SEPTEMBER EDITION, VOLUME 2020, NO. 9
FMA ANNUAL MEETING GOES VIRTUAL! By Christie Alexander, M.D. Due to COVID-19, the Florida Medical Association made the difficult decision to convert this year’s annual meeting from in-person to completely virtual. This year, the “floor” of the House of Delegates was, to say the least, a bit different. Vicespeaker candidate speeches and incoming and outgoing presidential speeches were prerecorded and posted to the FMA’s website; AMA delegate candidates (including myself) did not give speeches this year; and reports and resolutions were postponed to the 2021 FMA Annual Meeting. In addition, elections for Vice-Speaker, the AMA delegates, and the seven proposed bylaws amendments were held electronically from across the state (and even out of state, in some instances). On the plus side, this made voting very quick and easy, and increased access for delegate participation. The week of the election, delegates received emailed instructions on how to cast their vote electronically, followed by an email with access to their electronic ballot. These emails were unique to each delegate, and voting was open for a little over a day and a half. The process was smooth, straightforward, and convenient. The newly-elected members of the Board of Governors:
FMA President – Michael Louis Patete, M.D.
President-Elect – Douglas Murphy, M.D. Vice President – Joshua Lenchus, M.D. Secretary – Lisa Cosgrove, M.D. Treasurer – Jason Goldman, M.D. Speaker – Ashley Norse, M.D. Vice Speaker – Mark Rubenstein, M.D.
District A Representative – Christie Alexander, M.D. District H Representative – Edward King, M.D. Primary Care Representative – Diana Twiggs, M.D. Medical Specialties Representative – Catherine Kowal, M.D. Surgical Specialties Representative – George Canizares, M.D. Young Physicians Section – Hansel Tookes, M.D. Resident and Fellows Section – Alexander Lake, D.O. The newly-elected Florida Delegates for the American Medical Association are as follows: (alphabetical order) Christie Alexander, M.D. Madelyn Butler, M.D. Ronald Giffler, M.D. Tra'Chella Johnson Foy, M.D. John Montgomery, M.D. Douglas Murphy, M.D. Ralph Nobo, M.D. Michael Patete, M.D. The newly-elected Florida Alternate Delegates for the American Medical Association are as follows: (alphabetical order) Eva Crooke, M.D. Rafael Haciski, M.D. Lawrence Halperin, M.D. Rebecca Johnson, M.D. Arthur Palamara, M.D. Alan Pillersdorf, M.D. Sergio Seoane, M.D. Holding the meeting electronically also meant a huge uptake in participation in the CME sessions held every year. This year, the FMA offered timely, virtual CMEs on three tracks, including sessions required to maintain Florida licensure and sessions on lessons learned as we evolve in our understanding of COVID-19. 2,480 registered for the sessions. The downside to not having an in-person meeting is, of course, the lack of discourse between our peers. I certainly missed CONTINUED ON PAGE 3
CAPITAL MEDICAL SOCIETY 2020 MEETINGS CALENDAR October 20, 2020 Virtual CME Domestic Violence (2 Hours) Speakers: Suzanne Harrison, M.D., Director of Clinical Programs and Professor of Family Medicine & Rural Health, Florida State University College of Medicine; and Robin Thompson, MA, JD, Executive Director, Survive and Thrive Chair; Co-Chair and Member, Social Services Committee, Big Bend Coalition Against Human Trafficking 6:30 pm
November 10, 2020 Virtual CME Human Trafficking (1 Hour) Speaker: Terry Coonan, J.D., Executive Director at the Florida State University Center for the Advancement of Human Rights 6:30 pm
November 24 - December 5, 2020 Virtual CMS Foundation Holiday Auction More details to follow - stay tuned!
BOARD OF GOVERNORS Ken Whithaus, M.D., President
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
2020 FMA Annual Meeting...............................................1 Professional Notes..............................................................4 New Docs on the Block.....................................................6 Leadership Opportunities at CMS..................................7 CMS News.............................................................................8 Simpler Times......................................................................9 Women in Medicine Month.............................................10 Portraits in COVID-19....................................................... 12 2020 Virtual Holiday Auction........................................ 14 Viewpoint............................................................................ 16
Rohan Joseph, M.D., President-Elect
Donate to the CMS Foundation..................................... 19
Paresh Patel, M.D., Secretary/Treasurer
CMS Foundation: We Care Network........................... 20
Maribel U. Lockwood, M.D., Immediate Past President Nicole Balmer, M.D. David Burns, M.D. Sybil Holt, CMS Alliance
HAPPY BIRTHDAY!
Sarah Ko, M.D. Amulya Konda, M.D.
{SEPTEMBER BIRTHDAYS}
Matt Lee, M.D. Nancy Loeffler, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, CMS Family Medicine Residents Mary Claire Smallwood, M.D. General Surgery Residents Hamzah Mansoura, M.D./SchMiyah Smith, M.D.
PUBLICATION EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing.
Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2
Brittany Schafer, M.D. – 1st 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 James Patty, M.D. – 7th David Stewart, M.D. – 7th Andrea Randell, M.D. – 8th Laura Rosner, M.D. – 8th Nicholette Fox, M.D. – 9th Hardeep Singh, M.D. – 9th James Stockwell, M.D. – 9th Julia Weeks, M.D. – 9th Guerdine Alcius, M.D. – 10th Fabiola Puga Duénas, M.D. – 10th Carlos Campo, M.D. – 11th Charles F. Manning, Jr., 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 Kenneth Whithaus, M.D. – 15th Robert Bradford, M.D. – 16th Jennifer Swisher Lynes, D.O. – 16th James Martin, M.D. – 17th Mervin Wallace, M.D. – 18th Hussein Rayatzadeh, M.D. – 19th Kaisa van der Kooi, M.D. – 19th Robert Brumberg, D.O. – 20th Robert Hoyne, M.D. – 20th David Vermess, M.D. – 21st James Pfeifer, D.O. – 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 Charles Holland, M.D. – 26th Marilyn Cox, M.D. – 28th Mark Shamis, M.D. – 28th Alexandra Wright, M.D. – 28th Randall Hartlage, M.D. – 29th Mark Cannella, M.D. – 30th Kathryn Simmons, M.D. – 30th
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
2020 FMA ANNUAL MEETING
CONTINUED FROM COVER
seeing everyone this year, hearing the speeches of our incoming and outgoing Presidents (Dr. Michael Patete and Dr. Ronald Giffler, respectively), and listening to the debates on the House floor. Having to wait a year to discuss reports and resolutions is also less than ideal, as the House of Medicine continues to battle scope of practice issues, payment reform, telehealth, and access to care. However, the FMA will continue to fight these battles in the upcoming Legislative session. Speaking of Legislative session, the FMA PAC’s annual fundraising contest was a success, raising $30,561.62. While this is not as much as the FMA usually raises during the annual meeting, it’s still quite the achievement particularly during these COVID times where money is difficult to raise politically. Thank you to those of you who contributed. Every dollar helps when it comes to making changes happen at our state capitol. If you missed the annual fundraising contest, you can still donate by visiting www.flmedical.org and clicking on the PAC link at the top of the page. Every relationship with a state senator or representative helps as well, so even if you are unable to donate, please continue to foster those relationships! Thank you to the following CMS members who served as delegates:
John P. Mahoney, M.D. Alfredo Paredes, M.D. Paresh Patel, M.D. Hugh VanLandingham, M.D. Ken Whithaus, M.D. Gary Winchester, M.D. And to the Capital Medical Society delegates who represented us on reference committees again this year: John Bailey, D.O., Reference Committee II Alma Littles, M.D., Chair, Reference Committee II Maribel U. Lockwood, M.D., Credential and Standing Rules Thank you to the Capital Medical Society for your continued commitment to the Florida Medical Association in these challenging times and for your support in this year’s election. I appreciate the commitment of the Capital Medical Society’s delegates and staff and the FMA staff for their service and flexibility during this very memorable year. And to all of the members of the Capital Medical Society thank you all for all you do for our patients, for our community, and for each other. Please stay safe and take good care out there!
John Bailey, D.O. Andy Borom, M.D. Michael Forsthoefel, M.D. Alma Littles, M.D. Maribel U. Lockwood, M.D.
Serving the needs of our patients in Tallahassee.
Tallahassee East
Tallahassee North
1600 Phillips Road, Suite 300 2626 Care Drive, Suite 200 R (850) 877-8166 R (850) 219-5830
FLCancer.com/TLH
Gynecologic Oncology of Tallahassee 2626 Care Drive, Suite 101 R 888-GynOnc1
GynOncofTally.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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PROFESSIONAL NOTES
PROFESSIONAL NOTES Dr. Christie Alexander was elected as the 2020-21 District A Representative on the Florida Medical Association (FMA) Board of Governors and as a Florida Delegate for the American Medical Association during the 2020 Virtual FMA Annual Meeting on July 31, 2020.
Dr. Tracey Hellgren has been named FSU PrimaryHealth’s new Medical Director. Since FSU PrimaryHealth’s inception, Dr. Hellgren has served as Assistant Professor in the Department of Family Medicine and Rural Health.
CMS Executive Director Pam Irwin was installed on July 31, 2020 as the Chair of the Conference of Florida Medical Society Executives during their annual meeting in conjunction with the 2020 Virtual FMA Annual Meeting.
U.S. News & World Report has recognized Tallahassee Memorial HealthCare in its annual rankings and ratings as being among one of the best hospitals in Florida. TMH also received a “High Performing” designation for COPD, hip replacement and heart failure surgery - the highest rating awarded by the report for that care. The 2020-21 report includes a review of more than 4,500 medical centers nationwide in two dozen specialties, 10 procedures and conditions. It said that out of 16 specialties, only 134 U.S. hospitals performed well enough to be nationally ranked in one or more specialties. “Being recognized by U.S. News and World Report shows that our high-quality care is being noticed at a national level. This isn’t just a win for our organization, it is a win for our community,” said Jana Iezzi-Tumblin, vice president and chief improvement officer of TMH, in a statement. “Here at Tallahassee Memorial HealthCare,” she added, “we are very focused on our patients and their outcomes. Providing patient care that is among the best in the nation is more than our goal, it’s our commitment to those we serve.”
