SEPTEMBER EDITION, VOLUME 2016, NO. 9
YOUR PRESIDENT’S EXPERIENCE AT THE 2016 FMA ANNUAL MEETING By J. Daniell Rackley, M.D., CMS President As your Capital Medical Society president, I had the privilege of attending the 2016 Florida Medical Association Annual Meeting in Orlando at the end of July. As luck would have it, it was Capital Medical Society’s turn to chair our Northwest Florida Caucus. For those of you who do not know, CMS’s 10 FMA delegates meet with FMA delegates from Escambia County and Emerald Coast (Panama City) Medical Societies to discuss pending resolutions that will be voted upon at the FMA House of Delegates second session. This process shapes FMA’s legislative agenda. Since I am the current CMS president, I got to chair the caucus that met Saturday and Sunday mornings from 6-8 a.m. I have to say, this seemed pretty daunting, as I have never served as an FMA delegate before. Other seasoned CMS delegates and CMS staff, including Pam Wilson and Shannon Boyle provided invaluable help and encouragement to help me chair the caucus. Your delegates to this year’s meeting were Dr. Alma Littles, Dr. Josh Somerset, Dr. Michael Forsthoefel, Dr. John Bailey, Dr. Alfredo Paredes, Dr. Christie Alexander, Dr. John Mahoney, Dr. Gary Winchester, and Dr. Hugh VanLandingham. Also, Dr. Andrea Friall, who was representing the OB/GYN specialty society as a delegate, attended our caucus meetings
and provided helpful insight. Your delegates were among the strongest representation at the FMA and provided Capital Medical Society earned the top spot and outstanding trophy as the FMA PAC 1000+ Club fundraising leadership for winner for the weekend! your medical society. They are truly an extremely knowledgeable, wellinformed group and provided tremendous insight to the entire meeting process. Many delegates sat on Reference Committees or the Rules and Credentials Committee. Dr. Alexander chaired Reference Committee III (Legislation). Having spent time rotating between the Reference Committee meetings, Reference Committee III was the most well-run and organized thanks to Dr. Alexander’s outstanding leadership. I would encourage any of you who run into these delegates to thank them personally for providing such outstanding representation for CMS members at this meeting.
The highlight of the meeting was the nomination and election of CMS member, Dr. John Katopodis, as the 2016-17 Florida Medical Association President-Elect. Dr. Michael Forsthoefel formally nominated Dr. Katopodis at the House of Delegates opening session. In his nominating speech, Dr. Forsthoefel CMS Delegates: (l-r) Dr. Gary Winchester, Dr. John Bailey, Dr. Joshua Somerset, stated that Dr. Katopodis “is a strong Dr. Alfredo Paredes, Pam Wilson, member of Florida Medical Association Dr. J. Daniell Rackley, Dr. Alma Littles, PAC and, residing in Tallahassee, he has Dr. Christie Alexander, Shannon Boyle, and Dr. Hugh VanLandingham. (Not pictured: Dr. been very active in lobbying FMA issues and vetting candidates for the legislature Michael Forsthoefel and Dr. John Mahoney) CONTINUED ON PAGE 4
CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR September 8, 2016 CMS Meet the Candidates Forum 5:30 pm Goodwood Museum Carriage House
September 20, 2016 CMS Membership & CME Meeting America’s End of Life Ethical Dilemma: Is there a Time When It Is OK to Die? Monica Williams-Murphy, M.D., Huntsville Hospital, author of “It’s OK to Die” 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks Spouses Welcome ($20 fee)
BOARD OF GOVERNORS J. Daniell Rackley, M.D., President Tracey Hellgren, M.D., President-Elect
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
2016 FMA Annual Meeting …
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New Resident CMS Board Members …
3
New CMS Members …
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Professional Notes …
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CMS Lunch and Learn …
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CMS Connect the Docs Happy Hour …
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Viewpoint …
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Alliance Corner …
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Public Health: Zika …
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Milestones …
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2016 Holiday Auction Sponsorship …
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David Dixon, D.O., Secretary/Treasurer
CMS Foundation …
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Joshua Somerset, M.D., Immediate Past-President
CMS Foundation: We Care Network …
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Christie Alexander, M.D. Shelby Blank, M.D. Hien Guyer, CMS Alliance President Rohan Joseph, M.D.
HAPPY BIRTHDAY!
Shakra Junejo, M.D. Maribel Lockwood, M.D.
{SEPTEMBER BIRTHDAYS}
Paresh Patel, M.D. Gregory Perry, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D. Pam Wilson, Executive Director Family Medicine Residents Todd Hewitt, M.D./Meredith Maxwell, M.D. Internal Medicine Residents Vishal Dahya, M.D./Rachel Russell, M.D. General Surgery Residents Emanuela Alvarenga, M.D./Paul Clark, M.D.
PUBLICATION EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.
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 L. 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 John Fogarty, 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
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
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. 2
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 Kaisa van der Kooi, M.D. – 19th Robert Brumberg, D.O. – 20th Dwight Hooper, M.D. – 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
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
NEW RESIDENT CMS BOARD MEMBERS
THE CAPITAL MEDICAL SOCIETY BOARD OF GOVERNORS WELCOMES THE NEW RESIDENT BOARD MEMBERS Emanuela Alvarenga, M.D., General Surgery
Paul Clark, M.D., General Surgery
My training in surgery actually started earlier in Brazil at a high volume hospital, Municipal Hospital “Dr. Mario Gatti” in Campinas-SP, followed by 1 year gastroenterologycolorectal surgery training at the University of Campinas (UNICAMP)-Gastrocentro, and subsequently, a 2 year Colorectal Surgery residency training at “Hospital das Clínicas of the University of Goiás-School of Medicine.”
