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Cap Scan - October 2018

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OCTOBER EDITION, VOLUME 2018, NO. 10

-Capital Medical Society Celebrates National Breast Cancer Awareness Month-

BREAST CANCER - A PATHOLOGIST’S PERSPECTIVE By Nicole Nabors Balmer, M.D. Pink and purple. These colors may bring to mind a sunset, flowers, or a young girl’s bedroom. For an anatomic pathologist, these are the colors of our lives, and the lives of our patients. Hematoxylin (deep purple) and eosin (bright pink) are the routine stains that are used to highlight structures and details we need to see in a patient’s biopsy tissue. Like radiologists, pathologists are medical doctors who focus primarily on the diagnostic aspect of medicine. Anatomic pathology, which includes surgical pathology and cytology, is primarily a visual field. The pathologist combines the variation of pinks and purples with the overall patterns seen (architecture) along with the features of individual cells (cytology) to come up with a differential diagnosis. However, there are many steps along the way between the moment the biopsy tissue is taken from the suspicious density or mass in a patient’s breast, to the moment when a patient is told by her physician, “It’s a benign lesion” or “Please have a seat.” This is when the battle with her cancer begins. Breast biopsies to rule out malignancy are particularly full of nuances. The first step on the path between the taking of the biopsy tissue to the moment of discussing the diagnosis with the patient starts with putting the biopsy

directly into a formalin container and recording the start time. Breast tissue is currently the only tissue that has a specific tissue fixation time. The range is a minimum of six hours and a maximum of 48 hours because of the potential problems with ancillary tests such as estrogen receptor (ER) and progesterone receptor (PR) in tissue outside of these ranges. The next step involves the “grossing” (visual examination) of the tissue when it is removed from formalin and placed into a tissue processor. It is then run through multiple rounds of tissue fixatives for several hours. In the next step it is placed into paraffin wax blocks and cut into four micron sections which are placed onto new glass slides. At this point the slides are then stained with hematoxylin and eosin (H&E) for the pathologist to read under the microscope. Tissue conservation is very important, as a very small portion of tumor may be present in only a few slices of the biopsy. Multiple sections through the tissue at different levels are stained and reviewed by the pathologist to ensure that the edge of a tumor or very small focus of tumor is not missed. If the specimen is from a lumpectomy or mastectomy, a different approach is taken at the “grossing stage.” If a known tumor is present, the pathologist must ensure that the margins of the tissue are “clear” and the tumor has been completely removed. At times the pathologist must 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 2018 MEETINGS CALENDAR October 16, 2018 November 13, 2018 CMS Membership & CME Meeting CMS Membership & CME Meeting Domestic Violence & Human Trafficking (2-Hour CME) Health Impact of Common Electronic Devices Suzanne Harrison, M.D., FSU College of Medicine and Alice Pomidor, M.D. Terry Coonan, J.D., Center for the Advancement 6:00 pm CMS Delegates: (l-r) Dr. Bill Kepper, Dr. Alfredo Paredes, Dr. John of Human Rights Maguire Center for Lifelong Learning 6:00 pm at Westminster Oaks Bailey, Dr. Hugh VanLandingham, Dr. Rohan Joseph, Dr. Christie Maguire Center for Lifelong Learning Alexander, Dr. Michael Forsthoefel, Dr. Alma Littles, Dr. Gary at Westminster Oaks

Winchester, Dr. Tracey Hellgren, Dr. David Dixon, Pam Irwin, and Shannon Boyle. (Not pictured: Dr. John Mahoney)

December 6, 2018 CMS Foundation Holiday Auction 6:30 pm FSU University Center Club

CONTINUED ON PAGE 18 CONTINUED ON PAGE 15


BOARD OF GOVERNORS David Dixon, D.O., 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

National Breast Cancer Awareness Month............................1 Professional Notes......................................................................6 CMS News.....................................................................................7 CMS Lunch and Learn..............................................................10 Tallahassee Beer Festival......................................................... 11 Military Service.......................................................................... 12 CMS/CMSA Family Picnic....................................................... 14 Medical/Legal............................................................................ 18 CMS Foundation........................................................................ 19

Maribel Lockwood, M.D., President-Elect

2018 CMSF Holiday Auction.................................................. 20

Kenneth Whithaus, M.D., Secretary/Treasurer

CMS Foundation: We Care Network....................................22

Tracey Hellgren, M.D., Immediate Past President Christie Alexander, M.D. Todd Hewitt, M.D. Sarah Ho, President, CMS Alliance Rohan Joseph, M.D.