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. 4
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
8167 GLENMORE DRIVE
320 OAKS WILL COURT | WATERFRONT
3931 WEST MILLERS BRIDGE
5 BR | 4 FULL & 2 HALF BA | 7,790 sf
7 BR | 5 FULL & 2 HALF BA | 7,505 sf | 3+ ACRES
4 BR | 5 BA | 4,147 sf | LAKEFRONT
$2,500,000 | 2.61 ACRES
$2,500,000 | POOL | GUEST HOUSE
$824,900
1305 SHADY REST ROAD
1289 WILLIAMS LANDING ROAD
PHIPPS POINT ROAD
4 BR | 3 FULL BA | 5,203 sf | POOL
5 BR | 3.5 BA | 4,400 sf | 3.27 ACRES
2.55 ACRES | LAKE HALL
$649,900 | 15 ACRES
$635,000 | LAKEFRONT
$599,000 | WATERFRONT
1406 LLOYDS COVE ROAD
6511 AQUEDUCT COURT
3275 E SHAMROCK STREET
3 BR | 2 FULL & 2 HALF BA | 4,548 sf
4 BR | 2.5 BA | 3,716 sf
4 BR | 2.5 BA | 2,691 sf
$579,900 | LAKEFRONT | 2+ ACRES
$574,900 | 2.66 ACRES
$399,900
TUSCAN HILL DRIVE 3.29 ACRES | GATED NE COMMUNITY
$335,000
2212 TALLAHASSEE DRIVE
0 LAKE PISGAH DRIVE
4 BR | 3.5 FULL BA | 2,503 sf
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$299,900
$225,000 | WATERFRONT
Hettie Spooner (850)509-4337 Lindsay Elliott (850)545-2463 Calynne Hill (850)545-6140 1390 Timberlane Road Tallahassee, Florida 32312
HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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NEW DOCS ON THE BLOCK
NEW DOCS ON THE BLOCK Matthew C. Davis, M.D. Medical School: University of Michigan Internship/Residency: University of Alabama - Birmingham Fellowship: University of Alabama - Birmingham Practice: Tallahassee Neurological Clinic, PA, Neurosurgery Specialty: Neurosurgery
Shalini Golla, M.D. Medical School: Florida State University Internship: Orlando Regional Medical Center Residency: University of Florida Practice: North Florida Women’s Care Specialty: OB/GYN
E. Jonathan Perry, M.D. Medical School: Medical College of Georgia Internship/Residency: Wake Forest School of Medicine Practice: Tallahassee Primary Care Associates Specialty: Family Medicine
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE GENERAL SURGERY RESIDENCY PROGRAM AT TALLAHASSEE MEMORIAL HEALTHCARE Jongin Julia Baek, M.D. - University of South Florida Michael Garcia, M.D. - University of Central Florida Ava Katarina Voss, M.D. - Emory University
TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENCY PROGRAM Allison Akridge, D.O. - Edward Via College of Osteopathic Medicine Zelibeth Gutierrez Arocho, M.D. - University of Puerto Rico Joseph A. Chen, M.D. - Florida State University Katherine Cone, D.O. - University of New England College of Osteopathic Medicine Alexis Jibril, M.D. - St. Matthew's University Molly McKinney, M.D. - University of Miami Dylan Petkus, M.D. - University of Miami Kyle Webster, M.D. - Texas Tech
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
LEADERSHIP OPPORTUNITIES AT CMS
LEADERSHIP OPPORTUNITIES AT THE CAPITAL MEDICAL SOCIETY The Capital Medical Society will be able to continue to navigate in the COVID-19 and post-COVID-19 eras. We have faced challenges before and there will be more in the future, but we can count on strong physician leadership to guide us. CMS will continue to make a major difference in shaping the future of healthcare in this community and in the State of Florida. The Capital Medical Society Nominating Committee will be convening in the coming months to consider nominations for the CMS Board of Governors and for the CMS FMA Delegation. If you are interested in being considered for nomination to the
CMS Board of Governors or to serve as a CMS FMA Delegate, please complete the form (https://capmed.org/wp-content/ uploads/2020/08/2020-CMS-MembershipSuccession-Planning-Questionnaire.pdf) and mail to Pam Irwin at: Capital Medical Society 1204 Miccosukee Road Tallahassee, FL 32308
TALLAHASSEE ORTHOPEDIC CLINIC WELCOMES
Hector Mejia, MD
Sports Medicine Orthopedic Surgeon Medical School University of Florida Residency University of Colorado Fellowship University of Pittsburgh
"Helping patients live healthy lives through exceptional orthopedic service and compassionate care." 3334 Capital Medical Blvd. | 3605 Welaunee Blvd.
WWW.TLHOC.COM | 850.877.8174Â CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS NEWS
CAPITAL MEDICAL SOCIETY VIRTUAL LUNCHTIME LEARNING SEMINARS ~ These seminars will be virtual until further notice ~ Save the Date for the Fall 2020 Virtual Lunchtime Learning Seminars: September 16, 2020 Employee Law Updates With record litigation and a dramatic increase in governmental audits impacting local business, come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your company. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, and preparing for coming changes to federal wage and hour laws. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike! Speaker: Bill Krizner, The Krizner Group Sponsor: Traci Poucher, CAMPUS USA Credit Union (https://campuscu.com/)
October 21, 2020 No Ego: How Leaders Can Cut the Cost of Workplace Drama, End Entitlement, and Drive Big Results Speaker: Bert Mitchell Sponsors: Walt Haley, FMI Printing & Distribution (https://fmibusiness.com/) Liz Thiele, TMH Federal Credit Union (https://www.tmhfcu.org/) November 18, 2020 Exploring Telemedicine Speakers: Paige Dixon and Eric Friall Sponsor: Liz Thiele, TMH Federal Credit Union (https://www.tmhfcu.org/)
Registration Required Time: 12:30 PM to 1:30 PM No Cost for these virtual seminars.
