JUNE EDITION, VOLUME 2020, NO. 6
THE DOG DAYS OF SUMMER ARE HERE! We asked our CMS Members and CMS Staff to submit photos of their beloved pets. We could all use more reasons to smile these days, so take a look through these priceless photos. We are all in this together…and that includes our pets!
Dr. Ken Whithaus’ daughter, Caroline with their family dogs, Charlie and Lizzy.
Dr. Jonathan Appelbaum’s dogs, Zeus and Zelda guarding the front door.
Dr. Earl McKenzie with Buck (Lab), Pinto (Labradoodle), and Scottie (horse).
Drs. Cristina and Andres Rodriguez’s dog, Max.
Dr. Ray Dolly’s cat, Gilly dressed up as Princess Leia. CONTINUED ON PAGE 4
CAPITAL MEDICAL SOCIETY 2020 CALENDAR September 15, 2020 Virtual CME Brain Health: Primary Prevention of Cognitive Decline and Dementia, including Alzheimer’s Disease Speaker: Demetrius M. Maraganore, M.D., FAAN 6:00 pm
November 10, 2020 Virtual CME Human Trafficking (1 Hour - Required) Speaker: Terry Coonan, J.D., Executive Director at the Florida State University Center for the Advancement of Human Rights 6:00 pm
October 20, 2020 Virtual CME Domestic Violence (2 Hours - Required) Speaker: Suzanne Harrison, M.D. 6:00 pm
December 3, 2020 CMS Foundation Holiday Auction 6:00 pm FSU University Center Club
BOARD OF GOVERNORS Ken Whithaus, 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
Rohan Joseph, M.D., President-Elect Paresh Patel, M.D., Secretary/Treasurer Maribel U. Lockwood, M.D., Immediate Past President
The Dog Days of Summer..................................................1 CMS Announcements.........................................................3 FSU College of Medicine News.....................................10 CMS Member News............................................................ 11 CMS Lunch and Learn...................................................... 12 Portraits in COVID-19....................................................... 13 PPE Donations................................................................... 16 Resolutions for 2020 FMA Annual Meeting............... 17 Viewpoint............................................................................ 18 Alliance Corner.................................................................. 19 Medical/Legal................................................................... 20 Access to Care Award..................................................... 22 Donate to the CMS Foundation.................................... 23 CMS Foundation: We Care Network........................... 24
Nicole Balmer, M.D. David Burns, M.D. Sybil Holt, CMS Alliance
HAPPY BIRTHDAY!
Sarah Ko, M.D. Amulya Konda, M.D.
{JUNE BIRTHDAYS}
Matt Lee, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society Family Medicine Residents Tristan Brooks, D.O./Mary Claire Smallwood, M.D. General Surgery Residents Hamzah Mansoura, M.D./SchMiyah Smith, 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
Melissa Martin, M.D. – 1st Scott Asher, M.D. – 2nd Connie Speer, M.D. – 2nd Christopher Sundstrom, M.D. – 2nd A. Lane Janney, M.D. – 3rd James Killius, M.D. – 3rd Hiren Joshi, M.D. – 4th Irina Hillman, M.D. – 5th Winston Ortiz, M.D. – 5th Robert Glickenberger, M.D. – 6th Robert Ashmore, M.D. – 8th Shane Rignanese, M.D. – 8th Okanta Jackson, M.D. – 10th Suzanne Morgan, M.D. – 10th Neelima Ravi, M.D. – 11th David Saint, M.D. – 11th Scott Sellinger, M.D. – 11th Alexander Ramirez Valderrama, M.D. – 11th Timothy Bolek, M.D. – 12th Leonard Leichus, M.D. – 13th Earl McKenzie, III, M.D. – 13th Davis Rierson, M.D. – 13th Nancy Loeffler, M.D. – 14th
Scottie Whiddon, M.D. – 15th Carlos Zapata, M.D. – 17th Deanna Louie, M.D. – 18th H. Whit Oliver, M.D. – 18th Barbara Williams, M.D. – 19th William Yaakob, M.D. – 19th Jitendra Padalia, M.D. – 20th Frederic Vroom, M.D. – 20th Jose Roberto Mendoza, M.D. – 23rd Joseph Mazziotta, M.D. – 24th Myrle Grate, Jr., M.D. – 25th Kishor Muniyappa, M.D. – 25th Madhuri Sankuratri, M.D. – 25th Amanda Aronchick, M.D. – 27th Ricardo Bailey, M.D. – 27th Ryan Curran, M.D. – 27th Vincent Nguyen, M.D. – 27th Ronald Saff, M.D. – 27th Leslie Emhof, M.D. – 28th Russell Cole, M.D. – 29th Margarett Conklin Ellison, M.D. – 29th Amit Jain, M.D. – 29th Alexandra Nevett-Fernandez, 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!
