OCTOBER EDITION, VOLUME 2021, NO. 10
~Capital Medical Society Celebrates National Breast Cancer Awareness Month~
THE EVOLUTION OF BREAST CANCER TREATMENT By Wade Douglas, M.D. and Shlermine Everidge, M.D. Shlermine Everidge, M.D. General Surgery Resident PGY-5 Florida State University Tallahassee Memorial Healthcare
As a general surgery resident, initially learning to treat and manage patients with breast cancer was a difficult task. There were components in the treatment guidelines that were in flux regarding acceptable margins and how to treat the axilla. While continuing my training, the complexity and constantly evolving breast cancer management attracted me to Breast Surgical Oncology. The management of breast cancer highlights one of the most significant evolutions in medicine. The initial treatment of breast cancer, Halstead radical mastectomy, was first described by William Halstead in 1894. This treatment involved removing the breast, overlying skin, underlying pectoralis muscles, the regional lymph nodes, and axillary vein. This was a morbid procedure, but at the time suited the locally advanced-stage breast cancers. Surgeons and patients discovered that this procedure reduced mortality and locoregional recurrence; they often died of metastatic disease. Although the procedure itself was morbid, the positive outcome led to reconsideration for local and regional control of the disease. In the 1970s, the overlap of surgery and medicine began to form as landmark trials like the NSABP B04 and NSABP B20 showed there was a role for adjuvant therapies in treating
breast cancer with radiation and chemotherapy. The '70s also brought about the groundworks for our current practice of breast-conserving therapy. This involves lumpectomy (removal of only the portion of the breast affected by cancer with negative margins), axillary lymph node sampling, and radiation. For the first time, this allowed women to keep their breasts with the diagnosis of breast cancer. This addressed the major post-treatment outcome of emotional distress many women faced after losing their breasts. Since the early '70s, we have also furthered our understanding of breast tumor biology and the different signaling pathways involved in tumor growth. This understanding brought about the concept of endocrine modification as an adjunct to reduce the risk of breast cancer recurrence and death in patients with estrogen and progesterone receptors found on their tumors. This discovery was ultimately the gateway to creating the multigene assay, Oncotype Dx, which predicts breast cancer recurrence in estrogen-receptor-positive patients and helps distinguish between patients who would benefit from adjuvant chemotherapy due to their high of recurrence vs. those with lower risk. With so many components to the treatment and management of breast cancer, this disease has brought together several specialties, including general surgery, medical oncology, radiation oncology, radiology, pathology, geneticist, and even plastic surgery. The multidisciplinary approach to breast cancer treatment has led to multidisciplinary breast cancer centers and clinics. This current treatment model has 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 2021 MEETINGS CALENDAR October 19, 2021 Virtual CME (2-Hours) Prevention of Medical Errors 6:30 pm
December 2, 2021 CMS Foundation Holiday Auction 6:00 pm University Center Club at FSU
BOARD OF GOVERNORS Rohan Joseph, 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
Paresh Patel, M.D., President-Elect Sarah Ko, M.D., Secretary/Treasurer
National Breast Cancer Awareness Month................................1 In Memoriam.................................................................................. 4 Florida Medical License Update.................................................5 Professional Notes.........................................................................6 CMS Lunchtime Learning Seminars...........................................7 CMS Member Fall Picnic...............................................................8 Military Service...............................................................................9 National Depression Screening Day........................................10 Medical/Legal................................................................................ 11 Viewpoint....................................................................................... 12 Practice Management................................................................. 13 Happy Fall...................................................................................... 15 FSU College of Medicine News................................................ 16 Reflections from the Editor....................................................... 17 Update from a CMS Member..................................................... 18 Simpler Times............................................................................... 19 CMS Foundation Holiday Auction........................................... 20 Donate to the CMS Foundation............................................... 22 CMS Foundation: We Care Network...................................... 24
Ken Whithaus, M.D., Immediate Past President Nicole Balmer, M.D. David Burns, M.D.
HAPPY BIRTHDAY!
Russell Cole, M.D.
{OCTOBER BIRTHDAYS}
Amulya Konda, M.D. Helen Paulson, M.D. Shawn Ramsey, D.O. Andrea Stephens, CMS Alliance Cody VanLandingham, M.D. Julia Weeks, M.D. Graham Whitaker, M.D.
William G. Donnellan, Jr., M.D. - 2nd Cristian Del Carpio Tenorio, M.D. - 3
Juan Gallegos, M.D. - 23rd
Roy M. Forman, M.D. - 4
Patrice T. Bidwell, M.D. - 23rd
Chris A. VanSickle, M.D. - 4th
Michael B. Wilhoit, M.D. - 23rd
Mary P. Norton, M.D. - 4th
Mark E. Fahey, M.D. - 23rd
th
Jiun-Jye Jack Lai, M.D. - 5
Pam Irwin, Executive Director, CMS
Stephen Richardson, M.D. - 24th
th
Kris D. Stowers, M.D. - 6
Lindsay Diane Hinson-Knipple, M.D. - 24th
David J. Dolson, M.D. - 6th
Eric Chung, M.D. - 24th
J. Brian Sheedy, M.D. - 8th
David Dixon, D.O. - 25th
Windrik Lynch, M.D. - 8
Andrea Venturini, M.D. - 25th
th
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PUBLICATION EDITOR Frank Skilling, M.D.
Rohan Joseph, M.D. - 10
H. Logan Brooks, Jr., M.D. - 25th
L. Steve Sarbeck, M.D. - 10th
Brewster Caldwell, D.O. - 26th
Thomas Noel, M.D. - 12th
Amanda Davis, M.D. - 26th
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MANAGING EDITOR Shannon Boyle
Tony A. Weaver, M.D. - 13
Kathryn H. Davis, M.D. - 27th
th
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.
Scott Tetreault, M.D. - 22nd rd
Sandeep Rahangdale, M.D. - 14
Simone J. Lescott, M.D. - 28th
Eliot Sieloff, M.D. - 14th
Julia R. St. Petery, M.D. - 29th
th
Pat M. Woodward, M.D. - 16th
Chien-Yi Ruby Williams, M.D. - 29th
Garrett Chumney, M.D. - 18
Kenneth R. Wasson, M.D. - 29th
th
Mary Jane Tucker, M.D. - 19
D. Paul Robinson, M.D. - 30th
Christopher P. Downing, M.D. - 19th
J.W. Richard Davis, M.D. - 30th
James Walton, III, D.D.S. - 20th
John Streacker, M.D. - 31st
th
Dennis E. Williams, M.D. - 21
st
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
Lori Rosenberg, 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
created a multidisciplinary breast cancer clinic at Tallahassee Memorial Healthcare. In our multidisciplinary clinic at TMH, we analyze the related factors that impact breast cancer patients and physicians' therapeutic decision-making processes. We hope to better understand our current approach and compare our data to that of the NAPBC consortium. This research may provide insight into future patient care. Bringing this knowledge back to the multidisciplinary team can make overall improvements to patient management. Early in my training, I decided that I would want to continue to pursue my passion for breast surgical oncology and go into fellowship. I am currently in my chief year of general surgery residency, and I have recently obtained a fellowship position in Breast Surgical Oncology at MD Anderson in Houston, Texas. I am ecstatic to have the opportunity to train at MD Anderson, and I hope to come back to Tallahassee and use my knowledge and training to serve the people of Tallahassee and the greater Big Bend area.
