OCTOBER EDITION, VOLUME 2017, NO. 10
Capital Medical Society Celebrates National Breast Cancer Awareness Month
By Shelby Blank, M.D.
As October draws near, our community and our nation slowly turn varying shades of pink. From the pale pink ribbons on lapels to the shocking hot pink sneakers and gloves we see Sundays in the NFL, the message is everywhere. Where some see the commercialization of a disease or a marketing ploy, I see something very different. This emblem - as simple as a color - gives patients a lifeline and a connection to the millions of others who have come before and who will unfortunately come after. Women and men who have fought the fight and have been through what the newly-diagnosed now have facing them. This transcends age, race, and even gender. This is a club that no one wants to join, but once in, members can draw strength from so many sources. If you think that something as small as a pink ribbon, a bracelet, or even a pair of socks can’t make a difference, well that’s not the case. Pink sends a message: people care, people are thinking about you, people are raising money, and people are doing the research that may change the face of this disease in the future.
It all starts with the phone call - the hated call. “We need more views on your mammogram” or “We need to talk about your biopsy results.” There, the journey begins. For many patients with a new diagnosis of breast cancer, what happens after is just white noise that lasts hours, days, or sometimes months. It is my goal to bring clarity to that noise and order from that chaos - to take the dreaded and unthinkable, and make it manageable, beatable. Breast cancer patients are clever and cool, people you want to know and hang out with. I confess, the more breast cancer patients I have in my clinic on any given day, the more likely I am to run behind schedule - these are folks with whom I enjoy talking to and spending time. I never envisioned becoming a breast surgeon. Starting out as a general surgery resident, that term seemed to indicate a practice that was somehow limiting, a pigeonhole I strongly resisted. While breast surgery today is only a portion of my practice, my view today is vastly different. The time 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 2017 MEETINGS CALENDAR November 7, 2017 October 17, 2017 October 23, 2017 CMS Membership & CME Meeting CMS Membership & CME Meeting Connect the Docs Health Effects of Common Electronic Prevention of Medical Errors Happy Hour Devices (2-Hour CME) Sponsored by Capital City Bank Alice Pomidor, M.D., MPH, FSU College Scott Sellinger, M.D. and Jesse Suber, Esq. 6:00 pm – 8:00 pm CMS Dr.Market Alfredo Paredes, Dr. John of Medicine 6:00 pm Delegates: (l-r) Dr. The Bill WineKepper, House (1355 Street, A1) 6:00 pm Maguire Center for Lifelong Learning at Bailey, Dr. Hugh VanLandingham, Dr. Rohan Joseph, Dr. Christie Maguire Center for Lifelong Learning at Westminster Oaks Alexander, Dr. Michael Forsthoefel, Dr. Alma Littles, Dr. Gary Westminster Oaks
Winchester, Dr. Tracey Hellgren, Dr. David Dixon, Pam Irwin, and Shannon Boyle. (Not pictured: Dr. John Mahoney)
December 7, 2017 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club
CONTINUED ON PAGE 15
BOARD OF GOVERNORS Tracey Hellgren, M.D., President
I N T H I S I SS U E :
MISSION: TO PROMOTE THE PRACTICE OF MEDICINE FOR THE ULTIMATE BENEFIT OF THE PATIENT. (850) 877-9018 Fax: (850) 878-0218 www.capmed.org
David Dixon, D.O., President-Elect Maribel Lockwood, M.D., Secretary/Treasurer
National Breast Cancer Awareness Month............1 Upcoming CMS Events.............................................6 Professional Notes.....................................................7 CMS Lunch and Learn...............................................9 CMS Connect the Docs Family Picnic................. 10 Viewpoint................................................................... 12 CMS Foundation....................................................... 18 CMS Foundation: We Care Network................... 19
J. Daniell Rackley, M.D., Immediate Past President Christie Alexander, M.D. Rohan Joseph, M.D. Narayanan Krishnamoorthy, M.D. Paresh Patel, M.D.
HAPPY BIRTHDAY!
Gregory Perry, M.D. Laurence Rosenberg, M.D.