CMS ANNOUNCEMENTS
PROFESSIONAL NOTES Capital Regional Medical Center is the only hospital in the region awarded an ‘A’ safety grade in the spring 2020 Leapfrog Hospital Safety Grade, a national distinction recognizing Capital Regional’s achievements protecting patients from harm and providing safer health care. The Leapfrog Group is an independent national watchdog organization driven by employers and other purchasers of health care committed to improving health care quality and safety for consumers and purchasers. The Safety Grade assigns an ‘A’, ‘B’, ‘C’, ‘D’ or ‘F’ grade to all general hospitals across the country based on their performance in preventing medical errors, injuries, accidents, infections and other harms to patients in their care. “Our entire organization is consistently committed to high-quality care and patient safety. We are so proud of our second ‘A’ safety grade in a row. This repeat grade, demonstrates our focused commitment to higher standards. This accomplishment is the product of constant hard work, team effort, and turning innovations into performance. Our physicians, nurses, and support colleagues will continue to build on our improvement efforts that merit this recognition,” said Trey Blake, M.D., Chief Medical Officer of Capital Regional Medical Center. On May 11, 2020, the Leon County Health Dept. presented Pam Irwin with a Certificate of Appreciation for her efforts in assisting in building stronger communications within the healthcare community during COVID-19 and for securing and distributing PPE to protect to them.
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.
FEEDBACK ON RECENT CHANGES TO THE DISTRIBUTION OF CAP SCAN “I like the new online Cap Scan…very well done…and saves the environment.” “I really like the format of the Cap Scan online. I'd worried that it wouldn't have the ‘punch’ of our glossy periodical, but it looks great.”
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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THE DOG DAYS OF SUMMER
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Dr. Terry McCoy’s dog, Hooch.
Dr. Bill Kepper’s dog, Charlie.
Dr. Christopher Sundstrom’s dog, Skipper.
Dr. Cynthia Tie’s cat, Ethel.
Dr. Mark Shamis’ cat, Ozzie.
Dr. Alex Holt’s dog, Nemo.
Dr. David Draper’s dog, Rosie.
Dr. Andrea Friall’s dog, Bentley.
Drs. Eric Loevinger & Flora Danisi’s dogs, Chaos and Kenai.
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Dr. Frank Skilling’s dog, Tuffy.
Dr. Amy Harrison with her dog, Béla.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Dr. Amy Harrison’s daughter, Whitney with their pet snake, Zaphod.
THE DOG DAYS OF SUMMER
Dr. Dan Conrad’s cat, Half & Half.
Dr. Marilyn Cox’s dog, Brandon.
Dr. Tony Weaver’s dog, Camus.
Dr. Mike Frankland’s dogs, Rosie and Theo.
Pam Irwin with her dog, Clever.
Pam Irwin’s dogs, Beau and Chloe.
Pam Irwin with her sidekick, Rowdy.
Dr. Joseph Chen with his dog, Maggie.
Dr. Amy Harrison’s daughter, Weslee with their pet bearded dragon, Landshark.
Drs. Dennis and Barbara Williams’ granddaughter with her pet rat, Misty.
Dr. Steven Ostrov’s dog, Frankie the Poodle. Dr. Alma Littles’ son, Germaine’s pets, Champ (Rottweiler) and Carl (cat).
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THE DOG DAYS OF SUMMER
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Dr. Lisa Flannagan’s dog, Preston.
Dr. Andy Borom with his Best Man – 14-year-old long-haired Chihuahua, Thor – on his wedding day.
Dr. D.J. Underwood’s dog, Kyra.
Dr. Richard Zorn’s dog, Roxy.
Rosalie Carlin’s cats, Ellie May & Trixie Bell.
Dr. Barbara Jaeger’s dog, Phoebe.
Dr. Carey Linker’s dog, Bella.
Dr. Alma Fe Houghton’s dog, Kenai.
Dr. David Miles’ dog pal, Jonah.
Shannon Boyle’s dog, Lucia.
Dr. Emily Ashmore’s son, Robert with their family cats, Zazen and Merci.
Dr. Bill Placilla’s dog, Lucy.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
THE DOG DAYS OF SUMMER
Dr. Bill Placilla’s dog, Charlie.
Dr. Gary Winchester with his granddog, Marley.
Diana Bixler’s bunnies, Flash and Cottontail.
Dr. David Saint’s dog, Pepper.
Dr. Christopher Price with his dog, Winston.
Dr. Amanda P. Davis’ dogs, Khloe and Ryden.
Diana Bixler’s dog, Teddy.
Dr. Celeste Paquette ringing in the new year with her dogs, Ringo and Tootsie.
Dr. Paul Sawyer with his dog, Mia.
Diana Bixler’s cat, Dilly.
Dr. Arjun Kaji with his Chiweenie copilot, Hazel.
Dr. Katherine Clayton’s dog, Oscar.
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THE DOG DAYS OF SUMMER
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Dr. Katherine Clayton’s dog, Sukee.
Dr. Jerry Harris’ dog, Camper.
Dr. Jerry Harris’ dog, Sandy.
Dr. David Bellamy’s cat, Bella.
Dr. David Bellamy’s dog, Peanut.
Judi Wills’ cat, Dusty.
Judi Wills’ late cat, Tux (2008-2020).
Dr. Maribel U. Lockwood’s dog, Cosmo.
Dr. Maribel U. Lockwood's dog, Luna.
Dr. Nicole Balmer’s dog, Captain Fluffy.
