OCTOBER EDITION, VOLUME 2015, NO. 10
Capital Medical Society Celebrates National Breast Cancer Awareness Month PUT ON SOME PINK SOCKS! By Philip Sharp, M.D. I grew up watching Star Trek and believe that one day there will be no need for radiation in the treatment of breast cancer, or any cancer for that matter. Chemotherapy or surgery either. Maybe not in my lifetime, but one day a Dr. McCoy/Dr. Crusher look alike of some generation will walk in the exam room with a tricorder thingy, zip it around a patient’s body, diagnose breast cancer, and immediately administer a painless treatment. Maybe breast cancer will be eradicated then. Probably some 17 year old in a garage in Silicon Valley will make an app for that. Hopefully my daughter will be fortunate enough to have that app developed during her lifetime. For now, breast cancer affects 12% of females, or the often used phrase “one in eight”, if they live to age 90. 75% of those develop after the age of 50. We know a lot of risk factors
but age is the strongest predictor of developing breast cancer. And thanks to my diagnostic radiology colleagues, we are helping find it earlier when the likelihood of cure is greater. Mammograms are the only
screening modality that has been proven to decrease the likelihood of death from breast cancer. Way to go radiology! Now mammograms are digital not film, and 3D not 2D. Most importantly, death rates from breast
cancer are declining largely due to better treatment. The diagnostic workup and treatment options are numerous, but are likely overwhelming to the average patient and family. Tumor size, grade, type and stage. Hormone receptor status, HER2/neu status, lymph node status. Clinical trials, radiation, chemotherapy, hormone therapies, targeted therapies, mastectomy, reconstruction. Post-operative rehabilitation, wigs, special bras. Way too much information in a short period of time for a patient when many are still in shock from the diagnosis. But information and knowledge are power, perhaps stronger than pink socks on football players in October. We know far more about breast cancer than we used to. The microscopic appearance of a breast CONTINUED ON PAGE 3
Capital Medical Society thanks the physicians and dentists in this community who provide care to breast cancer patients. CAPITAL MEDICAL SOCIETY 2015 MEETINGS CALENDAR October 15, 2015 CMS Happy Hour 5:30 pm – 7:30 pm Liberty Bar & Restaurant
October 20, 2015 November 10, 2015 CMS Membership & CME Meeting CMS Membership & CME Meeting “Prevention of Medical Errors” – 2 Hour CME “Advanced Cardiac Imaging – Cardiac MRI” Scott Sellinger, M.D. and Jesse Suber, Esq. Greg Hartlage, M.D. and Ernesto Umaña, M.D. 6:00 pm 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks Maguire Center for Lifelong Learning at Westminster Oaks
December 3, 2015 CMS Foundation Holiday Auction 6:30 pm University Center Club at FSU
BOARD OF GOVERNORS Joshua Somerset, M.D., President J. Daniell Rackley, M.D., President-Elect Tracey Hellgren, M.D., Secretary/Treasurer Alfredo Paredes, M.D., Immediate Past-President Shelby Blank, M.D. Garrett Chumney, M.D. David Dixon, D.O. Shakra Junejo, M.D. Maribel Lockwood, M.D. Amy Pagano, CMS Alliance President Paresh Patel, M.D. Philip Sharp, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D. Pam Wilson, Executive Director Family Medicine Resident Todd Hewitt, M.D. Internal Medicine Residents Sura Jermanus, M.D./Jose Martinez, D.O.
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
National Breast Cancer Awareness Month …
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Professional Notes …
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Announcements…
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CMS Lunch & Learn …
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Reflections from the Editor …
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Viewpoint …
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Florida Board of Medicine …
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Medical/Legal …
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CMS Foundation Holiday Auction …
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CMS Foundation Scholarships …
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CMS Foundation …
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CMS Foundation: We Care Network …
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HAPPY BIRTHDAY! {OCTOBER BIRTHDAYS}
William Donnellan, Jr., M.D. – 2nd
Dennis Williams, M.D. – 21st
Andra Prum, D.O. – 2nd
Scott Tetreault, M.D. – 22nd
Lisa Cook, M.D. – 4th
Patrice Bidwell, M.D. – 23rd
Roy Forman, M.D. – 4th
Mark Fahey, M.D. – 23rd
Chris VanSickle, M.D. – 4th
Tahirali Motiwala, M.D. – 23rd
Adrienne George, M.D. – 5th
Michael Wilhoit, M.D. – 23rd
PUBLICATION
Joseph Pagano, M.D. – 5th
Stephen Richardson, M.D. – 24th
EDITOR Charles E. Moore, M.D.,
David Dolson, M.D. – 6th
H. Logan Brooks, M.D. – 25th
Kris Stowers, M.D. – 6th
David Dixon, D.O. – 25th
J. Brian Sheedy, M.D. – 8th
Brewster Caldwell, D.O. – 26th
Matthew Lawson, M.D. – 9th
Janice Lawson, M.D. – 26th
Rohan Joseph, M.D. – 10th
Kathryn Davis, M.D. – 27th
L. Steve Sarbeck, M.D. – 10th
Shaun Laurie, M.D. – 27th
Tony Weaver, M.D. – 13th
Chris Berg, M.D. – 29th
Jyotsna Dalal, M.D. – 14th
Judy St. Petery, M.D. – 29th
Sandeep Rahangdale, M.D. – 14th
Kenneth Wasson, M.D. – 29th
Eliot Sieloff, M.D. – 14th
J.W. Richard Davis, M.D. – 30th
Pat Woodward, M.D. – 16th
D. Paul Robinson, M.D. – 30th
Garrett Chumney, M.D. – 18th
Tom Hicks, M.D. – 31st
Lori Rosenberg, M.D. – 18th
John Streacker, M.D. – 31st
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN? Please contact Dr. Charles Moore at cmoore5186@aol.com and Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.