{OCTOBER BIRTHDAYS}
Ida Thompson, President, CMS Alliance Ernesto Umaña, M.D. Julia Weeks, M.D. Kenneth Whithaus, M.D.
William Donnellan, Jr., M.D. – 2nd
Scott Tetreault, M.D. – 22nd
Pam Irwin, Executive Director, Capital Medical Society
Andra Prum, D.O. – 2nd
Patrice Bidwell, M.D. – 23rd
Family Medicine Residents
Roy Forman, M.D. – 4th
Mark Fahey, M.D. – 23rd
Meredith Maxwell, M.D./Alex Vanderby, M.D.
Chris VanSickle, M.D. – 4th
Tahirali Motiwala, M.D. – 23rd
Joseph Pagano, M.D. – 5th
Michael Wilhoit, M.D. – 23rd
David Dolson, M.D. – 6th
Eric Chung, M.D. – 24th
Tahir Motiwala, M.D./Cristin Sampson, M.D.
Kris Stowers, M.D. – 6th
Alma Fe Houghton, M.D. – 24th
General Surgery Residents
Windrik Lynch, M.D. – 8th
Stephen Richardson, M.D. – 24th
Aaron Hayson, M.D./Justin Lee, M.D.
J. Brian Sheedy, M.D. – 8th
H. Logan Brooks, M.D. – 25th
Rohan Joseph, M.D. – 10th
David Dixon, D.O. – 25th
L. Steve Sarbeck, M.D. – 10th
Brewster Caldwell, D.O. – 26th
Adrienne George, M.D. – 13th
Kathryn Davis, M.D. – 27th
Tony Weaver, M.D. – 13th
Shaun Laurie, M.D. – 27th
Sandeep Rahangdale, M.D. – 14th
Zalika Paul, M.D. – 27th
Eliot Sieloff, M.D. – 14th
Judy St. Petery, M.D. – 29th
Pat Woodward, M.D. – 16th
Kenneth Wasson, M.D. – 29th
Garrett Chumney, M.D. – 18th
J.W. Richard Davis, M.D. – 30th
Pam Irwin – 18th
D. Paul Robinson, M.D. – 30th
Mary Jane Tucker, M.D. – 19th
Tom Hicks, M.D. – 31st
Lori Rosenberg, M.D. – 21st
John Streacker, M.D. – 31st
Internal Medicine Residents
PUBLICATION EDITOR Frank Skilling, M.D.
MANAGING EDITOR Shannon Boyle
GRAPHIC DESIGN Gandy Printers
EDITOR EMERITUS Charles E. Moore, M.D.
ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?
Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing.
Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2
Dennis Williams, M.D. – 21st
HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!
NATIONAL BREAST CANCER AWARENESS MONTH
CONTINUED FROM COVER
I spend with breast cancer patients, maybe more than anything else I do, satisfies the goals that led me to this career path. Trying to understand and make sense of breast cancer physiology challenges my mind, caring for and knowing these patients feeds my soul. It is no secret that surgeons do not particularly enjoy their office days, the operating room is our happy place. My two favorite clinic visits, however, are the initial visit when I see a new breast cancer patient and seeing the same patient 2, 3, or 5 years down the road for a surveillance followup. These patients come from a multitude of places and experiences, no socioeconomic strata, ethnicity, or background is exempt, but they all share common threads of grace and steely determination. At the end of the day, treating breast cancer is not about me, it is about them. Some days feel more successful than others. How do I take what is likely the worst news on the worst day and turn that around? How do I arm patients with information and comfort that allows them to feel empowered to tackle the journey upon which they must now embark? This journey likely started with a screening mammogram or with the vague notice of something there that wasn’t there before, and suddenly the world tips on its axis. This is a journey that is smooth for some and rocky for others, but will last, in one form or another, for the rest of their lives.
