Cap Scan - March 2021 by Capital Medical Society

MARCH EDITION, VOLUME 2021, NO. 3

COVID AFTER ONE YEAR: THERE IS NO “NEW NORMAL” By Frank Skilling, M.D. We’re a year into the COVID-19 pandemic, and it’s become patently obvious that there’s no going back to the “old ways.” The structural changes I’ve observed within our society are so profound that even if the virus is contained and the pandemic soon ended, I don’t think that there’s going to be a return to “business as usual.” What this will mean for medicine and the delivery of health care is unclear, but I foresee that video patient visits will be used more frequently. There has been a move for many years to institute video consults for patients, but the concerns of the boards of medicine and the insurance payment systems have kept it at bay. For some insurers, it just didn’t seem right for doctors to be reimbursed if they weren’t actually going to touch the patient or talk with them face-to-face. And then there was the problem with licensing boards and physicians being situated in different states. All states are notoriously jealous of preserving their individual licensing. But both physicians and patients have gotten used to Zoom encounters, and no one can conceive of a future without them. Once the Veterans Administration crossed the line, other government agencies will soon follow. The chief of the medicine service when I was an intern in internal medicine (“straight medicine” as it was called without irony in those days) at the University of Miami in the early 1970s was a bright young Harvard Medical School graduate who got into telemedicine early on. Jay Sanders became a proselytizer for long distance examinations and consultations, even before the internet, via television. I got the sense that he was always on the verge of

developing a successful product, and I wonder if Zoom conferencing has improved his success. As an acolyte of the Osler/Harrison medical model for patient interactions, I’ve always been a believer in the face-to-face encounter for being the best method of evaluating patients. One of the things I have enjoyed over the past few years is working with the second-year medical students at FSU. This school, above any other I’ve been affiliated with, stresses the face-to-face encounter and uses standardized patients to allow the students to hone their clinical diagnostic skills in a controlled setting. This past semester, the students were limited to working in pairs throughout the term and performing physicals on each other. For me, it was less than ideal. I told one group that they had to palpate the abdomen of a 60-year-old to get a real understanding of how a belly will feel in a solid patient. However, even a video encounter with a standardized patient was sufficient for some of them to sharpen their diagnostic acumen. One of the instructors noted that this year’s class was doing extremely well academically, which was a surprise to me. But it’s perhaps because they have more time to study during the lockdown without the distractions that previous students had to contend with. Yet, I think that with smart students, the good ones will learn even under the constraints of social distancing and video remoteness. There is no substitute for the face-to-face encounter, but good learners will be successful even under difficult circumstances. I just hope that these types of virtual medical encounters will never become “the new normal.”

CAPITAL MEDICAL SOCIETY 2021 MEETINGS CALENDAR April 20, 2021 Virtual CME (1-Hour) Exploring the Long-Term Consequences of a COVID-19 Diagnosis 6:30 pm

September 14, 2021 Celebration Awards Dinner University Center Club at FSU 6:30 pm See page 7 for more information

BOARD OF GOVERNORS Rohan Joseph, M.D., 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

Paresh Patel, M.D., President-Elect Sarah Ko, M.D., Secretary/Treasurer

Professional Notes..............................................................3 CMS News.............................................................................4 CMS Virtual Lunchtime Learning Seminars..................5 CMS Family Walk Schedule..............................................6 Celebration Awards Dinner..............................................7 National Doctors’ Day........................................................8 Portraits in COVID-19.........................................................9 2021 Capital Medical Services, Inc. Board of Directors......10 Simpler Times..................................................................... 11 CMS Presidential Installation......................................... 12 Alliance Corner.................................................................. 14 Social Work Month........................................................... 15 Honor a Doctor.................................................................. 16 Donate to the CMS Foundation..................................... 17 CMS Foundation: We Care Network............................ 18

Ken Whithaus, M.D., Immediate Past President Nicole Balmer, M.D. David Burns, M.D.

HAPPY BIRTHDAY!

Russell Cole, M.D.

{MARCH BIRTHDAYS}

Amulya Konda, M.D. Helen Paulson, M.D. Shawn Ramsey, D.O. Andrea Stephens, CMS Alliance Cody VanLandingham, M.D.

Margaret Havens Neal, M.D. – 1st

Gregory Perry, M.D. – 19th

Jon Soble, M.D. – 1st

Caulley Soto, M.D. – 19th

John Elzie, M.D. – 3

John Thabes, M.D. – 19th

Terreze Gamble, M.D. – 4

F. Ray Dolly, M.D. – 20th

Julia Weeks, M.D.

David Miles, M.D. – 4

Karen Krueger, M.D. – 20th

Graham Whitaker, M.D.