Pam Wilson – 18th
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
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
NATIONAL BREAST CANCER AWARENESS MONTH
cancer was what once was used to direct treatment. Now a piece of the specimen is sent for genetic analysis and this helps determine a more precise personalized regimen. The bulk of the progress here has been with regards to chemotherapy and/ or hormonal therapy. Maybe within the next 5 or 10 years we will have the same knowledge of genetics that can help us better to direct the delivery of radiotherapy too. Regarding radiation for breast cancer, the standard 6-7 week course can be quite inconvenient for some patients. Shorter courses are being explored and some early reports have shown that a 3 week regimen may be an acceptable alternative for some patients. And in other cases radiating less than the whole breast and instead focus the radiation at the site of the lumpectomy only is under investigation. The entire process of delivering radiotherapy has benefitted from the information age. A radiation plan begins by using a CT scan of the patient that is imported into the treatment planning computer system. The treatment plan is developed that then instructs the linear accelerator how to deliver the best treatment for that patient. We are doing a better job with radiotherapy than in years past when a wax pencil was used to outline a lead block on a plain film. An issue not usually discussed in oncology textbooks is the effect the diagnosis has on a person. Cancer is one of the most stressful life events anyone can have to endure. Fortunately, for the vast majority of breast cancer patients our expectation of treatment is cure. Still, hearing the “C word” is like being hit by a ton of bricks. Once I told a patient that and she corrected me and said “PINK bricks” and we chuckled slightly. It lightened the moment. And unfortunately not all outcomes are favorable despite the best of treatment. Yet, even in these worst of situations, cancer doesn’t define a person. I remind patients of this and it sure seems to comfort them some when they realize it is true.
I learn something new everyday just by sitting for a moment longer during my visits with patients talking about their work, family, hobbies, and life experiences, to name a few. Sometimes I sit a bit longer to comfort a person while they cry. Breast cancer patients are strong, but sometimes even the strongest of us need a moment to grieve. Sometimes it is easier to cry in the doctor’s office and not at home where we don’t want those whom we love to see our fear. The usual time that I turn a patient’s care back to their other doctors is five years. Sometimes after I congratulate someone on a successful 5 year cancer free period they cry, largely joyful tears but maybe I also sense something else. I don’t think that fear ever goes away. It’s humbling. Patients know more about breast cancer thanks to the internet. I don’t have a Facebook account, but I had a breast cancer patient once tell me that she and other patients post things about me there. I haven’t seen any of those posts so I hope they are pleasant. I am certain there are laudatory posts there about all of you. Sometimes I surf the net searching for forums and blogs for cancer patients. One topic patients post in these places is about what they like and don’t like about the healthcare journeys they go through. The vast majority of posts are positive. They educate each other, encourage each other, grieve with each other, console each other, pray for each other,
celebrate with each other. They discuss their personal treatments and side effects. I have found it helps me to better understand and appreciate what issues are important to people by reading these. I try to discuss with my patients the issues where I read a patient post saying something like “I wish my doctor had told me that!” It won’t improve any of the “quality indicators” for Medicare, but I’m certain it enriches the patient’s experience. Wonder if Medicare has a Facebook page. During the month of October, don’t forget to wear some pink in support of those we know who have been diagnosed with breast cancer. My favorite socks were given to me by a breast cancer patient and they are some wild color combinations with predominately pink. I would have never bought a pair myself, but since she gave them to me they are very special. I am grateful for her. And for all of my patients. Every single one. I know you are too. We have made significant strides in helping to eradicate this disease and more is assuredly on the way. Some say that cancer is too complicated a disease for a cure to be found. They may turn out to be correct, but I am betting they will be wrong. We are already beating most breast cancers! It is with many heartfelt thanks to all of you and all courageous patients everywhere that we can say that. And remember, as Dolly Parton said, “Storms make trees take deeper roots”. CMS
Number of New Cases and Deaths Common Types of Cancer
Estimated New Cases 2015
Estimated Deaths 2015
1. 2. 3. 4. 5. 6. 7. 8. 9.
231,840 221,200 220,800 132,700 74,000 73,870 71,850 62,450 61,560
40,290 158,040 27,540 49,700 16,000 9,940 19,790 1,950 14,080
54,870
10,170
Breast Cancer (Female) Lung and Bronchus Cancer Prostate Cancer Colon and Rectum Cancer Bladder Cancer Melanoma of the Skin Non-Hodgkin Lymphoma Thyroid Cancer Kidney and Renal Pelvis Cancer
10. Endometrial Cancer
Breast cancer represents 14.0% of all new cancer cases in the U.S.
14.0% Courtesy of National Cancer Institute
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
PROFESSIONAL NOTES
(L-R) Dr. David O’Bryan, Beth Sundstrom, and Dr. Chris Sundstrom
Dr. Alexander D. Brickler has delivered over 30,000 babies during his accomplished medical career spanning six decades. He has also trained over 330 physicians through the TMH Family Medicine Residency Program. “People talk about being a ‘Brickler baby’ and it is seen as a badge of honor,” said Mark O’Bryant, President & CEO of Tallahassee Memorial HealthCare. “His focus is always on the right thing and he never wavers from that. He is the epitome of what a physician should be. When you are in the presence of Dr. Brickler, you are in the presence of greatness.”
Dr. David O’Bryan was awarded the Outstanding Educator Award at the FSU College of Medicine’s Tallahassee Regional Campus 2015 Annual All-Faculty Meeting on August 25, 2015. Dr. O’Bryan received the annual award “for his enthusiasm in teaching, his efforts to meet the educational needs of each student, his exemplary leadership, his love of patient care and his service to our college and community,” said Campus Dean Dr. Ron Hartsfield. Dr. Chris Sundstrom presented the award and shared the personal impact Dr. O’Bryan had on his decision to practice Obstetrics & Gynecology. It was also announced that Dr. O’Bryan has also recently been promoted from a Clinical Assistant Professor to Clinical Associate Professor at FSU College of Medicine.
Louis St. Petery, M.D. was awarded the Audrey Schiebler, F.A.A.P., and Gerold Schiebler, M.D., F.A.A.P. Advocacy Award (“Schiebler Award”) at the Florida Chapter of the American Academy of Pediatrics annual meeting on September 5, 2015. The Schiebler Award was established in 2013 to honor the lifetime achievements of Audrey and Gerold Schiebler and is awarded annually to one physician who has worked beyond the call of his or her profession, has educated local and state legislators, and has diligently advocated to improve the health and welfare of Florida’s children.
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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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
PROFESSIONAL NOTES
Dr. Frank Walker was awarded the FSU College of Medicine’s Distinguished Alumni Award at the Class of 2019 White Coat Ceremony in August. “In addition to caring for children in his practice for more than three decades, Dr. Walker has identified several venues through which he can reach the community’s indigent population,” said Dr. John Fogarty, FSU College of Medicine Dean. “And he has been a leader with our admissions committee from the beginning.” Dr. Walker graduated from the FSU’s Program in Medical Sciences (PIMS), the forerunner of the College of Medicine. Dr. Walker has served as the Chair of the Capital Medical Society Foundation Scholarship Committee since 1987. Congratulations, Dr. Alexander D. Brickler, Dr. David O’Bryan, Dr. Louis St. Petery, Dr. Frank Walker, and MMIC Ad_CapScan_09-2015.pdf 1 9/29/15 3:05 PM Tallahassee Memorial Healthcare!
