Distinction Center for Total Joint Replacement

McLaren Central Michigan (MCM) has earned the Blue Cross Blue Shield Distinction Center designation for hip and knee total joint replacement from the Blue Distinction Centers for Specialty Care program. Blue Distinction Centers for Specialty Care programs establish a nationally consistent approach to evaluating quality and safety. They incorporate measures with meaningful impact by utilizing evolving criteria within the respective specialty area. Provider quality may be evaluated using several domains w...

McLaren Homecare Awarded CHAP Accreditation

Community Health Accreditation Partner, Inc., (CHAP) announced that McLaren Homecare - Davison has been awarded CHAP Accreditation under the CHAP Standards of Excellence for home health providers. The CHAP Accreditation is a symbol of quality that reflects McLaren Homecare’s commitment to providing safe and quality patient care. CHAP Accreditation demonstrates that McLaren Homecare meets the industry's highest nationally recognized standards. The four-day rigorous survey from December 2 to December 6, 2...

McLaren Port Huron recognized as a Nationally-Accredited Breast Center

Port Huron, Mich. – The National Accreditation Program for Breast Centers (NAPBC), a quality program of the American College of Surgeons (ACS), has granted Three-Year Accreditation to McLaren Port Huron.  To achieve voluntary NAPBC accreditation, a breast center demonstrates compliance with the NAPBC standards that look at a center’s leadership, clinical services, research, community outreach, professional education, and quality improvement.  Breast centers seeking NAPBC accreditation undergo a...

McLaren Northern Michigan Receives A Rating from Leapfrog Group

McLaren Northern Michigan was awarded with an ‘A’ safety rating from the Leapfrog Group for the fall 2019 Hospital Safety Grade. The Leapfrog Group, a nonprofit organization, is dedicated to driving quality, safety, and transparency in the nation’s health care system. Using 28 measures of publicly available hospital safety data, The Leapfrog Group assigns grades of A, B, C, D, and F to more than 2,600 hospitals twice a year. The methodology and results of the grading are fully transparent and the result...

Karmanos awarded President's Trophy for second year in a row by McLaren Health Care

For the second year in a row, the Barbara Ann Karmanos Cancer Institute has been named the recipient of the President’s Trophy by the McLaren Health Care system. The award was presented at the McLaren Health Care Annual Meeting. “This award means we have been recognized as the top subsidiary in the entire McLaren Health Care system, as a result of exceeding expectations in clinical quality, patient safety, operations, fiscal responsibility and patient satisfaction,” said Gerold Bepler, M.D., Ph.D., pres...

McLaren Northern Michigan Named Top 50 Heart Hospital for 3rd Year in a Row

For a 3rd year in a row, McLaren Northern Michigan was named one of the nation’s 50 Top Cardiovascular Hospitals by IBM Watson HealthTM. McLaren Northern Michigan was one of only two Michigan hospitals to receive this award and is the only northern Michigan hospital recipient. The Watson Health 50 Top Cardiovascular Hospitals™ study scores hospitals in key clinical and operational performance areas including mortality, complications, and re-admissions. McLaren Northern Michigan excelled in clinical outco...

Barbara Ann Karmanos Cancer Institute receives the 2020 Women’s Choice Award® as one of America’s Best Hospitals for Cancer Care

The Barbara Ann Karmanos Cancer Institute has been named one of America’s Best Hospitals for Cancer Care by the Women’s Choice Award® for 2020. Previously, Karmanos had been ranked as one of America’s Best Hospitals for Cancer Care by the Women’s Choice Award from 2011-2012, as well as 2014-2019. Karmanos is one of 431 award recipients representing the hospitals that have met the highest standards for cancer care in the U.S. by the Women’s Choice Award. The award also signifies that Karmanos is in the t...

McLaren Bay Special Care Awarded Hospital Accreditation From the Joint Commission

McLaren Bay Special Care has once again earned The Joint Commission’s Gold Seal of Approval ® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a health care organization’s commitment to providing safe and quality patient care. McLaren Bay Special Care underwent a rigorous, unannounced onsite review September 30 – October 2, 2019. During the visit, a Joint Commission reviewer evaluated compliance with hosp...

