FEBRUARY EDITION, VOLUME 2016, NO. 2
A TRIBUTE TO DR. CHARLES E. MOORE By Charles D. Williams, M.D., FACR, FAAP It is with great pleasure and considerable enthusiasm that I write this tribute to Dr. Charles E. Moore, who served as editor of the Cap Scan for over 30 years. This is a record that will probably never be broken and for this he deserves to be in the Cap Scan Hall of Fame or at least Editor Emeritus of Cap Scan. Under his direction, Cap Scan has evolved from a two page distribution to a first class medical society newsletter. During this time he composed many interesting, thought provoking, erudite and often humorous articles, as well as, keeping the Cap Scan intact and keeping the medical staff informed. In addition, many of you are also aware that he served for several years as editor of The Journal of the Florida Medical Association.
in the year 2000 when he got a new air conditioning system for his office. I had the privilege of serving with Dr. Moore on the Capital Medical Society Publications Committee, and I learned a lot from Dr. Moore. First, you gather the facts, and then, you can distort them in any way you choose. I consider Dr. Moore an intellectual. He has the ability to make simple things complex. He could take simple phrases like beauty is only skin deep and say, “pulchritude possesses solely cutaneous profundity”. I would then have to go to the dictiuwary to figure out what he was saying. He would also take phrases, like as the ball bounces, and say, “thus is the erratic manner and direction in which the resilient spheroid exhibits its compressive elasticity when propelled against a surface”. Again I would have to go to the dictiuwary.
I will pay Dr. Moore some compliments. When I get compliments, I feel embarrassed. I never feel like they say enough. I hope I say enough. Dr. Moore is unique. He walks to a different drummer. He wears those funny things around his neck. I think they are called ascots.
Dr. Armand Cognetta stated, “How fortunate we have all been to be regaled these many years by Dr. Moore in his monthly columns. Many of us needed a dictionary to get the full meaning but even when some of his prose went over our heads, it lifted us all a bit.”
I would like to give you some unknown facts about Dr. Moore. His birth weight was 3 pounds 8 ounces. One of his biggest accomplishments was reaching 40 pounds at age 8. Another great accomplishment was
There are many other aspects of Dr. Moore’s life that most of you are not familiar with since he contributed to the welfare of others without fanfare or notoriety. For example, he has served on the Board of Directors CONTINUED ON PAGE 3
CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR February 29, 2016 Connect the Docs Leap Year Trivia Night 5:30 pm Beef ‘O’ Brady’s 1800 Thomasville Road
March 24, 2016 Celebration Awards Dinner 6:30 pm FSU University Center Club
April 11, 2016 Connect the Docs Happy Hour 5:30 pm – 7:30 pm Food Glorious Food 1950 Thomasville Road
BOARD OF GOVERNORS J. Daniell Rackley, M.D., President Tracey Hellgren, M.D., President-Elect David Dixon, D.O., Secretary/Treasurer Joshua Somerset, M.D., Immediate Past-President Christie Alexander, M.D. Shelby Blank, M.D. Hien Guyer, CMS Alliance President Rohan Joseph, M.D. Shakra Junejo, M.D. Maribel Lockwood, M.D. Paresh Patel, M.D. Gregory Perry, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D. Pam Wilson, Executive Director Family Medicine Resident Todd Hewitt, M.D. Internal Medicine Residents Sura Jermanus, M.D./Jose “Tony” Martinez, D.O.
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MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
A Tribute to Dr. Charles E. Moore …
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CMS Member Alerts …
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2016 Celebration Awards Dinner …
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FSU COM Student Pathography …
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CMS Lunch and Learn …
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CMS 2016 Meetings Calendar …
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Dean’s Corner …
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Viewpoint …
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Medical/Legal …
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2016 CMS Foundation Board of Directors …
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CMS Foundation …
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CMS Foundation: We Care Network …
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HAPPY BIRTHDAY! {FEBRUARY BIRTHDAYS}
Nelson Kraeft, M.D. – 1st
Krista Rankin, M.D. – 10th
Robert Steinmetz, M.D. – 1st
Jeannine Silberman, M.D. – 10th
Bert Morales, M.D. – 2nd
Satish Mital, M.D. – 11th
David O’Bryan, M.D. – 2nd
William Simmons, M.D. – 14th
Brian Sherman, M.D. – 3rd
Kenneth Kato, M.D. – 15th
C. Raymond Cottrell, M.D. – 4th
Chris DeRosier, M.D. – 16th
INTERIM EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
Shakra Junejo, M.D. – 6th
Jose Rodriguez, M.D. – 16th
Anahita Sanaie, M.D. – 6th
Garrison Rolle, M.D. – 16th
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
Wade Douglas, M.D. – 7th
Robert Snyder, M.D. – 16th
Ramel Failma, M.D. – 7th
Robert Atwater, M.D. – 18th
Donald Loucks, M.D. – 7th
Narlito Cruz, M.D. – 19th
James O’Neill, M.D. – 7th
Meredith McKinney, M.D. – 19th
Stephen Quintero, M.D. – 7th
Teresa Skojac, M.D. – 20th
William Thompson, M.D. – 7th
Jerry Ford, M.D. – 21st
Frank Gredler, M.D. – 8th
Joseph Camps, M.D. – 22nd
John MacKay, M.D. – 8th
James Geissinger, Jr., M.D. – 23rd
Michael Cavallaro, M.D. – 9th
Joseph Baker, M.D. – 26th
Larry Harper, M.D. – 10th
Gregory Albright, D.O. – 28th
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN? Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
If you are a member of the Capital Medical Society and would like a copy of the Minutes from the Board of Governors meeting, please call the CMS office. Thank you. 2
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
A TRIBUTE TO DR. CHARLES MOORE
of MEDASSIST U.S., a non-profit organization which aids and abets the surgical correction of birth anomalies and traumatic loses sustained by Crimean children, in which, if left uncorrected, would condemn these children to the “Gulag” of an orphanage system worse than even that which Dickens might have conceived. As a result, 121 children have so far been rendered adoptable and very many of these to the “Panhandle of Florida”. Dr. Moore has been going, along with other surgeons from Nemours Children’s Clinic in Jacksonville, to the capital of the Crimea, a fascinating part of the world, to do surgery on poor orphans, who are otherwise sadly neglected by the Ukrainian Health Care system. He has patched up their many defects, and so made them vastly more eligible for the almost magical (to them) prospect of adoption. Some six or seven of those whom he with others performed surgery on have even been adopted by locals to grow up in Havana, Monticello, and Tallahassee, thus turning little “Reds” into little “Rednecks”. I first became aware of his involvement and his wonderful endeavors when he contacted me about providing these children with some free imaging services, and Radiology Associates was happy to participate.