Tallahassee Memorial HealthCare (TMH) has been selected to join the EMPower Breastfeeding initiative, a nationwide program to help hospitals enhance the maternity care practices and work toward achieving Baby-Friendly USA© designation. TMH is one of only 100 hospitals across the country, and the only hospital between Jacksonville and Pensacola, selected for this hospital-based quality improvement initiative funding by the Centers for Disease Control and Prevention. As an organization, TMH is committed to increasing breastfeeding rates throughout the Big Bend region, promoting and supporting optimal breastfeeding practices, and ultimately improving the health outcomes for children in the community.
32 YEARS
CMS Members:
We have been defending our owners for more than 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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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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ANNOUNCEMENTS
Have You Paid Your CMS Dues? Dues invoices were sent in July. If you have not paid them yet, please do so immediately. If you are unsure if they have been paid, please contact Kay Rowe at krowe@capmed.org.
Please make sure you register for the Capital Medical Society CME/Membership Meetings. Westminster Oaks prepares the meal based on the registration count we provide them. If you register and learn that you are unable to attend, please let us know immediately. We are obligated to pay for no shows. Thank you!
CMS MEMBERS: HAVE YOU SERVED/ARE SERVING IN THE MILITARY? We would like to list all of our CMS Members who serve/have served in the Military in our November 2015 Cap Scan newsletter. If you are serving or have served, please use the survey monkey link to let us know (only 3 questions!): https://www.surveymonkey.com/r/MilitarySvs. Kindly reply by October 15th. 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN Capital Health Plan, 1491 Governors Square Boulevard On September 16th, Bert Mitchell (pictured here) gave an excellent program on “Customer Service in Health Care”. Tallahassee State Bank sponsored the September 16th Lunch and Learn. Mark Your Calendars for the Remaining Fall 2015 Lunch & Learn Seminars: • Wednesday, October 28, 2015 Stop Swimming Naked with the Sharks With record litigation and a dramatic increase in governmental audits impacting local business, come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your company. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, ensuring your social media policy is compliant with the NLRB’s recent decisions, and newly announced overtime rules that impact your practice. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike!
3. Identifying Key Staff for implementation and management 4. Patient Buy-In with Marketing Tips and Techniques Speaker: Bill Hambsh, CEO, North Florida Women’s Care Sponsor: FD Insurance Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar For more information or to register, contact Rosalie Carlin at (850) 8779018 or rcarlin@capmed.org.
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Speaker: Bill Krizner, The Krizner Group Sponsor: Hayes Computer Systems • Wednesday, November 18, 2015 Collecting Patient Payments Online – Improving Patient Satisfaction, Revenue and Productivity Objectives: 1. Discuss PCI Compliance and new EMV Standards October 1st 2. Vendor Selection Process
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REFLECTIONS FROM THE EDITOR
MORE THAN DUST by Charles Moore, M.D.
I think of the Lloyd dump as possibly unique among the world’s great dumps. Since we live just barely in Jefferson County, and have no pick-up service, I go there at least once a week. I take the garbage, sorted out into plastic, glass, cans, paper, frank gar-bage, and lots of boxes from Amazon Prime, which my wife Lynn has discovered, in my little 1991 Ford “truck.” Truck is in quotes because it barely qualifies: a four cylinder “Ranger,” the windshield cracked rather badly and no longer capable of going into reverse. The dump doesn’t care, since you go in from the east end and come out the west, no backing up required. The battery, as a result of this five mile round-trip, stays charged, and I can hold my country head high knowing “yes, I have a truck.” But that pleasure is aside from the delights of the dump otherwise, which are, first, exceptional, and second, literary. As already mentioned, the Lloyd dump, excepting possibly some in India, is exceptional to the point of being perhaps unique. At least it
is the only dump I know…not that I am a connoisseur…that is placed in the dead center of its town, immediately adjacent to the only crossroad/caution light in Lloyd. Lloyd has, of course, other pleasantries, such as the old train station, now the post office, the Baptist Church, and The Woman’s Club. But to have a dump in the very heart, the very center of town seems to me deserving of modest recognition. Small though the dump is I am led to consider putting it in my book, which I will never write, “100 Great World Dumps You Should See Before You Die.”
London. Kim, like Noddy, is a rumbustious, good fellow, whose “fabulous wealth” I neither know nor can quote, but at least he has a boat, which says something. In “Dust,” however, lies more than paltry wealth; it contains hidden secrets and the untold stories of many a life. We ourselves, after all, and as is invariably pointed out as we stand about the grave or are lowered into it, are but “dust to dust,” which somehow sounds better than just becoming “garbage.” Yet such piles of it we can make! Even in 1837 it was sufficient to amaze, attracting the attention of at least one artist, Mr. E. H. Dixon, who did a watercolor of the great dust-heap on the outskirts of London. Unlike the Lloyd dump, at least this heap was not located in Trafalgar Square, but in the London suburbs. One sees in the painting the newly built Smallpox Hospital, nosopoeticlly situated immediately behind the
But then there is also the “literary” association that I am pleased to enjoy when I go a-dumping. Whenever I go there I think of Charles Dickens, and then my jolly, jovial acquaintance, Kim Williams, our own Tallahassee “Marpan Man,” a very Dickensian character himself. More specifically, I am led to remember the pleasure I took all those many years ago reading “Our Mutual Friend,” the last of Dickens’ completed novels before he died; and particularly, aside from how all came right in the end, of Noddy Boffin, “the Golden Dustman,” who had become fabulously rich E. H. Dixon, “King’s Cross, London: The Great Dustcollecting, sorting through, Heap”, Watercolour (1837), Wellcome Library and reselling junk gathered from the refuse of Dickensian CONTINUED ON NEXT PAGE CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
REFLECTIONS FROM THE EDITOR
dust-heap, with little plots of still rural gardens in the foreground. A horse cart plods its weary way up the dust mountain, just like me in my “Ranger,” plodding to Lloyd. The question “how do we relate to our refuse” has now become both fashionable and very meaningful. As so many cooks have become chefs, indeed glitterati on the covers of slick magazines, so, too, perhaps, should our refuse-men be granted their well-deserved and due recognition. Do they not, after all, save us from ourselves, who without them would become swamped in our bits of plastic, cans, papers, decaying grapefruits, et al, nor to leave out all the rats, lice, and vermin therewith associated? Look at what has been going on recently in Beirut, prompting riots in the streets amidst piles of uncollected trash. As physicians we can count ourselves blessed that because of the Dust-men both we and our patients are spared the afflictions of innumerable diseases. But what makes a great “DustMan,” suitable, say, for the cover of Tallahassee Magazine, at least? The issue is worth debating, as my wife and I sometimes do, over a martini. Our son-in-law, who knows stuff, says the exercise of separating out our refuse…plastic, paper, metal, glass, etc… is futile, and that when all is said and done everything simply ends up in the landfill anyway. We say that even if recycling is not a perfect art as yet, we should practice at it because it is a goal worth achieving. I read somewhere that the recycling of a single can (made generally of
