Skip to main content

Cap Scan - September 2015

Page 1

SEPTEMBER EDITION, VOLUME 2015, NO. 9

YOUR PRESIDENT’S PERSPECTIVE ON THE 2015 FMA ANNUAL MEETING By Joshua Somerset, M.D., CMS President

Capital Medical Society sent ten local delegates to the 2015 FMA Annual Meeting in Orlando from July 31st-August 2nd. Our delegates comprised of an experienced group of CMS members: Drs. Christie Alexander, John Bailey, Michael Forsthoefel, Shakra Junejo, Alma Littles, John Mahoney, Alfredo Paredes, Hugh VanLandingham, Gary Winchester, and myself. Executive Director, Pam Wilson, and Communications and Events Coordinator, Shannon Boyle, were also important team members. The whole crux of the meeting was for Florida physicians and other healthcare representatives to identify and prioritize the biggest challenges to the practice of medicine. These ideas or solutions must be packaged into “resolutions” to direct the FMA on the legislative agenda for the upcoming year. It was difficult to describe the process without sounding tedious.

There were meetings, pre-meetings, Caucuses, Reference Committees, and finally the House of Delegates. The big picture is that resolutions get debated, amended, and wordsmithed until the final product resembles a shell of its former self. While I have never made sausage, one can imagine the grinding of a lot of parts to make the final product.

CMS delegates were well represented in every step of the process. Dr. Michael Forsthoefel chaired Reference Committee II, Finance and Administration. Dr. Christie Alexander was on the panel of Reference Committee III, Legislation. Dr. John Katopodis sits on the FMA Board of Governors (newly elected

CMS and Specialty Society Delegates: (l-r) Dr. John Mahoney, Dr. Alfredo Paredes, Pam Wilson, Dr. Hugh VanLandingham, Dr. Alma Littles, Dr. Michael Forsthoefel, Dr. Christie Alexander, Dr. Joshua Somerset, Dr. Andrea Friall, Dr. Shakra Junejo, Dr. John Katopodis, Dr. John Bailey, and Shannon Boyle. (Not pictured: Dr. Gary Winchester, Dr. Brence Sell, Dr. David Stewart, and Dr. Andy Borom) CONTINUED ON PAGE 3

CAPITAL MEDICAL SOCIETY 2015 MEETINGS CALENDAR September 15, 2015 CMS Membership & CME Meeting “Rheumatoid Arthritis (RA) – What We Need to Know” Less Shrestha, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks

October 15, 2015 CMS Happy Hour 5:30 pm – 7:30 pm Liberty Bar & Restaurant *See page 6 for more information

October 20, 2015 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 10, 2015 CMS Membership & CME Meeting “Advanced Cardiac Imaging – Cardiac MRI” Greg Hartlage, M.D. and Ernesto Umaña, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks

December 3, 2015 CMS Foundation Holiday Auction 6:30 pm University Center Club at FSU

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

1


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 Joshua Somerset, M.D., President J. Daniell Rackley, M.D., President-Elect Tracey Hellgren, M.D., Secretary/Treasurer Alfredo Paredes, M.D., Immediate Past-President Shelby Blank, M.D. Garrett Chumney, M.D. David Dixon, D.O. Shakra Junejo, M.D. Maribel Lockwood, M.D. Amy Pagano, CMS Alliance President Paresh Patel, M.D. Philip Sharp, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D. Pam Wilson, Executive Director Family Medicine Resident Todd Hewitt, M.D. Internal Medicine Residents Sura Jermanus, M.D./Jose Martinez, M.D.

PUBLICATION EDITOR Charles E. Moore, M.D.,

MANAGING EDITOR Shannon Boyle

GRAPHIC DESIGN Young Design

ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN? Please contact Dr. Charles Moore at cmoore5186@aol.com and 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. If you are a member of the Capital Medical Society and would like a copy of the Minutes from the Board of Governors meeting, please call the CMS office. Thank you.

I N T H I S I SS U E :

CMS FAMILY FUN NIGHT

2015 FMA Annual Meeting …

1

Professional Notes …

6

New Resident CMS Board Members …

7

New CMS Members …

9

Reflections from the Editor …

12

Viewpoint … 14 FAMU Medical Scholars Program …

18

Florida Board of Medicine …

19

CMS Alliance Corner …

20

2015 CMSF Holiday Auction …

22

CMS Foundation …

23

CMS Foundation: We Care Network …

27

HAPPY BIRTHDAY! {SEPTEMBER BIRTHDAYS}

David Burday, M.D. – 2nd Ben Kirbo, M.D. – 2nd Michael Pentaleri, M.D. – 2nd Mark Wheeler, M.D. – 2nd Donald Hansard, M.D. – 3rd Dan Kaelin, M.D. – 3rd Laurence Rosenberg, M.D. – 3rd Vicki Erwin-Wilson, M.D. – 4th George Slade, M.D. – 4th Alberto Fernandez, M.D. – 5th Howard Kessler, M.D. – 5th Robert Rowland, M.D. – 6th Adam Engel, M.D. – 7th James Patty, M.D. – 7th David Stewart, M.D. – 7th Andrea Randell, M.D. – 8th Laura Rosner, M.D. – 8th Hardeep Singh, M.D. – 9th James Stockwell, M.D. – 9th Julia Weeks, M.D. – 9th Carlos Campo, M.D. – 11th Charles Manning, M.D. – 11th Shelby Blank, M.D. – 12th Armand Cognetta, Jr., M.D. – 13th Tanya Evers, M.D. – 14th Henry Gunter, M.D. – 14th

Karl Hempel, M.D. – 15th Amanda Shearer, M.D. – 15th Kenneth Whithaus, M.D. – 15th Robert Bradford, M.D. – 16th James Martin, M.D. – 17th Mervin Wallace, M.D. – 18th Robert Brumberg, D.O. – 20th Robert Hoyne, M.D. – 20th David Vermess, M.D. – 21st Simha Jagadeesh, M.D. – 22nd Faisal Munasifi, M.D. – 22nd Temple Robinson, M.D. – 23rd Dean Watson, M.D. – 23rd Patrick Brown, M.D. – 24th Susan Cross, M.D. – 24th Jose Diaz, M.D. – 24th Michael Allison, M.D. – 25th Daniel Van Durme, M.D. – 25th Philbert Ford, M.D. – 26th Charles Holland, M.D. – 26th Marilyn Cox, M.D. – 28th Melia Holt, M.D. – 28th Mark Shamis, M.D. – 28th Mark Cannella, M.D. – 30th Kathryn Simmons, M.D. – 30th

HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN! DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!


2015 FMA ANNUAL MEETING

Vice President). Numerous other CMS delegates were active in Caucus meetings, Reference Committee debates, and provided oral testimony on the floor of the House of Delegates. In addition to Dr. Katopodis meeting actively with our delegation and Caucus, we also were joined by Drs. David Stewart, Brence Sell, Andy Borom, and Andrea Friall. These CMS members spent time with our Caucus but also represented their respective specialty societies. My opinion is that the most contentious debates on the floor of the House of Delegates involved FMA’s role in Medicaid expansion, balanced billing (aka shared patient billing), and expanding specialty society representation on the floor of the House of Delegates. Look for the FMA’s stance on these upcoming issues and more during the next legislative calendar. The FMA PAC was active raising money at the meeting, and this money is used to help lobby for the support of these approved resolutions. AMA President, Dr. Steven J. Stack, an ER physician from Lexington, Kentucky, spoke to the House of Delegates. He is the youngest AMA president since 1854. I seem to remember his big push was the health of the physician. He said something along the lines of, “a healthier, happy physician makes for healthier, happier patients...” While his point is well taken that the health and well-being of physicians frequently gets neglected, I can’t help but think that if the AMA were more effective in dealing with EMR, ACA, ABIM, ICD-10 and other troubling acronyms, physicians might have a lot less to worry about. While onstage at an event to honor presidents of the County Medical Societies and to install FMA President Dr. Ralph Nobo, I was seated next to Dr. Lee Gross who happens to be President of Charlotte County Medical Society. He founded Epiphany Healthcare, and is a leading advocate for the concept of Direct-Primary Care. I noticed in a recent CapMed email blast that Direct-Primary Care legislation passed the Florida Senate 99-1. Dr. Gross was about my age, and it was inspirational to see how much of an impact someone can make with the right ideas, the right resources, and the right network. I left the meeting optimistic about the future of medicine with such a dedicated group advocating for its future. CMS

Some of our CMS Delegation at the North Florida Caucus Dinner at Charley’s Steakhouse.