remembered familiarity, a deeper, more evolved interest may be aroused. Dr. Moore always admired and loved his patients and frequently made house calls even on the poorest of patients in Frenchtown without payment. He always took pride in the care he gave his patients and never refused anyone. It was a privilege of “simpler times” when he as a solo physician could practice from his heart. During the course of his career, he has never shied from the opportunity to serve his patients. Dr. Cognetta stated, “I cannot count the number of patients that have told me how Dr. Moore would make house calls during their post op periods and care for them. He shared his skills and brilliance with our community, as well as, overseas in his teaching and mission work.” He has been a dominant voice in this community for medicine and the patients we serve. As important as his contributions to medicine and his patients, Dr. Moore’s impact as a role model is impressive. He is a loving husband and has a very supportive wife. We need to sincerely thank Lynn for sharing Dr. Moore with the medical community over the many years. He leads by example, and one cannot have a more loyal and thoughtful friend.
Through his efforts, TMH donated 2 portable x-ray machines, which they had retired for the sake of more current models, but which though originally destined for Crimea, were by urgent request and by Dr. Moore’s direction through Mr. O’Bryant, were re-routed to a hospital in Haiti. He borrowed a horse trailer from his neighbor who also borrowed a “dualie” pickup truck (that you didn’t have to wash and nobody would steal) from his son in law. Dr. Moore then arranged a driver who volunteered to drive the machines to Hollywood, Florida from whence they were forwarded on to Sacre Coeur.
There are many more notable aspects of Dr. Moore’s life which I have not mentioned, such as the publication of his book entitled “The Good, The Bad, and The Homely.” In addition, Dr. Moore served as President for the local branch for the Florida Heritage Society. He played a role in the preservation of the old State Capitol building, as well as, many historical homes around Tallahassee.
Another aspect of Dr. Moore’s life included voluntarily teaching poetry on a routine basis to fourth, fifth, sixth, seventh and eighth graders at Maclay School. One of my grandson’s, Charles William Dailey, who was in one of his classes now wants to be a plastic surgeon so he can do poetry.
I’d like to conclude with the words to a song (“Old Friends”) written by Bill Gaither.
Dr. Moore, as a volunteer teacher in poetry strikes a bell, which resonates down the years of the student’s lives. In the course of that life there will be many awakenings, sudden awareness’s, and insights, hopefully leading to incentives, which will commence with some inner vibration, some message from as long ago as even the sixth grade period. From that
In 2011, Dr. Moore received the Outstanding Physician Award for all his many contributions. Dr. Moore, you will be missed.
“Old friends, after all of these years, just old friends, through laughter and tears, old friends, what a find, what a priceless treasure, old friends, like a rare piece of gold, my old friends, make it great to grow old, old friends, with all I will hold to old friends. Now God must have known, that’s why he sent, friends like you along. Old friends, you’ve always been there, my old friends, we’ve had more than our share, old friends, we’re all millionaires, in old friends.” CMS
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CMS MEMBER ALERTS
CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS: Kaisa van der Kooi, M.D. Medical School: Wayne State University Internship/Residency: Johns Hopkins Hospital Fellowship: University of South Florida Specialty: Dermatology, Dermatopathology Practice: Dermatology Associates of Tallahassee
Lincoln Roland, M.D. Medical School: Pennsylvania State University Internship/Residency: New York Medical College Fellowship: University of Massachusetts Specialty: Vascular Surgery Practice: TMH Physician Partners Vascular Surgery Specialists
PROFESSIONAL NOTES On December 2, 2015, State Surgeon General and Secretary of Health Dr. John Armstrong announced 13 appointments to the Physician Workforce Advisory Council. All appointments are four year terms lasting through Nov. 25, 2019. Dr. Alma Littles, MD, Senior Associate Dean for Medical Education and Academic Affairs and Professor of Family Medicine and Rural Health at the FSU College of Medicine, was reappointed as the individual recommended by the Florida Alliance for Health Professions Diversity. Physician workforce planning is essential to ensuring an adequate and appropriate supply of well-trained physicians to meet Florida’s future health care needs. The Department collects information on Florida’s physician workforce from a survey incorporated into the medical license-renewal process. The survey data results, along with guidance from the Physician Workforce Advisory Council, support the production of the Physician Workforce Annual Report. The annual report details the distribution and composition of Florida’s physician workforce and serves to guide strategies that prepare the state for future health care delivery with a diverse, well-trained, and geographically distributed workforce. The Advisory Council, composed of various stakeholders throughout the medical community, serves as a coordinating and strategic planning body to assess the state’s physician workforce needs. Initiatives include policy development that improves graduate medical education and physician training, retention, distribution, and diversity. Congratulations, Dr. Alma Littles!
Dennis A. Fried, M.D., J.D. Licensing, Discipline &Peer Review Defense for All Medical Professionals in Florida Free Initial Consultation Blanchard, Merriam, Adel & Kirkland, P.A. 4 S.E. Broadway Street, Ocala, FL 34471 352-732-7218 4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
www.bmaklaw.com
CMS Members: If you receive accolades, please let us know so we can include you in this section! Email the details to Shannon Boyle at sboyle@ capmed.org.
