Cap Scan - June 2023

CAPITAL MEDICAL SOCIETY MEMBERSHIP HAS ITS PRIVILEGES

So how does a Capital Medical Society (CMS) membership benefit you? In many, many ways! We’re committed to making Capital Medical Society an even stronger medical association. Here are just a few of the benefits you receive as a Capital Medical Society member:

PHYSICIAN REFERRALS – Each year, the Capital Medical Society receives numerous calls from the public seeking information to select a physician. The Capital Medical Society makes referrals to CMS physician members. The medical society provides the public with information about member physicians’ medical backgrounds, board certifications, and accepted insurance.

PHYSICIAN VOICE – The Capital Medical Society members work in conjunction with the Florida Medical Association and the American Medical Association to inform legislators at the state and national level on key legislative issues that impact physicians and their patients.

PHYSICIAN WELL-BEING – The Physician Wellness Program, available to Active and Associate members and TMH Family Medicine Residents, provides a safe harbor for physicians to receive wellness coaching to address normal life difficulties in a confidential and professional environment. Each member may receive six, free wellness-coaching sessions a year.

RELATIONSHIP BUILDING – Building lasting relationships with colleagues and their families is encouraged through Capital Medical Society’s “Connect the Docs” and “Catch My Stride” events.

EDUCATIONAL OPPORTUNITIES – CME courses are offered throughout the year. These are often in conjunction with membership meetings or are promoted for other entities who offer free or reduced-fee educational events.

MEDICAL PRACTICE EDUCATION

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The Capital Medical Society offers Lunchtime Seminars during the year to medical practice clinical and non-clinical office staff. Past topics have included “Take Your Practice’s Revenues to the Max,” “Clinical Best Practices in Patient Documentation,” and “The Role in Avoiding Medical Liability.”

STAY TUNED – The Capital Medical Society takes a leadership role in communicating timesensitive information affecting the practice of medicine through emails to CMS members and their staff.

Cap Scan, the Capital Medical Society’s monthly magazine, is sent electronically to each Capital Medical Society member and their office manager.

CapMed Today, the Capital Medical Society’s weekly newsletter, is sent each week via

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

BOARD OF GOVERNORS

Sarah Ko, M.D., PhD, President

Helen Paulson, M.D., President-Elect

Russell Cole, M.D., Secretary/Treasurer

Paresh Patel, M.D., Immediate Past President

Danny Estupiñán, M.D.

Amulya Konda, M.D.

John Meade, M.D.

Jonathan Nava, M.D.

Niraj Pandit, M.D.

Kaushal Patel, M.D.

Heather Redfield, CMS Alliance President

Cielo Rose, D.O.

Brence Sell, M.D.

Kiana Taba, M.D.

Pam Irwin, Executive Director, CMS

PUBLICATION

EDITOR

Frank Skilling, M.D.

GRAPHIC DESIGN

Lauren Trudgeon

MANAGING EDITOR

Shannon Boyle

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.