HAPPY BIRTHDAY!

Sarah Ko, M.D. Narayanan Krishnamoorthy, M.D.

{OCTOBER BIRTHDAYS}

Paresh Patel, M.D. Laurence Rosenberg, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, Capital Medical Society Family Medicine Residents Tristan Brooks, D.O./Alex Vanderby, M.D. General Surgery Residents Shlermine Aupont, M.D./Blake Davis, M.D. Internal Medicine Residents Joshua Hickman, D.O./Luba Muaddi, M.D.

PUBLICATION EDITOR Frank Skilling, M.D.

MANAGING EDITOR Shannon Boyle

GRAPHIC DESIGN Gandy Printers

EDITOR EMERITUS Charles E. Moore, M.D.

ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?

Please contact Shannon Boyle at sboyle@capmed.org. All articles submitted will be reviewed by your peers prior to publishing.

Cap Scan is published during the first week of each month and is the official publication of the Capital Medical Society. Advertising in Cap Scan does not imply approval or endorsement by the Capital Medical Society. The opinions expressed are those of the individual authors and do not necessarily reflect the official policies of the Capital Medical Society. 2

William Donnellan, Jr., M.D. – 2nd Andra Prum, D.O. – 2nd Roy Forman, M.D. – 4th Mary P. Norton, M.D. – 4th Chris VanSickle, M.D. – 4th Joseph Pagano, M.D. – 5th David Dolson, M.D. – 6th Kris Stowers, M.D. – 6th Windrik Lynch, M.D. – 8th J. Brian Sheedy, M.D. – 8th Rohan Joseph, M.D. – 10th L. Steve Sarbeck, M.D. – 10th Thomas Noel, M.D. – 12th Adrienne George, M.D. – 13th Tony Weaver, M.D. – 13th Sandeep Rahangdale, M.D. – 14th Eliot Sieloff, M.D. – 14th Pat Woodward, M.D. – 16th Nathanial Richins, D.O. – 17th Garrett Chumney, M.D. – 18th Mary Jane Tucker, M.D. – 19th Lori Rosenberg, M.D. – 21st Dennis Williams, M.D. – 21st Scott Tetreault, M.D. – 22nd

Patrice Bidwell, M.D. – 23rd Eric Emery – 23rd Mark Fahey, M.D. – 23rd Tahirali Motiwala, M.D. – 23rd Michael Wilhoit, M.D. – 23rd Eric Chung, M.D. – 24th Alma Fe Houghton, M.D. – 24th Stephen Richardson, M.D. – 24th H. Logan Brooks, M.D. – 25th David Dixon, D.O. – 25th Andrea Venturini, M.D. – 25th Brewster Caldwell, D.O. – 26th Amanda Davis, M.D. – 26th Kathryn Davis, M.D. – 27th Shaun Laurie, M.D. – 27th Zalika Paul, M.D. – 27th Simone J. Lescott, M.D. – 28th Judy St. Petery, M.D. – 29th Kenneth Wasson, M.D. – 29th Chien-Yi Ruby Williams, M.D. – 29th J.W. Richard Davis, M.D. – 30th D. Paul Robinson, M.D. – 30th Tom Hicks, M.D. – 31st John Streacker, M.D. – 31st