McLaren Central Michigan Receives Joint Commission Gold Seal of Approval for Hospital Accreditation

McLaren Central Michigan (MCM) has earned The Joint Commission’s Gold Seal of Approval ® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a health care organization’s commitment to providing safe and quality patient care. MCM underwent a rigorous, unannounced onsite review in September. During the visit, a team of Joint Commission reviewers evaluated compliance with hospital standards spanning several are...

Dr. Steven Daveluy receives national honor from the American Academy of Dermatology

The American Academy of Dermatology has honored board-certified dermatologists Steven Daveluy, M.D., FAAD, assistant professor of Dermatology at Karmanos Cancer Institute and Wayne State University School of Medicine, and Benjamin Workman, M.D., FAAD, former WSU Dermatology resident, as Patient Care Heroes for their teamwork with oncologists to diagnose a rare condition affecting just one in 1 million patients known as drug-induced hypersensitivity syndrome. Sarah Shark of Bay City, Mich., was prescribe...

McLaren Greater Lansing awarded Hospital Accreditation from The Joint Commission

McLaren Greater Lansing has earned The Joint Commission’s Gold Seal of Approval® for Hospital Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a health care organization’s commitment to providing safe and quality patient care.

McLaren Central Michigan Nationally Recognized for Straight ‘A’s in The Leapfrog Hospital Safety Grade

The Leapfrog Group, an independent national watchdog organization driven by employers and other purchasers of health care, today announced the fall 2019 Leapfrog Hospital Safety Grades and once again awarded McLaren Central Michigan (MCM) an ‘A’ for achieving the highest national standards in patient safety. MCM is the only hospital in the central Michigan region to receive the safety ‘A’ grade for Fall 2019, Spring 2019 and Fall 2018, bringing them to three consecutive ‘A’ scores.  “Our commitment...

Stephan Patrick, Ph.D., named 2019 Kales Award winner

Stephan Patrick, Ph.D., has focused his research on studying how cancer cells respond to chemotherapy to improve treatment options for patients. Dr. Patrick began his Ph.D. program in 1994 where he noted, "I was drawn to platinum-based drugs in trying to understand how they function and determine how cancer cells become resistant to therapy." Dr. Patrick, associate professor in the Department of Oncology and member of the Molecular Therapeutics Program at the Barbara Ann Karmanos Cancer Institute since ...

Karmanos physicians named HOUR Detroit’s 2019 Top Docs

Several physicians from the Barbara Ann Karmanos Cancer Institute have been named to HOUR Detroit's 2019 Top Doctors list, which appears in the October 2019 edition of Hour Detroit Magazine. Each year, the publication conducts an online peer-to-peer review survey to determine the top physicians in southeastern Michigan. The publication requires hospitals only to list active "primary" physicians, even though others have privileges. Physicians are nominated and voted on by their peers. The M.D.'s or D.O.'...

McLaren Macomb designated by the Blue Cross Blue Shield Association (BCBS) as a Blue Distinction Center+ for Knee and Hip Replacement.

McLaren Macomb has been designated by the Blue Cross Blue Shield Association (BCBS) as a Blue Distinction Center+ for Knee and Hip Replacement. Blue Distinction Centers for Specialty Care® is a directory created to identify facilities with proven expertise in delivering specialty care. The Distinction Center Program was developed with input from the medical community and evaluates hospitals’ specialty care and their ability to deliver high-quality outcomes. While Blue Distinction Centers earned their re...

McLaren Greater Lansing has received the American Heart Association/American Stroke Association’s (AHA/ASA) Get With The Guidelines® StrokeSilver Plus achievement award

McLaren Greater Lansing receives Get With The Guidelines-Stroke Silver Plus Quality Achievement Award. McLaren Greater Lansing has received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Silver Plus Quality Achievement Award. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. McLaren Greater Lan...

McLaren Port Huron earns “High Performing” marks from U.S. News & World Report

Chronic Obstructive Pulmonary Disease (COPD) and Heart Failure Awards McLaren Port Huron ranked ‘High Performing’ in its treatment of Chronic Obstructive Pulmonary Disease (COPD) and Heart Failure. Now in its 30th year, inclusion in the distinguished ranking demonstrates a health care provider’s proficiency in the delivery of its care and the resulting patient experience and outcome. Ranking is based on careful analysis of patient outcomes and care-related factors, such as patient safety and nurse staff...