Robert Miles, M.D. – 4th

Pam Irwin, Executive Director, CMS

Andrew Wong, M.D. – 5

Ronald Machado, M.D. – 21st

David Bellamy, M.D. – 5

Andras Schaffer, M.D. – 21st

Andrea Friall, M.D. – 23rd

Kennessa Hugger, M.D. – 6

Paul Hartsfield, M.D. – 23rd

Thomas Truman, M.D. – 6th

Brian Wilson, M.D. – 23rd

Tommy Enoch, M.D. – 7

Charles Williams, M.D. – 24th

PUBLICATION EDITOR Frank Skilling, M.D. GRAPHIC DESIGN Gandy Printers

Justin Gilinsky, M.D. – 9

Flora Danisi, M.D. – 25th

MANAGING EDITOR Shannon Boyle

Nancy Wright, M.D. – 9

Eric Loevinger, M.D. – 25th

EDITOR EMERITUS Charles E. Moore, M.D.

Steven Ostrov, M.D. – 14

Brittany Clark, M.D. – 14th

R. Spencer Stoetzel, M.D. – 25th Angela Bradford, M.D. – 26th

James Renehan, M.D. – 14

Charles Moore, M.D. – 27th

Alma Littles, M.D. – 15

Pablo Rengifo-Moreno, M.D. – 27th

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

Albert Lee, M.D. – 16th

Roland Jones, M.D. – 28th

Stephen Sgan, M.D. – 16

Jamey Sarvis, M.D. – 28th

Celeste Paquette, M.D. – 17

Leslie Wilson, M.D. – 29th

Mary Elizabeth Seay, M.D. – 17

Amanda Bertoli, M.D. – 30th

Saman Naeem, M.D. – 19th

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!

PROFESSIONAL NOTES

PROFESSIONAL NOTES Dr. Christie Alexander and Dr. Joedrecka Brown Speights with FSU College of Medicine, and Dr. Niharika Suchak with Big Bend Hospice served as panelists for the live virtual “COVID-19: Ask the Experts Panel,” hosted by 500 Women Scientists Tallahassee, on February 11, 2021. Capital Health Plan (CHP) has been honored with Bronze Recognition in the American Heart Association’s (AHA) Workplace Health Achievement Award program for the second year in a row. The AHA is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke, and out of the thousands of public, private, and nonprofit organizations that applied, CHP was one of only 15 to earn the recognition.

Tallahassee Memorial HealthCare has been recognized again by the American College of Cardiology as the Big Bend region’s only Accredited Chest Pain Center with Primary PCI and Resuscitation. The highest level of accreditation for a Chest Pain Center, this designation affirms TMH provides the most advanced and timely evidence-based care to patients who have suffered a heart attack or cardiac arrest. The “Primary PCI” designation affirms that TMH uses a specialized treatment called percutaneous coronary intervention (PCI) as the primary treatment for acute heart attacks. The “Resuscitation” designation refers to TMH’s therapeutic hypothermia program for post-cardiac arrest patients. This treatment, also referred to as targeted temperature management, is designed to temporarily lower a patient’s body temperature to reduce the risk of brain damage that an occur when cardiac arrest causes a cessation of blood flow to the brain and other vital organs.

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.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS NEWS

NEW DOCS ON THE BLOCK

THE CAPITAL MEDICAL SOCIETY TAKES LEAD IN PUBLIC SERVICE ANNOUNCEMENT John L. Meade, M.D. Medical School: University of Alabama Internship/Residency: Orlando Regional Medical Center; University of Alabama Practice: Federal Bureau of Prisons Specialty: Emergency Medicine, Correctional Medicine

The Capital Medical Society partners with local hospitals and physicians to encourage patients to seek needed healthcare through the Public Service Announcement, "Don't Put It Off!" To view the “Don’t Put It Off!” PSA, visit: https://drive.google.com/file/d/1f32WFxsO3 3ot__1FsfCn0LIdfKQpGWBs/view.

Serving the needs of our patients in Tallahassee.

Tallahassee East

Tallahassee North

Gynecologic Oncology of Tallahassee

1600 Phillips Rd., Ste. 300 R (850) 877-8166

2626 Care Dr., Ste. 200 R (850) 219-5830

2626 Care Dr., Ste. 101 R 888-GynOnc1

New Location Coming Spring 2021, FLCancer.com/TLH 4

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

2351 Phillips Rd. GynOncofTally.com

CMS VIRTUAL LUNCHTIME LEARNING SEMINARS

CAPITAL MEDICAL SOCIETY VIRTUAL LUNCHTIME LEARNING SEMINARS ~ These seminars will be virtual until further notice ~ March 24, 2021 Clinical Best Practices in Patient Documentation and Their Role in Avoiding Medical Liability Speaker: Julie Overstreet, Risk and Patient Safety Consultant, MagMutual Sponsor: Liz Thiele, TMH Federal Credit Union (https://www.tmhfcu.org/) April 21, 2021 What’s the Cure? Proper Reporting and Use of Your COVID Funding Speakers: Nadia Batey, CPA and Jay Hutto, CPA, James Moore CPAs and Consultants Sponsor: Liz Thiele, TMH Federal Credit Union (https://www.tmhfcu.org/)

May 19, 2021 Take Your Practice’s Revenues to the Max Speakers: Nadia Batey, CPA and Jay Hutto, CPA, James Moore CPAs and Consultants Sponsor: Liz Thiele, TMH Federal Credit Union (https://www.tmhfcu.org/)

Registration Required Time: 12:30 PM to 1:30 PM No Cost for these virtual seminars. For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.

