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Cap Scan - November 2019

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NOVEMBER EDITION, VOLUME 2019, NO. 11

DONATED ITEMS NEEDED FOR THE CMS FOUNDATION HOLIDAY AUCTION! The Holiday Auction is a month away and we need donated items! All items, large or small, are needed. Do you have any of the following items or know someone you can ask to donate them? • Vacation getaways • Hunting trips or fishing trips • Hunting or fishing gear • Sport tickets • Concert tickets • Children’s toys • Cars • Boats • Jewelry • Art • Fine Wine & Spirits • Holiday Décor • Sports Memorabilia, etc. Our deadline to receive items is November 20. We hope you can help us make this year bigger and better than ever before! If you’d rather find another way to help with the Holiday Auction, please keep the following in mind: 1. Plan to attend! Mark the Holiday Auction on your calendar. We want everyone to attend. The Auction is December 5th at 6:00 pm at the University Center Club at FSU – Doak Campbell Stadium (1 Champions Way).

The ticket prices are: • Individual Tickets - $100.00 per person • Retirees and Guest - $75.00 per person • Residents and Guest - $50.00 per person • Medical Students (CMS Member) and Guest - $50.00 per person The invitations have been mailed, so don’t forget to RSVP by November 26th! 2. Be an Individual Sponsor. Make a donation of $100 or more in support of the 2019 Holiday Auction. We will publish the names of our individual sponsors in our post-event publications. If you have any questions or would like to donate an item, please call the CMS office at (850) 877-9018. Also, many of our member offices donate a themed basket each year and they are a big hit! If your office would like to donate a basket, please contact Rosalie Carlin at (850) 877-9018 or rcarlin@capmed.org.

CAPITAL MEDICAL SOCIETY 2019 MEETINGS CALENDAR November 12, 2019 CMS Membership & CME Meeting Women are from Venus; Men are from Mars: Sexual Dysfunction on both Planets Speakers: Andrea Friall, M.D. and Kenneth DeLay, M.D. 6:00 pm Maguire Center for Lifelong Learning at Westminster Oaks

December 5, 2019 CMS Foundation Holiday Auction 6:00 pm *NEW TIME* FSU University Center Club


BOARD OF GOVERNORS Maribel U. Lockwood, 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

Ken Whithaus, M.D., President-Elect Rohan Joseph, M.D., Secretary/Treasurer David Dixon, D.O., Immediate Past President

2019 CMS Foundation Holiday Auction.....................................1 Announcements.............................................................................3 CMS Lunch and Learn.................................................................. 4 Happy Veterans Day......................................................................6 CMS in the Community.................................................................8 CMS Membership Meeting Minutes.........................................10 Reflections from the Editor....................................................... 14 More Simpler Times..................................................................... 16 Happy Thanksgiving................................................................... 17 2019 Community Physicians..................................................... 18 CMS Foundation Scholarships................................................. 29 CMS Foundation: We Care Network...................................... 30 CMS Foundation.......................................................................... 32 CMS Foundation End of Year Appeal.................................... 33 CMS Foundation Annual Report: 2018-2019........................ 34

Christie Alexander, M.D. Todd Hewitt, M.D. Marc Inglese, M.D.

HAPPY BIRTHDAY!

Melissa Inglese, CMS Alliance Sarah Ko, M.D.

{NOVEMBER BIRTHDAYS}

Matt Lee, M.D. Paresh Patel, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D.

Danny Estupiñán, M.D. – 1st

Beverly Johnson, M.D. – 13th

Pam Irwin, Executive Director, Capital Medical Society

Robert Morris, M.D. – 1st

Ronald Mageau, M.D. – 14th

Viet Bui, M.D. – 2nd

Jeffery Snyder, M.D. – 14th

Family Medicine Residents Tristan Brooks, D.O./Mary Claire Smallwood, M.D.

Thomas Lawhorn, M.D. – 2nd

Moritz Dehler, M.D. – 15th

Frank Skilling, M.D. – 2nd

Robert Snider, M.D. – 15th

General Surgery Residents Hamzah Mansoura, M.D./SchMiyah Smith, M.D.

Ernesto Umaña, M.D. – 2nd

Less Shrestha, M.D. – 16th

Jacob Gardner, M.D. – 3rd

Alexander J. Brickler, III, M.D. – 17th

William Kepper, M.D. – 3rd

H. Avon Doll, M.D. – 17th

David Tedrick, M.D. – 4th

Jean Paul Tran, M.D. – 20th

Muhanad Hasan, M.D. – 6th

John Alexander Holt, M.D. – 21st

Ovidiu Marina, M.D. – 6th

Christie Alexander, M.D. – 22nd

PUBLICATION EDITOR Frank Skilling, M.D.

MANAGING EDITOR Shannon Boyle

Gina Hope, M.D. – 7th

Al Deeb, M.D. – 22nd

W. Harris Green, M.D. – 8th

D.J. Underwood, M.D. – 22nd

GRAPHIC DESIGN Gandy Printers

EDITOR EMERITUS Charles E. Moore, M.D.

Carey Linker, M.D. – 8th

Evan Smallwood, M.D. – 24th

Peter Loeb, M.D. – 8th

Kristi Reese, M.D. – 26th

Leonard Waldenberger, M.D. – 8th

Michael Mangan, M.D. – 27th

Cyneetha Strong, M.D. – 10th

Fang Sarah Ko, M.D. – 29th

Irene Alexandraki, M.D. – 11th

Valerie Lazzell, M.D. – 29th

David Draper, M.D. – 11th

Alicia Ward, M.D. – 29th

Paul Arons, M.D. – 12th

Brook Jacob Hill, M.D. – 30th

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.

Kristin Price, M.D. – 12th 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

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!


ANNOUNCEMENTS

PROFESSIONAL NOTES A.D. Brickler, M.D., great-nephew of Harriet Tubman, is helping with the production of Chad Lawson Cooper’s Justice On Trial 20-20 docudrama expected to be released February 1, 2020. He also participated in a panel discussion for the docudrama on September 21, 2019 during his family’s visit to the Tubman Museum in Macon, Georgia. The film is about a civil rights attorney suing the United States for reparations. Using time-travel, witnesses like Emmett Till, Medgar Evers, and Harriet Tubman are brought back to testify. Born into slavery, Tubman escaped and helped lead hundreds of slaves to freedom using the underground railroad. Her great-nephew, Dr. A.D. Brickler visited the Tubman Museum along with family. “I hope it’s a stimulus for the youth in the community to understand that they can exceed in anything they do,” said Brickler. “They can overcome, and they need to have a greater appreciation of themselves, and more self-dignity.” Capital Health Plan (CHP) has continued its recognition as a top national health care provider – receiving a superior distinction from the National Committee for Quality Assurance (NCQA). Each year, NCQA rates health plans across the country, and CHP has earned top ratings since NCQA began comparing health plans in 2005. “It is a great honor to be recognized for the quality of care and customer service consistently provided to our members,” said John Hogan, CEO of Capital Health Plan. “Our staff, medical community and members drive these results and we have been very fortunate for so many years to serve such a supportive community that has excellent healthcare resources.” The Florida panhandle has a new option in burn care. The JMS Burn Center at Capital Regional Medical Center is now open. The outpatient clinic will be open each Wednesday for appointments and walk-in patients. The outpatient clinic at Capital Regional Medical Center will be affiliated with the Joseph M. Still Burn Center at Doctors Hospital in Augusta, Georgia. The Augusta burn center is the cornerstone of the Burn and Reconstructive Centers of America network, the nation’s largest burn care network encompassing more than 20% of the nation’s burn admissions at 14 locations in eight states. Dr. Fred Mullins, the president of Burn and Reconstructive Centers of America and Joseph M. Still Burn Centers, Inc., said the Tallahassee clinic will allow patients to follow-up closer to home. “If we can save our patients from traveling long distances for a follow-up visit or initial visit, that will help reduce their financial burden, stress and pain, and ultimately help improve their healing process,” Dr. Mullins said. The JMS Burn Clinic at Capital Regional Medical Center will offer an array of burn services, from primary burn treatments to reconstruction, including laser scar therapy. 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.