Born and raised in Southern California, I attended undergrad at California State University San Marcos, in North County San Diego where I studied Biology earning a Bachelor of Science degree in 2010. For medical school I attended Ross University School of Medicine and received my MD in 2015. I began my graduate medical education at the University of Texas Health Science Center at Houston where I completed my General Surgery Internship 2016. I am honored and excited to be part of the inaugural General Surgery class at Florida State University and Tallahassee Memorial Hospital where I will continue training as a categorical PGY-2 resident and complete general surgery residency in 2020. I plan to continue training after residency with a fellowship in Plastic and Reconstructive Surgery as I am interested in facial trauma as well as hand. When I am not practicing/studying medicine I enjoy spending time with my wife Kristen and our two sons Carter (age 3) and Collin (age 1). My hobbies include skateboarding, woodworking, and Mexican food.
After my training in Brazil I felt compelled to pursue further academic endeavors in Colorectal Surgery. The Clinical Research fellowship at Cleveland Clinic Florida was completely aligned with my desire for further academic refinement. During this period, I recognized the exceptional mentorship, vast research opportunities and academic growth potential available in the U.S. In face of the American Board of Surgery requirements for retraining, my goal is a program which stands as a perfect training ground for physicians pursuing a clinical and research oriented carrier. I see the Florida State University College of Medicine allied with Tallahassee Memorial Healthcare as a promising solid program which will grow and give everybody the chance to grow, as is utterly necessary for prospering corporations.
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2016 FMA ANNUAL MEETING
assuring they will help us on FMA issues of scope of practice, tort reform and interference by insurance companies on the practice of medicine.” He also quoted Dr. Katopodis’ personal statement in which he states, “I believe that FMA leaders must always represent the physicians of Florida in a forward thinking and proactive manner that is all-inclusive and respectful of its diverse constituents. They must have a deep knowledge of the FMA, the nuance of the legislative and political processes and of physician needs.” Dr. Katopodis handily won his election at the House of Delegates second session. This means that Dr. Katopodis will be installed as the President of the FMA in August, 2017. Please personally congratulate him if you see him. Needless to say, this a significant honor for Dr. Katopodis and his presidency brings a great deal of positive attention to our medical society. I encourage our membership to support him in any way possible whether it be financially through donations to the FMA PAC or helping him logistically as he embarks upon his presidency. It has been said before, but CMS is uniquely positioned as the medical society in our capital city to have the opportunity for significant involvement and influence with the FMA and the legislative process. On a personal note, I’d like to thank Dr. Katopodis for taking time out of his schedule to give me a great deal of advice and encouragement on chairing the Northwest Florida Caucus. There were several other highlights at the meeting including the presence of many of the emergency physicians and trauma surgeons involved in the Pulse night club shooting in June receiving the Harold S. Strasser, M.D. Good Samaritan Award. Certainly, these physicians were humbled to receive this honor, and despite the fact that none of them ever wanted to receive any recognition after a tragedy of this magnitude, each of them deserved to be honored for their work that day and the lives they saved in the aftermath of this tragic, catastrophic event. CONTINUED ON PAGE 6
Dr. Vishal Dahya, Resident CMS Board Member, presents his poster during the David A. Paulus, M.D. Poster Symposium.
Senator Rubio is pictured with Pam Wilson, CMS Executive Director.
Senator Rubio is pictured with Maria Paredes and Dr. Alfredo Paredes.
Dr. Alma Littles with the 171st President of the American Medical Association, Dr. Andrew W. Gurman. From the FSU College of Medicine: (l-r) Dr. Christie Alexander; Medical Students Class of 2019, Adhish Singh, Devan Patel, Prajwal Dara, and Acton Pifer; and Dr. Jonathan Appelbaum.
Dr. Michael Forsthoefel nominated Dr. John Katopodis for FMA President-Elect during the FMA House of Delegates Opening Session.
CMS President, Dr. J. Daniell Rackley congratulated newly installed FMA President, Dr. David Becker following the Presidential Installation Ceremony. U.S. Senator Marco Rubio delivered the Good Government Luncheon Keynote Address. Senator Rubio is pictured with Dr. Alfredo Paredes and Dr. Hugh VanLandingham. 4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Some of our CMS Delegation at the North Florida Dinner at Charley’s Steakhouse.