Digging Deeper In the age of Google, why are some companies still focused on outdated taxonomies and codes? MagMutual’s industry-first narrative search tool lets us dig into our extensive claims database and uncover what’s likely to happen. This better, more flexible approach lets us bring innovative predictability to healthcare liability – because you can’t be well protected from future risks by a company that’s stuck in the past. magmutual.com/innovation

800-282-4882

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS FAMILY WALK SCHEDULE

Park Links: Miccosukee Greenway Park: https://cms.leoncountyfl. gov/Portals/0/publicworks/parksandrecreation/ ParkMaps/MiccosukeeGW_EdenfieldThornton.pdf

J.R. Alford Park: https://cms.leoncountyfl.gov/Portals/0/publicworks/ parksandrecreation/ParkMaps/J_R_Alford_Greenway_Trails.pdf Cascades Park: https://www.talgov.com/Uploads/Public/Documents/parks/ cascades/cascades_parking.pdf

CAPDDCad.indd SCAN - 1A CAPITAL MEDICAL SOCIETY PUBLICATION

11/3/2020 11:30:59 AM

CELEBRATION AWARDS DINNER

MARK YOUR CALENDAR FOR THE CELEBRATION AWARDS DINNER IN SEPTEMBER Due to the COVID-19 pandemic, sadly, we could not celebrate our 2020 Celebration Awards Dinner honorees, Dr. Sergio Ginaldi and Dr. David Saint, as we had planned in March 2020. The Capital Medical Society Board of Governors evaluated the viability of hosting a live Celebration Awards Dinner in March 2021. With the vaccine roll-out still underway and safety of concern, scheduling a live event later this year is wiser. We are grateful to our sponsors for agreeing with this decision. After much anticipation, we are thrilled to announce that you can officially mark your calendar for the Capital Medical Society’s Celebration Awards Dinner on Tuesday, September 14, 2021, at 6:30 p.m. at the University Center Club at Florida State University.

Sergio Ginaldi, M.D.

David Saint, M.D.

We will honor Dr. Sergio Ginaldi, 2020 I.B. Harrison, M.D. Humanitarian Award recipient, and Dr. David Saint, 2020 Outstanding Physician Award recipient. Celebrate the profession of medicine with your colleagues! Invitations will be sent in August. We hope to see you there!

Wolfson Children’s and Nemours Children’s specialists are here for Leon County kids and providers. Our Wolfson Children’s Specialty Centers at Tallahassee Memorial HealthCare bring doctors from two nationally recognized children’s health organizations close to home. Specialties we provide in Tallahassee include: Pediatric cardiology to diagnose, treat and manage congenital heart conditions; on-site testing Appts: 850.629.4861 • Fax: 850.629.4859 Pediatric gastroenterology for diseases of the digestive tract

Pediatric urology for complex urinary and genital conditions

Appts: 904.697.3600 • Fax: 904.697.3927 To learn more, contact Wolfson Children’s Business Development Specialist Faithe Galloway Zoda at 850.559.3072 or Faithe.Galloway@bmcjax.com. TMH.org/children

Specialty Center at

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION WCH 38558 TMH Specialties CapSpan Ad_v06.indd 1

1/20/21 4:23 PM

NATIONAL 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.” 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 8

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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.

PORTRAITS IN COVID-19

COVID-19: THE SHIFT FROM IN-PERSON TO VIRTUAL VISITS By Michelle Miller, M.D. “Excuse me sir, are you currently driving? If so, please find a safe spot to park and let me know when you are ready to continue with this visit, or you can call back to reschedule.” Almost one year into the COVID-19 pandemic and virtual visits have made it safer for me to practice primary care and limit exposures in the office; however, it may be more dangerous on the roads with patients assuming they can drive while on virtual visits. Also, it is ironic that some of my diabetic follow up visits are occurring in line at McDonald’s or other fast food restaurants, but it would explain why I have to tell them that they should now consider insulin due to their high A1C. Just over five years ago, when I started my first job after residency, I never expected to have 40% of my visits as telemedicine appointments; I had in fact never done any telemedicine prior to this pandemic, like most other physicians. Now, I could not imagine life without these visits. In the past year, I have been able to see patients who live out of county with unreliable transportation, are homebound in poor health, or at college out of state. Some of them I had not seen in years! When we have COVID-19 vaccine clinic, and my nurses are occupied with administering shots or frantically calling patients for last-minute appointments, I can easily run my telemedicineonly appointments by myself. While telemedicine has helped with my overall mental health during this pandemic, I am still stressed. I have had multiple patients lie during check in and turn out to have overt symptoms of COVID-19 in the office or strong suspicion of asymptomatic cases due to known exposures. I have had to print a sign with the correct way to wear a mask and am still constantly reminding patients to pull up their masks over their nose.

