APRIL EDITION, VOLUME 2017, NO. 4
CAPITAL MEDICAL SOCIETY EXECUTIVE DIRECTOR PARTICIPATES IN CAPITAL HILL DAYS By Pam Irwin, CMS Executive Director Ralph Massullo, a practicing dermatologist from Joining my colleagues from the Conference of Florida Citrus County. Representative Massullo had recently Medical Society Executives (CFMSE) from across filed HB 821, the “Any Willing Provider” bill and was the State, I visited with legislators on Capital Hill eager to share its strengths. on February 23 to help inform Florida Senators and House Representatives regarding Senate and House Although several of those bills that would impact I spoke with admitted they the practice of medicine. were not yet up to speed Prior to attending, CFMSE on the bills I was there to hosted webinars on key bills. discuss, those I met with Medical society executive were interested and engaged. directors were also provided They clearly appreciated further updates through a constituent feedback on the presentation hosted by the pros and cons of bills they Florida Medical Association will consider. Most could on February 22. FMA CEO easily relate to issues with Timothy Stapleton, FMA “fail first” protocols and General Counsel Jeff Scott, retroactive denials. Most and FMA Senior Vice were not familiar with Direct President of Public Affairs Primary Care. It is important Chris Clark met with us and that they hear from the shared the FMA Position Members of CFMSE on Capital Hill: (pictured l-r) medical community on bills Statements on proposed bills. Paula Baumgardner, Pam Irwin, Valerie Vale, that impact the practice of April Donahue, and Julie Ramirez. medicine. I had the opportunity to meet one on one with Rep. Loranne Ausley, Rep. It is a privilege to serve as your Executive Director Ramon Alexander, and Rep. Halsey Beshears’ and to speak to our legislators on behalf of the Legislative Aide. Unfortunately, Senator Montford physician community. It was an enlightening was not available. He serves on the Health Policy experience that I know many of you have also shared. Committee. I joined my colleagues in meetings with Keep up your efforts. You can make a difference! Senator Kathleen Passidomo and Representative CONTINUED ON PAGE 3
CAPITAL MEDICAL SOCIETY 2017 MEETINGS CALENDAR April 18, 2017 CMS Membership & Educational Meeting (no CME credit) Medical Cannabis: Seeing Through the Smoke Ken Brummel-Smith, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
May 16, 2017 CMS Membership & CME Meeting Updates in Cancer – To the Moon and Back Viralkumar Bhanderi, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
May 24, 2017 CMS Family Night 5:30 – 8:00 pm FSU Champions Club
BOARD OF GOVERNORS Tracey Hellgren, 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
David Dixon, D.O., President-Elect Maribel Lockwood, M.D., Secretary/Treasurer
Legislative Updates …
1
Announcements …
6
Professional Notes …
7
Social Work Month …
8
CMS Lunch and Learn …
9
CE Broker …
10
Viewpoint …
12
Donation to We Care Dental Network …
15
CMS Foundation …
18
CMS Foundation: We Care Network …
19
J. Daniell Rackley, M.D., Immediate Past President Christie Alexander, M.D. Rohan Joseph, M.D. Narayanan Krishnamoorthy, M.D.
HAPPY BIRTHDAY!
Paresh Patel, M.D. Gregory Perry, M.D.
{APRIL BIRTHDAYS}
Laurence Rosenberg, M.D. Ida Thompson, President, CMS Alliance Ernesto Umaña, M.D. Julia Weeks, M.D.
Amy Reimer Neal, M.D. – 3rd
Edward Forster, M.D. – 15th
Duncan Postma, M.D. – 4th
Stephen Mnookin, M.D. – 15th
Family Medicine Residents Todd Hewitt, M.D./Meredith Maxwell, M.D.
Michael Ford, M.D. – 5th
Stephanie Cruz Lee, M.D. – 18th
Internal Medicine Residents Vishal Dahya, M.D./Rachel Russell, M.D.
Randy Reese, M.D. – 7th
Wendy Somerset, M.D. – 18th
General Surgery Residents Emanuela Alvarenga, M.D./Paul Clark, M.D.