Dr. Nicole Balmer’s dog, Chloe.
Dr. Andras Schaffer’s dog, Poppy practicing social distancing.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
THE DOG DAYS OF SUMMER
Dr. Dan Kaelin’s cat, Mittens.
Dr. Scott Tetreault’s dog, CoCo.
Dr. Dan Kaelin’s cat, Oreo.
Dr. Scott Tetreault’s dog, Mac.
Dr. Dan Kaelin’s cat, Pepper.
Drs. Les Wilson and Vicki ErwinWilson with their dogs, Bruce, Buddy, and Belle.
Dr. Bert Morales with his dogs, Maia, Mila Roo, Dixie, and Chief.
Dr. David Tedrick’s dog, Gus.
Dr. David Tedrick’s granddog, Scout.
Dr. Ingrid Jones-Ince’s dog, Bella.
Dr. Ingrid Jones-Ince’s son with their bunny, Mr. Irms.
Dr. Susan Cross’ late cat, Pippin (2003-2019).
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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FSU COLLEGE OF MEDICINE NEWS
THE CAPITAL MEDICAL SOCIETY CONGRATULATES THE FSU COLLEGE OF MEDICINE CLASS OF 2020 FSU’s 16th class of M.D. students graduated Saturday, May 16, 2020 in a virtual ceremony. FSU College of Medicine Dean John P. Fogarty recorded his graduation ceremony welcome remarks in an empty atrium ahead of the virtual graduation, as did Florida Surgeon General Scott Rivkees, who was chosen to serve as the commencement speaker.
After each graduate was “called to cross the stage” by Senior Associate Dean Alma Littles or Associate Dean Rob Campbell, their personal video or photograph was shared on the screen to replace the moment when they would have walked across the stage to embrace their faculty and university leaders in Ruby Diamond Concert Hall. They will receive their diplomas in the mail.
FSU President John Thrasher also recorded perhaps the most important words the students were waiting to hear, wherever their location and however they were watching: “By virtue of the authority vested in me by the Florida Board of Governors and the Florida State University Board of Trustees, I hereby confer upon each of you the degree of Doctor of Medicine.”
Dean Fogarty said, “The Class of 2020 has had its share of challenges: Zika, Ebola, hurricanes Irma in 2017 and Michael in 2018 and now, COVID-19. None of these kept you from your goal, and your class stepped up time and again to the challenges.”
Graduating students from the FSU College of Medicine Class of 2020 take the Hippocratic Oath, administered by Dr. Jonathan Appelbaum, during a virtual ceremony. (Photo credit: FSU College of Medicine)
The FSU College of Medicine Class of 2020 celebrates their achievement. (Photo taken prior to COVID-19; photo credit: FSU College of Medicine)
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CMS MEMBER NEWS
CMS MEMBERS: ARE YOU RETIRING? If you are planning to retire, please be sure to contact Rosalie Carlin at the Capital Medical Society office (850) 877-9018 or rcarlin@capmed.org. As a Retired CMS Member, your membership dues change to: Retired - $150.00 with meals (includes dinner at CME meetings) or Retired - $50.00 without meals (you are billed for dinner if you attend a CME meeting). It is your choice. Do you plan to change the status of your Florida Medical License to Retired? Visit this link: https:// flboardofmedicine.gov/help-center/how-do-i-changethe-status-of-my-license-to-retired/, or search online for: Florida Board of Medicine How do I change the status of my license to retired? You must formally request Retired status with the Board of Medicine (BOM) for your medical licensure and pay a fee rather than just not renewing. The penalty for being late in requesting a Retired status change with the BOM can be $515.00. Remember, be sure to let CMS know of your change in status.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS Save the Date for the Fall 2020 Lunch and Learn Seminars: September 16, 2020 Employee Law Updates With record litigation and a dramatic increase in governmental audits impacting local business, come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your company. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, and preparing for coming changes to federal wage and hour laws. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike! Speaker: Bill Krizner, The Krizner Group Sponsor: CAMPUS USA Credit Union
October 21, 2020 No Ego: How Leaders Can Cut the Cost of Workplace Drama, End Entitlement, and Drive Big Results Speaker: Bert Mitchell Sponsor: FMI Printing & Distribution November 18, 2020 Exploring Telemedicine Speakers: Paige Dixon and Eric Friall Sponsor: TMH Federal Credit Union
For more information, 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.
Work in healthcare? You can join! Improving the financial life of each member is our priority and our pleasure.
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PORTRAITS IN COVID-19
NEW CAP SCAN SERIES: "PORTRAITS IN COVID-19" – PLEASE SHARE YOUR EXPERIENCE
Capital Medical Society is accepting stories for its Cap Scan magazine from CMS and CMSA members as part of a new occasional series called “Portraits in COVID-19,” to capture the changes happening in healthcare and our personal lives due to COVID-19
as experienced by physicians and laypeople. These stories can be about your experiences treating COVID-positive patients, supporting patients and coping with families during “no visitation,” entering the world of telehealth, concerns about PPE shortages, distancing from your own families, family celebrations by social distancing, newfound time with family, newbie ZOOM meeting experiences worthy of an SNL skit, staycations extraordinaire, or schooling from home. You get the idea. Please try to stay within 800 words, include a photo if it makes sense, and be mindful of HIPAA, if writing about a patient experience. Please send by email to Shannon Boyle at sboyle@capmed.org. All submissions are reviewed by the Cap Scan editor prior to publication.
