Oklahoma DO April 2014 by Oklahoma Osteopathic Association

The Journal of the Oklahoma Osteopathic Association

OKLAHOMA D.O.

May/June 2013 April 2014

Volume 78, No. 10

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OKLAHOMA OSTEOPATHIC ASSOCIATION presents a ONE HUNDRED FOURTEENTH ANNUAL CONVENTION April 24-27, 2014 at the NORMAN EMBASSY SUITES-HOTEL AND CONFERENCE CENTER convention chair MICHAEL K. COOPER, DO, FACOFP professional program chair C. MICHAEL OGLE, DO the following PROFESSIONAL PROGRAM approval requested for 30 1A AOA CREDITS and program requested for 30 AAFP CREDITS from the AMERICAN ACADEMY OF FAMILY PHYSICIANS

GENERAL AUDIENCE ALL AGES AND PROFESSIONS ADMITTED

Oklahoma Osteopathic Association PRODUCTION

WE KNOW OKLAHOMA HEALTHCARE

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The Journal of the Oklahoma Osteopathic Association

OKLAHOMA

May/June 2012 May/June April 20142013

D.O.

Volume 78, No. 10

January 2012

Lynette C. McLain, Editor Marie Kadavy, Associate Editor

OOA Officers: Bret S. Langerman, DO, President (South Central District) Michael K. Cooper, DO, FACOFP, President-Elect (Northeastern District) C. Michael Ogle, DO, Vice President (Northwest District) Layne E. Subera, DO, FACOFP, Past President (Tulsa District) OOA Trustees: Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) Melissa A. Gastorf, DO (Southeastern District) Timothy J. Moser, DO, FACOFP (South Central District) Gabriel M. Pitman, DO (South Central District) Christopher A. Shearer, DO, FACOI (Northwest District) Kayse M. Shrum, DO, FACOP (Tulsa District) Ronald S. Stevens, DO (Eastern District) OOA Central Office Staff: Lynette C. McLain, Executive Director Lany Milner, Director of Operations and Education Matt Harney, MBA, Director of Advocacy and Legislation Marie Kadavy, Director of Communications and Membership Jessica Hansen, Special Projects Coordinator Lisa Creson, Administrative Assistant

The Oklahoma D.O. is published monthly from the Oklahoma Osteopathic Association Central Office: 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335. Marie Kadavy, Graphic Designer and Associate Editor Copy deadline is the 10th of the month preceding publication. Advertising copy deadline is the 15th of the month preceding publication.

Oklahoma D.O. | April 2014

A Tribute to Bret S. Langerman, DO, 2013-2014 President

7 114th OOA Annual Convention Program 8 National Visitors - Welcome to Oklahoma! 9 Helpful Convention Information 11-16 Convention Schedule 17 Welcome Convention Exhibitors 18-19 FORE the LOVE of Osteopathic Medicine Golf & Tennis Tournament Registration 20-22 Convention Entertainment 23 SeekingSitters Registration Form 24 Convention Registration Form 26

OEFOM Update provided by Robin R. Dyer, DO, 2013-2014 OEFOM President

“OSU Medical Authority selects proposal from Mercy Health System to manage the OSU Medical Center” provided by OSU Medical Center

“OSU-COM to Offer International Clinical Rotations in Gulu, Uganda” provided by Sean Kennedy, Communications Manager, Marketing and Communications Services, OSU-Tulsa and OSU Center for Health Sciences

Legislative Report provided by Matt Harney, MBA

OOPAC Contribution Form

“What’s Preventing Oklahoma from Improving Health Indicators?” provided by Denna Wheeler, PhD, Director of Rural Research and Evaluation, OSU Center for Rural Health

What DO’s Need To Know

Bureau News

“The Facts on Juice Fasts” provided by the American Osteopathic Association

April Birthdays

50 Classifieds 51

Calendar of Events

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The OOA Website is located at www.okosteo.org

“It’s Time to Ride Off Into the Sunset!” provided by Bret S. Langerman, DO, 2013-2014 President

Oklahoma D.O.

For more information: 405.528.4848 or 800.522.8379 Fax: 405.528.6102 E-mail: ooa@okosteo.org

BRET S. LANGERMAN, DO President 2013 – 2014 oklahoma osteopathic association IT’S TIME TO RIDE OFF INTO THE SUNSET!

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It is hard to believe that we are coming up on one year since I rode into last year’s banquet on horseback to take the reins as president of this great association. Time certainly does fly by when you are having fun, staying busy and working hard. And though we have had some fun, the OOA central office has been quite busy with a flutter of activity. They have certainly not been letting any dust collect on their saddles. Under the leadership of Lynette McLain and Lany Milner we have hired additional office staff with very unique skills and assets that will help this association continue to grow, be successful, and move the OOA into the future. We have updated the technology at the office by putting in place new computer systems that will make the office more efficient and productive not only for staff but for the membership. This update was long past due and we are already starting to see the rewards of our investment. Membership continues to be a large focus of the association as it is the members that make us strong. We have always enjoyed a large and robust membership and over this last year we have seen those numbers continue to be positive. As of the writing of this message, our current membership totals 1,999 members. I believe this is a testament to the strength of this association and the true benefit that it provides for our members. I continue to believe that it is through a robust membership that we achieve success, and we will continue to work hard for and on their behalf. I thank our director of communications and membership, Marie Kadavy, for her hard work in this endeavor.

Revenue is a necessity for any organization to fulfill its mission and this proves to be no different for the OOA. The majority of revenue for the association is derived through membership, continuing medical education and the state convention. Like all membership associations, we have faced and continue to face challenges with the ever shrinking dollar. We therefore continue to look for new and innovative ideas to foster our revenue stream. We do this in part by continuing to improve member benefits, offering strong medical education programs at our biannual seminars and by implementing multiple specialty track options at our yearly state convention. This coupled with fiscal responsibility has allowed the OOA to continue to be financially strong. I thank Lynette McLain, the Bureau on Finance and the Board of Trustees for their close attention to detail in this regard. Over the last year, with the help of OOA staff Matt Harney, the OOA has been traveling around the state to the various district societies to help engage the districts by putting on local meetings within the district. This has brought members together to discuss their local issues and update them on the happenings around the state and at the OOA. We have also been able to provide them with CME in the form of proper prescribing lectures and credit. We hope that this will help the districts become more active as it is these districts that make up the framework for the OOA. My thanks to Matt for a job well done. In July the OOA sent a delegation to Chicago for the

Oklahoma D.O. | April 2014

annual American Osteopathic Association House of Delegates meetings. We witnessed the end of the AOA presidential term of our own Ray E. Stowers, DO, as he passed the presidential gavel to Norman E. Vinn, DO. We are certainly proud of the work of Dr. Stowers on behalf of Oklahoma and all DOs across the nation and owe him a great deal of thanks and gratitude. During this yearâ&#x20AC;&#x2122;s meetings there were an array of issues discussed, debated and voted on during the House. The delegation engaged and represented the interests of Oklahoma well. And though it was announced that the talks of a merger between Osteopathic Graduate Medical Education programs and the ACGME were not successful, as of the AOA midyear board meeting, we were informed that the AOA Board of Trustees had voted to allow this transition to take place. The details are still being developed and have yet to be completely released. My thanks to the leadership of David F. Hitzeman, DO, who served as chief of the delegation and to all those who traveled with us to make for an otherwise successful year.

As the sun sets on the trail, I will close by offering my appreciation for the honor that you have bestowed upon me of serving as your president this last year. Keep your saddles cinched tight and your feet secure in the stirrups. This is sure to keep you riding high no matter how rocky the path gets. I bid you a fond farewell. DO OK

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Oklahoma D.O. | April 2014

I would like to express my thanks and gratitude to Lynette McLain and the staff of the OOA. They work tirelessly on our behalves every day. They have been a delight to work with through my tenure as president and during my time on the OOA Board of Trustees. To the board with which I have served, I applaud you and admire you for the time you have given to the betterment of the OOA, its members, and the profession of osteopathic medicine. I am proud of the work you do and the product you have produced and will continue to produce long after my departure. Lastly, I would like to extend a special thank you to my wife, DeLaine, and daughters, Callie and Kynlie, for sharing me with the OOA. I could not have done it without their love, support and understanding. Oklahoma D.O.

Over the last year, the OOA has continued to support our Oklahoma State University College of Osteopathic Medicine. In May of this last year, I had the opportunity to address the 2013 graduating class at the commencement ceremony where our medical students walked across the stage and were granted their DO degrees. The hope and excitement in their faces for the future of medicine was refreshing, and I suspect we are in good hands. I participated in the White Coat Ceremony as well where the incoming medical students were donned with new white coats provided for them by the OOA. We continue to work with the students to support them during their tenure at the medical school through the mentor/mentee program where practicing osteopathic physicians are paired with first year medical students to be a shoulder of guidance and encouragement during their training. OSU-COM produces highly educated topnotch graduates, and this is attributable to the staff of our medical school under the leadership of Kayse M. Shrum, DO, president and provost of the OSU Center for Health Sciences and dean of the College of Osteopathic Medicine.

The legislative session started in February and came in with a bang. In the some 15 years that I have been involved politically with the OOA I have never seen such an assault against physicians from the legislature. The most noteworthy being the Prescription Monitoring Program (PMP) bill, the physical therapy bill, and the Medicaid reform bills. The OOA continues to work aggressively on behalf of the members and public to influence this legislation to be positive and not overly burdensome on our physicians all while protecting the public from the advancement of mid-level providers and paraprofessionals who try and advance their scope of practice through legislation and not education. On a positive note, during the last legislative session, the OOA assisted with securing funding for the OSU Medical Center in Tulsa where our medical students and residents receive their training. This will be an ongoing effort and the OOA will continue to work legislatively to help stabilize the longevity of that institution.

A Tribute to Bret S. Langerman, DO, OOA President 2013-2014

Our 2013 â&#x20AC;&#x201C; 2014 president led in his naturally casual style, always encouraging and supportive, while evaluating with a moral compass and sensitivity to all views. His quiet nature paved way for firm and respected actions, always humble in his signature cowboy demeanor.

Oklahoma D.O. PAGE 6

Protecting the osteopathic professionâ&#x20AC;&#x2122;s purity and integrity is possibly the eleventh commandment in his life. President Langerman honors his professional and family legacy with his strong commitment to osteopathic medicine. President Langermanâ&#x20AC;&#x2122;s intellect and humor have been highly embraced by the OOA staff and cohesive Board of Trustees resulting in a productive and memorable year. 2013-2014 Board of Trustees Oklahoma Osteopathic Association

Oklahoma D.O. | April 2014

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OOA Trustees: Bret S. Langerman, DO, President (South Central District) Michael K. Cooper, DO, FACOFP, President-Elect (Northeastern District) C. Michael Ogle, DO, Vice President (Northwest District) Layne E. Subera, DO, FACOFP, Past President (Tulsa District) OOA Trustees: Kenneth E. Calabrese, DO, FACOI (Tulsa District) Dale Derby, DO (Tulsa District) Melissa A. Gastorf, DO (Southeastern District) Timothy J. Moser, DO, FACOFP (South Central District) Gabriel M. Pitman, DO (South Central District) Christopher A. Shearer, DO, FACOI (Northwest District) Kayse M. Shrum, DO, FACOP (Tulsa District) Ronald S. Stevens, DO (Eastern District)

Oklahoma Osteopathic Association 114th Annual Convention Embassy Suites Norman - Hotel and Conference Center

Convention Program 8. . . . . . . . . . . . . . . . . . . National Visitors - Welcome to Oklahoma! 9 . . . . . . . . . . . . . . . . . . Helpful Convention Information 11-16. . . . . . . . . . . . . . . Convention Schedule

OOA Convention Staff: Michael K. Cooper, DO, FACOFP General Convention Chair C. Michael Ogle, DO Convention Program Chair Lynette C. McLain - Convention Manager Lany Milner - On-Site Convention Director

17 . . . . . . . . . . . . . . . . . Welcome Convention Exhibitors 18-19 . . . . . . . . . . . . . . . FORE the LOVE of Osteopathic Medicine Golf & Tennis Tournament Registration 20-22 . . . . . . . . . . . . . . . Convention Entertainment 23. . . . . . . . . . . . . . . . . . SeekingSitters Registration Form 24 . . . . . . . . . . . . . . . . . Convention Registration Form

Marie Kadavy - Registration Manager

Lisa Creson - Registration Assistant Jessica Hansen - Registration Assistant

Oklahoma D.O.

Matt Harney, MBA - Exhibits Manager

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Oklahoma D.O. | April 2014

WELCOME

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national guests

ROBERT S. JUHASZ, DO President-Elect of the American Osteopathic Association

RAY E. STOWERS, DO, FACOFP dist. Past President of the American Osteopathic Association

DUANE G. KOEHLER, DO, FACOFP ACOFP Governor

Robert S. Juhasz, DO, of Concord Township, Ohio, currently serves as the American Osteopathic Association’s president-elect. An AOA board-certiﬁed internist, Dr. Juhasz is the medical director of the Cleveland Clinic’s Willoughby Hills Family Health Center. In September 2013, he will take on a new position as president of South Pointe Hospital, which is a Cleveland Clinic Hospital in Warrensville Heights, Ohio. As a medical educator, Dr. Juhasz serves as associate dean of the Ohio University Heritage College of Osteopathic Medicine (OU-HCOM), Northeast Ohio Extension Campus, which is currently under development on the South Pointe Hospital campus, and is an assistant clinical professor at the Cleveland Clinic’s Lerner College of Medicine at Case Western University in Cleveland. In addition to his service on the AOA Board of Trustees, Dr. Juhasz is a fellow and diplomat of the American College of Osteopathic Internists and has served as chair for the AOA’s Department of Governmental Affairs and as the AOA’s liaison to the United States Preventive Services Task Force at the Agency for Healthcare Research and Quality. Dr. Juhasz has been named a “Top Doc” by Cleveland Magazine for several years, including in 2013. He also appeared in the former Northern Ohio Live – Best Doctors in Cleveland listing. In addition, he was recently awarded the Phillips Medal of Public Service by OU-HCOM, received the Ohio Osteopathic Association’s Trustee Award and was named an Honorary Alumnus of OU-HCOM in 2008. Upon graduating from the Kansas City (Mo.) University of Medicine and Biosciences College of Osteopathic Medicine in 1981, Dr. Juhasz completed his internship and internal medicine residency training at South Pointe Hospital. Dr. Juhasz served as the co-chair of the physician section of the professional division of the cabinet for United Way of Lake County in Ohio; is a Lake County Medical Reserve Corps volunteer; and is a member of the Willoughby Area Chamber of Commerce and the St. Gabriel Parish community in Concord Township. He has been a resident of Concord Township for 27 years.