For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
CMS MEMBERS: ARE YOU RETIRING? If you are planning to retire, please be sure to contact Rosalie Carlin at the Capital Medical Society office - (850) 877-9018 or rcarlin@capmed.org. As a Retired CMS Member, your membership dues change to: Retired - $150.00 with meals (includes dinner at CME meetings) or Retired - $50.00 without meals (you are billed for dinner if you attend a CME meeting). It is your choice. Do you plan to change the status of your Florida Medical License to Retired? Visit this link: https://flboardofmedicine.gov/help-center/how-do-i-change-thestatus-of-my-license-to-retired/, or search online for: Florida Board of Medicine How do I change the status of my license to retired? You must formally request Retired status with the Board of Medicine (BOM) for your medical licensure and pay a fee rather than just not renewing. The penalty for being late in requesting a Retired status change with the BOM can be $515.00. Remember to let CMS know of your change in status. 8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
SIMPLER TIMES
THANGS WORTH FIGHTIN’ FOR Charles D. Williams, M.D., FACR, FAAP (“Pedro”) I look back on my life and see it entangled with the past, with the loves, the loyalties, the heartaches and the good times of a large family. Through the years and through the tears many of them have gone on one by one. Some of ’em gave their lives in World War II so Pedro, Pat and their younguns could live in peace. I am still thankful for those I still have. After the recent terrorists’ attack I upped and decided to ride around the area of the old homeplace. Many of the homes were run down and some were no longer standing. Places where no one lived anymore where so many good times were had. Nothin’ there but an old chimney and old roses. The flowers stood and told stories of the old homeplaces. I continued my journey by some cotton fields where I used to pick cotton until my knuckles bled. The house was still standing but showed its years of wear and a board was loose on the front steps. The screen door had holes where children had pushed against it in years past. The holes had little wads of cotton poked in them.
fields at nightfall, smelling the growing corn on hot summer nights, waking up at the crack of dawn with the crowing of a rooster, hearing the church bells ring on a Sunday morning and seeing the smile of a small child on Christmas Day. Moultrie was small enough you were never far from thangs and you could come to care for them. If you did, you would find that it was hard to live in peace without them. Some people have died in wars fighting for them. Because they did, we who are their legacy, have been given the opportunity of growing up in towns we love in the greatest nation in the history of the world. In small towns we learned to love the rustling of corn, the sight of a white cotton patch, the shadows of a quiet street by the court house square in a way which made them part of us wherever we went. This and all the people I have known and cared for is what I have in mind when I say I love this country and we should defend this country. An old man once said to me, “I’ve been everywhere there is to go and I’ve done everything there is to do. There’s nothin’ better than what’s right here.”
On the front porch sat an elderly lady on a swing. Her face was wrinkled with age and was brown like leather from the weather. Her hands were bony with age and wrinkled like dried apples. She wore a clean apron which covered the front of her flowered dress. Her eyesight was almost gone but she managed a smile.
I used to wonder what he meant by that. Now I’m willing to fight for that.
I stopped and told her that I was Pedro and that I used to pick cotton for her. I told her I was now a doctor in Tallahassee. A tear of joy fell down her leathery, weather beaten face and there was an outpouring of love.
Dr. Williams’ sequel book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the Capital Medical Society Foundation’s We Care Network program. The total sales from his books have raised over $39,000 for the CMS Foundation’s We Care Network.
As I continued to ride throughout the county I remembered seeing lightening bugs in the corn
Reprinted with author permission from More Simpler Times.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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WOMEN IN MEDICINE MONTH
WOMEN IN MEDICINE MONTH THANK YOU TO THE WOMEN PHYSICIANS IN THIS COMMUNITY WHO ARE SHAPING HEALTH OUTCOMES ONE PATIENT AT A TIME!
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
WOMEN IN MEDICINE MONTH
WOMEN IN MEDICINE MONTH THANK YOU TO THE WOMEN PHYSICIANS IN THIS COMMUNITY WHO ARE SHAPING HEALTH OUTCOMES ONE PATIENT AT A TIME!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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PORTRAITS IN COVID-19
NEW CAP SCAN SERIES: "PORTRAITS IN COVID-19" – PLEASE SHARE YOUR EXPERIENCE
Capital Medical Society is accepting stories for its Cap Scan magazine from CMS and CMSA members as part of a new occasional series called “Portraits in COVID-19,” to capture the changes happening in healthcare and our personal lives due to COVID-19 as experienced by physicians and laypeople. These stories can be about your experiences treating COVIDpositive patients, supporting patients and coping
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
with families during “no visitation,” entering the world of telehealth, concerns about PPE shortages, distancing from your own families, family celebrations by social distancing, newfound time with family, newbie ZOOM meeting experiences worthy of an SNL skit, staycations extraordinaire, or schooling from home. You get the idea. Please try to stay within 800 words, include a photo if it makes sense, and be mindful of HIPAA, if writing about a patient experience. Please send by email to Shannon Boyle at sboyle@capmed.org. All submissions are reviewed by the Cap Scan editor prior to publication.
PORTRAITS IN COVID-19
"MISS MAY", AS SHARED BY BEAUVAIS MCCADDON: If you asked Miss May why she drove her stately black 1934 Chevrolet down the middle of the street, she would answer, “So I can go to either side.” The car stayed in the middle while she stopped at the post office or the grocery store. In the 1950s, in Rosedale, Mississippi, May’s car was a beautiful oddity with its windshield patched together with chewing gum. When we children saw it coming, we jumped in a ditch because we feared for our lives. She would invariably stop the car and fuss at us. Miss May dressed impeccably with pearl earrings, a pearl necklace, and lace collars. There was the scent of dusting powder, almost an air of decay, about her. She took in boarders in her white wooden house with its long porch across the front. Once, when her boarder, Blue, was sitting near the driveway smoking, May drove past him to her garage. Then she asked him why he was sprawled out in the yard. “Because you knocked me off my stool,” Blue replied. If May showed up at your front door, you dreaded letting her in because she was selling lace handkerchiefs, and at Christmas, expensive cards. She occasionally sold tickets at the picture show, which she thought entitled her to get in free whenever she went to a movie. She was frequently invited to dinner by kind folks who knew she didn’t have enough. And, May loved to drop in at cocktail hour, uninvited, to enjoy a bourbon. She was usually accompanied by her ear trumpet, as she was stone deaf.