IN MEMORIAM Thomas Lynn Hicks, M.D. 1951 - 2019 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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CMS LUNCH AND LEARN

CAPITAL MEDICAL SOCIETY LUNCH AND LEARN SEMINARS On September 18th, Sue Boisvert with The Doctors Company, gave an excellent program on challenging patients.

We thank Medical AR Revenue Solutions, LLC for sponsoring the September 18th Lunch and Learn. J.R. Blue and Sheila Erwin attended as representatives from Medical AR Revenue Solutions, LLC.

Seminars are held at the Capital Health Plan on Governors Square Blvd. – and we thank CHP for providing this venue.

BE SURE TO REGISTER FOR THE REMAINING FALL 2019 LUNCH AND LEARN SEMINAR: November 13, 2019 Building a Digital Front Door: Modernizing Patient Access and Experience for Today’s Consumers Learning Objectives: • Best practices for integrating real-time patient engagement technology to improve patient access and drive the bottom line • Determine the impact patient text messaging has on patient experience and health outcomes • Establish a care messaging program that leverages clinical data to boost outcomes Speaker: Bill Hambsh, CEO, North Florida Women’s Care Sponsor: TMH Federal 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

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Elite Women’s Health and Dr. Stephanie Lee Welcome

KIM MORPHET, APRN back to Tallahassee! Same day appointments available! Call or Visit our website today to schedule your appointment! Phone: 850-320-7693 www.elitetallahassee.com

3217 Capital Medical Blvd. Tallahassee, FL 32308


Tirelessly defending the practice of

GOOD MEDICINE. We’re taking the mal out of malpractice insurance. By constantly looking ahead, we help our members anticipate issues before they can become problems. And should frivolous claims ever threaten their good name, we fight to win—both in and out of the courtroom. It’s a strategy made for your success that delivers malpractice insurance without the mal. See how at thedoctors.com

6282_FL_CCMS_PD_Jun2017.indd 1

5/10/17 10:30 AM

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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HAPPY VETERANS DAY

Veterans of our military sacrifice their innocence, time with their friends and family, their bodies and sometimes their lives to protect this country. Regardless of your thoughts on war, we’re all indebted to our troops. Veterans Day is unique among nations in that we honor those who are with us, reserving Memorial Day for those who have made the ultimate sacrifice. So while we honor fallen heroes and honor the memory of our great leaders on other days of remembrance, we have an opportunity on this day to pay homage to those who are still with us. This opportunity is a blessing, and we should exercise it with pride, purpose and enthusiasm. So to those members of Capital Medical Society who have served, we thank you! Member Name Branch of Service Rank Robert Jackson Atwater, M.D. Air Force Eugene Vitaly Bednov, M.D. Army Donald C. Beeckler, M.D. Army Leslie M. Beitsch, M.D. Air Force Ray Bellamy, M.D. Navy A.D. Brickler, M.D. Air Force J. Brewster Caldwell, D.O. Army Michael C. Cavallaro, M.D. Navy James E. Cavanagh, Jr., M.D. Navy William Comer Cherry, Jr., M.D. Air Force George Cohen, M.D. Air Force Daniel P. Conrad, M.D. Air Force David Ernest Craig, M.D. Army Jeffrey Wyatt Crooms, M.D. Navy Ryan D. Curran, M.D. Marine Corps Steven Ashley Currieo, M.D. Air Force Thomas Dean Dalrymple, M.D. Army JW Richard Davis, M.D. Navy Charles Deal, M.D. Army Larry Deeb, M.D. Public Health Service William Crawford Dixon IV, M.D. Army Wade Douglas, M.D. Army Russell W. Eggert, M.D. Air Force Margarett Conklin Ellison, M.D. Army Tom Enoch, M.D. Navy Marcus Stewart Fisher, M.D. Air Force John P. Fogarty, M.D. Army James D. Geissinger, M.D. Air Force Tom Haney, M.D. Air Force Donald Ray Hansard, M.D. Army James Ocie Harris, M.D. Navy & National Guard Jerry Harris, M.D. Army Randell J. Hartlage, M.D. Navy Charles J. Holland, M.D. Army Floyd Jaggears, M.D. Navy Beverly Johnson, M.D. Navy Roland Jones, M.D. Air Force Lawrence D. Kaelin, M.D. Army 6

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Major Specialist Major Captain Lieutenant/USNR Captain Major Commander Lieutenant Commander Captain Colonel Major Major Commander Corporal Major Major Lieutenant Specialist III Commander/Lt. Commander (Inactive Reserve) Lieutenant Colonel Major Colonel Lieutenant Colonel Lieutenant Commander Lieutenant Colonel Colonel (Retired), US Army Medical Corps Captain (Worked as a Surgeon) Flight Surgeon Captain Navy Lieutenant Commander Major Lieutenant Commander Captain Lieutenant Commander Lieutenant Commander Major Major


HAPPY VETERANS DAY

Member Name

Branch of Service

Howard Kessler, M.D. Army Joel Kramer, M.D. Public Health Service Thomas Lawhorn, M.D. Air Force Meghan Lewis Air Force Nancy Loeffler, M.D. National Guard Charles Gordon Long, M.D. Air Force Gordon Low, M.D. Air Force Charles G. Maitland, M.D. Army Joe Mazziotta, M.D. Air Force Al C. McCully, M.D. Navy Earl McKenzie, M.D. Marine Corps & Navy Meredith McKinney, M.D. Army Melissa Rice McMillan, M.D. Army Joan Younger Meek, M.D. Army David Durant Miles, M.D. Navy Robert Whelchel Miles, M.D. Navy Charles E. Moore, M.D. Navy Isaac Moore, M.D. Army Sam H. Moorer, Jr., M.D. Navy William Leigh Morse, M.D. Navy James F. O’Neill, M.D. Air Force David Jason Oberste, M.D. Air Force James W. Patty, M.D. Air Force Thomas Peele, M.D. Army Michael D. Pentaleri, M.D. Navy Duncan Postma, M.D. Army Ira Burton Price, M.D. Army Shawn Ramsey, D.O. Army Krista Ware Rankin, M.D. Air Force Terence Reisman, M.D. Army Steve Sarbeck, M.D. Navy William Paul Sawyer, M.D. Navy Brence Sell, M.D. Army J. Brian Sheedy, M.D. Navy William P. Simmons, M.D. Navy Francis C. Skilling, Jr., M.D. Navy George Francis Slade, M.D. Navy J. Orson Smith, M.D. Army Kimberly Ivy Smith, M.D. Navy Robert Snider, M.D. Air Force James William Stockwell, M.D. Navy John Michael Streacker, M.D. Army Timothy J. Sweeney, M.D. Air Force Larry D. Taylor, M.D. Navy James Albert Totten, M.D. Army Fred Q. Vroom, M.D. Navy Kenneth R. Wasson, M.D. Navy Timothy E. Whalen, M.D. Navy Michael Wilhoit, M.D. Army Charles D. Williams, M.D. Air Force John L. Williams, M.D. Air Force Spurgeon W. McWilliams, M.D. Army Pat Munroe Woodward, M.D. Army