2016 CELEBRATION AWARDS DINNER
Mark Your Calendar for the 15th Annual Celebration Awards Dinner Celebrate the profession of medicine with your colleagues! Mark your calendars for the Capital Medical Society’s annual Celebration Awards Dinner on Thursday, March 24th at 6:30 pm at the University Center Club at Florida State University. Our Celebration Awards Dinner honors Doctors’ Day, which is on March 30th every year. An exciting part of this event is the presentation of two prestigious awards. The I.B. Harrison, M.D. Humanitarian Award will recognize a local physician’s humanitarian effort to help patients. The Outstanding Physician Award will recognize a local physician’s effort to help the profession of medicine. The 2016 winners will be announced in early February. Invitations will be sent in early March. We hope to see you there!
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FSU COM STUDENT PATHOGRAPHY
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE STUDENT PATHOGRAPHIES (Student essay on one of their patients from their rotation. All patient names are fictitious.) JM walked into the waiting room with the look of an anxious man. The elderly gentleman politely checked in with our secretary grabbing a Tallahassee WomaN magazine without a glance at the title. He flipped pages nervously and in less than a minute he placed it down again and was pacing our tiny waiting room. His eyes darted from the door to his watch to his phone. He had arrived fifteen minutes early and unfortunately this was a day when we were running behind. This ritual of magazine, and pacing continued for a few more rounds and with each one he became more and more apprehensive. Soon his shirt was soaked through and after ten minutes past his appointment time he approached the receptionist. His voice was wavering as he contritely explained that he had to get home. He apologized profusely stating family reasons and rescheduled for two weeks later. One could almost hear the tires hitting the pavement as he skidded out of the driveway. Two weeks later a relaxed seventy four year old walked through the door. He chatted to the secretary for at least ten minutes before leisurely sitting down and poking through the magazines until he found a golfing magazine. When it was time for his visit he spoke with the Nurse about Florida State’s chance at football this year while she applied his skin tests. He did not seem too focused on his actual appointment but was almost desperate to discuss any other topic. He was not even wearing a watch. His intake history began as follows: Chief complaint: “I want to know when I can start eating shrimp again, I am overdue...”
(This was followed with a brief discussion about where I am from)
Past Medical History: Coronary Artery Disease 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Past Surgical History: Right Rotator Cuff Repair in 2002, Cardiac Stent placed in 2011
(Followed by discussions regarding the FSU football team in 1979-1983 - Our Nurse’s son played for the team at that time)
Medications: Lisinopril 20mg qd Simvastatin 40mg qhs Aspirin 81mg daily MetroGel to affected areas as needed Benadryl 25mg as needed (This was then followed by discourse over the common acquaintances between the Nurse and JM) Occupation: Insurance Agent, “90% Retired” The conversation slowly honed in on the nature of his visit; he had eaten seafood twice weekly since childhood and started noticing in 1968 that he would get facial swelling and redness that appeared to coincide with seafood ingestion. These episodes would occur within 15-30 minutes of seafood intake and would resolve within thirty minutes of taking a Benadryl. He particularly noted incidents when he was Tailgating as a young man (at this point he mentioned that he was unsure if it was correlated with increased alcohol intake or the grilling of crabs and shrimp). He also remarked that these episodes were inconsistent in triggers and timing. His job had previously hosting dinners at local restaurants and he would often premedicate with Benadryl to avoid the drama of a possible reaction. He described each event in detail noting a fine red bumpy rash on his cheeks. He stated that once or twice he had difficulty breathing but was unsure if this was related to anxiety or an actual reaction. His daughter has a seafood allergy which made him more prone to think he was having a reaction to shellfish consumption. He stated that these events have appeared to become more frequent the last six years and have gotten to the point where he has avoided shellfish for the last two years. Each part of his story would be laced with small minutiae regarding his life. It slowly came out that his wife had been diagnosed with Alzheimer’s Dementia six years prior and things had declined significantly
FSU COM STUDENT PATHOGRAPHY
in the last two years. She was now requiring around the clock care and his previous attempted visit he had no one to sit with her (but today he had a lady staying with her). He discussed how his mother was a wedding planner. His mom had bought flowers from his now wife for weddings and his mom had been the one to set them up after he returned in 1967 from serving in the Marines. He had lived his whole life in Tallahassee and he and his wife had both attended the same high school but at different times. It was very obvious that this visit was not of physical necessity but for his mental sanity. This supposed seafood allergy for the last forty plus years was now being addressed because he was desperate for an excuse to have a conversation. The timer beeped revealing no allergies to seafood or other environmental allergens and it was later decided that his symptoms corresponded to Rosacea exacerbations. He had been diagnosed with this skin disorder ten years prior. He had been managing his skin with Metrogel infrequently when he would notice an increase in redness. He had not considered that these events may have been mini exacerbations triggered by certain food and alcohol intake. As the visit switched gears towards education he confided that he often used food to cope and felt that he had
probably been eating more shellfish in the last six years because it reminded him of simpler times. This increase in shellfish came to a prompt stop about two years ago when he had to undergo a cardiac stent and his wife became unable to care for herself. At that point he stopped eating seafood because it was easier to avoid episodes by eating differently than deal with a potential Anaphylactic Reaction. He expressed great desire to eat shellfish once in a while in the future. We did not offer him an epiphany or a new magic purple pill. He left the visit without any concrete changes to make. We gave him freedom to eat shellfish in moderation as well as some education. No new diagnoses or medications glared on his medical history. The visit concluded with a man that looked ten years younger than the JM that had paced our waiting room two weeks earlier. We did allay his fears but I am not sure it was worth the Specialist Copay that he had to pay. I think his visit’s price tag was justifiable to him because on some level he realized that he was granting himself an excuse to escape from his daily life. He gladly accepted the time commitment and the testing in order to get a few minutes to gossip about when Bowden was coaching and feel like the JM he used to be.
