OCTOBER EDITION, VOLUME 2016, NO. 10
Capital Medical Society Celebrates National Breast Cancer Awareness Month PINK IN OCTOBER By Alfredo A. Paredes, Jr., M.D. Hard to believe it is October again. Here comes fall football and the inevitable pink-out games and pink clothing used on the field and at work to show support for breast cancer patients worldwide. I bet everyone reading this will wear something pink and fashionable for October. All the other 1000’s of diseases need to wake up because October is essentially taken, and there are only 11 months left. The educational campaign for breast cancer is impressive, with few other diseases getting the same attention, resources, and public discussion. Breast cancer is the most common cancer in women, exceeding the next two most common cancers combined (lung and colon). The average breast cancer patient in Tallahassee could be cared for by a primary care doctor, gynecologist, radiologist, pathologist, general surgeon, plastic surgeon, medical oncologist, radiation oncologist, and even a geneticist. So there should be
no surprise that the disease gets a whole month. Lamentably, doctors only get one day on March 30th for Doctors’ Day.
Prior to 1998, breast cancer reconstruction was viewed as “cosmetic” by some insurance companies. You need to meet
only one happy patient to share in the emotional and psychological impact of a successful breast reconstruction. So Congress passed the Women’s Health Care and Cancer Rights Act in 1998. The WHCRA legislation ensured that insurance companies would cover reconstruction or prostheses for mastectomy and lumpectomy. However, getting the word out proved challenging. Until very recently in the USA, less than half of the women who chose mastectomy were even offered breast reconstruction, and less than 20% underwent reconstruction. So a bipartisan majority of Congress passed the Breast Cancer Patient Education Act in 2015. With more than 200,000 women in the USA who were diagnosed with invasive breast cancer in 2015, the BCPEA came as welcome news. Now the Department of Health and Human Services must develop an 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 2016 MEETINGS CALENDAR October 18, 2016 CMS Membership & CME Meeting Domestic Violence and Human Trafficking – 2-Hour Required CME Terry Coonan, J.D., Executive Director at FSU Center for the Advancement of Human Rights and Suzanne Harrison, M.D., Associate Professor and Education Director, Family Medicine, FSU College of Medicine 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
October 24, 2016 Connect the Docs Happy Hour Hosted by Capital City Bank 5:30 pm – 7:30 pm Food Glorious Food 1950 Thomasville Road
November 15, 2016 CMS Membership & CME Meeting Periodontal Disease and Systemic Disease William Baldock, D.D.S., Capital Periodontal Associates and Spencer Gilleon, M.D., Tallahassee Ear, Nose & Throat-Head & Neck Surgery 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks
December 1, 2016 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
BOARD OF GOVERNORS J. Daniell Rackley, M.D., President Tracey Hellgren, M.D., President-Elect
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
David Dixon, D.O., Secretary/Treasurer Joshua Somerset, M.D., Immediate Past-President
Breast Cancer Awareness Month …
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New Members/CMS Lunch and Learn …
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Florida Department of Health Updates …
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CMS Connect the Docs Happy Hour …
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Announcements …
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FSU College of Medicine Student Pathography …
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Medical/Legal …
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CMS Foundation Holiday Auction …
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Scholarships to FSU Medical Students …
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Community Donations to We Care Network …
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CMS Foundation …
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CMS Foundation: We Care Network …
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Christie Alexander, M.D. Shelby Blank, M.D. Hien Guyer, CMS Alliance President Rohan Joseph, M.D.
HAPPY BIRTHDAY!
Shakra Junejo, M.D. Maribel Lockwood, M.D.
{OCTOBER BIRTHDAYS}
Paresh Patel, M.D. Gregory Perry, M.D. Ernesto Umaña, M.D. Kenneth Whithaus, M.D.
William Donnellan, Jr., M.D. – 2nd
Dennis Williams, M.D. – 21st
Pam Wilson, Executive Director
Andra Prum, D.O. – 2nd
Scott Tetreault, M.D. – 22nd
Family Medicine Residents Todd Hewitt, M.D./Meredith Maxwell, M.D.
Lisa Cook, M.D. – 4th
Patrice Bidwell, M.D. – 23rd
Roy Forman, M.D. – 4th
Mark Fahey, M.D. – 23rd
Internal Medicine Residents Vishal Dahya, M.D./Rachel Russell, M.D.
Chris VanSickle, M.D. – 4th
Tahirali Motiwala, M.D. – 23rd
General Surgery Residents Emanuela Alvarenga, M.D./Paul Clark, M.D.
