Cap Scan - March 2018 by Capital Medical Society

MARCH EDITION, VOLUME 2018, NO. 3

DUNCAN POSTMA, M.D. – RECIPIENT OF THE 2018 I.B. HARRISON, M.D. HUMANITARIAN AWARD

JOHN MAHONEY, M.D. – RECIPIENT OF THE 2018 OUTSTANDING PHYSICIAN AWARD

By Shannon Boyle, CMS Communications and Events Coordinator The Capital Medical Society is pleased to announce Dr. Duncan Postma as the recipient of this year’s I.B. Harrison, M.D. Humanitarian Award. Each year this award is presented to a physician who demonstrates dedication to the humanitarian values we associate with the late Dr. I.B. Harrison. These values include: compassion, service, respect, wisdom and integrity.

By Shannon Boyle, CMS Communications and Events Coordinator The Capital Medical Society is pleased to announce Dr. John Mahoney as the recipient of this year’s Outstanding Physician Award. This award honors a physician who has been a leader within the field of medicine and political activities while demonstrating clinical excellence, and actively contributing to the education of future medical professionals.

Dr. Postma, a board-certified otolaryngologist, grew up on a cattle farm in Marianna, Florida. This small town dubbed “The City of Southern Charm” is only 65 miles west of Tallahassee. At the tender age of five, Dr. Postma had already predicted his future in medicine. He credits his immediate desire to become a physician to the exceptional physicians he grew up with in Marianna.

Dr. Mahoney is a recently retired board-certified anatomic, clinical, and forensic pathologist. He was born in Kalamazoo, Michigan, and spent most of his adult life in Florida.

He graduated cum laude from Davidson College where he was a member of Phi Beta Kappa, the oldest honor society for the liberal arts and sciences in the United States and is considered the nation’s most prestigious honor society. Standing at 6’5”, he played on the Davidson’s Division 1 basketball team, which at that time was one of the top teams in the nation. His senior year, he was selected for

Despite Dr. Mahoney’s early career interest in oceanography, he followed his physician brother’s example and decided to pursue medicine. He attended the University of Florida for his undergraduate, medical school, and internship and residency in anatomic and clinical pathology. Many years later when the local physician community was in need of an advocate with administrative credentials, he earned a Master’s Degree in Business Administration from the University of South Florida while also practicing as a full-time pathologist.

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CAPITAL MEDICAL SOCIETY 2018 MEETINGS CALENDAR March 22, 2018 Libations, Candles, and Conversation Soirée - Proceeds from the sale of Hearth & Soul’s March Featured Candle benefit Capital Medical Society Foundation 6:00 pm - 8:00 pm Hearth & Soul (1410 Market Street, D1)

March 29, 2018 Celebration Awards Dinner 6:30 pm FSU University Center Club

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BOARD OF GOVERNORS David Dixon, D.O., President

I N T H I S I SS U E :

MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org

Maribel Lockwood, M.D., President-Elect Kenneth Whithaus, M.D., Secretary/Treasurer

Announcements..................................................................3 2018 I.B. Harrison, M.D. Humanitarian Award...............6 I.B. “Bud” Harrison, M.D....................................................9 2018 Outstanding Physician Award..............................10 2018 Celebration Awards Dinner.................................. 12 Doctors’ Day...................................................................... 13 New Docs on the Block................................................... 14 CMS Lunch and Learn...................................................... 15 CME Opportunity – Physician Burnout........................ 16 2018 Capital Medical Services, Inc. Board of Directors....17 Alliance Corner.................................................................. 18 Medical/Legal.................................................................... 19 CMS Presidential Installation........................................ 22 CMS Foundation............................................................... 26 CMS Foundation: We Care Network............................27

Tracey Hellgren, M.D., Immediate Past President Christie Alexander, M.D. Todd Hewitt, M.D. Sarah Ho, President, CMS Alliance Rohan Joseph, M.D.

HAPPY BIRTHDAY!

Sarah Ko, M.D. Narayanan Krishnamoorthy, M.D.

{MARCH BIRTHDAYS}

Paresh Patel, M.D. Laurence Rosenberg, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society Family Medicine Residents Meredith Maxwell, M.D./Alex Vanderby, M.D. Internal Medicine Residents Tahir Motiwala, M.D./Cristin Sampson, M.D. General Surgery Residents Aaron Hayson, M.D./Justin Lee, M.D.

PUBLICATION EDITOR Frank Skilling, M.D.

MANAGING EDITOR Shannon Boyle

GRAPHIC DESIGN Gandy Printers

EDITOR EMERITUS Charles E. Moore, M.D.

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. 2

Margaret Havens Neal, M.D. – 1st John Elzie, M.D. – 3rd Terreze Gamble, M.D. – 4th David Miles, M.D. – 4th Robert Miles, M.D. – 4th David Bellamy, M.D. – 5th William Miller, M.D. – 5th Christopher Selleck, M.D. – 5th Andrew Wong, M.D. – 5th Kennessa Hugger, M.D. – 6th Frank Lomagistro, M.D. – 6th Thomas Truman, M.D. – 6th Tommy Enoch, M.D. – 7th Nancy Wright, M.D. – 9th Wilmoth Baker, M.D. – 10th Steven Ostrov, M.D. – 14th James Renehan, M.D. – 14th Alma Littles, M.D. – 15th Albert Lee, M.D. – 16th Stephen Sgan, M.D. – 16th Celeste Paquette, M.D. – 17th Mary Elizabeth Seay, M.D. – 17th

Tristan Brooks, D.O. – 18th Wayne Batchelor, M.D. – 19th Gregory Perry, M.D. – 19th Caulley Soto, M.D. – 19th John Thabes, M.D. – 19th Ray Dolly, M.D. – 20th Karen Krueger, M.D. – 20th Ronald Machado, M.D. – 21st Andrea Friall, M.D. – 23rd Paul Hartsfield, M.D. – 23rd Brian Wilson, M.D. – 23rd Charles Williams, M.D. – 24th Flora Danisi, M.D. – 25th David Durden, M.D. – 25th Eric Loevinger, M.D. – 25th R. Spencer Stoetzel, M.D. – 25th Mark Applegate, M.D. – 26th Charles Moore, M.D. – 27th Roland Jones, M.D. – 28th Leslie Wilson, M.D. – 29th Cristin Sampson, M.D. – 30th

HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!

ANNOUNCEMENTS

PROFESSIONAL NOTES Joedrecka Brown Speights, M.D. received Florida State University’s prestigious Dr. Martin Luther King, Jr. Distinguished Service Award during FSU’s annual MLK commemorative celebration on January 16, 2018. “My life, my parents’ and family’s lives, my friends, our world have been positively impacted by the ideals, leadership and sacrifice of Dr. King,” she said. “Receiving this Distinguished Service Award brings me honor and reminds me of the importance of operating in love, compassion, wisdom, knowledge, purpose and with tenacity. Love overcomes hate.” John Katopodis, M.D., FMA President discussed Florida’s opioid epidemic with Governor Rick Scott at the FMA Opioid Summit in October 2017. Dr. Katopodis said, “The FMA will remain actively engaged in the battle against this public health emergency for the good of our patients, their families and our state as a whole.” Photo courtesy of the FMA. Tallahassee’s fifth annual Dentistry from the Heart was held on February 10th at Periodontal Associates of North Florida. 106 patients were seen on a firstcome, first-served basis to receive donated, free dental care from a team of dental professionals from across the Big Bend. Dr. Walt Colón of Periodontal Associates of North Florida partners with Dentistry from the Heart and assembles a team of dental professionals to offer one day of free dental care including cleanings, fillings, and extractions for adults. Walt Colón, D.M.D., MS is a periodontist practicing in Tallahassee and serves as Chair of the We Care Network Dental Committee. He has a passion for improving dental health in the Big Bend. Roshanda Dorsey, Sr. Case Manager and We Care Dental Coordinator volunteered at the Dentistry from the Heart event. Ms. Dorsey volunteers because she is passionate about improving dental health outcomes in the community, especially for its low-income, uninsured residents.