Listening to patients describe their vaccine hesitancy is also frustrating. “But doc, this is too new. What are the long term health effects?” “I watched a video showing that the vaccine causes your body to turn into a cell tower and changes your DNA so you end up a chimera.” “I’d rather take my chances with the disease. I don’t believe all of this hype.” “Don’t you think the media is lying to us? I don’t believe the death numbers at all.” My answers: “Long-term COVID-19 is showing chronic lung and heart disease in even young, healthy athletes.” “That is ridiculous. I recommend you look at the article from Nature about mRNA vaccines.” “We will not get over this pandemic until everyone who can get the vaccines does.” “I agree that the numbers are likely wrong. They were underreporting. I believe the numbers are actually higher, but due to strict guidelines at the beginning of this pandemic, we didn’t test nearly as often as we should have.” I have also had to save the following codes to my favorites on my EHR – COVID-19 U07.1, COVID-19 virus vaccination refused Z28.21, Encounter for laboratory testing for COVID-19 virus Z20.822, Exposure to COVID-19 virus Z20.822, Lab test positive for detection of COVID-19 virus U07.1, and Need for COVID-19 vaccine Z23. I made sure to post “#bestbirthdaypresentever!” on social media when I received my first COVID vaccine. By destigmatizing this vaccine and clearing up misinformation, I have hope that we will get to an end of this pandemic, hopefully sooner than later. In the meantime, I need to take some deep breaths prior to logging into another telemedicine visit.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

2021 CAPITAL MEDICAL SERVICES, INC. BOARD OF DIRECTORS

SERVICES, INC.

2021 BOARD OF DIRECTORS Francis C. Skilling, Jr., M.D. President Ophthalmology Retired 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 Retired Married to Mackie Hempel University of Kentucky

Rohan Joseph, M.D. CMS President-Elect General Surgery Capital Regional Surgical Associates Married to Elizabeth Medley University of Mumbai

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

Paresh Patel, M.D. CMS President-Elect Oncology Florida Cancer Specialists & Research Institute Married to Yamini Patel B.J. Medical College, Ahmedabad, India

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 University of Kentucky

10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

SIMPLER TIMES

GRANDMA’S OLD-FASHIONED WISDOM By Charles D. Williams, M.D., FACR, FAAP (“Pedro”) Time does pass. Pedro’s daughter is graduatin’ from college and they’re both proud but worried. She’s hoping she has learned enough about computers and other high technological facts. He’s hoping she has learned enough about other things. Most of us ain’t young enough to know ever’thang. Facts change. Technologies change. I learned in 1966 in medical school that one treats diverticulosis with a soft diet. Now I learn that the treatment consists of a highfiber diet. I learned in 1966 that manic depression had something to do with your mama, daddy, and grandma, but now I hear it may have something to do with chemical imbalance. The future ain’t what it used to be. Anybody who’s not confused don’t know what’s goin on. Grandma didn’t have much book learnin’ and didn’t have much technological information, but she talked about truth and beauty and caring and things we need more of. What she did tell Pedro held up, was useful and hadn’t changed a whole bunch over the years. Grandma had gotten old and her hands were shriveled up like dried apples. She said that we’re only old once so use it wisely. She was concerned about our personal pride, about giving a helping hand along the way, about keeping your word, about being good to your neighbor, about accepting your responsibility, about keeping on a clean change of underwear, and the list goes on. This seemed that way to her in 1921 and in 1941 and it ought to seem that way in 2021. It seemed to her that the most valuable information was not the facts (the facts change) but the approach to a problem and the value system you learn along the way. Grandma always checked with Pedro about saying his goodnight prayers. One night Grandma asked Pedro if he was still saying his prayers ever’ night and Pedro replied, “No, not ever’ night. Some nights I don’t want anything.” Pedro then asked Grandma if Jesus was a Southerner. She said, “no, but he was good enough to have been one.” Grandma didn’t want Pedro to grow up ignorant all his natural born days. She wanted him to be well-traveled and she told him to go pack. Pedro had a suit for ever’ day of the year and he went and found it and packed it in a sack. Then Grandma, Mama, Pedro, and Daddy headed to Jacksonville, which was in Florida and Florida was the place to go. We heard there was an ocean over there and there was. We arrived and Grandma stood on the shore, looked out over the horizon and said, “There’s a whole