Adrienne George, M.D. – 5th
Michael Wilhoit, M.D. – 23rd
Joseph Pagano, M.D. – 5th
Eric Chung, M.D. – 24th
David Dolson, M.D. – 6th
Stephen Richardson, M.D. – 24th
PUBLICATION
Kris Stowers, M.D. – 6th
H. Logan Brooks, M.D. – 25th
EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
J. Brian Sheedy, M.D. – 8th
David Dixon, D.O. – 25th
Matthew Lawson, M.D. – 9th
Brewster Caldwell, D.O. – 26th
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
Rohan Joseph, M.D. – 10th
Janice Lawson, M.D. – 26th
L. Steve Sarbeck, M.D. – 10th
Kathryn Davis, M.D. – 27th
Tony Weaver, M.D. – 13th
Shaun Laurie, M.D. – 27th
Sandeep Rahangdale, M.D. – 14th
Judy St. Petery, M.D. – 29th
Eliot Sieloff, M.D. – 14th
Kenneth Wasson, M.D. – 29th
Pat Woodward, M.D. – 16th
J.W. Richard Davis, M.D. – 30th
Garrett Chumney, M.D. – 18th
D. Paul Robinson, M.D. – 30th
Lori Rosenberg, M.D. – 18th
Tom Hicks, M.D. – 31st
Mary Jane Tucker, M.D. – 19th
John Streacker, M.D. – 31st
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing. Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society.
HAPPY BIRTHDAY! 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
educational campaign to educate breast cancer patients about options regarding reconstruction or prostheses. Breast cancer patients must now be informed of options regarding reconstruction at the time of mastectomy, or perhaps later after all the other cancer treatments are completed (we call this delayed reconstruction). A woman can always refuse these additional reconstructive treatments, but the empowerment of information has a tremendous impact. I have had countless women tell me that they were never offered this information before their cancer surgery. They usually come from smaller surrounding cities where reconstructive surgery is just not offered (so it’s not even discussed). Some women will decide during their consult to avoid reconstructive surgery, but they always tell me they prefer to make that decision themselves, now fully armed with information. We all have those particular patients in our practice who inspire us to keep moving on, despite the headaches in medicine today. I found this early in my career with breast cancer patients. This came as a surprise to me in medical school because I was bound and determined to be a neurosurgeon. In fact, I signed a piece of paper (Day 1 of Emory medical school) stating I would never be a plastic surgeon. Little did I know, in my third year of medical school, I would meet a world famous (and humble) Emory surgeon who performed breast reconstruction with infectious enthusiasm. He showed me how much difference he could make in just one person’s life. His patients admired him and believed in him in a way I had not seen before. Dr. Bostwick convinced me to learn his artistic craft and help breast
cancer patients similarly. I know how powerful the bond is between plastic surgeon and reconstructed patient (it is like no other I know). All of this because I walked down an operating room corridor at the “right time, right place” in my third year of school. Fate brought me here today. Now I am part of an awesome team of Tallahassee doctors providing specialized care for breast cancer patients each and every week. I am humbled to be part of this team and also to share in the care of these wonderful patients. Almost all breast cancer patients give a similar story of shock. A routine or diagnostic mammogram leads to a biopsy, which leads to a fateful phone call, and then referral to a general surgeon with the shocking news of “CANCER.” That word strikes fear in anyone. And it seems to always come as a total surprise, because most patients feel healthy and perfectly fine when they are given this diagnosis. Next comes a whirlwind of phone calls, consults, second opinions, internet searches, calls to friends who have been through it already, and lots of prayers. Patients get inundated with an avalanche of information, and oftentimes receive different
treatment options. These options can create significant anxiety. Many tell me it’s “easier” if you only have one option to choose from. Then they might arrive at a plastic surgeon’s office, with a week or two of time to digest all of this negative information. Some arrive teary-eyed, others like it’s no big deal, and yet others like their life is over. This is an extremely vulnerable and high anxiety time for these patients (I have seen data that shows 25% divorce rates during these episodes of recent breast cancer diagnosis and treatment). Many women feel they are about to lose a major part of their femininity. After a lengthy consultation, and lots of information about reconstruction, I see so many women leave my office with a renewed confidence and positivity about their future. Even their spouses leave with happy tears, and now we have a game plan. That game plan won’t be easy or short, and the surgery and possible chemo and radiation won’t be fun, but we get through it together..........And there is no larger privilege than this. 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.
246,660 224,390 180,890 134,490 76,960 76,380 72,580 64,300 62,700
40,450 158,080 26,120 49,190 16,390 10,130 20,150 1,980 14,240
60,140
24,400
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. Leukemia
Female Breast cancer represents 14.6% of all new cancer cases in the U.S.