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NEW CMS MEMBERS
CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS: Sayeed Khalillullah, M.D. Medical School: Central America Health Sciences University Internship/Residency: Texas Tech University Fellowship: Mayo Clinic Practice: North Florida Nephrology Associates Specialty: Nephrology
James Totten, M.D. Medical School: University of Minnesota Internship: Hennepin County Medical Center Residency: University of Florida Fellowship: University of Florida Practice: Anesthesiology Associates of Tallahassee, P.A. Specialty: Anesthesiology Graham Whitaker, M.D. Medical School: University of Florida Internship/Residency: University of Florida Practice: Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. Specialty: Otolaryngology
FSU College of Medicine/TMH General Surgery Residents Emanuela Alvarenga, M.D., Faculdade de Medicina de Jundiai Paul Clark, M.D., Ross University
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TMH Family Medicine Residents Daniel Bernabe, M.D., Florida State University Claras Ellis, M.D., Florida State University Sue-Ellen Griffin, M.D., University of the West Indies, Jamaica Nakeisha Otto-Stewart, M.D., University of the West Indies, Jamaica Robert Solomon, M.D., Florida State University Dave Stewart, M.D., Florida State University Mary Jane Tucker, M.D., Florida State University Alexander Vanderby, M.D., American University of the Caribbean Rachel Vanderby, M.D., American University of the Caribbean Kayleigh Ann Wright, M.D., University of East Anglia CONTINUED FROM PAGE 4
Excellent addresses were given during the meeting. Kevin Pho, M.D., founder of kevinmd.com, gave an outstanding keynote address on the many ways social media intersects with the practice of medicine in the difficult environment we find ourselves in. I encourage the membership to explore his website. Also, U.S. Senator Marco Rubio addressed the FMA at the Good Government Luncheon on Saturday. He gave a very thorough pro-medicine address in which he cited a significant number of statistics and real world anecdotes—he seemed to genuinely care about helping physicians improve their ability to take care of patients. He certainly has the support of the FMA PAC, and at least one member of our delegation seemed to be a little star struck, not mentioning any names. My first FMA meeting opened my eyes to all of the work that is being done around the state and in our community to advocate for physicians. I am certainly guilty of just trying to get through each day of a busy practice, but it is clear that we face real challenges on many fronts. Scope of practice, insurance company bureaucracy and tort reform, and MACRA are just a few of the obstacles that we face. Many of these issues will be decided on at the state level. I saw firsthand how a group effort is needed to make progress on these issues. There are hundreds of physician leaders from around the state who are working diligently on behalf of their fellow physicians. We need strength in numbers, and I encourage all of you to become involved in some capacity. Donate to the FMA PAC or get involved in other ways, but only through our collective effort will changes be made. CMS
PROFESSIONAL NOTES
PROFESSIONAL NOTES John Katopodis, M.D., an interventional cardiologist with Southern Medical Group was elected to serve as President-Elect on the 20162017 Florida Medical Association (FMA) Board of Governors during the FMA Annual Meeting in Orlando in July 2016.
Tallahassee Ear, Nose and Throat-Head & Neck Surgery, P.A. recently celebrated 30 years of serving the medical needs of the Tallahassee community. This milestone was marked with a gourmet breakfast celebration for staff and vendors. Dr. Duncan Postma, who founded the practice in 1986, welcomed guests and reflected on the tradition of extending an atmosphere of family to staff and patients. Tallahassee Ear, Nose and Throat was also the recipient of a CCYS Tally Award for top medical specialty office. Tallahassee Ear, Nose and Throat has grown to include two other divisions, Audiology Associates of North Florida and The Facial Plastic and Reconstructive Center.
Congratulations, Dr. Katopodis and Tallahassee Ear, Nose and Throat!
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.
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Your local business Internet and phone provider
(From left to right) Dolly Evans; Darlene Syvertsen; Thomas Harrison, CEO Tallahassee Primary Care Associates; Julia Leland, Laboratory Technician; and Paul V. Watts, CEO Electronet Broadband Communications
RE AL CUSTOMERS . RE AL ISSUES . RE AL SOLUTIONS . TPCA has used Electronet for years. Electronet constructed fiber-optic cables and connected each of our offices together. It is mission critical for our communications platform to be solid 24/7. We have had excellent results with Electronet over the years. If we have a problem or a question we simply call and it is handled. No auto attendant ‌ just a polite member of their team anxious to assist in any way. We would highly recommend Electronet to any company that is looking for a more reliable and stable communications solution. T homas H arrison, CEO Tallahassee Primary Care Associates
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CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS Mark Your Calendars for the Fall 2016 Lunch and Learn Seminars September 21, 2016 Time Management in a Medical Practice As the saying goes, “Someday is not a day of the week.” However, we treat it as if it is. Everyone gets 24 hours every day and what we do with our 24 hours is a choice we make each second. We can’t control time but we can manage it. “Do It Now” are three of the most powerful words we can put into action. In this session on Time Management, we will discuss some powerful ideas to improve your time management skills. Remember, “The best time to start was yesterday, the next best time is now.” Speaker: Bert Mitchell Sponsor: Tony Shah, Express Printing
October 19, 2016 Are you Keeping Up with the Changing Landscape of Employment Law? Join us for a Lunch and Learn to discuss how labor and employment law changes in 2016 will impact your practice including: the final countdown to the DOL’s new overtime rules, the EEOC’s work regarding protections for the LGBT community, OSHA’s recently published guide to restroom access for transgender workers, the current status of wellness programs in light of new EEOC regulations, new guidelines for joint employer/joint liability, the NLRB’s recent decisions impacting non-union workplaces, guidance for employee leave as a reasonable accommodation under the ADA, enforcement initiatives by government agencies, and more. Speaker: Jason Vail, Allen, Norton and Blue, P.A. Sponsor: Tommy Folsom, Florida Insurance Consultants
November 16, 2016 Wellness Begins Within The Medical Practice Whether you are a medical practice administrator, supervisor, human resource manager or team leader, you know a healthy office equals a successful practice. Offering health and financial wellness perks help to provide a positive culture for any business. Come hear a panel of experts discuss workplace wellness program activities developed for their practice. Speakers: Kim Quackenbush, Bill Hambsh, and Troy Johnson Sponsor: Scott Fenstermaker, RHU, Strategic Benefits Group
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 RSVP, contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
CMS Members - Pager and Non-Pager Users! For over 30 years the Capital Medical Society, through Capital Medical Society Services Corp., has been providing pagers to CMS members. A concern of our users when On Call is that their pager alert is not loud enough to wake them from a deep sleep. Well now we have the answer to that concern! The Unimax Ringtone Amplifier. It works with your pager and most cell phone models too!