HAPPY BIRTHDAY! {JUNE BIRTHDAYS}

Melissa Martin, M.D. - 1st

Lauren Smiarowski - 2nd

Connie L. Speer, M.D. - 2nd

Christopher Sundstrom, M.D. - 2nd

Stephanie Evans, M.D. - 3rd

A. Lane Janney, M.D. - 3rd

James S. Killius, M.D. - 3rd

Kandi Campbell, M.D. - 4th

Emily Anne Gansert - 4th

Justin "Mac" Vining, M.D. - 4th

Winston R. Ortiz, M.D. - 5th

Robert S. Glickenberger, M.D. - 6th

Brian Zirgibel, M.D. - 6th

Justin McFall, M.D. - 7th

Shane Rignanese, M.D. - 8th

Okanta Jackson, M.D. - 10th

Suzanne Morgan, M.D. - 10th

Neelima Ravi, M.D. - 11th

Gizem Reyhanoglu, D.O. - 11th

David L. Saint, M.D. - 11th

Scott Sellinger, M.D. - 11th

Timothy W. Bolek, M.D. - 12th

Leonard Leichus, M.D. - 13th

Earl McKenzie, III, M.D. - 13th

Davis A. Rierson, M.D. - 13th

Nancy Loeffler, M.D. - 14th

Misty Leeana Gangar, M.D. - 15th

Andres M. Vargas, M.D. - 15th

George R. Whiddon, M.D. - 15th

Katherine Cone, D.O. - 17th

Lucille Tucker Saha, M.D. - 17th

Carlos A. Zapata, M.D. - 17th

Deanna Louie, M.D. - 18th

H. Whit Oliver, M.D. - 18th

Cheau Williams, M.D. - 18th

Barbara A. Williams, M.D. - 19th

William Yaakob, M.D. - 19th

Elias Mandujano Moreno, D.O. - 20th

Jitendra Padalia, M.D. - 20th

Kristin A. Harmon, M.D. - 23rd

Joseph Mazziotta, M.D. - 24th

Thomas Park, M.D. - 24th

Celeste Hart, M.D. - 25th

Kishor Muniyappa, M.D. - 25th

Madhuri Sankuratri, M.D. - 25th

Matthew C. Davis, M.D. - 26th

Amanda B. Aronchick, M.D. - 27th

James Cade, M.D. - 27th

Ryan D. Curran, M.D. - 27th

Ronald Saff, M.D. - 27th

Leslie Emhof, M.D. - 28th

Alexandria Denise Wilkins - 28th

Russell D. Cole, M.D. - 29th

Margarett Conklin Ellison, M.D. - 29th

Amit Jain, M.D. - 29th

Scott B. Taylor, D.O. - 29th

Yordan Urrutia - 29th

email on relevant legislative, regulatory, and healthcare-related issues that impact the practice of medicine.

CE BROKER – Every licensed CMS member has access to a discounted fee Professional CE Broker account as part of their membership. The Capital Medical Society and CE Broker have joined together to offer our Members an exclusive rate of only $12 per year for the Professional Account ($29) with CE Broker. This is a savings of $17.

GIVING BACK TO THE COMMUNITY –

The Capital Medical Society physicians are passionate about their communities. Each year, CMS members, who have signed up to be part of the CMS Foundation’s We Care Network, donate healthcare to low-income, uninsured adults coordinated by the We Care Network staff. Over $124 million in donated healthcare has been coordinated since 1992.

PAYING IT FORWARD FOR THE FUTURE OF MEDICINE – The Capital Medical Society Foundation awards local medical student scholarships to help defray the cost of medical education. Donations to the CMSF’s FSU College of Medicine’s Food Pantry at the Tallahassee Regional Campus help address medical students’ food insecurities. By paying it forward through scholarship and food pantry support donations, the local medical community benefits. Many scholarship recipients are now practicing in Tallahassee.

Thank you for being a valued Capital Medical Society member. We hope you will let us know how we can serve you better.

Please tell the advertiser you saw their ad in the Cap Scan magazine!

Yours in Capital Medical Society service, Pam Irwin

NEW DOCS ON THE BLOCK

Lance M. Garber, M.D.

Medical School: University of Oklahoma

Internship: Spartanburg Regional Hospital, South Carolina

Residency: Baptist Medical Center Oklahoma City

Practice: Radiology Associates of Tallahassee

Specialty: Diagnostic Radiology

2023 FMA LEGISLATIVE REPORT

ADVERTISER INDEX

Eye Associates of Tallahassee — PG 9

Ben Gantt — PG 7

MagMutual — PG 6

Right at Home Tallahassee — PG 15

The Doctors Company — PG 8

VitalMD Group Holding, LLC — PG 3

CAPITAL MEDICAL SOCIETY 2023 MEETINGS CALENDAR

CONTINUED FROM COVER

September 19, 2023

CMS Membership & CME Meeting

Panel Discussion: Caring for Aging FamilyTreatment, Resources, and Care Planning

6:00 pm

Maguire Center for Lifelong Learning at Westminster Oaks

October 17, 2023

CMS Membership & CME Meeting Prevention of Medical Errors (2-Hour CME)

Tori Penny, Esq. and Julia Weeks, M.D.

6:00 pm

Maguire Center for Lifelong Learning at Westminster Oaks

December 8, 2023 *NEW DATE*

CMS Foundation Holiday Auction

6:00 pm

To view the report, visit https://capmed.org/ wp-content/uploads/2023/05/2023-FMALegislative-Report.pdf.

Dunlap Champions Club at FSU

CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS

MARK YOUR CALENDARS FOR THE 2023 LUNCH AND LEARN SEMINARS!

June 21, 2023

Clinical Best Practices in Patient Documentation and their Role in Avoiding Medical Liability

The role documentation plays in mitigating medical liability claims is immense. This presentation highlights examples of claims where documentation played a key role and offers strategies that will minimize your liability and improve your defense against malpractice allegations. Practice administrators and clinical staff will find this program informative and engaging.