14.6% Courtesy of National Cancer Institute
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
TALLAHASSEE MEMORIAL
FAMILY MEDICINE RESIDENCY WELCOMES
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Tallahassee Memorial Family Medicine Residency
: 1301 Hodges Drive : 431-5430
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Advancing the practice of good medicine.
NOW AND FOREVER. We’re taking the mal out of malpractice insurance. However you practice in today’s ever-changing healthcare environment, we’ll be there for you with expert guidance, resources, and coverage. It’s not lip service. It’s in our DNA to continually evolve and support the practice of good medicine in every way. That’s malpractice insurance without the mal. Join us at thedoctors.com
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9/15/16 8:32 AM5 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
NEW MEMBERS/CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY IS PLEASED TO WELCOME THE FOLLOWING NEW MEMBERS:
Eric Chung, M.D. Medical School: University of Southern California Internship: Loma Linda Medical Center Residency: University of Southern California Practice: Tallahassee Oncology Associates Specialty: Radiation Oncology
Hiren Joshi, M.D. Medical School: St. Matthew’s University Internship/Residency: Mercer Practice: Capital Nephrology Clinic, P.A. Specialty: Nephrology
Akshay Manohar, M.D. Medical School: Kasturba Medical College Internship/Residency: Capital Health Regional Medical Center Fellowship: University at Buffalo, State University of New York Practice: Southeastern Center for Infectious Diseases Specialty: Infectious Diseases
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS Mark Your Calendars for the Remaining Fall 2016 Lunch and Learn Seminars October 19, 2016 Are you Keeping Up with the Changing Landscape of Employment Law? Join us for a Lunch and Learn to discuss how labor and employment law changes in 2016 will impact your practice including: the final countdown to the DOL’s new overtime rules, the EEOC’s work regarding protections for the LGBT community, OSHA’s recently published guide to restroom access for transgender workers, the current status of wellness programs in light of new EEOC regulations, new guidelines for joint employer/joint liability, the NLRB’s recent decisions impacting non-union workplaces, guidance for employee leave as a reasonable accommodation under the ADA, enforcement initiatives by government agencies, and more. Speaker: Jason Vail, Allen, Norton and Blue, P.A. Sponsor: Tommy Folsom, Florida Insurance Consultants
November 16, 2016 Wellness Begins Within The Medical Practice Whether you are a medical practice administrator, supervisor, human resource manager or team leader, you know a healthy office equals a successful practice. Offering health and financial wellness perks help to provide a positive culture for any business. Come hear a panel of experts discuss workplace wellness program activities developed for their practice. Speakers: Kim Quackenbush, Bill Hambsh, and Troy Johnson Sponsor: Scott Fenstermaker, RHU, Strategic Benefits Group
Time: 12 Noon to 1:30 PM (Seminars start at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governors Square Blvd. Cost: $10 per person, per seminar For more information or to RSVP, contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
FLORIDA DEPARTMENT OF HEALTH UPDATES
There have been important changes to the online licensure process in the Department of Health’s Division of Medical Quality Assurance (MQA). MQA recently launched a new Online Services Portal for health care practitioners in Florida for medical license application and renewal. The updated system provides other services such as CME tracking, requesting a name or status change, adding a secondary practice location, changing a password without having to contact the MQA Customer Contact Center and the ability to upload and attach supporting documentation. It is important that all practitioners complete the process of registration and add their license early to avoid any delays in the renewal process. Susan Ragsdale from MQA in Tallahassee will be available at the October 18 CMS Membership Meeting to provide educational information and answer questions. Susan Ragsdale, Health Care License Educator Florida Department of Health | Division of Medical Quality Assurance | Bureau of Operations | Strategic Planning Services Phone: 850.245.4444 ext. 3640 | Cell: 850.591.0140 I Fax: 850.414.7754 | Susan.Ragsdale@flhealth.gov Mission: To protect, promote and improve the health of all people in Florida through integrated state, county and community efforts.
Welcome
maci mcDermott, mD Maci McDermott, MD
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CMS CONNECT THE DOCS HAPPY HOUR
Join your colleagues for a
Happy Hour Monday, October 24, 2016 5:30 pm – 7:30 pm Food Glorious Food • 1950 Thomasville Road Hors d’oeuvres and first beverage provided by our sponsor: Please RSVP by October 19th to Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
ANNOUNCEMENTS
PROFESSIONAL NOTES Jonathan Appelbaum, M.D. was recently named the Interim Chair of the Department of Clinical Sciences at the FSU College of Medicine. He is also the Laurie L. Dozier Jr., M.D. Education Director and Professor of Internal Medicine at the FSU College of Medicine.