But there was a tragic side to May. She was estranged from her sister Ella, who lived in the same town. Her only child, a little boy, died when he was five years old from eating a firecracker on a dare. May had been born into a comfortable life; her father was a lawyer and owned a good bit of property. No one that I have spoken to can remember how May’s husband made his living, but he must have done well since he could afford a car just as the nation was coming out of the Depression. Nevertheless, he died without leaving much. But May adapted to her poverty by driving an old car, taking in boarders, and selling handkerchiefs to keep a roof over her head. She also learned to live alone, without her husband or her little boy. Just like May’s, my world has grown smaller. Now, with social distancing, I have lost, temporarily, visits with my children and grandson. I now see May as more than merely a “character” in a small town: she was a woman who adjusted to the circumstances that life brought her. Although she could be haughty and unpleasant, she managed. She drove down the middle of the street so she could go to either side as needed. We are all managing during this pandemic as best we can. I wear my mask, keep my distance, and wash my hands, hoping I won’t have to quickly jump into the nearest ditch. About the Author: Beauvais McCaddon is a former member of the Medical Auxiliary. She holds a master's degree in Creative Writing from the Florida State University.
We children thought of her as one of the town’s “characters,” a proud woman, usually in a bad temper. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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2020 VIRTUAL HOLIDAY AUCTION
Save the Date! FOUNDATION
We Care Network
2020 Virtual Holiday Auction NOVEMBER 24 – DECEMBER 5, 2020 BIDDING OPENS ON TUESDAY, NOVEMBER 24, 2020 AT 12:00 PM; BIDDING ENDS ON SATURDAY, DECEMBER 5, 2020 AT 6:00 PM BID FROM YOUR SMARTPHONE, TABLET, OR LAPTOP FROM THE COMFORT OF YOUR HOME! IF YOU WOULD LIKE TO HELP MAKE THE VIRTUAL HOLIDAY AUCTION A SUCCESS, PLEASE DONATE AUCTION ITEMS, SUCH AS WEEK/WEEKEND AT VACATION HOMES, GIFT ITEMS, HOME DÉCOR, JEWELRY, FINE WINE & SPIRITS, SPORTS MEMORABILIA, PAINTINGS/ART, HOLIDAY ITEMS, TOYS, AND GAMES. (NO PERISHABLE FOOD ITEMS, PLEASE) GIVE US A CALL AT (850) 877-9018 AND WE'LL ARRANGE FOR PICK UP! WE HOPE YOU’LL JOIN US FOR OUR FIRST VIRTUAL HOLIDAY AUCTION. ALL PROCEEDS BENEFIT THE CAPITAL MEDICAL SOCIETY FOUNDATION, INC. BE ON THE LOOKOUT FOR MORE INFORMATION IN YOUR EMAIL AND HOME MAILBOX!
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
2020 VIRTUAL HOLIDAY AUCTION
FOUNDATION
We Care Network SUPPORT YOUR FOUNDATION - BECOME A SPONSOR!
Capital Medical Society Foundation ~ Virtual Holiday Auction November 24 – December 5, 2020 Sponsor Name:________________________________________________________________________ Address:___________________________________________________________________ Phone: ______________________________ Fax:__________________________________ E-mail:_____________________________________________Today’s Date:_______________________ Primary Contact:_____________________________________________________________ Contact Signature:___________________________________________________________ Please check your sponsorship level: _____ Title Sponsors: $5,000 • Option to run one, full-page, color ad in the Cap Scan magazine • Option to provide a 3-minute pre-recorded YouTube video link to be aired on CMS Facebook page, CMS website, event communications, and OneCause/ CMSF bidding platform (Video link must be sent to sboyle@capmed.org prior to October 26, 2020) • Logo on all materials, including: - CMS Facebook page - CMS website listing of Holiday Auction sponsors - Invitation - E-mail event communications - OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Cap Scan “Thank You” ad _____ Presenting Sponsors: $2,500 • Option to run one, half-page, color ad in the Cap Scan magazine • Option to provide a 2-minute pre-recorded YouTube video link to be aired on CMS Facebook page, CMS website, event communications, and OneCause/ CMSF bidding platform (Video link must be sent to sboyle@capmed.org prior to October 26, 2020) • Logo on all materials, including: - CMS Facebook page - CMS website listing of Holiday Auction sponsors - Invitation - E-mail event communications - OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Cap Scan “Thank You” ad
_____ Supporting Sponsors: $1,000 • Option to provide a 1-minute pre-recorded YouTube video link to be aired on CMS Facebook page, CMS website, event communications, and OneCause/ CMSF bidding platform (Video link must be sent to sboyle@capmed.org prior to October 26, 2020) • Company name on all materials, including: - CMS Facebook page - CMS website listing of Holiday Auction sponsors - Invitation - E-mail event communications - OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Cap Scan “Thank You” ad _____ Event Sponsors: $500 • Company name on all materials, including: - CMS Facebook page - CMS website listing of Holiday Auction sponsors - Invitation - E-mail event communications - OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Cap Scan “Thank You” ad 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
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SERVING PEOPLE WITH DEVELOPMENTAL DISABILITIES By Lori Kohler, RN, RN Specialist, Agency for Persons with Disabilities Capital Medical Society represents over 630 physicians working in Leon, Gadsden, Jefferson, and Wakulla counties. In this same area, the Agency for Persons with Disabilities (APD) serves 814 clients with developmental disabilities through the iBudget and CDC+ waivers. The majority of these clients (642) are adults aged 23-59, and 92 clients are over the age of 60. Although many APD clients live in family homes and receive assistance from their families, this is not always the case. Even in the family home, some clients receive assistance from caregivers provided through one of the two waivers. APD also has clients who live in foster homes, independent living, group homes, and supported living environments. In these environments, APD clients are most often assisted by unlicensed direct care staff, not RNs and LPNs. This has several implications for the client’s physicians. Unlicensed staff is not permitted to do many tasks that nurses routinely do. These include: • insulin injections, or any other injection • wound care requiring more than routine cleansing and covering of superficial cuts, scrapes, or burns • urinary catheter insertion or flushing, including supra-pubic catheters • tracheostomy care • feeding or medication administration via a nasal tube of any type • deep suctioning, whether through a tracheostomy or oral/nasal • IV medications • medications inserted into the vagina, although they may apply topical medication to the perineum • anything requiring assessment, including frequent assessment of new stomas/ surrounding skin for colostomies, fading to intermittent assessment as the stoma matures When a prescriber orders any of the above, they need to also order the nursing or other therapist required to accomplish the task. A good rule of thumb is to ask any staff members accompanying the client to a medical visit if there is a nurse 16