Presenter: Eric E. Cleckler, MSN, RN, Patient Safety Risk Manager II, The Doctors Company Sponsor: Secure Records Solutions

Time: 12 Noon to 1:30 PM (Seminar starts at 12:30 PM)

Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $11 per person, per seminar

September 20, 2023

HIPAA Regulatory and Enforcement Update

Presenters: Shannon Hartsfield, Mia McKown, and Eddie Williams, Holland & Knight

October 18, 2023

HR Workshop: Creating a Culture of Engagement and Respect

Presenter: Kelly Green, SHRM-SCP, HR Consultant, James Moore & Co., CPAs

Sponsor: CAMPUS USA Credit Union

For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.

Seminars will be held at the Capital Health Plan on Governors Square Blvd. –and we thank CHP for providing this venue.

THANK YOU TO OUR MAY 17TH VIRTUAL LUNCH AND LEARN PRESENTER

On May 17th, Quint Studer with Healthcare Plus Solutions Group, gave an excellent virtual program on Strengthening the Relationships Between Physicians, Administration, and Clinical Staff

NEW FEDERAL REQUIREMENT FOR DEA-AUTHORIZED PRESCRIBERS

The U.S. Drug Enforcement Administration (DEA) recently sent an email to notify physicians about a new federal requirement: DEAauthorized prescribers will be required to demonstrate that they have completed at least eight (8) hours of educational training on the treatment and management of patients with opioid or other substance use disorders. The deadline for completing this one-time requirement is

the date of the DEA-authorized prescriber’s next scheduled DEA registration submission (either new or a renewal) on or after June 27, 2023. There are multiple ways to comply, and certain physicians, based on their specialty, medical school graduation date and CME curriculum history, are deemed to have met the training requirement. Some recommendations for training-appropriate curricular elements are available at https://www.deadiversion.usdoj. gov/pubs/docs/MATE_Training_Letter_Final. pdf.

DEA EXTENDS TELEHEALTH FLEXIBILITIES

UNTIL NOVEMBER 11, 2023

The ability to prescribe controlled substances based on telehealth patient visits was set to expire when the COVID-19 Public Health Emergency ended on Thursday, May 11th. The U.S. Drug Enforcement Administration (DEA) initially issued two proposed rules establishing new policies for controlled substance prescriptions based on

telehealth visits, one for buprenorphine and one for other controlled substances. After receiving more than 38,000 comment letters, however, the DEA has decided to extend [federalregister. gov] the same policies that have been in place during COVID for an additional 6 months, until November 11, 2023.

https://www.federalregister.gov/ documents/2023/05/10/2023-09936/temporaryextension-of-covid-19-telemedicine-flexibilitiesfor-prescription-of-controlled

THE BUSINESS SIDE OF MEDICINE: HEALTHCARE MANAGEMENT SURVIVAL GUIDE – 2023 ONLINE SEMINAR SERIES

Information provided by Ben Mirza and Mirza Healthcare Law Partners

The following virtual seminars are held on the third Tuesday of every month at 6:30 pm.

June 20

What Every Healthcare Employer & Employee Needs to Know about Employment Law

To register: https://us02web.zoom.us/meeting/register/ tZwtcO6qqTMsE9edLjz1wnlwy4AesdXXYoOq

July

No seminar

August 15

“So, I Signed a Non-Compete, Now What?”

To register: https://us02web.zoom.us/meeting/register/ tZUtdOipqzwqHtSpvDmBM_XmSZlFS5C20qIz

September 19

How to Minimize the Risk of Malpractice Lawsuits

To register: https://us02web.zoom.us/meeting/register/tZcqd6srDkiH9Iu9zHAxsfTWnRZ8hlNZwWU

Malpractice insurance that’s

FOCUSED ON

October 17

How Experienced Physicians Protect their Assets

To register: https://us02web.zoom.us/meeting/register/tZEtditrD0qGdKiTjTIuY-xesann4voCGSA

November 21

How to Handle Collection Challenges of Working With Health Plans

To register: https://us02web.zoom.us/meeting/register/ tZEvcemvqj0iGNS_EYr23URIRp1knKY6ATzO

December 12

Medical Marijuana Law for Physician Practices

To register: https://us02web.zoom.us/meeting/register/tZwsdGorT4oH9QthmrfIbCkRt9Kx5vnZhst

Announcing the 2023 Dividend for Florida Members

The Doctors Company has awarded over $455 million in dividends to its members—including 5 percent to qualified Florida members. Unlike some insurers who are guided by their investors, we’ve always been guided by the belief that the practice of good medicine should be advanced, protected, and rewarded.

Join us and discover why delivering the best imaginable service and unrivaled rewards is at the core of who we are.

DR. KIANA TABA, CMS BOARD MEMBER, HOSTED THE CATCH MY STRIDE! WALK ON APRIL 22ND AT CASCADES PARK. THE GROUP ENJOYED THE BEAUTIFUL WEATHER AND GETTING TO KNOW EACH OTHER BETTER.