Rohan Joseph, M.D. was recently accepted into the FMA’s Karl A. Altenburger, M.D. FMA Physician Leadership Academy to be trained on the fundamentals of leadership in this ever-changing medical environment. The academy is an opportunity to enhance leadership skills and to receive training that assists in the business world, organized medicine, medical staffing, and group and corporate practices.
Congratulations, Dr. Appelbaum and Dr. Joseph! 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.
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 2016 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/YDFJ272. Kindly reply by October 13th.
CMS Alliance President Hien Guyer and Treasurer Sarah Ho were presented a check for $500 for the CMS Alliance Presidents’ Luncheon by Pam Wilson, Executive Director, Capital Medical Society on behalf of the CMS Board of Governors. The CMS Alliance hosted the Presidents’ Luncheon on September 28, 2016. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
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FSU COLLEGE OF MEDICINE STUDENT PATHOGRAPHY
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE – STUDENT PATHOGRAPHY (Student essay on one of their patients from their rotation. All patient names are fictitious.)
Then: Paul Barker was born in Central Florida eighty years ago to a railroad foreman and his wife. He is the youngest of six children, but one passed before he was born. His family lived in a “big house” and regularly attended the Baptist church. He attended grade school in Central Florida until his father’s job took them to South Florida. He was a multisport athlete, lettering in football, basketball, and baseball. Upon high school graduation he went to the University of Georgia to play football and study science education. He recalls being the smallest player and getting “beat up” a lot, until a broken arm took him out of the game completely. In 1958, the summer between his junior and senior year of college, he returned home to Florida, where he met Laura, the love of his life. Following college, he was drafted into the United States Army. He and his wife moved around the country with the army. His military career ended when the demand for science teachers was so great that he was released from the army and moved back home to teach and coach. He continued his education by pursuing a doctorate degree through the University of Florida. Paul was a principal
during the integration of schools, and he recalls the protesting and turmoil. His wife states, “they moved the strong leaders from troubled school to troubled school.” And so Paul moved from school to school, helping as many students as he could. At the end of his career, his hard work was acknowledged when a grade school in his hometown was named after him. He retired from education after about forty years and relaxed just six short months before returning to the workforce as a realtor. He practiced real estate for about ten years. Afterwards, he and his wife stayed busy by volunteering for his school and his church. He states that he was always in good health. He and his wife enjoyed vacations and their home in North Carolina. But over the last three years, Paul’s health has changed, which is why he and his wife have ended up in Tallahassee to be close to one of his two children. Paul and Laura’s account of Paul’s health: About three years ago, Laura recalls noticing that Paul was frequently losing his words. People began finishing his sentences and it bothered him. He taught Sunday school, but would carry on for too long during lessons until
he eventually had to relinquish his role. In 2013, Paul caught a serious case of the flu. He was hospitalized, and Laura explains how he never fully recovered to his prior level of functioning following the illness. Laura recalls an instance shortly after his hospitalization when Paul was at his home, a house he’d lived in for years, and he was pacing around because he did not know where they kept the dirty clothes. They saw Dr. Marcus in Tallahassee, who diagnosed Paul with Alzheimer’s. But as if the diagnosis of Alzheimer’s is not challenging, Paul’s condition took a troubling turn. “We called it sundown syndrome,” Laura recalls. He would take a turn for the worse in the late afternoon or evening. Then one night Paul asked Laura about “the other person who came when you were away.” Laura denied that there had been anyone else and tried to assure Paul she had been there the whole time. But Paul was set in his belief and Laura eventually gave in, telling him he should just call the other person “Laura.” The situation occurred time and time again. Laura recalls that she could tell when Paul did not recognize her, as he would use a polite tone of voice, as if talking to a stranger. He would ask her about where she CONTINUED ON PAGE 12
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
FSU COLLEGE OF MEDICINE STUDENT PATHOGRAPHY