PORTRAITS IN COVID-19, AS SHARED BY LARRY C. DEEB, M.D.: I'm a pediatric endocrinologist who has practiced in Tallahassee for forty years. At the TMH Metabolic Center we have locked our doors so that all patient visits are now conducted via telemedicine. I have been a fan of telemedicine for years, and the metabolic center has programs for diabetic children in local schools as well as the hospital. So the day after we locked the doors, I went live; and it has been busy. Today, so much with Type 1 diabetes can be accomplished by telemedicine. I have three screens in the office: the actual telemedicine visits; my EHR; and live glucose data in the cloud that I can share with the patients and their families to manage the child’s diabetes.
management. But best of all was the moment he said, "Dr. Deeb, I am giving the phone to my buddy, and let me catch this fish." His buddy turned the camera around, and it was a fine one too. He remarked that if it would help him catch fish and manage his diabetes, we could do this every time. I now have many families that travel two hours to see me, but when the COVID-19 crisis is over, I know that I’ll continue to use telemedicine. As one mom said, being able to press “send” is much nicer than having to be parked in a traffic jam on I-10! Some good has already come from the pandemic.
One day my medical assistant told me that an FSU student had forgotten about his visit and was currently fishing in Panama City Bay. So I said, link him in. We did and connected the video feed to his fishing boat. We made the needed adjustments in CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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PORTRAITS IN COVID-19
THE PREQUEL IS GONE; THE MOVIE IS HERE; HOW IS YOUR SEQUEL LOOKING? By Pam Irwin, CMS Executive Director
Since March, I've either been working from home or working from the CMS office with my trusty sidekick, Rowdy. This high-energy German Shorthaired Pointer is stuck with me until the military lifts my son's travel ban, and he can reclaim him. He's more of a therapy dog for me at this point. Nothing will focus your life like a pandemic. I'm sure I'm not alone thinking about: • The fragility of life • How to protect loved ones • Financial stability • Ways to help others
pause and to do a personal inventory to see if we have done all we need to do about planning and preparedness. Consider calling an estate planning attorney for some guidance. Many attorneys are doing ZOOM calls, so that makes it even easier to get started or to give things a second look. And yes, your planning may need to include a Pandemic Disaster Kit that includes toilet paper, a 3M N95 mask, disposable gloves, hand sanitizer, and viral-killing wipes. Who knew? For those of you who have supported the mission of the Capital Medical Society Foundation, we appreciate your loyalty and generosity. Even now, your gifts are forwarding the mission to improve access to healthcare.
We are past "these uncertain times." We have pretty much accepted We Care Network patients are still that these ARE the times. There receiving treatment; Rowdy is no better time to take a personal inventory of what matters most. The Medical students will receive COVID-19 crisis has been a touchpoint to start scholarships in the fall; conversations with my 90-year-old Dad. Who knew he'd rather die than go to a nursing home? Physicians are receiving wellness coaching. Who knew he'd take his chances in lockdown in his retirement community apartment before Recently gifts to support our PPE initiative coming to live with me? This from the man who have been given. Thank you for embracing our had said he would rather die while traveling than mission. sit at home alone. And what about me? How do I feel about the possibility of going on a respirator? We need you more than ever when there is a What did I say in my Living Will precisely about health-related event, even as we are sociallythat? Didn't I say I didn't want life support? For distanced and smiling behind our masks. Be well. those who are not in the "high-risk age category," have you set up guardians for your children? Have #RowdyRocks! you completed your will, living will, and chosen and documented your healthcare surrogate? We are reading emails, surfing the internet, bingewatching Netflix, having family dinners, and sleeping a little less soundly. It's a good time to 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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PPE DONATIONS
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
RESOLUTIONS FOR 2020 FMA ANNUAL MEETING
PHYSICIANS AS EFFECTIVE ADVOCATES OPPORTUNITY: RESOLUTIONS NEEDED! Submit your resolutions today to help set statewide policy for tomorrow! Resolutions for the 2020 FMA Annual Meeting (tentatively scheduled for July 31-August 2) are being accepted via email: pirwin@capmed.org. Submitting resolutions is your opportunity to assist in setting county, state, and national policy that affects your profession and quality of patient care. It is an exceptional way to use the insight of our membership to change national and state policy and your delegation would be most appreciative of your active input. The CMS Delegation and Executive Committee will review all proposed resolutions. All approved resolutions will then be submitted to the Florida Medical Association House of Delegates for consideration during the FMA Annual Meeting.
• •
Any background/research documentation you have to support your resolution Your name and email address (or the best way to contact you) in case of any questions
Deadlines for submission to the Capital Medical Society for review: • By 5:00 p.m., June 5, to meet FMA’s 1st deadline of June 19 for publication in the Delegate Handbook • After June 5, but prior to 5 p.m. on June 19 to meet the 2nd deadline for publication in the Handbook Addendum If you would like to review a sample resolution, please contact Pam Irwin at the CMS office (850.877.9018). We welcome and look forward to your input and participation.