You can purchase a Unimax Ringtone Amplifier from Capital Medical Services for $130.00
Call the CMS office at (850) 877-9018 to order your Unimax today!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
A WAY T O M A K E M E D I C I N E E V E N M O R E O F A M I S S I O N.
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*Contact a Navy Reserve Medical Recruiter for details. ©2012. Paid for by the U.S. Navy. All rights reserved.
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS CONNECT THE DOCS HAPPY HOUR
Join your colleagues for a
Happy Hour Monday, October 24, 2016 5:30 pm – 7:30 pm Food Glorious Food • 1950 Thomasville Road Hors d’oeuvres and first beverage provided by our sponsor: Please RSVP by October 19th to Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
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VIEWPOINT
A FORMER NAVY FLIGHT SURGEON REFLECTS ON HIS ACTIVE DUTY EXPERIENCE By Ray Bellamy, M.D. (LCDR, USNR, retired)
I have been asked to document my medical military experience as a Navy flight surgeon during the Vietnam War, and I am a bit embarrassed to be considered in the same company as Dr. Jason Oberste who has related a riveting account of his combat medical experience in Afghanistan in 2009. Nevertheless, I will proceed with my tale. I graduated from the University of California at San Francisco School of Medicine in 1965 and served as an intern at Parkland Memorial Hospital in Dallas, Texas. The assassination of President Kennedy by Lee Harvey Oswald occurred there only two years before, and he was pronounced dead at the hospital emergency room. Comer Cherry, my fellow intern that year, later would treat Jack Ruby, Oswald’s killer, while he was dying of cancer at Parkland. Dr. Cherry became a cardiologist and practiced for many years in Tallahassee. It was obvious that I would be drafted for military service soon, and I decided to become 12
a Navy flight surgeon which required an additional six months of training, but there was a significant inducement to consider: an additional $165 per month as flight pay. Additionally I would learn about the medical aspects of flying, and I would eventually solo in a T-34 Navy trainer. Sadly, I learned that a flight surgeon does not fly a jet with one hand and operate with the other.
But it was not all work and study. The Navy had an excellent intramural sports program. We played competition touch football, tennis, badminton, ping pong, handball, and swimming. My closest friend in the class was a former roommate of Mike Ditka at the University of Pittsburgh, and he rousted three of us out every morning to run and jump rope. I have tried to continue this useful habit since then.
I was assigned to Pensacola for flight surgery school which was a treat after my brutal internship year in Dallas. My wife Carol and I lived in a high rise condominium overlooking Pensacola Bay from which we could watch Navy planes in formation returning to base and storms forming over the Gulf of Mexico. George Slade, fresh from Emory University, and his new wife Linda lived in the same condominium. George went on to become a practicing neurologist in Tallahassee. We learned about the physiology of flight; ocular exams and refractions; and the technology of ejection seats in jets. We also had a remarkably helpful psychiatry course.
My first assignment was to North Island in Coronado, off San Diego, California. Our squadron flew radar planes with big domes on top. Their main mission was coordinating communications and detecting Soviet submarines. The air wing deployed a few planes with each carrier group that went to sea, but other than a couple of weeks volunteering on carriers out of San Francisco, we were mostly in the San Diego area. My duties included covering officer sick call and dependent care at the outpatient dispensary. But I also had the opportunity to attend the weekly orthopedic conferences at Balboa Naval Hospital across the bay. After I sprained an
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
VIEWPOINT
ankle while playing handball, I decided to seek an orthopedic residency once my Navy stint was finished. Some experiences stick in my mind: I played in the All Navy Tennis Championships for two years. I also played in the All Services competition. Competing in the same draw as Arthur Ashe was memorable. I recall several other medical experiences: One of the other Navy physicians was seeing patients in the dispensary night clinic and treated a dependent with typical upper respiratory symptoms. Unfortunately, the patient later became critically ill and died of meningococcal septicemia despite hospitalization at Balboa Naval Hospital. Many years later I found that the treating physician obsessively made house calls and phoned parents of sick children in response to the horrifying outcome. (Many of us continue to second guess our management of patients, and we sometimes awaken at night in a sweat contemplating alternative treatments.) Early one evening I was told to prepare for an offshore flight surgery rescue. I got into my flight suit, grabbed my helmet and boarded a helicopter at the North Island flight line. We had little information about our mission, and as we flew out over the dark Pacific Ocean, I asked about my medical support tools.
The flight crew pointed out a small container with a red cross marked “First Aid” which was attached to the bulkhead. Its contents were bandages, gauze, tongue blades and adhesive tape. I found out we were trying to locate a civilian fishing vessel that was on an offshore approach from South America to Seattle. According to the pilot and crew, one member of the vessel had an abdominal emergency. Once we found the fishing vessel, we hovered above and shined a bright light on the deck. My crew hooked me into a basket seat and lowered me on to the fishing deck. I had my emergency kit in hand. The helicopter then departed, and I was informed that a small Navy vessel would rendezvous later with us. The Spanishspeaking crew took me below to a bunk where a crewman was waiting. As I examined him he made groaning noises, but our interaction was difficult, and I could not make a diagnosis. After we joined up with our Navy vessel, the ailing crewman and I were hoisted aboard.