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.

IN MEMORIAM Francis G. (Bud) Huber, Jr., M.D. 1932 - 2018

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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TALLAHASSEE MEMORIAL HEALTHCARE

Neuroscience Symposium MAY 18-19, 2018 TALLAHASSEE, FLORIDA

SAVE THE DATE Join us for a comprehensive discussion on neuroscience trends and treatments. The symposium will begin Friday evening, May 18 with a dinner and keynote address followed by a day of presentations and information for primary care physicians, neurologists, neurosurgeons, physician assistants, nurse practitioners and nurses. This activity has been approved for 13 AMA PRA Category 1 Creditsâ„¢.

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

2018 I.B. HARRISON, M.D. HUMANITARIAN AWARD

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the Third Team, Academic All-American. Upon graduation in 1971, he tried out for the then San Diego Rockets and played in a professional league in Los Angeles for two months. Ultimately, he decided to accept an assistant basketball coaching position at Davidson for one season. In 1973, he began his medical school track at the University of North Carolina School of Medicine. During his third year, he had applied for internal medicine, family medicine, and otolaryngology. Once his fourth year rolled around, he decided that he was wired to “fix things” and knew he could excel in otolaryngology. He received his medical degree with honors from the University of North Carolina School of Medicine in 1977. While at UNC, he was a respected member of the Alpha Omega Alpha Honor Medical Society, an honor signifying a lasting commitment to scholarship, leadership, professionalism, and service. He completed his internship at the University of California, San Francisco and his general surgery residency at Kaiser Permanente San Francisco. He completed his otolaryngology residency at University of North Carolina School of Medicine where he served as Chief Resident from 1981-1982. Upon completion of his otolaryngology residency, Dr. Postma joined the UNC School of Medicine faculty as Assistant Professor of Otolaryngology. During his four-year tenure on faculty, he also served as Medical Director of the Ear, Nose, and Throat Clinic at North Carolina Memorial Hospital. Dr. Postma’s decision to move to Tallahassee was strategically planned and motivated by friendship, family, and community need. He and his wife, Dr. Marie Hayes were good friends with Dr. Michael and Susan Poole at UNC. Dr. Poole was a resident at UNC while Dr. Postma was on faculty. Their families wanted to stay together so they decided to plan their futures as a team. Their joint decision would lead them to either stay in Chapel Hill, N.C. or move somewhere in the southeast. One night they made a large poster with a grid that included their four names and rows with columns that included characteristics of the cities in the southeast, such as how family-oriented it was, how 6

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

good was the medical community, what were the opportunities for an ear, nose and throat practice, what sort of city was it in general, what kind of school systems they had, etc. Each box in the grid was rated 1 to 4 by each of them. Tallahassee came out on top. In 1986, the Postmas and the Pooles moved to Tallahassee. Dr. Postma and Dr. Poole founded Tallahassee Ear, Nose and Throat-Head & Neck Surgery (TENT). Due to their tall statures, Dr. Postma and Dr. Poole were known as “the twin towers” by their colleagues. Dr. Postma’s goal of having excellent communication, documentation of medical findings and reporting these back quickly to referring providers, and a strategic hire of an outstanding nurse manager helped change the face of medical records in Tallahassee. Dr. Postma attributes much of the success of Tallahassee Ear, Nose and Throat to Tricia Skinner, Nurse Manager at TENT. Dr. Postma recruited her from the otolaryngology clinic at UNC. He was always impressed by her excellent organizational skills and positive attitude. In 1996, Tricia and Dr. Postma and colleagues worked closely to design and implement one of the first electronic medical records (EMR) in the country and ultimately started the digital revolution in Tallahassee. He has taught courses at national meetings and hosted groups from all over the country to showcase the value of EMR. He credits the efficiency of TENT’s office and patient care to their ever-evolving EMR system. However, he is disappointed in the progress of these systems over the past 10 years. Dr. Postma has revolutionized otolaryngology in our community. He was instrumental in establishing the first sleep center in Tallahassee and was a member of the first advisory committee on sleep apnea. He improved the techniques for the care of pediatric airways and sleep apnea. For adults, he shared new techniques of flap reconstruction in the treatment of head and neck cancer patients. He has provided education and research of complex procedures for neoplasms. He also introduced the skull based surgical approach and taught this through the American Academy of Otolaryngology. He expanded TENT to include audiology and

2018 I.B. HARRISON, M.D. HUMANITARIAN AWARD

facial plastic and reconstructive services in order for patients to get comprehensive care. Dr. Postma is another physician who was fortunate to call Dr. I.B. Harrison a colleague. He always had the utmost respect for him in his ability to “tell it like it is.” He also appreciated his gentle side when caring for patients. Dr. Postma’s values mimic Dr. Harrison’s in that he always wants to provide quality care in a compassionate setting and build a care team where every member is valued for their expertise. “Having worked and shared patients with Dr. I.B. Harrison, I agree he was exceptional as a role model who treated all his patients with respect and dignity. He taught residents to adhere to ethical and compassionate medical practice,” said Dr. Ray Bellamy. “Dr. Postma exemplifies these qualities and has been a leader in ENT care for his group and the Big Bend area, along with the cancer society and as an advocate for children’s medical care. I feel fortunate to have shared some of his space and to count him and his wonderful wife Marie as my closest and dearest friends.” He has been involved in many aspects of the medical community. He is a passionate supporter of the local American Cancer Society having served as Medical Director, Vice President, President, and on their Board of Directors. He served as Medical Administrative Advisor for Tallahassee Memorial HealthCare (TMH), Chairman of the TMH Committee on Surgical Case Review, Chairman of the Department of Surgery, and member of the TMH Medical Executive Committee. He was actively involved in the research, design, implementation and startup of the state of the art and nationally accredited Red Hills Surgery Center and served as their President for 7 years. He was also the first board member and an active proponent of Big Bend RHIO (HIE Networks) providing a HIPAA-compliant electronic data exchange among providers. He has been a generous volunteer physician in the Capital Medical Society Foundation’s We Care Network since its inception. He testified for fair compensation for physicians who provide care to children with Medicaid, thereby increasing services to these children. “Dr. Postma was of immense help in the Florida pediatricians’ lawsuit against Florida Medicaid

for failure to assure that Medicaid children have equal access to care,” said Drs. Louis and Judy St. Petery. “In November 2008, he traveled to Ft. Lauderdale at his own expense for a deposition, and then testified at the trial in Miami in August 2010, again at his own expense. We and the pediatricians of Florida are so very proud of and indebted to Dr. Postma.” Dr. Postma is well known and respected for his willingness to care for any child, regardless of the family’s ability to pay. His passion to mentor future physicians began during his years as Assistant Professor at UNC School of Medicine and has continued through his research, which can be found in many referenced journals, non-referenced journals, and contributions to textbooks. He previously served as Assistant Clinical Professor and Associate in MedicineProgram in Medical Sciences at FSU College of Medicine, and Assistant Clinical Professor at University of Florida - Shands Medical Center. Dr. Postma has been married to his wife, Dr. Marie Hayes, a local dermatologist for 36 years. They are the proud parents of three children, Tom, Audrey, and Galen. Dr. Postma has four siblings and all are in the medical field: two brothers are radiologists, one brother is an orthopedic surgeon, and his sister is a counselor. Despite being diagnosed in 2010 with Parkinson’s, a degenerative illness that results in loss of intentional movement, Dr. Postma remains active. He plays tennis every Sunday with his regular doubles partner, friend, and fellow physician, Ray Bellamy, M.D. In his spare time, Dr. Postma enjoys vacations to St. George Island, playing tennis, reading, listening to classical & rock and roll music, fishing, hiking, and white water rafting. As for the future of TENT, Dr. Postma says, “we will continue to introduce new treatments and utilize tools that directly support the quality of patient care.” His vision is sure to positively impact many individuals in our community. On behalf of all those associated with the Capital Medical Society, congratulations to Dr. Duncan Postma. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

I.B. “BUD” HARRISON, M.D.