Wade Douglas, M.D., FACS, FSSO Professor and Chief, Division of Surgery Department of Clinical Sciences Florida State University College of Medicine Program Director, General Surgery Residency Program at Tallahassee Memorial Healthcare
Co-authoring this historical perspective with one of my residents and reviewing the progression of surgical care for breast cancer patients has enriched me. It helped me remember my optimism and enthusiasm when I began my journey of alleviating unnecessary suffering by patients with a cancer diagnosis. Having well-trained residents who go on to top fellowship programs in our country in hopes of returning to the region will ensure continued high quality of care within our area.
Female breast cancer represents 14.8% of all new cancer cases in the U.S.
14. 8%
Courtesy of National Cancer Institute
Serving the needs of our patients in Tallahassee. Tallahassee Cancer Center 2351 Phillips Road, Tallahassee, FL 32308
R (850) 877-8166 FLCancer.com/TLC
R 888-GynOnc1 GynOncofTally.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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IN MEMORIAM
IN MEMORIAM
EDSON JAMES ANDREWS, JR., M.D.
F. ELLISON CONRAD, M.D.
1940 – 2021
1936 – 2021
WELCOME Anju Agarwal, MD Endocrinology
Medical School: Sardar Patel Medical College, Rajasthan, India Residency: Bassett Hospital, Cooperstown, NY Fellowship: Endocrinology, Michigan State University, Lansing, MI Board Certified: Internal Medicine Board Eligible: Endocrinology
TMH PHYSICIAN PARTNERS 4
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Tallahassee Memorial Metabolic Health Center 2633 Centennial Blvd, Suite 100, Tallahassee, FL 32308 850-431-5404
FLORIDA MEDICAL LICENSE UPDATE
CMS MEMBERS: ARE YOU RETIRING? If you are planning to retire, please be sure to contact Rosalie Carlin at the Capital Medical Society office - (850) 877-9018 or rcarlin@capmed.org. As a Retired CMS Member, your membership dues change to: Retired - $150.00 with meals (includes dinner at CME meetings) or Retired - $50.00 without meals (you are billed for dinner if you attend a CME meeting). It is your choice. Do you plan to change the status of your Florida Medical License to Retired? Visit this link: https://flboardofmedicine.gov/help-center/how-doi-change-the-status-of-my-license-to-retired/, or search online for: Florida Board of Medicine How do I change the status of my license to retired? You must formally request Retired status with the Board of Medicine (BOM) for your medical licensure and pay a fee rather than just not renewing. The penalty for being late in requesting a Retired status change with the BOM can be $515.00. Remember to let CMS know of your change in status.
WELCOME Rajani Gundluru, MD Endocrinology
Medical School: Kurnool Medical College, Andhra Pradesh, India Residency: Hurley Medical Center, Flint, MI Fellowship: Endocrinology, University of Missouri, Columbia, MO Board Certified: Internal Medicine, Obesity Medicine Board Eligible: Endocrinology
TMH PHYSICIAN PARTNERS
Tallahassee Memorial Metabolic Health Center 2633 Centennial Blvd, Suite 100, Tallahassee, FL 32308 850-431-5404
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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PROFESSIONAL NOTES
PROFESSIONAL NOTES On September 14, 2021, Dr. Temple Robinson, CEO, Bond Community Health Center, presented to the Florida Senate Democratic Caucus about COVID-19 disease and its demographic impacts in this state. She was joined by other healthcare providers from around the state to discuss the hurdles of overcoming the burden of historical distrust of the medical establishment, and “the establishment” in general, that reaches beyond racial and political lines. Hosted by Leader Lauren Book and joined by Senators Bobby Powell, Lori Berman, and Victor Torres, Jr, the panelists also discussed the healthcare system’s capacity to maintain the quality of care at the same level of intensity as the system faces staffing shortages, employee burnout, and vaccine hesitancy among the ranks of the caregivers. Also discussed was the effectiveness of softer approaches to conversations with those who are still undecided about receiving the vaccine. Presenters by topic included: Community Health: • Kevin Cho Tipton, a critical care nurse practitioner serving in South Florida’s public hospitals and a captain in the United States Air Force. He assisted with Florida’s COVID-19 military vaccine program and teaches at Miami-Dade College. • Jared Moskowitz, former Director of Florida’s Division of Emergency Management. He spearheaded
The CMS Executive Director Pam Irwin attended the Tallahassee Annual Community Conference in Amelia Island in August. Many healthcare-related topics were discussed, including the impact of the COVID-19 pandemic, healthcare employee shortages, and healthcare as a calling. Quint Studer, author of The Calling-Why Healthcare Is So Special was the keynote speaker. PHOTO: (l-r) Temple Robinson, M.D., Quint Studer, and Pam Irwin. 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. 6
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
•
the state’s response to the COVID-19 pandemic beginning in early 2020. Justin Senior, Chief Executive Officer of the Safety Net Hospital Alliance of Florida. He served as Secretary of the Florida Agency for Health Care Administration from 2016-2019, and is a former State Medicaid Director.
Diversity and Disparity: • Dr. Temple Robinson, CEO of the Bond Community Center in Tallahassee. She previously held the position of Chief Medical Officer at Bond and has spent 18 years at the health center. She has dedicated her career in internal medicine to serving the Tallahassee area’s most vulnerable populations. • Dr. Lisa Gwynn, Associate Professor of Clinical Pediatrics and Public Health Sciences at the University of Miami, Miller School of Medicine. She’s also Medical Director for the Pediatric Mobile Clinic, a program that provides a medical home to uninsured children. COVID Variants: • Dr. Nicole Lovine, Chief Epidemiologist for the UF College of Medicine and Shands Hospital System.
We help your
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Healthcare Accounting and Business Solutions info@jmco.com (850) 386-6184
Tallahassee | Gainesville Daytona Beach | DeLand
jmco.com
CMS LUNCHTIME LEARNING SEMINARS
CAPITAL MEDICAL SOCIETY LUNCHTIME LEARNING SEMINARS REGISTER FOR THE REMAINING FALL 2021 LUNCH AND LEARN SEMINARS: October 20, 2021 – Virtual Employment Law in a Pandemic That Won’t Go Away With a global pandemic, record litigation, and a dramatic increase in governmental audits impacting employers, we are inviting you to come join us for a fun interactive look at the areas that are most likely to create costly legal exposure at your office. Topics to be covered will include key points of risk throughout the employment life cycle, common mistakes involving employee leave, the challenges of remote work, and managing the various new pandemic laws. Speaker: Bill Krizner, The Krizner Group Time: 12:30 PM to 1:30 PM Place: Virtual Cost: No cost for this virtual seminar
November 17, 2021 – In-person at Capital Health Plan Good Evaluation Practices Retaining and supporting employees can be among the most difficult and time-consuming duties of any supervisor. Learn techniques to improve evaluation of work performance and to ensure compliance with work standards. Speaker: Bert Mitchell Sponsor: FMI Printing & Distribution Time: 12 Noon to 1:30 PM (Seminar starts at 12:30 PM) Place: CHP Auditorium, 2nd Floor, 1491 Governor’s Square Blvd. Cost: $10 per person (Lunch Provided)
For more information or to RSVP, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.
We thank Sherri Davidoff, CEO, LMG Security, for the excellent presentation on Ransomware Prevention and Response at our September 15th virtual Lunch and Learn.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS MEMBER FALL PICNIC
CMS Member Fall Picnic Alfred B. Maclay Gardens State Park Pavilion/Playground Saturday, October 16, 2021 11:00 AM to 1:00 PM $6 fee per car
Bring your own picnic!