- Sasha Kaiser
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CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH & LEARN SEMINARS - SPRING 2016 APRIL 20, 2016 LEGISLATIVE SESSION AND HOW IT IMPACTS YOUR PRACTICE FEBRUARY 17, 2016 ACA: IS IT TIME TO CALL HOSPICE? What have we learned thus far about the ACA? Is the Law working? Is the Law accomplishing what was promised? We will take a look at the past 5 years and review the changes. The good and the bad. We will talk about what changes might improve the Law and its outcomes. Is It Time To Call In Hospice? Speaker: J. Scott Fenstermaker, RHU, Certified Health Care Reform Specialist, STRATEGIC BENEFITS GROUP, LLC Sponsor: Thomas Howell Ferguson, P.A.
~ MARCH 16, 2016 CYBERSECURITY, IDENTITY THEFT AND YOUR PRACTICE Most everyone has seen news reports of cyberattacks. Many people believe that if they are small and low profile, they will escape the attentions of the “bad guys” who are running these attacks. It is vital to do as much as possible to protect sensitive health information. The consequences of a successful cyber-attack could be very serious, including loss of patient trust, violations of the Health Insurance Portability and Accountability Act (HIPAA), or even loss of the practice itself. This presentation will be going over the key risk areas that a Healthcare entity has as well as good cyber defense habits. Speaker: Mike Rosciam, Thomas Howell Ferguson, P.A. Sponsor: Traci S. Poucher, CampusUSA 8
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Speaker: Jarrod Fowler, MHA, Director of Payment Advocacy, Florida Medical Association Sponsor: TBA
~ MAY 18, 2016 BEYOND MEANINGFUL USE Speaker: Diane Gaddis, CPHIMS, FHIMSS, BSMP, President/CEO, The Center for the Advancement of Health IT Though Meaningful Use and CMS’ EHR Incentive program is not over, the healthcare landscape continues to shift with practices facing new mandates to keep up and opportunities to evolve. This session will touch on the following: • The most pressing challenges in Meaningful Use today • What may be on the horizon • Best practices for long-term success; • How the lessons of Meaningful Use benefit practices engaged in value-based reimbursement • IHI’s Triple Aim and why it matters • How Meaningful Use ties into Medical Home models • Defining Care Transformation Sponsor: Liz Thiele, TMH Federal Credit Union Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar
For more information or to register, call Rosalie Carlin at 877-9018.
CMS 2016 MEETINGS CALENDAR
CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR (continued from page 1)
April 19, 2016 CMS Membership & CME Meeting New Screening, Evaluation, and Treatment Options for Lung Cancer Jeffery Snyder, M.D., Capital Regional Medical Center Heart & Lunch Surgical Associates 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
September 20, 2016 CMS Membership & CME Meeting Palliative Care and Decision Making from Chemo Patients to End of Life Monica Williams-Murphy, M.D., Huntsville Hospital, author of “It’s OK to Die” and J. Brian Sheedy, M.D., TMH Palliative Care Consultation 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
April 23, 2016 Connect the Docs Family Fun Day Picnic 11:00 am – 2:00 pm Maclay Gardens ($6 entrance fee)
May 17, 2016 CMS Membership & CME Meeting Medical Use and Risks of Radiation Sergio Ginaldi, M.D., Radiology Associates of Tallahassee 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
May 2016 CMS Doctor/Son Banquet Time & Location: TBA
August/September 2016 CMS Meet the Candidates Forum Time & Location: TBA
October 18, 2016 CMS Membership & CME Meeting Domestic Violence and Human Trafficking – 2-Hour Required CME Terry Coonan, J.D., Executive Director at FSU Center for the Advancement of Human Rights and Suzanne Harrison, M.D., Associate Professor and Education Director, Family Medicine, FSU College of Medicine 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
November 15, 2016 CMS Membership & CME Meeting Periodontal Disease and Systemic Disease William Baldock, D.D.S., Capital Periodontal Associates and Spencer Gilleon, M.D., Tallahassee Ear, Nose & Throat-Head & Neck Surgery 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 1, 2016 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
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DEAN’S CORNER
DEAN’S CORNER By John Fogarty, M.D., Dean, FSU College of Medicine
Even before we sent our first students into local practices in 2003 to begin their clinicaltraining years, the FSU College of Medicine embraced its relationship with community physicians and hospitals. We still love our community partners. So I’m thankful for Capital Medical Society’s invitation to share with you details on something you may have heard about elsewhere. The FSU College of Medicine and its faculty practice, Florida Medical Practice Plan Inc., recently engaged a national consulting firm specializing in academic health practices, to conduct a clinical
expansion feasibility analysis. The primary goals: evaluate developing a viable faculty practice in a stand-alone facility, and develop a business plan while continuing to meet university and community needs. We must provide practice opportunities for our clinical faculty so they remain up-todate physicians, and must offset portions of clinical faculty salary in light of significant state budget cuts. Consultants have been meeting with local stakeholders, looking at how such an expansion can address unmet patient-care needs with minimal impact on existing local practices. At the same time, we’re developing a new physician assistant program. We hope to welcome our first group of 20-25 PA students in 2017, and later expand to 60
students. They’ll spend a year at our main campus and a year at one of our regional campuses. Primary care shortages likely won’t be solved by medical school graduates alone. I believe we have an ideal model here to train future PAs in office settings, providing important early experience in team-based care. We greatly value our relationship with community physicians, especially those who teach our students. We remain firmly committed to building on what we’ve accomplished together these first 15 years. For details of the study, contact Crystal Hopson, 1-800-2506724. For more on the College of Medicine clinical practice expansion, contact Dr. Chris Mulrooney, 850-645-9646.
Pictured l-r: FSU College of Medicine’s second year student, Lauren Jeck; FSU College of Medicine’s fellow in the Micrographic Surgery and Dermatologic Oncology Fellowship, Dr. Conor Dolehide; and Dr. Alma Littles at the FMA Board of Governor’s Meeting in Coral Gables, Florida on January 8-10, 2016. 10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
VIEWPOINT
ELIZABETH CROSBY, PH.D. By Frank Skilling, M.D.