WHO WAS I.B. “BUD” HARRISON, M.D.? By J. Orson Smith, M.D. Again this year, we will honor a recipient of the I.B. Harrison, M.D. Humanitarian Award. I was asked to tell the many new doctors in this community who Dr. I.B. “Bud” Harrison was. He remains the icon in this community for an intelligent, competent, and compassionate physician. He was also a leader and role model to many family practice physicians. Bud was 8 years older than I, but we were both Cardiology Fellows under Dr. Bruce Logue at Emory. Dr. Logue was our role model. In 1961, while serving in the army at Fort McPherson and attending a Cardiology conference at Grady Hospital, Bud approached Bruce to ask if he knew anyone that might join him and Fred Butler in medical practice. Bruce pointed to me and said, “Orson will.” I always did what Dr. Logue told me to do.

said, “Well if it is, he ain’t no good.” Time certainly proved this to be wrong! In the early 1970’s, Bud had a catfish fin him in the knee and he developed a pseudomonas infection, which led to the need for a Charnley fusion. This made night call very difficult and he took a position as Chief of Medical Affairs at Tallahassee Memorial Hospital. This led to the most important contribution of his life, namely becoming a teacher in the Residency Program. The following is an excerpt from Dr. Whit Oliver’s acceptance speech as he was awarded the 2010 I.B. Harrison, M.D. Humanitarian Award. He shared wonderful insight into Bud’s “make-up.”

“Dr. Harrison was loved by most and respected by all who knew him. When dealing with patients Dr. I.B. “Bud” Harrison he was compassionate, caring and totally focused on the patient regardless of their In 1962, we became Butler, Harrison and Smith, life circumstances. He had a marvelous bedside P.A., which after a number of additions and manner. He always tried to sit on the patient’s bed, mergers became Southern Medical Group. Bud touch the patients and listen to them, letting them taught me about dealing with people, just as he later describe their plight, being supportive of their taught his residents. He always said that if you do a problems. He was an excellent clinician who could good job practicing medicine, the financial portion synthesize the data and zero in on the diagnosis and would fall into place. However, he hated to charge management, directing us toward the most efficient patients. It seemed that everyone had “professional way to achieve the best outcome for a particular courtesy” or were “no charge”. This was before patient, including the most appropriate consultation Medicare and many of his patients were poor. He or referral for specialty input. He approached treated everyone the same. problems with commonsense and was pragmatic and practical.” Bud drove an old car that was always dirty and full of old papers. In 1964, I had saved enough money Tallahassee is blessed with an excellent Family to put a down payment on a Comet Convertible and Practice community, and I think that will always was in the Mercury dealership to have a check-up. remain Bud Harrison’s legacy. Bud’s old beat up Mercury was there for repairs. I heard two mechanics discussing the car. One said, “I hear this is a doctor’s car.” The other mechanic CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9

2018 OUTSTANDING PHYSICIAN AWARD

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In 1978, Dr. Mahoney started his pathology career at University Hospital in Jacksonville, FL, but quickly relocated to the University of Missouri Medical Center where he supervised then pathology resident, Dr. Charles F. Manning, Jr. In 1981, Dr. Ben Turner, a pathologist at Ketchum Wood & Burgert Pathology Associates, recruited Dr. Mahoney to join the practice. He quickly gained the respect and trust of his colleagues and our local medical community. Dr. Mahoney was an early supporter of the FSU College of Medicine (FSU COM). Since 2003, he has been a Clinical Professor of Pathology at FSU COM. During his career, it wasn’t unusual to see a resident or aspiring college or medical student sharing his double-headed microscope. “Having a student entails at least twice the effort to complete daily tasks,” said Dr. Charles F. Manning, M.D., his longtime friend and colleague. “But the students sought him out as his reputation as a teacher was renowned.” His leadership with Capital Medical Society began in 1989 with him serving as President. Since 1991, he has actively served as a Capital Medical Society delegate at the Florida Medical Association Annual Meeting and has often been selected to serve as a member or chair of several FMA Reference Committees and the Credential and Rules Committee. He continues, as he has since 2002, to lead the Capital Medical Society Foundation (CMSF) as their President. CMSF’s mission is 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. CMSF has continued to operate the We Care Network, a network of volunteer physicians, dentists, hospitals, and allied health professionals in Tallahassee who donate specialty medical and dental care to lowincome, uninsured patients from Leon, Jefferson, Gadsden, and Wakulla Counties. In addition, CMSF also provides scholarships to deserving medical students enrolled at the FSU College of Medicine and CMSF provides modest grants to local non-profit agencies and organizations to support their programs that assist with increasing access to healthcare for the underserved. During his 10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

tenure at Pathology Associates, Dr. Mahoney was a loyal donating provider in the We Care Network. Since 2006, he has served as an auctioneer at the CMSF Holiday Auction, alongside Dr. Scott Sellinger, raising funds to support the mission of CMSF. “Dr. Mahoney continues to serve tirelessly to advance the mission of CMS Foundation. Under his impeccable leadership, the Foundation Board continues to improve access to health care and to position themselves to explore innovative ways to positively advance their mission,” said Pam Irwin, Executive Director. Dr. Mahoney and the CMS Foundation Board of Directors recognized the biggest challenge that physicians face today is burnout. Dr. Mahoney’s personal experience of journeying through a medical malpractice lawsuit, for which there was eventually a verdict of no evidence of negligence on his part, makes him a strong advocate of physicians seeking help when the stress of life becomes unrelenting. He wants physicians to know that they are not alone, and they are not invincible. “It’s a wonderful life and an honorable profession,” he emphasizes as he encourages his colleagues to not go it alone. Under Dr. Mahoney’s leadership, the CMSF Board organized the creation of the Physician Wellness Program in 2017 to provide six free, confidential in-person wellness coaching sessions each year by licensed psychologists to Active and Associate Capital Medical Society Members. In addition, he has held numerous other leadership positions within the local medical community. He served as President and Chief Executive Officer of Healthplan Southeast and guided them through an extensive period of growth to supply healthcare for 62,000 members. He successfully negotiated a merger with Coastal Physician Group and served on its Board of Directors for two years. He was also Chief Medical Officer for Tallahassee Memorial HealthCare (TMH), Chief Integration Officer and Senior Vice President at TMH in charge of Tallahassee Memorial Physician Partners, Medical Director of the TMH Department of Pathology Laboratory, Chief of Staff at Tallahassee Community Hospital (now known as Capital Regional Medical Center), and Associate Medical

2018 OUTSTANDING PHYSICIAN AWARD

Examiner in the State of Florida District 2. He currently serves as a TMH Foundation Board trustee.

include colleagues who have become dear friends. Their next adventure later this year will take them to Provence and Paris.