When submitting your resolution, please provide: • Sufficient information to stand alone in terms of what policy or action it intends for the FMA to implement
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VIEWPOINT
OLD TIMEY DOCTORS NEVER DIE By Charles D. Williams, M.D., FACR, FAAP I was on the way to the hospital in my new truck, with my new phone, trying to act like a doctor when my mind drifted back to the doctors of “Simpler Times.” With Doctor’s Day having just passed, I wondered if we had truly made progress. It has been said that progress is trying to make things as good as they used to be. Colquitt County in South Georgia, just like many other counties in North Florida, has had many outstanding, dedicated physicians over the past 50 years that have left their mark on many of the residents of these areas. There was a special trust for the medical community and there was a special bond between the doctor and patient just this side of kinship. So often the doctors were paid in farm commodities in lieu of cash during the “hard years.” Many of these doctors never made national prominence but they will live on in the hearts and minds of the local people. I could not possibly list or describe them all, but there were those that came into contact with Pedro’s life that were typical of the many fine doctors during that era. One of these special doctors was Dr. McGinty who graduated from Emory and was headed to Miami to practice. On the way down he spent the night in Moultrie and stayed from 1930 to his retirement in 1978. He brought Pedro into this world at Millard’s shot gun house while Dillard and Willard sat out on the front porch and worried. Dillard tried to git comfortable and took off his shoes, scratched himself, wiped his nose, and turned to Willard and asked, “Do you mind if I smoke?” Later Dr. McGinty came out on the porch and told them Pedro had arrived and Willard said, “Praise the Lord.” Dr. McGinty did not know ever’thang, but he did git to know Pedro, and he knew Pedro’s dog’s name and Pedro’s dog’s best friend. He had a life long relationship with our family and he didn’t have to write it down. He also knew we would eventually pay when we could and how we could. Millard paid him for Pedro’s delivery with eggs and cream and two weeks later delivered him a fresh ham. Another one of these physicians was Dr. Frank Gay who arrived shortly after the outbreak of WWII in 1942 and was active in family practice for 46 years. Dr. Gay told Pedro at age sixteen that if he wanted to be a doctor he needed to want to bad enough, and Pedro did. He gave us direction and strength when we were scared and there were times he knew we were scared. 18
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Another dedicated physician during Simpler Times was Dr. James R. Paulk who was the first accredited ophthalmologist in South Georgia. He first came to Moultrie in 1935 and practiced in Moultrie for 40 years and specialized in eyes, ears, noses and throats. Folks came all the way over from Bainbridge to see him. Dr. Paulk gave Pedro glasses which kept the big boys from hittin’ him and the girls from kissin’ him. In 1945 he told Pedro that he was a good boy and I never forgot it. I’ve remembered it clearly over the years and I believed him. It must have been so ‘cause he said it and he was our doctor. These doctors were limited in their diagnosis and treatment. They did not have machines that clicked and clunked and buzzed and could not inspect your innards from the outside but they gave us so much more. They gave us hope, comfort, and direction and we knew that they were our friends and almost like kinfolks. The rural towns are now going from payment with ham hocks to managed care and utilization management. Reimbursement has gotten too complicated to figure out. However, maybe today’s doctors can still be advocates for their patients and hopefully still influence a few young people’s lives along the way. An MBA is not needed for that. These doctors touched folks’ lives in many ways beyond the art of healing. They helped Pedro and other young folks to grow up, and they served as a role model for the community. They’re still influencing many lives long after they are gone. Doctors like them still live on in the thoughts and memories of the Pedro’s of the world. Their influence still remains and will be appreciated for many years to come. I have never felt like I fully repaid them and I don’t remember thanking them. Maybe them knowing Pedro became a doctor was thanks enough. I hope. 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.
ALLIANCE CORNER
ALLIANCE CORNER At our first board meeting this year, I introduced the idea of having a theme for the year: Bloom Where You Are Planted. It is a phrase I came across a few years ago and it really resonated with me. Little did I know how appropriate it would be for 2020! The COVID-19 outbreak has challenged all of us to bloom where we are planted. It has not been easy to adjust our schedules for online learning and our daily routines for social distancing, but we have done it! Before COVID-19, we held our February meeting at Progressive Pediatrics and learned about their vision for Lifetown. Lifetown will provide life experiences for children who have needs that are not being met elsewhere. We took a tour of the current facilities at Progressive Pediatrics. It was an impressive facility and I know that our efforts in fundraising this year will be greatly appreciated by those working to make Lifetown a reality. Our April meeting at TCC was cancelled, but we were able to send in a check for $1,000 to support a student scholarship for the 20202021 academic year. The FMAA Walk for Wellness has been postponed for now, but hopefully we can reschedule it for a cool day in the fall. We are going a different route for our annual fundraiser this year. Kalpa Solanki is our fundraising chair and will be sending an email out in the fall with information on our ‘Holiday Card Fundraiser’ for this year. Our fall schedule, as well as the CMS picnic,
are currently on hold until it is declared safe to meet in groups larger than 10 people. Our board is still meeting and staying on top of everything and we look forward to when we are all able to meet again in person.