lot of water out there and we don’t even see it all. We’re only lookin’ at what’s on top.” Pedro had brought along an ole’ bucket from home. Somebody had said you were suppose to do that and you could put sand in it. Later Pedro found some real nice red and yella plastic buckets for sale on the beach and wanted one real bad. Grandma told Pedro never to git rid of the old bucket until he made sure the new bucket didn’t have a hole in it. We started walking along the beach and Pedro was moving faster than a deacon passing a collection plate. We met some real nice country folks from over the Waycross, Georgia area. At least they sounded country. We stopped, talked, howdied and shook, and they then asked Grandma if she had lived her whole life in Moultrie. She replied, “No. Not yet.” Pedro began wading in the water hanging around the very edge and Grandma hollered out to him, “Don’t wander too far from the shore,” and Pedro didn’t. Pedro never forgot that and he still tries not to wander too far from the shore. Grandma didn’t have a whole bunch of education, but she did have some caring and loving and morals and thangs we could all use a little bit more of. Many facts I learned in medical school changed and the technology changed. Many of the facts my daughter learned will change. However, Grandma’s old-fashioned low-tech wisdom and values will not change. It is the fabric that ties individuals, societies, and generations together. It’s what makes life worth living. I hope my daughter has learned this along the way and I hope her children will also learn it. By relearnin’ the Simpler Times may we all learn to survive the Complex Times. Reprinted with author permission from More Simpler Times. Dr. Williams’ sequel book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the Capital Medical Society Foundation’s We Care Network program. The total sales from his books have raised over $39,000 for the CMS Foundation’s We Care Network.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS PRESIDENTIAL INSTALLATION

MINUTES: VIRTUAL CMS PRESIDENTIAL INSTALLATION JANUARY 28, 2021 Recorded at The Moon and Livestreamed on Vimeo (https://vimeo.com/497278125/953a1cb857) We Thank Our Sponsors for this Event Presenting Sponsor

Supporting Sponsors

Event Sponsors

I. Welcome Dr. Ken Whithaus called the virtual event to order at 6:30 pm. He welcomed all of the viewers and thanked our generous sponsors. II. Introduction of Board Members Dr. Whithaus introduced the 2021 Capital Medical Society Board of Governors: Dr. Rohan Joseph, President Dr. Paresh Patel, President-Elect Dr. Sarah Ko, Secretary/Treasurer Dr. Ken Whithaus, Immediate Past President Dr. Nicole Balmer Dr. David Burns Dr. Russell Cole Dr. Amulya Konda Dr. Shawn Ramsey Mrs. Andrea Stephens, 2021 CMS Alliance President Dr. Cody VanLandingham Dr. Julia Weeks Dr. Graham Whitaker Dr. Whithaus introduced the 2021 Capital Medical Society Foundation Board of Directors: Dr. John Mahoney, President Dr. Walt Colón, Vice President Dr. David Stewart, Treasurer Dr. Nancy Loeffler, Secretary Mrs. Yvonne Brown Attorney J. Alan Cox 12

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Dr. Avon Doll Dr. Marlisha Edwards Mrs. Paula S. Fortunas Dr. Terreze Gamble Dr. Tracey Hellgren Dr. David Jones Dr. Rohan Joseph Dr. Maribel Lockwood Dr. Faisal Munasifi Dr. Paresh Patel Dr. Brian Sheedy Dr. Joedrecka Brown Speights Dr. Jay Walton Dr. Barbara Williams Dr. Al McCully, Emeritus Dr. Charles Williams, Emeritus Dr. Whithaus introduced the Capital Medical Services Board of Directors: Dr. Frank Skilling, President and Cap Scan Editor Dr. Karl Hempel, Vice President Dr. Terrence Reisman, Secretary/Treasurer Dr. Armand Cognetta Dr. Rohan Joseph Dr. Paresh Patel Dr. Brian Wilson III. Introduction of Rohan Joseph, M.D. Anthony Wright, M.D., Dr. Joseph’s friend and colleague, gave a heartwarming introduction. IV. Installation of Rohan Joseph, M.D., 76th President of the Capital Medical Society Dr. Whithaus administered the Oath of Office to Dr. Joseph. Once installed, Dr. Joseph made his remarks.

. V. Presentation to Outgoing CMS President

Dr. Joseph thanked Dr. Whithaus for his service this past year. He recognized his hard work and the time given to CMS during a difficult year and presented him with a commemorative box with his President’s medallion, a bottle of CMS wine, and a Dr. Anthony Fauci collectible bobble head. Dr. Whithaus made a few remarks about his year as President. VI. Adjourn Dr. Joseph adjourned the event at 7:00 pm.

CMS PRESIDENTIAL INSTALLATION

Captions for photos: 1 – Dr. Ken Whithaus, Outgoing CMS President, welcomed viewers to the virtual installation.

6 – (L-r) Outgoing CMS President, Dr. Ken Whithaus; 2021 CMS President, Dr. Rohan Joseph; and Dr. Anthony Wright.

2 – Dr. Anthony Wright introduced Dr. Rohan Joseph during the evening’s program. 3 – Dr. Whithaus read the Oath of Office to Dr. Joseph. 4 – Dr. Joseph shared his acceptance speech.