Dr. Christie Alexander, Dr. John Bailey, and Bonnie Bailey at the North Florida Caucus Dinner.

(L-r) Dr. Wendy Somerset, Dr. Joshua Somerset, Evi Katopodis, and Dr. John Katopodis attended the Presidential Installation Ceremony.

Dr. Joshua Somerset congratulated newly installed FMA President, Dr. Ralph Nobo following the Presidential Installation Ceremony.

Dr. Alma Littles served as a judge during the David A. Paulus, M.D. Poster Symposium.

Dr. David Stewart served as a judge during the David A. Paulus, M.D. Poster Symposium. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3


TALLAHASSEE MEMORIAL

LIPID CENTER WELCOMES

Sudha D. Ravilla, MD Clinical Lipidologist BOARD CERTIFIED Internal Medicine and Clinical Lipidology MEDICAL SCHOOL Kilpauk Medical College, India RESIDENCY Creighton University Medical Center, Omaha, NE

Tallahassee Memorial Lipid Center : 1981 Capital Circle NE : 431-5404

4

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


Let us help you with that difficult conversation. Planning Early About Care at the End

a Program of Big Bend Hospice

Counseling a patient about the end-of-life can be challenging. Planning Early About Care at the End

a Program of Big Bend Hospice

For more information about Big Bend Hospice’s PEACE Program and FIVE WISHES contact Candace McKibben at (850) 878-5310 or candace@bigbendhospice.org

That’s where we can help. The Big Bend Hospice PEACE (Planning Early About Care at the End) program is designed to assist people in understanding, discussing, and communicating their advance directives through one-on-one conversation with a trained Big Bend Hospice PEACE program facilitator. Physicians may also choose to have someone on their staff receive training, to facilitate discussions with patients within their own practice. Contact us today, and also ask about FIVE WISHES, an advance care planning document published by Aging with Dignity, which focuses on addressing a patient’s healthcare wishes in the event that they cannot advocate for themself. Big Bend Hospice distributes them at no-charge to any person residing in the Big Bend region.

Call Big Bend Hospice, we’re here to share the journey. 1723 Mahan Center Blvd., Tallahassee, FL 32308 • 850.878.5310 • www.bigbendhospice.org CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 5


PROFESSIONAL NOTES

John Katopodis, M.D., an interventional cardiologist with Southern Medical Group, was elected to serve as Vice President on the 2015-2016 Florida Medical Association (FMA) Board of Governors during the FMA Annual Meeting in Orlando in July 2015.

Tallahassee Primary Care Associates (TPCA) achieved Patient-Centered Medical Home (PCHM) recognition from the National Committee for Quality Assurance (NCQA) for using evidencebased, patient-centered processes that focus on highly coordinated care and long-term, participative relationships. To earn recognition, which is valid for three years, TPCA demonstrated the ability to meet the program’s key elements, embodying characteristics of the medical home, and is the first and largest multi-site physician group practice of their size to achieve this accreditation in the North/Central Florida area.

Capital Regional Medical Center opened Florida Institute for Pelvic Health and Incontinence. The goal of the Institute is to provide education, screenings, and resources to inspire women to become involved in their pelvic health. Charles D. Williams, M.D. was honored by the Florida Radiological Society (FRS) at the 2015 Annual Meeting of the FRS in Key Biscayne, Florida in July 2015. Their Legacy Lecture was named after Dr. Williams, now titled, the Charles D. Williams, M.D., FACR Legacy Lecture. Dr. Williams was the first physician to give the Legacy Lecture in 2005.

Congratulations, Capital Regional Medical Center, Dr. John Katopodis, Tallahassee Primary Care Associates, and Dr. Charles Williams!

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.

JOIN YOUR COLLEAGUES FOR A HAPPY HOUR SOCIAL THURSDAY, OCTOBER 15, 2015 • 5:30 PM – 7:30 PM

HORS D’OEUVRES AND FIRST SELECT BEER OR WINE PROVIDED BY OUR SPONSOR:

1307 NORTH MONROE STREET, SUITE 2 (BETWEEN JOE MAMA’S PIZZA AND THE GREY FOX) PLEASE RSVP BY OCTOBER 8 TO ROSALIE CARLIN AT (850) 877-9018 OR RCARLIN@CAPMED.ORG. THIS EVENT IS LIMITED TO 75 PEOPLE. BE SURE TO RSVP TODAY TO RESERVE YOUR SPOT! *DUE TO SPACE LIMITATIONS, THIS EVENT IS FOR ACTIVE AND ASSOCIATE CMS MEMBERS ONLY.

6

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


NEW RESIDENT CMS BOARD MEMBERS

THE CAPITAL MEDICAL SOCIETY BOARD OF GOVERNORS WELCOMES NEW RESIDENT BOARD MEMBERS

Todd Hewitt, M.D., Family Medicine Dr. Hewitt joins TMH after a successful career as a chiropractor for 13 years in Pasadena, Calif. While in practice, he served on many professional, as well as volunteer health related organizations. Through his exposure and close work with other medical specialties (and with the support of an incredible family), he decided to fulfill a goal set as a child and left practice to enter medical school. He considers being active one of the key tenants in achieving and maintaining a healthy lifestyle and has been extremely fortunate to be involved in and associated with a wide variety of athletic activities in his life. He was a college football player and attended East Texas State University for undergraduate education and he earned his Doctor of Chiropractic from Parker College of Chiropractic in Dallas, Texas. While there he was a member of the U.S. National Rugby League team and a student member of an organization that provided care to professional Rodeo cowboys. He received his Doctor of Medicine from the University of Medical Health Sciences in 2014. While a medical student, he was

privileged to serve as one of the Team Physicians for the nation of Nevis's Olympic Triathlon/ Cycling team. He is extremely enthusiastic about returning to practice and thankful for the opportunity to continue his education in a dynamic community like Tallahassee. Through all of his experiences and training, Dr. Hewitt has maintained strong interest in Rural Medicine, Sports Medicine and Pain Management, but also appreciates the comprehensive role a Family Medicine physician is entrusted to play in the lives of their patients. Dr. Hewitt and his wife Michelle have been married for 18 years and welcomed a joyous and enthusiastic daughter, Campbell, to their family three years ago. As a family they celebrate any activity that allows them to be outside and on the water and are excited by the many unique opportunities in their new North Florida home. They share a passion for college football and thanks to Campbell, throw one heck of a "Fancy Tea Party."