AOA installed Ray E. Stowers, DO, an AOA board-certiﬁed family physician from Harrogate, Tenn., as its 116th president during its annual business meeting in Chicago during July 2012. Although Dr. Stowers has been helping to groom future generations of DOs as the vice president for health sciences and founding dean of the Lincoln Memorial University- DeBusk College of Osteopathic Medicine (LMU-DCOM) in Harrogate since it was established in 2005, prior to joining LMUDCOM, Dr. Stowers was an associate professor of family medicine and director of the Division of Rural Health at the Oklahoma State University Center for Health Sciences College of Osteopathic Medicine in Tulsa. He then served as the founding director of the Oklahoma Rural Health Policy and Research Center. A longstanding member of the AOA, Dr. Stowers has served on the Board of Trustees since 2000. In addition, he has been involved with several other osteopathic medical organizations. He is a past president of the Oklahoma Osteopathic Association, which also honored him with the A.T. Still Award of Excellence in 2008, and a Board member of the Tennessee Osteopathic Medical Association (TOMA). In 2006, he was named Family Physician of the Year by the American College of Osteopathic Family Physicians. In 2011, TOMA honored Dr. Stowers with the Paul Grayson Smith, Sr., Physician of the Year Award. Advocating for the osteopathic medical profession at the national level, Dr. Stowers advised Congress on health care issues through his appointments to the Medicare Payment Advisory Commission, better known as MedPAC, and the Physician Payment Review Commission. He was also a policy board member of the National Rural Health Association and still serves as a member of the Rural Health Works National Advisory Council.

Duane G. Koehler, DO, FACOFP is an osteopathic family physician living in Miami, Oklahoma. As a member of the ACOFP Board of Governors, Dr. Koehler helps establish national healthcare policy and training standards for the profession of osteopathic family medicine. He also serves as chairman of the Department of Governance & Operations, with liaison responsibilities for the Archival and Historical, Audit Review, Awards, Constitution & Bylaws/Policy & Organization Review, Congress Credentialing and Ethics Committees, as well as the National Student Executive Board. Dr. Koehler earned an associate degree in emergency medical technology from the University of Arkansas for Medical Sciences, completed his Bachelor of Science degree in health science from the University of Tulsa and earned his Doctor of Osteopathic Medicine degree from Oklahoma State University College of Osteopathic Medicine. He also held the State Paramedic Certiﬁcation in Emergency Medical Technology in Arkansas, working as a Registered EMT-Paramedic throughout his medical studies. Dr. Koehler served his internship at Oak Hill Hospital in Joplin, Missouri. A dedicated medical educator, Dr. Koehler is Assistant to the Dean for Rural Education at the Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine (OSUCHS-COM). He also serves as a preceptor in Family Practice, Rural Medicine at OSUCHS-COM. Dr. Koehler has long been active in his professional organizations. He is a past president of the Oklahoma Osteopathic Association, delegate to the American Osteopathic Association House of Delegates and president of the Northeastern District Osteopathic Society. His service to ACOFP includes being elected several times as delegate-at-large to the Congress of Delegates as well serving as a member of Ethics Committee, Constitution & Bylaws Committee, Audit Review Committee, State Regulatory & Legislative Affairs Committee, the Awards Committee and the Archival and Historical Committee. In addition, he served as president of the Oklahoma State Society of ACOFP. He also holds the designation of Fellow of the ACOFP. Oklahoma D.O. | April 2014

CONVENTION REGISTRATION

For your convenience, registration prior to April 17, 2014 is available at a lesser fee than at-the-door registration.

Requests for refunds must be received on or before April 17, 2014; however, a service fee of $45 will be charged and no refunds will be available after April 17, 2014.

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HOTEL RESERVATIONS

For hotel accommodations, please contact Wendy at Embassy Suites Norman - Hotel and Conference Center at 405-253-3547. Standard Suite is $145.00 a night. Check in: 3:00 pm/ Check out: Noon. To avoid cancellation charges, reservations should be cancelled by 3:00 pm Room Amenities include: Two 32” televisions , Two phone lines with voicemail and data ports, Wireless Internet access, Hospitality center with microwave, refrigerator, and coffee maker.

MEALS & SOCIAL EVENTS

Tickets are required at all OOA-sponsored meals and functions. DO Registration and the Meal Package Registration include all meal and social functions and tickets must be presented at each event. Individual meal tickets and Social Packages are also available for purchase in advance or at the OOA Registration Desk. Individual Meal Ticket Prices Adult Lunches Adult Thursday & Friday Evening Tickets Kids Lunches Kids Thursday & Friday Evening Tickets Saturday Banquet

$25 Each $55 Each $15 Each $20 Each $100 Each

EXHIBIT HALL & DRAWINGS

The Exhibit Hall will be located in the Oklahoma Ballrooms A - F. Admission to the Exhibit Hall is reserved for registered attendees and their registered guests. We are expecting 77 professional, scientiﬁc, and technical vendors exhibiting Thursday, April 24 and Friday, April 25. Exhibit hours are Thursday Noon-6:00 pm and Friday 8:00 am-Noon and 2:00 pm-5:00 pm. Four exhibit drawings for physicians and exhibitors will be held during the two days of exhibits: Thursday, Noon-2:00 pm and 4:00 pm-6:00 pm; and Friday, 11:00 am-Noon and 4:00 pm-5:00 pm. On Thursday, a ticketed buffet lunch will be served in the Exhibit Hall for convention attendees.

OOA/OEFOM GOLF & TENNIS TOURNAMENT

The Oklahoma Osteopathic Association and the Oklahoma Educational Foundation for Osteopathic Medicine present FORE the LOVE of Osteopathic Medicine Golf and Tennis Tournament. Proceeds will go towards scholarships and provide ﬁnancial assistance to osteopathic students where state funding is not available. Registration will begin at 7:00 am in the west main clubhouse with a continental breakfast. Golfers will have the opportunity to practice in the practice facility with range balls, prior to the shotgun start. After the conclusion of both tournaments, all players will convene back in the main clubhouse for lunch and the awards ceremony. More information is available on pages 18 and 19.

Dress for the convention is business casual. Wednesday-Friday evening events are casual. Saturday evening is a Great Gatsby Experience! Men are encouraged to wear tails and top hats while ladies can come dressed in their ﬁnest ‘20s attire.

CHILDCARE OOA will be providing complimentary childcare through SeekingSitters. More information is available on page 23. Sign your children up TODAY!

Oklahoma D.O. | April 2014

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If Gatsby glamour is not your style, men are encouraged to wear a suit and women will be comfortable in cocktail to semi-formal attire.

Oklahoma D.O.

DRESSING TIPS

the LEADING MEN OF THE 114TH ANNUAL CONVENTION

MICHAEL K. COOPER, DO, FACOFP

BRET S. LANGERMAN, DO

C. MICHAEL OGLE, DO

OOA President-Elect Convention Chair

OOA President

OOA Vice President Convention Program Chair

Oklahoma D.O. PAGE 10

national guests

DUANE G. KOEHLER, DO, FACOFP ACOFP Governor

ROBERT S. JUHASZ, DO President-Elect of the American Osteopathic Association

RAY E. STOWERS, DO, FACOFP dist. Past President of the American Osteopathic Association

Oklahoma D.O. | April 2014

WEDNESDAY, APRIL 23 9:00 NOON5:00 8:3010:00

OOA/OEFOM Golf & Tennis Tournament Oak Tree Country Club, Edmond, Oklahoma Convention Registration: Norman Embassy Suites Presidential Reception Honoring OOA President Bret S. Langerman, DO, and First Lady DeLaine Langerman 8:009:00

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OPENING SESSION: V. Burns Hargis, President, OSU LUNCH WITH EXHIBITORS OOA ANNUAL BUSINESS MEETING Presiding: Bret S. Langerman, DO

ACOFP UPDATE Presiding: Ryan Schafer, DO, President,

Oncology Track Importance of Integrative Oncology

Oklahoma Society ACOFP Special Guest: Duane G. Koehler, DO, FACOFP, ACOFP Board of Governors

Lorenzo Cohen, PhD (Professor and Director of the Integrative Medicine Program, Houston, TX)

AOA DELEGATES MEETING

Katherine Anderson, ND, FABNO (naturopathic medicine, Tulsa, OK)

Oklahoma D.O. | April 2014

Complementary Individual Medicine

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Emergency Medicine

Internal Medicine

MORNING SESSION: “Interventional Pain Management: The Basics”

“Not Just for Kids Anymore! Intraosseous Vascular Access in the Emergency Department-Use of the Humeral IO in Adult Patients”

“Medical Certiﬁcation of Airmen with Coronary Artery Disease, Valve Replacement and Atrial Fibrillation”

Larry D. McKenzie, DO (certiﬁed pain management, anesthesiology, Tulsa, OK)

Justin W. Fairless, DO, FAAEM (certiﬁed emergency medicine, Tulsa, OK)

Warren S. Silberman, DO, MPH (certiﬁed preventative medicine, internal medicine & aviation/ aerospace medicine, Oklahoma City, OK)

“Perioperative Diabetes Management: The Ups and Downs”

“Emergency Medicine in the Boonies”

“Asthma Update”

Neal W. Siex, DO (certiﬁed anesthesiology, Tulsa, OK)

Arthur G. Wallace Jr., DO, MPH, FACEP (certiﬁed emergency medicine, Jenks, OK)

Thomas W. Allen, DO, MPH, FACP, FCCP (certiﬁed internal medicine, sports medicine & pulmonary medicine, Tulsa, OK)

“Post Pain Control By Use of Regional Blocks and Pain Pumps”

“The Freestanding Emergency Department: Fad or The Wave of the Future!”

“New Cholesterol Updates”

Dale Derby, DO (certiﬁed anesthesiology & family practice, Owasso, Oklahoma)

Chad E. Borin, DO (certiﬁed emergency medicine, Oklahoma City, OK)

Natasha N. Bray, DO (certiﬁed internal medicine, Fort Lauderdale, FL)

LUNCH PROGRAM: “The Obese Anesthesia Patient and Obesity Surgery”

“Hypothermia Treatment Post Cardiac Arrest”

“Calcium Disorder”

Brian T. Harris, DO (certiﬁed anesthesiology, Tahlequah, OK)

Timothy A. Soult, DO (certiﬁed emergency medicine, Oklahoma City, OK)

Henry M. Allen, DO (certiﬁed internal medicine & nephrology, Oklahoma City, OK)

“PreOp Eval - What Anesthesia Wants to Know and Why. What’s It’s Worth to You”

“Alternative Airway Management”

“New Developments in Diabetes”

Daniel P. Kite, DO (certiﬁed emergency medicine, Oklahoma City, OK)

Kenan L. Kirkendall, DO (certiﬁed internal medicine, family medicine & pediatrics, Woodward, OK)

“Basic Perspectives on Disasters”

“Exercise Guidelines and Exercise Prescription”

Ronald S. Stevens, DO (certiﬁed anesthesiology, Muskogee, OK)

“Perioperative Evaluation and Treatment of the Cardiac Patient for Non-cardiac surgery” Jay D. Cunningham, DO (certiﬁed anesthesiology, Oklahoma City, OK)

David E. Hogan, DO (certiﬁed emergency medicine, Oklahoma City, OK)

Stephanie J. Husen, DO (certiﬁed internal medicine, pediatrics & sport medicine, Edmond, OK)

Oklahoma D.O. | April 2014

OBGYN

Oncology

OMT

Neurology/ Psychiatry

Treating the Whole Patient with Trauma Osteopathically

Ronnie B. Martin, DO, FACOFP, dist (certiﬁed family practice, Blacksburg, VA); Amanda D. Martin, DO (orthopedic surgery, Birmingham, AL); and Natasha Martin-Bray, DO (certiﬁed internal medicine, Fort Lauderdale, FL)

“Breast Cancer: Screening, Prevention, Diagnosis“

“Exercise Prescription for Low Back Pain”

“Clinical Neuro Anatomy Review for the Practicing Physician”

Marvin Williams, DO, FACOG (certiﬁed maternal fetal medicine and obstetrics & gynecology, Oklahoma City, OK)

Pamela Crilley, DO (certiﬁed oncology & internal medicine, Philadelphia, PA)

Mark H. Thai, DO (certiﬁed OMM & family practice, Tulsa, OK)

Jay K. Johnson, DO (certiﬁed neurology, Tulsa, Oklahoma)

“Drop-in Prenatal Liability: Tag You’re It”

“Pulmonary Nodules”

“Basic Science for Alleviation of Chronic Musculoskeletal Pain”

“Migraine, Spells, & Medication Overuse”

Joseph R. Johnson, DO (certiﬁed obstetric & gynecological surgery, Tulsa, OK)

Daniel A. Nader, DO, FCCP, FACP (certiﬁed pulmonary medicine and internal medicine, Tulsa, OK)

Robert Irvin, DO (certiﬁed OMM, Fort Worth, TX)

David Lee Gordon, MD, FAAN, FANA, FAHA (certiﬁed neurology & vascular neurology, Oklahoma City, OK)

“Abnormal Uterine Bleeding Associated with Ovulatory Dysfunction”

“Cervical / Ovarian Cancer “

“Basic Science for Alleviation of Chronic Musculoskeletal Pain Lab”

“Women’s Issues in Epilepsy”

Elizabeth K. Harris, DO (certiﬁed obstetrics & gynecology, Tahlequah, OK)

Tashanna K.N. Myers-Gibson, Robert Irvin, DO (certified OMM, MD, FACOG, FAAHPM (certified Fort Worth, TX) obstetrics & gynecology, gynecologic oncology and hospice and palliative medicine, Springfield, MA)

AOA Update & MOL/OCC

Andrea S. Hakimi, DO (certiﬁed neurology & clinical neurophysiology, Oklahoma City, OK)

Robert S. Juhasz, DO (certiﬁed internal medicine, Warrensville Heights, OH)

“Differential Diagnosis of Dementia”

Bryan C. Roehl, DO, FACOOG (certiﬁed obstetrics & gynecology, Ada, OK)

Timothy Holder, MD, FAAFP (oncology & internal medicine, Tulsa, OK)

Kelley J. Joy, DO (certiﬁed OMM & family practice, Tulsa, OK)

Jimmie D. McAdams, Jr., DO (certiﬁed psychiatry, Tulsa, OK)

“Urinary Incontinence”

“Genetics”

“Practical OMT: Demonstrating High-Yield Techniques For a Busy Family Practice”

“Movement Disorders- When to Refer?