7 – (Back row, l-r) Outgoing CMS President, Dr. Ken Whithaus; Dr. Rohan Joseph’s wife, Elizabeth Medley; 2021 CMS President, Dr. Rohan Joseph; Dr. Anthony Wright; (front row, l-r) Zachary Joseph and Zoe Joseph. 8 – (L-r) CMS Communications and Events Coordinator, Shannon Boyle; Outgoing CMS President, Dr. Ken Whithaus; 2021 CMS President, Dr. Rohan Joseph; and CMS Executive Director, Pam Irwin.

5 – Dr. Joseph thanked Dr. Whithaus for his service this past year and presented him with gifts of appreciation, including a Dr. Anthony Fauci collectible bobble head! CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

ALLIANCE CORNER

A MESSAGE FROM THE PRESIDENT Dear Alliance Members: THANK YOU! Thank you for the honor of serving you as president this year. Thank you for your patience as we learn new skills. Thank you for your flexibility as we adjust to new ways of meeting. Thank you for your positive attitudes as we re-imagine fellowship and community service. We will approach this year slowly and methodically. Instead of setting a year-long agenda, we will create programs each month based on current community conditions. This will allow us to assess and respond to members’ needs and remain responsive to the needs of the medical community. As you can imagine, it was unsettling for me to start this term as president without firm plans. However, thanks to your adaptability, I am happy to report that 2021 is off to a great start! In January, we began our year with a virtual officer installation and membership meeting. Florida Medical Association Alliance (FMAA) President, Anne Grenitz, joined us from Fort Lauderdale, Florida to install our officers and share the benefits of FMAA membership. Additionally, Shannon Boyle, Pam Irwin, and Dr. John Mahoney attended our meeting on behalf of the Capital Medical Society (CMS) and the CMS Foundation. We are grateful for their encouragement and continued support. In February, we had the unique opportunity to meet with Dr. Trey Blake, Chief Medical Officer of Capital Regional Medical Center, and Dr. Andrea Friall, Vice President and Chief Medical Officer of Tallahassee Memorial HealthCare. We learned the latest information on COVID-19, vaccines, and vaccine distribution in our community. Additionally, Alliance member, Diane Kaji, spoke to us about her service as a 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

COVID-19 Vaccination Clinic volunteer with Leon County. In March, we will take a break from membership meetings to enjoy a light-hearted virtual game night. Finally, in April, we hope to conclude our spring programming with a virtual scholarship award presentation for a FSU College of Medicine student. At this meeting, we will learn about FSU College of Medicine’s partnership with Panhandle Area Educational Consortium (PAEC). Alliance member, Elaine Geissinger, and Dr. Maria Pouncey have agreed to speak with us about PAEC’s work serving migrant farmers and their families, who have also been severely affected by COVID-19. To my fellow board members and committee chairs, thank you for volunteering your time, talent, and creativity. Your generosity and extraordinary dedication made our spring programs, not only possible, but meaningful. Thank you. Sincerely,

Andrea Stephens CMSA President

SOCIAL WORK MONTH

SOCIAL WORK DOES NOT STOP FOR A PANDEMIC By Diana Bixler, We Care Network Program Coordinator When news of the need to choose between their families and their COVID-19 virus was patients. Thankfully, we found a way to be there communicated to us in for both and keep everything running. March 2020, there was – and, to a certain extent, Suffice it to say, it was not easy at first. Finding a still is – much uncertainty balance between family life and work life is hard about what to do, how enough outside of a public health emergency. long to implement new Inside of a pandemic, as parents, we were faced safety measures, and how with seemingly insurmountable struggles and to maintain our program’s operations. We are a high expectations of our children’s behavior and safety net to over 500 people in our community at situational acceptance. They were cut off from any given time, so it was critical to find a solution life as they knew it, losing contact with their as quickly as possible. At the start of what turned friends, constantly being let down by cancellation into a pandemic, all of the We Care Network staff after cancellation of activities, and adjusting had children under the age of nine who needed to an infinite “new normal”, which was also to be kept home from school. Eventually, this characterized as “lockdown”. Dealing with the led to them being kept home effects of this situation for the from stores, parks, and even foreseeable future, mixed with other family members in an also needing to be there for our effort to keep everyone safe. For patients, was something we knew the We Care Network patients we had to figure out. Nonetheless, and staff, we are immensely social workers are here to serve grateful to have had the ability others, and that became even more to quickly and efficiently switch apparent during these trying times. We Care Network to a teleworking model. Within a matter of weeks, in April of It is incredibly important that 2020, we successfully implemented our new we take this time to recognize these individuals schedules and protocols. for their persistence during this unprecedented year. Without our case management team, the The local community’s widespread panic coordination of healthcare with our generous intensified as schools closed for one week, We Care Network providers would have come then another week, then another month, then to a standstill. Shonda Davis, Roshanda Dorsey, indefinitely for the rest the school year, and were Abby Edwards, and Malika Nixon have truly not quickly followed with the cancellation of all let anything come between them and their work summer camps. After that, the start of school serving others during the COVID-19 pandemic. was pushed back a few days, then another week, Gregory Sharp, who is unfortunately no longer then two weeks after that with the reality that with our program, was also an invaluable asset to they could, quite possibly, open and shut down the program, ensuring data entry was maintained again. Without the ability to telework, the We and referrals kept flowing smoothly. Even though Care Network program operations would have we worked apart, we still (almost) flawlessly come to a screeching halt. We have a small group worked together. If we have learned anything of individuals who make up our wonderful case throughout all of this, it is to continuously strive management team, but everyone was immediately to take care of each other to the best of our and unexpectedly put between a rock and a hard ability while keeping everyone as safe, sound, and place, temporarily feeling as though there was a healthy as possible. FOUNDATION