Biology from the University of North Florida in Jacksonville. She went on to work in research at Mayo Clinic as she initially was undecided between graduate and medical school. After two years in research she realized she wanted to be on the clinical side of medicine and decided to pursue medicine. She attended medical school at Ross University School of Medicine in the West Indies. As she reflects at the last two years of residency; being part of the Florida State Internal Medicine Residency Program and training at TMH has been truly a rewarding experience for her. She looks forward to her third year as cochief resident and especially looking forward to working with the college of medicine. In her spare time she likes going to the beach and enjoying the beautiful Florida sun, spending time with family and friends, and eating sushi as much as she can.

Jose “Tony” Martinez, M.D., Internal Medicine Sura Jermanus, M.D., Internal Medicine Dr. Jermanus was born in Baghdad, Iraq and moved to the United States with her family when she was 11 years old. She received her degree in Cell

Dr. Tony Martinez is a third year resident at the FSU Internal Medicine Residency Program. For as long as he can remember, his goal had been to become a physician, but he had no idea on what road this goal would

lead him. For the most part, his journey really began the day he was awarded the George W. Jenkins Scholarship, the largest scholarship award in Florida and one of the largest in the nation. With this scholarship, he began his education at the University of Miami. While there he used his love of Chemistry to organize the first Chemistry tutoring program at the University of Miami. This brought him attention from Miami Dade College who would eventually bring him on as an organic chemistry teacher after attaining his degree. He also was able to set up a chapter of Project Sunshine, a unique group whose goal was to bring UM students to Miami Children’s Hospital to entertain and accompany children with life threatening illness. Under his leadership, the chapter became one of the largest in the nation. If you were to ask Dr. Martinez, some of his most favorite memories would be from his six years as the lead singer of Brink of Something Beautiful -- a band he and 4 friends created during college. In those six short years, his band was signed to a record label, recorded a full length album, and went on tour. In fact, he received his letter of admission to Lake Erie College of Osteopathic Medicine while on the road. He would use the same work ethic that lead him up to that point at LECOM. His success there, he feels, cannot be attributed to himself alone. Without hesitation, he gives full credit to his family for providing him with love and support even when it was difficult to do so. It’s their example that has guided him, not just in medicine, but in most aspects of his life. CMS

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

7


TALLAHASSEE MEMORIAL

FAMILY MEDICINE RESIDENCY WELCOMES

Dwight Hooper, MD, MBA BOARD CERTIFIED Obstetrics & Gynecology MEDICAL SCHOOL University of Maryland School of Medicine, Baltimore, MD OBGYN RESIDENCY Harbor Hospital Center Baltimore, MD ACCEPTING NEW PATIENTS

Tallahassee Memorial Family Medicine Residency : 1301 Hodges Drive : 431-5430

THE TALLAHASSEE ORTHOPEDIC CLINIC FOUNDATION PRESENTS

The Orthopedic Forum for Primary Care Providers WHEN: WHERE:

September 26, 2015 8:30AM - 3:30PM Florida State University College of Medicine

This full-day didactic conference will focus on the evaluation and treatment of general orthopedic pain, conditions, and injuries for the health care professional audience. Emphasis on each condition, clinical diagnostic, physical examination skills, pitfalls to avoid, and practical treatment approach.

ORTH EE

DIC C PE O

For more information, visit tlhoc.com/news-and-events

NIC LI

AHASS LL

*NO COST TO ATTEND*

TA

FOUNDATION 8

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


NEW CMS MEMBERS

CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS:

Nitendra Agarwal, M.D. Medical School: Grant Medical College Internship/Residency: University at Buffalo Specialty: Hospitalist Practice: TMH Physician Partners Hospitalists

Ashton Byington, M.D. Medical School: Medical College of Wisconsin Internship/Residency: Vanderbilt Fellowship: Vanderbilt Specialty: Pathology Practice: Pathology Associates

Dwight Hooper, M.D. Medical School: University of Maryland Internship/Residency: Harbor Hospital Specialty: OB/GYN Practice: TMH Family Medicine Residency

Paul Katz, M.D. Medical School: University of Michigan Internship/Residency: Blodgett Memorial Medical Center Fellowship: SUNY Buffalo at the VA Medical Center Specialty: Geriatrics Practice: FSU College of Medicine, Chair, Dept. of Geriatrics

Kalil I. Al-Nassir, M.D. Medical School: University of Baghdad Internship/Residency: Lutheran Medical Center Fellowship: Mayo Clinic Specialty: Pulmonary Medicine Practice: Tallahassee Pulmonary Clinic

Chaowen Chen, M.D. Medical School: National Taiwan University Internship/Residency: Medical College of Wisconsin Fellowship: University of Wisconsin, Madison Specialty: Neurology/ Clinical Neurophysiology Practice: TMH NeuroScience Center

Barbara M. Jaeger, M.D. Medical School: University of Florida Internship/Residency: University of Maryland Fellowship: University of Maryland Specialty: Radiology Practice: Radiology Associates of Tallahassee

Ronald Mageau, M.D. Medical School: University of Maryland Internship/Residency: Virginia Commonwealth University Health System Specialty: Pathology Practice: Pathology Associates CONTINUED ON NEXT PAGE

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9


NEW CMS MEMBERS

W EDNE

SAVE THE DATE

SD

A

Y

OOD

Alexander Ramirez, M.D. Medical School: University of Cartagena Internship/Residency: Universidad Militar Nueva Granada Fellowship: Cleveland Clinic Specialty: Bariatric and Minimally Invasive Surgery Practice: TMH Physician Partners, Surgical Specialists

DW

Jonathan Melquist, M.D. Medical School: University of Minnesota Internship/Residency: Stony Brook University Fellowship: MD Anderson Cancer Center Specialty: Urology – Urologic Oncology Practice: Southeastern Urological Center

OO

Joan Y. Meek, M.D. Medical School: University of Kentucky Internship/Residency: Duke University Medical Center Specialty: Pediatrics Practice: FSU College of Medicine

|G |O 7 CTOBER

COMMUNITY PHYSICIANS RECEPTION WEDNESDAY, OCT. 7, 2015

CASUAL

GOODWOOD MUSEUM & GARDENS 6:00-8:00 PM Catering by JOHN THOMAS CATERING Attire BUSINESS CASUAL HEAVY HORS D’OEUVRES, BEER & WINE

HAVE NEW PHYSICIANS TO INTRODUCE? Contact Polly Evans (TPCA) at pevans@tallahasseeprimarycare.com SPONSORED BY

MEMBER FDIC

10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


NEW CMS MEMBERS

TMH Family Medicine Residency Program Residents: Heshani Abeysundara, M.D. Medical School: American University of the Caribbean Ivy Akid, M.D. Medical School: Ross University Ishaan Arora, M.D. Medical School: Saba University, Netherlands Anil Bajnath, M.D. Medical School: Ross University Jessica Castaneira, M.D. Medical School: American University of the Caribbean Holly Klopfenstein, M.D. Medical School: Florida State University Ericka Mapp, M.D. Medical School: University of the West Indies, Jamaica Meredith Maxwell, M.D. Medical School: Medical Univeristy of Georgia Gayatri Patel, M.D. Medical School: St. Matthew’s University John Turner, M.D. Medical School: Florida State University

FSU College of Medicine Internal Medicine Residency Program at TMH Residents: Alexandra Da Rocha, M.D. Medical School: Florida State University Adam Engel, M.D. Medical School: Florida State University Melia Holt, M.D. Medical School: University of Central Florida Tahirali Motiwala, M.D. Medical School: Medical University of South Carolina Cristin Sampson, M.D. Medical School: Ross University Anahita Sanaie, M.D. Medical School: Ross University Christopher Selleck, M.D. Medical School: Ross University

CAPITAL MEDICAL SOCIETY LUNCH & LEARN FALL 2015 Capital Health Plan, 1491 Governors Square Boulevard September 16, 2015 Customer Service in Health Care Speaker: Bert Mitchell, CareerSource Capital Region Sponsor: Tallahassee State Bank October 28, 2015 Stop Swimming Naked with the Sharks 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, ensuring your social media policy is compliant with the NLRB’s recent decisions, and newly announced overtime rules that impact your practice. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike! Speaker: Bill Krizner, The Krizner Group Sponsor: Hayes Computer Systems November 18, 2015 Time Management/Getting Organized Speaker: Bill Hambsh, CEO, North Florida Women’s Care Sponsor: FD Insurance 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 For more information or to register, contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11


REFLECTIONS FROM THE EDITOR

BILLROTH III By Charles Moore, M.D.