His immense skill set has been recognized by nonmedical organizations with whom he shares his talents including Tallahassee Area Chamber of Commerce, Rotary Club of Tallahassee, Maclay School, The Artist Series, Elder Care Services, and the National Music Museum. “John is a recognized leader within and outside the medicine community who has been generous in sharing his time, expertise, judgment, enthusiasm, and resources,” said Dr. Charles F. Manning, Jr. “Despite being recently retired, he continues to lend his energies to the affairs of our community, both medical and local.” Described as a “Renaissance man” by his colleagues, his myriad of talents, interests, and enthusiasm to try new things and tackle new challenges has served our community for decades.

Aside from traveling, Dr. Mahoney enjoys reading, gardening, especially weed pulling, walking, playing piano, and researching literary people and institutions. When asked what has been the best part of retirement, he enthusiastically responds with, “Every day is Saturday!” After a fast-paced 39-year career, a few extra Saturdays are well deserved.

Dr. Mahoney has a deep appreciation and love for stringed instruments. Triggered by a random sign advertising, “Violins For Sale,” by a local violinmaker, he not only purchased a violin, he also took lessons. He became accomplished enough to play in the Big Bend Orchestra. However, his interests moved beyond playing the violin. During his travels, he began to collect rare, historically relevant violin books. His collection grew so much that he used to operate Mahoney’s Books from his home. After storage capacity for his collection became problematic, he researched options for the donation of the collection. In 2007, he and his wife Barbara donated a 6,000-volume set of historical works documenting stringed instruments including violins, bows, and their makers to the University of South Dakota School of Music Library, now known as the National Music Museum. Their contribution, known as The Mahoney Music Collection, provides a cornerstone for the Library.

On behalf of all those associated with the Capital Medical Society, congratulations to Dr. John Mahoney. He certainly exemplifies what we consider to be qualities of an outstanding leader and physician.

“BOOKS THAT CAN BE HELD IN THE HAND AND CARRIED TO THE FIRESIDE ARE THE BEST AFTER ALL.” - EDWARD HERON-ALLEN, F.R.S.

Dr. Mahoney and his wife Barbara, who he affectionately calls “Barb,” have been married for 46 years. They are the proud parents of four sons, Jason, Josh, Jon, and Joe, their beloved spouses, and eleven grandchildren. Dr. Mahoney and Barbara are the quintessential world travelers as they travel widely and often. Many times their adventures CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11

2018 CELEBRATION AWARDS DINNER

DON’T MISS THE CELEBRATION AWARDS DINNER! THURSDAY, MARCH 29, 2018 6:30 PM UNIVERSITY CENTER CLUB AT FLORIDA STATE UNIVERSITY

Presenting the 2018 I.B. Harrison, M.D. Humanitarian Award to Duncan S. Postma, M.D.

Presenting the 2018 Outstanding Physician Award to John P. Mahoney, M.D.

CMS Members and We Care Dentists – No Charge Spouse/Guest – $40.00 Invitations were e-mailed. Advance reservations are required by March 22. Please RSVP to Rosalie Carlin at 877-9018 or rcarlin@capmed.org.

Dennis A. Fried, M.D., J.D.

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12 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

DOCTORS’ DAY

WHAT IS DOCTORS’ DAY? WHY WAS IT FOUNDED? The first Doctors’ Day observance was held on March 30, 1933, by the Barrow County Alliance, in Winder, Georgia. The idea of setting aside a day to honor physicians was conceived by Eudora Brown Almond, wife of Dr. Charles B. Almond, and the recognition occurred on the anniversary of the first administration of anesthesia by Dr. Crawford W. Long in Barrow County, Georgia, in 1842. The Alliance immediately adopted the following resolution: “WHEREAS the Alliance to the Barrow County Medical Society wishes to pay lasting tribute to the Doctors, therefore, be it RESOLVED by the Alliance of the Barrow County Medical Society that March 30, the day that famous Georgian Dr. Crawford W. Long first used ether anesthesia in surgery, be adopted as ‘Doctors Day,’ the object to be the well-being and honor of the profession, its observance demanding some act of kindness, gift or tribute in remembrance of the Doctors.”

by the US Senate and the House, on October 30, 1990, President George Bush signed S.J. RES. #366 (which became Public Law 101-473) designating March 30 as “National Doctors’ Day”: Resolved by the Senate and House of Representatives of the United States of America in Congress assembled, That – 1. March 30, 1991, is designated as “National Doctors’ Day”; and 2. The President is authorized and requested to issue a proclamation calling on the people of the United States to observe the day with appropriate programs, ceremonies and activities. Doctors’ Day is the result of dedicated Alliance members across the country. The enactment of this law enables the citizens of the United States to publicly show appreciation for the role of physicians in caring for the sick, advancing medical knowledge, and promoting good health.

This first observance included the mailing of cards to physicians and their wives, flowers placed on graves of deceased doctors, including Dr. Long, and a formal dinner. After the Barrow County Alliance adopted its resolution to pay tribute to the doctors, the plan was presented and passed by the Georgia State Medical Alliance in 1934 in Augusta, Georgia. The resolution was introduced to the Women’s Alliance of the Southern Medical Association at its 29th annual meeting held in St. Louis, Missouri in 1935. Since then, Doctors’ Day has become an integral part of and synonymous with, the Southern Medical Association Alliance. Through the years, the red carnation has been used as the symbol of Doctors’ Day. On March 30, 1958, the United States House of Representatives adopted a Resolution Commemorating Doctors’ Day. In 1990, Congressmen Mike Parker (D-Mississippi) and G. V. Montgomery (D-Mississippi) and Senator Thad Cochran (R-Mississippi) introduced legislation in the House and Senate to establish a national Doctors’ Day. Following overwhelming approval CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13

NEW DOCS ON THE BLOCK

J. Lucas Koberda, M.D. Medical School: Medical School in Gdansk, Poland Internship: Medical School in Gdansk Residency: Easton Hospital; Oregon Health Sciences University Fellowship: UNC Chapel Hill Practice: Tallahassee Neurobalance Center Specialty: Neurology

Frank J. Lomagistro, M.D. Medical School: Autonomous University of Guadalajara Internship: State University of New York at Buffalo Residency: Western Pennsylvania Hospital, Pittsburgh Fellowship: University of Rochester Practice: Retired Specialty: Plastic Surgery

Nicky L. Nelson, M.D. Medical School: University of South Carolina Internship/Residency: Shands Hospital Practice: TMH Physician Partners – Hospitalists Specialty: Internal Medicine

Mary P. Norton, M.D. Medical School: Florida State University Internship/Residency: Greenville Children’s Hospital at Greenville Health System Practice: FSU College of Medicine, Assistant Professor Specialty: Pediatrics

CAPITAL MEDICAL SOCIETY 2018 MEETINGS CALENDAR CONT. FROM COVER

Friday, April 13, 2018 (UPDATED DATE!) CMS Membership & CME Meeting Stress In Medical Practice: Avoiding Risks of Burnout and Suicide Stefan A. Pasternack, M.D., Board Certified Psychiatrist and Psychoanalyst and Distinguished Life Fellow of the American Psychiatric Association, Boca Raton, Florida 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks Spouses Welcome May 15, 2018 CMS Membership & CME Meeting Advances in Minimally-Invasive Neurosurgery Narlin Beaty, M.D., Tallahassee Neurological Clinic, PA 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks May/June 2018 CMS Doctor/Daughter Event Time & Location: TBA September 18, 2018 CMS Membership & CME Meeting Addressing the Opioid Epidemic (2-Hour CME) Panel: Sam Ashoo, M.D., Emergency Management; Victoria Penny, Attorney; Celeste Phillip, M.D., Florida Surgeon General; and Justin French, Tallahassee Police Department 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