McLaren Macomb earns “High Performing” marks from U.S. News & World Report

Chronic Obstructive Pulmonary Disease (COPD), Heart Failure and Nephrology Awards McLaren Macomb ranked ‘High Performing’ in its treatment of Chronic Obstructive Pulmonary Disease (COPD), Heart Failure and Nephrology. Now in its 30th year, inclusion in the distinguished ranking demonstrates a health care provider’s proficiency in the delivery of its care and the resulting patient experience and outcome. Ranking is based on careful analysis of patient outcomes and care-related factors, such as patient sa...

Northern Michigan Cardiovascular Rehab Program Re-Certified

McLaren Northern Michigan is pleased to announce the re-certification of the cardiovascular rehabilitation program by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). McLaren Northern Michigan was recognized for its commitment to improving quality of life by enhancing standards of care. Cardiovascular rehabilitation programs are designed to help people with cardiovascular conditions, such as heart attacks, heart surgery, and respiratory problems recover faster and live he...

American Heart Association Award Recognizes McLaren Flint for High Quality Stroke Care

McLaren Flint, Genesee County’s first comprehensive stroke center, has received the American Heart Association/American Stroke Association’s Get With The Guidelines® Target: Stroke Honor Roll Elite Plus Gold Plus Quality Achievement Award. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. McLaren Flint earned the award by meeting specific ...

McLaren Greater Lansing receives verification and designation extension as a level III trauma facility

McLaren Greater Lansing receives verification and designation extension as a level III trauma facility from the Michigan Department of Health and Human Services.

McLaren Northern Michigan Overall Oustanding Provider Award

McLaren Northern Michigan is pleased to recognize the following physicians with the Overall Outstanding Provider award. This designation is earned by providers at McLaren primary and specialty practices who achieved optimal scores in quality and patient experience in 2018. Congratulations! Thomas Earl, MD, Cardiology Dalton Miranda, MD, Cardiology Jason Ricci, MD, Cardiology Donald Watson, DO, Internal Medicine

McLaren Port Huron receives 2019 Governor's Award of Excellence

Port Huron, MI – McLaren Port Huron is pleased to announce it has received MPRO’s 2019 Governor’s Award of Excellence for Effective Reporting and Measurement for Outpatient Quality Reporting and Hospital Value-Based Purchasing and Achievement in Increasing identification of Behavioral Health Conditions in an Inpatient Psychiatric Facility.  This year, more than 130 Michigan hospitals, physician practices, nursing homes, inpatient psychiatric facilities, ambulatory surgery centers and home health ag...

McLaren Northern Michigan Receives “Hospital of the Year” Award for Hospitalist Group

On Monday, June 17 the Apogee hospitalists at McLaren Northern Michigan were awarded the Hospital of the Year at the annual summit held in Asheville, North Carolina. The Hospital of the Year award is given to only one hospital each year that demonstrates a trusted and respected relationship between the hospital, hospitalists, and Apogee senior leadership that is rooted in a mutually shared goal for excellent patient care. “We recognize that ‘hospital’ is 70% of the word ‘hospitalist’ and that an engaged ...

McLaren Lapeer Region earns 2019 Governor’s Award of Excellence

LAPEER COUNTY, Mich.— McLaren Lapeer Region, the 222-bed acute care hospital serving all of Lapeer County, has earned a 2019 Governor’s Award of Excellence from MPRO, a nonprofit organization and national leader in healthcare quality improvement and medical review, and the Office of the Governor. Michigan’s preeminent healthcare quality improvement organization, MPRO’s Governor’s Award of Excellence recognizes healthcare facilities for their dedication and success in improving quality and patient safety...

McLaren Greater Lansing Receives Certification of Accreditation for Radiation and Oncology Services

LANSING, Mich.— Karmanos Cancer Institute - Greater Lansing, were surveyed and accredited by the American College of Radiology Committee on Radiation Oncology Practice Accreditation. The Period of the Accreditation is March 27, 2019 through March 31, 2022.

Nurse Residency Program Earns Accreditation With Distinction From American Nurses Credentialing Center

McLaren Northern Michigan is pleased to announce that its Nurse Residency Program has achieved Accreditation with Distinction, the highest recognition awarded by the American Nurses Credentialing Center (ANCC). ANCC Practice Transition Accreditation validates hospital residency or fellowship programs that transition registered nurses (RNs) and advanced practice registered nurses (APRNs) into new practice settings that meet rigorous, evidence-based standards for quality and excellence. Nurses in accredit...