Please tell the advertiser you saw their ad in the Cap Scan magazine!

FSUCOM-TALLAHASSEE REGIONAL CAMPUS HONORS GRADUATES

The FSU College of Medicine-Tallahassee Regional Campus honored its graduating class of 2023 on April 24, 2023 at a dinner at the Governors Club. Past CMSF Scholarship winners were honored with awards for their accomplishments. Nida Mohyuddin was presented the Pediatrics Award by Dr. Francisco Paez. Nida will be completing her residency in pediatrics at Nemours Children’s Hospital in Orlando, FL. Charles Alan Riley was presented the Dean’s Award by Dean Sandeep Rahangdale, M.D.

He will be completing his residency in Transitional Interventional Radiology (Integrated) at University of Alabama Medical Center-Birmingham. Yvonne Brown, Paula S. Fortunas, and Pam Irwin were presented “Making a Difference” awards for their contributions in establishing a campus food pantry to address the food insecurities of medical students. Congratulations to all 2023 Tallahassee Regional Campus graduates.

Tricia Matthews is a legal writing professor at the FSU College of Law. For over five years, she cared for her mother, Celia, who had dementia. With the following article, Tricia wrote: “In the last couple of years of my mom’s life, we encountered some incredibly caring and supportive health care staff, as well as others who were really checked out as soon as they realized our mom had dementia. I wanted to write something short with some educational enrichment to help improve the quality of health care. At the very least, I hope it might improve the quality of the interactions between the person struggling with dementia and all the various people called upon to help take care of that person (e.g., dentists, eye doctors, primary doctors, doctors/nurses/staff at the hospital or ER, health aides, relatives, etc.).”

IMPROVING HEALTH CARE FOR PATIENTS WITH DEMENTIA

By Tricia Matthews

Introduction

“When I get sick, I want you to bring me here.” My mom told me this when we were driving home, after a long, full day at the Small Animal Veterinarian Hospital in Gainesville, Florida. We had travelled there for a consult for my rescue dog, who was experiencing some chronic diarrhea. Our local veterinarian had done everything he could do to address it, but the condition continued, unabated. My mother accompanied me on the drive there, as well as the five-hour appointment. During our time there, we saw a veterinarian, a veterinarian specialist, and a veterinarian student. Multiple tests were done. We received many of those results that same day and were therefore able to agree upon a tentative treatment plan. Although my mom and I were tired, we both found the travel and consult was extremely worthwhile. Although my mom might have said it partially in jest, I understood what she meant.

A team of healthcare providers worked holistically to troubleshoot the problem. In short, our dog got individualized care. They did not brush off our concerns as simply “par for the course in a rescue dog” but worked to identify the cause of our dog’s chronic problem. They took some time to gather basic objective details: from us, as the caregivers; from diagnostic tests; and from a clinical examination/ observation of our dog. Even with all that going on, they still took time to make our dog less anxious and more comfortable in this alien environment.

I wish I could have actually brought my mom to some place that would have given her all that when she later got sick, but it currently does not exist. In this short article, I want to share some of the things we learned the hard way as we navigated how best to take care of our mom as she suffered from dementia. Along the way, we met some incredibly caring and competent health care providers, but we also encountered many

problems. In the end, this field of health care could really take a fresh look at the way we treat dementia patients – from treatment in the home, to memory care centers, to doctor’s appointments, to ER visits, and hospital stays.

What We Bring to the Table.

Before my mom got dementia, I did not critically analyze some of my beliefs about dementia. For instance, I had somehow come to mistakenly believe that symptoms of dementia, or Alzheimer’s disease in particular, are fairly uniform among those suffering from it. In fact, one size does not fit all. While there are some commonalities from one patient to the next, there are marked differences between them as well. Some patients, even in advanced stages of the disease, still recognize their loved ones as loved ones. They might not remember their names or the exact role they have (e.g., daughter, sister, cousin, etc.), but they still recognize the person as someone who loves them. Meanwhile, other patients do not recognize any loved ones. Some patients retain their same temperament throughout while others undergo radical changes in their temperament. Some patients develop a fear or aversion to water in the shower, while others have no problem with this. These are just a few examples of significant differences.

Despite these differences, the health care system treats all patients struggling with dementia in exactly the same way. This is true even of health aides and nurses who work exclusively in the area of memory care. In short, we do not treat people suffering from dementia as individual beings, who are each on their own individual journey struggling with the disease. Instead, we treat each one as if they had the same face of the illness, as if all the facets of their identity had been reduced to just one thing, dementia. Accordingly, not only does this disease gradually work to erase their individual

identities, our own healthcare system unwittingly facilitates that process.