October 16, 2018 CMS Membership & CME Meeting Domestic Violence & Human Trafficking (2-Hour CME) Suzanne Harrison, M.D., FSU College of Medicine and Terry Coonan, J.D., Center for the Advancement of Human Rights 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks November 13, 2018 CMS Membership & CME Meeting Health Impact of Common Electronic Devices Alice Pomidor, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks December 6, 2018 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club

CMS LUNCH AND LEARN

CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS SPRING 2018 March 21, 2018 A Healthy Practice of Medicine-Stress in the Physician Workplace A recent CareerBuilder survey finds healthcare workers report the highest rate of stress level of any occupation surveyed. More than half of us report increased workloads over the past 12 months, so we feel we have little control and lots of demands in our workplace. Add in high personal expectations, compassion fatigue, economic concerns about job security and we often struggle to keep our balance. During her talk, Robin will help identify sources of stress and some coping strategies we can use diffuse stress both in our workplace and at home. Speaker: Robin McDougall, LCSW Sponsor: Greenway Health April 18, 2018 Keeping The Good Ones What does it take to create a culture of retaining good employees? Is examining the work environment a high priority for your company? At some point your employees will ponder a simple yet profound question based on the 80’s pop song, “Should I stay or should I go?” What can you do to keep the good ones? Speaker: Bert Mitchell Sponsor: TBD

May 16, 2018 Updates on Health Care Reform Representatives from the Government Relations team at Florida Blue will provide updates on how recent activity at the federal and state levels will impact health care policy. Speaker: Kelly James, Florida Blue Center for Health Policy Sponsor: Hancock Bank For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed. org.

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 Seminars are held at the Capital Health Plan on Governors Square Blvd – and we thank them for providing this venue to us.

APPLY FOR THE FMA PHYSICIAN LEADERSHIP ACADEMY Take the next step in your medical career by applying for the FMA’s 2018-19 Karl M. Altenburger, M.D. Physician Leadership Academy. Funded by a generous grant from The Physicians Foundation, the Academy is an intensive, 10-month program designed to help young doctors develop skills they need to be effective, strategic leaders and advocates for the medical profession. Participants attend five full-day educational sessions led by nationally recognized experts and University of Florida Leadership Development Institute personnel. The FMA’s Foundation for Healthy Floridians covers the cost of materials, speaker fees, lodging and sponsored meal expenses. To learn more about the program, visit http://www.fma-leadership.org/about-2/. To apply, visit http://www.fma-leadership.org/applications/. The deadline to apply is June 8, 2018. Applicants must be FMA members. Contributed by the FMA CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15

CME OPPORTUNITY - PHYSICIAN BURNOUT

CMS MEMBERS â€“ SAVE THE DATE! THE CAPITAL MEDICAL SOCIETY and THE FLORIDA MEDICAL ASSOCIATION Present STRESS IN MEDICAL PRACTICE: AVOIDING RISKS OF BURNOUT AND SUICIDE

Presented by Stefan A. Pasternack, M.D. Dr. Stefan Pasternack is a Board Certified Psychiatrist and Psychoanalyst and Distinguished Life Fellow of the American Psychiatric Association. He graduated from Georgetown University School of Medicine in 1965 and completed his internship at UCLA Affiliated Hospitals in 1966 and his psychiatry residency at the University of Cincinnati Medical Center in 1969.He served as Lieutenant Commander in the U.S. Navy at National Naval Medical Center in Bethesda, Maryland from 1969-1971 and was additionally responsible for the training of military psychiatry residents. Friday, April 13, 2018 - 6:00pm (UPDATED DATE!) Maguire Center for Lifelong Learning at Westminster Oaks, 4449 Meandering Way, Tallahassee, FL 32308 Educational Objectives: - To identify sources of stress in medical practice. - To identify basic mechanism of stress and its harmful effects on mind and body. - To learn strategies to avoid burnout, enhance resilience and prevent suicide. - To learn when to seek professional help. CAPITAL MEDICAL SOCIETY MEMBERS AND THEIR SPOUSE/PARTNER ARE INVITED TO ATTEND. Watch Your Email for Registration Information!

16 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

2018 CAPITAL MEDICAL SERVICES, INC. BOARD OF DIRECTORS

SERVICES, INC.

2018 BOARD OF DIRECTORS Francis C. Skilling, Jr., M.D. President Ophthalmology Eye Associates of Tallahassee Married to Karen Skilling University of Alabama

Brian Wilson, M.D. Allergy, Asthma, Immunology Tallahassee Allergy, Asthma & Immunology Married to Meredith Wilson University of Florida

Karl F. Hempel, M.D. Vice President Family Medicine Tallahassee Primary Care Associates Married to Mackie Hempel University of Kentucky

David Dixon, D.O. CMS President Obstetrics & Gynecology North Florida Womenâ€™s Care Married to Leslee Paige Dixon Nova Southeastern University

Terence N. Reisman, M.D. Secretary/Treasurer Gastroenterology Retired Married to Marilyn Reisman Duke University

Maribel Lockwood, M.D. CMS President-Elect Radiology Radiology Associates of Tallahassee University of Panama

Armand B. Cognetta, Jr., M.D. Dermatology Dermatology Associates of Tallahassee Married to Suzanne Cognetta University of Connecticut

Pam Irwin Executive Director, Capital Medical Society Married to Edward Irwin University of Kentucky

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 17

ALLIANCE CORNER

Happy New Year! I hope everyone had a wonderful holiday season, and is ready for an exciting new year of CMSA programs! I am honored to be able to serve as the alliance president this year, and I look forward to working with CMS. At our first meeting in January, our new officers were installed, and we heard an update on the FMAA from Beverly Devine, the FMAA PresidentElect. In February, we learned more about our community outreach partner for this year, the Hang Tough Foundation, whose mission is to offer resources and encouragement to families during their journey with childhood illness and special needs. Our members look forward to attending the Celebration Awards Dinner in March, and in April,

we will be taking a tour of FSU College of Nursing and presenting our 2018 scholarship award. We are still working out the details for our fall programs, but I am excited to announce that we will be hearing from our own CMSA member, Dr. Linda Miles, at a luncheon honoring our Past Presidents. We will learn about the Joanna Francis Living Well Foundation in October for Breast Cancer Awareness Month, and then we will have some fun in November and December, with door hanger making, and our 5th annual ornament exchange! Thank you to my board members and committee chairs for volunteering your time and talents to help me to make this another successful, fun year with the alliance! Sincerely, Sarah Ho CMSA President Photo on Left: (L-r) Beverly Devine, FMAA President-Elect; Sarah Ho, President; Ida Thompson, Immediate Past President; Sybil Holt, Treasurer; Andrea Stephens, Treasurer-Elect; Heather Redfield, VP Membership; and Codie Bryant, Secretary. Not pictured: Melissa Inglese, President-Elect.