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

correlate the sample with radiographs (x-ray studies) taken before surgery. Immediately, a pattern recognition process is begun to characterize the lesion. Unfortunately, the usual diagnosis is not so simple as “malignant” or “benign”. The most common type of breast cancer is adenocarcinoma, with ductal and lobular being the most common subtypes. However, there are numerous other uncommon breast malignancies that can arise in the breast, and a carcinoma may still be “in situ” which means that invasion beyond the basement membrane has not yet occurred. Once a diagnosis of malignancy has been made, testing for estrogen receptor (ER), progesterone receptor (PR) and the HER-2 gene are ordered for the purposes of targeted therapy. Tumors deemed positive can be treated with either hormone therapy, such as tamoxifen, or medications which target the Her-2 gene such as Herceptin. ER and PR are assessed via immunohistochemistry (IHC). These stains operate through antigen-antibody complexes toward the targeted protein, and are assessed both for the percentage of cells positive, as well as for the staining intensity. Finally, reports for malignant diagnoses of breast cancer are reported using the most updated version of the College of American Pathology template, which includes abundant data to help guide the patient’s treatment regimen. Unfortunately, all of these steps mean that a final diagnosis may take longer than a patient expects. In the balance between efficiency and accuracy the latter always takes precedence. If the diagnosis is not right, nothing else matters. While I, as a pathologist, don’t usually see patients directly, I have been affected by breast cancer on a more personal level. A few years ago a beloved aunt, a close cousin, and a good friend from high school were all diagnosed with breast cancer within a short time. All reached out to me for answers, and I realized then how confusing some of the details of the diagnostic data can be for a patient. For instance, my aunt told me that her cancer came back as “triple negative” meaning the ER, PR and Her-2 were all negative. According to her internet search this had a bad prognosis. In the most common kinds of breast cancer, ductal and lobular adenocarcinoma, it’s true that a “triple negative” generally worsens the prognosis. However, my aunt had a rare type of breast cancer called adenoid cystic carcinoma in which a triple negative result is expected with no bearing on the prognosis. Thankfully, she got through her treatment with amazing strength and grace, and is now doing very well and cancer-free several years later, as are my cousin and friend.

As pathologists we communicate with a patient’s treating physician to try to clarify such questions. However, we are happy to answer such questions for patients directly if that is helpful during this anxiety-provoking time in her life. The board-certified pathologists of KWB Pathology Associates in Tallahassee feel grateful to be able to live and work where we can be part of such an amazing medical community. While we would rather not have to ever make a breast cancer diagnosis, we are honored to be able to play an important, if often behind the scenes, role in working with local patients to defeat a common enemy…one that first shows up in pink and purple under a microscope. Number of New Cases and Death Rank

Common Types of Cancer

Estimated New Cases in 2018

Estimated Deaths 2018

1.

Breast Cancer (Female)

266,120

40,920

2.

Lung and Bronchus Cancer

234,030

154,050

3.

Prostate Cancer

164,690

29,430

4.

Colorectal Cancer

140,250

50,630

5.

Melanoma of the Skin

91,270

9,320

6.

Bladder Cancer

81,190

17,240

7.

Non-Hodgkin Lymphoma

74,680

19,910

8.

Kidney and Renal Pelvis Cancer

65,340

14,970

9.

Uterine Cancer

63,230

11,350

10.

Leukemia

60,300

24,370

15.3% Female breast cancer represents 15.3% of all new cancer cases in the U.S. Courtesy of National Cancer Institute

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 3


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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


TALLAHASSEE ORTHOPEDIC CLINIC WELCOMES David Alvarez, MD Hand & Upper Extremity

Medical School Florida State University College of Medicine Residency Louisiana State University-Shreveport Fellowship University of Mississippi Medical Center

Christopher Babl, MD Interventional Pain Management Medical School University of Nebraska Residency University of Florida Fellowship University of Florida

Chesley Durgin, MD

General Orthopedics & Total Joint Reconstruction Medical School University of Florida Residency Virginia Commonwealth University Fellowship Florida Orthopedic Institute