Lofty Pursuits ice cream truck on site Pets welcome on leash in picnic area (not on beach or in gardens) Hosts:
Rohan Joseph, M.D., Sarah Ko, M.D., Amulya Konda, M.D. & Andrea Stephens, CMS Alliance
RSVP to fangkomail@gmail.com or 617-833-5386
Please include number of adults and number of children attending.
Please RSVP by October 8
8
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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 2021 CAP SCAN MAGAZINE. IF YOU ARE SERVING OR HAVE SERVED, PLEASE CONTACT ROSALIE CARLIN AT (850) 877-9018 OR RCARLIN@CAPMED.ORG BY OCTOBER 7TH WITH YOUR BRANCH OF SERVICE AND RANK.
Helping others is your specialty. Helping you is ours. The challenges of the medical profession are increasingly complex. We understand. That’s why many healthcare providers are trusting Synovus for their financial needs. Our Medical Financial Services provide real solutions specifically designed to help you achieve your goals. Find out how our Commercial bankers Al Basford and Morgan Bailey plus Jane McMillen, Synovus Mortgage, can help you.
morganbailey@synovus.com janemcmillen@synovus.com albasford@synovus.com
Synovus Bank, Member FDIC. NMLS# 408873
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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NATIONAL DEPRESSION SCREENING DAY
OCTOBER 10 IS NATIONAL DEPRESSION SCREENING DAY Depression is common and treatable. About 10% of Americans suffer from depression each year. Symptoms to look out for include feelings of hopelessness and pessimism, decreased energy, insomnia or oversleeping, and significant changes in weight. If you feel you or a loved one may be depressed, share this with your primary care physician and see a licensed therapist. Anyone can take an anonymous depression screening at http://www.HelpYourselfHelpOthers.org.
WELCOME Joey Jarrard, MD General Surgery
Medical School: Medical College of Georgia, Augusta, GA Residency: Mercer University, Macon, GA Fellowship: Advanced GI Minimally Invasive/Bariatric Surgery, Saint Luke’s Hospital, Kansas City, MO Board Certified: General Surgery
TMH PHYSICIAN PARTNERS 10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
TMH Physician Partners – General Surgery, Services by Surgical Associates of Tallahassee 1405 Centerville Road, Suite 4400, Tallahassee, FL 32308 850-877-6212
MEDICAL/LEGAL
RESIDENT PHYSICIAN SHORTAGE ACT OF 2021 Summary: S.834 — 117th Congress (2021-2022) https://www.congress.gov/ bill/117th-congress/senate-bill/834/allinfo Introduced in Senate (03/18/2021)
25 additional positions. The bill provides for an additional increase of 2,000 positions per fiscal year from FY2023FY2029; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law.
This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas.
The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.
Current law provides for an increase of up to 200 positions per fiscal year beginning in FY2023, with a total increase of 1,000 positions; each hospital may receive up to
WELCOME Patton Pennington II, MD General Surgery
Medical School: Mercer University School of Medicine, Macon, GA Residency: Louisiana State University Health Sciences Center, Shreveport, LA Fellowship: Surgical Critical Care, University of South Carolina School of Medicine, Columbia, SC Board Certified: General Surgery
TMH PHYSICIAN PARTNERS
TMH Physician Partners – General Surgery 1401 Centerville Road, Suite G02 Tallahassee, Florida 32308 850-431-2100 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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VIEWPOINT
OP-ED: HEALTH POLICY IN FLORIDA By Garrett Barr, M4 Florida State University College of Medicine, and Benjamin Schachner, M3 University of Miami Miller School of Medicine
The impact and outcomes of health policy have never been as evident as they are now. It is easy to look to Garrett Barr Benjamin our neighbors in Schachner Texas as a jarring example. We firmly believe that personal healthcare, such as abortion, is between the physician and the patient. And we believe that public health is equally as important, and should have global policy set forth by our government institutions, such as in the context of COVID-19. In both instances, we want to make the call for more healthcare experts to get involved in policy making. When it comes to taking action and making policy changes, it is our civic duty as healthcare leaders to have a seat at the table and a leadership role. From medical students, physician assistant students, nursing students, business students, law students, college students, all the way up to professionals from all walks of life, we need more engagement overall. As medical students on the forefront of healthcare in our great state, our voices can be heard by joining our county, state, or national medical associations, joining other prominent lobbying institutions, or by later running for public office. As we look to our neighbors in Texas, the Texas Medical Association came out in opposition of Texas’s senate bill (SB) 8 of the 87th legislative session, and SB 4 of the recent special session due to language that criminalizes the practice of medicine and interferes with the patient-physician 12 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
relationship. It is truly shocking to us that a health policy of this nature can be passed in the United States and strongly call on Florida legislators to not take up a similar bill. We say this now in light of recent news that Florida Senate President Wilton Simpson wants to consider an abortion heartbeat bill similar to the one in Texas in Florida’s upcoming session. As medical students, we can and should help influence policy and the care of our future patients. We should look at this service as our professional obligation to prevent the criminalization and misrepresentation of health policy by our legislators. Without executing this duty, we are only bystanders as abortion bills, COVID-19 related bills, and other meaningful healthcare bills are passed and/or debated in Tallahassee. Just as medicine is a lifelong pursuit in understanding the human condition, we need to continue to learn and evolve in order to create and influence policy that benefits our future patients and our communities. We just need more individuals to join us at the table and fight the good fight. Author Acknowledgements: Dr. Christienne Alexander, Associate Professor, FSU College of Medicine
PRACTICE MANAGEMENT
HOW THE NEW DNA PRIVACY LAW COULD AFFECT YOUR PRACTICE By Jeff Scott, Esq., Florida Medical Association General Counsel On June 29, 2021, Gov. Ron DeSantis signed into law HB 833, the “Protecting DNA Privacy Act.” The stated purpose of the legislation is to protect a person’s DNA from being collected or analyzed without his or her consent. To prevent the unauthorized use of a person’s DNA information, the legislation establishes new criminal offenses applicable to persons who willfully, and without express consent: • • •
•
Collect or retain another person’s DNA sample with the intent to analyze such sample Submit another person’s DNA sample for analysis or conduct or procure the conducting of such analysis Disclose another person’s DNA analysis to a third party, unless such results were previously voluntarily disclosed by the person whose DNA was analyzed Sell or otherwise transfer another person’s DNA sample or analysis results to a third party
single express consent for every instance of a specified purpose or use. Unfortunately, one provision in HB 833 will potentially affect all physicians, not just those who utilize DNA testing in their practices. Subsection (5) of the newly created section 817.5655 provides that “it is unlawful for a person to willfully, and without express consent, sell or otherwise transfer another person’s DNA sample or the results of another person’s DNA analysis to a third party, regardless of whether the DNA sample was originally collected, retained, or analyzed with express consent.” This provision is problematic due to the use of the term “DNA sample,” which HB 833 defines as “any human biological specimen from which DNA can be extracted or the DNA extracted from such specimen.”
HB 833 will have the biggest impact on physicians who employ DNA testing in their practices. Physicians who collect or submit a patient’s DNA sample for DNA analysis will have to first obtain the patient’s express consent to do so.
Thus, HB 833 makes it a crime to transfer any human biological specimen from which DNA can be extracted to a third party without the express consent of the patient. This would apparently include having medical waste, which could include blood, hair, or skin cells, picked up for disposal by a third party, or sending laundry soiled with blood or urine to an outside service for cleaning.