aluminum, by the way, not tin) saves an amount of energy were you to produce it de novo sufficient to run your TV set for three hours. Of course, who wants to watch TV for three hours; so how about your Kindle for five, reading a bit of Dickens? It is a good thing, this recycling, even if we are not as compulsive about it as the Swedes, who I am told have 12, and maybe more by now, separate categories of refuse; but also a very high rate of suicide. I have asked Brian, the fine fellow who oversees the Lloyd dump, just how seriously Jefferson County takes recycling, and his reply is suspiciously noncommittal. I look into the bins, carefully marked “Newspaper,” “cans”, “plastic,” “glass,” and “cardboard boxes,” and cannot help but notice that no one appears to pay much attention. There are rumors that prisoners, instead of breaking rock with sledgehammers, sort it all out. Is there some mystery here? And so I went to Kim, and said to him, “Hey, Kim, how are things out at your dump?” I now regret having put the question so coarsely. He does not have anything you could remotely call a “dump.” It is something altogether else. I now know, for he was kind enough to take me on a tour of his 17 acre facility. What he showed me reminded me of the wildest ride you can imagine at Disney World. There, indeed, was what amounted to the Eiffel Tower lying on its side, with innumerable moving belts, about 6 feet wide angled within it, criss-crossing each
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
other, shaking, rattling, rolling, roaring. It was a Rube Goldberg apparatus par excellence, alive and trembling, monstrous, but so cleverly designed, and by Kim himself, that I found myself staggered by the Art of it all. We walked about, I pretty jaunty in a hard-hat, climbing iron staircases up, down, and over to look down upon these swiftly moving belts, watching as Kim’s “Marpan-Men” engaged themselves wrenching forth this or that anomalous item. Everything was jiggling; everything finally falling into its proper bin; even the paper divided up into its finer white (worth much more because of its long fiber, a subject altogether too technical for the likes of you and me) as opposed to the variously colored. Nor to leave out the Great Wood-Chipper, which Kim put together himself like a huge erector set from recycled scraps of this and that, an engine towering three stories high, gobbling up everything that can be turned to mulch. This was industrial mulching on a huge scale, the very thing the villain should fall into at the end of an action movie. “You know, Kim,” I said, and with some passion, too, “you should set up formal tours of this operation. It is truly amazing! Kids, sixthgraders, church choirs, great chefs of the world should see this!” “Yes,” he replied, “but of course we worry that they might stumble and find themselves pulverized inside a two ton bale of compressed metal cans. It would be a terrible way to lose a choir.” ”Quite understood,” I replied.
REFLECTIONS FROM THE EDITOR
As I removed my hard-hat Kim went on to say, “But you know, I love this stuff. We can recover and reuse 97% of what we throw away. On just the plastic alone we can extract half the energy generated by a coal plant. The sun is great, the wind is variable, but there is so very much energy in all that we throw away so thoughtlessly. And look at those guys working up there. I have 50 or so of them, 20% on work-release from prison, and many others who until they got this job were homeless. Now they’ve got a job, and are not badly paid for, yes, a hard day’s work. But it’s great exercise, and a new start for all of them. Throw away an old bike; one of ‘em will fix it up and ride it back and forth from
Spring Hill Road where they stay during work-release. Throw away an old lawn mower, and one of ‘em will fix it, and sell it. It’s an opportunity, and I love being a part of it myself. It’s not just cans and junk and cardboard. I could tell you some stories of how we’ve recycled a lot of people, too.”
Mr. Kim Williams, “The Marpan-Dustman”
I went home and over my martini told my wife that in another life, if I am not a physician, or a great chef, I might want to become a “Dust-Man,” just like Kim and Nobby Boffin, who each in their own time we can thank, and be glad to consider our mutual friend. CMS
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VIEWPOINT
A GIRL FROM THE DUTCH EAST INDIES By Cynthia Tie, M.D. Editor’s Note: Ah, the curiosity and magic of why and where we are! This month we thank Dr. Cynthia Tie for sharing with us the following brief history of how, even if so very circuitously, she became a physician, and then to grace us with her presence in Tallahassee. Hers was a long road. She modestly credits it to “luck,” to which I cannot but add plenty of “pluck.”
Java – 1965 – The year of living dangerously1 – my father was a young physician who was teaching at a new medical school founded by ambitious ethnic Chinese colleagues. After a coup d’état, the Indonesian military accused many Chinese intellectuals, including my father, of being communists and sent them to prison. I was born about 3 months after, while my father was a political prisoner. Because we were of Chinese descent, despite being born in Indonesia, we were still considered non-native. For non-native children to be permitted to attend school, parents had to obtain a letter stating that they were not involved in the 1965 political upheaval. Despite all, I thought we had a good life. My father was required to work at the military hospital, which he did during the mornings. In the evening, he had his private practice at our home. He had an exam room and a waiting area next to the garage. There were no appointments; he had no receptionists and no nurse. Sometimes, he would call on my mother to help him. He was a family practitioner who did everything from childbirth to hospice. Many nights he would 12
load the family in the car to do house calls. We would wait in our car, while he took care of a patient. There was always someone at our house, having a meal with us, and I never knew what their exact relationship was, whether that person was an extended family member, a friend, or a patient. I remember pharmaceutical reps would also come to visit, and often I enjoyed listening to them talking to my father, not least because they always brought pretty pictures and trinkets. I can’t get rid of the black line above, but it shouldn’t be in there. Everyone predicted that I would succeed my father to become a physician. And oh, I forgot to mention that my father’s two brothers were also physicians. My cousins and I would look at each other, deciding that we would not also become physicians: that was too boring. My father, however, could not forget the hurt of being falsely accused, and was determined that his children would not have to go through life being discriminated against as he had been. When I was twelve years old, we emigrated to the Netherlands. I remember my parents telling me that from now on we no longer had to fill in that box marked “ethnicity,” that I could go to any school I chose, and that my accomplishments would be based on merit, not on bribery.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
The (high) school system in the Netherlands is vastly different from that in the United States (or Indonesia). After elementary school, students are separated based on their test scores and teacher recommendation to different educational tracks. The belief is that not everyone would or should go to a university. A university is an institute of higher learning to study a specific professional discipline. There are no undetermined undergraduate majors or minors. All prerequisite education, such as mathematics, physics, chemistry and languages would have already been taught in preparatory high school, which is called “College”. I wanted to be a scientist, working in a laboratory, making discoveries. Attending medical school was still not my consideration. Plus, it was hard to get into medical school. Because too many people wanted to study medicine, a lottery system was implemented to determine admissions. Students with better grades had a higher chance of getting admitted, but nevertheless selection was still based on chance. I was ready to send in my application to the Technical University in Delft to study material sciences. At the last moment, my mother suggested that I apply for medicine anyway, and if I didn’t get accepted, “material sciences” would yet be there. My father emphasized that I could still