Barbara Jaeger, M.D. – 8th
William Placilla, M.D. – 20th
Jesse Judelle, M.D. – 9th
R. James Mabry, M.D. – 21st
Ronald Hartsfield, M.D. – 10th
Jana Bures-Forsthoefel, M.D. – 24th
Vikki McKinnie, M.D. – 10th
James Davenport, M.D. – 25th
Mansukhlal Padalia, M.D. – 12th
Mary Swain, M.D. – 25th
Charles Cooper, M.D. – 13th
Clifton Bailey, M.D. – 27th
J. Anthony Giralt, M.D. – 13th
Farhat Khairallah, M.D. – 29th
Louis St. Petery, M.D. – 14th
Julian Hurt, M.D. – 30th
Kenneth Whithaus, M.D. Pam Irwin, Executive Director, Capital Medical Society
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
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!
LEGISLATIVE UPDATES
The following talking points were addressed at each of the meetings:
mandates have dramatically increased the cost of running a medical practice.
Support: Direct Primary Care – Less Paperwork, More Care – SB 240 (Lee) and HB 161 (Burgess) One of the most promising developments in health care delivery in recent years has been the Direct Primary Care (DPC) movement. A growing number of primary care physicians nationwide are adopting this innovative model because they are frustrated by the excessive paperwork and regulatory burdens imposed by insurance companies. They are attracted to direct primary care because of their desire to spend more time with patients. DPC physicians charge patients a simple, affordable flat monthly fee for comprehensive coverage of all primary care services. DPC physicians have been able to improve quality of care by control costs, managing chronic illnesses, and reducing administrative expenses. The CFMSE strongly supports legislation which would allow DPC to grow by defining direct primary care agreements as a medical service outside the scope of insurance regulation.
Retroactive Denials – SB 102 (Steube) HB 579 (Hager) The CFMSE supports legislation that eliminates the ability of insurance carriers to retroactively deny claims when they have provided a physician with authorization and the physician renders that service in good faith.
Right Medicine, Right Time – SB 530 (Steube) and HB 877 (Harrison) The CFMSE supports efforts by patient advocates to ensure that appropriate prescriptive treatments are based on a physician’s recommendation. Each year, thousands of Floridians are subjected to “fail first” protocols, whereby insurance companies impose their own treatment decisions ahead of treating physicians’ medical judgment. This causes delays in care that can lead to unnecessary hospitalizations and sometimes devastating consequences for patients. Florida needs legislation that allows physicians and patients to override step therapy protocols when deemed medically necessary and in patients’ best interests. In addition, if a patient is currently stable on a drug, step therapy should not be required to continue usage of that drug because of changes in a health care benefit or plan. Finally, the FMA supports shortening the amount of time for a step therapy override to be granted. It is time to stop insurance companies from practicing medicine and getting in the middle of the patient-physician relationship. A recent report from the Annals of Internal Medicine found that, for every hour a physician spent seeing patients, another two hours were spent on paperwork. These excessive
Maintenance of Certification – HB 723 (Gonzalez and Massullo) The CFMSE supports legislation that prohibits maintenance of certification (MOC) as a condition for medical licensure, medical staff membership or participation in an insurance plan. While our organizations support the value of initial board certification, continuing medical education and competency standards, the MOC process is not scientifically proven to judge ongoing competency and improved relevant performance for practicing physicians. Oppose: Independent Practice for Nurse Practitioners and Physician Assistants (PCB HQS 17-01) The CFMSE is committed to a high-quality standard of care for all Floridians regardless of their economic status or health insurance coverage. The MDs and DOs we represent believe the only way to ensure proper patient safety is to ensure the care provided is from the most qualified people trained to deliver that care. The best outcomes are achieved through a well-trained team of healthcare professionals under the supervision of a physician. Non-physician practitioners are valuable members of the health care team and can be delegated responsibilities under supervision, but they are limited by their education and training. MDs and DOs are the only members of the health care team who have the broad clinical experience and training to exercise independent judgment and provide overall direction of a patient’s care. The CFMSE is committed to supporting efficiencies in Florida’s health care system, but only if those efficiencies do not compromise the safety of Floridians. CMS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
9279 White Blossom Way
8017 Oak Grove Plantation Rd
$1,499,900 | 4BR | 4.5BA | 6,287 sf
$1,350,000 | 5BR | 4 Full 2 Half BA | 6,231 sf
• NE Tallahassee estate offers 23.59 acres, spacious bedrooms, elegant study, oversized media room and billiards room • Outdoor oasis with private patios, pool with swim jet, custom stone waterfall and stream Summer kitchen, pergolas & more
• NE Tallahassee Estate on pristine, private 2-acre lot with screened-in saltwater pool • Master suite & guest suite on first floor • Bonus room with full bar & separate theater/media room, luxury appointments and finishes throughout home • Price based on recent appraisal
8020 Lanternlight Road
Call Us Today for Your Private Showing or for a Free Market Evaluation of Your Home!