Rank Major Lieutenant Commander Major 2nd Lieutenant Captain Major Retired Lt. Colonel Lieutenant Colonel Major Seaman, First Class Lieutenant Commander Major Major Lieutenant Colonel Lieutenant Lieutenant Commander Lieutenant Commander Captain Lieutenant Commander Lieutenant Commander Senior Airman Major Captain Captain Lieutenant Commander Captain Captain E-4 Major Major Lieutenant Commander Lieutenant Major Lieutenant Commander Lieutenant, JAG Corps Lieutenant/Medical Corps Reserve Lieutenant Commander Captain Commander Captain Lieutenant Specialist (Combat Medic) Major Commander Captain Lieutenant Commander, Public Health Service Lieutenant Commander Lieutenant Commander Captain Captain Lieutenant Colonel Major Captain

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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CMS IN THE COMMUNITY

CMS ATTENDED THE TALLAHASSEE MEMORIAL CANCER CENTER’S “THE POWER OF PINK” EVENT ON OCTOBER 9TH AT GOODWOOD MUSEUM & GARDENS

(L-r) Judi Wills, CMSF Development Director, and Pam Irwin, CMS Executive Director.

(L-r) Ken Whithaus, M.D., CMS PresidentElect; Luke Watkins, M.D.; Mary Swain, M.D.; and Pam Irwin, CMS Executive Director.

WELCOME Amara Emenike, MD Sleep Medicine Medical School: University of Port Harcourt Residency: Columbia University at Bassett Medical Center Fellowship: Sleep Medicine, University of Michigan

TMH PHYSICIAN PARTNERS 8

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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5 BR | 4 BA | 5,660 sf | 1.72 ACRES

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4 BR | 2.5 BA | 3,716 sf | 2.66 ACRES

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HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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CMS MEMBERSHIP MEETING MINUTES

MINUTES: CMS MEMBERSHIP MEETING SEPTEMBER 17, 2019 The mission of the Capital Medical Society is to promote the practice of medicine for the ultimate benefit of the patient. I. Business Meeting – Capital Medical Society A. W elcome – Dr. Maribel Lockwood, President, called the meeting to order at 6:30 pm. Dr. Lockwood thanked Westminster Oaks for use of their incredible facility. B. D r. Lockwood welcomed and thanked our supporters for the evening: Meeting Sponsors Ericks Environmental Consulting – Cindy Ericks MagMutual Insurance Company – Staige Hoffman Southern Restoration Technologies (SRT) – Chad Swearingen Tallahassee Memorial HealthCare Displayers Novo Nordisk, Inc. – Michelle Glazier Sanofi – DeDe Frazier C. D r. Lockwood introduced special guests in attendance: Dr. Melba Colon, new internist at Bond Community Health Center Dr. Marie Cowart, Dean Emerita of FSU College of Social Sciences Dr. Gaurav Nigam, new CMS member applicant with Tallahassee Sleep Diagnostic Center, and his guest Daniel Huffmaster, owner of Tallahassee Sleep Diagnostic Center Alli Pope, wife of scholarship recipient Christopher Pope and daughter of CMS member Dr. Steve Currieo D. D r. Lockwood asked Dr. Sandeep Rahangdale, Regional Campus Dean, FSU College of MedicineTallahassee Regional Campus to introduce the third year students at FSU College of Medicine-Tallahassee Regional Campus in attendance:

10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Andrew Currieo Laura Ann Marie Davis Ciara Grayson Jacqueline Hanners Gregory Rodriguez E. D r. Lockwood asked Dr. Richard Thacker, Assistant Dean of Clinical Sciences and Clinical Resources, Alabama College of Osteopathic Medicine to introduce the third year students at the Alabama College of Osteopathic Medicine in attendance: Sydney Bressler George Downham Joezer Drapeau Carlos Galindo Juzar Hussain Matthew Jacobs Mohammad Mehio Bradley Skene Sarah Tyler Gayathri Veeraraghavan F. Nominating Committee – Dr. Lockwood called for three nominations from the floor. This committee will nominate future CMS officers, board members and FMA Delegates. The following CMS members were nominated to the Nominating Committee: Dr. Frank Skilling nominated Dr. David Dixon Dr. David Miles nominated Dr. Tracey Hellgren Dr. Rohan Joseph nominated Dr. Josh Somerset Dr. Joe Mazziotta nominated Dr. John Turner A motion was made by Dr. Julia Weeks, seconded by Dr. Temple Robinson, and unanimously approved. Dr. Lockwood announced that the slate would be presented to the membership at the November 12 CMS Annual Meeting for vote. G. Recognition of FSU College of Medicine Scholarship Recipients – Dr. Lockwood asked Dr. David Jones, member of the Scholarship Committee, to present the scholarship recipients for this year: Blaire Cote Laura Ann Marie Davis Shelby De Cardenas Chase Forehand Jacqueline Hanners


CMS MEMBERSHIP MEETING MINUTES

Laken Johnson Samantha Mahon Caneisaya Matthews Christopher Pope Lauryn Reid H. Mark Your Calendars Dr. Lockwood announced the upcoming meetings/ events: September 18, 2019 TPCA Community Physicians Reception Goodwood 6:00 pm - 8:00 pm October 15, 2019 CMS Membership Meeting and CME Prevention of Medical Errors Speakers: Julia Weeks, M.D. and Jesse Suber, J.D. Maguire Center for Lifelong Learning 6:00 pm November 12, 2019 CME and ANNUAL MEETING-at which we will vote for our 2020 Board of Governors Women are from Venus; Men are from Mars; Sexual Dysfunction on Both Planets Speakers: Andrea Friall, M.D. and Kenneth DeLay, M.D. Maguire Center for Lifelong Learning 6:00 pm November 14, 2019 Capital Medical Society Alliance Scotch and Sparkles Fall Fundraiser Home of Dr. and Mrs. Hank Hutchinson 6:30 pm - 8:30 pm December 5, 2019 CMSF Holiday Auction University Center Club at FSU 6:00 pm

Please Thank Our Supporters for the September 17th CMS Membership Meeting Meeting Sponsors Ericks Environmental Consulting MagMutual Insurance Company Southern Restoration Technologies (SRT) Tallahassee Memorial HealthCare

II. Tonight’s Program – this is a 1-Hour Category One Program Topic: Disaster Preparedness Speaker: Joseph Mazziotta, M.D. Dr. Mazziotta shared important information on disaster preparedness. CME Proof of Attendance Forms will be sent to participants who stay for the entire CME program and fill out an evaluation form. Please turn completed evaluation forms in at the end of the program.