VIEWPOINT
do research work as a scientist with a medical degree. So, maybe to spite them, I applied to the oldest, most prestigious medical school in the country: Leiden University. Luck has everything to do with how I came to study medicine. The study consisted of four years of basic sciences followed by two years of clinicals, all, naturally, in Dutch. At the end of the fourth year we were required to complete a research project, followed by a thesis. I did my research on “The Cytotoxic Activity of Pityrosporum Ovale,” at the Dermatology Department. Afterwards, finally, I got to do laboratory research, learning to grow yeast and fibroblasts, and how best to conduct experiments. I was so happy, because this was what I wanted to do. Later in my study I did a few other small research projects, but nothing compared to my first real laboratory experience. By the time I completed my studies, Professor Dr. Bert Jan Vermeer of the Dermatology Department was my mentor. I asked him for opportunities for more research projects, out of the country this time, and preferably with funding. Hmm, would I be interested in going to Florence? No, I don’t speak Italian. Vienna maybe? Too cold! How about Miami? In Miami, aren’t there palm trees? Yes, for by this time I was ready to go back to the tropics. Dr. Vermeer introduced me to Dr. J. Wayne Streilein from the University of Miami, who was working on Langerhans Cells. I would receive a stipend of $600 a month. At that time, I had never set foot in the United States, and had never had any desire to go there either.
Letter to the Editor Dr. Joel Kramer graces Cap Scan with a letter, writing to say regarding the article “Billroth III”: “P.S. ‘Billroth does look like GOD.’ He then adds a P.P.S. ‘Do you know the story of the little girl in the 2nd grade working with crayons and paper when the teacher interrupts her and asks what she is doing?’ ‘Drawing a picture of God,’ says the child. ‘Oh, my dear,’ says the teacher, ‘No one knows what God looks like.’ ‘They will in a minute,’ says the child.”
The United States was a country I only knew from Hollywood movies. Wow! So in March, 1992, two months after I received my medical degree, I arrived at the University of Miami to do six months of research. Dr. Streilein was an immunologist who introduced me to Dr. J. Richard Taylor, a dermatologist. Together they conducted studies on the immunosuppressive effect of Ultraviolet light. Under their leadership I learned how to grow Langerhans and skin cells. I conducted in vitro animal and human studies. I also learned how to party. There were many international research fellows, we were all far from home, and needed entertainment when we were not working. Dr. Taylor and his family would organize parties on the weekends, and at one of these parties, I met my husband: John Taylor, who happened to be one of Dr. Taylor’s sons. I never went back to the Netherlands. Instead, I conducted several more studies with Dr. Taylor, then did the USMLE exams, and started a transitional internship and residency in Dermatology. I have now been in private practice in Tallahassee for almost fourteen years, and although I’m no longer doing research, I love Dermatology. That’s “The American Dream”…isn’t it? CMS References 1 The Year of Living Dangerously is a 1983 movie starring Mel Gibson depicting political unrest in Indonesia in 1965.
Dennis A. Fried, M.D., J.D. Licensing, Discipline & Peer Review Defense Free Initial Consultation DFried@bmaklaw.com Blanchard, Merriam, Adel & Kirkland, P.A. 4 S.E. Broadway Street, Ocala, FL 34471 352-732-7218 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 13
FLORIDA BOARD OF MEDICINE
CONTROLLED AVOIDING DELAYS IN SUBSTANCE PRESCRIBER RENEWAL NOT REQUIRED It’s almost renewal time once again for many ON PROFILE health care practitioners. If this is your renewal By Allison Dudley, J.D., Executive Director, Board of Pharmacy The Department has received numerous calls in recent weeks from physicians expressing concerns that some pharmacists are not filling controlled substance prescriptions if the physician is not listed as a controlled substance prescriber on the practitioner profile on the Department of Health’s website. While there may be many reasons a pharmacist may decide in his or her professional judgment not to fill a prescription, the Department wants to ensure that any confusion concerning the physician registration requirements is addressed. The lack of a designation on the physician profile concerning controlled substances does not necessarily mean that the physician cannot prescribe controlled substances. Section 456.44, Florida Statutes, requires a physician licensed under chapter 458, chapter 459, chapter 461 or chapter 466 who prescribes controlled substances listed in Schedule II, Schedule III, or Schedule IV for the treatment of chronic nonmalignant pain, to designate himself or herself as a controlled substance prescribing practitioner on the physician’s practitioner profile. This requirement is applicable only to those physicians that are treating patients for chronic nonmalignant pain. Therefore, physicians that are not treating patients for chronic nonmalignant pain are not required to register and may continue prescribing controlled substances for other diagnoses. 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
cycle, please note the following information, which can help you avoid some of the most common delays encountered with license renewals. It is important to remember the upcoming renewal is the first to have mandatory continuing medical education reporting requirements. If you have not done so, please activate your account with CE Broker and ensure that all required CME you have completed for this renewal has been uploaded. Most of the medical practitioners renewing will be required to submit the following: • Completed renewal application • Required fees •
Evidence that you have practiced medicine or have been on the active faculty of an accredited medical school for at least two years of the immediately preceding four years
• Completion of Financial Responsibility form • Completion of Physician Workforce Survey • Verification of Physician Profile • Verification of your current status relating to prescribing controlled substances for the treatment of chronic non-malignant pain Limited License and Area of Critical Need (ACN) license holders will renew their license by
FLORIDA BOARD OF MEDICINE
paper application. A verification of employment letter from the medical director of the ACN facility must be submitted along with the renewal application. Approved ACN facilities are defined in Florida Statutes 458.3151(2) and a full list of approved facilities can be found at http://flboardofmedicine.gov/forms/ lst_approvedfacilities.pdf. Physicians who hold a Limited License or an ACN license and practice medicine strictly on a volunteer basis must also submit a notarized fee waiver affidavit to waive their renewal fees. More information can be found on the Florida Board of Medicine’s website at http:// flboardofmedicine.gov/renewals/. Early preparation for your renewal can help to avoid unforeseen delays which could affect your licensure. Don’t wait until the last minute. The renewal window will open in October, so start preparing today! CMS
PAIN MANAGEMENT PHYSICIANS If you are a physician practicing in a Pain Management Clinic and were registered based on the 6th qualification option in Rule 64B89.0131, F.A.C., please keep in mind that as a part of your 40 hours of Continuing Medical Education (CME) required per biennium, you must complete 15 hours of live lecture format, Category I CME in pain management for every year you practice in pain management. These will need to be reported to CE Broker along with the rest of your CME credits in order for the Board to renew your license. Answers to many questions regarding license renewal can be found at the Board of Medicine’s website at flboardofmedicine.gov.