$985,000 | 5BR | 3 Full 2 Half BA | 4,522 sf Hettie Spooner Lindsay Elliott Calynne Hill
(850)509-4337 (850)545-2463 (850)545-6140
2001 Thomasville Road Tallahassee, Florida 32308
• Stunning waterfront home on 3+ acres in NE Tallahassee • Light and bright spacious floorplan offers gorgeous millwork and amazing lake views • Hardwood and marble floors, oversized bedrooms, luxury kitchen & perfect outdoor entertaining spaces - must see
4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
HILLSPOONER.COM
Properly Titled Assets
Debt-Consolidation Plan Investment Income
Risk Tolerance
Practice-Growth Strategies
Wealth-Building Goals
Capital-to-Debt Mix
Revenue Potential
HELPING YOU CONNECT THE DOTS PRIVATE BANKING from Capital City Bank At Capital City Bank, private banking means having a reliable partner who provides comprehensive financial solutions to connect the dots of your personal and professional finances. From wealth management tools and strategic business advice to everyday banking transactions and lifestyle management, private banking combines traditional and innovative services tailored to manage your financial life. Our experienced Private Banker, William Smith, offers custom financial management, the highest level of personalized service and absolute confidentiality. Contact William today at 402.8136.
WILLIAM SMITH is a fourth generation Tallahasseean from a long line of distinguished bankers. He understands the financial challenges of the medical profession and the importance of the local banker/medical professional relationship. Add a banking partner to your practice by contacting William at 402.8136 or smith.william@ccbg.com. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
ANNOUNCEMENTS
IN MEMORIAM
Karen S. Wilkens, M.D. 1944 - 2017
CAPITAL MEDICAL SOCIETY 2017 MEETINGS CALENDAR (continued from page 1)
August 26, 2017 Connect the Docs Family Picnic 11:00 am – 2:00 pm Maclay Gardens ($6 entrance fee) September 19, 2017 CMS Membership & CME Meeting Genomic Medicine Michael Stone, M.D., Stone Medical, PC 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
October 17, 2017 CMS Membership & CME Meeting Prevention of Medical Errors (2-Hour CME) Scott Sellinger, M.D. and Jesse Suber, Esq. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks November 7, 2017 CMS Membership & CME Meeting Adverse Health Effects of Electronic Devices Alice Pomidor, M.D., FSU College of Medicine 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 7, 2017 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
PROFESSIONAL NOTES
PROFESSIONAL NOTES Andrea Friall, M.D. was chosen as one of The Oasis Center for Women & Girls 2017 Trailblazers. Each year in March, as part of Women’s History Month, The Oasis Center for Women & Girls recognizes local women and girls who have rewritten history by blazing trails. Trailblazers are honored out of respect for the barriers they have crossed and glass ceilings they have shattered. Trailblazers lead the way making it easier for other women and girls to follow in their footsteps. Christie Alexander, M.D. was invited by Senate President Joe Negron to serve as the Senate’s Doctor of the Day for the opening day of session on March 8, 2017.
Suzanne Harrison, M.D. was installed as President of the American Medical Women’s Association (AMWA) at their Annual Meeting on April 1, 2017 in San Francisco. AMWA is the oldest multispecialty organization dedicated to advancing women in medicine and improving women’s health.