Here’s the interesting part: when we reached the San Diego dock an hour later, we were met with the family and friends of the “sick” crew member who greeted him with a joyous celebration. I came away with the distinct impression that his boat had not wanted to stop in San Diego to allow him to disembark to visit his relatives, so a ruse of abdominal pain was concocted to allow him to be transferred without diverting the boat. I claim no heroic moments in my military experience, but I came away with remarkable memories nonetheless. Catapult launches and retrievals in an F-4 fighter jet from an aircraft carrier were my closest brushes with danger. While incomparable to the experiences of Dr. Oberste in Afghanistan, flying in a Navy jet can be hazardous and unforgiving. I discovered, however, that I really was unable to fly a jet and operate on a patient at the same time. CMS
Dennis A. Fried, M.D., J.D. Licensing, Discipline &Peer Review Defense for All Medical Professionals in Florida Free Initial Consultation Blanchard, Merriam, Adel & Kirkland, P.A. 4 S.E. Broadway Street, Ocala, FL 34471 352-732-7218
www.bmaklaw.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13
VIEWPOINT
AT THE OTHER END… By Ricardo J. Gonzalez-Rothi, M.D.
my forearm with an eighteen gauge angiocath. I felt the blood trickle down my hand as she loosened the tourniquet while “oopsing” an apology. One of the hardest things to learn, and even harder to teach, is what it is like to be a patient. I have always liked to think I try to be very sensitive to my patients’ needs. But I’d like to share with you a personal story: A few years back, after never needing to visit a doctor other than for “weekend warrior” injuries, I succumbed to my first screening colonoscopy. Not anticipating special treatment, I intentionally avoided letting on to the endoscopy center unit staff that I was a physician. I was signed in, got my ID bracelet, and was promptly escorted to a room by a very courteous, albeit no-nonsense nurse. I remember feeling dizzy from having been on a clear liquid diet for 48 hours, drinking a gallon of anti-freeze-like, fauxorange-tasting, gut-cleansing solution the night before, and having had no breakfast that morning. I was handed a skimpy, backside-optional hospital gown and asked to strip naked. I lay in the bed, legs closed in Victorian scissor-like defensive posture, and piloerected in the freezing room, as the nurse hummed and stuck
“There….You are scheduled for 9 am,” she said, very matter-offactly, as she patted the tape over my IV. It was 8:15 am. (I had been asked to show up at 7 am for an 8 am procedure). Then it was ten after 9 and then 9:30 am. No colonoscopy. My gut was growling for toast and a cup of coffee. The nurse came in: “That was Dr. so and so on the telephone….He’s running late due to an emergency and your procedure will likely not start until 11 am….,” said the nurse. My heart sank, my stomach begged for mercy. Staff and other patients walked busily about the endoscopy pre-op area, while I lay there, starving, anxious, butt-to-the-curtain and no one but me seemed concerned about my colonoscopy being delayed…. In all this time, the IV bag had dripped all of 200 cc’s into my vein…I busied myself calculating that I had received about 34 calories of dextrose since the IV was started. Imagine my horror at realizing the amount of energy used by my brain just for this calculation alone put me further into a negative metabolic state!!!
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The time finally came. Being wheeled on a stretcher through double doors to the endoscopy suite was humiliating. I could walk myself, but protocol had to be followed…so why did they give me those non-slip socklets to wear? The thought of my colonic mucosa, splenic flexure and other anatomic parts being displayed on a full color video screen while I lay decubitus and half unconscious was demeaning. More at issue here for me was the total loss of control…Thank God for post-sedation amnesia, and for the fact that everything turned out all right after all. After that experience I thought about all the other times I have been at the “driving end” of an endoscope. I thought about all the enfeebled and often elderly patients whose procedures were delayed for one “valid” reason or another, and whose embarrassment about taking out their dentures in front of people, or whose concerns about being hungry or half naked as they were wheeled into the bronchoscopy suite were just like my worries, but only greater. For the first time in my life I understood what it felt like to be a patient…and I didn’t like it. This taught me a great lesson for which I will always remain grateful. CMS
ALLIANCE CORNER
Capital Medical Society Alliance Wine Tasting Fundraiser September 22, 2016 6:30 - 8:30 p.m. The home of Marcia and Bob Thornberry 2810 Cline Street
*Portion of proceeds will benefit The Brehon House *Food sponsored by Brett Allen, SunTrust Bank
*$100 per couple (RSVP by 9/10/16 to hienguyer@gmail.com; 100 attendees maximum)
*send payment to: Sarah Ho, CMSA Treasurer 1204 Miccosukee Road Tallahassee, FL 32308
CAPITAL MEDICAL SOCIETY 2016 MEETINGS CALENDAR (continued from page 1)
October 18, 2016 CMS Membership & CME Meeting Domestic Violence and Human Trafficking – 2-Hour Required CME Terry Coonan, J.D., Executive Director at FSU Center for the Advancement of Human Rights and Suzanne Harrison, M.D., Associate Professor and Education Director, Family Medicine, FSU College of Medicine 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks October 24, 2016 Connect the Docs Happy Hour Hosted by Capital City Bank 5:30 pm – 7:30 pm Food Glorious Food, 1950 Thomasville Road
November 15, 2016 CMS Membership & CME Meeting Periodontal Disease and Systemic Disease William Baldock, D.D.S., Capital Periodontal Associates and Spencer Gilleon, M.D., Tallahassee Ear, Nose & Throat-Head & Neck Surgery 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks December 1, 2016 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
PUBLIC HEALTH: ZIKA
COMBATING ZIKA THROUGH EFFECTIVE CONTRACEPTION AND BARRIER PROTECTION By Les Beitsch, M.D., J.D. We think of Florida as a long, narrow peninsula, with North Florida hundreds of miles distant from Miami, and even further culturally. As a former state health commissioner (Oklahoma) and deputy secretary of health (Florida), I follow public-health issues with rapt attention. The rapidly emerging Zika epidemic threatens our entire state, not just the southern half — and we all share a common state bird, the Aedes mosquito. In part, the challenge exposes our inadequate statewide publichealth infrastructure, as well as our limited will to follow basic scientific precepts. Sure, we need epidemiologists, virologists and entomologists to facilitate a robust public-health response to Zika. But what we lack most acutely are the family planning and sexually transmitted infection preventive services that will protect Floridians from the demonstrated tragedies of this epidemic. For 80 percent of those infected, Zika is an illness without symptoms. Yet the experience in Brazil has shown that Zika is a cause of congenital microcephaly, a rare and devastating birth defect, as well as other birthrelated neurologic developmental complications. This occurs when pregnant women transmit the virus to their offspring. Avoiding pregnancy as recommended by public-health officials when living in or visiting a Zika-infested area seems like straightforward common sense. However, according to the U.S. Centers for 16