“Express consent” is defined as “authorization by the person whose DNA is to be extracted or analyzed, or such person’s legal guardian or authorized representative, evidenced by an affirmative action demonstrating an intentional decision, after the person receives a clear and prominent disclosure regarding the manner of collection, use, retention, maintenance, or disclosure of a DNA sample or results of a DNA analysis for specified purposes.”
While absolutely not the intent of this legislation, as evidenced by statements made on the floor of the Florida House requested by the FMA, the new statute does not provide any exceptions for the transfer of DNA samples or material containing DNA samples for disposal or cleaning. The exceptions that were included provide that the provisions of the new law do not apply when the DNA sample/analysis is used for the purposes of:
This means that physicians who wish to have a patient’s DNA analyzed for a specified purpose need to explain to the patient how the DNA sample will be collected, used, retained, and maintained, and how the results of the DNA analysis will be used. This information ideally will be set forth in a document that the patient signs clearly stating that it is the patient’s express intent to allow the DNA sample to be collected and a DNA analysis to be performed for the purposes specified, and in the manner set forth in the consent form. The legislation allows physicians to obtain a
• • • •
Criminal investigation or prosecution Complying with a subpoena, summons or other lawful court order Complying with federal law Medical diagnosis, conducting quality assessments, improvement activities, and treatment of a patient when either (1) express consent for clinical laboratory analysis was obtained by the health care practitioner who obtained the DNA sample, or (2) performed by a clinical laboratory certified by the Centers for Medicare and Medicaid Services CONTINUED ON NEXT PAGE
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PRACTICE MANAGEMENT
CONTINUED FROM PREVIOUS PAGE
• • • •
The newborn screening program Determining paternity Performing any activity authorized under s. 943.325 (statute governing the statewide DNA database) Conducting research, and designing and preparing such research, subject to the requirements of, and in compliance with certain federal regulations; or utilizing information that is deidentified consistent with federal regulations and that is originally collected and maintained for research
While the FMA does not expect that law enforcement will begin arresting healthcare providers for failing to obtain express consent from patients prior to properly disposing of medical waste containing blood or bodily fluids, given that the violation of the new law constitutes a second-degree felony, we recommend that physicians incorporate the sample consent form into their practices. The FMA will work to clarify the law and remove this inadvertent requirement during the next legislative session.
the certified clinical laboratory exception. With this change, physicians will not have to go through the hassle of obtaining express consent when submitting blood, urine, tissue, or any other type of human biological specimen to a CMS-certified clinical laboratory for analysis not involving the patient’s DNA. If you are an FMA member who has questions regarding HB 833 and how it affects your practice, please contact our General Counsel’s office at (850) 224-6496 or legal@flmedical.org. Reprinted with permission by the Florida Medical Association
Fortunately, the FMA and the Florida Society of Pathologists were able to amend HB 833 to include
WHOSE INTERESTS
does your malpractice insurer have at heart?
Yet another of Florida’s medical liability insurers has transitioned from focusing on doctors to focusing on Wall Street. This leaves you with an important question to ask: Do you want an insurer that’s driven by investors? Or do you want an insurer that’s driven to serve you—one that’s already paid $120 million in awards to its members when they retire from the practice of medicine? Join us and discover why delivering the best imaginable service and unrivaled rewards is at the core of who we are.
14 7932_FL_CapScan_EKG_Oct2021_v1.indd CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION 1
9/1/21 3:33 PM
HAPPY FALL
Happy Fall, Y'all! WELCOME TO THE TPCA FAMILY
ELI A. FRIEDMAN, M.D. FAMILY MEDICINE
Dr. Friedman obtained his medical degree from the Florida State University College of Medicine and completed his residency at Advent Health/Florida Hospital in Orlando, FL. TPCA is proud to welcome Dr. Friedman to our team of respected primary care physicians. As of Sept. 13, 2021, Dr. Friedman is seeing patients of all ages.
Eli A. Friedman, M.D.
1803 Miccosukee Commons Drive, Suite 202 I Tallahassee, FL 32308 (850) 325-6000 I (850) 848-5550 I www.tpcafamily.com
*Accepting New Patients*
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FSU COLLEGE OF MEDICINE NEWS
FSU COLLEGE OF MEDICINE HONORS DR. RAY BELLAMY When the Florida State University College of Medicine brought retired Tallahassee surgeon Ray Bellamy to its central campus for a recognition ceremony on September 2, he didn’t realize he’d be part of an impromptu history lesson. Not many people remember how precarious the college’s accreditation process had become in the early years of its development. Nor did many outside the college’s leadership recognize the magnitude of Dr. Bellamy’s behind-the-scenes contributions.
College of Medicine Dean John P. Fogarty thanked Bellamy and his son, Dr. David Bellamy, for their generous support over the years. After speeches by Hurt, Bellamy and his son, the college unveiled a storyboard plaque permanently affixed in the atrium that tells the story of Bellamy’s contributions. Well, not the entire story. You had to be there for that.
A few dozen friends and supporters heard the full story during the Thursday-evening ceremony held in his honor. Dr. Myra Hurt, professor emeritus at the College of Medicine, and the school’s initial acting dean, told the crowd how eager the Liaison Committee on Medical Education (LCME) had been at that time to deny the medical school’s accreditation. “They were looking for an excuse,” Hurt said. And they almost found it when FSU accepted a large donation from a group interested in opening a ‘school of chiropractic medicine’ within the FSU College of Medicine. “They flat out told me, ‘Myra, if you do this, we will kill your accreditation,’” Hurt said. Bellamy, outraged at the idea, rallied other local physicians and began to strategically lobby against the proposal. He led a systematic submission of letters-to-the-editor pointing out the folly of asking a medical school (especially a new one struggling to gain full accreditation for the first time) to align itself with a chiropractic school. Ultimately, Bellamy’s efforts prevailed. The plan was scrapped, the large donation was returned, and the FSU College of Medicine overcame the last of the obstacles blocking its path to accreditation. The rest, of course, is history.
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(L-r) Dr. David Bellamy and Dr. Ray Bellamy (Photo credit: Mark Bauer/ FSU College of Medicine)
Below is the plaque’s full inscription: Ray Bellamy, M.D. As a leader in the medical community and beyond, he spoke up at a critical juncture to help preserve the FSU College of Medicine’s focus on its mission. While our community-based approach and vision as the nation’s newest medical school was being hotly debated in the court of public opinion, Dr. Bellamy had our back. Our commitment to patient-centered primary care, the equitable treatment of all people, and evidencebased research improving the lives of many is a result of the leaders who stepped forward to help chart our history. Among his contributions were timely advocacy and influential teaching as our surgery clerkship director in Tallahassee. Dr. Bellamy’s words at that time resonate today in the compassionate care FSU medical alumni are providing to patients throughout Florida and across the country.