Sleep Centers Receive 5-Year Accreditation

McLaren Northern Michigan Sleep Centers of Gaylord and Cheboygan received another 5-year accreditation by the American Academy of Sleep Medicine. Accreditation assures patients the highest possible standard of care for all sleep disorders. At McLaren Northern Michigan Sleep Centers, all studies are reviewed by a board certified sleep physician and knowledgeable registered sleep technologists. McLaren Northern Michigan Sleep Centers are in Cheboygan, Gaylord, Petoskey, and Newberry. All are accredited by ...

Karmanos Cancer Institute nurse Ashley Kaake honored with Nightingale Award for extraordinary service

Ashley Kaake, RN, BSN, CCRN, critical staff nurse at the Barbara Ann Karmanos Cancer Institute in Detroit, was recently selected by Oakland University to receive the Nightingale Award for Nursing Excellence in the category of Staff Nurse Practice. The Nightingale Award for Nursing Excellence is presented to a nurse who demonstrates excellence in direct patient care delivered in a hospital, clinic or sub-acute care facility. This individual is dedicated to quality, compassionate care of patients and prom...

Karmano Cancer Institute names first DAISY Award winner

Left to right: Brenda Kaufman, BSN, RN, manager, 8 Webber North; Gail Grunkemeyer, BSN, RN, OCN; and Kay Carolin, MSA, RN, chief nursing officer.  Gail Grunkemeyer, BSN, RN, OCN, staff nurse, 8 Webber North, has been named the first ever Karmanos Cancer Institute DAISY Award recipient for her exceptional care. A family member of a patient nominated Gail for the honor. The nominator wrote, “We truly appreciate all the time and effort Gail put in to support our family. While those all seem like routi...

McLaren Central Michigan Receives an "A" in Patient Safety

McLaren Central Michigan (MCM) received an “A” grade, the highest score possible, in the Spring 2019 Hospital Safety Score SM report. MCM is the only hospital in the area to score an “A” for Spring 2019.. The Leapfrog Hospital Safety Grade uses national performance measures from the Centers for Medicare & Medicaid Services (CMS), the Leapfrog Hospital Survey and other supplemental data sources. Safety Grades (formerly known as Hospital Safety Scores) are assigned to over 2,600 general acute-care hos...

McLaren Caro Region Receives 2019 Governor’s Award of Excellence

McLaren Caro Region is pleased to announce it has received MPRO’s 2019 Governor’s Award of Excellence for outstanding achievement in Effective Reporting and Measurement for Critical Access Hospitals. McLaren Caro Region received the award for improving their influenza vaccination rates as well as administering aspirin to patients who present with symptoms of a heart attack. This year, more than 130 Michigan hospitals, physician practices, nursing homes, inpatient psychiatric facilities, ambulatory surge...

Boulder Park Terrace Receives 5-Star CMS Rating

Boulder Park Terrace has received a 5-Star Nursing Home Rating by the Centers for Medicare and Medicaid Services (CMS). CMS rates nursing homes based on quality measures, staffing levels, and health inspection results. Boulder Park Terrace has received the 5-star designation consistently since 2011. Boulder Park Terrace is a 72-bed skilled eldercare nursing home and sub-acute rehabilitation center. The facility, a partnership between McLaren Northern Michigan and Munson Healthcare Charlevoix Hospital, is...

McLaren Flint Blue Cross Blue Shield of Michigan Blue Distinction Center+ for Knee and Hip Replacement

McLaren Flint's knee and hip replacement program continues to deliver high-quality care to patients. The Medical Center has been designated as a Blue Cross Blue Shield of Michigan Blue Distinction Center+ for Knee and Hip Replacement. The Blue Distinction Centers for Specialty Care's program is a national designation awarded by Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality specialty care - and includes robust quality measures focused on...

McLaren Northern Michigan Continues to Receive 5-Star Hospital Rating from CMS

The Centers for Medicare and Medicaid Services (CMS) announced February 1, 2019 that McLaren Northern Michigan has been awarded a 5-star rating, the highest rating possible for quality and safety. McLaren Northern Michigan has received a 5-star rating consecutively since the first hospital Star Ratings began in 2016. A total of 3,725 hospitals nationwide were included in the analysis, which ranked hospitals from one to five stars based on distinct measures broken down into 7 categories, including mortal...