After all, did he not reach forth with his hand and Lo! create Billroth I, and on the second day Billroth II, fitting in otherwise at his leisure the first gastrectomy (1881), the first laryngectomy (1873), and the first esophagectomy (1871). Toss in the further fact that he introduced the idea of the M and M conference wherein honest discussions were made of outcomes, morbidities

Every man knows who was Louis Pasteur. Get into Medical School and you learn who was Virchow, Osler, Lister, Koch, and Theodor Billroth. Do a four year general surgery residency and you learn precisely enough what was a Billroth I (gastroduodenostomy, 1881) and II (gastrojejumostomy, 1885). And there it stops. No one much knows about Billroth III. Merrily immersed in Billroth I and II during my four years of general surgery, I blessedly gave up on the idea of being a great poet, thank God. I looked at the world far too matter of factly to have soared off into the empyrean heights on the grandiloquent wings of Calliope. I had also given up the idea of being a great painter, too: for even in those halcyon days when I still had options, I looked at Jackson Pollock’s work and knew intuitively that a.) I could never make such a mess, b.) I don’t like the way I look in a torn T-shirt and dirty jeans, and finally c.) I did not want to be wild, raging, and full of cheap wine. As for being a great classical pianist, which seemed to me very civilized, that option was never even remotely considered since from a very early age it had been discovered that I could not tell the black notes from the white. So I went into surgery. I liked the fact that surgery was, in fact, more matter of fact than poetry, painting, and music. As they say, perhaps too glibly of surgery, “see one, do one, teach one.” And as for music, at least in the O.R. the surgeon still, I believe, has the power and prerogative to choose the background music, although OSHA or someone may not even permit that now. In Billroth’s day, of course, and particularly in Austria, the surgeon was God; but the only music had to be in his head. And it was in his. It probably helped that Billroth even looked like God.

and mortalities. He wrote a huge book on all this, in German of course, the name of which is too much to entertain you with here. His teaching techniques were embraced by Halsted, who introduced his methods at Johns Hopkins. But Billroth was the Father and God of abdominal surgery. He was also, in his spare time, Billroth III, a brilliant violinist, a brilliant pianist, a brilliant orchestral conductor, a brilliant music critic, and the brilliant dear friend of Johannes Brahms, who never published any of his musical compositions without first consulting Billroth. To thank him, and in his honor, Brahms dedicated his first two string quartets, opus 51, to Billroth. These, you might be interested to know, are in musical circles commonly known as “Billroth I” and “Billroth II.” Billroth and Brahms together formed the core of those musical conservatives who opposed the innovations of Richard Wagner and Franz Liszt in what was called “The War of the Romantics.” Billroth was, amazingly, as much a titan in the musical world as in the surgical. And, broaching my point, he never saw Music and Science as being in conflict. “It is one of the superficialities of our time to see in science and art two opposites,” he wrote in a letter. “Imagination is the mother of both.” And so now, in the sere of my years when I only have to make a living vaguely, and having done a bit of surgery (grateful to my patients, by the way, for their kindness) I decided that I would, after all, embrace Billroth III, and once again attempt to discern which are the black keys, which the white, and where in the world is middle C. I would put aside all fear, for after all had I not been a surgeon!, and disowning the remembrance of childhood years when good authority had suggested to my parents that they were wasting money on my music lessons, I would now grasp, while the heart yet beat, that lovely nettle yet again. I was determined not to leave this life, as so many say and do, uttering those sad but immortal words, “I only wish I had learned to play the piano.” And so I was happily put into the care of Velma Frye, known far and wide for her talented musicality, her kindness, her patience and all that sort of thing. It crossed my mind, let me say, that

12

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


REFLECTIONS FROM THE EDITOR

maybe I was too old for this sort of thing, wasting if not my

He managed a sweet smile, said an articulate word or so, and

parent’s money, my own. Well, in this case it was my own, so

when Velma sang to him “I’ll be loving you….ALWAYS…” his

why not since I don’t play golf. And as for age, who should I have

expression was one of pure content. His beautiful wife held his

found just preceding my own lesson but Harry.

hand. A kiss or two and, not to tire him, we were gone.

Harry who? Never mind. Harry, who was 90 and had decided

The best, I think, was to come. His doctors, to their great credit,

himself to take up the piano a few years before. His hour with

discharged him from the hospital to go home. A touch of Hospice.

Velma preceded mine, so arriving to my lesson a few minutes early

But his own bed. His home. His dogs. His wife. And so he died

I would hear him playing more or less popular tunes from the

gently, where he should have, the very next day, surrounded by all

forties, simply, but nicely; a few accompanying chords; the rhythm

the best that a life should be surrounded by in death.

steady. And he was sometimes singing! “My God,” I thought, “he is actually singing while doing this!” And with a beautiful voice, too: rich, resonant, with only the faintest hint, and charming at that, of an occasional quaver that might have foretold his age. Probably even Billroth never himself sang while doing a Billroth one or two. I almost fled. But I did not. I had determined to be brave. And Velma, sweet as apple pie and cream, proceeded ever so gently to teach me, in a way that surgery does not, where my five fingers were. We surgeons generally use this finger or that, or simply grasp a scalpel

As Billroth said, Art is no contradiction to Science. In Harry’s case, in this so technologically oriented world of medical care, Art at the end prevailed. Harry’s doctors did not apply “heroic interventions.” They sent Harry home. Never mind who they were, but let me thank them here for having known so artfully that it was time to say good-bye. Billroth would, I like to think, have been pleased. By whom I mean, of course, Billroth III, but adding I and II it is, after all, exactly III.

CMS

by the throat; we don’t do surgery with the fingers spread, the interosseous muscles contrapuntally playing against the lumbricals, the extensor digiti minimi lifting just the little finger as the flexor pollicis longus comes down somewhere else in a full fortissimo. And it all has to be steady on, cognizant of the difference between a mere quarter note and an eighth, nor to neglect the moment when all is quiet; the blank spaces pregnant with what is to come, but making all the difference. Velma, without even a sigh, but perhaps with a knowing smile, gave up on writing in my “practice book,” since it became clear that I didn’t want to practice anything…oh well, I sort of maybe now know my scales…”but just wanted to play the piece beautifully. See.” Of course, it’s like wanting to be the perfect surgeon without ever doing the residency. Sweet Velma, I thank you. And Harry, I thank you, too. But let me, please take note, also thank Harry’s physicians. For Harry died a couple of weeks ago. He had continued to practice law, a bit, and came to his piano lessons, where we so amiably chatted between his leaving and my beginning, right

WHEN

WHAT IF

BECOMES

WHAT NOW. RGVI...Specializing in Medical Malpractice Insurance.

up until a couple of months before he fell ill. Heart, I think, for even the best do weaken; lungs of course; kidneys too. The day before he died Velma and Carrie, also a pianist friend of Harry’s, and I visited him in TMH. He awoke, and knew we were there.