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 7
SOCIAL WORK MONTH
WE THANK OUR SOCIAL WORKERS
The Capital Medical Society Foundation’s We Care Network celebrated Social Work Month in March. We appreciate our amazing We Care Network case management team: (pictured l-r) Rosemary Evans, Robin Satchell, Roshanda Dorsey, Allison Young, and Diana Sheppard (not pictured Devon Marrett). They are improving health outcomes in our community one patient at a time. Thank you all for giving of yourselves in the service of others.
For more details, visit: www.mikeferrie.com
Mike Ferrie REALTOR®, SFR
850.566.8373
8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS On February 15th, April ZehmsPayne and Kathleen Brown-Blake with the Center for the Advancement of Health IT (AHIT) gave an excellent program on MACRA. We thank Campus USA Credit Union for sponsoring the February 15th Lunch and Learn.
On March 15th, Ben Graybar with Hancock Bank gave an excellent program on Cybersecurity, Identity Theft, and Your Practice. We thank Hancock Bank for sponsoring this Lunch and Learn.
Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank them for providing this venue to us.
Mark Your Calendars for the Remaining Spring 2017 Lunch and Learn Seminars: April 19, 2017 Life After ACA – Here we go again! The recently introduced American Health Care Act (AHCA) primarily rolls back Medicaid funding, a number of taxes and penalties. It also substitutes refundable tax credits for the current marketplace premium subsidies. This is the first (repeal) phase of a three phase approach. The Act is narrow in its focus so it can be passed with a simple majority vote by the House and Senate. Legislation to address other issues, including lowering costs, will come in the future but will need cooperation from Republicans and Democrats. The Act is already running into trouble with certain Republicans and the Democrats appear to be solidly united against it so it is a good bet that final legislation will look different than what is being proposed. A lot will be happening to the next few weeks and you will hear the latest updates, along with a discussion of potential impacts to your practices. Speaker: Gary Pickel, CEBS, Senior Vice President, Employee Benefits Manager, Brown & Brown of Florida, Inc. Sponsor: Brown & Brown Insurance
May 17, 2017 The Do’s and Don’ts of Patient Communication Speakers: Lon’Tejuana Cooper, Ph.D., MHA, RHIA, CPM and Marjorie H. McNeill, Ph.D., RHIA, CCS, FAHIMA Sponsor: Debra Summers, CopyFax
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
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
CE BROKER
CE BROKER PROFESSIONAL ACCOUNT… IT’S A NO BRAINER! CE Broker is the official continuing education tracking and management system for the Florida Department of Health. As a member of Capital Medical Society, you receive the benefit of a discounted rate for the Professional CE Broker Account if you sign up for it through Capital Medical Society. The Professional Account cost is $29.00 ordinarily, but through your CMS membership, you only pay $12.00 for a plethora of services not included in the free Basic Limited Access CE Broker Account. You may compare the difference in account services on page 11. Beginning in June 2017, Capital Medical Society will be sending 2017/18 CE Broker invoices for $12 by email to all Capital Medical Society members currently enrolled in CE Broker for FY 2016/17. You will have the added benefit of paying your invoice by credit card online directly from your emailed invoice or you may send a check. Please make your payment for CE Broker for 2017/18 by July 7, 2017 to ensure that your CE Broker account does not become inactive. Capital Medical Society reports paid-active CE Broker accounts on the 9th of each month. Unpaid accounts will be suspended until payment is received. Those who were not enrolled in CE Broker’s Professional Account in 2016/17 through their Capital Medical Society membership will be given the opportunity of adding this benefit when they renew their membership dues for 2017/18. Don’t miss out on this important Capital Medical Society benefit! If you have any questions, contact Pam Irwin at pirwin@capmed.org.
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CE BROKER
CE Broker Professional Account EASILY MANAGE YOUR CE $12 ANNUALLY FOR CAPITAL MEDICAL SOCIETY MEMBERS MAKING LICENSE RENEWAL SIMPLE • See your renewal requirements in detail. • Quickly report missing CE. • Check your compliance status anytime. • Know when your requirements are fully met. • Receive important notifications from your regulating agency. STAY ORGANIZED WITH SECURE STORAGE •
Permanently back up your reported documents.
•
Store heart cards & multiple licenses.