Each one of us likely brings one or more unconscious beliefs or biases to the table when interacting with someone who has dementia. Taking a moment to examine what those might be could radically improve our interactions with those struggling with the disease – whether those interactions are with loved ones or whether those interactions are with patients needing medical assistance or assistance with daily life skills.

Are We Treating the Patient or Managing the Symptom?

If your father, who could not speak clearly since having had a heart attack six months earlier, suddenly experienced a drastic change in behavior, most doctors would not just think, “Well, that’s probably his heart acting up. Let’s just give him some medicine to quiet him down.” However, that protocol happens repeatedly to patients with dementia. Once a patient has the label of “Alzheimer’s” or “dementia,” it is as though the health care system thinks that patient cannot experience any other illnesses, infections, or conditions. Unfortunately, that is not the case.

All too often, a dementia patient can be suffering from a painful urinary tract infection, but she never says she is in pain, she does not cry out or grimace when she urinates, and she does not nod her head in acknowledgement when asked about it. What she does do is behave differently than normal. Perhaps she suddenly starts falling. She might start screaming in the middle of the hallway when she has never done that before. She might be extremely agitated or stay up all night. She might simply seem even more confused than typical for her. But because she does not present with the precise symptoms typically associated with a urinary tract infection, she may never get a urine test. She may never get diagnosed with it and then treated.

It could just as easily be a raging toothache, an ear infection, a painful bout of constipation, or pain from a fall. Doctors, nurses, health aides, spouses, daughters, and sons all miss it because we are looking for what we are used to seeing in the regular population. Instead, we automatically assume the dementia has gotten worse and reach for medication to make them stop whatever new and unusual behavior has emerged. Why do we expect a person suffering from dementia to be able to communicate with us, as if they had no dementia? What if we took some inspiration from pediatricians

treating very young patients? Thinking back to what my mom said, what if we took some inspiration from veterinarians, whose patients cannot say what ails them and whose patients cannot answer questions about their symptoms? Instead, veterinarians rely on the companion animal owner or caregiver telling them about changes in the animal’s behavior (e.g., eating, drinking, sleeping, elimination, energy, affect, etc.). They also use some basic, diagnostic tests to try to determine the cause of the abnormal change in behavior.

Critics would point out the enormous cost of ordering a bevy of tests when there are no objective symptoms to justify the necessity of such tests. I would argue that the objective symptoms are there (e.g., an unusual change in behavior); it is just a different set of objective symptoms than we use for the population at large. And, yes, it would require more urine tests and more blood tests but the medications used to control behavior or sedate patients are not without their own costs.

If, after the tests are done, no other possible cause could be at issue, then at least, we will be treating the person for what most likely ails her, instead of just assuming that the only thing that ails her is dementia.

We Need to be Present. We Need to be Present.

I wrote it twice for a reason.

To make the most out of the time with our mom, who was suffering from dementia, I had to force myself to stay in the present when I was with her. And, here is where the mindfulness movement saucily shook its tail feathers in my face. I found it exceedingly difficult. I was often not successful. But when I was, I shared some beautiful moments with her – gems of moments, in fact. Here is the thing: When I was mired in the past, I was filled with sorrow because I was constantly comparing how my mom used to be to how she was today. When I was focused on the future, I was filled with anxiety and grief, thinking of how her health would gradually worsen and what lay ahead. Similarly, when I focused on my work responsibilities and looming deadlines, I became anxious. But when I was in the present, I could enjoy spending time with my mom right then, right there. I was more light-hearted. She felt that. Consequently, she felt more light-hearted. We often danced and laughed. It felt good. No, it felt great.

When it came time to make the difficult decision to move our mom to a memory care center, “being present” took on an additional meaning. I learned you have to be present and involved with whoever is helping take care of your loved one with dementia. Memory care centers and assisted living facilities promise much, but in the end, they are businesses. To ensure they deliver on those promises, you need to visit often, ask questions, and be observant. The better public elementary schools are often those where many parents volunteer and invest time and money to make the school a better place. Likewise, the better assisted living facilities are those where family members and others visit and invest time and resources. There are many incredibly gifted and caring health aides, but those aides often work long hours and do not get great pay for the important work they do. In visiting, we could get water for my mom, grab her a blanket, change her blouse, or just be there with her. I got to know some of the aides. They might ask me a question about my mom simply because I was there. Your frequent and observant presence will enrich the life of your loved one as they acclimate to their new home, help those overworked health aides, and help keep everyone accountable.

What You Do Matters.