Displayers Novo Nordisk, Inc. Sanofi

III. Adjourn – Dr. Lockwood adjourned the meeting at 8:20 pm.

CONTINUED ON NEXT PAGE

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CMS MEMBERSHIP MEETING MINUTES

CONTINUED FROM PREVIOUS PAGE

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Captions for the above photos 1 – (L-r) Meeting Sponsor, Southern Restoration Technologies (SRT): Chad Swearingen, and Meeting Sponsor: Ericks Environmental Consulting: Cindy Ericks. 2 – Meeting Sponsor, MagMutual Insurance Company: Staige Hoffman.

4 – Displayer, Sanofi: DeDe Frazier. 5 – (L-r) Speaker, Joe Mazziotta, M.D., and CMS President, Maribel U. Lockwood, M.D.

3 – Displayer, Novo Nordisk, Inc.: Michelle Glazier.

The first November Cap Scan reader to send an emailed request to pirwin@capmed.org will receive a copy of the book authored by Sheri Fink, titled FIVE DAYS AT MEMORIAL: Life and Death in a Storm-Ravaged Hospital. The book was recommended by Dr. Joe Mazziotta during his September CME presentation “Disaster Preparedness.” THANK YOU FOR READING CAP SCAN!

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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


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CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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REFLECTIONS FROM THE EDITOR

THE PUNISHMENT OF THE INNOCENT By Frank Skilling, M.D. The nation is inundated with coverage of the latest health care crisis of opioid addiction. Stories of early deaths among users or arrests of backyard methamphetamine producers clogs the news channels. The Chinese have been implicated in flooding the market with enough synthetic fentanyl to kill millions. Major pharmaceutical companies now stand accused and punished for the manufacture of millions of doses of OxyContin that were distributed by cooperating pharmacies and prescribed by drug dealing physicians. I recently was contacted by the Florida Department of Health because I had not fulfilled the law passed in 2018 that required all physicians to take a two-hour course on prescribing controlled substances. While I had taken an online course sponsored by the Florida Medical Association, it was deemed unacceptable by the DOH, and I stood in non-compliance with the law. Of course, I immediately took a sanctioned course to fulfill the requirement. Despite the fact that I haven’t prescribed a controlled substance for the last three years, and do not plan to do so since I no longer perform eye surgery, I was required to fulfill this mandate by the Florida legislature to ensure that I could continue to practice medicine in the state where I have been licensed since 1973. Besides, most hospitals and insurance companies require their providers to have DEA registration, so I have no choice but to have a DEA license. All of this brouhaha (and I’m not trying to diminish the seriousness of the crisis) reminds me of a list that was developed in the 1970s by computer scientists to describe the phases of a project in a somewhat jocular fashion. It is summarized thus: Phase 1: Enthusiasm Phase 2: Disillusionment Phase 3: Panic 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Phase 4: Search for the Guilty Phase 5: Punishment of the Innocent Phase 6: Praise and Honors for the NonParticipants In retrospect, there is plenty of blame to go around for what is the national health crisis for this generation. With the introduction of DRGs by Medicare, patients were discharged more quickly after surgical procedures, and post-operative pain management moved to the outpatient setting. Newer long-lasting oral pain medications and their promotion by academic medical organizations, hospital licensing organizations, and the pharmaceutical companies themselves, encouraged physicians to treat pain more aggressively. Stronger prescriptions and larger quantities of habit-inducing opioids were freely given in outpatient settings without supervision. Some unscrupulous physicians realized that an unregulated “pain clinic” could be a lucrative source of income: you want pain medicine, I have a DEA license to prescribe, come see me at my strip mall office. South Florida quickly became a haven for these operations, and it took years for the authorities to shut them down and prosecute the abusers of what became known as drug diversion. Unfortunately, the addictions that have trapped so many people have ensnared them for life, and there is no longer an easy source of opioids. Enter the drug cartels and the Chinese manufacturers who have a captive market in the US. Their hold on this population is secure, and it will be years before the crisis is resolved. Thus, the fulfillment of the first three phases: enthusiasm, disillusionment and panic. The panic can be justified since more people are dying from drug overdoses than motor vehicle accidents. While some doctors can be charged with abuse of prescribing controlled substances, there was serious support for such practices by organizations like the Joint Commission, which declared that pain was the “fifth vital sign” in assessing patient status, along with temperature, pulse, respiration, and blood pressure. Hospitals


REFLECTIONS FROM THE EDITOR

didn’t want to cross the Joint Commission by being charged with not adequately treating the pain their patients experienced, so they supported the liberal use of pain medications. As has happened many times before, the federal and state governments are turning to the medical profession to clean up a mess that has many complicit participants. Thus, the punishment of the innocent: draconian laws now restrict the use of controlled substances even for patients who are suffering from acute trauma or post-operative pain. In Florida, it is illegal to prescribe more than three days worth of pain medication for noncancer pain. Even post-op patients are restricted to seven days of controlled medications, and that’s with a special note from the physician. Additionally, all physicians are now painted with the same brush: toe the line on fulfilling our mandated educational requirements or face sanctions from the Board of Medicine even if you don’t prescribe controlled substances. Thus, with the punishment of the innocent, the circle is complete. I have been a physician long enough to have lived through several health crises. One that stands out is the AIDS epidemic of the 1980s when a panic gripped the country that the unfortunates who developed this then inexplicable and horrifying condition were going to infect and wipe out our population. As a response, the privacy laws enacted to protect those infected were so expansive, that it became virtually impossible to question anyone about the condition without fear of being charged with a crime. The insanity of the HIPAA laws followed to the point that physicians are more afraid of being charged with a violation than providing rational care for people. While health care providers have learned to live with the laws, the interests of the patients are often blocked when health care surrogates are tasked with providing care. The laws covering electronic health records are so expansive in their HIPAA protections that physicians who provide the medical services have concern for

being investigated for presumed violations. Conveniently, cyber criminals have no fear of being caught or prosecuted. I have observed that several medical students and young physicians I’ve talked with are interested in a career in treating addictions. There are now “addiction specialists” who concentrate on helping those afflicted by the opioid crisis. While treating “drug addicts,” as they were called previously, is not something new, the development of a specialized field devoted to such patients surely is creating a drag on the number of practicing physicians who could otherwise be employed in health care. As with so many previous health care crises, including the poliomyelitis epidemic of the 1950s and the AIDS epidemic of the 1980s and 90s, the country is turning to its medical profession to provide solutions to problems that are societal in nature. I’m sure that organized American medicine will rise to the challenge and provide solutions for the opioid epidemic even though they are currently years away. In the meantime, the punishment of the innocent physicians will continue.