REFLECTIONS FROM THE EDITOR
THE HEDGEHOG AND THE FOX: A COVID PARABLE By Frank Skilling, M.D. In the 1950s, the philosopher Isaiah Berlin wrote an essay entitled, The Hedgehog and The Fox. In it, he postulated that while the Hedgehog knows ONE great thing, the Fox knows MANY things. Following this, he evaluated philosophers and writers throughout history and grouped them into one of these two categories. The question he raised was whether it was better to be a Fox or a Hedgehog. In a way, it was a whimsical query, but it has prompted many erudite discussions over the years. As humans, are we better off to know many things, even if not in detail, or should we strive to know one thing to the exclusion of anything else? (In a way, this mimics the discussion I heard many years ago when I was a young medical student about the difference between generalists and specialists.) This has prompted me to reflect on the state of understanding we have of the COVID-19 pandemic. Who is right? The human foxes who are constantly re-evaluating an approach to the contagion or the COVID-19 hedgehog which only knows how to replicate versions of itself ? In a way, we humans are facing a “zombie apocalypse” where the enemy is essentially an unstoppable, untreatable foe that has no other purpose than to reproduce and uses living humans while at the same time destroying their cells to cripple or kill them. While we know many things, we haven’t yet been fully successful in curbing COVID-19 or eradicating it. As I write this, the Delta virus is wreaking havoc throughout our country. During the 1666 plague year in England, thousands of people died from an unknown condition that was sometimes attributed to the wrath of a vengeful God. Many treatments were tried, all were ineffective, except for quarantine and isolation. Communities that shut themselves off when the plague appeared in the countryside sometimes survived without a significant loss of life. On the other hand, when people stayed in London, they often experienced repetitive waves of death by an unknown cause.
is no doubt that handwashing, adequate masks, and social isolation provide a measure of safety. Yet despite having created a plausible vaccine, many people are refusing to get it. A significant portion of the population likewise challenges mask mandates. The deniers tend to link their hesitancy to celebrities, political operatives, or misinformation promulgated on social media. (I think that Russian “bots” are the sources behind some of the misinformation campaigns on social media.) As one medical researcher put it, in the 1950s citizens received the polio vaccine willingly, and there was no one lobbying for the polio virus. Now there is an active lobby supporting this COVID virus, although most anti-vaxxers wouldn’t characterize themselves in such a fashion. So, we’re back to the question: Who (or what) knows more? The human foxes who have over-thought and over-analyzed their response in the pandemic or the viral hedgehog who only knows how to replicate and mutate enough to keep itself going? (Keep in mind that a virus has no mind to make up.) While the humans are playing the blame game and encouraging each other to do so, the virus keeps plugging along entirely dependent on its hosts’ cells for existence. At some point, the virus will stop re-producing so rapidly and will enter a baseline endemicity in the population. However, our human population will be significantly reduced in a random fashion. In the U.S., there have already been over 667,000 deaths. An estimated three hundred million have already been infected world-wide, and the long-term sequelae still have not been tabulated. In Cat’s Cradle, the novelist Kurt Vonnegut referred to the fictional Book of Bokonon, which was supposed to contain all the wisdom of mankind. The Fourteenth Book was called, “A short book with a long title.” Thus, Vonnegut expands: “Title: What Can a Thoughtful Man Hope for Mankind on Earth, Given the Experience of the Past Million Years? Only Verse: Nothing.”
In my estimation, human nature hasn’t changed since then. Despite knowing the cause of the pandemic, we are engaged in debates which cast opposing views as how it should be handled. There
I have come to think that Vonnegut was right when I contemplate the response of our country to COVID-19. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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UPDATE FROM A CMS MEMBER
KIA ORA (HELLO) FROM NEW ZEALAND By Michelle Miller, M.D. Greetings from the Down Under! Wait…that’s Australia. Kia Ora! For those of you that don’t know, I packed my family and moved to New Zealand at the end of June. The most common question I’ve gotten is “But why?” I don’t have any family or connections to New Zealand, but like most of my medical colleagues, I had hit my wall with COVID-19 and was burnt out to the point that I was considering early retirement. By happenstance, a recruiter contacted me in December (with one of those many emails that commonly come through since I am primary care and have a LinkedIn profile). They asked if I had any interest in New Zealand and boy, did I! Between the burnout, the beauty of the country and its stance on the pandemic, having a toddler that can’t be vaccinated, and myself having Multiple Sclerosis and changing up medication to immunosuppressives from immunomodulators, I forwarded the email to my husband. He was open to discussing moving, even though we both have only lived in Florida. It took about 3 months working with the recruiter to obtain an interview with a practice that wasn’t too rural (I have no interest being the only doctor in the middle of nowhere). Then only 2 more months to get an emergency use visa approved. The flights (Orlando to Houston to LAX to Auckland) took about 24 hours total, and with a toddler were quite exhausting. Luckily, we spent two weeks in managed isolation (lots of screen time and a trolley stop outside the window to watch) with multiple nasopharyngeal swabs to confirm that we didn’t have COVID-19 before getting to move to Masterton on the North Island. Working here has many differences but also just as many similarities. There aren't ICD-10 codes to deal with, but there is an electronic medical record with electronic prescriptions and laws about controlled substances. Coding is based on the type of visit (consultation being the most common or triage) and prices are transparent, so patients know if they must pay and how much. There is “public coverage” for accidents/injuries for both locals and visitors under ACC (Accident Compensation Corporation), as well as public coverage for citizens. There is private insurance available (certain specialists don’t take the public, or it takes longer to get the public coverage so patients will opt to go private). Some other differences: physicians meet patients in the 18 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
waiting room and bring them into their assigned office - the desk and table/equipment is in the same room so no nurse/assistant bringing back patients for intake. Everyone is called by their first name so no more Dr. Miller, I’m just Michelle. There are a few differences with medications but there is a great website for the New Zealand formulary with what’s covered. Different antibiotic usages but also a great website called best practice that has the drug of choice with alternatives based on age or if allergies. The scheduling is great because there is dedicated time to do paperwork/prescription refills that are first reviewed by nursing to make sure the patient isn’t due for an appointment or labs prior to coming to the physician. “Teatime” in the morning and afternoon are dedicated break times for snacks or actual tea. Currently, New Zealand is under Lockdown Level 4 - uncontrolled community spread with 800+ cases of the delta variant, and I still feel much safer here than back in Tallahassee. At my office, any respiratory cases are seen in a special trailer where physicians wear PPE and do covid swabs. There is also a drive through for covid swabs for those patients not needing evaluations. All appointments must first be phone triaged to see if they need to be seen in person or if they can have a phone or video consult instead. Most citizens are very keen on getting their COVID-19 jab. I’ve only had 2 patients that have dismissed the vaccine, compared to the numerous objections I heard back home prior to leaving. I had my first patient request for a mask exemption, but they were very understanding that there are strict criteria to waive this requirement and didn’t argue with me - what a change from my last few weeks back home! I have been keeping up with the local cases in Tallahassee and am very glad that I am not there but heartbroken for my colleagues and friends facing this never-ending siege. My contract is currently set to expire next July, and I sincerely hope that COVID-19 will be controlled with herd immunity - either from all the cases causing natural immunity or from vaccines, prior to any new variants that could be worse. However, I am willing to extend my contract if there is no improvement in the States, and New Zealand continues to keep this virus at bay. In the meantime, if any of my colleagues have an interest in moving to the land of the long white cloud, please look me up on LinkedIn or send me an email at md84miller@gmail.com.
SIMPLER TIMES
SUPPERTIME By Charles D. Williams, M.D., FACR, FAAP (“Pedro”) Eatin’ was simple in Simpler Times. It was simple ‘cause you’d eat what they put in front of you. You did it for your health. If you didn’t, Mama and Daddy would half-kill ya and Pedro learned early that complaining about your food was not good for ya. Pedro also learned early about table manners. Mama told him not to chew with his mouth open, not to smack at the table, and not to put his elbows on the table. One time Mama told Pedro to stop scratching his nose with his fork. Pedro responded by asking if it were more proper to use his spoon. When we wanted food passed our way at the table, Pedro would say thankee for some taters and thankee for some cornbread. Mama said that we should be thankful because some people were starving and we should be thankful we weren’t that poor. Sometimes Mama would take some leftovers to the poor family down the road. She said we owed it to them. They had lost their Daddy in the war so we could have freedom to say what we wanted to and so them Baptists could practice their religion and make others do the same. Mama said them Baptists were like fish and would spoil if they stayed out of the water too long. Daddy said that if you’re in deep water you needed to keep your mouth shut. Meals represented a time for Mama and Daddy and us kids to sit down together with our heads bowed and Dad would say the blessing. He was a simple man who tried to make a livin’ diggin’ in the soil but when he spoke even a child could understand. There was food for the body and thoughts for the soul. He tried to teach us about sacrificing and sharing and about doing your part. He kept talkin’ about gettin’ your education and about being good to your neighbor. Dad once said that whatever you think about yourself is going to determine your future.