What can we do better? Despite the outreach, the pinkouts, screening efforts, and internet information, there all still too many folks reached at a late stage in their disease. How does this change? Reach out to populations at risk - can churches help reach minority populations at risk for aggressive disease and delayed diagnosis? Can our primary care partners help ensure all women have a regular clinical breast exam? I hope we can continue to build a cohesive, multidisciplinary approach to breast disease locally and extend that to our surrounding region. Each patient handles this journey in a different way. From getting a hot pink tattoo that the world may never see, to handing out the “Booze for Boobs” pink drink holder that sits proudly on my desk, symbols of this battle may take very public or private turns. For patients and families living with breast cancer and for doctors who treat it, breast cancer month is all year long. It is now October, however, breast cancer awareness month for everyone, so grab your shirts, your hats, and yes, even your socks, and let your pink flag fly!
The face of this disease seems to me to be changing. We know based on statistics that the majority of patients are diagnosed later in life, yet I feel like my new breast cancer patients are younger and younger. The percentage of women I see in their 20’s, 30’s, and 40’s is far greater than when I first began practice just over a decade ago. In addition, what we know about genetic predisposition and the greater acceptance of prophylactic surgery has changed the management of high-risk patients. Advances in reconstructive options have made women, particularly in our region, far more likely to exercise options for more aggressive surgical therapy. Progress is happening. Each day there is new information that adds to or changes our understanding of this disease process. I cannot help but believe earlier diagnosis will increase survival and diminish morbidity. Molecular evaluation of tumors to help predict behavior and recurrence risk, changes in management of the axilla, and increased understanding of genetic risk are just a few of the avenues that are currently changing the management of breast cancer. New therapies are emerging and changes in recommendations are happening constantly.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3
Hong Gao, M.D., Ph.D Digestive Disease Clinic is pleased to announce a new physician joining our practice. Dr. Gao will begin seeing patients October 2, 2017.
Dr. Gao began her practice in gastroenterology after completing her Fellowship at Yale University and believes that the most important skills of a physician is listening to their patients. She is passionate about providing health education to her patients as well as the general public. Digestive Disease Clinic is proud to have her join our group.
Now scheduling New Patients Monday- Thursday 8:00 a.m. – 5:00 p.m. Friday 8:00 a.m. to 4:00 p.m. (850) 877-2105
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• Immaculate custom home built by well-renowned contractor, Jeff Drake in gated Woodbrook community • This home boasts soaring ceiling heights, gleaming heart pine floors, a gourmet “cook’s” kitchen with an expansive island and professional-grade appliances • Gorgeous custom light fixtures, extensive millwork, custom cabinetry lighting and an intricate marble fireplace are amongst the many extras in this exquisite luxury home • The breathtaking outdoor entertaining space is comparable to none! The majority of the back of the property is screened and features an outdoor kitchen, a large covered patio and a peaceful lap pool with a gorgeous waterfall feature
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5008 Velda Dairy Road
$1,195,000 | 5 BR | 5 FULL BA | 2 HALF BA | 5,371 sq ft
$895,000 | 5 BR | 5.5 BA | 5,116 sq ft
• The gorgeous canopy road and Lake Jackson views are incomparable at this custom waterfront home that offers a mother-in-law suite, master suite with a private porch, two wood-burning fireplaces, office, wet bar & butler’s pantry • Enjoy the breathtaking views from the living room and entertain on your expansive deck and 1.69 picturesque acres • Gorgeous home finishes include floor-to-ceiling windows, Brazilian Cherry Wood and travertine floors and twin goldfish fountains • The luxurious master suite offers his and her walk-in closets, a Roman shower, jetted garden tub & optimal lake views
• Stunning, custom home located right on Lake Tom John with gorgeous, unobstructed views • Truly an entertainers dream! This open floor plan boasts soaring ceilings, multiple porches and decks, an outdoor kitchen area and a beautiful in-ground pool overlooking the lake • The finished basement is a perfect bonus space offering a gym, heated & cooled storage and a guest bedroom • Master suite features 2 amazing walk-in closets and a laundry room – all bedrooms have an adjacent bathroom • Gleaming hardwoods and beautiful finishes throughout - must see
Call Us Today for Your Private Showing or for a Free Market Evaluation of Your Home!