Our Zoom Board Meeting!
I hope you and your families are staying safe and enjoying the extra time together!
Sincerely, Sybil Holt CMSA President
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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MEDICAL/LEGAL
BURNOUT DURING COVID-19: HOW HEALTHCARE PROFESSIONALS CAN MANAGE STRESS By Robert Morton, CPHRM, CPPS, Assistant Vice President, Department of Patient Safety and Risk Management, The Doctors Company, and Jennifer Perla, RN, LPC-S, Medical Advantage Group During the COVID-19 pandemic, healthcare professionals are showing the courage to lean into their calling during a time of great risk, knowing they are not immune. Shift after shift, they deliver their best under very trying circumstances. We see this clearly in the great work doctors and hospitals are delivering in difficult conditions. But all this can lead to burnout and even more serious consequences, such as suicide.
must first help yourself in order to aid others. Here are some strategies to reduce burnout during these highly stressful times: • • •
The circumstances that can bring about stress vary for providers, specialties, and care settings. Some professionals have been conscripted into unfamiliar specialty settings, creating uncertainty about their skill set. Volunteers have come out of retirement in a renewed esprit de corps to give back, still answering their highest calling. Those in overwhelmed settings with a frantic work pace take few or no breaks. There is fear of getting sick and bringing the virus home to family. Many are writing wills. There is separation from family, pay cuts, layoffs, and childcare needs. Shortages of medicines, personal protective equipment (PPE), and other equipment create ethical dilemmas without the training or support to deal with them, producing moral injury. There are great triumphs and little victories, but also exhaustion, anger, sadness, and tears. The struggle is real, and this crisis is not over. As a healthcare professional, you are trained to help others but may ignore yourself—especially now. To determine if you are at risk of burnout or even experiencing it now, try reflecting on whether you are: • • •
• •
Just going through the motions, feeling like a zombie, and working extra.1 Becoming cynical, disconnected, less caring, or distancing from your team. Sleeping too little or too much, avoiding exercise outside of work, and not eating healthy food or hydrating enough. Also increasing usage of tobacco, alcohol, or drugs.1 Experiencing feelings of being overwhelmed and worrying that you will fall sick. Not able to meet your daily tasks.
If the answer is yes to any of the above, keep in mind that just like when a flight attendant instructs, “Remember to put your oxygen mask on first,” you 20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
•
• • • • • • • • •
Use personal self-efficacy skills or self-care strategies.1 Take that needed break, even if it is only for two minutes. Stay connected with a support system by talking with family and friends.1 Use calming techniques like positive self-talk, affirmations and gratitude, meditation, and connecting with your higher power, yoga, or sitting with nature. Show yourself the same compassion you would a friend or patient. Maintain boundaries and limit news and social media. Discuss the emotional and social challenges with your team of coworkers. This is key to avoid any mental health challenges or moral injury.3 Access your organization’s wellness program or Schwartz rounds,3 if possible. Set up a decompression room at work with snacks and calming music or sound machine. Remove obstacles in the way to practice self-care. Be patient with yourself. Make sure to check in with yourself regularly.2 If stress is unmanageable, do something easy to give yourself a sense of accomplishment. Utilize calming strategies2 such as meditation apps or online videos. Take one minute, one hour, and one day at a time.
The following additional resources can provide assistance in reducing stress during these difficult and challenging times: •
•
National Academy of Medicine, Resources to Support the Health and Well-Being of Clinicians During the COVID-19 Outbreak - https://nam. edu/initiatives/clinician-resilience-and-wellbeing/clinician-well-being-resources-duringcovid-19/ Resources About Healthcare Worker Wellbeing During COVID-19 (maintained by Sam Van Horne, PhD, senior research associate
MEDICAL/LEGAL
•
at the ChristianaCare Center for WorkLife Wellbeing) - https://docs.google.com/ spreadsheets/d/13F2BYJg85qOH5Q3fgphYh7_ QgOAGGObhBYa6KwjfyhA/edit#gid=0 Healthcare professionals can search social media sites for outside support, e.g., https://facebook. com/events/s/cor-sharing-circle-for-health/234969314407874/?ti=icl
Medicine is a blend of science and compassion, and we urge you to extend that compassion to yourself. The entire nation is grateful for the care you are providing.
References 1. Substance Abuse and Mental Health Services Administration. Warning signs and risk factors for emotional distress. Updated March 21, 2019. Accessed April 20, 2020. https://www.samhsa. gov/find-help/disaster-distress-helpline/warningsigns-risk-factors 2. Substance Abuse and Mental Health Services Administration. Tips for disaster responders: Preventing and managing stress. Published September 2014. Accessed April 20, 2020. https://
store.samhsa.gov/product/Preventing-andManaging-Stress/SMA14-4873 3. Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ 2020;368:m1211. Published March 2020. Accessed April 24, 2020. https://www. theschwartzcenter.org/media/BMJ-Moral-Injuryin-Healthcare-Workers-Greenberg-et-al-Mar-2020. pdf The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered. Contributed by The Doctors Company (thedoctors.com)
Reliable, comprehensive care for your patients with kidney disease and hypertension.