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available in the home at all times. If a fulltime nurse is not available, confirm which tasks unlicensed staff are permitted to assist with and write orders accordingly. There are many tasks that unlicensed staff may do with adequate training and specific instructions. These include: • applying O2 or CPAP • applying percussion vests for respiratory issues • blood sugar monitoring, as long as no insulin is associated with the measurement (no sliding scale or decision to give/hold regularly scheduled insulin) • emptying colostomy bags and catheter bags • changing colostomy wafers when nursing is not present • range of motion exercises • bathing and other personal hygiene assistance • assistance at mealtimes • positioning, transferring, and ambulation • oral suctioning • medication administration and tube feeding (except NG tubes) Medication Administration and Tube Feeding Administering medication for clients with developmental disabilities who receive services from APD requires collaboration between the prescriber, the client’s support staff, and the client. Administrative Rule 65G-7 F.A.C. and its authorizing statute 393.506 provide the legal framework that allows unlicensed individuals to administer medications. For any client receiving medications, the first step is to ask the MD, DO, PA, or APRN to fill out the Authorization for Medication Administration. The staff should bring the form to the medical visit. It can also be found here: http://apdcares.org/ forms/1Authorization%20for%20Medication%20 Administration%20April%202019%207.002A.pdf. This authorization must be filled out annually, or with any change to the client’s condition that would affect their ability to participate in medication administration or to tolerate certain routes of
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medication administration. Without this form in the client file, unlicensed staff members are not permitted to assist a client with medication administration. This form asks the prescriber to assign a level of ability to the client, which describes their ability to safely participate in the medication administration process. The levels are: • Fully capable of self-administering medications without supervision • may keep their medications locked up in their bedroom • takes medications without prompting or reminders, although staff may remind them from time to time • either re-orders their own medications, or asks staff to do it when needed • NO medication administration record (MAR) is kept for this client • Requires supervision while self-administering medications • medications are centrally stored, client does not have access to them • client is supervised when taking the medications • staff may offer a variety of assistance – opening bottles, helping client decide which medications to take when, reminders that it is time to take medication, preparing medications • a MAR is kept for this client • Requires medication administration assistance • medications are centrally stored, client does not have access to them • medications are administered to the client • a MAR is kept for this client There are two further levels, which are for clients who require supervision while self-administering medication and for clients who require medication administration assistance. Both include the additional statement “with the following exceptions for which the client is fully capable of self-administering without supervision (specify route).” This is intended to allow these clients to independently give themselves certain medications if they are able to do so safely. Examples might include: • Rescue inhalers – clients are often not in the same place their medications are stored during the day, so this comes in handy if the client needs the inhaler and has been taught how/ when to use it. To specify this, you would write “inhaled, only albuterol rescue inhaler” or whatever medication it is you are ordering. If
you do this, then the client will still be assisted with any long acting inhalers that are given on a regular basis, to ensure that the client gets these medications and that they are properly administered and recorded. • Topicals - cream, ointments, shampoos, etc. – if the client can be independent with these, or even a subset of these, it is a good step on the way to further independence. This might include antibiotic or antihistamine ointments, prescription toothpastes and shampoos – anything that the client can safely use in the manner intended. You would indicate “topical” and list which medications the client may use without supervision. • Insulin injections – if an insulin injection is regularly scheduled and does not depend on a blood glucose reading, the client could selfadminister without supervision if they are able to do so. Unlicensed staff may not assist them, but they can remind them that it is time for their insulin, and they may bring a premeasured (by the pharmacy) syringe to the client from the refrigerator or other storage. Some clients are able to use insulin pens and premeasured pens, others are not – if they can, these are a good choice. Remember that unlicensed staff may not help them draw up their insulin. Unlicensed individuals must receive initial and annual training in order to assist with medications. Once trained, they are called “Medication Assistance Providers,” or “MAPs.” A MAP can only assist with a medication ordered by a prescriber if the order or prescription is written clearly with no ambiguity or need for assessment on the part of the MAP. The order or prescription should include: • the client’s name • the name of the medication • the prescribed dosage • the time intervals or specific time the medication must be given • the administration route by which the medication must be given • specific directions for use • this includes whether to crush or dilute medications, as would be needed to give them enterally or for someone who has trouble swallowing – MAPs may not crush or dilute medications without an order to do so. CONTINUED ON NEXT PAGE