was from and what she did for a living. So for a time, they went by “Laura number one” and “Laura number two.” But Paul didn’t buy into the name, so they went back to calling her “the other person.” Paul’s condition is called Capgras Syndrome, a condition where someone feels that there loved one has been replaced by an identical imposter. When the episodes occur Laura explains, “I’m a person he knows, but has no emotional attachment to.” “I didn’t handle it well,” Laura confesses. The situation brought the couple much misery. “He was in pain; his wife of fifty years was leaving him every night around supper.” And to make matters worse, Laura reports that Paul didn’t like this other woman. He would complain about her when Laura was around. He would tell Laura that he was sick of having the other woman in his bed. One night, Laura became so upset by their dispute that she decided she would send Paul away to live with their children. She was so angry and hurt that her husband would think that she could be doing this to him, after all, they had been in love and happy for so many years. She couldn’t take it anymore, so she went to bed comforted by her decision. But with time and help, Laura identified this idea as a method of coping with a situation that at times can seem unbearable. Laura has found other ways of coping, such as keeping a journal of events. She says that the morning after an episode, if Paul is still confused, they talk about everything they did the night 12
before to show that she was really there. She has realized that just saying, “I am so sorry you’re going through this” can help calm Paul when he is angry and confused. They have also found that being around other people can help with the symptoms. Laura tells of one night when they drove to their son’s house for dinner, and Paul tried introducing Laura to him. “I know Mom” their son said, and with that Paul could accept that it was truly Laura present. Paul’s understanding of his illness, thoughts, and emotions: Paul dislikes his current condition, or “my thing” as he calls it. It is clear that he understands his diagnosis of Alzheimer’s and how it has affected his speech and thought process, yet it is less clear how he perceives his other diagnosis. Paul says on some occasions he knows he’s right, even if other people won’t accept it. But later on in our discussion, when he brings up Laura and “that other lady that stays with her” he winks at me, as if to convey he knows something is wrong with the idea. Paul was recently started on a new medication, which he and Laura feel may be helping the episodes occur less frequently.
What the future holds: Paul and Laura continue to do things they want to do, like reading the Bible together each morning and discussing the lessons. They also continue to be active with their church and they love “laughing and having fun.” “I overcome things I can’t do,” says Paul. But the couple misses their home in South Florida and have plans to move back. Laura says that the people in Tallahassee have been wonderfully supportive, but it’s not the same. “People are afraid of people with Alzheimer’s,” she says. “There is a curtain of separation.” The couple long for normalcy, and are looking for it among longtime friends back home. After an hour of dense discussion, Paul maintains his optimism as we close our visit, “Hope for the best, that’s all you can do.” And so that’s what Paul does. “If I see something I don’t like, I try to change it. I’m a fighter. I work for God and depend upon him. And Laura is great support.” – Paul
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MEDICAL/LEGAL
TO TEXT OR NOT TO TEXT By Julie Song, MPH, Patient Safety Risk Manager II, and Susan Shepard, MSN, RN, Director, Patient Safety and Risk Management Education, The Doctors Company Texting is instantaneous, convenient, and direct. It makes pagers seem as outdated as carrier pigeons. Without appropriate safeguards, however, texting can lead to violations of the Health Insurance Portability and Accountability Act (HIPAA). Physicians have embraced smartphone technology, with the vast majority using smartphones to communicate and to access medical information. The attractions are obvious: Phone applications put libraries full of information at users’ fingertips, and drug alerts (such as PDR.net) are just a click away. Texting reduces the time waiting for colleagues to call back and may expedite patient care by facilitating the exchange of critical lab results and other necessary patient data. Safeguard Against HIPAA Violations The very convenience that makes texting so inviting may create privacy and security violations if messages containing protected health information (PHI) are not properly safeguarded. Text messages among colleagues should be encrypted and exchanged in a closed, secure network. However, according to a member survey by the College of Healthcare Information Management Executives, 96.7 percent of those surveyed allowed physicians to text, and 57.6 percent of those organizations surveyed did not use encryption software. The underlying reason for poor compliance with encryption could be the lack of technical knowledge or a desire to avoid the inconvenience of sending a message to someone who may not be able to unencrypt it.1 With penalties up to $50,000 per HIPAA violation, safeguarding texts should be of utmost priority. In addition to encrypting texts, consider installing autolock and remote wiping programs. Autolock will secure a device when it is not in use and requires a password to unlock it. Wiping programs can erase data, texts, and e-mail remotely. Both types of safeguards provide additional protection in the event a device is lost or stolen. Texting Orders In May 2016, The Joint Commission revised its position on texting orders. Healthcare providers may text orders as long as a secure text messaging platform is used and the order meets the requirements outlined by The Joint Commission.2 Ensure Accuracy to Avoid Liability Concerns Shorthand and abbreviations are commonly used in text messaging. The informal nature of text messages can increase the chances of miscommunication. It is important to ensure accuracy, particularly when patient information is exchanged over text. 