Hettie Spooner Lindsay Elliott Calynne Hill
(850)509-4337 (850)545-2463 (850)545-6140
2001 Thomasville Road Tallahassee, Florida 32308
HILLSPOONER.COM
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
5
UPCOMING CMS EVENTS
Join your colleagues for a
Happy Hour Monday, October 23, 2017 6:00 pm – 8:00 pm The Wine House (next to Tasty Pastry, 1355 Market Street, A1) Hors d’oeuvres and first beverage provided by our sponsor:
Please RSVP by October 18th to Rosalie Carlin at 850-877-9018 or rcarlin@capmed.org
MARK YOUR CALENDARS FOR THIS YEAR’S CMS FOUNDATION HOLIDAY AUCTION! Thursday, December 7 6:30 pm University Center Club at Florida State University (Doak Campbell Stadium) 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. The CMS Foundation gave $47,000 to eight deserving medical students this year.
2017 Scholarship Recipients: Saira Bari Whitney Basford Brian Bowden Kaylee Denmark Quinn Frier Ciara Grayson Breanna Jameson Collin Lamba
Invitations to the Holiday Auction will be mailed in November. We hope to see you there! 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
PROFESSIONAL NOTES
Sandeep Rahangdale, M.D. was selected to serve as the new Dean of the FSU College of Medicine Tallahassee Regional Campus, effective September 18, 2017. Dr. Rahangdale has been involved with teaching 2nd, 3rd, and 4th year College of Medicine students since 2003 as a member of the FSU College of Medicine faculty, has served on the COM’s Admissions Committee since 2007, and also serves as a longitudinal preceptor for FSU COM students. Since 2013, he has served as the President of Preventive Cardiology & Internal Medicine Associates, a local multi-specialty primary care practice that serves as a teaching site for FSU College of Medicine medical students and FSU nurse practitioner students. Congratulations, Dr. Rahangdale!
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 2017 Cap Scan newsletter. If you are serving or have served, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org by October 10th.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7
e e s s a h a l l a T s it All Ha
Great schools, lovely weather, big-time college sports, and Southern Charm. You can add world class cancer care to the list. Florida Cancer Specialists is the largest private Medical Oncology practice in the country with over 100 cancer centers in Florida, and two cancer centers here in Tallahassee. We offer patients every single FDA approved cancer treatment every single day. Every one. Immunotherapy, vaccine therapy, chemotherapy, monoclonal antibodies, along with personalized molecular profiling and, of course, clinical trials of novel agents. So your patients can get the care they need in the town they love.
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CMS LUNCH AND LEARN
CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS MARK YOUR CALENDAR October 18, 2017
November 15, 2017
Maybe It Is Rocket Science After All Employment Law Update: The 2017 Master’s Edition
Patient Collections Workshop Bringing Home the Bacon
With record litigation and a dramatic increase in governmental audits impacting local business, come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your company. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, and preparing for coming changes to federal wage and hour laws. This is a cannot miss for small business owners, human resource professionals, and Chief Executive Officers alike! Speaker: Bill Krizner, The Krizner Group Sponsor: Solutionreach
During this seminar, you will learn best practices to: • Deal with rising patient-owed balances • Make it easier for patients to pay • Develop a strategy for collecting past due balances • Automate to collect more money more efficiently • Improve overall financial communication Speaker: Kayleen Homewood, Professional Office Services, Inc. Sponsor: Electronet
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
Dennis A. Fried, M.D., J.D.
Licensing, Discipline & Peer Review Defense for All Medical Professionals in Florida Free Initial Consultation Blanchard, Merriam, Adel & Kirkland, P.A. 4 S.E. Broadway Street, Ocala, FL 34471 352-732-7218
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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 9
CMS CONNECT THE DOCS FAMILY PICNIC
The Connect the Docs Family Picnic on August 26th at Maclay Gardens State Park was a huge success! We had 90 people enjoying the outdoors with delicious food, rock painting, games, and great conversation.
10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
CMS CONNECT THE DOCS FAMILY PICNIC
A special thank you to our supporters for this event! Food, drinks, and games provided by: Waddell & Reed Financial Advisors Rock painting and games provided by: Hien Guyer and Amy Pagano Gift basket provided by: Centennial Bank
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11
VIEWPOINT
PATIENT PERSPECTIVE By Anna Hackenberg, M.D. In addition to significant thoracic trauma and various fractures, I completely severed my spinal cord and woke up as my new paraplegic self. As I could not move my legs, I asked one of my best friends if I will ever walk again. I paused after she said no and bravely announced to the room that, in that case, I would just have to get really good at swimming.