50.7%

OF NEW STUDENTS IN U.S. MEDICAL SCHOOLS IN 2017 WERE WOMEN, EXCEEDING THE NUMBER OF MEN FOR THE FIRST TIME. SOURCE: ASSOCIATION OF AMERICAN MEDICAL COLLEGES

18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

MEDICAL/LEGAL

HOW LAWMAKERS ARE TACKLING THE OPIOID EPIDEMIC By Dennis W. Chiu, JD, Government Relations Specialist When the opioid epidemic hit the news—not just in scientific journals but in the popular media as well— it spurred Congress and state legislatures to offer public healthcare policy solutions. This has resulted in increased funding for treatment, more regulations for prescribing opioids, measures to increase the availability of opioid antagonists, and a reduction in liability for the administration of opioid antagonists. Celebrity Tragedy and National Statistics

new funding accompanied the declaration. The White House and Congress will need to work together to increase the depleted Public Health Emergency Fund. Two states—Colorado and Indiana—have since created funding for opioid treatment pilot programs. The Maine legislature overrode its governor’s veto to ensure access to opiate addiction treatment under its Medicaid program. Delaware and New Jersey have enacted laws requiring healthcare insurers to provide coverage for opioid addiction treatment.

In 2016, the autopsy of pop music legend Prince found that the singer died from a “self-administered” dose of the opioid fentanyl. Prince’s tragic demise was only one of many celebrity deaths attributed to opioidrelated causes. Celebrity deaths brought the dangers of opioids to the public’s attention, and statistics for the general population support the perception of an opioid addiction epidemic. Centers for Disease Control (CDC) Director Dr. Tom Frieden noted: “We know of no other medication routinely used for a nonfatal condition that kills patients so frequently.”1

Legislators have also passed laws regulating the prescribing of opioids.

Between the media attention and the preponderance of evidence that opioid usage had become a major public health problem in America, legislators were spurred to address the problem.

Some states have gone even further. By 2016, 18 states had passed legislation requiring medical professionals to consult a state database: California, Connecticut, Kentucky, Maine, Maryland, Massachusetts, Nevada, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, Tennessee, West Virginia, and Wisconsin.

Legislation and Administrative Action Lawmakers typically attempt to solve problems in two ways: (1) providing funding for programs, and (2) enacting regulations through legislation. As an indicator of the level of concern of U.S. lawmakers, the usually gridlocked Republican Congress and Democratic President Barack Obama united to address the issue. On December 13, 2016, both houses of Congress and the president worked together to approve legislation that granted $1 billion to state opioid abuse programs. This was a sharp increase in funding from earlier in the year and from previous years. (The Senate passed the law by a vote of 94–5, and the House of Representatives passed the law by a vote 355–77.) On October 26, 2017, President Donald Trump declared the opioid addiction crisis a public health emergency via the Public Health Service Act, though minimal

Requiring Physicians to Check Prescription Databases Prescription drug databases, originally intended to be used by law enforcement, have been widened to allow healthcare providers and prescribers to review a patient’s prescription history for signs of overprescribing or addiction. Every U.S. state with the exception of Missouri has a prescription monitoring database.2

State laws and regulations mandating prescribers to query the database vary as to requirements, but in general, most require the prescriber to check: (1) before initially prescribing a controlled substance to a patient in an opioid treatment program, (2) in workers’ compensation cases, and (3) prior to initially prescribing or dispensing an opioid analgesic or benzodiazepine in any setting.3 Most often, the penalty for prescribers for failure to check the database is referral to the department or board that enforces violation of professional standards.4 Opioid Antagonist Access Laws and Good Samaritan Protections5 CONTINUED ON NEXT PAGE

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19

MEDICAL/LEGAL

Legislators have also sought to decrease deaths from prescription opioid abuse by increasing access to opioid antagonists. These drugs have no abuse potential and counteract the life-threatening effects of an overdose, allowing the victim to breathe normally once administered. Previously, access to these lifesaving medications was limited because a doctor-patient relationship needed to exist for a prescription to be issued. This requirement was ineffective because family and friends are often in the best place to administer an antagonist during an overdose, but they did not have access to a prescription. In 2001, New Mexico became the first state to enact legislation increasing access to opioid antagonists. Over the past 15 years, 47 states and the District of Columbia have passed similar laws. In the 2017 legislative year, Montana, North Carolina, Nevada, Tennessee, Texas, Virginia, Wisconsin, and West Virginia enacted laws making opioid antagonists more available. In conjunction with increasing access to opioid antagonists, many states have passed Good Samaritan laws to limit liability for healthcare professionals and “laypersons” for administering opioid antagonist medications. For immunity to apply, laws typically require that a person must have a reasonable belief that someone is experiencing an overdose emergency, must remain on scene until help arrives, and must cooperate with emergency personnel. For healthcare personnel, immunity will usually apply unless there is gross negligence in the administration of the opioid antagonist. Good Samaritan laws for the administration of opioid antagonists have been passed in 37 states and the District of Columbia. The 13 states that have yet to pass opioid antagonist Good Samaritan laws are Arizona, Idaho, Iowa, Kansas, Maine, Missouri, Montana, Nebraska, Oklahoma, South Carolina, South Dakota, Texas, and Wyoming. Florida lawmakers will consider proposed legislation, Senate Bill 458, during the 2018 legislative session. If enacted in its current form, this bill will: • Limit a controlled opioid prescription to a sevenday supply. • Limit refill or subsequent controlled opioid prescriptions to a 30-day supply. • Provide exceptions to supply limits for certain patients.

• Require a prescriber to access a patient’s drug history in the prescription drug monitoring program’s database before prescribing the drug, and at least every 90 days thereafter for continuing treatment. • Require a healthcare practitioner to complete a continuing education course as a condition of initial licensure and biennial licensure renewal. In 2017, Florida House Bill 477 added synthetic opioids to the list of controlled substances. Conclusion The legislative response to the opioid epidemic includes expanding healthcare providers’ ability to access databases that track opioid prescriptions. Lawmakers are also working to ensure easier access to opioid antagonists and immunity to those who administer opioid antagonists. Legislators are also providing more public funding for existing programs for treatment of opioid-addicted patients. At this point, there is insufficient data to evaluate the effectiveness of the recently passed legislation, but lawmakers and public health advocates hope to see a decline in opioid-related deaths when data becomes available. References 1. Guideline for prescribing opioids for chronic pain [press briefing transcript]. Centers for Disease Control and Prevention; March 15, 2016. www.cdc.gov/ media/releases/2016/t0315-prescribing-opioidsguidelines.html. Accessed January 5, 2017. 2. 49 states combat opioid epidemic with prescription database. [transcript]. Morning Edition. National Public Radio. May 10, 2016. www.npr. org/2016/05/10/477449821/as-opioid-crisisescalates-missouri-is-without-monitoring-database. 3. National Alliance for Model State Drug Laws. 2015 annual review of prescription monitoring programs. www.namsdl.org/library/1810E284A0D7-D440-C3A9A0560A1115D7/. Published September 2015. Accessed January 11, 2017. 4. Mass Ann Laws ch 94C, §24A; Md HB 437 (2016); Cal SB 482 (2016). 5. Drug overdose immunity and Good Samaritan laws. National Conference of State Legislatures Website. www.ncsl.org/research/civil-and-criminaljustice/drug-overdose-immunity-good-samaritanlaws.aspx. August 1, 2016. Accessed January 11, 2017. Contributed by The Doctors Company (thedoctors.com)

20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS PRESIDENTIAL INSTALLATION