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Additionally, deleted text messages can be retrieved, and metadata (the data behind the data) is also producible in a lawsuit. Finally, texting cannot substitute for a dialogue with a colleague concerning a patient. If there is a critical matter or any doubt about the communication, it’s best to pick up the phone. Take Steps to Protect Your Practice Consider the following steps to safeguard your practice: • Enable encryption on your mobile device. • Have a texting policy that outlines the acceptable types of text communications and specifies situations when a phone call is warranted. • Report to the practice’s privacy officer any incidents of lost devices or data breaches. • Install autolock and remote wiping programs to prevent lost devices from becoming data breaches. • Know your recipient, and double check the “To” field to prevent sending confidential information to the wrong person. • Avoid identifying patient details in texts. • Assume that your text can be viewed by anyone in close proximity to you. • Ensure the metadata retention policy of the device is consistent with the medical record retention policy and/or that it is in accordance with a legal preservation order. • Ensure that your system has a secure method to verify provider authorization. • When conducting your HIPAA risk analysis, include text message content and capability. References 1. Dolan PL. Physician texting provides quick communication— and an easy way to violate HIPAA. American Medical News. Oct 31, 2011. Available at: http://www.amednews.com/ article/20111031/business/310319968/5/. Accessed September 28, 2015. 2. The Joint Commission. Update: texting orders. Joint Commission Perspectives. May 2016;36(5). www.jointcommission.org/ assets/1/6/Update_Texting_Orders.pdf. Accessed June 7, 2016. The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider in light of all circumstances prevailing in the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered. -------------------Contributed by The Doctors Company. For more patient safety articles and practice tips, visit www.thedoctors.com/patientsafety.
CMS FOUNDATION HOLIDAY AUCTION
WE’RE GETTING READY FOR THIS YEAR’S HOLIDAY AUCTION! The Capital Medical Society Foundation is getting ready for this year’s Holiday Auction! This annual holiday party will be on Thursday, December 1 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 over $65,000. 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 on December 1! The entrance fee is $100 per person. 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 eight 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. 2016 Scholarship Recipients:
Brianna Baker Gabriella Edington Elizabeth Ichite Meghan McCallister
David Powers Marvin Rhodes Jarrod Robertson Clayton Rooks CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
SCHOLARSHIPS TO FSU MEDICAL STUDENTS
CAPITAL MEDICAL SOCIETY FOUNDATION AWARDS $50,000 IN SCHOLARSHIPS TO FSU MEDICAL STUDENTS The Capital Medical Society Foundation awarded scholarships to eight 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 20. 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 $481,489 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. $454,000 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 2016 scholarship recipients are: Brianna Baker, Gabriella Edington, Elizabeth Ichite, Meghan McCallister, David Powers, Marvin Rhodes, Jarrod Robertson, and Clayton Rooks.
(L-r) Dr. Ronald Hartsfield, Scholarship Committee member; Dr. David Miles, Scholarship Committee member; Dr. Larry Harper, Scholarship Committee member; Dr. Myra Hurt, Scholarship Committee member; Dr. Frank Walker, Chair, Scholarship Committee; scholarship recipients, Marvin Rhodes, David Powers, Elizabeth Ichite, Clayton Rooks, Meghan McCallister; and Pam Wilson, CMS Executive Director. (Not pictured: scholarship recipients, Brianna Baker, Gabriella Edington, and Jarrod Robertson) 16
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
COMMUNITY DONATIONS TO THE WE CARE NETWORK
COMMUNITY CHECK PRESENTATIONS TO THE WE CARE NETWORK
The SunTrust Foundation presented Capital Medical Society Foundation, Inc. a $5,000 check to Pam Wilson, Executive Director, Capital Medical Society; John Mahoney, M.D, President, Capital Medical Society Foundation; and Rosemary Evans, the Jean McCully We Care Network Program Coordinator, in support of its We Care Network program. “SunTrust understands its responsibility as a community leader to help support our communities. This program is helping to improve access to health care and making a significant impact to our residents’ well-being,” said Tom Pennekamp, City President, Government Relations, SunTrust Banks, Inc. The We Care Network program, started by physicians of Capital Medical Society in 1992, has helped coordinate more than $77 million in donated specialty medical and dental care for low-income, uninsured adult patients in Leon, Gadsden, Jefferson and Wakulla Counties. Brett Allen, Client Advisor, SunTrust Private Wealth Management applauds the efforts of the local medical community to address access to healthcare issues. “This is our second year providing financial support to the We Care Network, and we thrilled to support this program and our local physicians.”