Avon Doll, Jr., MD
Hari Kolli, MD
Sayeed Khalillullah, MD
Kaushal Patel, MD
Serving Tallahassee and surrounding counties since 1975. 2617 Mitcham Drive, Suite 102, Tallahassee, FL 32308 (850) 878-1171 • (850) 942-1291 fax • nfnephrology.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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ACCESS TO CARE AWARD
KHARIAN BURNETT-FOSTER, M.D. RECEIVES CMS FOUNDATION’S 2020 ACCESS TO CARE AWARD, IN HONOR OF ROBIN MCDOUGALL The Capital Medical Society Foundation awarded the 2020 Access to Care Award, in Honor of Robin McDougall to Kharian Burnett-Foster, M.D. in May 2020. The FSU College of Medicine’s Annual Awards Ceremony could not be held due to COVID-19. The CMS Foundation’s Access to Care Award is named for Robin McDougall, LCSW, who championed increased access to healthcare as the Program Coordinator of our We Care Network for 14 years. The We Care Network is the Capital Medical Society Foundation’s program operated by local physicians who donate medical specialty care to local low-income, uninsured patients. It is our Foundation’s mission to increase access to care. Dr. Kharian Burnett-Foster graduated cum laude from Florida State University in 2015 with a Bachelor of Science in exercise science. As an undergraduate, she was a member of Undergraduate Science Students Together Reaching Instructional Diversity & Excellence (USSTRIDE), where she served as a mentor to elementary, middle and high school members of the Leon and Gadsden communities. Through the USSTRIDE program, Dr. Burnett-Foster received a scholarship to become a certified clinical medical assistant and later worked at Wakulla Urgent Care, where she was exposed to rural and minority health. Kharian served as public relations officer for the Minority Association of Premedical Students as well as co-coordinator of the Collegiate Mentor Initiative and philanthropy chair of the Black Female Development Circle. Dr. BurnettFoster was able to attend a mission trip to Ecuador with the organization MEDLIFE, which increased her desire to serve the underserved communities and be involved in global health. She earned her master's degree in 2016 through the FSU 22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
College of Medicine's Bridge to Clinical Medicine program. She was honored to graduate from the Florida State University College of Medicine on May 16, 2020. She hopes to uphold the mission of patient-centered health care and serving the underserved in her practice of medicine. Juliette Lomax-Homier, M.D., Dean of the Fort Pierce Regional Campus, shared in her nomination of Kharian: “Kharian displays exemplary and unselfish concern for furthering the health, wellbeing and fulfillment of her fellow human beings and in so doing embodies the highest ideals of medicine as a service calling. Her communication skills and her empathy are the strengths that people see and feel when they meet her. Kharian enthusiastically involves those around her to actively engage in new opportunities. Her infectious nature draws others to her to learn more. Kharian served as a summer counselor at the FSU College of Medicine Summer Institute, organizing and leading small group discussions within the high school audience, all of whom had interest in health care as a career. In the aftermath of Hurricane Michael, she and another student orchestrated a fundraiser for feminine hygiene products to ship to Northwest Florida. Kharian is people-focused, never forgetting basic human needs. She will serve wonderfully as an OB-GYN.” Dr. Burnett-Foster exemplifies our future, a young physician who has demonstrated and will, hopefully, take an on-going interest in increasing access to medical care for the underserved. We wish her the best as she returns to her hometown to complete her Obstetrics-Gynecology residency at UF Health-Jacksonville.
DONATE TO THE CMS FOUNDATION
The Impact of Private Support:
Donate to the CMS Foundation – We Thank Our Donors We thank the following individual donors who made a donation to the CMS Foundation this past month: Capital Medical Society Foundation – Area of Greatest Need Lori DeSherlia Karen Wendland Dix Frueauff Foundation – in response to the COVID-19 pandemic: “We appreciate you and all your agency does for the greater good.” David D. Miles, M.D. John Rutledge, M.D. Tallahassee Fellowship Congregation pastored by Rev. Candace McKibben – to purchase PPE during COVID-19 Charles D. Williams, M.D. Dr. and Mrs. Charles D. Williams – In Memory of Vikram H. Kaji, M.D. Dr. and Mrs. Charles D. Williams – In Memory of William F. Lindsey, M.D. Richard L. Zorn, M.D. Scholarship Fund David Bellamy, M.D. – In Memory of Mary Ann Byerly David Bellamy, M.D. – In Memory of Mary Ann Deitchman David Bellamy, M.D. – In Memory of Vikram H. Kaji, M.D. David Bellamy, M.D. – In Memory of William F. Lindsey, M.D. David Bellamy, M.D. – In Memory of Robert L. Steele, M.D. We Care Network Anonymous L. Steve Sarbeck, M.D. – In Honor of Sergio Ginaldi, 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 $105.4 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 2018-19, which ended June 30, 2019, more than $7.4 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. $50,000 was awarded in 2019. ➢ 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 2019, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program, the Big Bend Hospice for bereavement services, and the Lighthouse of the Big Bend to provide clients who have vision loss with the aids needed to manage their health and medical care independently. 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) Scholarship Fund 6) The Ronald G. Pickett Endowment 7) 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.