As a first year medical student in the late 1960s I don’t recall having any lecturers who were female except for Elizabeth Crosby. There wasn’t a conscious effort not to have women perform lectures; it’s just that there weren’t many women in the medical profession. Medicine was essentially a male field, and while that may seem shocking today, at the time most of us didn’t give it a second thought, because that was how things had always been. I don’t recall sensing any prejudice again women in medicine, but since my mother was a nurse and my father an ophthalmologist, it appeared that this was how their fields had been organized. A wonderful exception was Elizabeth Crosby, then a full professor emerita at the University of Alabama in Birmingham School of Medicine. She had arrived there in the early 1960s after a full career as a neuroanatomist at the University of Michigan where she had spent most of her academic years. She had been born in 1888 in Illinois, and she studied mathematics in college before switching to anatomy. She obtained her doctorate in anatomy at the University of Illinois in 1915 and soon became a major contributor to the academic study of the mammalian brain. During the 1920s while she was teaching at the University of Michigan, she began the study of the organization of the cerebral cortex in monkeys and conducted experiments that mapped the architecture of the brain. It was also during this period
that neurosurgeons were developing the tools that allowed them to operate on humans to remove tumors and aneurysms without causing the death of patients. (The mortality rate from neurosurgery in the early 20th century approached 100% in some hospitals.) Other than plain x-rays, most neurosurgeons had little to assist them in determining the location of lesions prior to surgery. During surgery a trial of low amplitude electrical stimulation was used to isolate the lesions from normal tissue. The anatomy of the cortex (outer lobes of the brain) is complex and daunting, and distinguishing normal from abnormal tissue can make a large difference in how a patient functions cognitively after surgery.
speakers.” I remember her as a tiny figure in a dark suit walking on the stage of our lecture hall. She was accompanied by another woman who kept track of her purse and perched in the wings during the talk. She spoke in a low, frail voice, and proceeded to discuss the function of the motor cortex. What was most remarkable to me was her memory of the monkeys she had operated upon and who lived for many years in her lab. She recalled them by name and was able to describe their behaviors as if she were talking about people she had grown up with. Some of these operations had been performed 40 years before, but she spoke of them vividly and the post-operative effects on the monkeys who continued to live in the lab.
Elizabeth Crosby As she finished her talk had operated on she turned to us and spoke monkeys to find the words of encouragement exact location of the for entering such a daunting cortex control centers, field as medicine. She and she was able to summed up her approach elucidate pathways to learning with a little for motor and sensory ditty that I write here as a functions. When the memento from an inspiring neurosurgeons at the teacher: University of Michigan found out about her “Two ends are connected Photo credit: Smithsonian anatomical knowledge by a common link, Institution Archives. and technical prowess, On one we sit, with one she was invited to direct procedures in we think. the operating room. Although she had Success depends on which you a doctorate in anatomy and was not choose, a medical doctor, she was valued as a Heads you win and tails you colleague because of her knowledge of lose.” the brain. Legend has it that some of the neurosurgeons would not operate Dr. Crosby won numerous honors and unless she was there to guide them. awards during her lifetime and is still regarded as a pioneer in neurosurgery By the time she lectured to our even though she never graduated freshmen class at UAB she had from medical school. She died in become a revered figure in the Birmingham in 1983 at age 95. CMS anatomy department. Her lecture was announced in advance with a billing that was reserved for “special CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
VIEWPOINT
YOUR VASCULAR HEALTH By Jeffrey S. Kirk, M.D., Capital Regional Vascular Surgery
What is vascular disease? As we age, our arteries tend to thicken, get stiffer, and narrow. This is called arteriosclerosis. A form of arteriosclerosis is atherosclerosis. Atherosclerosis is the build-up of plaque and cholesterol in large- and-mediumsized arteries. Vascular disease results when the build-up restricts the flow of oxygen-rich blood throughout your body. Most people are familiar with heart disease and the consequences of blockages in the vessels that carry blood to and from the heart. But few people realize that atherosclerosis results in other parts of the body and causes disease. Three of the most prevalent diseases include: abdominal aortic aneurysm (AAA), peripheral arterial disease (PAD), and carotid artery disease. Why is vascular health newsworthy? There are expected to be considerably more cases. Vascular disease primarily affects seniors, and as the U.S. population rate for seniors increases with aging baby boomers, the potential for vascular disease increases. In 2005, the U.S. Census reported there were more than 67 million people aged 55 and older. It anticipates that number to rise to more than 87 million in 2015. With this increase in potential vascular disease cases, 12
knowledge of all treatments will become even more critical to your senior readership and their families. Peripheral Vascular Disease (PAD) affects 8 to 12 million Americans. This is especially true for people over 50 years-of-age and African Americans, according to the 2010 statistics from the United States National Institutes of Health. In advanced cases, when a diagnosis of PAD is made late, limb amputation may be necessary particularly among diabetics. Approximately 14,000 Americans die each year from a ruptured Abdominal Aortic Aneurysm (AAA), according to the same 2010 statistics. Medicare began offering a one-time, free, AAA screening for qualified senior citizens in 2007. Carotid artery disease blocks blood flow to the brain and causes paralyzing strokes. Stroke is the fourth leading cause of death in the United States with 137,000 Americans dying annually, according to 2010 United States National Vital Statistics Report. In 2010, the American Stroke Association estimated that Americans would pay about $73.7 billion US dollars for stroke-related medical costs and disability.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Who treats vascular disease? Dr. Jeffrey S. Kirk is a board certified vascular surgeon who is trained to care for patients using every vascular treatment available. This includes medical management, minimally invasive endovascular stent procedures, AAA repair, carotid endarterectomies and leg bypass surgery. Only vascular surgeons are trained to perform all of these options and are, therefore, the most qualified specialty to diagnose and treat vascular disease. Dr. Kirk recently relocated from Manhattan, N.Y. at Montefiore Medical Center. For three years he worked as an academic vascular surgeon. Montefiore Medical Center is a high-volume premier academic medical center that has played a significant role in the growth of vascular surgery. Montefiore has pioneered, developed, and perfected numerous techniques for the treatment of patients with peripheral vascular disease. The first endovascular AAA repair performed in the United States was at Montefiore almost two decades ago. Dr. Kirk looks forward to contributing his surgical skills and vast experience as a vascular surgeon to Capital Regional Medical Center and the Tallahassee community. CMS
Let us help you with that difficult conversation. Planning Early About Care at the End
a Program of Big Bend Hospice
Counseling a patient about the end-of-life can be challenging. Planning Early About Care at the End
a Program of Big Bend Hospice
For more information about Big Bend Hospice’s PEACE Program and FIVE WISHES contact Candace McKibben at (850) 878-5310 or candace@bigbendhospice.org
That’s where we can help. The Big Bend Hospice PEACE (Planning Early About Care at the End) program is designed to assist people in understanding, discussing, and communicating their advance directives through one-on-one conversation with a trained Big Bend Hospice PEACE program facilitator. Physicians may also choose to have someone on their staff receive training, to facilitate discussions with patients within their own practice. Contact us today, and also ask about FIVE WISHES, an advance care planning document published by Aging with Dignity, which focuses on addressing a patient’s healthcare wishes in the event that they cannot advocate for themself. Big Bend Hospice distributes them at no-charge to any person residing in the Big Bend region.