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• information about where on the body to apply a cream or lotion, and how much to use – may be stated as “apply thin film to any reddened areas on arms or torso,” for example. MAPs may not apply creams to “affected area” – the order must be more specific. • the medical reason or diagnosis for which the medication was ordered In addition, for PRN medications, the order or prescription must also include: • the complaint for which the medication is ordered • the maximum number of days the medication should be given • the maximum number of doses per day, and • conditions under which the health care practitioner should be notified. PRN medications are especially problematic for prescribers and providers, as the orders must be more specific than many prescribers are used to. For example, here are some partial orders: • “Apply 1% hydrocortisone cream to affected areas PRN” is too general – you are asking the unlicensed MAP to assess what area is “affected,” which they are not allowed to do. A better order is: “Apply a thin film of 1% hydrocortisone cream to reddened, itchy spots on arms, legs, torso, or face as needed” • “Acetaminophen 325mg tablet, give 2 tablets every 4 hours by mouth as needed for complaint of headache” may be too specific. With this order, the MAP cannot give the acetaminophen for fever or for any other complaint of pain. If you want the acetaminophen to be available to the client for fever or other pain, you would write “Acetaminophen 325mg tablet, give 2 tablets every 4 hours by mouth as needed for complaint of headache or other body aches, or for fever over 101°F.” • Orders for narcotics for pain should not be this general if it can be avoided. If you are ordering them for a specific pain, it is a good idea to state that on the order – “for pain from left arm fracture.” • “Alprazolam 0.5mg tablet every 8 hours by mouth as needed for anxiety.” Often this cannot be given by a MAP because they are not qualified to assess for anxiety in a person 18
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who cannot state that they are anxious. Caregivers and family members can usually tell you what the client does when anxious, so your order might say, “Alprazolam 0.5mg tablet every 8 hours by mouth as needed for anxiety as evidenced by pacing and repetitive vocalizations” • Care must be taken when ordering psychotropics PRN to ensure that you do not unintentionally order them in a way that can be perceived as a chemical restraint. For instance, this same order, written “as needed for head-banging or hitting staff ” would be interpreted as a chemical restraint because it is ordered for a targeted behavior. Chemical restraints may not be given by unlicensed staff and have many more requirements for administration. If they are needed, please check to make sure a behavior plan is in place. • “Ambien 10mg tablet by mouth at bedtime as needed for insomnia” is not specific enough for a MAP to assist. “Ambien 10mg tablet by mouth at bedtime as needed for insomnia as evidenced by inability to fall asleep after lying in bed for one hour” is more specific. • If you order over-the-counter (OTC) medications, whether PRN or regularly scheduled (supplements, for instance), most insurance plans will not pay for them, so they are purchased using the client’s funds. Most clients receive around $133/month for personal spending. All PRN OTCs ordered must be purchased for the client and available for use. If standing orders are used for PRNs, clientpurchased OTC PRNs often go unused, expire, and are discarded. We recommend that you order only the PRN OTCs that the client is most likely to need, rather than using standing orders for all situations. Should you ever need assistance finding or filling out forms, or with anything else concerning APD clients and medication, please feel free to email me at lori.kohler@apdcares.org.
DONATE TO THE CMS FOUNDATION
The Impact of Private Support:
Donate to the CMS Foundation – We Thank Our Donors We thank the following individual donors who made a donation to the CMS Foundation this past month: Capital Medical Society Foundation – included with their annual dues payment David Hood, M.D. Capital Medical Society Foundation – Area of Greatest Need Yvonne T. Brown Ronald H. Saff, M.D. Tallahassee Lions Club – to purchase PPE Scholarship Fund David Bellamy, M.D. – In Memory of Donna “Suzanne” St. John We Care Network Anonymous Rosalie A. Carlin – In Honor of Tracey E. Hellgren, M.D., Matthew Lawson, M.D., and Maribel U. Lockwood, M.D. We Care Network Grants Florida Dental Association Foundation Jefferson County Health Department
The Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” ➢ Access to healthcare is increased through gifts to the We Care Network and the We Care Network Endowment Fund. More than $112.3 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 2019-20, which ended June 30, 2020, more than $6.9 million in health care was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the donated care. ➢ To provide incentives to keep medical students trained at the FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $50,000 was awarded in 2019. ➢ Gifts to the Capital Medical Society Foundation help provide operational resources for the Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to healthcare for the underserved. In 2020, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program and the Big Bend Hospice Foundation for bereavement services. Gifts to Honor and In Memoriam: You can make a gift to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. The CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can make a gift at any time to one of the CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund 6) The Ronald G. Pickett Endowment 7) Physician Wellness Fund Gifts should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to give. Bring your check to the CMS Office or mail it: Capital Medical Society Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Gifts may be made by credit card or direct debit from the CMS website. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact:
Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend.
Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS FOUNDATION: WE CARE NETWORK
Robert Watson, M.D. Graham Whitaker, M.D. FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care Network partners who provided healthcare to new patients in July 2020. Your generosity and support of the We Care Network makes a difference.