GO PAPERLESS & GO ANYWHERE •
Access your account through our FREE apps.
•
Review all past course info in your Course History.
•
Digitally Store all your certificates.
CE Broker Basic Account LIMITED ACCESS NO COST •
Report hours manually.
•
Confirm course completions.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
VIEWPOINT
US NAVY MEDICINE FROM AN ONCOLOGIST’S PERSPECTIVE By Karen Bullock Russell, M.D., FACP
I am privileged to have served as a Navy physician for 13 years of active duty after medical school and am encouraged now to be practicing with many other military veterans in healthcare here in Tallahassee. Being a native Floridian, I was born and raised in that fine Navy town of Jacksonville, moving down to live in Winter Haven (Polk County) where I finished high school. My father is a teacher/ coach and mother was a nurse. I had the good fortune of attending Furman University in Greenville, SC for college and pursued biology as an undergraduate, like so many physicians, with a heavy focus in music, playing the trumpet in many ensembles and working part time in both labs and music library. My grandfather was a salty Navy Chief Firecontrolman, so the idea of joining the service was a romantic one, but also practical, as the cost of college at Furman then Miami for medical school led me to pursue the Health Professions Scholarship Program (HPSP) of the armed services. I did not want to tie myself to medical education debt and, at the time, I was considering overseas medical missions after reading the works of Drs. Paul and Margaret Brand. (I 12
had the chance to meet Margaret many years later: an amazing woman!) I wanted to be free after a time to go wherever I was needed without that financial burden.
continuously running military hospital in the U.S. There is still a dungeon where Union soldiers (and interns) were briefly kept, as well as a cemetery.
By divine intervention, I had a college summer job working at the lab bench for the Naval Research Laboratory in Washington, DC, under Dr. Frances Ligler, testing biosensor technology for bioterrorism detection. I remember filling in that 20 sheet security application on an electric typewriter. I was drawn to the Navy not only because of my grandpa but because the Navy had the best uniforms and coastal locations, and, of course, A Few Good Men. Only after being on active duty in the Navy do you find out the acronym: “Never Again Volunteer Yourself ”. I completed Officer Indoctrination School (Knife and Fork school) at Newport, RI, running the Cliff Walk, learning how to buff floors and shine brass, and having my pillows and sheets thrown out the window because they weren’t perfectly aligned.
I had phenomenal mentors who were true general internists, and felt like I had excellent training. I was able to go straight through the training program and was selected as Chief of Residents for the teaching year. At the time, the Navy needed adult hematology/ oncology doctors, so I was allowed to train at Duke for my fellowship, making lieutenant commander (LCDR) by early promotion and serving as Chief Fellow. I was mentored by two greats in GI Oncology and drug development, Dr. Herb Hurwitz (Duke) and Dr. Johanna Bendell (Sarah Cannon). The Navy considered my time at Duke as active duty (and required the lovely PT tests and urinalyses), and I owed 6 years after completion of training. My husband Don is a US Navy veteran, though when he got out in the early 1990’s, after being stationed in Italy, he certainly did not think he would be moving to Hampton Roads, Virginia to be a Navy spouse as I finished fellowship in 2009!
After graduating from the University of Miami (I bleed orange and green), I matched exactly where I never visited or expected to be: the “First and Finest”, Naval Medical Center, Portsmouth, Virginia. As I found out, this was for the “Needs of the Navy.” Portsmouth has the longest
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
I ended up choosing hematology and oncology as a specialty for many reasons, but my hope to be a doctor and “cure cancer” really started when I was in 7th grade CONTINUED ON PAGE 14
TMH PHYSICIAN PARTNERS METABOLIC HEALTH CENTER WELCOMES
Larry C. Deeb, MD
Board Certified: Pediatric Endocrinology
Medical School:
Emory University, Atlanta, GA
Residency:
University of Minnesota, Minneapolis, MN
Fellowship:
University of Minnesota, Minneapolis, MN
Past President, Medicine & Science American Diabetes Association
Accepting New Patients
Specialized Medical Care.
TMH PHYSICIAN PARTNERS METABOLIC HEALTH CENTER
Here in Tallahassee.