Diane Evans, DO, MS, FACOOG, FACOG (certiﬁed obstetrics & gynecology Walnut, MS)

Michael A. Kayser, DO, FACMG, John L. Owens, DO (certiﬁed FAAP (certiﬁed medical genetics OMT & family practice, Pryor, & pediatrics, Tulsa, OK) OK)

Cherian A. Karunapuzha, MD (certiﬁed neurology, Oklahoma City, OK)

“Precision Medicine”

“Clinical Applications of Transcranial Doppler Ultrasound”

Draion M. Burch, DO, FACOOG (certiﬁed obstetrics & gynecology, Pittsburgh, PA)

Maurie Markman, MD (certiﬁed internal medicine, medical oncology, hematology, Philadelphia, PA)

Oklahoma D.O. | April 2014

OMT Workshop

Ryan K. Hakimi, DO (certiﬁed neurology, Oklahoma City, OK)

PAGE 13

“Making OMM Work in a Primary Care Setting”

Oklahoma D.O.

“Comorbidities and Cancer Management”

AFTERNOON SESSION

“What’s New in Prenatal Screening”

“The “L- Word”- Lesbian Health AND “T-Talk”-Transgender Health”

MORNING SESSION

“Amniotic Fluid Abnormalities”

Anesthesiology 8:009:00 9:0010:00

10:0011:00

11:00NOON

Oklahoma D.O. PAGE 14

SATURDAY, APRIL 26

114th Annual

s trackhedule ALTY sc

3:004:00

SPECI

4:005:00

Internal Medicine

MORNING SESSION: “Anesthetic Considerations in Chronic Pain Patients”

“So When the DEA Calls.....”

“Incorporating Mental Health into Internal Primary Care”

Daniel G. Morris, DO (certiﬁed pain management, anesthesiology, Tulsa, OK)

Jerry C. Childs, Jr., DO (certiﬁed emergency medicine, Oklahoma City, OK)

Thomas D. Schneider, DO (certiﬁed internal medicine, Tahlequah, OK)

“Labor Anesthesia”

“Sepsis-Presenting to the ER”

“Caution: DMARD Zone”

Michael J. Major, DO (certiﬁed anesthesiology, Oklahoma City, OK)

Billy R. Bryan, DO, FACEP (certiﬁed emergency medicine, Oklahoma City, OK)

Debbie A. Gladd, DO (certiﬁed internal medicine & rheumatology, Tulsa, OK)

“Postop Cognitive Decline”

“Oklahoma’s Native Dangers”

“Pulmonary Evaluation Revisited”

Ty A. Martindale, DO (certiﬁed anesthesiology, Oklahoma City, OK)

Kristopher K. Hart, DO, FACOEP (certiﬁed emergency medicine, Oklahoma City, OK)

James S. Seebass, DO (certiﬁed pulmonary medicine & internal medicine, Tulsa, OK)

LUNCH PROGRAM:

NOON1:30 1:302:00 2:003:00

Emergency Medicine

“Whut R an AIMS (Anesteashua Infurmashun Manugmunt Sistm) ‘n How Do I Git Me One?”

“Forensic Medicine in the ER: Helping the Police Investigators”

“The Physicians Prescription for Nutrition”

Ronald S. Stevens, DO (certiﬁed anesthesiology, Muskogee, OK)

Larry T. Lovelace, DO, FACEP (certiﬁed emergency medicine, Oklahoma City, OK)

Michele L. Neil, DO (certiﬁed internal medicine & sports medicine, Tulsa, OK)

“Neuro Trauma”

“EHR’s in the ER, The Good, Bad, and Ugly”

“Chronic Kidney Disease”

John B. Hill, DO (certiﬁed anesthesiology Norman, OK)

Gregory H. Gray, DO (certiﬁed emergency medicine, Tulsa, OK)

Beverly J. Mathis, DO (certiﬁed nephrology & internal medicine, Tulsa, OK)

“Emergency Management of Atrial Fibrillation”

“Considerations and Evaluation of the Preoperative Patient”

James B. Williams, DO, FACOEP (certiﬁed emergency medicine, Oklahoma City, OK)

Melinda R. Allen, DO, FACOI (certiﬁed internal medicine, Oklahoma D.O. | April 2014 Grove, OK)

OBGYN

Oncology

OMT

Neurology/ Pediatrics Psychiatry

Treating the Whole Patient with Trauma Osteopathically

“Endometriosis Treatment”

“Skin Cancer”

“Childhood Obesity Identiﬁcation and Treatment”

Constance G. Honeycutt, DO (certiﬁed OMM, addictive diseases & family practice, Glenpool, OK)

Brian K. Lepley, DO (certiﬁed pediatrics, Oklahoma City, OK)

“Prevention of Stroke: Treatment of Acute Ischemic Stroke & Treatment of Hemorrhage/ Aneurysm”

R. Troy Lehman, DO, FACOOG (certiﬁed obstetrics & gynecology, Woodward, OK)

Peter M. Knabel, DO

“Recurrent Pregnancy Loss”

“Prostate Cancer“

“Foot Treatment”

Diane Evans, DO, MS, FACOOG, FACOG (certiﬁed obstetrics & gynecology Walnut, MS)

Douglas Kelly, MD (certiﬁed radiation oncologist, Tulsa, OK)

Michael K. Cooper, DO, FACOFP (certiﬁed OMM & family practice, Tulsa, OK

“The Short Cervix”

“Communicating with the Cancer Patient”

“OMT Practicum - Neck and Upper Thoracic Dysfunctions.”

“Apply Osteopathic Principles to the Structural Exam of a Developing Child”

“Ofﬁce Based Evaluation and Management of Concussion”

Marvin Williams, DO, FACOG (certiﬁed maternal fetal medicine and obstetrics & gynecology, Oklahoma City, OK)

Carol Dillard, PhD, LPC, LMFT

Robin R. Dyer, DO (certiﬁed OMM & family practice, Tulsa, OK)

Lisa E. Hart, DO (certiﬁed pediatrics, Tulsa, OK)

Gabriel M. Pitman, DO (certiﬁed neurology, Oklahoma City, OK)

Charles Morgan, MD

MORNING SESSION

Buns of Steel Buns of Still Similes, Analogies, and Metaphors: Explanation of OMT Techniques for Patient Understanding and Enjoyment Or Deep Gluteal Syndrome / DGS

OSU-COM UPDATE ALUMNI MEETINGS “Method for Alleviation of Chronic Musculoskeletal Pain”

“Child Abuse and Neglect”

“Psych 101: How to Address the Psychiatric Needs of Your Patients in a Family Practice Setting”

Jeffrey M. Hunt, DO (certiﬁed internal medicine, Tulsa, OK)

Robert Irvin, DO (certiﬁed OMM, Fort Worth, TX)

Sarah J. Passmore, DO (certiﬁed pediatrics, Tulsa, OK) and Michael A. Baxter, DO (certiﬁed pediatrics, Tulsa, OK)

W. John Mallgren, DO (certiﬁed psychiatry, Claremore, OK)

“Controversies and Myths in Obstetrics and Gynecology”

Jay M. Williamson, DO (certiﬁed obstetrics & gynecology, Tulsa, OK) Oklahoma D.O. | April 2014

Robert Irvin, DO (certiﬁed OMM, Fort Worth, TX)

“Rural Psychiatry/Telepsychiatry and The Future”

Vincel R. Cordry, Jr., DO (certiﬁed psychiatry, Oklahoma City, OK)

“Making Sense of Clinical Osteopathy: Functional Pathways to Recognition of Disease”

“Pediatric Concussion Evaluation and Treatment”

Barry S. Rodgers, DO (certiﬁed neuromusculoskeletal medicine & OMM, Oklahoma City, OK)

Stephanie J. Husen, DO (certiﬁed pediatrics, internal medicine & sports medicine, Edmond, OK)

“A Review of the Newer Oral Anticoagulants and Reversal Strategies” Ryan K. Hakimi, DO (certiﬁed neurology and neurosonology, Oklahoma City, OK)

PAGE 15

Guy W. Sneed, DO, MBA, FACOOG, C-HCQM (certiﬁed obstetric & gynecological surgery, Tulsa, OK)

“Method for Alleviation of Chronic Musculoskeletal Pain Lab”

Oklahoma D.O.

“An Overview of Quality Initiatives in Women’s Health: The Paradigm Shift from Fee for Service to Value Based Purchasing”

AFTERNOON SESSION

“Colorectal”

SUNDAY, APRIL 27 7:0010:00

10:0011:00

AOA CO*RE Rems Program

Thomas F. Jan, DO, FAOCPMR (certiﬁed physical medicine & rehab, Massapequa, NY) & Daniel G. Williams, DO (certiﬁed neuromusculoskeletal medicine and osteopathic manipulation, Indianapolis, IN)

Opioid Prescribing Guidelines forOklahoma Health Care Providers in the Office-Based Setting Proper Prescribing Course-Sign in Required

Layne E. Subera, DO, FACOFP (certiﬁed family practice, Skiatook, OK)

Medical Protective Program

Gail Harris, Senior Risk Consultant (Clinical Risk Management, Las Vegas, NV)

Oklahoma D.O. PAGE 16

11:00 1:00

Oklahoma D.O. | April 2014

Welcome Convention Exhibitors The 114TH OOA Annual Convention Exhibitor Hall

Exhibit Hall Schedule Oklahoma Ballroom A-F

Thursday - April 24, 2014 Exhibit Hours: Noon - 6:00 pm Noon - 2:00 pm Lunch with Exhibitors & Drawings for Physicians & Exhibitors

4:00 pm - 6:00 pm Visit Exhibits with Drawings

Friday - April 25, 2014 Exhibit Hours: 8:00 am - Noon & 2:00 pm - 5:00 pm 11:00 am - Noon Visit Exhibits with Drawings

Visit Exhibits with Drawings

114TH Convention Exhibitors A+ Computer Solutions Astra Zeneca AXIS Practice Solutions - Management Blue Cross Blue Shield of Oklahoma Cancer Treatment Centers of America Community Health Systems Cook Children’s Health Care System Diagnostic Laboratory of Oklahoma e-MDs Frates Beneﬁt Health Diagnostic Laboratory, Inc. HealthChoice (EGID-HealthChoice) Healthy Habits Medical Consultants Integris Health Physician Recruitment It Works Global J.D. McCarty Center Janssen Pharmaceuticals John Hancock Insurance Liberty Mutual Insurance MC - Imaging MedPro Mercy Physician Recruitment MyHealth Access Network Mylan Specialty LP (Dey Pharma, LP) Novo Nordisk OFMQ Oklahoma Academy of Physician Assistants Oklahoma Beef Council Oklahoma Health Care Authority OOC Locum Tenens & Permanent Placement OSU CHS Library OSU College of Osteopathic Medicine-Alumni Association OSU Medical Center Physician Housecalls Physician Manpower Training Commission (PMTC) PLICO Procure Proton Therapy Center Regional Medical Laboratory

Relax the Back Revert Rich & Cartmill Inc. Sunovion Pharmaceuticals The Apothecary Shoppe United Allergy Services US Army Healthcare Vivus Pharmaceuticals Wells Fargo Wilshire Pennington

PAGE 17

Oklahoma D.O. | April 2014

The Exhibit Hall is located in Oklahoma Ballrooms A-F at the Norman Embassy Suites & Conference Center. Please note the hours listed below, along with the hours for drawings & special events for physicians & exhibitors.

Oklahoma D.O.

4:00 pm - 5:00 pm

APRIL 24-25, 2014

WEDNESDAY, APRIL 23, 2014

FORE

q LOVE

the

of OSTEOPATHIC MEDICINE

OAK TREE COUNTRY CLUB 700 West Country Club Edmond, OK 73025

2014 OOA & OEFOM

GOLF &Wenesday, TennisApril Tournament 26, 2014 Oak Tree Golf and Country Club The Oklahoma Osteopathic Association and the Oklahoma Educational Foundation for Osteopathic Medicine present FORE the LOVE of Osteopathic Medicine Golf and Tennis Tournament. Proceeds will go towards scholarships and provide financial assistance to osteopathic students where state For more information, please see the attached brochure funding is not available. Registration will begin at 7:00 am in the west main clubhouse with a continental breakfast. Golfers will have the opportunity to practice in the practice facility with range balls, prior to the shotgun start. After the conclusion of both tournaments, all players will convene back in the main clubhouse for lunch and the awards ceremony.