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HONOR A DOCTOR

RECOGNIZE A PHYSICIAN WHO INSPIRES YOU! NATIONAL DOCTORS’ DAY – MARCH 30 As we begin year two of the COVID-19 pandemic, join the Capital Medical Society in wishing all of the doctors in our community a Happy Doctors' Day! They are going through a challenging time. We want them to know how much they are appreciated as they take care of patients and each other. We want to acknowledge how much we appreciate them, their great work, and their fantastic teamwork. They have done their best for the patients of this community and others transferred here for care. At the core, they are our medical family. While we try to stay away from people as much as possible to avoid illness, they gear up for battle and run into the fire. The work in clinics, hospitals, and care facilities is part of the worldwide story of those knowingly putting themselves at risk to save lives. And now, they are working together to distribute vaccines in our community. Many are physically and psychologically tired from the relentless impact of the pandemic. And yet, these doctors continue to care for us, their patients. Now, is your opportunity to thank and encourage them. March 30 is National Doctors’ Day, a day to recognize physicians, their service, and their contributions to society and communities. This year, celebrate National Doctors’ Day by choosing to make an honorary donation to the Capital Medical Society Scholarship Fund supporting future physicians. Leave a comment in the Tribute Gift box on the donation page to be shared by letter with your doctor honoree. To ensure your honoree receives their recognition letter before National Doctors’ Day, please make your gift by Monday, March 22.

Donate at: https://capmed.org/donate Or mail your gift check, payable to: Capital Medical Society Foundation, 1204 Miccosukee Road, Tallahassee, FL, 32308. Please include the name of your honoree and a sentence about why you are honoring them. Each honoree will receive a letter notifying them of your thoughtful gift. Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend. 16

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DONATE TO THE CMS FOUNDATION

The Impact of Private Support:

Donate to the CMS Foundation – We Thank Our Donors We thank the following donors who made a gift to the CMS Foundation this past month: CMS Foundation Year-End Appeal – Area of Greatest Need Sandeep Rahangdale, M.D. Scholarship Fund David Bellamy, M.D. – In Memory of Dr. Jean Gould Bryant David Bellamy, M.D. – In Memory of Helen Cataland Cox David Bellamy, M.D. – In Memory of Saul Aaron Ostrov We Care Network Rosalie Carlin – In Memory of Helen Cataland Cox From the Sale of More Simpler Times – To Benefit the We Care Network J. Anthony Giralt, M.D.

The 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 the We Care Network and the We Care Network Endowment Fund. More than $112.3 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 2019-20, which ended June 30, 2020, more than $6.9 million in health care was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the donated care. ➢ To provide incentives to keep medical students trained at the 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. $31,000 was awarded in 2020. ➢ Gifts to the Capital Medical Society Foundation help provide operational resources for the Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to healthcare for the underserved. In 2020, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program and the Big Bend Hospice Foundation for bereavement services. Gifts to Honor and In Memoriam: You can make a gift 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. The 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 make a gift at any time to one of the 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) The Anesthesiology Associates of Tallahassee Scholarship Endowment 6) Scholarship Fund 7) The Ronald G. Pickett Endowment 8) Physician Wellness Fund Gifts should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to give. Bring your check to the CMS Office or mail it: Capital Medical Society Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Gifts may be made by credit card or direct debit 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 the Capital Medical Society Foundation transform lives in the Big Bend.

Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611 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 Network partners who provided healthcare to new patients in January 2021. Your generosity and support of the We Care Network makes a difference.