Members of the Board Bernardo Fernandez, M.D., Chairman Sarvam TerKonda, M.D., Vice Chairman Magdalena Averhoff, M.D. Gary Dolin, M.D. Enrique Ginzburg, M.D. Brigitte Goersch, Consumer Member Jorge Lopez, M.D. James Orr, M.D.
Seela Ramesh, M.D. Steven Rosenberg, M.D. Nabil El Sanadi, M.D. Merle Stringer, M.D. Joy Tootle, J.D., Consumer Member Zachariah P. Zachariah, M.D. Vacant Consumer Member
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
MEDICAL/LEGAL
REGENERATIVE MEDICINE: POWER OF THE PLACENTA By David Hill, CEO, telaGen, LLC, www.telagenllc.com Placentas have been the subject of myth and speculation for thousands of years and in a variety of cultures have been given special status. In fact, Charles Dickens’s fictional character David Copperfield was described as having been born with a caul. It was known in those days that a “caul” was good luck. A “caul” is the dry remnant of the fetal membrane. Among its mythical benefits was that it was able to save sailors from drowning.
baby so tests can be run on it and then they also incinerate it. About 100 years ago the first recorded use of placenta in surgery was documented. Stern and Sabella, working together in 1913, treated and independently reported the use of “amniotic membrane”
Over time, fetal membranes lost their mythical power in most Western cultures and became deemed as medical waste. However, over the last 100 years a growing body of clinical research has been describing the use of placental tissues in a wide range of wound repair and surgical applications. The concept that placental tissues may bring value for physicians in wound repair or surgery most likely comes from its function as part of the overall pregnancy system. Placentas cover and protect embryos throughout their development and protect babies from infection or rejection. They also help to sustain and nourish the rapidly growing baby with nutrients and oxygen and remove carbon dioxide and waste materials by filtering them through the placental tissues. After the baby is born most hospitals inspect the placenta and then incinerate the tissues as medical waste. Some hospitals will keep the placenta for a week or so in case anything is wrong with the 16
on burned and ulcerated skin surfaces. The intact amniotic membranes were applied to skin burns and ulcers and then covered with paraffin and dressings. After 48 hours, the dressings were removed and the amnion had integrated with the patient’s tissues. Stern and Sabella reported that the patients lacked infection and experienced a marked decrease in pain and an increased rate of re-epithelialization of the traumatized skin surface. Twenty-two years would pass before another researcher would study the use of amniotic
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
membrane for wound repair or surgery and publish the results. Brindeau in 1935 and Burger in 1937 reported using amnion for vaginal reconstruction surgery. They reported that the tissues restored function for the patient and nine months after surgery showed normal epithelial cells. Between 1980 and 2000, there were more than 50 peer reviewed clinical papers highlighting the use of placental tissues in burns, ulcers, abdominal surgery, spine surgery and ocular repair. In the late 1990s, Dr. Scheffer Tseng, an ophthalmologist and faculty member at the University of Miami, Florida applied for HCT/P (human cell tissue products) regulatory status for the use of amniotic tissues in ocular repair. For all intents and purposes, if there is a “father” of the use of placental tissues in wound covering it is Dr. Tseng. Using Google Scholar to search for articles which use the term “Ocular Use of Amniotic Tissues”, about 20,000 citations pop up. The most cited article was written by Dr. Tseng describing a study of 26 patients (31 eyes) with limbal stem cell deficiency and how using amniotic tissues improved their outcomes. Specifically, the article said: “Except for the 2 eyes with atopy, all amniotic membranecovered surfaces showed rapid epithelialization (in 2 to 4 weeks) and reduced inflammation, vascularization, and scarring and the surfaces became smooth and wettable.” CONTINUED ON PAGE 18
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MEDICAL/LEGAL
Since the late 1990s, literally tens of thousands of patients with a variety of ocular problems including caustic burns have been treated with recycled placental tissues. So well established is this practice that insurance carriers have published extensive policy statements regarding the use of amniotic tissues. For example, Aetna Inc. wrote in a policy statement issued in June of 2012: “Amniotic membrane-covered [ocular] surfaces have been shown to induce rapid re-epithelialization to a smooth and wettable surface and reduce inflammation, vascularization and scarring thus allowing successful surface reconstruction.” Today the use of placental tissue in ophthalmologic surgery is standard of care. The success and popularity of the use in ophthalmology has spread to other fields such as dentistry and it is showing great promise in the areas of general surgical wound healing, sports medicine, spine surgery, general orthopedics, plastics, neurosurgery and robotic surgery. The question is why have so many surgeons found great value in using this tissue allograft in their specific surgical applications. In many respects placental tissues are a form of fascia tissue. Fascia is one of the most important covering materials in the body and serves to protect virtually every structure in the body: bones, nerves, muscles, tendons, organs, the spinal cord and brain. So when trauma or surgery disrupts that natural, protective fascia covering, amniotic membranes are structurally and by composition, extremely similar if not precise transplants. In addition to being a biomechanical adhesion barrier, the amniotic membrane 18
delivers the building blocks for wound healing via 3 types of collagen, fibroblasts and cytokines which signal the body’s native regenerative cells to proliferate/ migrate/regenerate thus hastening the healing process. One of the most exciting surgical applications that has seen tremendous adoption this year is the use of amnion to wrap the neurovascular bundles during robotic prostatectomy. By wrapping the NVBs with amnion post prostatectomy, urological surgeons are able to deliver neurotrophic growth factors to the site of dissection as well as modulate the inflammatory process thus potentially enhancing the outcomes of early return to continence and potency post prostatectomy. As more and more data is compiled on the efficacy of placental tissues, the adoption of this novel biologic is sure to grow tremendously in the coming years for a host of surgical applications. With the rapid adoption of amnion use over the past few years there has been a subsequent increase in demand for this regenerative tissue. This was the impetus to launch a company that could meet that need right here in our home town of Tallahassee. telaGen is focused on providing the services that support and honor each Mother’s desire to give the gift of healing through the donation of her placenta. telaGen helps Mothers provide the gift of donation to donor recipients and was created to expand the opportunity for more Mother’s to give the gift of healing to those in need. We are dedicated to launching and developing new placenta donation
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
programs with our partner OBGYNs and hospitals in order to give more patients in need the ability to receive donated tissue for healing. telaGen’s vision is to be the premier provider for placenta donation programs for patients and communities throughout the nation. Honoring the gift of donation, telaGen works hand in hand with the Mother and her physician to create a seamless process of donation and is dedicated to ensuring the highest standard of integrity and care throughout the entire placenta donation process. We are dedicated to providing the following: Support and education for donor Mothers in the understanding of placental donation; High quality, safe and reliable methods for tissue screening, recovery, storage, labeling and distribution to partner tissue processors; Development and support of key philanthropic programs in each community through the placenta donation program. Since inception, telaGen has provided charitable donations on behalf of our partner OBGYNs to over 30 local and national charitable organizations including Big Bend Hospice, Boys Town, PHI Center for Women, Ronald McDonald House, March of Dimes, Susan G. Komen Breast Cancer, and the Wounded Warrior Project just to name a few. In the past year alone, telaGen has supported over 500 placenta donations which has provided the gift of healing for upwards of 25,000 donor recipients. References: Young, R. (2012, August 20th). “Using Birth Tissue in Spine Surgery”. Orthopedics This Week.