Bill Gunter, President of the Rotary Club of Tallahassee presented Capital Medical Society Foundation, Inc. a $3,500 check to Pam Wilson, Executive Director, Capital Medical Society, John Mahoney, M.D, President, Capital Medical Society Foundation, Walt Colón, D.M.D., and Rosemary Evans, the Jean McCully We Care Network Program Coordinator in support of its We Care Network program. The We Care Network program has coordinated over $77 million in donated specialty medical and dental care in Leon, Gadsden, Jefferson, and Wakulla Counties since 1992. The program was started by Capital Medical Society physician members who wanted an equitable way to distribute donated care to low income, uninsured adults in the community. Today, over 315 physicians and 45 dentists, as well as TMH and CRMC donate care to this population through the coordinated case management services provided by We Care Network. “One of Rotary Foundation’s six areas of focus is to expand access to low-cost and free health care in underserved and underdeveloped areas,” shared President Gunter. Dr. Mahoney and Dr. Colón, not only are donating providers, and Capital Medical Society Foundation Board members, but they are also Rotarians. The Rotary Club of Tallahassee has supported the We Care Network since 2000. Many of its physician members have been donating providers, including the late Nelson Kraeft, M.D., one of the program’s strongest advocates. “We Care Network is an integral part of the health care system in this community,” said Pam Wilson. “We are the only access to specialty medical and specialty dental care to the low income, uninsured adult population we serve.”
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS FOUNDATION
The Impact of Private Support: Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” • Access to healthcare is increased through gifts to We Care Network and the We Care Network Endowment Fund. Over $77 million in donated specialty medical and dental care has been provided to low income, uninsured patients since the program was created in 1992. In fiscal year 2015-16, which ended June 30, 2016, over $5 million in health care was donated. Gifts support the salaries and benefits of the case management team who coordinate donated care.
DONATE TO THE CMS FOUNDATION
WE THANK OUR DONORS We thank the following people who made a donation to the CMS Foundation this past month: CMS Foundation Pam Wilson Along with their annual dues payment Karen Krueger, M.D. Alfredo Paredes, M.D. Terence Reisman, M.D. Carlos Zapata, M.D. Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
• To provide incentives to keep medical students trained at FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $50,000 was distributed to seven medical students in 2015. • Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In 2015-16, funds were used for a roof repair, purchase of a computer firewall upgrade, rental unit maintenance, exterior painting, and office renovations to accommodate additional staff. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2016, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to Lighthouse of the Big Bend to provide tools to the visually impaired to improve their access to health care. Gifts to Honor and In Memoriam: You can make a donation to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can donate at any time to one of CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) Scholarship Fund Checks should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to donate. Bring your check to the CMS Office or mail it: Capital Medical Society ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Wilson, Executive Director pwilson@capmed.org or (850) 877-9018
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CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care partners who saw new patients for the We Care Network in August 2016. Your generosity and support of the We Care Network makes a difference. Physicians Gregory Albright, D.O. Aaron Appiah, M.D. Arvind Bakhru, M.D. Wayne Batchelor, M.D. Viral Bhanderi, M.D. David Bellamy, M.D. Raj Bendre, M.D. Shelby Blank, M.D. Robert Bradford, M.D. Alexander Brickler, III, M.D. Tim Broeseker, M.D. Viet Bui, M.D. Ashton Byington, M.D. Carlos Campo, M.D. Ann Carr, M.D. Michael Cavallaro, M.D. Gilbert Chandler, M.D. George Cohen, M.D. Raymond Cottrell, M.D. David Dixon, M.D. William Dixon, IV, M.D. David Durden, M.D. Mark Fahey, M.D. Alberto Fernandez, M.D. Andrea Friall, M.D. Akash Ghai, M.D. Spencer Gilleon, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Gregory Hartlage, M.D. Muhanad Hasan, M.D. Robert Hoyne, M.D. David Huang, M.D. Hank Hutchinson, M.D. Iman Imanirad, M.D. Marc Inglese, M.D. Simha Jagadeesh, M.D. Amit Jain, M.D. John Katopodis, M.D. Sayeed Khalillullah, M.D. Amulya Konda, M.D. Maribel Lockwood, M.D.