Rogers, Gunter, Vaughn Insurance WE’RE ALL ABOUT YOU! (850) 386-1111 | RGVI.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13


VIEWPOINT

HOW I WENT TO SCHOOL TO BECOME A DENTIST AND ENDED UP A HEART SURGEON By David L. Saint, M.D.

My journey to become a physician started as my junior year of high school came to an end. I had no idea what I wanted to do with my life. Like many kids I turned to my father for advice. The conversation went in a direction I did not expect. He advised me to spend a couple of days reflecting on every adult I knew, and come back and tell him who was the happiest person and why. The answer for me was fairly easy; the happiest person I knew was my dentist, Lyldon Strickland, DMD. I really didn’t know him personally, but he and everyone in his office seemed to enjoy every day. They seemed to love their work and the interaction with their patients in a sincere and genuine way. They were always laughing and joking both with patients and with each other. Every visit was a real joy. It seemed to me like a wonderful way to spend your life. So, off I went to Samford University to see if I could work my way into dental school. My mother was a school teacher and my father was an Aeronautical Engineer for NASA. He was literally a “Rocket Scientist”. We really didn’t know any physicians, or have anyone in our extended family who was in any way in medicine or nursing. As my plan to become a dentist became known by professors, counselors, friends, fraternity brothers and pre-med students, I was encouraged by most everyone to choose medicine over dentistry. Looking back to 1977, it is easy to see why medicine was the favored choice at that time. It was a golden age of expanding medical progress with amazing new technology in almost every specialty. Physicians were benefiting from Medicare and increased insurance reimbursements, and were experiencing much brighter economic prospects than their dentist collegues who were being paid out of pocket. Forty years later we can argue about which profession is

14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

better off given the advent of Medicare, HMO’s, rise of M.D. employment versus private practice, internet report cards, and all the other myriad of changes that have occurred in our lifetimes. But at that time I was persuaded by the overwhelming opinion that I should apply to medical school, and so I converted to pre-med my sophomore year. I had met my wife Rhonda at the start of my sophomore year in college, and we worked together on our joint dream of a life in medicine, her in nursing and me as a physician. Our dreams came true in the spring of 1980 when we graduated one week, and got married the next. She immediately began her career in nursing. I started medical school two weeks later. I went to UAB Medical School with no pre-conception of what branch of medicine I would choose. In fact, each new specialty in my third year seemed to have some great positives, like the joy of childbirth, in that case with some substantial negatives. Why are all babies born after midnight? But the light for me really went on late in the year when I did my third year surgery rotation. UAB was known nationally and internationally for their Cardiac Surgery Program. It was headed by John Kirkland, one of the founding fathers of the specialty, and featured Albert Pacifico, one of the specialty’s brightest lights. As such, I thought it would be a good idea to see the service for which UAB was most well known. It was, as it turns out, a very demanding service to be on as a student, and one that almost every student tried to avoid. I didn’t fully realize this until I showed up for the first day of the rotation, and the department secretary told me I was the first student she could remember who had volunteered for the service and had not been assigned to it because all their other choices were filled.


VIEWPOINT

The next eight weeks would eventually set the direction of my life. When I first walked into Dr. Pacifico’s operating room I can distinctly remember thinking, “Wow! This is great!”. I really didn’t know what was going on, but knew that this operating room was very different than anything I had ever seen. Over the next several weeks I learned many things from both Dr. Pacifico and the residents. I learned that you operate with your head as well as your hands. Dr. Pacifico’s favorite point was to demonstrate how you avoid problems through preparation and thought. He demonstrated how planning and executing an operation is as much of an intellectual challenge as the most obscure differential diagnosis. I learned that almost all medical students have the dexterity to perform surgery, and that the real difficulty is managing the operating room itself, pushing the procedure through to a successful outcome no matter what arises. These were exciting days for me. I was given more responsibiltiy in the operating room and out. One day I was given the job of stabilizing the aortic cross clamp while on pump. It felt like I was a critical component of the team. On this day we had a mandatory meeting for all surgical rotation students at noon. As noon approached, it was apparent that the cross clamp would still be in place when I needed to leave. I was torn between my need to be at the mandatory meeting and my perceived critical role in this surgery. When I finally worked up the nerve to say that I had to leave, the response was “OK, great”. I was excused, and the cross clamp was stabilized with a hemostat on the drapes. I had been replaced by a hemostat. Another valuable lesson.

UAB School of Medicine

My experience on the cardiac surgery team at UAB convinced me that I wanted to be a surgeon, but there was a dark side. Surgery in general at UAB, and cardiac surgery in particular, was run in the spirit of William Stuart Halstead. It was very demanding psychologically. It seemed to damage some residents and few marriages survived. I went to Parkland, in Dallas, to become a general surgeon in a very different, and more humane environment. At that time I didn’t think cardiac surgery was in the future for me. During my final year at Parkland, I was still trying to decide what I was going to do after residency. There had been a Parkland resident in the University of Michigan Thoracic Surgery Program for 10 to 15 years, sometimes one in each class for several successive years. So, when one of the thoracic surgery residents unexpectedly left the program in Ann Arbor at the end of his first year, it was natural for Dr. Mark Orringer, then Chair of Thoracic Surgery, to look to Parkland for a replacement on short notice. I was given the opportunity to interview for the job, discovered that there were places you could become a cardiac surgeon without sacrificing your family, and we took the leap. It has been an amazing journey for Rhonda and me. Who knows if we would have been happier had I become a dentist. I know that this path has been rewarding, challenging and humbling. I am grateful to have had the opportunity to be a Thoracic Surgeon these past 26 years. Looking back, I wouldn’t change a thing. CMS

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15


VIEWPOINT

DR. GOOGLE AND MISS MILLAY By Frank Skilling, M.D.

A frequent presence in my practice is the uninvited, but

of a swollen left hand. On inspection, he had diffuse

omnipresent, Doctor Google. He often sees my patients for

enlargement not only of the left hand, but also the entire

consults before or after their office visits, and he frequently

left upper extremity, and even the left lower extremity.

second-guesses my judgments, or even prejudges my

Of course I had no idea what was wrong with him, and

recommendations. At first I resented his input, but as time

I perused my most cherished medical text: Harrison’s

has passed, I’ve learned to accept him as the twenty-first

Principles of Internal Medicine, but I was unable to find a

century version of a second opinion: sometimes confirming,

reference there. Somehow I tracked down an old orthopedic

sometimes offering a different line of reasoning in patient

journal or text book that outlined an obscure condition

care, and sometimes creating exasperation for my patients

named the Klippel-Trenaunay-Weber Syndrome. I wrote to

and me.

the journal’s publisher requesting a reprint. In the interim, I

A recent example: one of my employees developed an abducens nerve palsy in her left eye secondary to diabetes. These are common, self-limited to six or eight weeks, but bothersome because of double vision that occurs while the

rotated back to my next duty station at Pensacola. I finally received a copy of the reprint six months after my initial request. Such was the speed of medical information flow then if one was outside of a major medical center.

nerve is recovering. The abducens nerve is the sixth cranial

This afternoon in my office I did a Google search for the

nerve, and ophthalmologists sometimes abbreviate the

KT Syndrome, as it’s now called, and I received seventy-

condition as a “CN 6 paresis.” After being followed by me

seven THOUSAND references in 0.41 seconds. Of course,

for four weeks during her recovery, she approached me one

not all of them are germane, but the rapidity with which the

day to inquire why I had not ordered neck x-rays because

search was conducted is breathtaking, and yet we’ve now

her sister had checked on the internet and found that a

all come to expect such information at our finger tips on all

person with a Sixth Cervical Nerve problem should have

electronic devices. The medical students and residents who

imaging studies. I had to explain that despite Dr. Google’s

rotate through my office on their electives know no other

assessment, a Cranial Nerve Six problem involving the eye

way than to immediately go to their smart phone or tablet

but not the neck did not require x-rays in this instance since

to look everything up.

they were two different nerves.