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PROFESSIONAL NOTES

PROFESSIONAL NOTES Tom Enoch, M.D. retired on July 1, 2018 after practicing medicine in Tallahassee for 44 years. Prior to arriving in Tallahassee, he practiced for six years in the U.S. Navy. CMS Foundation Board member Paula Fortunas (pictured middle with Pam Irwin and Dr. James Stockwell) received the 850 Business Magazine’s Pinnacle Award honoring the outstanding business leaders of Northwest Florida at a special event on August 22, 2018 at the Holly Center in the St Joe Foundation Ballroom at the FSU Panama City campus. The Pinnacle Awards help shine the spotlight on female business leaders who hold themselves to high standards and contribute to the betterment of the community. Paula is engaged in a variety of activities at the local, state, and national level that have equipped her to positively impact the community. We salute Paula for her outstanding record of accomplishment and this well-deserved recognition.

David P. Robinson, M.D. was recently elected president of the Florida Chapter of the American Academy of Pediatrics (FCAAP). The FCAAP is comprised of over 2,100 members who promote the health and welfare of Florida’s children and support pediatricians and pediatric specialists as the best qualified provider of child healthcare. The FCAAP is also one of the largest chapters of the American Academy of Pediatrics. Dr. Robinson will serve a two-year term as president. Matthew Lee, M.D. and Stephanie Lee, M.D. were presented with the FSU College of Medicine’s 2018 Distinguished Alumni Award. This is awarded to 1 PIMS and 1 COM alumnus annually and is given to someone who demonstrates the highest principles of the medical profession on the basis of outstanding contributions in the following areas: service to the community, to the profession, and/or to the FSU College of Medicine. Contributions may include, but are not limited to, work in patient care, research, health services administration and advocacy for improving the health of others.

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.

Dr. Judy St. Petery joined others in August to help celebrate Dr. Gerald L. Schiebler’s 90th birthday and his contributions to the advancement of health care for children.

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


CMS NEWS

NEW DOCS ON THE BLOCK

Nicholas C. Farber, M.D.

Medical School: University of Virginia Internship: North Shore-Long Island Jewish Residency: State University of New York Fellowship: University of North Carolina Practice: Southern Vitreoretinal Associates Specialty: Vitreoretinal Surgery

Vatsal P. Patel, M.D.

Medical School: University of Texas Health Science Center Internship/Residency: University of Florida Fellowship: Mayo Clinic Practice: KWB Pathology Associates Specialty: Pathology

Shermeeka Hogans-Mathews, M.D.

Medical School: Florida State University Internship/Residency: St. Vincent’s Family Medicine Residency Practice: Florida State University College of Medicine Specialty: Family Medicine

FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE INTERNAL MEDICINE RESIDENCY PROGRAM AT TALLAHASSEE MEMORIAL HEALTHCARE RESIDENT Haydar Ali, M.D., Michigan State University

IN MEMORIAM

William “Bill” Long, M.D. 1937 - 2018 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 7


WELCOME Darrell L. Hunt, MD, PhD Trauma and General Surgery Trauma Medical Director Medical School: Washington University School of Medicine in St. Louis St. Louis, Missouri Residency: University of Florida College of Medicine Surgical Critical Care Fellowship: University of Florida College of Medicine

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


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CMS LUNCH AND LEARN

CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS MARK YOUR CALENDARS FOR THE FALL 2018 LUNCH AND LEARN SEMINARS:

October 17, 2018 Top 15 Employment Law Updates for 2018 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: CopyFax, Inc.

November 14, 2018 Patient Collections Workshop-Bringing Home the Bacon! Collecting money from patients is only getting harder. Most patients want to pay, but various factors can prevent them from paying in a timely manner. Join us to hear best practices in collecting patient payments. Participants will learn how 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: David Coppock, Regional VP, Professional Office Services Sponsor: CAMPUS USA Credit Union

For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org. 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 Seminars are held at the Capital Health Plan on Governors Square Blvd – and we thank them for providing this venue to us.