Even though you cannot cure them of their illness, what you do matters. What you give them to eat and drink matters. I saw our mom’s cognition improve, even if only temporarily, when she ate a nutritious stew as opposed to a hamburger and fries. It matters.

How you address them matters. As our mom started getting sicker, some people acted like she was not even there. They would say things in front of her, as if she were not even conscious or aware of what they were saying or doing. At times, my mom may not have understood the language they were using, but she ALWAYS understood the emotion. Let me give just one small example.

At the hospital or the ER, some of the doctors and nurses would not even address my mom or look directly at her eyes. Maybe they were uncomfortable, not sure what she would say or do. Maybe they were at a loss as to how to verbally communicate with her. Maybe they simply thought that investing time and resources to treat someone with dementia was not a good use of their time. I do not know. All I know is that they acted like no one was there, that her body was simply a shell. In contrast, other doctors and

nurses would look directly at my mom, greet her, and smile. My mom would often light up, like a flower directing itself towards the sun. Perhaps she did not know what they were saying or why she was there, but she still felt warmth when it was directed toward her. She recognized a smile directed at her. She responded warmly to that with a smile of her own. Even if she had not smiled back, what would it hurt to do that simple acknowledgement, that simple human gesture? It required no expensive equipment and took only seconds, but it mattered.

Conclusion

Regrettably, we currently have no cure for dementia or Alzheimer’s disease. However, that fact should not stop us from taking steps to improve the way our health care system treats those struggling from this devastating illness. While we await for those much-hoped-for scientific advancements, perhaps the single biggest way to improve health care would be to invest in some training specific to this area for our health care workers (e.g., physicians, nurses, health care aides, etc.).

If you would like a hard copy of the manual, please contact their office at 850-386-2778.

MINUTES CMS MEMBERSHIP MEETING

APRIL 18, 2023 - THE MAGUIRE CENTER FOR LIFELONG LEARNING AT WESTMINSTER OAKS

The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient.

I. Business Meeting

A. Dr. Sarah Ko, President, called the meeting to order at 6:15 pm. She welcomed everyone and thanked Westminster Oaks for their flexibility in allowing us to resume meetings in their incredible facility.

B. Dr. Ko welcomed and thanked our supporters for the evening:

Supporting Sponsor

Tallahassee Memorial Metabolic Health Center

Meeting Sponsor

TMH Federal Credit Union

Displayer

Novo Nordisk, Inc.

C. Dr. Ko introduced special guests in attendance

New CMS Member and tonight’s CME copresenter: Dr. Joey Jarrard, TMH Physician Partners – General Surgery

D. Dr. Ko announced the upcoming meetings/ events:

April 22, 2023

Connect the Docs Walk

Cascades Park (Meet behind the amphitheater)

10:00 am

Hosted by: Kiana Taba, M.D.

May 16, 2023

CMS Membership and CME Meeting

Disaster Planning

Presenter: Joseph Mazziotta, M.D.

Westminster Oaks Maguire Center, 6:00 pm

II. Tonight’s Program – this is a 1-Hour Category One Program

Topic: “Managing the Patient with Morbid Obesity”

Presenter: Joey Jarrard, M.D. and Greg Laffitte, MPA-C

Dr. Jarrard and Mr. Laffitte gave an informative presentation on obesity, non-surgical management, and bariatric surgery.

CME Proof of Attendance Forms were sent to participants who stayed for the entire CME program and completed an evaluation form.

III. Special Drawing

Dr. Ko asked Harry Burn with TMH Federal Credit Union to pick the name out of a bucket for their special drawing. Dr. James Thomas won a Shell gas gift card.

IV. Adjourn

Dr. Ko adjourned the meeting at 7:35 pm.

Please

Supporting Sponsor

Tallahassee Memorial Metabolic Health Center

Meeting Sponsor

TMH Federal Credit Union

Displayer

Novo Nordisk, Inc.

Meeting Sponsor, TMH Federal Credit Union: Harry Burn.

Displayer, Novo Nordisk, Inc.: (l-r) Lindsey Burns and Keith Quinn.

Dr. Joey Jarrard, co-presenter for the evening.

Supporting Sponsor, Tallahassee Memorial Metabolic Health Center: (l-r) Greg Laffitte, MPA-C, co-presenter for the evening; Megan Bell, PA; and Samantha Marsh.