CMS FOUNDATION HOLIDAY AUCTION
WE’RE READY TO KICK OFF THE HOLIDAY AUCTION! By Shannon Boyle, Communications and Events Coordinator The Capital Medical Society Foundation is getting ready to kick off this year’s Holiday Auction! In just a few short months, the event you don’t want to miss will take place on December 3 at 6:30 pm at the University Center Club at Florida State University (Doak Campbell Stadium). Be on the lookout for your invitation in November. The Holiday Auction is the signature fundraising event of the Capital Medical Society physician community to fund the programs and initiatives of Capital Medical Society Foundation, including the We Care Network, scholarships to medical students, and grants to programs that improve access to health care. Last year, the auction raised $47,843. Here is how you can help make the Holiday Auction even better than last year: 1. Plan to attend. Mark the Holiday Auction on your calendar. We want everyone to be there! The entrance fee is $200 per couple. You will receive an invitation in November. 2. Be an Individual Sponsor. Support the CMS Foundation with a $100 tax-deductible donation. We will publish the names of our individual sponsors in our marketing materials. 3. Donate an item for the auction. Do you have an item that you would like to donate? Call the CMS office at (850) 877-9018. 4. Give a Physician Group Sponsorship. If you belong to a large physician group practice, we encourage you to be a corporate sponsor. The donations and group practices will be listed in all our marketing materials, along with our local business sponsors. Your fellow physicians ask that your group become a sponsor at either the $500 or $1,000 level. These request letters have been mailed. CMS Foundation Scholarship: The CMS Foundation gave $50,000 to 7 deserving medical students this year. Eligibility: First and second year medical students at the FSU College of Medicine and third and fourth year medical students at the Tallahassee Regional Campus of FSU College of Medicine. Criteria: 1. We focus on financial need, as reflected in their application and interview. 2. We give preference to residents of North Florida or students who intend to practice in North Florida.
2015 Scholarship Recipients:
Angela Bradford
Rachel Pelt
Joshua Burns
Brett Schubert
Adam Danley
Amber Thomas
Samuel Muniz CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19
it’s ok to die:
End-of-Life conversations with Dr. Monica Williams-Murphy.
Community Dialogue and Panel Discussion Tuesday, November 3rd 6:00p.m. – 7:30p.m. Tallahassee Community College Ghazvini Center for Healthcare Education 1528 Surgeons Drive | Tallahassee, FL 32308 | CEUs Available
Lunch and Learn with Dr. Murphy *This is a brown bag luncheon. Beverages will be provided.
Wednesday, November 4th 12:00p.m. – 1:30p.m. Big Bend Hospice Elaine C. Bartelt Administration Center 1723 Mahan Center Blvd. | Tallahassee, FL 32308| CEUs Available
To RSVP, or for more information, please contact Vickie Warren at (850) 878-5310 or vicki@bigbendhospice.org. Dr. Monica Williams-Murphy, author of It’s Ok to Die, is a Board Certified Emergency Medicine Physician who practices in one of the nation’s largest emergency departments at Huntsville Hospital. Join Dr. Murphy for public dialogue on issues related to death and dying, how we should create peace at the end of life, and how we can have a good death.
“We know that Americans who are unprepared for death are more likely to make choices that allow or cause unnecessary suffering for themselves and their families. In contrast, proper advanced planning creates a powerful opportunity for the end-of-life to become a time of peace, closure and even healing.” – Dr. Monica Williams-Murphy
Big Bend Hospice • 1723 Mahan Center Boulevard, Tallahassee, FL 32303 • (850) 878-5310 • www.bigbendhospice.org 20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS FOUNDATION SCHOLARSHIPS
CAPITAL MEDICAL SOCIETY FOUNDATION AWARDS $50,000 IN SCHOLARSHIPS TO FSU MEDICAL STUDENTS The Capital Medical Society Foundation awarded scholarships to seven students in their first or second year of medical school at the Florida State University (FSU) College of Medicine and third and fourth year medical students at the Tallahassee Regional Campus of FSU College of Medicine on the basis of financial need. Dr. Frank Walker presented the scholarships to each of the recipients at the Capital Medical Society Membership Meeting at the Maguire Center for Lifelong Learning at Westminster Oaks on September 15. A committee comprised of Capital Medical Society members and Dr. Myra Hurt, FSU College of Medicine Senior Associate Dean for Research and Graduate Programs and chaired by local pediatrician, Dr. Frank Walker, chose the scholarship recipients. “Attending medical school is a very expensive proposition these days. My fellow physicians are pleased and proud to help support medical students, who have not only a financial need, but a desire to stay in Florida and practice medicine in Florida,� said Dr. Walker. The Scholarship Fund has been one of the most successful and well-respected programs first established by Capital Medical Society more than 30 years ago. Archived records since 1997 document that Capital Medical Society Foundation has provided scholarships totaling $434,489 to students in the Program in Medical Science Program, the precursor to FSU College of Medicine, University of Florida medical students and FSU College of Medicine students. $407,000 has been awarded
to FSU College of Medicine students beginning with those in its inaugural Class of 2005. Many of those past recipients are now practicing in Tallahassee and some serve on the Scholarship Committee. The Capital Medical Society Foundation will host their annual fundraising event, the Holiday Auction, in December to raise funds for these medical school scholarships. The 2015 scholarship recipients are: Angela Bradford, Joshua Burns, Adam Danley, Samuel Muniz, Rachel Pelt, Brett Schubert, and Amber Thomas.