I moved to San Diego, California after completing my family medicine residency at Tallahassee Memorial Hospital in the summer of 2016. I still feel like a tourist in San Diego and try to squeeze in as many outdoor activities as possible. Planning a day of beach adventures with two friends in town from Germany, we were in good spirits and started our fun at Torrey Pines Natural Reserve. April 13, 2017 did not turn out as planned. After walking down the gorgeous beach trail, with our feet in the water, a boulder came loose off the breathtaking cliffs bordering the unspoiled beach, and smashed onto me. Thankfully, I have no memory of this instant, but according to my friends, we were taking in the beauty of nature, feeling happy and relaxed shortly before the freak accident. I was rapidly heli-lifted to a nearby hospital. The first thing I remember was waking up in the ICU about 10 days later and feeling panicked that I may have missed a shift at work. My family and friends surrounding my bed assured me that my schedule had been cleared and my patients were being cared for without interruption.
I am not always brave and it has not been easy transitioning to my new life. I miss my independence. I miss being active. I miss being productive. I miss not needing so much help. Most of all, I miss being able to help others. As a physician, hoping to help others was my main purpose. All day long I heard patients, friends, family and strangers saying thanks to me. Now I am the one saying thank you like I have never before. I took the ability to show kindness to others for granted and did not realize before that it was an ability. Don’t get me wrong, I don’t mind giving thanks and truly appreciate those around me, but feeling unable to help others is not a fun feeling. I intend to find a new way to be able to be kind and help others again and encourage anyone who is able to, to use their gift to their full potential. There are plenty of small daily struggles that even with a medical background I never realized challenged people had to endure. I am paraplegic at the T4 level, which means that I have lost trunk control in addition to the function of my legs. I have improved a lot, but still need help transferring out of my bed and into my wheelchair in the mornings. It is difficult for me to perform previously simple tasks such as getting dressed and putting on my shoes. Taking a shower is impossible without help and even with help is a long and challenging process. I am
12 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
not able to feel when my bladder is full so I intermittently catheterize, about every 3 hours, having to set an alarm to wake up and do so during the night. Frequent urinary tract infections, with my symptom being incontinence, call for extra supplies such as incontinence pads, just in case. I time my bowel movement at the same time every day to try to avoid involuntary bowel movements. Without venous return, my legs get swollen quickly. I have trouble with temperature control as I now only sweat above the level of my injury. I am able to transfer into a car using a slide board, but am not able to do so independently yet or drive on my own. I have learned a lot being the patient instead of the provider and hope to find a way to bring this new knowledge into my future patient care. Regaining my independence, self-confidence and productivity are my biggest goals. I intend to go back to work soon and I am grateful that I have an amazing support system who help me stay positive, be resilient, heal and rediscover my new self. In early September, I briefly returned to my Urgent Care Clinic for a practice run. The nurses, staff and other providers welcomed me with joy and applause. This gave me hope that my goals are within reach. Dr. Hackenberg served on the 2014 CMS Board of Governors. If you would like to write to Dr. Hackenberg, her mailing address is: 1494 Union Street, Unit 209; San Diego, CA 92101. If you would like to donate to Dr. Hackenberg’s medical fund, please visit: https://www.gofundme.com/e9seaannas-medical-fund.