We Thank Our Donors

We thank the following donors who made a gift to the CMS Foundation this past month:

Capital Medical Society Foundation –Area of Greatest Need

Yvonne Brown – In-Kind Donation

Robin McDougall, LCSW

The CMS Foundation Physician Wellness Fund

TMH Medical Staff Fund

The CMS Foundation Scholarship Fund

David Bellamy, M.D. – In Memory of Dr. Charles Christopher Ouimet

Capital Medical Society Foundation –FSU College of Medicine Tallahassee Regional Campus Food Pantry

Anonymous

Claudia Blackburn

Robin Brock-Ginaldi

Mrs. Nancyanne Carothers

Mrs. Gayle Carraway

Mr. Richard Corbett

Elaine Geissinger

Amy Haddock, M.D.

Mr. and Mrs. Major B. Harding

Dr. and Mrs. Karl Hempel

Mrs. Lee Hinkle

Nancy Loeffler, M.D.

Mr. and Mrs. Brooks Pettit

Publix Super Markets, Inc. –In-Kind Donation

Terence N. Reisman, M.D.

The Impact of Private Support:

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 $124 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 2021-22, which ended June 30, 2022, more than $5 million in healthcare 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 CMS Foundation 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 2022. An additional $1,000 was awarded from The Anesthesiology Associates of Tallahassee Scholarship Fund. $1,000 was also awarded from The Charles D. “Pedro” Williams, M.D. Scholarship Fund. In 2022, the first Julia Revell St. Petery, M.D. Scholarship in Pediatrics was awarded.

➢ 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 2022, the CMSF awarded a total of $10,500 in grants to Elder Care Services for their In-Home Services Program, the Big Bend Hospice Foundation for bereavement services, and to Lutheran Social Services of North Florida, Inc.’s KidSafe program

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:

Gifts should be made payable to the CMS Foundation. 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:

Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or (850) 559-8611

THANK YOU

To our CMS members and We Care Network partners who provided healthcare to new patients in April 2023.

Your generosity and support of the We Care Network makes a difference.

Physicians

Julia Barry, D.O.

Venkata Bavikati, M.D.

Marie Becker, M.D.

Robert Bradford, M.D.

Tim Broeseker, M.D.

Tony Bryant, M.D.

Viet Bui, M.D.

David Burns, M.D.

Carlos Campo, M.D.

Joseph Camps, M.D.

Erin Carlquist, M.D.

Francisco Carpio, M.D.

Raymond Cottrell, M.D.

Marilyn Cox, M.D.

Cristian Del Carpio Tenorio, M.D.

William Dixon IV, M.D.

David Dolson, M.D.

Adam Engel, M.D.

Mark Fahey, M.D.

James Farrell, D.O.

Alberto Fernandez, M.D.

Jerry Ford, M.D.

Spencer Gilleon, M.D.

Gian-Carlo Giove, M.D.

Todd Hewitt, M.D.

Marc Inglese, M.D.

Okanta Jackson, M.D.

Amit Jain, M.D.

Lawrence Kaelin, M.D.

Arjun Kaji, M.D.

Kenneth Kato, M.D.

John Katopodis, M.D.

James Killius, M.D.

Fang Sarah Ko, M.D., PhD

Maribel U. Lockwood, M.D.

Kurt Luhmann, M.D.

Hector Mejia, M.D.

David Mellman, M.D.

Mina Mousa, M.D.

Anthony Otekeiwebia, M.D.

Karan Patel, M.D.

Mitchell Peabody, D.O.

Michael Pentaleri, M.D.

Jorge Perez de Armas, M.D.

Hussein Rayatzadeh, M.D.

Allison Retzer, M.D.

Davis Rierson, M.D.

David Saint, M.D.

Jamey Sarvis, M.D.

Eliot Sieloff, M.D.

Gadi Silberman, M.D.

Jon Soble, M.D.

Bhavik Soni, M.D.

Joseph Soto, M.D.

Ronald Sullivan, M.D.

Yusef Syed, M.D.

John Thabes, M.D.

Kaisa van der Kooi, M.D.

Anthony Vara, M.D.

Andres Vargas, M.D.

Carl Vegas, M.D.

Tony Weaver, M.D.

Chien-Yi Williams, M.D.

Stephanie Wolanin, M.D.

William Yaakob, M.D.

Daniel Yang, M.D.

Charles Yowell, M.D.

Samuel Yu, M.D.

Dentists

Briano Allen, D.D.S.

Laban Bontrager, D.M.D.

Walter Colón, D.M.D.

Brittney Craig, D.M.D.

Alan Dransfield, D.M.D.

Aixa Guzman, D.M.D.

William McFatter, D.D.S.

Lawrence Pijut, D.M.D.