GOLF 9:00 am Shotgun start • 4-person scramble-Limited number of participating teams Foursome- $700 Individual-$175 • All who purchase a mulligan package will be entered into the million dollar shootout, which will take place prior to the awards ceremony • 1st/2nd/3rd place teams will receive certificates to the Pro-Shop • Dress Code: Shirts must have collars and sleeves, NO jeans, cargo shorts/pants, cut-off shorts, t-shirts, tank tops, sweat pants, jogging apparel or athletic shorts

Oklahoma D.O. PAGE 18

TENNIS

• Single Player $150/$300 Doubles • Round-RobinTournament Format Players will have two hours of open play in a roundrobin format with partners at appropriate levels. Players/ Doubles will enter into two bracket elimination play, for upper and lower levels, to keep it competitive.

all Participants will receive: • Continental Breakfast & Lunch • Complimentary on-course beverages • Swag bag

FORE the LOVE Sponsor-$5,000

you will receive: • Exclusive logo placed on tournament t-shirt • One (1) Golf Foursome • One (1) Tennis Single • One (1) Hole Sponsorship • One (1) Court Sponsorship • Listed on all marketing material

LUNCH SPONSOR-$3,000

you will receive: • One (1) Golf Foursome • One (1) Tennis Single • One (1) Hole Sponsorship • One (1) Court Sponsorship • Listed on all marketing material • Assists with the awards ceremony

Hole Sponsor-$600

you will receive: • One (1) Single Player • One (1) Hole sign on the golf course • Listed on all marketing material

Court Sponsor-$400

you will receive: • One (1) Single Player • One (1) Court sign on the tennis court • Listed on all marketing material

Oklahoma D.O. | April 2014

REGISTRATION sponsorship level

FORE the LOVE Sponsor LUNCH Sponsor HOLE Sponsor COURT Sponsor

Please indicate how you would like your sign to read: __________________________________________

GOLF PLAYER INFOrmation

TENNIS PLAYER INFOrmation

INDIVIDUAL TWO PLAYERS THREE PLAYERS FOURSOME

INDIVIDUAL TWO PLAYERS

Please list player(s) information 1. ________________________________________ 2. ________________________________________ 3. ________________________________________ 4. ________________________________________

Please list player(s) information 1. ________________________________________ 2. ________________________________________

PAYMENT information

sponsorship level FORE the LOVE Sponsor - $5,000 LUNCH Sponsor - $3,000 HOLE Sponsor - $600 COURT Sponsor - $400

PLAYER INFOrmation

MISCELLANEOUS

please provide 200 items to the OOA central office

Oklahoma D.O. | April 2014

visa discover

credit card information __________________________________________ CREDIT CARD NUMBER _________________________ __________________________ ExPIRATION DATE CID NUMBER

__________________________________________ BILLING ADDRESS _____________________________ ___________________ CITY/STATE ZIP

PAGE 19

MULLIGAN PACKAGE- $40 I WILL PROVIDE SWAG BAG ITEMS

check is enclosed American Express MASTERCARD

Oklahoma D.O.

INDIVIDUAL GOLF - $175 GOLF FOURSOME - $700 INDIVIDUAL TENNIS - $150 DOUBLES - $300 OTHER: _____________________

PAYMENT

CASINO NIGHT

EVENING ACTIVITIES

DOWNTOWN thursday EXCURSION

downtown Excursion

come join us as we celebrate downtown oklahoma city! Oklahoma City has so much to offer our great state. Bring your friends and family and explore at your leisure all that it has to offer.

Oklahoma D.O. PAGE 20

transportation will be provided: bus schedule • 6:15 PM- Buses will load at the Embassy Suites and transfer everyone downtown • 9:00 PM- Buses will load at the Warren Theater and transfer everyone back to the Embassy Suites

ACTIVITIES TO DO DOWNTOWN: • Festival of the Arts • REDHAWKS GAME-Oklahoma City Redhawks vs. Nashville Sounds • Devon Boathouse • Bass Pro Shop • Bricktown

Oklahoma D.O. | April 2014

carnival night

friday

family fun night

admit one

Join us under the BIG TENT Dinner will be provided, along with plenty of activities for all ages. Activities Include:

carnival games

dj & dancing

dunk tank-

dunk a board member

Casino tables

g a m e s

Oklahoma D.O.

p r i z e s

PAGE 21

Oklahoma D.O. | April 2014

GREATS the

banquet

A NIGHT OF CELEBRATION

and JAZZ

...it will be a roaring good time

APRIL 26

Oklahoma D.O. PAGE 22

HONORING

DOCTOR of theYEAR

Doors Open at 7 PM

OUTSTANDING and DISTINGUISHED

ENTERTAINMENT BY 176 KEYS-DUELING PIANOs

Oklahoma D.O. | April 2014

SeekingSitters

HAIIG

Hours of operation

will be at convention!!!

Wednesday, April 23 9 am til’ 10:00 pm

Activities include:

Thursday, April 24 8am til’ 9 pm

ﬁnger painting, bracelet making, tape-it projects, board games, scavenger hunts, sidewalk art, kite ﬂying, face painting, and so much more!

Friday, April 25 8am til’ 10:30 pm Saturday, April 26 8am til’ 1 1:00 pm Sunday, April 27 7:00 am - 1:00 pm

SeekingSitters will provide licensed life guards to take some children to the pool area. Please specify on the registration form if your child is able to participate in this activity. Please provide proper swimming equipement for your child’s safety.

Registration Form

FREE SERVICE

Please ﬁll out the following information and send to the OOA

Child Name

Age

Phone Number (s):__________________________________ ___________________________________ Oklahoma D.O. | April 2014

PAGE 23

Please Contact:____________________________________Relationship to the child:___________________

Oklahoma D.O.

In Case of an Emergency....

Can I participate in swimming activities?

Oklahoma Osteopathic Association’s 114th Annual Convention April 24-27, 2014 Embassy Suites Norman - Hotel and Conference Center 2501 Conference Drive, Norman, OK 73069 Full name: _____________________________________________________________________________________________________________________ Preferred Name / ﬁrst name for name badge: __________________________________________________________________________________________ Ofﬁce address: _________________________________________________________________________________________________________________ City: ____________________________________________________________________ State: ____________________ Zip: _____________________ Email: _______________________________________________________ Phone: ________________________________________________________ OTHER NAME BADGES NEEDED FOR:

check the box, if you plan to register this child in SeekingSitters

Spouse: ___________________________________________________________________________________ Guest(s): __________________________________________________________________________________ Children/Teens : 

(age)



(age)



(age)

NOTE: All convention registrants, Teens, Children, and Guests MUST wear an OOA name badge to enter the exhibit hall. We suggest listing all of your guests above to save you time during the registration process.       

On/Before April 17, 2014

DO Member Registration (or other AOA divisional society member) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $540 (Includes Sunday’s Proper Prescribing Lecture and Risk Management Program) Retired DO Member Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300 DO Nonmember Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,090 Spouse/Guest/Exhibitor Events Registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $220 MD and Non-Physician Clinicians Registration* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $540 Osteopathic Medical Student:  OMS-I  OMS-II  OMS-III  OMS-IV . . . . . . . . . . . . . . . . . . . . .$0 Intern  Resident  Fellow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0

After April 17, 2014

$565

$325 $1,115 $245 $565 $0 $0

Registration is complimentary for osteopathic students and physicians in postgraduate training. They are welcome to attend all programs and convention functions at no charge. Please make event ticket requests at the OOA Registration desk. Badge required.

  

DO Member Registration for Sunday Program Only** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $195 DO Nonmember Registration for Sunday Program Only** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $745 MD and Non-Physician Clinician Registration for Sunday Program Only** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $195

$220 $770 $220



Non-registered OOA Members may purchase Banquet tickets. I would like to purchase ________ Banquet ticket(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75 each

$100 each

TOTAL AMOUNT DUE:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________

$______________

Registration includes name badges(s), registration gift and all meals and social events unless otherwise noted. *Registration includes name badge, certiﬁcate, and registration gift. **Registration DOES NOT include registration gift or meal tickets. 

Charge my VISA, MASTERCARD, AMEX, DISCOVER:

Oklahoma D.O. PAGE 24

Card #: ________________________________________________________________________________________________ Exp. Date:______________ Name (as it appears on card): _______________________________________________________________________________________________________ Billing Address: __________________________________________________________________________________________________________________ City: _______________________________________________________________ State: ___________________________ Zip: _______________________ 

My check in the amount of $______________ is enclosed and made payable to the Oklahoma Osteopathic Association.

Mail this form and payment to: Oklahoma Osteopathic Association: 4848 N Lincoln Blvd, Oklahoma City, OK 73105-3335 or FAX: 405-528-6102 NOTE: Due to the number of specialty tracks, a print syllabus will not be offered. A digital syllabus will be sent to registrants in advance for those wishing to print their own. All DO attendees must be members in good standing with their respective state association in order to attend at the announced fees. Otherwise, a DO may attend the convention by paying an additional $550, which may be applied towards OOA membership dues with completed application. Students, interns, residents, and fellows are not required to pay a registration fee and are welcome to attend all convention functions at no charge. Requests for refunds must be received before April 17, 2014, and a $45 service fee will be charged. NO REFUNDS AFTER APRIL 17, 2014. Oklahoma D.O. | April 2014

Oklahoma D.O. PAGE 25

Oklahoma D.O. | April 2014

robin r. dyer, do President 2013 â&#x20AC;&#x201C; 2014

oklahoma educational foundation for osteopathic medicine

Greetings from your Foundation! This is an exciting time of year for our fourth year medical students as they have all signed their contracts for residencies! As we all remember, these students are counting the days until graduation on May 16.

Oklahoma D.O. PAGE 26

I am excited to announce that this yearâ&#x20AC;&#x2122;s OEFOM Scholarship Program had many more applicants than previous years! At the OOA Annual Convention later this month, I will have the honor of meeting and presenting these future physicians their scholarship. Congratulations to the

n OEFOM Memorials n

Contributing

2014 OEFOM Scholarship winners: Stephanie Harry, OMS-III; Amy Wilson, OMS-II; Summer Hill, OMS-II and Matthew Smith, OMS-II. Once again, I encourage all eligible students to apply next year! I look forward to seeing everyone at the OOA Convention! It has been my honor to serve on the OEFOM Board for several years, and this year as president. Remember, your generous donations make scholarships and other financial contributions to future generations of osteopathic physicians. DO OK

Thomas J. Carlile, DO

In Memory of Ron Crow

Oklahoma D.O. | April 2014

OSU Medical Authority selects proposal from Mercy Health System to manage the OSU Medical Center

Selection creates opportunity to start negotiations and signals progress on acquiring a management partner The Oklahoma State University Medical Authority (OSUMA) in Tulsa announced at its meeting today the selection of Mercy Health System as the medical organization to manage the 249-bed Oklahoma State University (OSU) Medical Center hospital in downtown Tulsa. The OSU Medical Center is the nation’s largest osteopathic teaching hospital working directly with the Oklahoma State University College of Osteopathic Medicine to train approximately 150 primary care physicians annually. In addition, the hospital provides healthcare to the medically underserved population across northeast Oklahoma and provides nearly 1,000 jobs to the region. In the past year, the hospital served more than 45,000 individuals in the emergency room and 25,000 patient visits. The OSUMA selection starts negotiations between Mercy and OSU on a long-term management contract, which will include investments to modernize the facilities and upgrade operations at the OSU Medical Center. OSUMA is the state agency and trust established in 2013 that oversees state appropriated funds and owns the facility. The funds also support graduate medical education and medical residencies for the OSU College of Osteopathic Medicine. “The OSUMA board’s decision to select Mercy as a potential management partner for the medical center is a pivotal moment for OSU, Tulsa and the rest of the state,” said Jerry Hudson, chair of the OSU Medical Center Trust. “Mercy’s reputation and experience in operating high-quality, large-volume hospitals throughout this region of the country is well-known. Mercy’s unquestioned commitment to the OSU medical school residents and students and their passion to care for the medically underserved creates a sound foundation for a long-term relationship.” Hudson also commended his fellow members of the Authority for their unwavering dedication throughout the process to select a viable partner to manage the facility and operations. “As the due diligence process begins, we will explore strategies and initiatives to ensure viability in the ever changing healthcare environment providers face in our country today.” “Mercy is pleased our proposal has been selected and we look forward to the next-phase of discussions with OSU towards a potential longterm management relationship,” said Di Smalley, FACHE, regional president of Mercy in Oklahoma. “The mission of the OSU Medical Center and the OSU College of Osteopathic Medicine to provide Oklahoma with well-educated and trained primary care physicians and to serve both rural and urban underserved medical communities is ideally aligned with Mercy’s mission in Oklahoma.” “A management agreement will not only secure the future of the OSU Medical Center, but also put a plan in place to upgrade the facility and health care delivery,” said OSU President Burns Hargis. “This public-private partnership is a proven structure to manage health care costs while at the same time improves the capabilities of the medical center through its affiliation with an established regional health care system with tremendous scale and scope.”

Mercy is the sixth largest Catholic health care system in the U.S. and serves more than 3 million people annually. Mercy includes 33 acute care hospitals, four heart hospitals, two children’s hospitals, two rehab hospitals and one orthopedic hospital, nearly 700 clinic and outpatient facilities, 40,000 co-workers and more than 2,100 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has outreach ministries in Louisiana, Mississippi and Texas.

Oklahoma D.O. | April 2014

PAGE 27

“The addition of Mercy as a management partner for the medical center is transformational to the OSU Center for Health Sciences and fuels the promise to our medical students and residents that their training will continue at the highest levels,” said Dr. Kayse Shrum, President and Provost, OSU Center for Health Sciences. “Mercy’s commitment will sustain and enhance the residency and teaching programs at the teaching hospital, which is central to the success of any medical school.”