Physicians Venkata Bavikati, M.D. David Bellamy, M.D. Dhananjay Bendre, M.D. Shelby Blank, M.D. Timothy Bolek, M.D. Tim Broeseker, M.D. Tony Bryant, M.D. Francisco Carpio, M.D. Gilbert Chandler, M.D. Raymond Cottrell, M.D. William Dixon IV, M.D. Amara Emenike, M.D. Hong Gao, M.D. Akash Ghai, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Celeste Hart, M.D. Muhanad Hasan, M.D. Todd Hewitt, M.D. Marc Inglese, M.D. Amit Jain, M.D. Kenneth Kato, M.D. Fang Sarah Ko, M.D. Ovidiu Marina, M.D. Kenneth McAlpine, M.D. Jayan Nair, M.D. Mitchell Peabody, D.O. Jorge Perez de Armas, M.D. Alexander Ramirez Valderrama, M.D. Adrian Roberts, M.D. Andres Rodriguez, M.D. Abel Romero-Corral, M.D. Tim Ruark, M.D. Philip Sharp, M.D. Eliot Sieloff, M.D. Hardeep Singh, M.D. Joshua Somerset, M.D. Amanda Stephens, D.O. Christopher Sundstrom, M.D. Scott Tetreault, M.D. Kaisa van der Kooi, M.D.
Dentists Laban Bontrager, D.M.D. Walter Colón, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. Barrett Tolley, D.D.S. Facilities Airway Works, LLC Anesthesiology Associates Apalachee Primary Care Bastien Dental Care Beachton Denture Clinic Bond Community Health Center Bristol Dental Clinic Capital Health Plan Capital Nephrology Clinic, PA Capital Regional Cancer Center Care Point Health & Wellness Center Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists & Research Institute FSU PrimaryHealth Gadsden County Health Department Gynecologic Oncology of Tallahassee Health & Wellness Centers of North Florida Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J. Pijut DMD PA Madison Medical Center Neighborhood Medical Center North Florida Women’s Care North Florida Regional Thyroid Center Oral & Facial Surgery Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Southern Medical Group, P.A. Tallahassee Diagnostic Imaging
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Tallahassee Memorial HealthCare TMH Family Medicine Residency Program TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Clinical Genetics Center TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Quincy TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Urology Specialists TMH Transition Center Tallahassee Orthopedic Clinic Taylor Medical Center TOC Canopy Wakulla County Health Department Wakulla Medical Center Women’s Imaging Center
Please contact Diana Bixler at dbixler@ capmed.org or 201-0130 if you are a We Care Network volunteer and you provided volunteer specialty care in the month of July 2020, and your name is omitted.
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. In addition, up to five hours, per biennium, of CE credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Diana Bixler at (850) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
CMS FOUNDATION: WE CARE NETWORK
We thank our referring providers from July 2020:
Ebonie Allen, APRN
Hong Gao, M.D.
Alexander Ramirez
Jonathan Appelbaum, M.D.
Amy Haddock, M.D.
Katrina Ball, APRN
Hantz Hercule, M.D.
Brandi Richardson, APRN
Karen Bartley, M.D.
Todd Hewitt, M.D.
Charlie Richardson, M.D.
Jean-Pierre Bastien, D.M.D.
Marc Inglese, M.D.
Adrian Roberts, M.D.
Shelby Blank, M.D.
Amit Jain, M.D.
Andres Rodriguez, M.D.
Kendra Brady, APRN
Anneka Johnson, APRN
Tim Ruark, M.D.
Daniel Breivogel, APRN
Hiren Joshi, M.D.
Lucilita Salvador, P.A.
Alexander J.
Charles Kent, M.D.
Philip Sharp, M.D.
Stefanie Kreamer, M.D.
Eliot Sieloff, M.D.
Fran Bridges, APRN
Elaine Larkins, APRN
Abisoye Somorin, APRN
Viet Bui, M.D.
Matthew Lee, M.D.
Anthony Speights, M.D.
Frances Carney, APRN
Ian MacDonald, APRN
Alanna Steaple, APRN
Francisco Carpio, M.D.
Ovidiu Marina, M.D.
Kris Stowers, M.D.
Lysmar Carrion-Dinguis, M.D.
Damon McMillan, M.D.
Scott Tetreault, M.D.
Melba Colon-Renta, M.D.
Yvette Mignon, M.D.
John Thabes, M.D.
Deborah Congdon, APRN
Kelley Miller, APRN
Lacie Thompson, APRN
Raymond Cottrell, M.D.
Angela Morgan, APRN
Faye Tinson, APRN
William Dixon IV, M.D.
Marcia Morris, APRN
Barrett Tolley, D.D.S.
Margarett Ellison, M.D.
Jayan Nair, M.D.
Marianne Towler, APRN
Amara Emenike, M.D.
Rose Origa, APRN
Mary Tucker, M.D.
Cynthia Evans, APRN
Jorge Perez de
Jeffrey Wasserman, D.O.
Sharron Foster, M.D.
Shana Wood, APRN
Dale French, D.O.
Lisa Perkins, APRN
Anneka Gaffney, APRN
Jessica Proxmire, APRN
Brickler III, M.D.
Armas, M.D.
Valderrama, M.D.
DURING THE MONTH OF JULY 2020, THE WE CARE NETWORK: RECEIVED 175 REFERRALS, WITH 101 PATIENTS NEW TO THE PROGRAM
SCHEDULED 104 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$383,440.57 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
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Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
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