Disease Control and Prevention, almost half of all pregnancies in this country are unintended. This is where neglected infrastructure increases our vulnerabilities. More than 20 million women in the U.S. depend upon publicly funded contraception to avoid pregnancy, but far fewer than half are able to access needed services (Guttmacher Institute). According to the CDC, Florida leads the nation in the percentage of women
of reproductive age relying on less-effective or no contraception (nearly 60 percent). Translation: A perfect storm of the nonhurricane variety is headed our way. Florida and the families living here (never mind the tourists!) are unnecessarily at risk for catastrophic poor-birth outcomes. Barrier protection to avoid transmission of Zika among sexual partners is likewise critical. Even those who are asymptomatic may unintentionally infect others. CDC recommends the use of barriers for 90 days after travel to Zika affected regions. However, recent tests of semen from infected males indicates the virus may persist twice as long. Condoms and early
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
testing can help prevent spread and the risk of an affected pregnancy. Contraception not only protects against the potential devastations of Zika but also provides many additional health benefits to the women and families receiving services. We avoid needless preventable family tragedies and the millions of dollars for lifelong medical expenses caring for microcephalic infants. Family planning enables women and their families to better space their pregnancies, reducing the rates of low-birth-weight births — closely associated with higher rates of infant deaths and disabilities. Furthermore, there is a return on investment for providing contraceptive services: $1.50 for every $1 invested (Lancet Blog). Why would we not take all possible steps to protect women of childbearing age and their families as we face the Zika epidemic? Sure, we should use all possible means to control mosquito populations, but shouldn’t we protect ourselves where we are, in fact, most vulnerable — the nearly 60 percent of Florida’s more than 1.3 million women of childbearing age with inadequate contraception? Les Beitsch, M.D., J.D., is chair of the Department of Behavioral Sciences and Social Medicine at the Florida State University College of Medicine. He founded and is actively involved with the medical school’s Center for Medicine and Public Health, and Division of Health Affairs.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
17
MILESTONES
Tallahassee Ear, Nose and Throat-Head & Neck Surgery recently celebrated their 30th Anniversary. We thought it would be fun to hear from Dr. Duncan Postma, one of the practices’ founding physicians, about how the practice started, and the changes he has seen in the last 30 years.
Why did you decide to practice in Tallahassee? My wife, Marie Hayes, M.D., and I were good friends with Michael and Susan Poole for many years prior to our move to Tallahassee. Mike was a resident three years behind me and I had been on the faculty at UNC Chapel Hill from 1982 to 1986. Our two families decided to move together somewhere in the southeast or stay in Chapel Dr. Duncan Postma Hill. We were all with scientific backgrounds and so we made an emotional decision into a rational decision by making a large poster with a grid on it. The grid had our four names and rows with columns across that included characteristics of the cities, such as how family-oriented it was, how good was the medical community, what were the opportunities for an ear, nose and throat practice, what sort of city was it in general, what kind of school systems they had, and a couple of other characteristics. Each box in the grid was rated 1 to 4 by each of us separate and, low and behold, Tallahassee came out on top. This was despite the fact that all four of us judged the need for an ear, nose and throat specialty as fairly low. However, there was a need for dermatology, which was my wife’s specialty, and she actually started her practice in an office with an orthopedic surgeon, Pierce Jones. I dubbed the name of the practice “Hayes and Jones, Skin and Bones.” How did you get your practice started? Once we had decided on Tallahassee, the real key to our success was the addition of Ms. Trish Reilly (now Skinner). She was the head ENT nurse at the clinic at UNC Chapel Hill. I really could not recruit her because she was the most valuable nurse in the clinic and the chair of the department would have killed me if I did so. However, she 18
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
asked if we needed a nurse, and we could never have been more pleased to say yes. Not only was she an excellent organizer and a positive force as an individual, but she was also a bridge player and we needed a fourth for that. We expected to have a lot of time to play bridge before we would get busy as a practice. Dr. Joe Camps was in his Urology training at UNC at the time, and he was a great help in convincing Trish that she was making the right decision to move to Tallahassee. Parenthetically, Dr. Camps was our enforcer for our championship hospital basketball team in Chapel Hill. From the beginning, we were all impressed with the sophistication of the Tallahassee medical community, especially the group of physicians associated with Tallahassee Memorial Hospital. Orson Smith and Southern Medical Group was as good a group of internists and cardiologists as you would see anywhere, and the Pulmonary group, which functioned also as the intensivists, were a brilliant group with top-notch ex-Carolina doctors Dan Davis and Ray Dolly and others that were just as good in that group. We knew our patients would receive excellent medical care if they needed it postoperatively or preoperatively. Thus, before we even started in Tallahassee, we met informally with Dr. Orson Smith just to get him acquainted with our practice. Furthermore, I met with Dr. Bud Huber of Capital Health Plan. I had heard great things about CHP and wanted to be part of that system. Our association with CHP has continued and has been a mutually beneficial one. We have a lot of respect for what they have given to this community. The third person that we talked to was M.T. Mustian. We actually started our first office in the old professional office building where we could be near TMH and Southern Medical Group. What was it like at the beginning? When I left the Ear, Nose and Throat Department at UNC Chapel Hill, the chairman said I would be bored with private practice and that all I would see were routine cases. That turned out not to be the case at all. You see what you know. If you are alert, you will see and diagnose all sorts of unusual diseases in Tallahassee. One of my first cases was Letterer-Siwe disease (now called Langerhaus Cell Histocytosis) in a newborn and one of my partner’s first cases was an unusual case of Wegener’s Granulomatosis when he joined the practice.