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MORE SIMPLER TIMES

MEMORIES OF THANKSGIVING By Charles D. “Pedro” Williams, M.D., FACR, FAAP With Christmas on its heels Thanksgiving so often doesn’t get its due. However, on Thanksgiving Day Pedro comes closer to the memory of his roots than at any other time. Thanksgiving was a time for us kinfolks to reflect back on our upbringin’, our values, and our raisin’. Such memories had a way of retaining their flavor as we fondly recalled the warmth and love that always surrounded us at Thanksgiving in “Simpler Times”. Kinfolks (the young, the old, the strong, the weak) came together for eatin’ and closeness and for reflectin’ and rememberin’. All were cherished by the family. It was a time for giving thanks and sharing feelings. Folks who had moved away came back to visit family and friends and to think about those who have passed on and whose influence still remained. We dropped by the cemetery to honor Grandpa and those who were no longer with us and decorate their graves. At that moment, life seemed so precious. Life seemed to start and end with the family. It made us feel so proud to have lived in “Simpler Times” and in that place. In the ole days Millard, Dillard, and Willard and cousins by the dozens came together to share food and stories which could be passed down throughout the generations. It was our memories of who we were, where we came from, how we got there, who’s buried where, and who married who and should of but didn’t. Fond memories were made with food and togetherness. Folks brought black-eyed peas, turkey and dressin’, mess o’ greens with ham hock, collards, corn on the cob with real melted butter in between the kernels and more food that we could imagine. One time after a hog kill Dillard brought some chitluns. He said that you just don’t eat anybody’s chitluns. You needed to know who done the washin’. Anyhow food tasted better back then before we found out about cholesterol and when fatback, eggs and sunshine were good for ya. The food was always good but Mama said that all food was good if you waited long enough. When we had tripe, I guess we just didn’t wait long enough. The central gatherin’ spot was the porch or the kitchen dependin’ on the weather. That was before television and it was hard to want something you never knew. 16

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Television would have messed up our discussions but at least young people nowadays know more about deodorant and detergents than any other generation. There’d be mixin’ and minglin’ and laughin’ and talkin’. Pedro heard about guns, crops, fishin’, women, government, and hard times. When grownups were talkin’ we kept quiet and listened very slowly. At these gatherins we heard about hard work and learned how to get dirty and come up smilin’. Grandma wanted us to be happy and she felt like the happiest folks weren’t always hunting something to make them happy. However, the teenagers felt like they needed a car to pursue happiness. Eventually discussion led to religion. Even if folks had stole hogs, got drunk, told lies, and cheated, they were always thankful they still had their religion. There were many folks who felt people needed the Bible for the soul and liquor for the spirit but Grandma was against liquor. Her idea of happy hour was a nap. Grandma wanted Pedro to be nice and to be good. She once asked Pedro “Where do little boys and girls go when they sin?” Pedro replied, “Out behind the barn.” Thanksgiving always brought back warm images of people we loved and of times we loved. Our folks had worked so hard that they didn’t have time to get rich. Thanksgiving allowed us to escape for a day from a world which was on the way of becoming so complex and so manipulated but on this day we had remembrance for the past and hope for the future. At the end of the day ever’body would be plum-tuckered out and the dark would start moving in to anyplace it could find between the lights. On this day thanks would be given and troubles forgotten. It had been a good day but Grandma said that any day would be a good day especially if you were around to make it so. Reprinted with author permission from More Simpler Times, Tales of a Southern Boy. Dr. Williams’ book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the We Care Network program.


HAPPY THANKSGIVING

We are so thankful to have you as a Capital Medical Society member! - From Your Capital Medical Society and Capital Medical Society Foundation Staff

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2019 COMMUNITY PHYSICIANS

THE CAPITAL MEDICAL SOCIETY SPONSORED TALLAHASSEE PRIMARY CARE ASSOCIATES’ COMMUNITY PHYSICIANS RECEPTION ON SEPTEMBER 18TH AT GOODWOOD MUSEUM & GARDENS

If you would like to view all of the photos captured at the event, please visit https://www.dropbox.com/sh/zdc3xz49uq7mqhq/AAA8CGECwPSJkrzE4Qvp_aqYa?dl=0.

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DURING THE EVENT, THE FOLLOWING PHYSICIANS WERE INTRODUCED: Hiyam AbdelMagid, M.D. Capital Regional Medical Group Specialty: Internal Medicine Medical School: University of Khartoum - Khartoum, Sudan Residency: St. Elizabeth Youngstown Hospital - Youngstown, OH Years of Experience: New graduate

Jason E. Agran, M.D. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: University of Illinois - Chicago, IL Residency: University of Florida College of Medicine - Gainesville, FL Years of Experience: New graduate Hobbies: Giant-breed dog rescue, trail running, kayaking, and martial arts Hometown: Miami, FL

Daniel L. Bernabe, M.D. Tallahassee Memorial Healthcare TMHPP Southwood Specialty: Family Medicine Medical School: Florida State University College of Medicine - Tallahassee, FL Residency: Tallahassee Memorial Family Medicine Residency Program - Tallahassee, FL Years of Experience: New graduate Hobbies: Basketball, FSU football, and cooking Hometown: Bonifay, FL

Dayanis Acosta, D.O. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: Lake Erie College of Osteopathic Medicine - Erie, PA Residency: South Pointe Hospital - Warrensville Heights, OH Years of Experience: New graduate

Casey Arnold, M.D. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: University of South Florida - Tampa, FL Residency: AdventHealth - Orlando, FL Years of Experience: New graduate

Trey M. Blake, M.D., CMO Capital Regional Medical Center Specialty: Internal Medicine Medical School: West Virginia University School of Medicine - Morgantown, WV Residency: University of Tennessee - Memphis, TN Years of Experience: 15 Hobbies: White water rafting, hiking, hunting, and fishing Hometown: Morgantown, WV

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Joshua A. Burns, M.D. Tallahassee Memorial Healthcare Tallahassee Memorial Emergency Services Specialty: Emergency Medicine Medical School: Florida State University College of Medicine - Tallahassee, FL Residency: Case Western Reserve University Emergency Medicine Residency - Cleveland, OH Years of Experience: New graduate

Francisco Carpio, M.D. Tallahassee Memorial Healthcare TMHPP Urology Specialists Specialty: Urology Medical School: Central University of the Caribbean Bayamรณn, Puerto Rico Residency: Lackland Airforce Base Wilford Hall Medical Facility - Lackland AFB, TX Years of Experience: 21

Carlos Cebellero, M.D. Tallahassee Memorial Healthcare TMHPP Hospitalists Specialty: Internal Medicine Medical School: San Juan Bautista School of Medicine - Caguas, Puerto Rico Residency: Wyckoff Heights Medical Center Internal Medicine Residency Program - Brooklyn, NY Years of Experience: 2

Shridhar V. Challa, M.D. Tallahassee Memorial Healthcare TMHPP Hospitalists Specialty: Internal Medicine Medical School: University of Florida College of Medicine - Gainesville, FL Residency: University of Utah Hospital and Clinics Internal Medicine Residency - Salt Lake City, UT Years of Experience: 1

Christine T. Chiu-Geers, M.D. Capital Health Plan Specialty: Family Medicine Medical School: University of Florida College of Medicine - Gainesville, FL Residency: Halifax Family Practice Residency Program - Daytona Beach, FL Years of Experience: 12 Hobbies: Raising my 3 boys ages 6, 5, and 2 Hometown: Jacksonville, FL

Brittany K. Clark, M.D. Capital Regional Medical Group Specialty: Internal Medicine Medical School: University of Rochester School of Medicine and Dentistry - Rochester, NY Residency: Florida State University Internal Medicine Residency Program at TMH - Tallahassee, FL Years of Experience: 5 Hobbies: Singing, baking, learning guitar, and spending time with family and friends Hometown: Monroe, LA