A hallowed tradition when I was in medical school was

Contrast this with a highly unusual case that I observed

being “sent to the library to look up the latest treatment

in a young Marine while I was serving as a Navy medical

on.” It was a phrase usually imparted by the junior resident

officer on Okinawa in 1974. The Marine presented to our

to the senior medical student when a particular disease

medical dispensary at Camp Hansen with the complaint

was encountered on a ward patient. After a full day in the

16

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


VIEWPOINT

clinic, we medical students often found ourselves in the

week-ends he participated in fraternity events and stayed

library thumbing through the Index Medicus to research the

up late drinking beer and playing pool. He was averaging

latest treatments. Transcribing reports involved pens, index

four hours of sleep a night, including week-ends, and he

cards, notebooks, and in the early 1970s, that new magic

had constant diffuse headaches. I explained to him and

invention--- the Xerox machine. This was revolutionary to

his mother that he had a syndrome known as “Burning

me---now I could carry the exact reference folded up in the

the candle at both ends.” They were both surprised but

front pocket of my short white student coat and directly

relieved. Sometimes it’s better to know poetry than to use

quote the article at the next morning’s rounds. What a time

the internet. The famous American poet Edna St. Vincent

saver the copy machine was. But of course it also allowed

Millay actually made the correct analysis many years ago

me to accumulate articles which managed to gather dust

in contrast to my patient’s inaccurate brain tumor diagnosis

in corners and closets until I found time to read them.

culled from the web:

Somehow that time rarely came. The FSU College of Medicine today teaches all incoming students a course in Medical Informatics that shows them how to use the personal computer to access the

“My candle burns at both ends;

It will not last the night;

But ah, my foes, and oh, my friends,

It gives a lovely light!”

entire universe of medical literature. The computer-age medical librarians know more about searching the internet than anyone else I’ve met, and their new designator is “cybrarian,” a portmanteau of cyber and librarian. One

CMS

of my patients is a professor of library studies at FSU and an expert on research science. Years ago when the internet was getting started I teased her that her job was in jeopardy because everyone would soon be able to access all types of information without her. She quickly responded that her skills would be more necessary than ever because no one would know how to use the information that the searches turned up. She was correct. I now see many patients with self-diagnosed conditions that they found online. One of my favorite examples was a young FSU undergraduate who showed up in my office one morning accompanied by his mother from South Florida. He told me that he was certain that he had a brain tumor, which he’d diagnosed after looking up his headache symptoms on the web. He had a normal eye exam, but he looked quite distressed and tired. I asked him what kind of schedule he was keeping and how he spent his days. He attended class daily, played intramural sports, and studied late. On

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 17


FAMU MEDICAL SCHOLARS PROGRAM

PHYSICIAN COMMUNITY NEEDED TO MENTOR MEDICAL SCHOLARS PROGRAM STUDENTS Atlantic University (FAU) in Boca Raton, Florida. Since the inception, the program has changed and divided into two Tracks I & II. Track-I is slated for those students going directly to FAU College of Medicine. Track-II is slated for those students applying to any medical program in the U.S.; including the Florida State University College of Medicine. This change allows MSP members to receive tailored training for medical school, as well as the flexibility of their desired medical program.

The new Medical Scholars Program (MSP) at Florida A&M University is requesting the support of the local physician community to participate in their newlyestablished, “Clinical Shadowing Experience” program. For the Fall 2015 semester, the desire is to rotate 6 uniquely trained MSP pre-medical members through 6 different clinical sites each month. MSP members would engage 4 to 6 hours of clinical shadowing per week. Weekly clinical shadowing experiences are between 1, 4-hour session per week, or up to 2, 3-hour sessions per week. The duration and frequency would depend on the policies of the clinical site and the availability of the physician. Each MSP member is a “Presidential Scholar” and holds a 3.5 or better cumulative grade point average. Dr. Gregory Holt, of the Tallahassee Sleep Diagnostic Center will coordinate the rotation of MSP members at each site. The Medical Scholars Program (MSP) at Florida A&M University was started in the fall of 2012. In short, the MSP is an elite pre-medical program initially between Florida A&M University (FAMU) in Tallahassee, Florida and the Charles E. Schmidt College of Medicine at Florida

18

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Only the best students are recruited directly out of high school for the MSP, with particular interest to those reflecting underserved communities. The MSP has the overall goal of attracting and enrolling outstanding high school seniors who have made an early and informed decision to ultimately pursue a doctoral degree in the field of medicine; essentially becoming a medical doctor (MD). The primary goal of the MSP is to admit above average, academically talented high school students to the MSP at FAMU. Prospective freshmen must have an un-weighted overall grade point average of 3.5 or better, with SAT scores of 1800 or better, or ACT scores of 27 or better. Those admitted to the MSP must maintain a 3.5 or better GPA during their undergraduate matriculation. In addition to the standard curriculum for pre-medical majors, MSP members must also take one additional MSP course per semester. If you are a local physician and would like to participate in our program, please contact our Executive Assistant, Ms. Breon S. Robinson at (850) 412-5407 or breon1.robinson@ famu.edu or Dr. Michael J. L. Smith, Director at (850) 5998503 or michael.smith3@famu.edu. To learn more about the Medical Scholars Program, please visit our site at the following: http://www.famu.edu/index. cfm?medicalscholarsprogram. CMS


FLORIDA BOARD OF MEDICINE

ABANDONED MEDICAL RECORDS ALERT The Florida Department of Health is experiencing an increase in the number of reports regarding abandoned medical records. In an effort to curb this trend, the Florida Board of Medicine is sending out this campaign to educate doctors regarding the retention and disposition of medical records. The Board of Medicine and the Legislature recognize the need for maintenance and retention of medical records in order to protect and serve patients. For that reason, the Legislature has directed the Board to promulgate rules setting standards that will provide a minimum requirement for retention and disposition of patient records of deceased practitioners and practitioners relocating and terminating practice. Rule 64B8-10.002, F.A.C., sets forth standards which if not met will constitute a violation of Section 456.058, Florida Statutes, and will subject the physician to disciplinary proceedings by the Department of Health. Physicians should retain records as long as needed not only to serve and protect patients, but also to protect themselves against adverse actions. When a licensed physician terminates practice or relocates and is no longer available to patients, patients should be notified of such termination, sale, or relocation and unavailability by the physician causing to be published once during each week for four (4) consecutive weeks, in the newspaper of greatest general circulation in each county in which the physician practices or practiced and in a local newspaper that serves the immediate practice area, a notice which shall contain the date of termination, sale, or relocation

and an address at which the records may be obtained from the physician terminating or selling the practice or relocating or from another licensed physician or osteopathic physician. A copy of this notice shall also be submitted to the Board of Medicine within one (1) month from the date of termination, sale, or relocation of the practice. The licensed physician may, but is not required to, place a sign in a conspicuous location on the facade of the physician’s office or notify patients by letter of the termination, sale, or relocation of the practice. The sign or notice shall advise the licensed physician’s patients of their opportunity to transfer or receive their records. A licensed physician relocating or terminating practice shall keep adequate written medical records, as required by Section 458.331(1)(m), Florida Statutes, for a period of at least five years from the last patient contact. The executor, administrator, personal representative or survivor of a deceased physician licensed pursuant to Chapter 458, Florida Statutes, shall retain medical records in existence upon the death of the physician concerning any patient of the physician for at least a period of two (2) years from the date of the death of the physician. For more information, please visit our website at http:// flboardofmedicine.gov/resources/ to view Florida Statute 456.057, 456.0575, 456.058 and Florida Administrative Code 64B8-10.Abandoned Medical Records Alert CMS

We Bring You In.