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10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Federally Insured by NCUA


TALLAHASSEE BEER FESTIVAL

Support the Capital Medical Society Foundation by attending the

Tallahassee Beer Festival October 13, 2018 6PM to 9PM The Pavilion at the Centre of Tallahassee 2415 North Monroe Street Link to purchase tickets: https://www.tlhbeerfestival.com/

Tickets on sale now! A portion of the proceeds will go to Capital Medical Society Foundation, Inc. if you provide our participation code when purchasing tickets online or at The Pavilion at The Centre of Tallahassee Box Office, Monday-Friday, 10AM-2PM. General Admission $35 (includes event entry & unlimited tastings) USE CODE: CMSF VIP Admission $55 (includes early admission & specialty brews) USE CODE: VCMSF AVOID TICKETMASTER FEES To avoid Ticketmaster fees, you may purchase tickets directly at The Pavilion Box Office. Doing this avoids the Ticketmaster fee, but there’s still a $4 venue fee. The Pavilion at The Centre of Tallahassee Box Office is located at 2415 North Monroe Street, directly across from Lemongrass Restaurant, accessed from Music Alley (between Barnes & Noble and Guitar Center). Hours: Monday-Friday, 10AM-2PM. Be sure to provide the Capital Medical Society Foundation’s agency code!

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 11


MILITARY SERVICE

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 2018 CAP SCAN NEWSLETTER. IF YOU ARE SERVING OR HAVE SERVED, PLEASE CONTACT ROSALIE CARLIN AT (850) 877-9018 OR RCARLIN@CAPMED.ORG BY OCTOBER 8TH.

TALLAHASSEE MEMORIAL TRAUMA CENTER presents a simulcast of the

10th Annual Southwest Trauma & Acute Care Symposium (STACS) Thursday, November 8th

Friday, November 9th

Ghazvini Auditorium

10 am - 6:15 pm (EST)

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12 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


There’s Safety in Numbers

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

13


CMS/CMSA FAMILY PICNIC

THE CMS/CMSA CONNECT THE DOCS FAMILY PICNIC ON AUGUST 25TH AT MACLAY GARDENS STATE PARK WAS A HUGE SUCCESS! WE HAD 115 PEOPLE ENJOYING THE OUTDOORS WITH DELICIOUS FOOD, GAMES, ACTIVITIES, AND GREAT CONVERSATION.

14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


CMS/CMSA FAMILY PICNIC

A special thank you to our supporters for this event! Supporting Sponsor:

Event Sponsors:

The Robinson Group at Merrill Lynch

Maclay School The Naumann Group Real Estate

In-Kind Sponsor: Seminole Sitters Games and tablecloths provided by: Hien Guyer and Amy Pagano

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 15


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5/10/17 10:30 AM


70

NUMBER OF EXTRA CALORIES YOU MAY TAKE IN EACH DAY IF YOU ADD MILK AND SUGAR TO YOUR COFFEE.

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17


MEDICAL/LEGAL

WE’VE HAD A CYBER BREACH, NOW WHAT? By Julie Danna, cyRM, Medical Malpractice and Cyber Liability Insurance Specialist, Danna-Gracey It’s halfway through 2018 and unfortunately, I’m already noticing that many physician practices or groups are numb to the steady news of healthcare organizations that were breached while patient and employee information were held hostage. Without the proper support of a legal team, a comprehensive stand-alone cyber insurance policy, an organized in-house Cyber Breach Response Team and/or a Cyber Response Plan, the effects of a single breach can soar into millions of dollars and could permanently shut down a practice. Data breaches mandate notification to the affected individuals, regulatory agencies, and from time to time the media and credit reporting agencies. The good news is that only a handful spiral into a full-blown data breach; but to identify the level of your breach you must comply with the regulatory obligation to conduct an incident risk assessment when the incident involves Personally Identifiable Information or Protected Health Information. Say you have the appropriate and precise securities in place, a trained Breach Response Team, Response Plan, a Cyber Insurance Policy and Legal Team backing you up, then what happens should a breach occur? The first step should a breach occur is to immediately reach out to your insurance agent who will put you in contact with your Cyber Insurance Carrier’s Claims Manager, the Claims Manager will be your main point of contact and a guiding light in what could be very intimidating and unsettling times. Remember that time is of the essence, so I advise you to find out, in advance, who your Claims Manager is (this is typically done when you purchase your Cyber Insurance Policy or upon renewal) and consider them to be a part of your Cyber Response Team. It is their goal to maximize efficiency when every minute really counts.