Oklahoma D.O.

Hargis continued, “We appreciate the Governor and the Oklahoma Legislature for their commitment to the OSU Medical Center. They recognize the important role our medical center plays in educating future generations of Oklahoma physicians and providing care to the underserved in northeast Oklahoma. Their consistent support has enabled us to attract a high-quality potential management partner willing to invest alongside of us in this facility and its operations.”

OSU-COM to offer international provided by Sean Kennedy, Communications Manager, Marketing and Communications Services, OSU-Tulsa and OSU Center for Health Sciences

Oklahoma State University College of Osteopathic Medicine students will soon have the opportunity to complete an international medical training rotation in Gulu, Uganda, through a partnership between the college and Saint Monica’s Girls Vocational School. “Research shows international clinical experience increases the probability that a medical student will pursue a career in primary care,” said OSU Center for Health Sciences President Kayse M. Shrum, DO. “This experience also helps students improve their diagnostic skills and become more empathetic and culturally sensitive physicians.”

OSU-CHS President Kayse M. Shrum, DO, Sister Rosemary Nyirumbe and Pros for Africa Founder Reggie Whitten celebrate the 25th anniversary of the Oklahoma College of Osteopathic Medicine and Surgery joining the OSU system.

The international rotation announcement was made as part of the OSU Center for Health Science’s 25th anniversary celebration of the Oklahoma College of Osteopathic Medicine and Surgery joining the OSU system. Sister Rosemary Nyirumbe, head of Saint Monica’s, was the featured guest for the commemoration. “Everyone at OSU-CHS is excited to launch this global partnership with Sister Rosemary by offering our students and faculty an international clinical experience in Gulu, Uganda,” said Robin R. Dyer, DO, president of the OSU-CHS faculty senate. Plans are underway to offer the international rotation opportunity to students, medical residents and faculty starting this summer. The OSUCOM student chapter of Pros for Africa has conducted medical mission trips to Saint Monica’s.

Oklahoma D.O. | PAGE 28

“Our partnership with OSU Center for Health Sciences is really going strong,” said Sister Rosemary during the presentation announcing the partnership. “You all have jumped on board to support our mission.” OSU-CHS has also adopted Saint Monica’s as an international education partner, ensuring continued collaboration between OSU-CHS students, faculty and staff, and the students in Uganda. The partnership will also enable international educational opportunities between Saint Monica’s students and children at Eugene Field Elementary in Tulsa, OSU-CHS’ Partner in Education school. Saint Monica’s is a vocational training program for girls and women whose lives have been devastated by the civil war in Uganda and South Sudan. Students at Saint Monica’s learn a trade and other skills to help care for their families. The OSU-COM student chapter of Pros for Africa recently completed a medical mission trip to Uganda over spring break in March. DO OK

Oklahoma D.O. | April 2014

OSU-CHS adopts Saint Monicaâ&#x20AC;&#x2122;s Girls Vocational School as international education partner

Oklahoma D.O. | PAGE 29

Oklahoma D.O. | April 2014

LEGISLATIVE REPORT provided by Matt Harney, MBA

We need your voice! As the deadline for bills to pass from the same chamber of origin approached, a barrage of dangerous health care legislation moved forward. The physician community faces a tremendous number of threats in the current legislative session, including a scope of practice overreach by the physical therapists, a grossly excessive PMP mandate, and multiple Medicaid overhauls that will hinder patient access and slash provider rates. Over the coming days, weeks, and months, the OOA will be issuing several calls to action. The request may be to email or call your state legislators or even the governor. These calls to action are not arbitrary or random. They are carefully crafted initiatives tailored to inform and persuade policymakers at the optimum moment. While you recognize the value of physicians serving as the leader of a team approach to medicine, not all in the legislature prioritize the importance of physicians’ education and training. Keep in mind, legislators are expected to make an informed decision on a vast array of issues. This is where you come in. Unlike other health care providers, you are trained to consider all aspects of patient health, starting with initial examination. You have the unique perspective of providing patient diagnoses and many of you are small business owners. Your voice can make the difference, but only if you use it.

Oklahoma D.O. | PAGE 30

Given the massive range of special interest groups represented at the capitol, we must not assume the legislature is receiving perfect information. The ability of our association to operate as a collective, unified force is totally dependent on your participation. As legislative alerts are released, we ask that you please respond as quickly as possible. If you ever have trouble finding an alert in your inbox, you can always check the OOA website. You’ll find “Action” you can take via the “Legislative Advocacy” tab (under “Legislation”). Your responsiveness to legislative alerts is crucial to our success. In many ways, we control our own destiny. However, if we fail to take action and speak up, our destiny will be determined for us (while at the same time endangering public health). Your personal story, expertise and osteopathic advocacy must be heard.

So please speak up! Oklahoma D.O. | April 2014

Excessive PMP bill passes Senate, OOA issues multiple calls to action

On March 5, a bill that requires medical practitioners or members of their medical or administrative staff to check information in the PMP (Prescription Monitoring Program) before prescribing or refilling any controlled substance has passed the State Senate. The bill passed 32-14. SB 1821, authored by Sen. A.J. Griffin, RGuthrie, would also allow medical practitioners and their staff in Oklahoma who are employed by the federal government to have access to the state’s Prescription Monitoring Program. The Health & Human Services Committee had passed the bill unanimously, 8-0, before heading to the full Senate. The bill now moves on to the House. This bill also gives more punitive authority to the OBNDD, establishing a fine of up to $2,000 for every occurrence PMP is not checked prior to writing or refilling a prescription for any controlled substance. The bill also requires proof of the PMP check to be included in the patient file but disallows physicians from sharing that information with their patient. Current law (HB 1419 from 2013) already directs the OBNDD director to monitor the PMP and notify physicians of possible doctor shoppers. The OBNDD has yet to fully implement this law. Implementation of this law will undoubtedly help crack down on prescription drug abusers, therefore, additional legislation is preemptive.

Senate passes pilot program for Medicaid privatization

The Oklahoma Health Care Authority Oklahoma D.O. | April 2014

Privatizing Medicaid would have a catastrophic impact on health care access, as fewer providers are willing to participate in a managed care system. Oklahoma has already attempted a privatized system that featured dramatically reduced provider rates and delayed payments. In opposition to the measure Sen. Earl Garrison, D-Muskogee, said “we tried this in the ‘90s. We went from 1,000 providers to 100.” Senate Minority Leader Sean Burrage, DClaremore, led a failed attempt to amend the bill by limiting the pilot program to boundaries of Sen. Griffin’s district. “You are saying pass it before we know what is in it,” Burrage said. The bill passed the Senate 25-21 and will move on to the House for consideration. The Oklahoma Osteopathic Association is opposed to the measure. Another bill that impacts Medicaid passed handily in the House. HB 2384 authored by Rep. Doug Cox, MD, R-Grove, maintains control by the Oklahoma Health Care Authority but makes several cuts to the state’s Medicaid system. The bill reduces provider rates from 96.75% to 95% for Medicaid-toMedicare fees, requires prior authorization for all controlled substances (with certain exceptions), decreases monthly prescription limits, and places annual limits on ER visits. HB 2384 passed the House 58-25 and will move to the Senate.

Bill deadline passes, legislative agendas crystalize

March 13 marked the deadline for legislation to be passed from the chamber of origin. Speaker of the House Jeff Hickman,

“The House is the chamber closest to the people,” Hickman said. “I applaud my fellow members for their time and dedication. We have worked to ensure Oklahoma continues to have an economically free environment, increase public safety measures for our citizens, develop a stable state pension system and fair compensation for state employees, address education standards and tend to the crumbling Capitol.” Bills highlighted by Speaker Hickman include: • HB 2508: cuts personal income tax rate for the top bracket from 5.25% to 5% and reduces the corporate income tax rate from 6% to 5%, provided certain revenue projections. • HB 2630: transitions new state employees from the current pension system to a defined-contribution plan, effective Nov. 1, 2015. • HB 3293: increases salaries for state employees to 90% of private-sector pay over a four-year period. • HJR 1092: creates a state question that would authorize school districts to approve bonds for the construction or improvement of safe rooms and underground storm shelters. • HJR 1033: creates a state question seeking approval for $120 million for improvements to the Capitol. • HB 3399: guarantees state control for common education standards. The state legislature is allowed, under Option B under No Child Left Behind, to create elementary and secondary school standards that are certified by higher education institutions to be college-ready without risking federal funding.

Tax cut passes House, Gov. Fallin applauds the move

Gov. Mary Fallin praised the Oklahoma House of Representatives for passing a tax cut measure. House Bill 2508 would cut the income tax rate from 5.25% to 5% beginning in 2016 provided personal incometax revenues are equal or greater in fiscal year 2015 than revenues generated in fiscal year 2014. “The House of Representatives took an important step today towards delivering meaningful, responsible tax relief to Okla-

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On March 13, the Oklahoma State Senate passed SB 1495, legislation that creates a pilot program for privatizing health care delivery to Medicaid patients. Sen. Kim David, R-Wagoner, authored the bill that will encompass a currently undefined area.

Sen. Jabar Shumate, a Democrat representing central and north Tulsa, said he believes that such a major change in the state’s main health care program could hurt the poor people in his district. “We’re taking a step without any evidence,” Shumate said.

R-Fairview, released a statement following the bill deadline touting a series of reforms passed from the House.

Oklahoma D.O.

These excessive requirements will also have the unintended consequence of undertreating other health care problems such as sleep disorders, depression and anxiety as this bill affects prescriptions for all controlled substances. The OOA and its lobbyists are working to defeat the bill or, secondarily, minimize the regulatory and punitive impacts of the bill.

maintains the state’s Medicaid program, operating with an overhead of less than 5%. In debate supporting the bill, Sen. David said the return on taxpayer’s dollars is “simply not good enough.” Also in support of the bill Sen. Rick Brinkley, R-Owasso, stated “one thing is abundantly clear. Oklahomans don’t like government managing their health care.”

homa families,” Fallin said. “Reducing the income tax allows working Oklahomans to keep more of their hard earned money while helping to attract and retain jobs and businesses. It is an important part of our strategy to grow our economy and continue Oklahoma’s forward momentum.” HB 2508 is authored by Rep. Earl Sears, R-Bartlesville. The bill was heard by the full House on March 6 and initiated debate on the House floor lasting more than two hours. The fiscal impact for FY 2016 would be $57 million (as it would take effect midyear) and would cost the state $147 million the following fiscal year. Rep. Sears argued, “We almost forget where this money comes from. Let’s put the taxpayers in a line-item this year.” The state legislature currently faces a $189 million budget shortfall. An amendment to HB 2508 authored by Rep. David Derby, R-Owasso, cutting the corporate income tax from 6% to 5%, also passed. Rep. Derby included language from a bill he sponsored, HB 2661, in the amendment. Corporate income taxes have been central to state revenue for decades. The amendment would create a fiscal impact of nearly $27 million in FY 2016 and $53 million in FY 2017. In opposition to the measure, the broader budget picture was discussed. It was mentioned the gross production taxes on oil and gas generated more than $825 million in revenue in 2008. In 2013, the gross production tax generated only $130 million. Debating against HB 2508, Rep. Joe Dorman, DRush Springs, said, “We are shirking our duties, all for the sake of election year politics.” The bill passed 57-34.

Oklahoma D.O. PAGE 32

Oklahoma heads to D.C. for DO Day on Capitol Hill

On March 6, several osteopathic physicians, students and staff from Oklahoma attended DO Day on Capitol Hill in Washington D.C. The day began with a legislative briefing for all attendees at the Walter E. Washington Convention Center. A total of 13 students from Oklahoma State University College of Osteopathic Medicine were in attendance. They were: Dustin Cheney (OMS-II), John Cloud (OMS-III), Daniel Dittus (OMS-II), Jennifer Duroy (OMS-IV), Matthew Else (OMS-II), Myles Fisher (OMS-II), Trace Heavener (OMS-II), Heather Hensley

(OMS-II), Joshua Priddle (OMS-IV), Constance Rogers (OMS-II), Matt Smith (OMS-II), Todd Thomas (OMS-III) and Heather Poe (OMS-II). The OSU-COM delegation was joined at the congressional meetings by Touro College of Osteopathic Medicine student and Oklahoma resident Khabbab Amin. Also participating were: OOA President-Elect Michael K. Cooper, DO; David F. Hitzeman, DO; Scott S. Cyrus, DO; Janell Cyrus; OOA Director of Advocacy and Legislation Matt Harney; and Osteopathic Founders Foundation Executive Director Sherri Wise.

The second issue dealt with educating and training the physician workforce through the Teaching Health Center Graduate Medical Education (THCGME) program. THCGME is a $230 million, five-year initiative which began in 2011 in an effort to train primary care residents in community-

Oklahoma osteopathic physicians and OSU College of Osteopathic Medicine students met with Congressman Tom Cole (above) and Congressman James Lankford (below) as part of DO Day on Capitol Hill March 6.