A lawsuit is threatening. The costs are overwhelming. We work fast. FD Insurance conducts immediate investigations of allegations and determines the best course of action. First for Doctors. We also bring you into the decision process. We inform you of every option, pro and con. We provide direction. You’re involved in the decision, protected by one of today’s largest malpractice insurers. We’re a force for your best interests.

Our partnership with Capital Medical Society (CMS) provides a 10% discount to members.

800.352.3627

fdinsurancecompany.com

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

19


CMS ALLIANCE CORNER

It is hard to believe summer break is already over. School has resumed and our second half of the Alliance year is getting ready to kick off. It has been an amazing year so far and I am so grateful to everyone for their support. We partnered with the Capital Area Healthy Start Coalition for our community project and it was a huge success! The fundraiser at Goodwood Museum raised almost $21,000. I thank everyone who contributed and supported this event. We are continuing to collect gently used or new books for Healthy Start to provide to needy families they are helping. You can bring them to the meetings and I will make sure they receive them. In September, we will kick off the second half of the year by honoring our Past Presidents at A La Provence. Thank you to Dr. Douso who will be our guest speaker. In October, the Alzheimer’s Project will be hosting and giving us information about their organization. In November, we will be meeting at Publix Cooking School for Healthy Holiday Cooking. December will be a month of socials which are always lots of fun, including the CMS Foundation Holiday Auction and our second annual White Elephant Ornament Exchange. I have provided a full list of our calendar of events below, so make sure you mark your calendars now! Please keep an eye out for your dues statements and if you did not receive one, please contact Melissa Inglese, Treasurer, mkdodd@ att.net. If you are interested in joining the Alliance, please contact Debra Placilla, VP Membership, placdeb@aol.com and she will send you a membership packet. We are physician’s spouses dedicated to health, education, wellness and community service, working in partnership with the Capital Medical Society. I look forward to a great rest of the year and hope to see you all at our upcoming meetings! Warm regards, Amy Pagano, CMSA President

CALENDAR OF EVENTS:

20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

September 23

- A La Provence - 10am-12pm - $25 fee

October 28

- Alzheimer’s Project -10am-12pm - $10 fee

November 18

- Publix Cooking School - 9:30am-12pm - $25 fee

December 3

- CMS Foundation Holiday Auction - 6:30pm

- CMS will send out invites

December 8

- 2nd Annual White Elephant Ornament Exchange

- 10am-12pm - Hosted by Mara Rumana


Welcome

Alexander Ramirez, MD

General Surgery Bariatric and Minimally Invasive Surgery Board Certified General Surgery, Bariatric and Minimally Invasive Surgery Medical School University of Cartagena, Colombia General Surgery Residency New York Hospital Medical Center of Queens, affiliate to Weill Medical College of Cornell University, Flushing NY Bariatric Surgery and Minimally Invasive Surgery Fellowship Cleveland Clinic Florida, Weston, FL

Specialized Care Here in Tallahassee. Services by Tallahassee Surgical Associates

1401 Centerville Road, Suite 100 | Tallahassee, FL | 850-877-5183

Absolute Must See! New Construction in Midtown! 1224 Mitchell Ave. $469,900 Exciting new custom home by JEFF DRAKE! This home has it all! Location! Quality! Style! This Midtown jewel offers a spacious floor plan with 10’ ceilings down and 9’ ceilings up. Beautiful custom cabinetry, designer lighting fixtures, gorgeous granite, custom moldings, gleaming hardwood floors, exciting baths, and covered porches just to name a few! A three minute walk to TMH, plus walking distance to restaurants, shops, bars, and more! Absolute must see! Call today for more information! 4 bed/3 bath 2,510 SF

Casey J. Naylor Broker 850-445-4999

Midtown Brokers, LLC www.MidtownBrokers.net www.JeffDrakeHomes.com

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 21


2015 CMSF HOLIDAY AUCTION

SUPPORT YOUR FOUNDATION – BECOME A SPONSOR! Capital Medical Society Foundation ~ Holiday Auction December 3, 2015 University Center Club at FSU FSU Doak Campbell Stadium – 1 Champions Way Sponsor Name: Address: Phone: Fax: E-mail: Today’s Date: Primary Contact: Contact Signature: Please check your sponsorship level: _____ · · · · ·

Title Sponsors: $5,000 Invitation for eight (8) company representatives to the Holiday Auction Logo on event materials Recognition in articles/pictures in the newsletter, Cap Scan One free full-page black & white ad in 2016 in the newsletter, Cap Scan Logo on post-event Tallahassee Magazine advertisement

_____ · · · · ·

Presenting Sponsors: $2,500 Invitation for six (6) company representatives to the Holiday Auction Logo on event materials Recognition in articles/pictures in the newsletter, Cap Scan One free half-page black & white ad in 2016 in the newsletter, Cap Scan Logo on post-event Tallahassee Magazine advertisement

_____ · · · ·

Supporting Sponsors: $1,000 Invitation for four (4) company representatives to the Holiday Auction Listed as sponsor on event materials Recognition in articles/pictures in the newsletter, Cap Scan Listed as sponsor in post-event Tallahassee Magazine advertisement

_____ · · · ·

Supporting Sponsors: $500 Invitation for four (2) company representatives to the Holiday Auction Listed as sponsor on event materials Recognition in articles/pictures in the newsletter, Cap Scan Listed as sponsor in post-event Tallahassee Magazine advertisement · Donations payable to: Capital Medical Society Foundation The Capital Medical Society Foundation is a 501(c)(3) Corporation Federal Tax I.D. #: 59-2104510 COMPLETE AND FAX THIS FORM TO CMS: (850) 878-0218 QUESTIONS? CALL (850) 877-9018

22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


CMS FOUNDATION

CAPITAL MEDICAL SOCIETY FOUNDATION GIVES BACK TO OUR COMMUNITY

Mark Baldino, President and CEO of Elder Care Services, Inc. was presented a check for $3,450 to support its In-Home Services Program by Pam Wilson, Executive Director, Capital Medical Society Foundation.

Dee Crusoe, Chair, and Matt Hansard, Director of Big Bend Hospice Foundation were presented a check for $3,200 to support its bereavement program by Pam Wilson, Executive Director, Capital Medical Society Foundation.

Dean John Fogarty, M.D., Dijo Joseph (M2), Christie Alexander, M.D. (CCHP Faculty Advisor), Brittany Kalbac (M2), Stephanie B. Tran (M2), Michelle Ayazo (M2), Katherine Gonzalez (M2), and Pam Wilson

Capital Medical Society Foundation presented a check for $4,350 to representatives of FSU College of Medicine’s FSUCares Chapman Community Health Program. Funds will help support access to care for residents at Maryland Oaks Crossing.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

23


MMIC Ad_CapScan_06-2015b.pdf

1

6/15/15

5:57 PM

32 YEARS

We have been defending our owners for more than

Staige Hoffman MagMutual 813-781-3184

Rob Remig Fisher Brown Bottrell Insurance 850-432-7474

Founded by physicians, we offer: • Medical malpractice insurance for pyhsicians • The best attorneys • Peer physician claims review • Consistent dividends*

MagMutual.com

* Dividend payments are declared at the discretion of the MAG Mutual Insurance Company Board of Directors. Since inception, MAG Mutual Insurance Company has distributed more than $136 million in dividends to our policyholders. Insurance products and services are issued and underwritten by MAG Mutual Insurance Company and its affiliates.