Conversation would often continue around the table and Grandma would join in. Pedro don’t remember how old Grandma was but we had her for a long time. Grandma told us that ever shut eye ain’t sleepin’ and ever goodbye don’t mean they’re gone. We’d discuss the problems of the world and Mama said that the number one problem was apathy. Grandma said that she didn’t know what the word meant but who cared. Eatin’ now is different in these so-called modern times. It has become difficult for many family members to join each other at suppertime and our eatin’ habits have changed. Recently Dr. Ralph Zimmerman advised me that I needed to eat some tofu for protein and oat bran for fiber. Pedro had never heard of tofu. He never planted any or harvested any. I found some tofu at the New Leaf Market and it looked like low-cal fat-back. We used fat-back for seasoning of beans, greens, mustard, and collards and it was a staple item for cookin’. Probly if we substituted tofu for fat-back it would give Southerners a bad attitude. The memories of eatin’ and of suppertime came back to me as I pondered over the years that have passed. Simpler Times has represented a way of life that is disappearing from the American scene. Some of the fondest memories of my childhood were woven around suppertime. If only I could go back to that old country place with ever’body joining together and once again hear Mama say, “Pedro, come on in, it’s suppertime.” Reprinted with author permission from More Simpler Times. Dr. Williams’ sequel book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the Capital Medical Society Foundation’s We Care Network program. The total sales from his books have raised over $39,000 for the CMS Foundation’s We Care Network.
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS FOUNDATION HOLIDAY AUCTION
Mark Your Calendars
for the 2021 CMS Foundation Holiday Auction!
December 2, 2021 6:00 pm
University Center Club at Florida State University 288 Champions Way, Bldg. B (Doak Campbell Stadium) The Holiday Auction is the Capital Medical Society Foundation’s signature, annual fundraising event exclusively for the medical community and event sponsors. Your participation helps improve access to healthcare through the programs and initiatives of the Capital Medical Society Foundation, including the We Care Network, scholarships to FSU College of Medicine students, and grants to programs that improve access to healthcare. The CMS Foundation and The Anesthesiology Associates of Tallahassee Scholarship Endowment gave $45,500 to eight deserving medical students this year. 2021 Scholarship Recipients: Blaire Cote Shelby De Cardenas Jayde Finch Brooke Hartenstein Meaghan Kane Christopher Pope Charles Riley Jodi Wilson Here is how you can help make the Holiday Auction even better than last year: • Plan to attend. Mark the Holiday Auction on your calendar. We want everyone to be there on December 2! 20 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
• Be an Individual Sponsor. Make a donation of $100 or more in support of the 2021 Holiday Auction. We will publish the names of our individual sponsors in our event materials. • Donate an item for the auction. Do you have an item that you would like to donate? Here are some ideas: week/ weekend at vacation homes, gift items, home décor, jewelry, fine wine & spirits, sports memorabilia, paintings/art, holiday items, toys, and games. We would be happy to arrange for pick-up - call the CMS office at (850) 877-9018. • Give a Medical or Dental Practice Sponsorship. If you belong to a medical or dental 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 the $500 to $5,000 level. Sponsorship request letters have been mailed. If you did not receive one, please contact Pam Irwin at 850.559.8611. Invitations to the Holiday Auction will be mailed in November to your residence. We hope to see you there!
2020 VIRTUAL HOLIDAY AUCTION CMS2020 FOUNDATION HOLIDAY AUCTION AUCTION VIRTUAL HOLIDAY
T IN ON FOF UO NU DN ADTAI O
FOUNDATION Care Network WeWe Care Network We Care Network
SUPPORT SUPPORT YOUR YOUR FOUNDATION –-- BECOME BECOME A SPONSOR! SUPPORTCapital YOUR FOUNDATION BECOME A SPONSOR! Medical Society Foundation ~ Virtual Holiday Auction Capital Medical Society Foundation ~ Holiday Auction
Capital Medical Society Foundation ~ Virtual Holiday Auction November 24 – December 5, 2020 December 2, 2021 November 24 – December 5, 2020 Sponsor Name:________________________________________________________________________ Sponsor Name:________________________________________________________________________ Address:___________________________________________________________________ Address:___________________________________________________________________ Phone: ______________________________ Fax:__________________________________ Phone: ______________________________ Fax:__________________________________ E-mail:_____________________________________________Today’s Date:_______________________ E-mail:_____________________________________________Today’s Date:_______________________ Primary Contact:_____________________________________________________________ Primary Contact:_____________________________________________________________ Contact Signature:___________________________________________________________ Contact Signature:___________________________________________________________
Please check your sponsorship level:
Please check your sponsorship level: Please check your sponsorship level: _____ Title Sponsors: $5,000
_____ Supporting Sponsors: $1,000 • 4 representatives _____ Supporting Sponsors: $1,000 • Option to provide a 1-minute pre-recorded YouTube video _____ Supporting Sponsors: $1,000 • Option to shared provide 1-minute pre-recorded YouTube link to be onaCMS Facebook page, CMS website, • Option to provide a 1-minute pre-recorded video link to be aired onOneCause/CMSF CMS Facebook YouTube page, CMS event communications, and bidding video link to link becommunications, aired onsent CMS Facebook page,prior CMS website, event and OneCause/ platform (Video must be to sboyle@capmed.org to website, event communications, and OneCause/ CMSF bidding platform (Video link must be sent to November 1, 2021) CMSF bidding link be sent to sboyle@capmed.org to(Video October 26,must 2020) • Company name onplatform allprior materials, including: prior to October 26, 2020) • Company on all materials, including: - sboyle@capmed.org CMS name Facebook page • Company name all materials, page - - CMS CMSFacebook websiteon listing of Holidayincluding: Auction sponsors Facebook pageof Holiday Auction sponsors -- Invitation CMS website listing CMS website listing of Holiday Auction sponsors - - Invitation E-mail event communications Invitation event communications - - E-mail OneCause bidding platform banner E-mail event communications - OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Cap OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Scan “Thank You” ad • Recognition in post-event Magazine and Cap Scan “Thank You”Tallahassee ad Cap Scan “Thank You” ad _____ Event Sponsors: $500 _____ Sponsors: $500 • 2 Event representatives _____ Event Sponsors: $500 • Company onall all materials, including: • Company name name on materials, including: • Company name on all materials, including: -- CMS Facebook page CMS Facebook page - CMS Facebook pageof Holiday Auction sponsors listing - CMSwebsite website listing of Holiday Auction sponsors CMS website listing of Holiday Auction sponsors -- Invitation Invitation Invitation - E-mail event communications - E-mail event communications E-mail event communications - OneCause bidding platform banner - - OneCause OneCause bidding banner biddingplatform platform banner • Recognition in post-event Tallahassee Magazine and • • Recognition Recognition in post-event Tallahassee Magazine and and Cap in post-event Magazine Cap Scan “Thank You”Tallahassee ad Scan “Thank You” ad Cap Scan “Thank You” ad
_____ Title Sponsors: $5,000 _____ Title to Sponsors: • Option run one, $5,000 full-page, color ad in the Cap Scan • 8 representatives torun runone, one,full-page, full-page, color adthe inCap the Cap magazine • • Option Option to color ad in Scan Scan magazine magazine toprovide providea 3-minute a 