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Matthew P. Connor, M.D. Tallahassee Ear, Nose and Throat Specialty: Otolaryngology Medical School: Loyola University of Chicago - Chicago, IL Residency: San Antonio Military Medical Center - San Antonio, TX Years of Experience: 4 Hobbies: Spending time with family, reading a history book, and playing golf Hometown: Grew up in Georgia and Oklahoma

Christopher Defreitas, M.D. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: Brown University - Providence, RI Residency: University of Florida College of Medicine - Gainesville, FL Years of Experience: New graduate Hobbies: Soccer, weight lifting, and auto racing Hometown: Germantown, MD

Andrew P. Dickhute, M.D. Tallahassee Memorial Healthcare Tallahassee Memorial Emergency Services Specialty: Emergency Medicine Medical School: Creighton University School of Medicine - Omaha, NE Residency: Scott & White Memorial Hospital - Temple, TX Years of Experience: 4

Edward R. Ferguson, Jr., M.D. Southern Medical Group Specialty: Cardiothoracic Surgery Medical School: Louisiana State University School of Medicine - New Orleans, LA Residency: Baylor College of Medicine - Waco, TX; University of Alabama at Birmingham - Birmingham, AL Years of Experience: 19

Charles R. Fleischer, M.D. FSU PrimaryHealth Specialty: Family Medicine Medical School: Ross University School of Medicine - Bridgetown, Barbados Residency: Florida State University Lee Health Family Medicine Residency Program - Fort Myers, FL Years of Experience: New graduate Hobbies: Saltwater Aquarist Hometown: Crestview, FL

Lance M. Freeman, M.D. Tallahassee Memorial Healthcare TMHPP Metabolic Health Center Specialty: Endocrinology Medical School: University of Texas Medical Branch at Galveston - Galveston, TX Residency: University of Alabama- Birmingham Internal Medicine Residency - Birmingham, AL Fellowship: University of Texas Health Science Center at Houston - Houston, TX Years of Experience: 6

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Juan J. Gallegos, M.D. Southern Medical Group Specialty: Cardiothoracic Surgery Medical School: University of Texas Medical Branch at Galveston - Galveston, TX Residency: University of Tennessee Health Science Center - Memphis, TN Fellowship: University of Florida - Gainesville, FL Years of Experience: New graduate

Scott B. Gilleland, M.D. Anesthesiology Associates Specialty: Anesthesiology Medical School: Medical College of Georgia School of Medicine - Augusta, GA Residency: Beth Israel Deaconess Medical Center - Boston, MA Fellowship: Beth Israel Deaconess Medical Center - Boston, MA Years of Experience: New graduate Hobbies: Sports of all kind Hometown: Austell, GA

Juvenal Havyarimana, M.D. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: Texas A&M Health Science Center College of Medicine - Bryan, TX Residency: Shands Jacksonville Hospital - Jacksonville, FL Years of Experience: New graduate

Tracey E. Hellgren, M.D. FSU PrimaryHealth Specialty: Family Medicine Medical School: University of Florida College of Medicine - Gainesville, FL Residency: TMH Family Practice Residency Program - Tallahassee, FL Years of Experience: 25 Hobbies: Traveling, cooking and baking, and spending time with my kids and family Hometown: Fort Lauderdale, FL

Brook J. Hill, M.D. Radiology Associates of Tallahassee Specialty: Neuroradiology and Pediatric Neuroradiology Medical School: Harvard Medical School/Massachusetts Institute of Technology - Boston, MA Residency: Jackson Hospital, University of Miami - Miami, FL Fellowship: Emory University - Atlanta, GA; Children’s Hospital of Philadelphia - Philadelphia, PA Years of Experience: 7 Hobbies: Classical piano Hometown: Panama City, FL

Antoni Kafrouni-Gerges, M.D. Tallahassee Memorial Healthcare TMHPP Metabolic Health Center Specialty: Endocrinology Medical School: RĂłmulo Gallegos University - San Juan de Los Morros, Venezuela Residency: Kendall Regional Medical Center Internal Medicine Residency - Miami, FL Fellowship: Albany Medical College - Albany, NY Years of Experience: New graduate

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John J. Kemerer, D.O. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: Kirksville College of Osteopathic Medicine - Kirksville, MO Residency: Bay Regional Medical Center - Bay City, MI Years of Experience: 25

Rami Khoury, M.D. Southern Medical Group Specialty: Non-Invasive/Imaging Cardiology Medical School: Tishreen University College of Medicine, Syria - Latakia, Syria Residency: Tishreen University College of Medicine, Syria - Latakia, Syria; Beaumont Health System - Royal Oak, MI Fellowship: Beaumont Health System - Royal Oak, MI Years of Experience: New graduate

Tara Kimbason, M.D., PhD Tallahassee Memorial Healthcare TMHPP Neurology Specialists Specialty: Movement Disorders Medical School: University of St. Eustatius School of Medicine - St. Eustatius, Netherlands Antilles Residency: Geisinger Health System - Danville, PA Fellowship: MedStar Georgetown University Hospital - Washington, DC Years of Experience: 1 Hobbies: Traveling, listening to/ reading books, trying out new recipes, learning new skills, and spending quality time with family and friends Hometown: New York

Holly Klopfenstein, M.D. Capital Regional Medical Center Specialty: Emergency Medicine Medical School: Florida State University College of Medicine - Tallahassee, FL Residency: TMH Family Medicine Residency Program - Tallahassee, FL Years of Experience: New graduate Hobbies: Reading mystery novels Hometown: Oviedo, FL

Susan M. Manson, M.D. FSUCOM Internal Medicine Residency Program at TMH Specialty: Internal Medicine Medical School: State University of New York Health Science Center - Brooklyn, NY Residency: Winthrop-University Hospital Internal Medicine Residency - Mineola, NY Years of Experience: 19

Kaitlin Ann McGrogan, D.O. Tallahassee Memorial Healthcare- Family Medicine Residency Program Specialty: Family Medicine Medical School: Philadelphia College of Osteopathic Medicine - Philadelphia, PA Residency: Marshall University Joan C. Edwards School of Medicine - Huntington, WV Fellowship: TMH Family Medicine Residency Program (Obstetrics) - Tallahassee, FL Years of Experience: 1

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David M. Mills, M.D. Eye Associates of Tallahassee Specialty: Oculoplastic Ophthalmology Medical School: University of Michigan Medical School - Ann Arbor, MI Residency: University of Florida Hospital - Gainesville, FL Fellowship: Albany Medical Center - Albany, NY Years of Experience: 17 Hobbies: Spending time on the boat with family and traveling Hometown: Pensacola, FL

LaTasha D. Moore, M.D. Anesthesiology Associates Specialty: Anesthesiology Medical School: University of Florida College of Medicine - Gainesville, FL Residency: University of Florida - Gainesville, FL Fellowship: Mount Sinai Hospital New York, NY Years of Experience: 2 Hobbies: Cooking, traveling, yoga, and meditation Hometown: Huntington Valley, PA