Physicians Venkata Bavikati, M.D. Marie Becker, M.D. David Bellamy, M.D. Robert Bradford, M.D. David Burns, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Francisco Carpio, M.D. William Dixon IV, M.D. Amara Emenike, M.D. Romyll Garcia, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Muhanad Hasan, M.D. David Huang, M.D. Marc Inglese, M.D. Amit Jain, M.D. Beverly Johnson, M.D. Arjun Kaji, M.D. James Killius, M.D. Ben Kirbo, M.D. Amulya Konda, M.D. Maribel Lockwood, M.D. Michael Mangan, M.D. Tod Morris, M.D. Christopher Murphy, D.O. Jayan Nair, M.D. Thomas Noel, M.D. Chukwuma Okoroji, M.D. Anthony Otekeiwebia, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Hussein Rayatzadeh, M.D. Adrian Roberts, M.D. Andres Rodriguez, M.D. Garrison Rolle, M.D. Abel Romero-Corral, M.D. Jamey Sarvis, M.D. Scott Sellinger, M.D. 18

Philip Sharp, M.D. Gadi Silberman, M.D. Joshua Somerset, M.D. Bhavik Soni, M.D. Matthew Standridge, M.D. Amanda Stephens, D.O. Lucas Stowers, M.D. Timothy Sweeney, M.D. John Thabes, M.D. Alexander Ramirez Valderrama, M.D. Kaisa van der Kooi, M.D. Carl Vegas, M.D. Graham Whitaker, M.D. William Yaakob, M.D. Charles Yowell, M.D. Brian Zirgibel, M.D. Dentists Walter Colón, D.M.D. Ashok Manocha, D.D.S. William McFatter, D.D.S. Facilities Advanced Urology Institute Airway Works, LLC Anesthesiology Associates Apalachee Primary Care Bastien Dental Care Bond Community Health Center Care Point Health & Wellness Center Dermatology Associates Digestive Disease Clinic Eye Associates of Tallahassee Family Dentistry at Southwood Florida Cancer Specialists & Research Institute FSU PrimaryHealth Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Madison Medical Center Manocha, McSoley, Balan, and Manocha Dentistry Neighborhood Medical Center North Florida Women’s Care Periodontal Associates of North Florida Radiology Associates of Tallahassee

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Southeastern Plastic Surgery Southern Medical Group, P.A. Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, and Throat Tallahassee Enhanced Care Tallahassee Memorial HealthCare TMH Physician Partners Cancer and Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Cardiothoracic Surgery Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Heart Rhythm Clinic TMH Physician Partners Surgical Specialists TMH Physician Partners Urology Specialists TMH Transition Center Tallahassee Orthopedic Clinic TOC Canopy Vascular Surgery Associates Wakulla County Health Department Wakulla Medical Center Women’s Imaging Center

Please contact Diana Bixler at dbixler@capmed.org or 201-0130 if you are a We Care Network volunteer and you provided volunteer specialty care in the month of January 2021, 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. In addition, 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) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!

CMS FOUNDATION: WE CARE NETWORK

We thank our referring providers from January 2021:

Ebonie Allen, APRN

Gabrielle Gardner, APRN

Hussein Rayatzadeh, M.D.

Anne Ananga, APRN

Muhanad Hasan, M.D.

Charlie Richardson, M.D.

Katrina Ball, APRN

Hantz Hercule, M.D.

Adrian Roberts, M.D.

Karen Bartley, M.D.

Todd Hewitt, M.D.

Lucilita Salvador, P.A.

Megan Bassett, APRN

Victoria Jones, D.M.D.

Jamey Sarvis, M.D.

Jean-Pierre Bastien, D.M.D.

Lawrence Kaelin, M.D.

Benjamin Shivar, P.A.

Venkata Bavikati, M.D.

David Keen, M.D.

Sharnjeet Singh, P.A.

Viralkumar Bhanderi, M.D.

Amulya Konda, M.D.

Joshua Somerset, M.D.

Sherry Bramblett, APRN

Elaine Larkins, APRN

Alanna Steaple, APRN

Daniel Breivogel, APRN

Jessica Lea, APRN

Franckel Taylor, APRN

Fran Bridges, APRN

Ashok Manocha, D.D.S.

Faye Tinson, APRN

Joseph Camps, M.D.

Megan March, M.D.

Nadege Toussaint, APRN

Francisco Carpio, M.D.

Marino Martinez, M.D.

Mallory Tucker, P.A.

Stephanie Chandler, APRN

Damon McMillan, M.D.

Alexander Ramirez

Andrew Chon, D.M.D.

Marcia Morris, APRN

Victor Chou, D.M.D.

Manoela Mota, M.D.

Jeffrey Wasserman, D.O.

Armand Cognetta Jr., M.D.

Emmanual Northington, APRN

Shynequria Williams-

Deborah Congdon, APRN

Chukwuma Okoroji, M.D.

Raymond Cottrell, M.D.

Rose Origa, APRN

Shana Wood, APRN

Elizabeth Dickens, M.D.

Anthony Otekeiwebia, M.D.

Charles Yowell, M.D.

Alberto Fernandez, M.D.

Jorge Perez de Armas, M.D.

Sharron Foster, M.D.

Lisa Perkins, APRN

Dale French, D.O.

Stephen Quintero, M.D.

Valderrama, M.D.

McNealy, APRN

DURING THE MONTH OF JANUARY 2021, THE WE CARE NETWORK: RECEIVED 164 REFERRALS, WITH 106 PATIENTS NEW TO THE PROGRAM

SCHEDULED 108 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS

$259,482.29 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS

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