3-minute pre-recorded YouTube • • Option Option to pre-recorded YouTube video • Option provide a 3-minute pre-recorded video link to on be aired on CMS Facebook page, CMS link to beto shared CMS Facebook page, CMSYouTube website, event video link to be aired on CMS Facebook page, CMS(Video website, event communications, andbidding OneCause/ communications, and OneCause/CMSF platform website, event communications, and OneCause/ platform (Videoprior link be sent1,to linkCMSF must bebidding sent to sboyle@capmed.org tomust November 2021) CMSF platform link be sent to sboyle@capmed.org prior to(Video October 26,must 2020) • Logo on allbidding materials, including: prior to October 26, 2020) • Logo on all materials, including: - sboyle@capmed.org CMS Facebook page • Logo on all materials, including: CMS Facebook page - CMS website listing of Holiday Auction sponsors Facebook pageof Holiday Auction sponsors - CMS website listing - Invitation CMS website listing of Holiday Auction sponsors Invitation - - E-mail event communications Invitation E-mail event communications - - OneCause bidding platform banner E-mail event communications OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and Cap Scan OneCause bidding platform banner • Recognition in post-event Tallahassee Magazine and “Thank You” ad • Recognition in post-event Magazine and Cap Scan “Thank You”Tallahassee ad Cap Scan “Thank You” ad _____ Presenting Sponsors: $2,500 _____ Presenting Sponsors: $2,500 • 6 representatives _____ Presenting Sponsors: $2,500 • Option torun runone, one,half-page, half-page, color adthe inCap the Cap • Option to color ad in Scan Scan magazine • Option to run one, half-page, color ad in the Cap Scan magazine • Option to provide a 2-minute pre-recorded YouTube video magazine • Option provide a 2-minute pre-recorded link to betoshared on CMS Facebook page, CMSYouTube website, event • Option to provide a 2-minute pre-recorded YouTube video link to be aired on CMS Facebook page, CMS(Video communications, and OneCause/CMSF bidding platform video link to becommunications, aired on CMS Facebook page, CMS website, event and OneCause/ link must be sent to sboyle@capmed.org prior to November 1, 2021) website, event communications, andmust OneCause/ CMSF bidding platform (Video link be sent to • Logo on all materials, including: CMSF bidding platform link be sent to sboyle@capmed.org prior to(Video October 26,must 2020) - sboyle@capmed.org CMS Facebook page to October 26, 2020) • Logo on all materials,prior including: - CMS website listingincluding: of Holiday Auction sponsors Donations payable to: Capital Medical Society Foundation • Logo on all materials, - CMS Facebook page Donations payable to: Capital Society - Invitation The Capital Medical SocietyMedical Foundation is a Foundation 501(c)(3) - CMS Facebook page website listing of Holiday Auction sponsors The Capital Medical Society Foundation is a 501(c)(3) - E-mail event communications Corporation CMS website listing of Holiday Auction sponsors - Invitation Corporation - OneCause bidding platform banner Federal Tax I.D. #: 59-2104510 Invitation - E-mail event communications Federal Tax I.D. #: 59-2104510 • Recognition in post-event Tallahassee Magazine and Cap Scan E-mail event communications - OneCause bidding platform banner COMPLETE AND FAX THIS FORM TO CMS: (850) 878-0218 “Thank You” in adpost-event - OneCause bidding platform banner • Recognition Tallahassee Magazine and COMPLETEQUESTIONS? AND FAX THIS FORM TO CMS: (850) 878-0218 CALL (850) 877-9018 • Recognition in post-event Magazine and Cap Scan “Thank You”Tallahassee ad QUESTIONS? CALL (850) 877-9018 Cap Scan “Thank You” ad CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION CAP MEDICAL SOCIETY SOCIETY PUBLICATION PUBLICATION CAP SCAN SCAN -- A A CAPITAL CAPITAL MEDICAL
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DONATE TO THE CMS FOUNDATION
Donate to the CMS Foundation – We Thank Our Donors We thank the following donors who made a gift to the CMS Foundation this past month: Scholarship Fund David Bellamy, M.D. – In Memory of Edson James Andrews, Jr., M.D. David Bellamy, M.D. – In Memory of Rosella Swerdzewski David Bellamy, M.D. – In Memory of Morgan David Sykes Yvonne T. Brown We Care Network Dr. and Mrs. Charles D. Williams – In Memory of Betty Kramer Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend. 22 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
DONATE TO THE CMS FOUNDATION
The Impact of Private Support: The Capital Medical Society Foundation’s community of donors strategically help fulfill its mission “to support the charitable efforts of physicians and others, increase access to healthcare, promote education and serve the community’s health needs through innovative projects that are exemplary, affordable and dignified.” ➢ Access to healthcare is increased through gifts to the We Care Network and the We Care Network Endowment Fund. More than $120.7 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 2020-21, which ended June 30, 2021, more than $8.4 million in healthcare was donated. Gifts support the operational expenses of the program including salaries and benefits of the case management team who coordinate the donated care. ➢ To provide incentives to keep medical students trained at the FSU College of Medicine in the Big Bend after completion of their residencies and help meet the growing demand for physicians in Florida, gifts to the Scholarship Fund provide scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice after completion of their residencies. $45,500 was awarded in 2021. ➢ Gifts to the Capital Medical Society Foundation help provide operational resources for the Capital Medical Society Foundation. In addition, modest grants are awarded to area non-profits whose programs improve access to healthcare for the underserved. In 2021, the CMSF awarded a total of $15,000 in grants to Elder Care Services for their In-Home Services Program, the Big Bend Hospice Foundation for bereavement services, and to Lighthouse of the Big Bend for aids for the visually-impaired. Gifts to Honor and In Memoriam: You can make a gift to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. The CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can make a gift at any time to one of the CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) The Anesthesiology Associates of Tallahassee Scholarship Endowment 6) Scholarship Fund 7) The Ronald G. Pickett Endowment 8) Physician Wellness Fund Gifts should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to give. Bring your check to the CMS Office or mail it: Capital Medical Society Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Gifts may be made by credit card or direct debit from the CMS website. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact: Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
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CMS FOUNDATION: WE CARE NETWORK
FOUNDATION
We Care Network
THANK YOU To our CMS members and We Care Network partners who provided healthcare to new patients in August 2021. Your generosity and support of the We Care Network makes a difference. Physicians Christopher Babl, M.D. Julia Barry, D.O. Venkata Bavikati, M.D. Tim Broeseker, M.D. Eric Berenson, M.D. David Burns, M.D. Carlos Campo, M.D. Bria Casperson, M.D. Raymond Cottrell, M.D. David Dixon, D.O. William Dixon IV, M.D. David Durden, M.D. Adam Engel, M.D. Jerry Ford, M.D. Hong Gao, M.D. Romyll Garcia, M.D. Gian-Carlo Giove, M.D. Muhanad Hasan, M.D. Todd Hewitt, M.D. Brett Howard, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. Beverly Johnson, M.D. Farhat Khairallah, M.D. Fang Sarah Ko, M.D. Amulya Konda, M.D. Maribel U. Lockwood, M.D. Gordon Low, M.D. Kurt Luhmann, M.D. Michael Mangan, M.D. David Mellman, M.D. Tod Morris, M.D. Manoela Mota, M.D. Christopher Murphy, D.O. Jayan Nair, M.D. Charles Newell, M.D. D. Jason Oberste, M.D. Paresh Patel, M.D. Mitchell Peabody, D.O. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Cybelle Pfeifer, M.D. Hussein Rayatzadeh, M.D. Allison Retzer, M.D. Adrian Roberts, M.D. Garrison Rolle, M.D. Abel Romero-Corral, M.D. Laurence Rosenberg, M.D. Karen Russell, M.D. Jamey Sarvis, M.D. Philip Sharp, M.D. Eliot Sieloff, M.D.