Judi Wills Development Director jwills@capmed.org or (850) 877-9018 or after hours at (850) 509-2058 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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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 April 2020. Your generosity and support of the We Care Network makes a difference.
Physicians Emily Ashmore, M.D. Nicole Balmer, M.D. David Bellamy, M.D. Tim Broeseker, M.D. Robert Brumberg, D.O. Tony Bryant, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Francisco Carpio, M.D. Gilbert Chandler, M.D. Raymond Cottrell, M.D. William Dixon IV, M.D. Gian-Carlo Giove, M.D. Todd Hewitt, M.D. Brook Hill, M.D. Marc Inglese, M.D. Okanta Jackson, M.D. Floyd Jaggears, M.D. Amit Jain, M.D. Sayeed Khalillullah, M.D. Amulya Konda, M.D. Ronald Mageau, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Jayan Nair, M.D. Chukwuma Okoroji, M.D. Thomas Park, M.D. Paresh Patel, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Cybelle Pfeifer, M.D. Alexander Ramirez Valderrama, M.D. Hussein Rayatzadeh, M.D. James Renehan, M.D. Davis Rierson, M.D. Andres Rodriguez, M.D. Tim Ruark, M.D. Scott Sellinger, M.D. Gadi Silberman, M.D. Hardeep Singh, M.D.
Joshua Somerset, M.D. Kris Stowers, M.D. Kaisa van der Kooi, M.D. David Vermess, M.D. Lucas Watkins, M.D. Daniel Yang, M.D. Brian Zirgibel, M.D. Dentists Laban Bontrager, D.M.D. Walter Colón, D.M.D. Facilities Advanced Urology Institute Airway Works, LLC Anesthesiology Associates Apalachee Primary Care Bond Community Health Center Bristol Dental Clinic Capital Health Plan Capital Regional Cancer Center Capital Regional Surgical Associates Care Point Health & Wellness Center Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Florida Cancer Specialists & Research Institute Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Madison Medical Center Neighborhood Medical Center North Florida Nephrology Associates North Florida Women’s Care North Monroe Medical Center Patients First Periodontal Associates of North Florida Radiology Associates of Tallahassee Southeastern Plastic Surgery Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Memorial HealthCare
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TMH Family Medicine Residency Program TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Clinical Genetics Center TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Urology Specialists TMH Transition Center Tallahassee Orthopedic Clinic TOC Clinic at TMH Wakulla County Health Department Wakulla Medical Center Wakulla Urgent Care 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 April 2020 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 April 2020:
Ebonie Allen, APRN
Judy Griffin, APRN
Charlie Richardson, M.D.
David Alvarez, M.D.
Hantz Hercule, M.D.
Carla Robertson, APRN
Anne Ananga, APRN
Lisa Hofstad, D.D.S.
Andres Rodriguez, M.D.
Katrina Ball, APRN
Amit Jain, M.D.
Tim Ruark, M.D.
Karen Bartley, M.D.
Rohan Joseph, M.D.
David Saint, M.D.
Shelby Blank, M.D.
David Keen, M.D.
Hardeep Singh, M.D.
Timothy Bolek, M.D.
Howard Kessler, M.D.
Thomas W. Smith, M.D.
Jonna Bradley, APRN
Farhat Khairallah, M.D.
Abisoye Somorin, APRN
Kendra Brady, APRN
Ben Kirbo, M.D.
Alanna Steaple, APRN
Daniel Breivogel, APRN
Elaine Larkins, APRN
Briana Thompson, M.D.
Fran Bridges, APRN
Michael Mangan, M.D.
Lacie Thompson, APRN
Joseph Camps, M.D.
Ashok Manocha, D.D.S.
Robert Thornberry, M.D.
Frances Carney, APRN
Damon McMillan, M.D.
Faye Tinson, APRN
Francisco Carpio, M.D.
Kelley Miller, APRN
Marianne Towler, APRN
Lysmar Carrion-Dinguis, M.D.
Kimberly Moore, D.D.S.
Mary Tucker, M.D.
Armand Cognetta, Jr., M.D.
Marcia Morris, APRN
Jeffrey Wasserman, D.O.
Deborah Congdon, APRN
Jayan Nair, M.D.
Lucas Watkins, M.D.
William Dixon IV, M.D.
Chukwuma Okoroji, M.D.
Eula Weaver, APRN
Cynthia Evans, APRN
Anthony Otekeiwebia, M.D.
Shynequria Williams-
Alberto Fernandez, M.D.
Jorge Perez de Armas, M.D.
Sharron Foster, M.D.
Michele Purkey, P.A.
Dale French, D.O.
Alexander Ramirez
Anneka Gaffney, APRN
Hong Gao, M.D.
Brandi Richardson, APRN
McNealy, APRN
Valderrama, M.D.
DURING THE MONTH OF APRIL 2020, THE WE CARE NETWORK: RECEIVED 210 REFERRALS, WITH 127 PATIENTS NEW TO THE PROGRAM
SCHEDULED 94 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$270,524.27 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
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