Kurt Luhmann, M.D. Charles Maitland, M.D. John Mahoney, M.D. Ovidiu Marina, M.D. Thomas Noel, M.D. David Oberste, M.D. Steven Ostrov, M.D. Rodolfo Oviedo, M.D. Richard Palmer, M.D. David Pascoe, M.D. Paresh Patel, M.D. Praful Patel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. J. Daniell Rackley, M.D. Alexander Ramirez Valderrama, M.D. Andres Rodriguez, M.D. Garrison Rolle, M.D. Karen Russell, M.D. Philip Sharp, M.D. Jeannine Silberman, M.D. Eliot Sieloff, M.D. Frank Skilling, M.D. Hardeep Singh, M.D. David Smith, M.D. Robert Snyder, M.D. Joshua Somerset, M.D. David Stewart, M.D. Christopher Sundstrom, M.D. Mary Swain, M.D. Timothy Sweeney, M.D. Scott Tetrault, M.D. John Thabes, M.D. William Thompson, M.D. David Vermess, M.D. Tony Weaver, M.D. Dorothy White, M.D. Andrew Wong, M.D. William Yaakob, M.D. Daniel Yang, M.D.
Dentists Eric Amundson, D.D.S. William Baldock, D.D.S. Joseph Barnett, D.D.S. Steven Bryan, D.M.D. Susan Byrne, D.M.D. David Cardman, D.M.D. Walter Colón, D.M.D. Brittney Craig, D.M.D. William McFatter, D.D.S. Ralph Montalvo, D.M.D. Robert Murrell, D.M.D. Lawrence Pijut, D.M.D. Russell Rainey, D.M.D. James Sykes, D.M.D. Ed Zapert, D.M.D. Facilities Affordable Dentures Anesthesiology Associates Beachton Denture Clinic Capital Regional Medical Center Desloge Home Oxygen Leon County Dental Clinic Neighborhood Medical Center Dental Clinics Pathology Associates Radiology Associates Seven Hills Surgery Center Smile Connection at Bond Community Health Center Southeastern Surgery Center Tallahassee Diagnostic Imaging Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center TMH Family Medicine Residency Program Women’s Imaging Center
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. Also, up to five hours per biennium of CE Credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Rosemary Evans at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you! Please contact Rosemary Evans at revans@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of August 2016 and your name was omitted.
We thank our referring providers from August 2016: Anne Ananga, ARNP Ricardo Ayala, M.D. Arvind Bakhru, M.D. Raj Bendre, M.D. Viral Bhanderi, M.D. Shelby Blank, M.D. Robert Bradford, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Acquinonette Bryant, M.D. Kendall Campbell, M.D. Carlos Campo, M.D. David Cardman, D.M.D. Lysmar Carrion-Dinguis, M.D. Raymond Cottrell, M.D. Sheryl Cowan, ARNP Elizabeth Dickens, ARNP Ray Dolly, M.D. Julia Drude, CNM Mignon Emenike Shirley English, ARNP Alberto Fernandez, M.D. Michael Forsthoefel, M.D. Sharron Foster, M.D. Anneka Gaffney, ARNP Lisa Gardner, ARNP Akash Ghai, M.D. Judy Griffin, ARNP Hantz Hercule, M.D. Dwight Hooper, M.D. Iman Imanirad, M.D. Amit Jain, M.D. Lisa Jernigan, M.D. Julie Kelch, M.D. Howard Kessler, M.D. Cynthia Kimble, M.D. Amulya Konda, M.D. Elaine Larkins, ARNP Esaias Lee, M.D.
Ashok Manocha, B.D.S. Ovidiu Marina, M.D. Kelley Miller, ARNP Shafi Mohamed, M.D. Marcia Morris, ARNP Rose Origa, ARNP Rodolfo Oviedo, M.D. Dianne Pappachristou, D.O. Praful Patel, M.D. Lisa Perkins, ARNP Stephen Quintero, M.D. Marlaine Registe, ARNP Charlie Richardson, M.D. Andres Rodriguez, M.D. Jose Rodriguez, M.D. Karen Russell, M.D. Lucilita Salvador, ARNP Roy Schwartz, M.D. Philip Sharp, M.D. Robert Snyder, M.D. Joshua Somerset, M.D. Joseph Soto, M.D. Alanna Steaple, ARNP Christopher Sundstrom, M.D. Jennifer Swedmark, ARNP Tallahassee VA Clinic Scott Tetrault, M.D. James Thomas, M.D. Faye Tinson, ARNP Leonard Tolley, D.D.S. Marianne Towler, ARNP Dannette Turner, ARNP Dwana Ward-Boahen, ARNP Jeffrey Wasserman, D.O. Franklin Watson, D.D.S. Graham Whitaker, M.D. Barbara Williams, M.D. Leslie Wilson, M.D. Richard Zorn, M.D.
DURING THE MONTH OF AUGUST, THE WE CARE NETWORK: RECEIVED 266 REFERRALS, WITH 140 PATIENTS NEW TO THE PROGRAM
SCHEDULED 135 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$309,104 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
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