24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


The credit you deserve.

The new Business Access Line of credit from Synovus gives your business fast, easy access to cash when you need it most. Even when you’re low on funds, you can get started on spending without ever calling the bank. We understand that your time is valuable, so Synovus keeps things simple. To find out how your business can set up its own line of credit, visit your local Tallahassee State Bank branch or synovus.com/BAL.

Banking products are provided by Synovus Bank, Member FDIC. Divisions of Synovus Bank operate under multiple trade names across the Southeast.

SERVING YOU LOC ALLY A S

850.576.1182 talstatebank.com

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

25


CMS FOUNDATION

Reasons to Give: Funds raised by generous donors benefit the We

Care Network. The We Care Network is a past Blue Foundation Sapphire Award winner and its impact on the community was featured in the Sept/Oct 2014 issue of the Tallahassee Magazine. The We Care Network provides over $6 million in donated specialty medical and dental care to the community’s low-income uninsured annually. In addition, donations support medical school scholarships for medical students at FSU College of Medicine committed to returning to NW Florida

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:

after completion of their residencies. In 2014, $40,000 in scholarships were awarded to nine FSU College of Medicine students.

Gifts to Honor and in Memoriam: You can make a donation to the CMS Foundation

For CMS Foundation Robert Chapman, M.D. Along with their annual dues payment Joel Kramer, M.D. Karen Krueger, M.D. David Miles, M.D. Celeste Paquette, M.D. Alfredo Paredes, M.D. Drs. Jeff and Lisa Rawlings Terence Reisman, M.D. Kenneth Wasson, M.D. For the We Care Network Patient Assistance Fund Patrick J. Farrell, Jr. and Kathleen D. Farrell

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 will send an acknowledgement letter to those you memorialize and honor.

How to Give: Through the generosity of donors, three funds have been created in order to establish financial stability to meet our mission. You can donate any time to one of CMS Foundation’s funds. 1) The CMSF Endowment 2) The We Care Network Endowment 3) The Scholarship Fund

The mission of the Capital Medical Society Foundation is to support the charitable efforts of physicians and others, increase

Checks should be made payable to the CMS Foundation and indicate on the memo line of your

access to healthcare, promote education and

check to which fund you would like to donate.

serve the community’s health needs through

Capital Medical Society ~ 1204 Miccosukee Road ~

innovative projects that are exemplary, affordable and dignified. 26 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Bring your check to the CMS Office or mail it: Tallahassee, FL 32308.


CMS FOUNDATION: WE CARE NETWORK

THANK YOU! To our CMS members and We Care partners who saw new patients for the We Care Network in July 2015. Your generosity and support of the We Care Network makes a difference. PHYSICIANS Greg Albright, D.O. Raj Bendre, M.D. Robert Bradford, M.D. Viet Bui, M.D. David Burday, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Michael Cavallaro, M.D. Raymond Cottrell, M.D. Alex Davenport, M.D. William Dixon, IV, M.D. Ray Dolly, M.D. David Durden, M.D. Marc Fisher, M.D. Akash Ghai, M.D. Spencer Gilleon, M.D. Frank Gredler, M.D. Larry Harper, M.D. Jerry Harris, M.D. Celeste Hart, M.D. James Hunt, D.O. Julian Hurt, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. Dan Kaelin, M.D. Arjun Kaji, M.D. John Katopodis, M.D. Farhat Khairallah, M.D. James Killius, M.D. Amulya Konda, M.D. Carey Linker, M.D. Maribel Lockwood, M.D. Kurt Luhmann, M.D. Michael Mangan, M.D. T. Adam Oliver, M.D. Steven Ostrov, M.D. Rodolfo Oviedo, M.D. Alfredo Paredes, M.D.

Praful Patel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. Stephen Quintero, M.D. J. Daniell Rackley, M.D. Andres Rodriguez, M.D. Karen Russell, M.D. William Sawyer, M.D. Hardeep Singh, M.D. Frank Skilling, M.D. Robert Snyder, M.D. Mary Swain, M.D. Timothy Sweeney, M.D. David Vermess, M.D. Tony Weaver, M.D. DENTISTS Eric Amundson, D.D.S. William T. Baldock, D.D.S. Ransey Boyd, D.M.D. Steven Bryan, D.M.D. Susan Byrne, D.M.D. David Cardman, D.M.D. Walter Colón, D.M.D. Brittney Craig, D.M.D. John S. Dozier, D.M.D. Michael Hartley, D.M.D. William McFatter, D.D.S. E. Lynn McLarty, D.D.S. Jim McSoley, D.M.D. Erin Shiveler, D.M.D. Frank Swerdzewski, D.D.S. James Sykes, D.M.D. Jay Walton, D.D.S. Lawrence Weaver, D.D.S. Ed Zapert, D.M.D. FACILITIES Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Leon County Dental Clinic Pathology Associates Radiology Associates Seven Hills Surgery Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Health Imaging Tallahassee Memorial HealthCare Tallahassee Orthopedic and Sports Physical Therapy 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. You can send your value of donated services via fax to Sue Michaels, R.N. at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Sue Michaels, R.N. at smichaels@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of July 2015 and your name is omitted.

We thank our referring providers from July 2015: Eboni Allen, ARNP Anne Ananga, ARNP Aaron Appiah, M.D. Brian Beck, D.M.D. Wayne Batchelor, M.D. Raj Bendre, M.D. Nathan Blake, M.D. Shelby Blank, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Earl Britt, M.D. Kendall Campbell, M.D. Robert Campbell, M.D. David Cardman, D.M.D. Christie Chiu, M.D. Marilyn Cox, M.D. Lysmar Dinguis, M.D. William Dixon, IV, M.D. Shirley English, ARNP Cynthia Evans, ARNP Michael Ford, M.D. Sharron Foster, M.D. Dale French, D.O. Anneka Gaffney, ARNP Frank Gredler, M.D. Judy Griffin, ARNP Michael Hartley, D.M.D. Hantz Hercule, M.D. Sarah Hinson, ARNP Susan Horton, ARNP Iman Imanirad, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D.

William Kepper, M.D. Howard Kessler, M.D. Farhat Khairallah, M.D. Elaine Larkins, ARNP Jeremy Latimer, M.D. Janice Lawson, M.D. Esaias Lee, M.D. Juan Martinez, M.D. Damon McMillan, M.D. Kelley Miller, ARNP William Morse, M.D. John Ness, M.D. Helen Nitsios, M.D. Winston Ortiz, M.D. Rodolfo Oviedo, M.D. Lisa Perkins, ARNP Stephen Quintero, M.D. Marlaine Registe, ARNP Charlie Richardson, M.D. Jose Rodriguez, M.D. Mark Saunders, M.D. Jeannine Silberman, M.D. Hardeep Singh, M.D. Robert Snyder, M.D. Alanna Steaple, ARNP Frank Swerdzewski, D.D.S. Tallahassee VA Clinic Scott Tetreault, M.D. Faye Tinson, ARNP Leonard Tolley, D.D.S. Tony Weaver, M.D. Richard Zorn, M.D.

DURING THE MONTH OF JULY, THE WE CARE NETWORK: RECEIVED 161 REFERRALS, WITH 85 PATIENTS NEW TO THE PROGRAM

SCHEDULED 131 $599,911 IN DONATED CARE APPOINTMENTS WITH WAS REPORTED BY WE CARE VOLUNTEER PHYSICIANS AND VOLUNTEERS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 27 27 DENTISTS


Prsrt. Std. U.S. Postage

PAID

Tallahassee, FL Permit 801

Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested


Turn static files into dynamic content formats.

Create a flipbook