18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Your initial conversation will establish what is often called the Breach-Response Lifecycle. Your Claims Manager will need to know specific details regarding the unauthorized disclosure, data theft, data ransom, or complete loss as a strategic activity of the forensic and legal analysis of your specific occurrence. Depending on the complexity and overall size of the loss in question this could include a third party who is approved by your carrier. The next step in the process is the creation of the coverage letter which will outline the coverage you've purchased in detail, and typically providing additional information about this occurrence and should be reviewed by your Response Team in preparation for a breach. At this point, the monetary value of the breach will begin to show in the form of public relations costs, data recovery, victim/client notification, new systems and securities implemented, credit monitoring etc. These tasks are coordinated, actioned and invoiced by your Claims Team, be sure to stay in close contact with them to ensure open communication and efficiency. A Cyber Breach is burdensome, but with the proper preparation, and immediate coordinated action, this hardship could be made endurable, and costs manageable. It's no longer a matter of if it will happen, it's a matter of when it will happen, will you be ready when that time comes? For further information on Cyber coverage, contact Julie Danna at julie@dannagracey.com or simply call 888-720-0144. ———————————— Contributed by Danna-Gracey (dannagracey.com)


CMS FOUNDATION

The Impact of Private Support:

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: Capital Medical Society Foundation – along with their annual dues payment Floyd Jaggears, M.D. Celeste Paquette, M.D. Carlos Zapata, M.D.

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. More than $98 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 2017-18, which ended June 30, 2018, more than $8 million in health care was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the donated care. ➢ To provide incentives to keep medical students trained at 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. $42,000 was awarded in 2018. ➢ Gifts to Capital Medical Society Foundation help provide operational resources for Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to health care for the underserved. In 2018, CMSF awarded a total of $10,000 in grants to Elder Care for their In-Home Services Program, Alzheimer’s Project for caregiver support resources, and Lighthouse of the Big Bend to provide clients who have vision loss with the aids needed to manage their health and medical care independently. 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 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 19


2018 CMSF HOLIDAY AUCTION

Mark Your Calendars for This Year’s CMS Foundation Holiday Auction! Thursday, December 6, 2018 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 $42,000 to six deserving medical students this year. 2018 Scholarship Recipients: Mitchell Darnell Koleton Forehand Jeffrey Johnson Julianna Kacheris Marvin “A.J.” Rhodes Caitlin Tweedie 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 6! The entrance fee is $100 per person. 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 event 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 event 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. Invitations to the Holiday Auction will be mailed in November. We hope to see you there! 20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


2018 CMSF HOLIDAY AUCTION

FOUNDATION

We Care Network SUPPORT YOUR FOUNDATION - BECOME A SPONSOR! Capital Medical Society Foundation ~ Holiday Auction December 6, 2018 University Center Club at FSU FSU Doak Campbell Stadium – 1 Champions Way Sponsor Name:________________________________________________________________________ Address:___________________________________________________________________ Phone: ______________________________ Fax:__________________________________ E-mail:_____________________________________________Today’s Date:_______________________ Primary Contact:_____________________________________________________________ Contact Signature:___________________________________________________________ Please check your sponsorship level: _____ Title Sponsors: $5,000 • Invitation for eight (8) company representatives to the Holiday Auction • Logo on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • One free full-page black & white ad in 2019 in the newsletter, Cap Scan • Logo on post-event Tallahassee Magazine advertisement _____ Presenting Sponsors: $2,500 • Invitation for six (6) company representatives to the Holiday Auction • Logo on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • One free half-page black & white ad in 2019 in the newsletter, Cap Scan • Logo on post-event Tallahassee Magazine advertisement