MILESTONES
What do you think was different about Tallahassee Ear, Nose and Throat from other ENT practices? I think first of all we started out with the idea of running the practice more like a family. We also had decided to spend about 25 percent of our profit and energy on research. Over the course of years, we wrote chapters in textbooks on skull-based surgery, wrote papers and gave talks on infectious disease issues (my first partner, Mike Poole, had a PhD in microbiology), and national talks on pediatric obstructive sleep apnea, outpatient tonsillectomy, recovery after tonsillectomy, influence of daycare on otitis media and tube insertion, thyroid surgery, and talks on transitioning to electronic medical records. We also stressed trying to have excellent communication and documentation of our findings and reporting these back to our referring doctors as soon as possible and preferably within 24 hours. I think one of the best things that we did was the implementation of electronic medical records in 1996. We were one of the first clinical practices in the county to adopt an Electronic Medical Records system. Trish and I gave a number of courses and talks at our national meeting, and we had groups from all over the country visiting our practice to see how the implementation worked. While our EMR system has evolved over time, it has been key to the efficiency of our office and patient care. How has Tallahassee ENT (TENT) expanded? We have been extremely lucky to have had a truly exceptional group of physicians join our practice. They are all skilled and it is always nice to know that when you leave town you are perfectly confident your patients will get the same care they would get from you. We all were trained at different institutions across the US and we all learn from one another. We currently have eight physicians, one nurse practitioner, and six audiologists. We are very proud to have expanded our services with the additional divisions of Audiology Associates more than 20 years ago and more recently, The Facial Plastic and Reconstructive Center. These divisions allow us to provide comprehensive services for patients seeking our care. Very importantly, our physicians are well and broadly trained so that any individual in our group can handle basically all ear, nose and throat emergencies and problems. We are a very experienced group, that being said, each has their own area of expertise and received their training at a variety of well-respected institutions.
What do you attribute your growth and success to? We have tried to provide excellent patient care, refer when appropriate and go the extra mile in terms of treatment. Our managers and staff are committed to compassionate patient care and we have many long-term employees who have extensive medical knowledge. We have also been fortunate to have had Kim Quackenbush for over 15 years as our Practice Administrator. She has been a leader for us in terms of thinking ahead, helping others in the practice grow administratively, and being a positive force. The success of Tallahassee Ear, Nose and Throat would never have been possible without the support and sacrifice that my wife has made in terms of her own career in taking care of our three children and family. What has been the best thing about the practice? The best thing about Tallahassee ENT has been the ability to have been able to treat so many wonderful patients and the opportunity to have helped so many. I had wanted to be a physician since I was four years old and my dream has been fulfilled. I have been fortunate to have had wonderful partners throughout the years, and I have learned so much from them and hopefully have given something back to them. We strive to treat patients who visit our office with compassion, as if they were our own family member. We also maintain a culture of family among our physicians and staff and never miss an opportunity to have a little fun and celebrate one another’s accomplishments. What do you see as the future of Tallahassee Ear, Nose and Throat? I think we have a bright future and will need to recruit new partners over the next couple of years. We will continue to contribute to the training of new physicians through programs related to FSU’s College of Medicine, TMH Family Medicine and Internal Medicine Residency Programs. We will continue to introduce new treatments and utilize tools that directly support the quality of patient care. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
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20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2016 HOLIDAY AUCTION SPONSORSHIP
FOUNDATION
SUPPORT YOUR FOUNDATION – BECOME A SPONSOR! Capital Medical Society Foundation ~ Holiday Auction December 1, 2016 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 2017 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 2017 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 _____ Event Sponsors: $500 • Invitation for two (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 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
21
CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” • Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. Over $77 million in donated specialty medical and dental care has been provided to low income, uninsured patients since the program was created in 1992. In fiscal year 2015-16, which ended June 30, 2016, over $5 million in health care was donated. Gifts support the salaries and benefits of the case management team who coordinate donated care.
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: Along with their annual dues payment Rodrigo Agbunag, M.D. Paul Arons, M.D. Charles Deal, M.D. Valerie Lazzell, M.D. Al McCully, M.D. Celeste Paquette, M.D. Raleigh Rollins, M.D.