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VIEWPOINT
NEVER TRUST A NAKED BABY…MY LIFE AS A PEED ON PEDIATRICIAN David Guttman, M.D. The first thing I have to get out of the way is the question we are all asked. “What made you want to become a doctor?” For me, the answer was simple. My mother. Don’t get the wrong idea that Mom was controlling or domineering. She said I could go to any medical school I liked, although she would prefer one of those New York schools, predominantly Jewish, and within easy driving distance from Westchester. Fooled her. I went to Creighton, a Jesuit school in Omaha. I didn’t get the full impact of Mom’s hopes and aspirations for me until I finally graduated from medical school. I took the long way, getting a Ph.D. first along the way. After receiving my diploma, Mom said, “Now I can finally call you ‘doctor’!” I replied, “Thanks Mom, now I know what the Ph.D. I’ve had for six years meant to you.” I’ve been practicing pediatrics for almost 40 years and have no plans to stop. My wife says that if I stop being a pediatrician, I will have to learn adult terms for bodily functions. I will no longer be able to ask the waiter for directions to the potty because I have to go pee-pee. Let me put forty years in pediatric
perspective. As a pediatrician, I never had the same patients for forty years. Usually our patients “graduated” to grown-up doctors when they turn 21, sometimes younger, occasionally older. With that in mind, a patient I might have had when I started practice would probably be a grandparent now and even their children would be too old for a pediatrician; I might be taking care of the grandkids of my early patients. That is a long time.
IT SEEMED LIKE A GOOD IDEA AT THE TIME
The main reason I don’t plan to retire is that I love what I do. A few weeks ago a nurse at the hospital got up from behind the nurses’ station, greeted me with a big smile and a hug, and taken a little aback, I said, “I know, I was your child’s pediatrician.” She looked at me confused and said, “No, Dr. Guttman, you were my pediatrician.” To console me, she admitted she was a teenager at the time and at least not a newborn.
The following morning I was paged by the head nurse, who asked, “Doctor, are you the one who admitted the diabetic amputee last night?” (FYI, it is never a good sign when the head nurse addresses a medical student as “Doctor” because you are about to be shown you are just a doctor want-to-be, and a long, long way from that goal.) “Yes ma’am, that was me,” I answered in my most subservient humble voice. She then asked if I was responsible for the I.V. in the patient’s right hand. I admitted I started the I.V., and if there was a problem, I could come right up after morning rounds and restart it. She assured me the I.V. was fine, not infiltrated, not leaking or red, and, in fact, was one of the best medical student I.V.’s she had ever seen. The problem was that this one-armed gentleman could no longer use his remaining right hand, and
While we have all had terrible heartaches in our professional lives, unsuccessful resuscitations, terminally ill patients, 4 a.m. emergency C-sections, I have tried to focus on the fun and humorous times and encounters. Here are a few examples that have kept me going:
14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
I was a fourth year med student. One night, I admitted an elderly gentleman whose diabetes was out of control, and had a previous left arm above the elbow amputation. I completed his H and P, dictated his admission orders and started an I.V. in his remaining right hand, securing it with non-allergic tape to a padded arm board. Job well done.
VIEWPOINT
asked if I would spend the day at his bedside, feeding him, brushing his teeth, combing his hair and wiping his backside, because now he was completely helpless. I sheepishly replied, “It really did seem like a good idea at the time.” When she stopped laughing, she confessed the nurses had already transferred the I.V. to his left arm stump and told me to “Have a nice day, dear.” HOW MAY I HELP YOU? The chairman of pediatrics when I was a resident was an internationally known British geneticist, who seemed like a Downton Abbey cast member, with tweed sport jacket, leather elbow pads and an Eaton tie. He was author of several textbooks and countless peer reviewed articles, but always stressed the preeminence of his Socratic role in teaching and guiding his residents and medical students. To that end, he was always present on the wards reminding us of his eagerness to help. One day I was trying to exam a coughing toddler in a steel-sided crib and was stumped. I stepped out into the hallway and explained that I needed help with a patient. He smiled, slipped his barely used stethoscope from his pocket and as we approached the coughing youngster asked, “What seems to be the problem? Croup, respiratory syncytial virus, asthma, pneumonia, cystic fibrosis?” I explained that I had not been able to listen to the child’s chest. “You mean
he is afraid of doctors, white coats, hospitals?” “No sir, I can’t figure out how to get the crib sides down.” For the next fifteen minutes, we pushed and pried every lever and handle that remotely looked like a release mechanism while the child stared at us. Finally, the chairman whispered he would sneak away from the room as quickly as possible and when he was out of sight, I should ask a nurse, since no one expected an intern to know anything, but as the department head, he was held to a higher standard. The nurse, of course, solved the problem in a nanosecond and the next day I secretly shared my newfound expertise with the department chairman.