_____ Supporting Sponsors: $1,000 • Invitation for four (4) company representatives to the Holiday Auction • Listed as sponsor on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • Listed as sponsor in post-event Tallahassee Magazine advertisement _____ Event Sponsors: $500 • Invitation for two (2) company representatives to the Holiday Auction • Listed as sponsor on event materials • Recognition in articles/pictures in the newsletter, Cap Scan • Listed as sponsor in post-event Tallahassee Magazine advertisement

Donations payable to: Capital Medical Society Foundation The Capital Medical Society Foundation is a 501(c)(3) Corporation Federal Tax I.D. #: 59-2104510 COMPLETE AND FAX THIS FORM TO CMS: (850) 878-0218 QUESTIONS? CALL (850) 877-9018 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

21


CMS FOUNDATION: 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 2018. Your generosity and support of the We Care Network makes a difference.

Physicians Scott Asher, M.D. Emily Ashmore, M.D. Arvind Bakhru, M.D. Dhanajay Bendre, M.D. Timothy Bolek, M.D. Robert Bradford, M.D. Tim Broeseker, M.D. Viet Bui, M.D. David Burns, M.D. Ashton Byington, M.D. Carlos Campo, M.D. Stephen Carr, M.D. Michael Cavallaro, M.D. Gilbert Chandler, M.D. George Cohen, M.D. Marilyn Cox, M.D. William Dixon IV, M.D. Ray Dolly, M.D. Wade Douglas, M.D. David Durden, M.D. Margarett Ellison, M.D. Alberto Fernandez, M.D. Alexander Franz, M.D. Hong Gao, M.D. Spencer Gilleon, M.D. Gian-Carlo Giove, M.D. Muhanad Hasan, M.D. Brett Howard, M.D. Marc Inglese, M.D. Amit Jain, M.D. Beverly Johnson, M.D. Arjun Kaji, M.D. Farhat Khairallah, M.D. Sayeed Khalillullah, M.D. James Killius, M.D. Gordon Low, M.D. Kurt Luhmann, M.D. Michael Mangan, M.D. Ovidiu Marina, M.D. Laura Martin, M.D. Jayan Nair, M.D. Thomas Noel, M.D. Anthony Otekeiwebia, M.D. David Pascoe, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Alexander Ramirez-Valderrama, M.D. James Renehan, M.D. Stephen Richardson, M.D. Andres Rodriguez, M.D.

Karen Russell, M.D. Roy Schwartz, M.D. Eliot Sieloff, M.D. Gadi Silberman, M.D. Robert Snider, M.D. Joseph Soto, M.D. Christopher Sundstrom, M.D. Mary Swain, M.D. Larry Taylor, M.D. John Thabes, M.D. Jean-Paul Tran, M.D. David Vermess, M.D. Lucas Watkins, M.D. Tony Weaver, M.D. Chien-Yi Williams, M.D. William Yaakob, M.D. Daniel Yang, M.D. Charles Yowell, M.D. Samuel Yu, M.D. Brian Zirgibel, M.D. Dentists William Baldock, D.D.S. Joseph Barnett, D.M.D. Steven Bryan, D.M.D. Walter Colon, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. Barrett Tolley, D.D.S. Facilities Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Big Bend Oral Surgery Bond Community Health Center Capital Periodontal Associates Capital Regional Cancer Center Capital Regional Medical Center Care Point Health & Wellness Center CESC Dental Clinic Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Florida Cancer Specialists & Research Institute Frank Swerdzewski DDS Gadsden County Health Department Jasmine Womens Center Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J. Pijut DMD PA Madison Medical Center Nature Coast Womens Care, LLC Neighborhood Medical Center North Florida Nephrology Associates North Florida Women’s Care North Monroe Medical Center Periodontal Associates Radiology Associates of Tallahassee