Amanda B. Moyer, M.D. KWB Pathology Associates Specialty: Dermatopathology Medical School: Penn State Hershey School of Medicine - Hershey, PA Residency: Houston Methodist Hospital - Houston, TX Fellowship: Baylor College of Medicine - Houston, TX Years of Experience: New graduate Hobbies: Swimming, biking, and baking Hometown: Quincy, FL

Kristen E. Nava, M.D. Tallahassee Memorial Healthcare- Tallahassee Memorial Urgent Care Specialty: Family Medicine Medical School: American University of the Caribbean School of Medicine - Cupecoy, Saint Maarten Residency: TMH Family Medicine Residency Program - Tallahassee, FL Years of Experience: New graduate Hometown: Blountstown, FL

Ryan W. Novince, M.D. Capital Regional Medical Group Specialty: Internal Medicine Medical School: Case Western Reserve University - Cleveland, OH Residency: Case Western Reserve University - Cleveland, OH Years of Experience: New graduate Hobbies: Gardening, baking, and spending time with my dog (rescue pit-bull from Cleveland) Hometown: Cincinnati, OH

Amara Okoli-Emenike, M.D. Tallahassee Pulmonary Clinic/ TMHPP- Pulmonary and Critical Care Sleep Specialists Specialty: Sleep Medicine Medical School: University of Port Harcourt - Port Harcourt, Nigeria Residency: Columbia University at Bassett Medical Center - Cooperstown, NY Fellowship: University of Michigan - Ann Arbor, MI Years of Experience: New graduate

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H. Whit Oliver, M.D. Tallahassee Memorial Healthcare- Family Medicine Residency Program Specialty: Family Medicine and Obstetrics/Gynecology Medical School: Louisiana State University Medical Center - Baton Rouge, LA Residency: TMH Family Medicine Residency Program - Tallahassee, FL Fellowship: TMH Family Medicine Residency Program (Obstetrics) - Tallahassee, FL Years of Experience: 40 Hometown: New Orleans, LA

Karan N. Patel, M.D. Radiology Associates of Tallahassee Specialty: Interventional Radiology Medical School: Saint George’s University, School of Medicine - West Indies, Grenada Residency: Wayne State University - Detroit, MI Fellowship: University of Maryland Shock Trauma Hospital - Baltimore, MD Years of Experience: New graduate Hobbies: Tennis, video games, board games, and working out Hometown: Mumbia, India

James W. Pfeifer, D.O. TMS Patient Care Specialty: Psychiatry Medical School: Touro College of Osteopathic Medicine - New York, NY Residency: Community Health of South Florida - Miami, FL Years of Experience: New graduate Hobbies: Riding bikes, cooking, and watching movies with his wife and his untamed house cat, Oreo Hometown: Windsor, CT

Pwint P. Phyu, M.D. Comprehensive MedPsych Systems Specialty: Psychiatry Medical School: American University of Integrative Sciences School of Medicine - Bridgetown, Barbados Residency: Larkin Community Hospital - Miami, FL Years of Experience: New graduate Hobbies: Riding bikes, cooking, and watching movies with husband and untamed house cat, Oreo Hometown: Yangon, Myanmar

Hussein Rayatzadeh, M.D. Southern Medical Group Specialty: Non-Invasive/Imaging Cardiology Medical School: Tehran University of Medical Sciences - Tehran, Iran Residency: Penn State Hershey Medical Center - Hershey, PA Fellowship: University of Texas Health Science Center - Houston, TX Years of Experience: New graduate

Pablo Rengifo-Moreno, M.D. Southern Medical Group Specialty: Interventional & Structural Heart Cardiology Medical School: Central University of Venezuela - Caracas, Venezuela Residency: Tufts University - Boston, MA Fellowship: Einstein Medical Center - Philadelphia, PA; Miller School of Medicine, University of Miami - Miami, FL Years of Experience: 3

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2019 COMMUNITY PHYSICIANS

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Davis A. Rierson, M.D. Radiology Associates of Tallahassee Specialty: Musculoskeletal Radiology Medical School: University of South Florida Morsani College of Medicine - Tampa, FL Residency: University of Virginia Hospital - Charlottesville, VA Fellowship: University of Virginia Health System - Charlottesville, VA Years of Experience: New graduate Hobbies: Golf Hometown: Ocala, FL

Anthony O. Russell, M.D. Tallahassee Memorial Healthcare- TMHPP Chronic Pain Management Specialty: Pain Management Medical School: New York University School - New York, NY Residency: Mount Sinai Beth Israel - New York, NY Fellowship: University of Florida College of Medicine - Gainesville, FL; Mount Sinai Beth Israel Medical Center - New York, NY Years of Experience: 26

Brian K. Russell, M.D. Tallahassee Neurology Specialists Specialty: Neurosurgery Medical School: Southern Illinois University - Carbondale, IL Residency: University of Kansas Medical Center - Kansas City, KS Years of Experience: 28 Hobbies: Fishing and golfing Hometown: Herrin, IL

Amanda J. Stephens, D.O. Tallahassee Memorial Healthcare- TMHPP Gynecologic Oncology Specialty: Gynecologic Oncology Medical School: Lincoln Memorial University DeBusk College of Osteopathic Medicine - Harrogate, TN Residency: Botsford Hospital (Beaumont Health) - Farmington Hills, MI Fellowship: Florida Hospital - Orlando, FL Years of Experience: New graduate

Cyneetha A. Strong, M.D. FSU PrimaryHealth Specialty: Family Medicine Medical School: University of Florida College of Medicine - Gainesville, FL Residency: TMH Family Practice Residency Program - Tallahassee, FL Years of Experience: 25 Hobbies: Traveling Hometown: Quincy, FL

Mary Jane Tucker, M.D. Capital Health Plan Specialty: Family Medicine Medical School: Florida State University College of Medicine - Tallahassee, FL Residency: Tallahassee Memorial Family Medicine Residency Program - Tallahassee, FL Years of Experience: New graduate Hobbies: Cooking, running, and gardening Hometown: Crawfordville, FL

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Alexander J. Vanderby, M.D. Tallahassee Memorial Healthcare- TMHPP Hospitalists Specialty: Family Medicine Medical School: American University of the Caribbean School of Medicine - Cupecoy, Saint Maarten Residency: Tallahassee Memorial Family Medicine Residency Program - Tallahassee, FL Years of Experience: New graduate

Rachel Vanderby, M.D. Tallahassee Memorial Healthcare- TMHPP Hospitalists Specialty: Family Medicine Medical School: American University of the Caribbean School of Medicine - Cupecoy, Saint Maarten Residency: Tallahassee Memorial Family Medicine Residency Program - Tallahassee, FL Years of Experience: New graduate

Raquel A. Weston, M.D. Tallahassee Memorial Healthcare- TMHPP Surgical Specialists Specialty: Trauma and General Surgery Medical School: American University of the Caribbean School of Medicine - Cupecoy, Saint Maarten Residency: University of Florida College of Medicine - Jacksonville, FL Fellowship: Medical College of Virginia, Physicians and Hospitals Virginia Commonwealth University Health System Years of Experience: New graduate