Bhavik Soni, M.D. Matthew Standridge, M.D. Amanda Stephens, D.O. Christopher Sundstrom, M.D. Timothy Sweeney, M.D. John Thabes, M.D. William Thompson, M.D. Alexander Ramirez Valderrama, M.D. Beatriz Cepeda Valery, M.D. Kaisa van der Kooi, M.D. Carl Vegas, M.D. David Vermess, M.D. Robert Watson, M.D. Tony Weaver, M.D. Graham Whitaker, M.D. William Yaakob, M.D. Daniel Yang, M.D. Samuel Yu, M.D. Dentists Julie Bailey, D.M.D. William Baldock, Jr., D.M.D. Jean-Pierre Bastien, D.M.D. Ransey Boyd, D.M.D. Laban Bontrager, D.M.D. Brittney Craig, D.M.D. Walter Colón, D.M.D. Alan Dransfield, D.M.D. Barbara Leadbeater, D.M.D. Ashok Manocha, B.D.S. William McFatter, D.D.S. Jim McSoley, D.M.D. Lawrence Pijut, D.M.D. Frank Swerdzewski, D.D.S. Lawrence Weaver, D.M.D. Facilities Advanced Urology Institute Airway Works, LLC Anesthesiology Associates Aspros, Badger, & Boyd Dental Associates Apalachee Primary Care Barbara Leadbeater DMD Bastien Dental Care Beachton Denture Clinic Bristol Dental Clinic Brittney K. Craig DMD Bond Community Health Center Capital Periodontal Associates Capital Regional Surgical Associates Care Point Health & Wellness Center CESC Dental Clinic Dermatology Associates Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists & Research Institute Frank Swerdzewski DDS FSU PrimaryHealth Gadsden County Health Department Jefferson County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J Pijut DMD PA Madison Medical Center Manocha, McSoley, Balan, and Manocha Dentistry
24 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
Neighborhood Medical Center North Florida Women’s Care North Monroe Medical Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Red Hills Dental Associates Southeastern Plastic Surgery Southern Medical Group, P.A. Tallahassee Dental Associates PLLC Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, and Throat Tallahassee Memorial HealthCare Tallahassee Memorial HealthCare Family Medicine Residency Program TMH Physician Partners Cancer and Hematology TMH Physician Partners Cardiology and Internal Medicine TMH Physician Partners Cardiothoracic Surgery Specialists TMH Physician Partners Gynecologic Oncology Specialists TMH Physician Partners Monticello TMH Physician Partners Pulmonary, Critical Care, and Sleep Specialists TMH Physician Partners Radiation Oncology Specialists TMH Physician Partners Heart Rhythm Clinic TMH Physician Partners Surgical Specialists TMH Physician Partners Urology Specialists TMH Physician Partners Wakulla TMH Transition Center Tallahassee Neurological Clinic, PA Tallahassee Orthopedic Clinic TOC Canopy Tallahassee Outpatient Surgery Center Tallahassee VA Clinic Vascular Surgery Associates Wakulla County Health Department Wakulla Medical Center Womens Clinic Women’s Imaging Center Please contact Diana Bixler at dbixler@capmed.org or 201-0130 if you are a We Care Network volunteer and you provided volunteer specialty care in the month of August 2021, and your name is omitted.
The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. In addition, up to five hours, per biennium, of CE credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Diana Bixler at (850) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!
CMS FOUNDATION: WE CARE NETWORK
We thank our referring providers from August 2021:
Ebonie Allen, APRN
Judy Griffin, APRN
Temple Robinson, M.D.
Anne Ananga, APRN
Hantz Hercule, M.D.
Andres Rodriguez, M.D.
Christopher Babl, M.D.
Amit Jain, M.D.
Lucilita Salvador, P.A.
Katrina Ball, APRN
Elaine Larkins, APRN
Kellie Serrato, APRN
Karen Bartley, M.D.
Jessica Lea, APRN
Benjamin Shivar, PA
Kendra Brady, APRN
Michael Mangan, M.D.
Anthony Speights, M.D.
Daniel Breivogel, APRN
Ashok Manocha, B.D.S.
John Thabes, M.D.
Fran Bridges, APRN
Marie Mathellus, APRN
Faye Tinson, APRN
Viet Bui, M.D.
Damon McMillan, M.D.
Nadege Toussaint, APRN
Carlos Castro, M.D.
Kelley Miller, APRN
Teresa Tullos, APRN
Stephanie Chandler, APRN
Rachel Moebus, M.D.
Ramona Vossler, RDH
Victor Chou, D.M.D.
Marcia Morris, APRN
Lakeisha Washington, APRN
Melba Colon-Renta, M.D.
Tod Morris, M.D.
Jeffrey Wasserman, D.O.
Deb Congdon, APRN
Jayan Nair, M.D.
Lawrence Weaver, D.D.S.
Chesley Durgin, M.D.
Chukwuma Okoroji, M.D.
Rachel Wells, D.M.D.
Nathalie Esellem, APRN
Rose Origa, APRN
Kenneth Wells, ORT
Sharron Foster, M.D.
Paresh Patel, M.D.
Shynequria Williams-
Dale French, D.O.
Jorge Perez de Armas, M.D.
Anneka Gaffney, APRN
Brandi Richardson, APRN
Shana Wood, APRN
Hong Gao, M.D.
Charlie Richardson, M.D.
Anthony Wright, M.D.
Gabrielle Gardner, APRN
Russell Robinson, M.D.
McNealy, APRN
DURING THE MONTH OF AUGUST 2021, THE WE CARE NETWORK: RECEIVED 280 REFERRALS, WITH 165 PATIENTS NEW TO THE PROGRAM
SCHEDULED 115 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS
$122,245.60 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS
CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION
25
Cap Scan Newsletter 1204 Miccosukee Road Tallahassee, FL 32308
HIGHLY RECOMMENDED CAREGIVERS I am a retired Tallahassee radiologist (Radiology Associates). My companion of over 30 years passed away in 2020 of an Alzheimer’s variant leaving her functionally blind. I am writing to recommend her two private caregivers, who provided one-on-one care during waking ours 7 days a week, even while being in a memory care facility. They are family related and are legal immigrants from the Bahamas years ago. They are in need of regular employment in a home setting. They are extremely loyal, caring, loving, and dedicated. Their honesty and integrity are unquestionable. Their contact information follows:
Sidainya Miller (Sid) Age: 32 850-999-9385 pelar24@gmail.com Fleecie Miller Age: 53 850-999-9583 fleecie68miller@gmail.com I welcome any calls or e-mails regarding Sidainya and Fleecie. Their loyalty to me and my companion was remarkable and unforgettable. Don Beeckler, M.D. 850-556-0340 beeckler@msn.com