My advice to my colleagues, devote yourself to helping your patients but look for the humor in medicine to help you keep going.
WE’RE GOING TO HAVE TO RUN SOME TESTS A mom brought in a four year old little boy with a tiny little red bump on his finger that he had for 24 hours. It didn’t seem to itch, was not painful, was not draining, was getting smaller, and the mom was not concerned, but the child insisted they go to the doctor. I looked at it closely, even got out a magnifier, and told the child it was either a boo-boo or an owie, and that we might have to run some tests. When the child seemed apprehensive about “tests,” I kissed the little red spot and announced it was all better, to which he concurred. I still can’t find the procedure in the ICD-9 handbook but the child and mom are fine now.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15
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MEDICAL SCHOOL University of Medicine and Health Sciences RESIDENCY Tallahassee Memorial Hospital Family Medicine
3334 Capital Medical Blvd | Tallahassee, FL | 850-877-8174
Reliable, comprehensive care for your patients with kidney disease and hypertension. Serving Tallahassee and surrounding counties since 1975. 1609 Physicians Drive, Tallahassee, FL 32308 • (850) 878-1171 • (850) 942-1291 fax • nfnephrolgy.com
Avon Doll, Jr., MD
Hari Kolli, MD
Kaushal Patel, MD
Sayeed Khalillullah, MD
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
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: For Capital Medical Society Foundation Dr. & Mrs. Charles Williams – In Honor of Eric Forsthoefel, M.D., Sergio Ginaldi, M.D., Narayanan Krishnamoorthy, M.D., Eliot Sieloff, M.D.
Care Network Endowment Fund. More than $88 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 2016-17, which ended June 30, 2017, more than $8.3 million in health care was donated. 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. $47,000 was distributed to eight medical students in 2017. ➢ Gifts to Capital Medical Society Foundation help provide operation resources for Capital Medical Society Foundation. In addition, modest grants to area non-profits whose programs improve access to health care for the underserved. In 2017, CMSF awarded $10,000 in grants to Elder Care for their In-Home Services Program and to CMSF’s Physician Wellness Program set to launch in FY 2017-18. 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 6) The Ronald G. Pickett Endowment 7) Physician Wellness 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. Donations may be made by credit card from the CMS website.
Your gifts to Capital Medical Society Foundation transform lives in the Big Bend.
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 Irwin Executive Director pirwin@capmed.org or (850) 877-9018
CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
THANK YOU We Care Network
To our CMS members and We Care partners who saw new patients for the We Care Network in August 2017. Your generosity and support of the We Care Network makes a difference.
Physicians Scott Asher, M.D. Gregory Albright, D.O. Robert Bradford, M.D. Alexander J. Brickler III, M.D. Tim Broeseker, M.D. Robert Brumberg, D.O. Acquinonette Bryant, M.D. David Burday, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Michael Cavallaro, M.D. George Cohen, M.D. Raymond Cottrell, M.D. Ray Dolly, M.D. Alberto Fernandez, M.D. Sergio Ginaldi, M.D. Frank Gredler, M.D. Celeste Hart, M.D. Okanta Jackson, M.D. Amit Jain, M.D. Sayeed Khalillullah, M.D. James Killius, M.D. Carey Linker, M.D. Jonathan Melquist, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. Christopher Price, M.D. James Rackley, M.D. Adrian Roberts, M.D. Tim Ruark, M.D. Karen Russell, M.D. Justin Simonds, M.D. Hardeep Singh, M.D. Robert Snyder, M.D. Christopher Sundstrom, M.D. Timothy Sweeney, M.D. John Thabes, M.D. William Thompson, M.D. Graham Whitaker, M.D. Kenneth Whithaus, M.D. William Yaakob, M.D. Samuel Yu, M.D.
Dentists Jean-Pierre Bastien, D.M.D.
Steven Bryan, D.M.D. Susan Byrne, D.M.D. Walt Colon, D.M.D. Susanne Lumpp, D.M.D. Ashok Manocha, D.D.S. William McFatter, D.D.S. Lawrence Pijut, D.M.D. Jordan Rigsby, D.M.D. Barrett Tolley, D.D.S. Leonard Tolley, D.D.S. Lawrence Weaver, D.D.S.