2633 Centennial Boulevard, Suite 100 | Tallahassee | 850-431-5404
FOR SALE 228 ROSEHILL DRIVE
735 CARR LANE
3239 SHANNON LAKES DRIVE
4078 sqft │ 5br • 5ba │ $700,000
3324 sqft │ 5br • 3ba │ $539,000
2331 sqft │ 3br • 2½ba │ $279,900
Peaceful neighborhood in a great intown area. Pond front home with pool. Newer roof & AC. Bring Offers!
Amazing find! Built in 2007 on 2.75 acres. Large deck & screened gazebo. A-Rated School Zone.
Two story with master bedroom down. Enclosed living room with screened in porch.
ELIZABETH EKK, Broker Associate (850) 895-1355
Elizabeth@EHRealtyGroup.com ElizabethEkk.com │ EHRealtyGroup.com
Call Today for Your Private Showing! CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
13
VIEWPOINT
at the age of twelve. My cousin Heather, also twelve, died from acute lymphoblastic leukemia. I lost many in my small family when I was in junior high and high school, some to cancer, and felt like they could have had better deaths. As a medical student, I thought I wanted to do OB-GYN, but my first part of that rotation was the uninsured GYN Oncology surgery service. I fell in love with the cancer patients and their life journeys, and I still remember many of them. I soon realized that I was an internist, with no patience for the perfection of the OR. As a resident, I tried to talk myself out of doing hematology/ oncology, worrying I would be too decimated emotionally, but I found some of Osler’s Aequanimitas over the years with great mentors and I absolutely loved the continuity with patients and rapidly changing knowledge required to practice in this field. On a day-to-day basis, being a doctor in the military is essentially the same as civilian life. As a Navy oncologist, I wore the khaki uniform and saw mostly outpatients. I would take turns heading up the inpatient service with two or three other colleagues for a week at a time. The “Big Three” Navy hospitals (Bethesda, Portsmouth, San Diego) have almost all the residencies, so our service was a teaching division for internal medicine. In those years, including when I became a Commander, I had to serve as Division Head for adult oncology; be an IRB Chair; serve as Chair of the Commission on Cancer for our academic community hospital; give resident lectures and command Grand Rounds several
times a year; and participate in a formal mentoring program with the residents. The Navy has a hybrid system with so many responsibilities for the junior faculty that they are spread thin. In the past ten years, many have been deployed to war zones or ships at sea. As a naval officer, one is also expected to maintain physical fitness and pass the physical training test twice a year, keep one’s dental status up to par (“Fit to Bite, Fit to Fight”), have an up to date vaccination history (I even received smallpox), and, of course, vow to uphold the Constitution against enemies foreign and domestic. I joined the Navy and saw Virginia, not the world, as I had only one short deployment in Guantanamo Bay, Cuba, after the Haiti earthquake in 2010. I was grateful to provide general internal medicine care to evacuees and end of life care to one the few remaining Cuban nationals on that side of the wall. Practicing military medicine means stopping on one’s walk to the office to salute the Colors (flag of the United States) at 0800 and sundown each day. It is also going to see where our sailors and Marines work and fight. I have been escorted on every type of medical facility, bridge, or flight line. I have ducked through submarines, walked the training sites of our SEAL teams, and run the roads of Camp Lejeune. I have had to end the careers of military specialists with medical review boards when illness has overtaken them. I have received command coins from great leaders; cared for the first female Marine lieutenant
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
general; celebrated at many retirements where “the watch” was changed; and mourned at funerals where the Colors ran bright. Over these years, I was honored to care for many heroes, young men and women and their spouses presenting with late stage cancers of all kinds. I honestly find my current work as a civilian physician easier because the emotional effects of morbidity and death in the adolescent/young adult cancer population are grueling. What I miss the most is the sweet feeling of being “active duty”, a belonging and shared struggle that not everyone understands. What I miss the least is the constant concern about leaving my son and husband as well as being out of oncology for long periods of deployment. I feel like I need to do the things that only I can do: Many people can be a Navy doctor, but not everyone can be a wife and mom to my men. My last day as Commander, Medical Corps, United States Navy, was 30 June 2015. Some former military people say the thing they missed most was the camaraderie, but I certainly have found that in my TMH Hematology/Oncology partners and many others in Tallahassee. I could not be more grateful for the past year here. I appreciate everyone for welcoming me into this medical community. CMS
DONATION TO WE CARE DENTAL NETWORK
THANK YOU The We Care Dental Network thanks Cindy Knight, Office Manager for Jordan Rigsby, D.M.D. of First Care Dental, for donating over 100 goodie bags for our Dental Clinic Day patients. She is pictured here with Rosemary Evans, We Care Network Program Coordinator, and Roshanda Dorsey, We Care Dental Coordinator and Senior Case Manager.