Call Big Bend Hospice, we’re here to share the journey. 1723 Mahan Center Blvd., Tallahassee, FL 32308 • 850.878.5310 • www.bigbendhospice.org CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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MEDICAL/LEGAL
REQUESTS TO AMEND A MEDICAL RECORD By Susan L. Marr, MSA, CPHRM, Senior Patient Safety Risk Manager, and Richard Cahill, JD, Vice President and Associate General Counsel, The Doctors Company A patient has the right to request an amendment to his or her medical record. A physician has the right to determine if the change will be made. The medical record should contain both the patient’s request and the physician’s response. Patient Requests When a patient requests any kind of amendment to his or her medical record, follow these guidelines to help ensure clear documentation: • The patient’s request must be in writing, and he or she must sign and date it. • The request must be directed to the provider who originated the portion of the record the patient wants to amend. • The request must state which portion of the record the patient wants to amend and specify how it should be amended. • The patient’s request is then filed in the record with the pertinent entry. Scenario 1 During an executive physical examination, a physician asks the patient how many alcoholic drinks he has in a day. Because the patient does not drink every day, he responds that he has about five drinks each week. The physician incorrectly documents “ETOH: 5/day.” Subsequent healthcare providers who have received copies of the physical examination refer to the patient’s “daily” alcohol intake. The patient eventually identifies the source of the confusion and requests an amendment to the medical record. Scenario 2 A patient returning for follow-up of back strain due to gardening now insists that the original injury occurred at work and wants the prior visit note changed. Physician Response A physician—who agrees or partially agrees with the patient’s request—should take the following steps: 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
1. Indicate on the medical record that “Per the patient’s request, the record is amended as follows” and make any appropriate changes. 2. Sign and date a response addressed to the patient and place a copy of it with the patient’s request in the medical record with the pertinent entry. 3. Make a reasonable effort to inform other individuals who received the original medical record and provide them with the amendment within a reasonable time, especially if the amendment provides information that may be detrimental to the patient. A provider who denies a patient’s request must respond to the patient in writing in a timely manner using plain language (rather than technical medical terms). The response should be placed in the medical record with the request and should include the following: • The reason for the denial. • A statement advising the patient that he or she may submit a written reply disagreeing with the denial. • Information telling the patient how to submit a reply to the physician or clinic. Written denials by a provider must also include statements with the following information: • If the patient does not want to submit a reply to the denial, he or she may, instead, ask that copies of his or her original request and the physician’s denial be included in responses to future inquiries regarding the patient’s medical information. • Notice to the patient regarding how to make a complaint to the provider or to the Secretary of the Department of Health and Human Services. The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each health care provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.
MEDICAL/LEGAL
A BLUEPRINT FOR BUSINESS SUCCESSION PLANNING By Brent Edson, North Florida Financial Corporation, 850-562-9075 The equity in small business owners’ companies is a valuable asset. But in a privately held company, how can equity be converted to cash when the owner exits the business? Creating an exit plan – commonly called a “succession plan” – is an integral part of strategic business planning. This article will help business owners understand: 1) why a succession plan is important; 2) how to begin the process; and 3) how to put the plan into action. The Tax Impact at an Owner’s Exit Succession planning which involves passing ownership to an heir or selling the company, aims to achieve an optima outcome for the business, which includes converting business equity into cash whenever necessary. 1. At retirement business owners usually want to enjoy themselves. 2. An owner’s heirs may lack the knowledge or interest to manage the business. Three Key Questions 1. What is the business worth now on a “fair market value” basis? 2. What will the business be worth when the owner exists? 3. How will heirs obtain a fair value for the business when the owner exists? Terms of a Buy-Sell Agreement A buy-sell agreement may be formed between co-owners or partners, who each agree to buy out the other’s interest upon a “triggering” event. Most buy-sell participants lack the personal resources to buy a partner or owners business interest outright. Since most owners prefer to receive cash at the closing, strategic planning requires that the source of the cash be identified well in advance. Often
the primary source is permanent life insurance. The death benefit is a cost effective way to fund a death buy out and the cash value component can be utilized for lifetime buyout events. Valuing the Business After a successor is identified, the next step is to determine the buy-out value. Although small business owners have some flexibility in setting the price of a buy-out transaction, The IRS and courts require a valuation that represents fair market reality. Some valuation methods include:
Funding the Buy-Sell Agreement As noted earlier, permanent life insurance is often used to fund buy-sell agreements. This is because coverage can continue, and premiums remain constant at any age. Funding these agreement with permanent life insurance also has other benefits: 1. Quick and convenient cash for heirs 2. Tax advantages 3. Affordable, level premiums 4. Cash Value Planning for a Long-Term Disability
Comparable recent transactions – Business value is based on the terms of sales or mergers involving companies of comparable size in the same industry or market area. Multiple of revenue or book value – Business value may be pegged to a multiple of gross revenues in the year or two just before the owner exists. Discounted cash flow – The cash value is based on total cash flow that the business is projected to generate for a period of years (yearly three to five) after the owner’s exit, discounted by a cost of capital. Drafting the Legal Agreement The next step is to formulize the buy-sell agreement in writing with the help of an attorney experienced in succession planning – and ideally, one who also has a background in estate tax Planning and business valuation. Common trigger events include an owner’s death, disability, retirement, divorce, or separation from employment. When a buyout is triggered by an event other than death, the legal agreement also may include provisions that prevent the departing owner from competing against the company or disclosing its trade secrets.