Facilities Advanced Urology Institute Anesthesiology Associates Big Bend Oral Surgery Capital Regional Medical Center Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Ketchum, Wood, & Bergert Pathology Associates Lawrence J. Pijut, D.M.D. Lawrence Weaver, D.D.S. Manocha, McSoley, Balan, and Manocha Dentistry Neighborhood Medical Center Dental Clinic North Florida Nephrology Associates North Florida Regional Thyroid Center Radiology Associates of Tallahassee Smile Connection at Bond Community Health Center Southern Medical Group, PA Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, & Throat Tallahassee Endoscopy Center Tallahassee Memorial HealthCare Tallahassee Orthopedic Clinic Tallahassee Outpatient Surgery Center Tallahassee Pulmonary Clinic TMH Family Medicine Residency Program TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Radiation Oncology TMH Physician Partners Surgical Specialists 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 Diana Sheppard at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
We thank our referring providers from August 2017: Eric Amundson, D.D.S. Anne Ananga, ARNP Scott Asher, M.D. Emily Ashmore, M.D. Karen Bartley, M.D. Jean-Pierre Bastien, D.M.D. Marci Beck, D.M.D. Robert Bradford, M.D. Jonna Bradley, ARNP Daniel Breivogel, ARNP Tim Broeseker, M.D. Acquinonette Bryant, M.D. Joseph Camps, M.D. Lysmar Carrion-Dinguis, M.D. Jordan Cherkinsky, D.D.S. George Cohen, M.D. Elizabeth Dickens, M.D. William Dixon IV, M.D. Ray Dolly, M.D. Susan Drake, M.D. Shirley English, ARNP Cynthia Evans, ARNP Sharron Foster, M.D. Anneka Gaffney, ARNP Akash Ghai, M.D. Parker Gibbs, M.D. Judy Griffin, ARNP Celeste Hart, M.D. Hantz Hercule, M.D. Julian Hurt, M.D. Hank Hutchinson, M.D. Iman Imanirad, M.D. Amit Jain, M.D. Marjorie Kirsch, M.D. Elaine Larkins, ARNP Barbara Leadbetter, D.M.D. Ashok Manocha, B.D.S. Damon McMillan, M.D. Rena McPherson, ARNP Kelley Miller, ARNP
Marcia Morris, ARNP Jayan Nair, M.D. Rose Origa, ARNP Kyara Paulk, ARNP Helen Paulson, M.D. Lisa Perkins, ARNP William Placilla, M.D. Andrea Plagge, D.O. Stephen Quintero, M.D. Charlie Richardson, M.D. Andres Rodriguez, M.D. Karen Russell, M.D. Lucilita Salvador, PA Cristin Sampson, M.D. Phillip Sharp, M.D. Gadi Silberman, M.D. Hardeep Singh, M.D. Robert Snyder, M.D. Abisoye Somorin, ARNP Matthew Standridge, M.D. Alanna Steaple, ARNP Christopher Sundstrom, M.D. James Sykes, D.M.D. David Tedrick, M.D. John Thabes, M.D. James Thomas, M.D. Lacie Thompson, ARNP William Thompson, M.D. Faye Tinson, ARNP Barrett Tolley, D.D.S Leonard Tolley, D.D.S. Marianne Towler, ARNP Ernesto Umana, M.D. Dwanna Ward-Boahen, ARNP Jeffrey Wasserman, D.O. Eula Weaver, ARNP Tamesia Wilson, ARNP Richard Zorn, M.D.
Please contact Diana Sheppard at dsheppard@capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of August 2017 and your name is omitted.
DURING THE MONTH OF AUGUST, THE WE CARE NETWORK: RECEIVED 294 REFERRALS, WITH 152 PATIENTS NEW TO THE PROGRAM
SCHEDULED 177 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$160,044.22 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
Prsrt. Std. U.S. Postage
PAID Tallahassee, FL Permit 801
Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308 Return Service Requested
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