MINUTES: CMS PRESIDENTIAL INSTALLATION JANUARY 25, 2018 - FSU ALUMNI CENTER The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient. We Thank Our Supporters for this Event Supporting Sponsors FIC/LRA Insurance & NORCAL Group Florida Medical Association North Florida Women’s Care Prime Meridian Bank SunTrust Private Wealth Management Event Sponsors Capital City Bank Florida Osteopathic Medical Association Hancock Bank MagMutual John and Renee McNeill Strategic Benefits Group, LLC Tallahassee Memorial HealthCare The Naumann Group Thomas County Federal Wells Fargo Advisors Displayer Sanofi I. Welcome Dr. Tracey Hellgren called the event to order at 6:40 pm. She welcomed all members, spouses, special guests and sponsors. She gave a special welcome to our keynote speaker, FMA President, Dr. John Katopodis and to incoming President, Dr. David Dixon and their family and friends in attendance. II. New CMS Members Dr. Hellgren introduced two new CMS members: Dr. Kenneth DeLay, Advanced Urology Institute Dr. J. Lucas Koberda, Tallahassee Neurobalance Center III. Introduction of Keynote Speaker Dr. Tracey Hellgren introduced FMA President, Dr. John Katopodis. IV. Remarks by Keynote Speaker Dr. Katopodis shared an update on the FMA’s legislative efforts and recognized CMS members that are involved on the state level. Dr. Hellgren presented Dr. Katopodis with a bottle of CMS wine as a token of appreciation. 22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

V. Introduction of New Officers and Board Members Dr. Hellgren introduced the newly elected Officers: President-Elect: Dr. Maribel Lockwood Secretary/Treasurer: Dr. Ken Whithaus Immediate Past President: Dr. Tracey Hellgren Dr. Hellgren introduced the newly elected Board Members: Dr. Todd Hewitt Sarah Ho, CMS Alliance President Dr. Sarah Ko Dr. Cody VanLandingham Dr. Hellgren introduced the Board Members elected to new terms: Dr. Christie Alexander Dr. Rohan Joseph Dr. Hellgren introduced the Board Members with ongoing terms: Dr. Narayanan Krishnamoorthy Dr. Paresh Patel Dr. Laurence Rosenberg Dr. Julia Weeks Dr. Hellgren introduced the Board Member Residents: Dr. Meredith Maxwell Dr. Alex Vanderby Dr. Tahir Motiwala Dr. Cristin Sampson Dr. Aaron Hayson Dr. Justin Lee Dr. Hellgren introduced the CMS Foundation Board of Directors: Officers – President: Dr. John Mahoney Vice President: Dr. Al McCully Treasurer (newly elected): Dr. David Stewart Secretary: Dr. Nancy Loeffler Directors – Dr. Joedrecka Brown-Speights Dr. Walt Colon Dr. David Dixon Dr. Avon Doll Dr. Terreze Gamble Dr. Tracey Hellgren Dr. David Jones Dr. Maribel Lockwood Dr. J. Brian Sheedy Dr. Jay Walton

CMS PRESIDENTIAL INSTALLATION

Dr. Kenneth Wasson Dr. Barbara Williams Dr. Charles Williams Dr. Fred Lindsey, Emeritus Newly elected Directors – Attorney Alan Cox Dr. Marlisha Edwards Paula Fortunas Dr. Faisal Munasifi Dr. Hellgren introduced the Capital Medical Services Board of Directors: Officers – President: Dr. Frank Skilling Vice President: Dr. Karl Hempel Secretary/Treasurer: Dr. Terrence Reisman Directors – Dr. Armand Cognetta Dr. David Dixon Dr. Maribel Lockwood Dr. Brian Wilson VI. Introduction of David Dixon, D.O. Andrea Friall, M.D., Dr. Dixon’s longtime friend and colleague, gave a heartwarming introduction. VII. Recognition of Past CMS Presidents’ Legacy Joe Ashcraft, Pipe Major at Tallahassee Pipe Band, led the processional for the past presidents in attendance. Pam Irwin, CMS Executive Director, announced each of the past presidents in attendance during the passing of the CMS President’s medallion. Al McCully, M.D., 1977 J. Brian Sheedy, M.D., 1982 David D. Miles, M.D., 1986 C. William Applegate, M.D., 1987 John P. Mahoney, M.D., 1989 Terrence P. McCoy, M.D., 1990 James Stockwell, M.D., 1991 R. James Mabry, M.D., 1994 Alma Littles, M.D., 1996 David L. Saint, M.D., 1998 Tony A. Weaver, M.D., 1999 William T. Kepper, M.D., 2004 David T. Stewart, M.D., 2005 Nancy Loeffler, M.D., 2013 Alfredo Paredes, M.D., 2014 Joshua Somerset, M.D., 2015 J. Daniell Rackley, M.D., 2016 Tracey Hellgren, M.D., 2011 & 2017

VIII. Installation of David Dixon, D.O., 73rd President of Capital Medical Society Dr. Katopodis administered the Oath of Office to Dr. Dixon. Once installed, Dr. Dixon made his remarks. IX. Presentation to Outgoing CMS President and Board Members Dr. Dixon recognized our Outgoing CMS Board Members and gave them a bottle of CMS wine as a token of appreciation for their leadership and support of CMS: Dr. Greg Perry Dr. J. Daniell Rackley Dr. Ernesto Umaña Dr. Dixon recognized the Outgoing CMS Alliance President and gave her a bottle of CMS wine as a token of appreciation for the leadership and support she has given to the CMS Alliance through her Board service: Ida Thompson Dr. Dixon recognized the Outgoing CMS President: Dr. Tracey Hellgren Dr. Dixon thanked Dr. Hellgren for her service this past year. He recognized the hard work and the time given to CMS and presented her with a commemorative box with her President’s medallion, a box of mason jars, and a custom wooden photo board of her jam label. Dr. Hellgren made a few remarks about her year as President. X. Announcements Dr. Dixon encouraged members to attend the upcoming CMS events: Connect the Docs Capital City Bank Happy Hour Thursday, March 8, 2018 6:00-8:00 pm The Wine House (1355 Market Street, A1) Libations, Candles, and Conversation Soirée Thursday, March 22, 2018 6:00-8:00 pm Hearth & Soul (1410 Market Street, D1) Celebration Awards Dinner Thursday, March 29, 2018 6:30 pm FSU University Center Club XI. Adjourn Dr. Dixon adjourned the event at 8:00 pm. CONTINUED ON NEXT PAGE

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23

CMS PRESIDENTIAL INSTALLATION

13 11

Captions for photos: 1 – Supporting Sponsor, FIC/LRA Insurance & NORCAL Group: (l-r) Tommy Folsom and Dennis Wilson. 2 – Supporting Sponsor, Florida Medical Association: (l-r) Shari Hickey and Sarah Hickman. 3 – (L-r) Supporting Sponsor, North Florida Women’s Care: Dr. Andrea Friall and Dr. Kenneth McAlpine; Event Sponsor, Hancock Bank: Diana Cureton; and Event Sponsor, Tallahassee Memorial HealthCare: Mark O’Bryant.

8 – Event Sponsors, Strategic Benefits Group, LLC and MagMutual: (l-r) Scott Fenstermaker, Strategic Benefits Group, LLC; and Angela and Timothy Flanagan, MagMutual. 9 – (L-r) Event Sponsors, John and Renee McNeill; Dr. David Dixon; Michael Dixon; and Event Sponsors, Wells Fargo Advisors, Amber and Lyle Floyd. 10 – Event Sponsor, The Naumann Group: Stacie Spears and Jason Naumann.

4 – (L-r) Pam Irwin, CMS Executive Director; Dr. David Dixon and his wife, Paige; Supporting Sponsor, Prime Meridian Bank: Kim and Sammie Dixon.