One trigger event that can be funded with insurance is an owner’s longterm disability. In this case, disability income insurance can be purchased to fund an obligation written into the buy-sell agreement. Subject to the terms of the policy, disability buyout insurance pays to the business beneficiary or other owner a stated amount of money or periodic income (after a waiting period) that can be used to fund part or all of the buy-out. Successful business owners rarely stop working long enough to ask why they are working so hard. But ultimately, most are striving to achieve a certain level of security for themselves and their loved ones. With the right succession planning, small business owners can help to ensure both the long-term success of their business – and greater financial security for themselves and their family for many years to come. Registered Representative and Financial Advisor of Park Avenue securities LLC (PAS). Securities products/services and advisory services offered through PAS, a Registered Broker Dealer and investment advisor. Financial Representative, The Guardian Life Insurance Company of America (Guardian), New York, NY. PAS is an indirect, wholly owned subsidiary of Guardian. North Florida Financial Corporation is not an affiliate or subsidiary of PAS or Guardian. PAS is a member, FINRA, SIPC.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
For Lease
1,050 SF Office Space Great Midtown Location!
1204 Miccosukee Road Tallahassee, Florida 32308 Property Features
FSU
FAMU
CAPITAL
• 1,050 SF • 5 offices, reception area, 2 restrooms, file room, and kitchen with built in bookcases and cabinets • Non-exclusive, common parking spaces • Smoke-free building with side entrance next to Capital Medical Society building • Signage available on Miccosukee Road • Multimodal transportation district • Zoning: Commercial Medical • Tax ID#: 11-30-36-0020210 • Lease price: $12/SF (includes water, sewer, electric, yard maintenance and pest control; does not include janitorial )
For more information, contact:
Caryl Pierce, CCIM +1 850 224 2300 • caryl@talcor.com 1018 Thomasville Road, Suite 200A Tallahassee, FL 32303 +1 850 224 2300 talcor.com
NO WARRANTY OR REPRESENTATION, EXPRESS OR IMPLIED, IS MADE AS TO THE ACCURACY OF THE INFORMATION CONTAINED HEREIN, AND THE SAME IS SUBMITTED SUBJECT TO ERRORS, OMISSIONS, CHANGE OF PRICE, RENTAL OR OTHER CONDITIONS, PRIOR SALE, LEASE OR FINANCING, OR WITHDRAWAL WITHOUT NOTICE, AND OF ANY SPECIAL LISTING CONDITIONS IMPOSED BY OUR PRINCIPALS NO WARRANTIES OR REPRESENTATIONS ARE MADE AS TO THE CONDITION OF THE PROPERTY OR ANY HAZARDS CONTAINED THEREIN ARE ANY TO BE IMPLIED.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2016 CMS FOUNDATION BOARD OF DIRECTORS
Capital Medical Society Foundation 2016 Board of Directors Terreze Gamble, M.D. Family Medicine Tallahassee Primary Care Associates Married to Vaughn Samuel American University of the Caribbean
J. Brian Sheedy, M.D. Hematology/Oncology TMH Palliative Care Consultation Married to Wende Sheedy State University of Buffalo
John Mahoney, M.D. President Pathology Pathology Associates Married to Barbara Mahoney University of Florida
Tracey Hellgren, M.D. CMS President-Elect Family Medicine Patients First University of Florida
Joedrecka Brown Speights, M.D. Family Medicine FSU College of Medicine Married to Gregory Speights Emory University
Al McCully, M.D. Vice President Urology Retired University of Tennessee
David Jones, M.D. Pediatrics Capital Health Plan Married to Dottie Jones Ohio State University
David Stewart, M.D. Pathology Pathology Associates Married to Gillian Stewart University of New Mexico
Nancy Loeffler, M.D. Secretary Anesthesiology Anesthesiology Associates of Tallahassee Married to Duane Pickel Baylor College of Medicine
Nelson Kraeft, M.D., Emeritus Cardio/Thoracic Surgery Retired Vanderbilt University
Jay Walton, D.D.S. Dentistry Married to Susan Walton Emory University
Kenneth R. Wasson, M.D. Treasurer Pulmonary Medicine Retired Married to Lee Wasson Vanderbilt University
Fred Lindsey, M.D., Emeritus Radiology Retired Married to Jimmie Lindsey Medical College of Georgia
Barbara Williams, M.D. Family Medicine Patients First Married to Dennis Williams, M.D. University of Florida
Walt Col贸n, D.M.D. Dentistry Married to Marybeth Col贸n University of Kentucky
Maribel Lockwood, M.D. Radiology Radiology Associates of Tallahassee University of Panama
Charles Williams, M.D. Radiology Radiology Associates Married to Pat Williams Medical College of Georgia
Avon Doll, M.D. Nephrology North Florida Nephrology Associates Married to Louie Doll Oral Roberts University
J. Daniell Rackley, M.D. CMS President Urology Southeastern Urological Center Married to Jennifer Rackley Medical College of Georgia
Pam Wilson Executive Director, Capital Medical Society
FOUNDATION
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.”