A large portion of the Oklahoma delegation met with a staffer for Congressman Jim Bridenstine, R-Tulsa, as most of the OSUCOM students live in the First Congressional District. Several members of the Oklahoma osteopathic family met personally with Congressmen Tom Cole and James Lankford. Both were supportive of the concept of repealing SGR but also expressed concern over funding. The entire Oklahoma delegation met with staffers with Senators Tom Coburn and Jim Inhofe. Also, a portion of the Oklahoma contingent met with a staffer for Congressman Markwayne Mullin. There were two primary topics for DO Day on Capitol Hill. The first dealt with reforming Medicare physician payment. The specific request was to ask legislators to enact the SGR Repeal and Medicare Provider Payment Modernization Act. The bill has bipartisan and bicameral support from all three health care committees that hear Medicare legislation in Congress. The bill repeals the SGR (sustainable growth rate) and creates a five-year period of stability with 0.5% updates each year.

based health care settings. The program is operated by the Health Resources and Services Administration (HRSA). The specific request for Congress was to authorize funding beyond 2015 to ensure Teaching Health Centers (THC) can build an adequate physician workforce by continuing to train primary care residents by supporting the Teaching Health Center Reauthorization Act (S. 1759). Funding for S. 1759 goes directly to the THC rather than being filtered through the hospital Medicare GME system. THCs produce residents that are nearly three times more likely to practice in underserved areas than those who did not train in THCs. Nationwide, patients already face a shortfall of 45,000 primary care physicians by the year 2020. Without this bill, the ability of THCs to support residents through all three years of training is jeopardized and would stymie recruitment of physicians to underserved areas. Oklahoma D.O. | April 2014

SOMA holds Spring Convention, elects officers

The Spring SOMA (Student Osteopathic Medical Association) Convention was held in Washington D.C. the two days following DO Day on Capitol Hill. The 13 OSUCOM students who participated in DO Day on Capitol Hill were in attendance as well as OSU-COM students Taylor Craft (OMS-I) and Alex Smith (OMS-I). OSU-COM SOMA President Matt Smith was elected by his colleagues to serve on the SOMA National Board for 2014-2015 school year as political affairs director. Matt is finishing his second year at OSU-COM. SOMA is the nation’s largest network of osteopathic students. SOMA is a student-led and student-driven organization and is affiliated through direct representation with the American Osteopathic Association. SOMA objectives include: 1. Educate and prepare osteopathic leaders and advocates. 2. Maintain open and transparent lines of communication to our student members as we continually adapt to the evolving needs of our members and organization. 3. Advance collaborative relationships that promote osteopathic medicine in the greater healthcare community. 4. Utilize our direct affiliation with the American Osteopathic Association to advance the interests and viewpoints of osteopathic medical students.

U.S. House passes SGR Repeal bill, Senate considers alternative

On March 14, the United States House of Representatives passed the SGR Repeal and Medicaid Provider Payment Modernization Act of 2014 (H.R. 4015). This is a major victory, as eliminating the SGR has long been on the legislative agenda for the physician community. However, the bill faces an uncertain future in the Senate.

H.R. 4015 provides 0.5% annual updates for providers over five years. The bill now awaits action in the Senate. The elimination of the individual mandate could prove to be a substantial roadblock for passage in the upper chamber.

OOA looks to reschedule Osteopathic Medicine Day at the Capitol

Due to inclement weather, the Oklahoma Osteopathic Association was forced to cancel Osteopathic Medicine Day at the Capitol set for March 3, 2014. The OOA will reschedule Osteopathic Medicine Day for later this legislative session if a date can be coordinated with the OSU College of Osteopathic Medicine. We will let you know of any future plans as soon as they are available. Thanks to everyone who had committed that day to osteopathic advocacy. We will inform you of plans to reschedule this event as soon as the details are finalized.

Jay D. Cunningham, DO, with Rep. Mike Turner (R-Edmond)

Monica M. Woodall, DO, with Rep. Dustin Roberts (R-Durant)

OOA celebrates 40 years of osteopathic service at the State Capitol

This March, the Oklahoma Osteopathic Association was proud to participate in its 40th year of osteopathic service at the State Capitol. This program allows us the opportunity to bring osteopathic medicine to the state legislators in the month of March by serving at the First Aid Station. Physicians saw several patients over the course of the day. Our Doctors of the Day also attended committee meetings and watched action on the House floor. Physicians were introduced in both the House and Senate Chambers and received a citation expressing appreciation for their service. This is one of the best ways to bring issues of importance to our state legislature. Doctor of the Day not only allows physicians to be seen in their role as health care provider, but also allows doctors to advocate for or against bills of interest. This personal connection with the legislature uplifts the entire osteopathic family and

Debra L. Montgomery, DO, with Rep. Katie Henke (R-Tulsa)

Kristopher K. Hart, DO, with Rep. Lewis Moore (R-Arcadia)

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Oklahoma D.O. | April 2014

perfectly fulfills the mission of the OOA. Thanks to all our Doctors of the Day who volunteered their time in service to the people of Oklahoma. We hope you’ll join us for what is certain to be another successful Doctor of the Day program next year!

Oklahoma D.O.

The SGR formula was created in 1997 in an attempt to control Medicare spending. Congress has since modified the formula on an annual basis, creating only temporary patches rather than establishing longterm sustainability for patient access to health care services. These patches have been dubbed the “Doc Fix.” The current Doc Fix is set to expire March 31. If the SGR Repeal bill is not passed or if another temporary patch is not granted, physicians will encounter a dramatic 24% cut to re-

imbursement rates. The legislation also delayed the individual mandate component of the Affordable Care Act, despite the Obama Administration already having delayed this requirement until 2016. The House bill eliminated the individual mandate permanently.

Gordon P. Laird, DO, with Rep. Dennis Casey (R-Morrison)

Rep. Cox clamps down on Internet The Congressional Budget Office expected 6 million people to sign up for coverage by the cigarette sales Rep. Doug Cox, MD, R-Grove, is the author of two bills that have passed the house that are aimed at regulating tobacco sales. HB 2361 prohibits the sale, distribution and transportation of cigarettes to anyone who is not an authorized retailer, distributor or export warehouse proprietor of cigarettes.

“Our current law allows Internet and mail order sales, which makes it difficult to track contraband sales,” Cox said. “Usually, those cigarettes do not have the required stamp affixed to them, which means they cannot be taxed and the state loses revenue from those sales.” HB 2361 aligns Oklahoma with federal law by prohibiting the sale of tobacco products to minors on tribal land. The bill contains an exemption for sales and deliveries of less than 1,000 cigarettes. The bill passed 78-5. Also passing the House is HB 2363, requiring tobacco wholesalers to report monthly tobacco sales information to the Attorney General’s Office. The bill brings the Attorney General’s Office into compliance with the 1998 Tobacco Master Settlement Agreement. “Funds from the Master Settlement Agreement safeguard the fiscal soundness of the state and our public health. Without these bills, payments to the state under the Agreement were in danger of being canceled for non-compliance,” Cox said. HB 2363 passed 83-0.

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Marketplace enrollment booms, passes 5 million

Marilyn Tavenner, administrator for the Centers for Medicare & Medicaid Services, issued a press release March 17 announcing enrollment in the health insurance marketplace through healthcare.gov has topped 5 million. The marketplace is supported by 24/7 phone and online assistance. Activity within the program ramped up as the open enrollment deadline approached. The deadline for open enrollment was March 31, 2014. March 13 marked the busiest day for the call center to date, taking nearly 200,000 calls. Online activity was even more robust. Heatlhcare.gov experienced more than 5 million visits the week of March 10.

open enrollment deadline.

The following statistics were provided by the U.S. Department of Health and Human Services: By the Numbers: Uninsured Oklahomans who are eligible for coverage through the Marketplace. • 646,527 (20%) are uninsured and eligible • 488,494 (76%) have a full-time worker in the family • 249,114 (39%) are 19-34 years old • 369,282 (57%) are White • 63,580 (10%) are African American • 68,717 (11%) are Latino/Hispanic • 7,697 (1%) are Asian American or Pacific Islander • 351,041 (54%) are male Of Oklahoma’s uninsured and eligible population, 593,762 (92%) may qualify for either tax credits to purchase coverage in the Marketplace or for Medicaid if Oklahoma takes advantage of the new opportunity to expand Medicaid coverage under the Affordable Care Act. Impacts of the Affordable Care Act on Oklahoma: • Oklahoma has received $1,000,000 in grants for research, planning, information technology development and implementation of its Health Insurance Marketplace. • Under the health care law, if your plan covers children, you can now add or keep your children on your health insurance policy until they turn 26 years old. Thanks to this provision 49,000 young adults in Oklahoma have received coverage who otherwise would not. • As many as 1,578,794 non-elderly Oklahomans have some type of pre-existing health condition, including 218,356 children. Today, insurers can no longer deny coverage to children because of a pre-existing condition, like asthma or diabetes, under the health care law. Beginning in 2014, health insurers are no longer be able to charge more or deny coverage to anyone because of a pre-existing condition. The health care law also established a temporary health insurance program for individuals who were denied health insurance coverage because of a pre-existing condition. Since the program began, 972 Oklahomans with pre-existing conditions

have gained coverage through the Pre-Existing Condition Insurance Plan. • Health insurance companies now have to spend at least 80 cents of your premium dollar on health care or improvements to care, or provide you a refund. This means that 273,694 Oklahoma residents with private insurance coverage will benefit from $16,014,997 in refunds from insurance companies this year, for an average refund of $92 per family covered by a policy. • In every state and for the first time under federal law, insurance companies are required to publicly justify their actions if they want to raise rates by 10 percent or more. • The law bans insurance companies from imposing lifetime dollar limits on health benefits – freeing cancer patients and individuals suffering from other chronic diseases from having to worry about going without treatment because of their lifetime limits. Already, 1,197,000 people in Oklahoma, including 450,000 women and 317,000 children, are free from worrying about lifetime limits on coverage. The law also restricts the use of annual limits and bans them completely in 2014. • The health care law requires many insurance plans to provide coverage without cost sharing to enrollees for a variety of preventive health services, such as colonoscopy screening for colon cancer, Pap smears and mammograms for women, well-child visits, and flu shots for all children and adults. • In 2011 and 2012, 811,000 Oklahomans with private health insurance gained preventive service coverage with no cost-sharing, Nationwide, this affected 71 million Americans. For policies renewing on or after Aug. 1, 2012, women can now get coverage without cost-sharing of even more preventive services they need. Guaranteed access to additional preventive services without costsharing will now be available to 555,857 Oklahomans. Forty-seven million women nationwide benefitted from this law. • The health care law increases the funding available to community health centers nationwide. In Oklahoma, 18 health centers operate 72 sites, providing preventive and primary health care services to 135,272 people. Health Center grantees in Oklahoma have received $45,684,449 under the health care law to support ongoing health center Oklahoma D.O. | April 2014

operations and to establish new health center sites, expand services, and/or support major capital improvement projects. • Community Health Centers in Oklahoma were awarded $1,702,921 to help enroll uninsured individuals in the Health Insurance Marketplace. With these funds, Oklahoma health centers expect to hire 38 additional workers, who will assist 43,908 Oklahomans with enrollment into affordable health insurance coverage. Nationwide, Community Health Centers received a total of $150 million. • As a result of historic investments through the health care law and the Recovery Act, the numbers of clinicians in the National Health Service Corps are at all-time highs with nearly 10,000 Corps clinicians providing care to more than 10.4 million people who live in rural, urban and frontier communities. The National Health Service Corps repays educational loans and provides scholarships to primary care physicians, dentists, nurse practitioners, physician assistants, behavioral health providers and other primary care providers who practice in areas of the country that have too few health care professionals to serve the people who live there. As of Sept. 30, 2012, there were 150 Corps clinicians providing primary care services in Oklahoma, compared to 31 in 2008. • As of March 2012, Oklahoma had received $13,200,000 in grants from the Prevention and Public Health Fund created by the health care law. This new fund was created to support effective policies in Oklahoma, its communities, and nationwide so that all Americans can lead longer, more productive lives.

ACA Impact on Medicare in Oklahoma

Covering preventive services with no deductible or co-pay With no deductibles or co-pays, cost is no longer a barrier for seniors and people with disabilities who want to stay healthy by detecting and treating health problems early. In 2012 alone, an estimated 34.1 million people benefited from Medicare’s coverage of preventive services with no cost-sharing. In Oklahoma, 366,752 individuals with traditional Medicare used one or more free preventive services in 2012. Protecting Medicare’s solvency The health care law extends the life of the Medicare Trust Fund by 10 years. From 2010 to 2012, Medicare spending per beneficiary grew at 1.7 percent annually, substantially more slowly than the per capita rate of growth in the economy. The health care law helps stop fraud with tougher screening procedures, stronger penalties and new technology. Over the last four years, the administration’s fraud enforcement efforts have recovered $14.9 billion from fraudsters. For every dollar spent on health care-related fraud and abuse activities in the last three years, the administration has returned $7.90.

David F. Hitzeman, DO, pursues MedPAC position

Oklahoma Osteopathic Association past president David F. Hitzeman, DO, is pursuing a position on the prestigious MedPAC Board.

MedPAC seeks diverse expertise in the financing and delivery of health care services. Commissioners are appointed to staggered three-year terms, which are subject to renewal by the Comptroller General, and serve part-time. The Commission is supported by an executive director and a staff of analysts. MedPAC meets publicly to discuss policy issues and formulate its recommendations to Congress. MedPAC analyzes the research of in-house staffers, presentations from external policy experts and comments from other interested shareholders. Commission members and staff participate in frequent meetings with staff from Congressional committees, the Centers for Medicare & Medicaid Services (CMS), and health care researchers. These meetings and information culminate in Commission recommendations released in two reports each year—one in March and the other in June. Dr. Hitzeman is board-certified in internal medicine and served as Chair of the Department of Internal Medicine at Oklahoma State University College of Osteopathic Medicine for many years. He was named the national “Internist of the Year” during the American College of Osteopathic Internists (ACOI) Annual Convention in 2012. Dr. Hitzeman has held the position of Chief Delegate of the OOA for two decades and is a previous recipient of both the OOA’s Doctor of the Year Award and Outstanding & Distinguished Service Award. Dr. Hitzeman was recently inducted into the Gillum Society of Master Fellows at the ACOI Annual Convention. He retired from OSU-COM in December 2013.

To stay current on the latest legislative news, take advantage of a member benefit by reading the OOA Touch Blog. Find the blog under the Legislation tab at www.okosteo.org.

Oklahoma D.O. | April 2014

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The Medicare Payment Advisory Commission (MedPAC) is an independent Congressional agency established by the Balanced Budget Act of 1997 to advise the U.S. Congress on issues affecting the Medicare program. The Commission is made up of 17 members whose statutory mandate is quite

broad: In addition to advising the Congress on payments to private health plans participating in Medicare and providers in Medicare’s traditional fee-for-service program, MedPAC is also tasked with analyzing access to care, quality of care and other issues affecting Medicare.