Facilities

Advanced Urology Institute

Airway Works, LLC

All About Smiles Dental Center

Anesthesiology Associates

Apalachee Primary Care

Beachton Denture Clinic

Bond Community Health Center

Bristol Dental Clinic

Brittney K. Craig DMD

Capital Health Plan

Care Point Health & Wellness Center

Coast Dental at Blair Stone

Dermatology Associates

Digestive Disease Clinic

Enhanced Endodontics

Eye Associates of Tallahassee

Family First Wellness Center, LLC

Florida Cancer Specialists & Research Institute

FSU PrimaryHealth

Gadsden County Health Department

HCA Florida Capital Hospital Cancer Center

Jefferson County Health Department

Jessie Furlow Medical Center

Ketchum, Wood, & Burgert Pathology Associates

Lawrence J. Pijut DMD PA

Madison Medical Center

Neighborhood Medical Center

North Florida Nephrology Associates

North Florida Womens Care

North Monroe Medical Center

Periodontal Associates of North Florida

Radiology Associates of Tallahassee

Red Hills Dental Associates

Southeast Radiology Partners

Southeastern Plastic Surgery

Southeastern Surgery Center

Southern Medical Group, P.A.

Southern Vitreoretinal Associates

Tallahassee Community College

Dental Hygiene Clinic

Tallahassee Diagnostic Imaging

Tallahassee Ear, Nose, and Throat

Tallahassee Memorial HealthCare

TMH Family Medicine

Residency Program

TMH Physician Partners

Cancer and Hematology

TMH Physician Partners

Cardiology and Internal Medicine

TMH Physician Partners

Cardiothoracic Surgery

TMH Physician Partners

Endocrinology Specialists

TMH Physician Partners

Gynecologic Oncology

Specialists

TMH Physician Partners

Heart Rhythm Clinic

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 Physician Partners Wakulla

TMH Transition Center

TMH Wound Healing Center

Tallahassee Orthopedic Clinic

TOC Canopy

Vascular Surgery Associates

Wakulla County Health Department

Wakulla Medical Center

Women’s Imaging Center

Womens Clinic

Please contact Diana Bixler at dbixler@capmed.org or (850) 201-0130 if you are a We Care Network volunteer and you provided volunteer specialty care in the month of April 2023, 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!

We thank our referring providers from April 2023:

Ebonie Allen, APRN

Jonathan Appelbaum, M.D.

Clifton Bailey, M.D.

Katrina Ball, APRN

Marie Becker, M.D.

Timothy Bolek, M.D.

Kendra Brady, APRN

Sherry Bramblett, APRN

Daniel Breivogel, APRN

Robert Brumberg, D.O.

Callie Burch, APRN

Melba Colon-Renta, M.D.

Brittney Craig, D.M.D.

Brian Del Carlo, D.D.S.

H. Avon Doll, M.D.

Makeba Earst, D.D.S.

Nathalie Esellem, APRN

Cynthia Evans, APRN

Christine Fitzsimmons, D.O

Sharron Foster, M.D.

Alexander Franz, M.D.

Gian-Carlo Giove, M.D.

Lillie Green, APRN

Judy Griffin, APRN

Aixa Guzman, D.M.D.

Paul Hartsfield, M.D.

Hantz Hercule, M.D.

Todd Hewitt, M.D.

Amit Jain, M.D.

Deepthi Janga, D.D.S.

Anneka Johnson, APRN

Lawrence Kaelin, M.D.

Christopher Laing, D.D.S.

Elaine Larkins, APRN

Jessica Lea, APRN

Marcail Lopez, D.D.S.

Ashok Manocha, B.D.S.

Damon McMillan, M.D.

Hector Mejia, M.D.

Lisa Menchion, APRN

Marie Methellus, APRN

Kelley Miller, APRN

Kyle Mobley, M.D.

Jovie Nusser, D.D.S.

Abiodun Ogunremi, APRN

Chukwuma Okoroji, M.D.

Rose Origa, APRN

Anthony Otekeiwebia, M.D.

Jorge Perez de Armas, M.D.

Lisa Perkins, APRN

Angela Pham, P.A.

Martha Reeves, APRN

Pablo Rengino-Moreno, M.D.

Charlie Richardson, M.D.

Russell Robinson, M.D.

Abel Romero-Corral, M.D.

Expedito Salvador, P.A.

Lucilita Salvador, P.A.

Jamey Sarvis, M.D.

Alanna Steaple, APRN

Kris Stowers, M.D.

John Thabes, M.D.

Faye Tinson, APRN

Gregory Todd, M.D.

Beatriz Cepeda Valery, M.D.

Daniel Van Durme, M.D.

Andrew Venturini, M.D.

Jeffrey Wasserman, D.O.

Eula Weaver, APRN

Barbara Williams, M.D.