(L-R) Dr. David Miles, Scholarship Committee member; Dr. Frank Walker, Chair, Scholarship Committee; scholarship recipients, Amber Thomas, Rachel Pelt, Samuel Muniz, Adam Danley, Brett Schubert, Angela Bradford; and Dr. Ron Hartsfield, Scholarship Committee member. (Not pictured: scholarship recipient, Joshua Burns)
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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.”
DONATE TO THE CMS FOUNDATION
WE THANK OUR DONORS We thank the following people/organizations who made a donation to the CMS Foundation this past month: For the We Care Network Rotary Club of Tallahassee In Honor Charles Williams, M.D. - In Honor of True Martin, M.D. Along with their annual dues payment James Patty, M.D.
• Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. $60 million in donated specialty medical and dental care has been provided to low income, uninsured patients since the program was created in 1992. Gifts support the salaries and benefits of the case management team who coordinate donated care. • 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 operational resources for Capital Medical Society Foundation, including building maintenance, computer upgrades, as well as, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2014, CMSF was able to repave its parking lot after 17 years, install a front door security and intercom system to improve the safety of staff, and purchase a new computer server. $11,000 in grants were awarded for Big Bend Hospice’s Bereavement Services Program, Elder Care’s In-Home Services Program, and FSU College of Medicine’s Chapman Community Health Program. 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:
Larry Kubiak, President of Rotary Club of Tallahassee presented a $3,000 check to Pam Wilson, Executive Director of Capital Medical Society for the We Care Network. We Care Network leveraged over $4 million in donated specialty medical and dental care to residents of Leon, Jefferson, Gadsden, and Wakulla Counties through a dedicated network of over 300 volunteer physicians and dentists. Over $60 million in donated services have been provided since 1992.
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend
1) 2) 3) 4) 5)
Capital Medical Society Foundation-area of greatest need The Capital Medical Society Foundation Endowment We Care Network We Care Network Endowment 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
David Vermess, M.D. Tony Weaver, M.D. Anthony Wright, M.D. William Yaakob, M.D. Daniel Yang, M.D. FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in August 2015. Your generosity and support of the We Care Network makes a difference. PHYSICIANS Wayne Batchelor, M.D. Raj Bendre, M.D. Robert Bradford, M.D. Tim Broeseker, M.D. Viet Bui, M.D. Joseph Camps, M.D. Stephen Carr, M.D. Alex Davenport, M.D. Ray Dolly, M.D. David Dolson, M.D. Michael Douso, M.D. Frank Gredler, M.D. W. Harris Green, M.D. Celeste Hart, M.D. Iman Imanirad, M.D. Simha Jagadeesh, M.D. Rohan Joseph, M.D. Farhat Khairallah, M.D. Carey Linker, M.D. Gordon Low, M.D. Michael Mangan, M.D. T. Adam Oliver, M.D. Rodolfo Oviedo, M.D. Praful Patel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. J. Daniell Rackley, M.D. James Renehan, M.D. Adrian Roberts, M.D. William Sawyer, M.D. Scott Sellinger, M.D. Hardeep Singh, M.D. Jean-Paul Tran, M.D.
DENTISTS Eric Amundson, D.D.S. William T. Baldock, D.D.S. Steven Bryan, D.M.D. Susan Byrne, D.M.D. Walter Colón, D.M.D. John S. Dozier, D.M.D. Michael Hartley, D.M.D. Susanne Lumpp, D.M.D. William McFatter, D.D.S. E. Lynn McLarty, D.D.S. Jim McSoley, D.M.D. Ralph Montalvo, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. James Sykes, D.M.D. Jay Walton, D.D.S. Lawrence Weaver, D.D.S. Ed Zapert, D.M.D. FACILITIES Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Leon County Dental Clinic Pathology Associates Radiology Associates Seven Hills Surgery Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Health Imaging Tallahassee Memorial HealthCare Tallahassee Orthopedic and Sports Physical Therapy Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. You can send your value of donated services via fax to Sue Michaels, R.N. at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Sue Michaels, R.N. at smichaels@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of August 2015 and your name is omitted.
We thank our referring providers from August 2015: Abbas Abbey, M.D. Eboni Allen, ARNP Anne Ananga, ARNP William Baldock, D.D.S. Marie Becker, M.D. Viralkumar Bhanderi, M.D. Timothy Bolek, M.D. Jonna Bradley, ARNP Sherry Bramblett, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Kendall Campbell, M.D. David Cardman, D.M.D. C. Raymond Cottrell, M.D. Marilyn Cox, M.D. Brittney Craig, D.M.D. Lysmar Dinguis, M.D. Shirley English, ARNP Cynthia Evans, ARNP Anneka Gaffney, ARNP Akash Ghai, M.D. Frank Gredler, M.D. Judy Griffin, ARNP Muhanad Hasan, M.D. Hantz Hercule, M.D. Sarah Hinson, ARNP Susan Horton, ARNP Hank Hutchinson, M.D. Iman Imanirad, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. Faith Jones, ARNP Rohan Joseph, M.D.
Julie Kelch, M.D. Howard Kessler, M.D. Elaine Larkins, ARNP Esaias Lee, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Damon McMillan, M.D. Kelley Miller, ARNP Rose Origa, ARNP Rodolfo Oviedo, M.D. Lisa Perkins, ARNP Stephen Quintero, M.D. Charlie Richardson, M.D. Jose Rodriguez, M.D. Mark Saunders, M.D. Philip Sharp, M.D. Jeannine Silberman, M.D. Robert Snider, M.D. Robert Snyder, M.D. Alanna Steaple, ARNP W. Brad Stephens, M.D. Tallahassee VA Clinic Scott Tetreault, M.D. Richard Thacker, D.O. Faye Tinson, ARNP Leonard Tolley, D.D.S. Marianne Towler, ARNP Jean-Paul Tran, M.D. Sara Wahba, M.D. Mitchell Whitehead, M.D.
DURING THE MONTH OF AUGUST, THE WE CARE NETWORK: RECEIVED 180 REFERRALS, WITH 106 PATIENTS NEW TO THE PROGRAM
SCHEDULED 172 $88,812 IN DONATED CARE APPOINTMENTS WITH WAS REPORTED BY WE CARE VOLUNTEER PHYSICIANS AND VOLUNTEERS DENTISTS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23 23
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