Oklahoma D.O.

Making prescription drugs affordable for seniors In Oklahoma, people with Medicare saved nearly $89 million on prescription drugs because of the Affordable Care Act. In 2012 alone, 50,306 individuals in Oklahoma saved over $29 million, or an average of $577 per beneficiary. In 2012, people with Medi-

care in the “donut hole” received a 50 percent discount on covered brand name drugs and 14 percent discount on generic drugs. And thanks to the health care law, coverage for both brand name and generic drugs will continue to increase over time until the coverage gap is closed. Nationally, over 6.6 million people with Medicare have saved over $7 billion on drugs since the law’s enactment.

Support OOPAC in 2014! DO your part To protect and promote osteopathic medicine in Oklahoma. 2014 OOPAC Investment _____ My personal check made payable to â&#x20AC;&#x153;OOPACâ&#x20AC;? is enclosed [ ] $100

[ ] $250-$500 (PAC Partner)

[ ] $501-$1,000 (Premier PAC Partner)

[ ] $1,001-$2,499 (Executive PAC Partner)

[ ] $2,500+ (Platinum PAC Partner) _____ Yes! I commit to monthly contributions to OOPAC. Please charge my credit card: [ ] $2,508 ($209 per month)

[ ] $1,200 ($100 per month)

[ ] $1,008 ($84 per month)

[ ] $504 ($42 per month)

[ ] Visa

[ ] MasterCard

[ ] American Express

[ ] Discover

Account number: ____________________________________________ Expiration date: _______ Name as it appears on card: _______________________________________ CID: ______________ Address: __________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________ Occupation: __________________________________ Employer: _______________________________

Oklahoma D.O. PAGE 36

Signature: ________________________________________________________________________________ I declare that this contribution is freely and voluntarily given from my personal property. I have not directly or indirectly been compensated or reimbursed for the contribution. This personal contribution is not deductible as a donation or business expense.

Please mail to: OOPAC, 4848 N. Lincoln Blvd., Oklahoma City, OK 73105-3335.

Oklahoma D.O. | April 2014

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3/28/11 11:05 AM

What’s Preventing

Oklahoma from Improving Health Indicators? provided by Denna Wheeler, PhD, Director of Rural Research and Evaluation, OSU Center for Rural Health

We are accustomed to seeing Oklahoma consistently ranked near the bottom on leading health indicators. The United Health Foundation’s 2013 Annual Health Rankings Report placed Oklahoma 44th in overall health.

Oklahoma D.O. PAGE 38

The ranking was driven largely by high obesity rates (32.2%), and physical inactivity (28.3%). Oklahoma ranks 49th for senior health (adults ≥65 years old). This poor ranking was driven by insufficient medical screening, high numbers of falls, hip fractures and poor nursing home care. As a state, we are doing a few things well especially related to clinical care. Smoking prevalence is decreasing (down 2.8% last year), preventable hospitalizations are decreasing, and the rate of cardiovascular deaths is decreasing. Although we are making limited gains in at least one behavioral measure (i.e., smoking) and several clinical measures, our overall health ranking continues to trend downward. Further, a recently published report (Remington et al., 2013) analyzing premature death rates as a measure of overall health outcomes reported that during the 2000s Oklahoma was one of only two states that reported an increase in premature death (.18% per year). This has resulted in Oklahoma being ranked 50th for two consecutive decades as having the worst improvement in premature death. Although Mississippi remains in first place with the highest premature death rate overall, Oklahoma is trending to overtake it before 2020.

Health is a function of genetics, behaviors, the environment, social policies, and clinical care. Much of the recent debate over health care reform has focused on expanding access to care and developing alternative pay models. It seems to make intuitive sense that the greatest impact on the rising cost of health care and declining health status of Americans is access to high quality clinical care, yet clinical care may have less of an impact on health than we think. Recently published, physician-led health, disparities research seems to downplay the role of clinical care in changing the course of poor health outcomes associated with increasing rates of chronic disease. Steven Schroeder, a physician and professor of medicine at the University of California stated “. . . the pathways to better health do not generally depend on better health care” (2007, p.1221). Similarly, Egede and Bosworth (2008) state that patient level factors “typically account for 95–98% of the variance in health outcomes, while provider and health systems factors typically account for <10% of the variance in outcomes” (p. 706). These researchers and others note that improving population health requires a focus on the social determinants of health that drive health behaviors. Health behavior is the greatest influence on the chronic disease

epidemic that accounts for nearly 40% of all premature death in the U.S. (McGinnis et al., 2002). In light of this recent research we may be able to affect greater change in Oklahoma’s health status by focusing more attention on social, educational and public health policy. Poverty and poor health are inextricably linked through complex associations with education, employment opportunities, and access to health care. According to U.S. Census Bureau estimates, poverty in Oklahoma is at a 10-year high at 16.6% for adults and 27.4% for children. A majority (59%) of Oklahoma students is eligible for free or reduced lunch. Poverty rates are especially high in rural Oklahoma where the poorest counties (Okfuskee, Harmon, Adair, Hughes and Tillman) have poverty rates of 26%-27%. Persons living in persistent high poverty counties are more likely to report a poor health status. While access to care is a significant concern, we must also address the issues associated with persistent poverty such as low high school graduation rates and low college attendance rates in order improve health outcomes that stem from unhealthy behaviors and poor economic and environmental conditions. I recently decided to explore the influence of Oklahoma D.O. | April 2014

Even if the entire U.S. population had access to excellent medical care only a small fraction of [premature] deaths could be prevented. (Schroeder, 2007, p. 1222)

education on health outcomes independent of other socio-economic factors. Economists have explored the impact of increased education on health and have determined that at least $1 trillion in health care savings would be generated if everyone in the U.S. had the health status of college graduates (Schoeni et al., 2007). Baker and colleagues (2011) confirmed an â&#x20AC;&#x153;independent, consistent, and substantial effect of education on adult mortalityâ&#x20AC;? (p. 321) in a meta-analysis of 29 studies that included more than 20 million participants. In Oklahoma, nearly half of adults (49.3%) with at least a high school education report their health is very good or excellent compared to only 19.5% with less than a high school education. Oklahomaâ&#x20AC;&#x2122;s senior adults with less than a high school degree have a higher prevalence of physical inactivity and are less likely than college-educated seniors to have excellent or very good health status.

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Oklahoma D.O. | April 2014

Table 2

Oklahoma D.O.

I explored this question empirically using both Oklahoma data from the County Health Rankings and the most recent Health Information National Trends Survey (HINTS4), a large nationally representative data set available from the National Cancer Institute. First, using the County Health Rankings data for Oklahoma I conducted a multiple linear regression analysis to explore the relative influence of health behaviors, clinical care (access and quality), social and economic factors (education, income, employment), and physical environment on health outcomes (mortality and morbidity). The set of predictors explained a significant amount of the variation in health outcomes (R2 = .495). Interestingly, social and economic factors is the only significant independent predictor of health outcomes (see Table 1). This means that social and economic factors are associated with health

Table 1

outcomes over and above any association shared with health behaviors, clinical care, or the environment.

The County Health Rankings defines social and economic factors as a function of education, income, employment, family and social support, and community safety.

Based on the findings from the initial analysis, I decided to explore where there were differential effects on health outcomes by specific components of social and economic factors (e.g., education and income). I ran a second analysis regressing health outcomes on education, income, access to healthcare, diet & exercise, and physical environment. The resulting model explained 50.2% of the variation in health outcomes with education and income as the only statistically significant predictors. Once again this indicates that education and income are independently associated with health outcomes over and above any shared association with access to care, diet and exercise, or the environment. Next, I used a large nationally representative data set, the Health Information National Trends Survey (HINTS) to tease apart the ways that education and income are related to health. The correlation matrix of associations among education, income, and several measures of health, including diet and exercise, Body Mass Index (BMI), self-reported health, health self-efficacy, and quality of life are presented in Table 3. This exploratory analysis reveals that both income and education have a strong association with various health behaviors and outcomes. Education has a stronger association with BMI and diet and exercise while income has a stronger association with more subjective health related factors such as self-reported health status, self-efficacy and quality of life. This analysis indicates that health behavior change may be most influenced by education. Although these preliminary analyses were exploratory in nature, they both point to

Production of more college graduates is vitally important to the economic future of Oklahoma and, as this research indicates, it is vitally important to Oklahoma’s health status as well. Oklahoma must make education a priority. Schroeder (2007) urges health-care professionals to become champions for population health in order to realize a more productive workforce, reduced health care expenditures, and improved quality of life. In Oklahoma, an important first step may be a focus on educational policy that can lead to a more educated and skilled workforce who has the knowledge and resources to engage in healthier behaviors resulting in improved health status.

References: America’s Health Rankings (2014, March 7). Retrieved from: http://www. americashealthrankings.org/OK Egede, L. E., & Bosworth, H. (2008). The future of health disparities research: 2008 and beyond. Jour- nal of General Internal Medicine, 706-708. Leachman, M., & Mai, C. (2012). Most states funding schools less than be fore the recession. Washington DC: Center on Budget and Policy Priorities. McGinnis, J. M., Williams-Russo, P., & Knickman, J. R. (2002). The case for more active policy attention to health promotion. Disparities & Policy, 21, 78-93. Remington, P.L., Catlin, B.B., Kindig, D.A. (2013). Monitoring progress in population health: Trends in premature death rates. Preventing Chronic Disease, 1-8. Schoeni, R. F., Dow, W. H., Miller, W. D., & Pamuk, E. R. (2007). The economic value of improving the health of disadvantaged Americans. American Journal of Preventive Medicine, S67-S72. Schroeder, S. A. (2007). We can do better - Improving the health of the American people. The New Eng- land Journal of Medicine, 1221- 1228.

Oklahoma D.O. PAGE 40

Table 3

the important effects that education has on health. This research provides evidence for the strong association between education and health independent of other associated variables like clinical care and the physical environment. Although Oklahoma’s educational ranking compared to other states is better than our health ranking, we could do much better. The U.S. Census Bureau indicates that the percentage of Oklahomans with a Bachelor’s degree or higher is 23%, well below the national average of 29%. In Oklahoma, 78% of entering high school students graduate and only 56% of these graduates attend college immediately after high school. Oklahoma’s six-year college graduation rate is 45%. This means that only 20% of the students who enter high school this year will receive a college degree in the next decade.

Oklahoma D.O. | April 2014

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Oklahoma D.O. | April 2014

What DO’s Need To

KNOW

Oklahoma license renewal period begins May 10 Oklahoma osteopathic physician and surgeon licenses must be renewed with the Oklahoma State Board of Osteopathic Examiners (OSBOE) by the June 30 expiration date. Online license renewal can be found at www.ok.gov/osboe and opens May 10. Questions regarding license renewal should be directed to OSBOE at 405-528-8625. Telephone hours for the May 10 through June 30 renewal period are Monday through Friday 8 a.m.-5 p.m. Assistance is also available after hours by appointment only. According to Title 510, “Annual license renewal requires proof of having attended and received credit for sixteen (16) American Osteopathic Association category 1 hours of Continuing Medical Education (CME) credit. One (1) hour every other year of the required sixteen (16) hours shall be devoted to the subject of the proper prescribing, dispensing, and administering of Controlled Dangerous Substances (CDS) as defined in Title 21, Code of Federal Regulations, Part 1308 or Title 63 of the Oklahoma Statutes.” The Oklahoma Osteopathic Association keeps record of hours attested by physicians at OOA-sponsored CME activities and reports the credits to the American Osteopathic Association. To download statements of credit for CME hours earned at OOA events, visit www.okosteo.org and follow the instructions below. 1. Click on the “Login” link at the top right hand corner of the OOA’s website or the member login portal on the home page of the website. 2. Log in using your email and password (the OOA staff is able to reset login information upon request).

Oklahoma D.O. PAGE 42

3. Once you have logged into your membership portal click on the “Professional Development” tab at the top right hand corner. 4. The Professional Development page will list all the events you have attended through the OOA.

5. To download a certificate of attendance locate the desired event and click on the certificate icon.

Oklahoma D.O. | April 2014

Avoid electronic prescribing confusion Electronic prescribing is supposed to be more efficient, yet making this common mistake adds an extra step to the process. Making sure the SIG and Note to Pharmacy lines donâ&#x20AC;&#x2122;t conflict will prevent a call from the pharmacy to clarify.

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Oklahoma D.O. | April 2014

Bureau News: Bureau on Membership The OOA Board of Trustees welcomes the following new member to the OOA family! Kyle C. Wooderson, DO General Surgery (Grove)

2014-2015 Bureau Appointments Available

It is the responsibility of the OOA president to appoint members to various bureaus in the Oklahoma Osteopathic Association. The president recommends these appointments to the Board of Trustees for approval. Physicians on these bureaus do the necessary work of our Association and recommend policies and positions to the OOA Board of Trustees. If you would like to serve in the Association’s organizational structure, we encourage your participation and want you to know you are needed!

Bureau on Constitution & Bylaws 2014 Proposed OOA Bylaw Amendments

The proposed Bylaws amendments will be voted on during the Association’s annual business meeting at 2:00 pm, Thursday, April 24, 2014 at the Norman Embassy Suites. During the December 5, 2013, meeting, the OOA Board of Trustees approved the following revisions to the OOA Bylaws and Constitution. According to the OOA Bylaws, Article IX. Amendments, the Bylaws may be amended by this Association at any annual session by a two-thirds vote of the accredited voting members in attendance at such session...