The We Care Network gratefully accepts all donated dental goodie bags for our patients.
Capital Capital Nephrology Nephrology Clinic, Clinic, P.A. P.A.
Center Center for for Kidney Kidney Care Care & Hypertension & Hypertension Hiren Hiren J. J. Joshi, Joshi, M.D. M.D. Now Accepting New Patients Services • Chronic Kidney Disease • Hypertension • Dialysis Care • Kidney transplant care • Proteinuria • Hematuria
1641 Mahan Center Blvd, Suite #2 • Tallahassee, FL 32308 Phone (850) 999-2328 • Fax (850) 320-6114 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
e e s s a h a l Tal s it All Ha
Great schools, lovely weather, big-time college sports, and Southern Charm. You can add world class cancer care to the list. Florida Cancer Specialists is the largest private Medical Oncology practice in the country with over 100 cancer centers in Florida, and two cancer centers here in Tallahassee. We offer patients every single FDA approved cancer treatment every single day. Every one. Immunotherapy, vaccine therapy, chemotherapy, monoclonal antibodies, along with personalized molecular profiling and, of course, clinical trials of novel agents. So your patients can get the care they need in the town they love.
Scott Tetreault, M.D. v Viral Bhanderi, M.D. v Paresh Patel, M.D. 2626 Care Dr Suite 200 Tallahassee 32308 v 1600 Phillips Dr Suite300 Tallahassee 32308 v (850) 219-5830 Fax (850) 671-1251 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
TMH PHYSICIAN PARTNERS CLINICAL GENETICS CENTER WELCOMES
Laura S. Martin, MD, FAAP, FACMG
Board Certified: MEDICAL GENETICS - Clinical Genetics, Clinical Biochemical/Molecular Genetics
Medical School:
University of Florida College of Medicine, Gainesville, FL
Residency: Pediatrics
Baylor College of Medicine; Baylor Affiliated Hospitals, Houston, TX
Fellowship: Medical Genetics
Johns Hopkins University School of Medicine, Baltimore, MD
Accepting New Patients
Specialized Medical Care. Here in Tallahassee.
TMH PHYSICIAN PARTNERS CLINICAL GENETICS CENTER
3333 Capital Oaks Boulevard | Tallahassee | 850-431-4041
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” • Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. More than $79 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 2015-16, which ended June 30, 2016, more than $7 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 2016.
DONATE TO THE CMS FOUNDATION
WE THANK OUR DONORS We thank the following people who made a donation to the CMS Foundation this past month: For Capital Medical Society Foundation Dr. and Mrs. Charles Williams For We Care Network David Hood, M.D.
• Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In 2015-16, funds were used for a roof repair, purchase of a computer firewall upgrade, rental unit maintenance, exterior painting, and office renovations to accommodate additional staff. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2016, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to Lighthouse of the Big Bend to provide tools to the visually impaired to improve their access to health care. 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
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Irwin, Executive Director pirwin@capmed.org or (850) 877-9018
18
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 February 2017. Your generosity and support of the We Care Network makes a difference. Physicians Gregory Albright, D.O. Aaron Appiah, M.D. Arvind Bakhru, M.D. Raj Bendre, M.D. Robert Bradford, M.D. Robert Brumberg, D.O. Acquinonette Bryant, M.D. Viet Bui, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Michael Cavallaro, M.D. George Cohen, M.D. Raymond Cottrell, M.D. Marilyn Cox, M.D. David Dixon, D.O. David Durden, M.D. Michael Ford, M.D. Alexander Franz, M.D. Muhanad Hasan, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. Arjun Kaji, M.D. Sayeed Khalillullah, M.D. James Killius, M.D. Amulya Konda, M.D. Maribel Lockwood, M.D. Kenneth McAlpine, M.D. Jonathan Melquist, M.D. Thomas Noel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. Stephen Richardson, M.D. Adrian Roberts, M.D. Karen Russell, M.D.