DONATE TO THE CMS FOUNDATION
WE THANK OUR DONORS We thank the following people who made a donation to the CMS Foundation this past month: Year-End Appeal for the CMS Foundation-Area of Greatest Need Susan Cross, M.D. Manu Padalia, M.D. – In Memory of Dickie Dussia, M.D. Year-End Appeal for the Capital Medical Society Foundation Endowment Efren Baltazar, M.D. – In Memory of Dickie Dussia, M.D. Year-End Appeal for the Scholarship Fund Robert Snider, M.D. In Honor Charles Williams, M.D. – In Honor of Adrian Roberts, M.D. In Memory Charles Williams, M.D. – In Memory of Brett Lindsey We Care Network Capital Medical Society Foundation, Inc. – In Memory of Brett and Scott Lindsey Sue Conte and Gary Sherman – In Memory of Gordon M. Jones C. Raymond Cottrell, M.D. William F. Lindsey, M.D. We Care Network Endowment Charles F. Manning, Jr., M.D. Your gifts to Capital Medical Society Foundation transform lives in the Big Bend. 18
• Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. $60 million in donated specialty medical and dental care has been provided to low income, uninsured patients since the program was created in 1992. Gifts support the salaries and benefits of the case management team who coordinate donated care. • To provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $50,000 was distributed to seven medical students in 2015. • Gifts to Capital Medical Society Foundation help provide operational resources for Capital Medical Society Foundation, including building maintenance, computer upgrades, as well as, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2014, CMSF was able to repave its parking lot after 17 years, install a front door security and intercom system to improve the safety of staff, and purchase a new computer server. $11,000 in grants were awarded for Big Bend Hospice’s Bereavement Services Program, Elder Care’s In-Home Services Program, and FSU College of Medicine’s Chapman Community Health Program. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Wilson, Executive Director pwilson@capmed.org or (850) 877-9018
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in December 2015. Your generosity and support of the We Care Network makes a difference. Physicians J. Galt Allee, M.D. Scott Asher, M.D. Wayne Batchelor, M.D. Raj Bendre, M.D. Andrew Borom, M.D. Tim Broeseker, M.D. Viet Bui, M.D. Joseph Camps, M.D. Stephen Carr, M.D. Michael Cavallaro, M.D. Marilyn Cox, M.D. William Dixon, IV, M.D. Wade Douglas, M.D. Michael Douso, M.D. David Durden, M.D. Mark Fahey, M.D. Philbert Ford, M.D. Akash Ghai, M.D. Spencer Gilleon, M.D. Aaron Guyer, M.D. Celeste Hart, M.D. David Huang, M.D. Iman Imanirad, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. Rohan Joseph, M.D. John Katopodis, M.D. Janice Lawson, M.D. Matthew Lee, M.D. Stephanie Lee, M.D. Carey Linker, M.D. Maribel Lockwood, M.D. Charles Maitland, M.D. Hector Mejia, M.D. Jonathan Melquist, M.D. Rodolfo Oviedo, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. James Renehan, M.D.
Stephen Richardson, M.D. Adrian Roberts, M.D. Karen Russell, M.D. Ronald Saff, M.D. Scott Sellinger, M.D. Gadi Silberman, M.D. Jeannine Silberman, M.D. Francis Skilling, M.D. David Smith, M.D. Robert Snider, M.D. Joshua Somerset, M.D. Joseph Soto, M.D. Robert Steinmetz, M.D. Robert Thornberry, M.D. David Vermess, M.D. Charles Williams, M.D. Andrew Wong, M.D. Dentists Eric Amundson, D.D.S. William T. Baldock, D.D.S. Steven Bryan, D.M.D. Darrh Bryant, D.M.D. Susan Byrne, D.M.D. Walter Colón, D.M.D. John S. Dozier, D.M.D. Michael Hartley, D.M.D. William McFatter, D.D.S. E. Lynn McLarty, D.D.S. Jim McSoley, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. James Sykes, D.M.D. Jay Walton, D.D.S. Lawrence Weaver, D.D.S. Ed Zapert, D.M.D. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Leon County Dental Clinic Pathology Associates Radiology Associates Seven Hills Surgery Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Health Imaging Tallahassee Memorial HealthCare Tallahassee Orthopedic and Sports Physical Therapy Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours per biennium of CE Credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Sue Michaels, R.N. at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Sue Michaels, R.N. at smichaels@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of December 2015 and your name was omitted.
We thank our referring providers from December 2015: Eboni Allen, ARNP
Iman Imanirad, M.D.
Anne Ananga, ARNP
Simha Jagadeesh, M.D.
Arvind Bakhru, M.D.
Lisa Jernigan, M.D.
Marie Becker, M.D.
John Katopodis, M.D.
Raj Bendre, M.D.
Esaias Lee, M.D.
Viralkumar Bhanderi, M.D.
Leon County Health
Jonna Bradley, ARNP
Department Dental Clinic
Daniel Breivogel, ARNP
Judith Lewis, M.D.
Kendall Campbell, M.D.
Damon McMillan, M.D.
David Cardman, D.M.D.
Hector Mejia, M.D.
Lysmar Carrion-Dinguis, M.D.
T. Adam Oliver, M.D.
Marilyn Cox, M.D.
Rose Origa, ARNP
David Dixon, D.O.
Lisa Perkins, ARNP
Ray Dolly, M.D.
Marlaine Registe, ARNP
Julia Drude, M.D.
Charlie Richardson, M.D.
Shirley English, ARNP
Jose Rodriguez, M.D.
Cynthia Evans, ARNP
David Smith, M.D.
Mark Fahey, M.D.
Joseph Soto, M.D.
Sharron Foster, M.D.
Alanna Steaple, ARNP
Anneka Gaffney, ARNP
Nina Sumlar, M.D.
Judy Griffin, ARNP
Tallahassee VA Clinic
Michael Hartley, D.M.D.
Scott Tetreault, M.D.
Muhanad Hasan, M.D.
Faye Tinson, ARNP
Hantz Hercule, M.D.
Leonard Tolley, D.D.S.
Sarah Hinson, ARNP
Marianne Towler, ARNP
Dwight Hooper, M.D.
Jeffrey Wasserman, D.O.
James Hunt, D.O.
Franklin Watson, D.D.S.
DURING THE MONTH OF DECEMBER, THE WE CARE NETWORK: RECEIVED 129 REFERRALS, WITH 79 PATIENTS NEW TO THE PROGRAM
SCHEDULED 122 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$168,309 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
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