11 – (L-r) Event Sponsor, Thomas County Federal: Linda Bergman; Dr. Sarah Ko; and Event Sponsor, Thomas County Federal: Jessica Tryon.

5 – Supporting Sponsor, SunTrust Private Wealth Management: (l-r) Charles Hopkins, Ally Hogue, Brandon Hogue, and Karen Watts.

12 – Displayer, Sanofi: Gavin Boone and Deanna Frazier.

6 – Event Sponsor, Capital City Bank: William Smith and Melissa Wright. 7 – Event Sponsor, Florida Osteopathic Medical Association: (l-r) Ryan Kimmey and William Hightower. 24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

13 – The Dixon Family: (standing, l-r) Paige, Michael, Molly, and Dr. Dixon, (seated, l-r) Jerry and Scotti. 14 – (L-r) 2018 CMS President, Dr. David Dixon, and Keynote Speaker, FMA President Dr. John Katopodis.

CMS PRESIDENTIAL INSTALLATION

15 Captions for photos: 15 – 18 Past CMS Presidents pictured with bagpiper, Joe Ashcraft (standing, far left) who led the processional. 16 – (L-r) Outgoing CMS President, Dr. Tracey Hellgren; Pam Irwin, CMS Executive Director; and 2018 CMS President, Dr. David Dixon. 17 – (L-r) Outgoing CMS Alliance President, Ida Thompson and 2018 CMS Alliance President, Sarah Ho.

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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.”

➢ Access to healthcare is increased through gifts to We Care Network and the We

Donate to the CMS Foundation We Thank Our Donors We thank the following people/organizations who made a donation to the CMS Foundation this past month: We Care Network Steve and Teresa Sarbeck Fund – In Honor of CMS Foundation Board Members – Through Their Donor-Advised Fund Southern Medical Group, P.A. – gift in-kind donor Tallahassee Memorial HealthCare, Inc. – gift inkind donor

Care Network Endowment Fund. More than $90 million in donated specialty medical and dental care has been provided to low-income, uninsured patients since the program was created in 1992. In fiscal year 2016-17, which ended June 30, 2017, more than $10.9 million in health care was donated. 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. $47,000 was distributed to eight medical students in 2017. ➢ Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2017, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to CMSF’s Physician Wellness 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 6) The Ronald G. Pickett Endowment 7) Physician Wellness 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. Donations may be made by credit card from the CMS website. 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:

Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.

Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018

26 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 January 2018. Your generosity and support of the We Care Network makes a difference. Physicians Scott Asher, M.D. Wayne Batchelor, M.D. Venkata Bavikati, M.D. Marie Becker, M.D. Dhananjay Bendre, M.D. Tim Broeseker, M.D. Logan Brooks, M.D. Robert Brumberg, D.O. David Burns, M.D. Joseph Camps, M.D. Stephen Carr, M.D. Gilbert Chandler, M.D. Armand Cognetta, Jr., M.D. Kenneth DeLay, M.D. William Dixon, IV, M.D. David Dolson, M.D. Wade Douglas, M.D. David Durden, M.D. Alberto Fernandez, M.D. Akash Ghai, M.D. Spencer Gilleon, M.D. Sergio Ginaldi, M.D. Gian-Carlo Giove, M.D. Joseph Gray, M.D. Frank Gredler, M.D. Aaron Guyer, M.D. Celeste Hart, M.D. Gregory Hartlage, M.D. Muhanad Hasan, M.D. Marc Inglese, M.D. Okanta Jackson, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. Arjun Kaji, M.D. John Katopodis, M.D. Farhat Khairallah, M.D James Killius, M.D. Fang Sarah Ko, M.D. Matthew Lee, M.D. Maribel Lockwood, M.D. Deanna Louie, M.D. Gordon Low, M.D. Kurt Luhmann, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Jayan Nair, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. J. Daniell Rackley, M.D. James Renehan, M.D.

Stephen Richardson, M.D. Karen Russell, M.D. Gadi Silberman, M.D. Hardeep Singh, M.D. David Smith, M.D. Robert Snider, M.D. Bhavik Soni, M.D. Christopher Sundstrom, M.D. Timothy Sweeney, M.D. John Thabes, M.D. William Thompson, M.D. David Vermess, M.D. Lucas Watkins, M.D. Tony Weaver, M.D. Chien-Yi Williams, M.D. William Yaakob, M.D. Samuel Yu, M.D. Podiatrists Bryan Spooner, DPM Dentists William Baldock, D.D.S. Labon Bontrager, D.M.D. Ransey Boyd, D.M.D. LaToya Butler, D.D.S. David Cardman, D.M.D. Walter Colón, D.M.D. Brittney Craig, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. Russell Rainey, D.M.D. James Sykes, D.M.D. Barrett Tolley, D.D.S. Kirstin Walther, D.M.D. James Walton, D.D.S. Facilities Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Bond Community Health Center Bristol Dental Clinic Capital Periodontal Associates Capital Regional Cancer Center Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J. Pijut, D.M.D., PA Leon County Health Department Dental Clinic – Molar Express Neighborhood Medical Center North Florida Nephrology Associates North Florida Regional Thyroid Center North Florida Women’s Care Periodontal Associates

Radiology Associates of Tallahassee Red Hills Endodontics Smile Connection at Bond Community Health Center Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, and Throat Tallahassee Memorial HealthCare TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Quincy TMH Rehabilitation TMH Transition Center Tallahassee Orthopedic Clinic Tallahassee Podiatry Associates, PA Tallahassee Pulmonary Clinic Tallahassee VA Clinic Vascular Surgery Associates Wakulla Medical Center Women’s Imaging Center

Please contact Diana Bixler at dbixler@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of January 2018 and your name is omitted.

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 Diana Bixler at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!

We thank our referring providers from January 2018: Ebonie Allen, ARNP Anne Ananga, ARNP Arvind Bakhru, M.D. Karen Bartley, M.D. Dhananjay Bendre, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Lysmar Carrion-Dinguis, M.D. Christie Chiu, M.D. Shirley English, ARNP Cynthia Evans, ARNP Sharron Foster, M.D. Judy Griffin, ARNP Tracey Hellgren, M.D. Hantz Hercule, M.D. Dwight Hooper, M.D. Phillip Langdon, PA Elaine Larkins, ARNP Ovidiu Marina, M.D. Kelly Miller, ARNP Marcia Morris, ARNP Paresh Patel, M.D. Mitchell Peabody, D.O. Lisa Perkins, ARNP Gregory Perry, M.D. Andrea Plagge, D.O. Jessica Proxmire, ARNP Stephen Quintero, M.D. Shawn Ramsey, D.O. Karen Russell, M.D. Lucilita Salvador, PA Philip Sharp, M.D. Abisoye Somorin, ARNP Alanna Steaple, ARNP Christopher Sundstrom, M.D. Lacie Thompson, ARNP Faye Tinson, ARNP Marianne Towler, ARNP Mary Tucker, M.D. Jeffrey Wasserman, D.O. Eula Weaver, ARNP Dianna Willis, ARNP Donald Zorn, M.D.

DURING THE MONTH OF JANUARY, THE WE CARE NETWORK: RECEIVED 248 REFERRALS, WITH 149 PATIENTS NEW TO THE PROGRAM

SCHEDULED 196 $257,930.81 IN DONATED CARE APPOINTMENTS WITH WAS REPORTED BY WE CARE VOLUNTEER PHYSICIANS AND VOLUNTEERS DENTISTS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 27

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