Philip Sharp, M.D. David Smith, M.D. Christopher Sundstrom, M.D. Mary Swain, M.D. Scott Tetrault, M.D. Robert Thornberry, M.D. Ernesto Umana, M.D. Kaisa Van der Kooi, M.D. David Vermess, M.D. Tony Weaver, M.D. Graham Whitaker, M.D. William Yaakob, M.D. Samuel Yu, M.D. Dentists Eric Amundson, D.D.S. William Baldock, D.D.S. Steven Bryan, D.M.D. Susan Byrne, D.M.D. Walter Colón, D.M.D. John Dozier, D.M.D. Eve James, D.M.D. Susanne Lumpp, D.M.D. William McFatter, D.D.S. Jim McSoley, D.M.D. Lawrence Weaver, D.D.S. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Neighborhood Medical Center Dental Clinics Pathology Associates Radiology Associates Seven Hills Surgery Center Smile Connection at Bond Community Health Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours per biennium of CE Credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Rosemary Evans at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Rosemary Evans at revans@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of February 2017 and your name was omitted.
We thank our referring providers from February 2017: Eboni Allen, ARNP
Hantz Hercule, M.D.
Arvind Bakhru, M.D.
Eve James, D.M.D.
Jonna Bradley, ARNP
Howard Kessler, M.D.
Daniel Breivogel, ARNP
Elaine Larkins, ARNP
Tim Broeseker, M.D.
Esaias Lee, M.D.
Jana Bures-Forsthoefel, M.D.
Ashok Manocha, B.D.S.
David Cardman, D.M.D.
Kelley Miller, ARNP
Lysmar Carrion-Dinguis, M.D.
Marcia Morris, ARNP
Susan Dunbar, ARNP
Jayan Nair, M.D.
Mignon Emenike, M.D.
Rose Origa, ARNP
Shirley English, ARNP
Kyara Paulk, ARNP
Cynthia Evans, ARNP
Lisa Perkins, M.D.
Jerry Ford, M.D.
Andrea Plagge, D.O.
Michael Ford, M.D.
Stephen Quintero, M.D.
Sharron Foster, M.D.
Charlie Richardson, M.D.
Anneka Gaffney, ARNP
Lucilita Salvador, ARNP
Lisa Gardner, ARNP
Faye Tinson, ARNP
Judy Griffin, ARNP
Jeffrey Wasserman, D.O.
Paul Hartsfield, M.D.
DURING THE MONTH OF FEBRUARY, THE WE CARE NETWORK: RECEIVED 183 REFERRALS, WITH 128 PATIENTS NEW TO THE PROGRAM
SCHEDULED 149 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$229,170 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
Prsrt. Std. U.S. Postage
PAID Tallahassee, FL Permit 801
Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
TALLAHASSEE MEMORIAL HEALTHCARE
Neuroscience Grand Rounds Series
TRANSLATING RADIOLOGY REPORTS May 17, 2017, 6-8 pm | Hotel Duval, Opal Room This activity has been approved for one (1) AMA PRA Category 1 Credits™.
PRESENTING PHYSICIAN: Adam Oliver, MD
Neurosurgery/Endovascular Neurosurgery Tallahassee Neurological Clinic This presentation will outline: • The approach to evaluating the neurologic patient. • The role of imaging for evaluating the neurologic patient. • The difference in imaging modalities. • The significance of the findings and interpretation of a radiologic report. • Red flags clinicians should look for. Tallahassee Memorial is North Florida’s only Comprehensive Stroke Center providing a variety of stroke interventions, including tPA and mechanical thrombectomy, for acute stroke patients. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of FMA and TMH. The FMA is accredited by the ACCME to provide continuing medical education for physicians.
RSVP at 850-431-5875 or register at TMH.ORG/grandrounds