Oklahoma D.O. PAGE 44

Article VII, Section 5: Charters must be renewed on an annual basis and may be revoked by the Oklahoma Osteopathic Association Board of Trustees for just cause. Revocation requires a three-fourths vote of the Board of Trustees favoring such action. Article VII, Section 6: Upon application from an organization for a charter as an affiliated organization, the Board of Trustees and the Executive Director shall investigate and, upon satisfactory proof of a general agreement in policy and governing rules with those of this Association, shall may proceed with the issuance of such a charter. The Association shall may not issue a charter to any organization which duplicates the function or prerogatives of any presently affiliated organization or the Association. All organizations, who have as their membership osteopathic physicians in good standing with the Oklahoma Osteopathic Association, whether holding a current charter or affiliation or not, shall have as a medium of communication all publications of the Oklahoma Osteopathic Association.

The typical meeting day is the first Thursday of the month, in the morning. Most bureaus meet only a few times each year. We invite students, interns and residents to volunteer for committees and bureaus and encourage your continued involvement throughout your training experience. Appointment forms are available at http://goo.gl/NFbNNy.

From the American Osteopathic Association Communications Department

HEALTH FOR THE WHOLE FAMILY “The Facts on Juice Fasts” DOs consider the American Osteopathic Association’s “Health for the Whole Family” series a great way to promote the profession and educate patients about a variety of health topics. To use this month’s article, you have permisson to simply make copies of the article (see page 47) for use in your office waiting room to help educate your patients about current health care issues.

Oklahoma D.O. | April 2014

Oklahoma D.O. PAGE 45

Oklahoma D.O. | April 2014

The Facts on Juice Fasts Juice fasts—it’s all the rage—but is it all good for your health? From the rise of juice bars to the boom in the juicer market, juice fasts have become the hottest trend for people seeking to boost their immune system. Enthusiasts have claimed that juice fasting—which requires a steady consumption of only fruit and vegetable juice to obtain nutrition—can flush the body of toxins, improve digestion and skin clarity, boost energy and weight loss, and cure common illnesses such as headaches and insomnia. But, are these claims too good to be true? Laura M. Rosch, DO, an American Osteopathic Association board-certified internist from Winfield, Ill., answers this question and tells us what we should know before starting a new health routine. Are juice fasts healthy? “Juice fasts are not a good way to achieve long-term weight loss or proper nutrition,” says Dr. Rosch. “Done occasionally for a few days, it is not harmful; however, done regularly for a week or more at a time, it can begin to put a lot of stress on the body,” she warns. “Consumers should keep in mind that most of the claims associated with juice fasts are not scientifically proven. In fact, the major claim of removing toxins from the body is overstated,” says Dr. Rosch. “The digestive system is self-cleaning and already naturally removes toxins. Instead of removing toxins, juice fasts can deprive your body of essential proteins, vitamins, and nutrients, resulting in symptoms such as cravings, fatigue, irritability, headaches, pains, nausea, and vomiting,” she explains. Dr. Rosch advises those on medications, pregnant women, and diabetics, who can experience dangerous spikes and crashes in blood sugar levels, to leave juice fasts alone; and if you’re curious about trying one, she recommends speaking with your physician first. Can a juice fast aid weight loss? “A juice fast is not the best way to lose weight,” says Dr. Rosch. “You’re only losing water weight, which can yo-yo back and forth,” she explains. A lot of people use juice fasts as a quick fix for weekend-long calorie binges or an excuse to overeat. Dr. Rosch warns against this use as it can spiral into an eating disorder. “It is good to include juice in your diet; however juice contains little fiber and lacks sufficient amounts of proteins or fats to be consumed on its own long-term, so it should not be your main meal or source for nutrients,” she says. If you are trying to lose weight or just improve your health, your doctor can be a great partner during the process. They can determine the best foods for your diet and help monitor your health so you lose weight in an effective and safe way. Fast Tips for a Fit Life “Before changing your diet drastically, seek the advice and guidance of your physician,” advises Dr. Rosch. “They can recommend a healthy diet based on fruits, vegetables, whole grains, and lean sources of proteins,” she adds. “Use fresh juice to complement your diet, rather than to replace it,” she advises. “And, if you’re seeking a fresh start for your health, working with your physician on a plan is your best bet for better health.”

PAGE 47

Oklahoma D.O. | April 2014

Oklahoma D.O.

Preventive medicine is just one aspect of care osteopathic physicians (DOs) provide. DOs are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. DOs are trained to consider the health of the whole person and use their hands to help diagnose and treat their patients.

April Birthdays

April 1 Jerry Patton, DO William F. Beringer, DO Nancy A. Murphy, DO April 2 Kimberly Ashlock, DO Erick C. DeRocher, DO Liem Q. Trang, DO Sharon D. Darrow, DO April 3 James W. Hogin, DO Paul L. Preslar, DO L. Keith Simmons, DO James A. Glenn, DO

April 4 Marc D. Knudsen, DO Michael E. Maddox, DO

Oklahoma D.O. PAGE 48

April 5 Jimmy D. Cody, DO Michael D. David, DO Douglas C. Foster, DO Yana Jarman, DO John D. Tran, DO Perry L. Justice, DO April 6 John E. Fell, DO R. Troy Lehman, DO John Owens, DO Aaron M. Pierce, DO

April 7 Raymond F. Sorensen, DO Patrick B. Ellis, DO Ronald R. Hopkins, DO Scott A. McHam, DO Kathryn D. Parks, DO April 8 Richard F. Costello, DO Rick G. Crenshaw, DO Randy L. Whitekiller, DO Miranda L. Phillips, DO Brenda G. Floyd, DO Thomas Reeder, DO Thomas J. Stees, DO

April 9 Melvin J. Van Boven, DO Kimberly R. Lemons, DO Louis E. Mulkey, DO Jerry L. Gibbons, DO April 10 Andrea J. Miller, DO Nathan H. Ho, DO April 11 Terry M. Gile, DO Carl D. Glidden, DO Karin A. Johnson, DO April 12 Chadwick B. Ross, DO William B. Geb, DO Arthur G. Wallace, DO Frank W. Bell, DO Eric Blackwell, DO Chesca N. Craig-Goodell, DO Christopher G. Dalton, DO Terry J. Hill, DO Joseph R. Johnson, DO Michelle S. Wells, DO Paul M. Bennett, DO Tiffany L. Elliott, DO Olen L. Jestis, DO April 13 Gary L. Slick, DO R. John Charboneau, DO Gerald L. Dickman, DO Susan S. Staudt, DO April 14 J. Brian Williams, DO April 15 Jeffrey L. Anderson, DO Larry Hrdlicka, DO Ronald E. Jackson, DO Natalie J. Murta, DO

Oklahoma D.O. | April 2014

April 16 Shirley Love Chesnut, DO Jennifer L. Berends, DO Ilysa R. Diamond, DO James I. Graham, DO Joey M. Manduano, DO Michael Opong-Kusi, DO Theodore W. Pollock, DO Robert B. Scott, DO James S. Stauffer, DO Monte D. Veal, DO Julia M. Kwon, DO April 17 Larry L. Ellis, DO Beau C. Jennings, DO Bradley J. Reddick, DO Elise Griffin, DO April 18 Luke E. Matloff, DO Harold R. Stopp, DO Joe M. Anderson, DO Brian T. Harris, DO April 19 Robert W. Dean, DO Stephanie J. Husen, DO Brad A. White, DO April 20 Jefferson C. Loyd, DO April 21 Pran N. Khanna, DO David M. Keuchel, DO Janan R. Lane, DO Kathy L. Stubbs, DO

April 22 William R. Holcomb, DO Daniel C. Lee, DO April 23 William L. Buchanan, DO Lori L. Hake, DO April 24 John C. Hill, DO Joel A. Adkisson, DO Robert L. Lovell, DO R. Kelly McMurry, DO Nancy C. Merritt, DO Daniel G. Morris, DO Justin K. Parschauer, DO Sabrina L. Schrader, DO Kerri L. Williams, DO Chad L. Armstrong, DO Zackary Paul Spradlin, DO Christian Leigh Koopman, DO April 25 Dale C. Askins, DO Lora D. Cotton, DO Christian S. Hanson, DO Kevin C. Hoos, DO Stephen Kovacs, DO Sarah E. Land, DO Regina M. Lewis, DO Ryan D. Wilson, DO Nabila Fatima Malik, DO Savannah Delk Stumph, DO

April 26 Rebecca A. Biorato, DO Robin M. Cox, DO Kristina K. Price, DO April 27 Angelo A. Dâ&#x20AC;&#x2122;Alessandro, DO Patrick H. Tracy, DO Phyllis C. Nolan-Watkins, DO Tony L. Brown, DO Kenneth E. Hamilton, DO Sheila G. Simpson, DO Amanda R. Gorden-Green, DO April 28 Terry K. Badzinski, DO Mark A. Cascairo, DO Sarah M. Hall, DO C. David Rogers, DO Justin S. Sparkes, DO Gary L. Steinbrook, DO Erin R. Kratz, DO April 29 Bret S. Langerman, DO Cynthia M. Berry, DO Michael R. Davis, DO J. Angela Miller, DO April 30 Kyle Travis Jones, DO David W. Campbell, DO Thomas L. Costner, DO Aaron Q. Lane, DO Carl M. Fisher, DO

PAGE 49

Oklahoma D.O. | April 2014

Oklahoma D.O.

The OOA wishes a very happy birthday to all of our DOs who celebrate their birthday this month!

Classified Advertising OFFICE BUILDING FOR SALE: 6501 S. Western, OKC, OK 73139. Over 1 1/2 acres total size, 10,000 sq ft building divided into 3 doctors offices. 1200 sq foot private office upstairs with private bathroom and shower. 2 double sided fireplaces, over a dozen chandeliers, rough wood cathedral ceilings. Alarm and phone system in place, double glass doors in entrance, back patio with separate storage building. Larger office is fully equipped with exam tables, Pap table, chairs, medical instruments, QBC (CBC) machine, autoclave, medical supplies, and much more. For information contact: Captain David Simpson at (405) 820-5360.

Oklahoma D.O. PAGE 50

CLINIC FOR SALE: By owner. Fully equipped: LAB, XRAY, EKG. Well established clinic, near Integris Southwest Medical Center is available for sale. Clinic is well equipped and is ideal for one or more physician practice as well as a variety of specialties. Clinic has: waiting room with refrigerated water cooler, wheelchair accessible restroom, reception and staff work stations, Nurses station, 5 - 7 exam rooms with sinks and running water, large multipurpose procedure room, 3 private offices with built-in bookcases, (One Office with 3/4 Bath), additional staff and patient restrooms, large upstairs (currently used for storage) and variety of other medical equipment. Misys Medical Software. Large Parking Lot. “Must See Inside” the all steel building located at 2716 S.W. 44th St. in OKC to appreciate the effort placed upon providing convenient and up to date medical care. PRICE IS NEGOTIABLE. Doctor prefers to sell, but would consider leasing. If interested, please call: Evelyn Francis at (405) 249-6945. IMMEDIATE OKLAHOMA OPPORTUNITY with largest family medicine clinic in Muskogee, Ok. Excellent opportunity to assume a practice that is up and running. Senior physician of four physician group leaving to pursue new career opportunities. 2,000 active patients need a physician. Two physicians currently practice OB. Surgical OB experience a plus. On site x-ray and CLIA certified lab. Nursing and support staff in place. Income guarantee. Be your own boss, work hard and practice family medicine in its historical tradition with respect and loyalty of small town patients. Contact Evan Cole, DO, 918-869-2456, ecoledo@yahoo.com, Brad McIntosh, MD, 918-869-7356, drbamc@yahoo.com Jason Dansby, MD, 918-869-7387, jasonddansby@yahoo.com or Judy Oliver, RN, practice administrator, 918-869-7357. (leave a message if temporarily unavailable) Find us on the web at www.mfpclinic.com.

STAFF PHYSICIAN NEEDED: The Oklahoma Department of Corrections is seeking applicants for Staff Physician at our correctional facilities statewide. The state of Oklahoma offers a competitive salary and benefits package which includes health, dental, life and disability insurance, vision care, retirement plan, paid vacation, sick days, holidays and malpractice insurance coverage. For more information and a complete application packet contact: Becky Raines 2901 N. Classen Blvd., Suite 200 Oklahoma City, OK 73106-5438 (405) 962-6185 FAX (405) 962-6170 e-mail: braines@doc.state.ok.us DOCTORS WANTED: to perform physical exams for Social Security Disability. DO’s, MD’s, residents and retired. Set your own days and hours. Quality Medical Clinic-OKC, in business for 16 years. Call Jim or JoAnne at 405-632-5151. PHYSICIAN NEEDED: The practice of Terry L. Nickels, DO is currently seeking a part-time Family Physician with OMT Skills to help cover the office. If interested please contact Dr. Terry Nickels at (405) 301-6813. Family, Urgent Care, and Emergency Practitioners – Immediate Opportunities for FT/ PT and temp positions. Oklahoma physician owned placement company is hiring now. Offering top wage, flexible schedules, paid malpractice and travel expenses. Call Rachelle at 877-377-3627 or send CV to rwindholz@oklahomaoncall. com

Oklahoma D.O. | April 2014

Calendar of Events April 23, 2014 FORE the LOVE of Osteopathic Medicine Golf & Tennis Tournament Oak Tree Country Club 700 W Country Club Edmond, OK 73025

June 20-22, 2014 2014 Trauma Program: “Team Approach to the Multi Trauma Patient” Apache Casino Hotel 2315 E Gore Blvd Lawton, OK 73501

April 24-27, 2014 114th Annual Convention Embassy Suites Norman Hotel & Conference Center 2501 Conference Dr Norman, OK 73069

Aug. 8-10, 2014 2014 Summer CME Seminar The Artesian Hotel, Casino & Spa 1001 W 1st St Sulphur, OK 73086

June 12, 2014 2014 June Proper Prescribing Program Oklahoma Osteopathic Association Central Office 4848 N Lincoln Blvd Oklahoma City, OK 73105

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