22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Skin and Cancer Associates Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, & Throat Tallahassee Memorial HealthCare TMH Family Medicine Residency Program TMH Family Medicine - Wakulla TMH Physician Partners Cancer & Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Clinical Genetics Center TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Surgical Specialists TMH Physician Partners Quincy TMH Physician Partners Urology Specialists TMH Rehabilitation TMH Transition Center Tallahassee Orthopedic Clinic Tallahassee Surgical Associates Tallahassee VA Clinic Vascular Surgery Associates Wakulla County Health Department Wakulla Medical Center Women’s Imaging Center

Please contact Diana Bixler at dbixler@ capmed.org or 201-0130 if you are a We Care volunteer and you provided volunteer specialty care in the month of August 2018 and your name is omitted.

The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. 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 Bixler at (850) 201-0085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!


CMS FOUNDATION: WE CARE NETWORK

We thank our referring providers from August 2018: Anne Ananga, ARNP

Ashok Manocha, D.D.S.

Gadi Silberman, M.D.

Scott Asher, M.D.

Vikki McKinnie, M.D.

Hardeep Singh, M.D.

Mary Jane Bailey, ARNP

Damon McMillan, M.D.

Denise Smith, M.D.

Karen Bartley, M.D.

Kelly Miller, ARNP

Abisoye Somorin, ARNP

Dhananjay Bendre, M.D.

Marcia Morris, ARNP

Joseph Soto, M.D.

Jonna Bradley, ARNP

Jayan Nair, M.D.

Matthew Standridge, M.D.

Daniel Breivogel, ARNP

Maritza Nickerson, M.D.

Alanna Steaple, ARNP

Tim Broeseker, M.D.

Thomas Noel, M.D.

Christopher Sundstrom, M.D.

Viet Bui, M.D.

Chukwuma Okoroji, M.D.

Scott Tetreault, M.D.

David Burns, M.D.

Rose Origa, ARNP

John Thabes, M.D.

Carlos Campo, M.D.

Anthony Otekeiwebia, M.D.

Lacie Thompson, ARNP

Lysmar Carrion-Dinguis, M.D.

Thomas Park, M.D.

Faye Tinson, ARNP

Jordan Cherkinsky, D.D.S.

Kyara Paulk, ARNP

Leonard Tolley, D.D.S.

Shirley English, ARNP

Timothy Paulk, M.D.

Marianne Towler, ARNP

Klive Forde, M.D.

Mitchell Peabody, D.O.

Ramona Vossler, RDH

Sharron Foster, M.D.

Jorge Perez de Armas, M.D.

Jeffrey Wasserman, D.O.

Akash Ghai, M.D.

Lisa Perkins, ARNP

Lucas Watkins, M.D.

Charmaine Gilmore, ARNP

Jessica Proxmire, ARNP

Eula Weaver, ARNP

Gian-Carlo Giove, M.D.

Stephen Quintero, M.D.

Barbara Williams, M.D.

W. Harris Green, M.D.

Alexander Ramirez-

Chien-Yi Williams, M.D.

Judy Griffin, ARNP

Valderrama, M.D.

Dianna Willis, ARNP

Hantz Hercule, M.D.

Charlie Richardson, M.D.

Charles Yowell, M.D.

Amit Jain, M.D.

Andres Rodriguez, M.D.

Brian Zirgibel, M.D.

Lawrence Kaelin, M.D.

Karen Russell, M.D.

Farhat Khairallah, M.D.

Lucilita Salvador, PA

Elaine Larkins, ARNP

Ryan Sanderson-Smith, M.D.

Matthew Lee, M.D.

Eliot Sieloff, M.D.

DURING THE MONTH OF AUGUST, THE WE CARE NETWORK: RECEIVED 283 REFERRALS, WITH 164 PATIENTS NEW TO THE PROGRAM

SCHEDULED 340 $487,355.20 IN DONATED CARE APPOINTMENTS WITH WAS REPORTED BY WE CARE VOLUNTEER PHYSICIANS AND VOLUNTEERS DENTISTS CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 23


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