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
• To provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $50,000 was distributed to seven medical students in 2015. • Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In 2015-16, funds were used for a roof repair, purchase of a computer firewall upgrade, rental unit maintenance, exterior painting, and office renovations to accommodate additional staff. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2016, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to Lighthouse of the Big Bend to provide tools to the visually impaired to improve their access to health care. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Wilson, Executive Director pwilson@capmed.org or (850) 877-9018
22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in July 2016. Your generosity and support of the We Care Network makes a difference. Physicians Gregory Albright, D.O. Kalil Al-Nassir, M.D. Scott Asher, M.D. Ricardo Ayala, M.D. Arvind Bakhru, M.D. Wayne Batchelor, M.D. Raj Bendre, M.D. Shelby Blank, M.D. Robert Bradford, M.D. Alexander Brickler, III, M.D. Tim Broeseker, M.D. Logan Brooks, M.D. David Burday, M.D. Joseph Camps, M.D. Stephen Carr, M.D. Michael Cavallaro, M.D. George Cohen, M.D. Raymond Cottrell, M.D. Marilyn Cox, M.D. Ray Dolly, M.D. David Dolson, M.D. Alberto Fernandez, M.D. Michael Ford, M.D. Michael Forsthoefel, M.D. Akash Ghai, M.D. Gian-Carlo Giove, M.D. Muhanad Hasan, M.D. Julian Hurt, M.D. Hank Hutchinson, M.D. Iman Imanirad, M.D. Okanta Jackson, M.D. Barbara Jaeger, M.D. Simha Jagadeesh, M.D. Floyd Jaggears, M.D. Amit Jain, M.D. Arjun Kaji, M.D. Kenneth Kato, M.D. Howard Kessler, M.D. Farhat Khairallah, M.D. James Killius, M.D. Jeffrey Kirk, M.D. Hari Kolli, M.D. Amulya Konda, M.D. Maribel Lockwood, M.D. Gordon Low, M.D. Kurt Luhmann, M.D. Michael Mangan, M.D.
Mitchell Massie, M.D. Jonathan Melquist, M.D. Thomas Noel, M.D. D. Jason Oberste, M.D. Steven Ostrov, M.D. Rodolfo Oviedo, M.D. Richard Palmer, M.D. Kaushal Patel, M.D. Praful Patel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. Christopher Price, M.D. J. Daniell Rackley, M.D. James Renehan, M.D. Adrian Roberts, M.D. Andres Rodriguez, M.D. Philip Sharp, M.D. Gadi Silberman, M.D. Eliot Sieloff, M.D. Hardeep Singh, M.D. David Smith, M.D. Bob Soni, M.D. Mary Swain, M.D. Timothy Sweeney, M.D. Larry Taylor, M.D. Robert Thornberry, M.D. Jean-Paul Tran, M.D. Kenneth Whithaus, M.D. William Yaakob, M.D. Daniel Yang, M.D. Dentists Eric Amundson, D.D.S. William Baldock, D.D.S. Jean-Pierre Bastien, D.M.D. Carlos Benito, D.D.S. Susan Byrne, D.M.D. David Cardman, D.M.D. Walter Colón, D.M.D. Brittney Craig, D.M.D. Michael Hartley, D.M.D. Barbara Leadbeater, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. James Sykes, D.M.D. Ed Zapert, D.M.D. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Neighborhood Medical Center Dental Clinics Pathology Associates Radiology Associates Seven Hills Surgery Center Smile Connection at Bond Community Health Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours per biennium of CE Credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Rosemary Evans at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Rosemary Evans at revans@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of July 2016 and your name was omitted.
We thank our referring providers from July 2016: Eboni Allen, ARNP Kalil Al-Nassir, M.D. Anne Ananga, ARNP Ricardo Ayala, M.D. Erin Ayers, ARNP Lee Baisden, ARNP Arvind Bakhru, M.D. William Baldock, D.D.S. Raj Bendre, M.D. Viral Bhanderi, M.D. Shelby Blank, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Kendall Campbell, M.D. Lysmar Carrion-Dinguis, M.D. Marilyn Cox, M.D. Leo DeRosier, M.D. William Dixon, IV, M.D. Shirley English, ARNP Cynthia Evans, ARNP Elizabeth Fajer, M.D. Michael Ford, M.D. Michael Forsthoefel, M.D. Sharron Foster, M.D. Anneka Gaffney, ARNP Lisa Gardner, ARNP Akash Ghai, M.D. Judy Griffin, ARNP Muhanad Hasan, M.D. Hantz Hercule, M.D. Dwight Hooper, M.D. Julian Hurt, M.D.
Iman Imanirad, M.D. Jeannette Iriye, ARNP Amit Jain, M.D. Rohan Joseph, M.D. Howard Kessler, M.D. Ashley Massey, ARNP Mitchell Massie, M.D. Damon McMillan, M.D. Kelley Miller, ARNP Jonathan Melquist, M.D. Jay Nair, M.D. Thomas Noel, M.D. D. Jason Oberste, M.D. Rodolfo Oviedo, M.D. Praful Patel, M.D. Lisa Perkins, ARNP Shawn Ramsey, D.O. Charlie Richardson, M.D. Jose Rodriguez, M.D. Thomas Serio, M.D. William Shaner, D.D.S. Jeannine Silberman, M.D. Robert Snyder, M.D. Alanna Steaple, ARNP Frank Swerdzewski, D.D.S. Faye Tinson, ARNP Tallahassee VA Clinic Leonard Tolley, D.D.S. Marianne Towler, ARNP Jean-Paul Tran, M.D. Jeffrey Wasserman, D.O. Graham Whitaker, M.D.
DURING THE MONTH OF JULY, THE WE CARE NETWORK: RECEIVED 182 REFERRALS, WITH 114 PATIENTS NEW TO THE PROGRAM
SCHEDULED 127 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$131,533 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23
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