Cortney M. Whittington, M.D. Tallahassee Memorial Healthcare- TMHPP Wakulla Specialty: Family Medicine Medical School: Florida State University College of Medicine - Tallahassee, FL Residency: Tallahassee Memorial Family Medicine Residency Program - Tallahassee, FL Years of Experience: 5

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Inspiring Good Health

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800-282-4882


CMS FOUNDATION SCHOLARSHIPS

CAPITAL MEDICAL SOCIETY FOUNDATION AWARDS $50,000 IN SCHOLARSHIPS TO FSU MEDICAL STUDENTS The Capital Medical Society (CMS) Foundation awarded scholarships to ten students in their first or second year of medical school at the Florida State University (FSU) College of Medicine and third and fourth year medical students at the Tallahassee Regional Campus of FSU College of Medicine on the basis of financial need. Dr. David Jones, who serves on the CMS Foundation Scholarship Committee, presented the scholarships to each of the recipients at the Capital Medical Society Membership Meeting at the Maguire Center for Lifelong Learning at Westminster Oaks on September 17. A committee comprised of Capital Medical Society members and Dr. Myra Hurt, FSU College of Medicine Senior Associate Dean for Interdisciplinary Medical Sciences and chaired by local pediatrician, Dr. Frank Walker, selected the scholarship recipients. “Attending medical school is a very expensive proposition these days. My fellow physicians are pleased and proud to help support medical students, who have not only a financial need, but a desire to stay in Florida and practice medicine in Florida,� said Dr. Jones. Nearly two-thirds of actively practicing physicians still carry debt from medical school, according to a new national survey by Weatherby Healthcare. Of those doctors, 32% had more than $250,000 in debt. The high cost of medical school loans weighs heavily on doctors for many years following graduation. One-third of respondents (34%) expected to take at least 10 years to pay off their student loans.

The Capital Medical Society Foundation Scholarship Fund has been one of the most successful and wellrespected programs first established by the Capital Medical Society more than 32 years ago. Archived records since 1997 document that the Capital Medical Society Foundation has provided scholarships totaling $617,489 to students in the Program in Medical Science Program, the precursor to FSU College of Medicine, University of Florida medical students, and FSU College of Medicine students. $590,000 of those scholarships have been awarded to FSU College of Medicine students beginning with those in its inaugural Class of 2005. An additional $50,000 was awarded this year. Many of those past recipients are now practicing in Tallahassee and some serve on the Scholarship Committee. The Capital Medical Society Foundation will host their annual fundraising event, the 2019 Capital Medical Society Foundation Holiday Auction, in December to raise funds for medical school scholarships and other programs in fulfillment of its mission. The 2019 scholarship recipients are: Blaire Cote, Laura Ann Marie Davis, Shelby De Cardenas, Chase Forehand, Jacqueline Hanners, Laken Johnson, Samantha Mahon, Caneisaya Matthews, Christopher Pope, and Lauryn Reid.

(L-r) Pam Irwin, Executive Director, Capital Medical Society; Dr. John Mahoney, Capital Medical Society Foundation President and Scholarship Committee member; Dr. David Jones, Scholarship Committee member; scholarship recipients, Laura Ann Marie Davis, Chase Forehand, Jacqueline Hanners, Lauryn Reid, Caneisaya Matthews, Blaire Cote, Shelby De Cardenas, Laken Johnson, Christopher Pope; Dr. Sandeep Rahangdale, Scholarship Committee member; and Dr. David Miles, Scholarship Committee member. (Not pictured: Samantha Mahon, scholarship recipient) Photo credit: COLIN HACKLEY/FSU College of Medicine 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 September 2019. Your generosity and support of the We Care Network makes a difference.

Physicians Scott Asher, M.D. Clifton Bailey, M.D. Marie Becker, M.D. Dhananjay Bendre, M.D. Shelby Blank, M.D. Tim Broeseker, M.D. David Burns, M.D. Ashton Byington, M.D. Joseph Camps, M.D. Gilbert Chandler, M.D. Matthew Connor, M.D. David Dixon, D.O. William Dixon IV, M.D. David Dolson, M.D. Chesley Durgin, M.D. Mark Fahey, M.D. W. Harris Green, M.D. Todd Hewitt, M.D. Brook Hill, M.D. Marc Inglese M.D. Okanta Jackson M.D. John Katopodis, M.D. Sayeed Khalillullah, M.D. James Killius, M.D. Gordon Low, M.D. Michael Mangan, M.D. Kenneth McAlpine, M.D. Jayan Nair, M.D. Kaushal Patel, M.D. Vatsal Patel, M.D. Timothy Paulk, M.D. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Cybelle Pfeifer, M.D. Alexander Ramirez Valderrama, M.D. Tim Ruark, M.D. Scott Sellinger, M.D. Stephen Sgan, M.D. Eliot Sieloff, M.D. Gadi Silberman, M.D. Hardeep Singh, M.D.

David Smith, M.D. Joshua Somerset, M.D. Bhavik Soni, M.D. Christopher Sundstrom, M.D. Mary Swain, M.D. Jean-Paul Tran, M.D. Ernesto Umana, M.D. David Vermess, M.D. Lucas Watkins, M.D. Graham Whitaker, M.D. Charles Yowell, M.D. Brian Zirgibel, M.D. Dentists William Baldock, D.D.S. Labon Bontrager, D.M.D. Steven Bryan, D.M.D. Walter Colón, D.M.D. William McFatter, D.D.S. Lawrence Pijut, D.M.D. Facilities Advanced Urology Institute Anesthesiology Associates Apalachee Primary Care Big Bend Oral Surgery Bond Community Health Center Bristol Dental Clinic Capital Periodontal Associates Care Point Health & Wellness Center CESC Dental Clinic Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists & Research Institute Gadsden County Health Department Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Lawrence J Pijut DMD PA Madison Medical Center Neighborhood Medical Center North Florida Nephrology Associates North Florida Women’s Care Periodontal Associates of North Florida Radiology Associates of Tallahassee Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging

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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 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 Rehabilitation Center TMH Transition Center TMH Wound Healing Center Tallahassee Orthopedic Clinic Tallahassee Outpatient Surgery Center Tallahassee Plastic Surgery Clinic Tallahassee Surgical Associates Tallahassee VA Clinic 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 September 2019 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) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!


CMS FOUNDATION: WE CARE NETWORK

We thank our referring providers from September 2019:

Ebonie Allen, APRN Katrina Ball, APRN Karen Bartley, M.D. Marie Becker, M.D. Kenara Blocker, APRN Ransey Boyd, D.M.D. Jonna Bradley, APRN Daniel Breivogel, APRN Carlos Campo, M.D. Frances Carney, APRN Lysmar Carrion-Dinguis, M.D. Gilbert Chandler, M.D. Andrew Chon, D.M.D. Melba Colon-Renta, M.D. Deborah Congdon, APRN Elizabeth Dickens, M.D. Chesley Durgin, M.D. Marlisha Edwards, M.D. Margarett Ellison, M.D. Cynthia Evans, APRN Nicholas Farber, M.D. Sharron Foster, M.D. Dale French, D.O. Anneka Gaffney, APRN Gian-Carlo Giove, M.D. Judy Griffin, APRN Hantz Hercule, M.D. John Katopodis, M.D. Sayeed Khalillullah, M.D. James Killius, M.D. Fang Sarah Ko, M.D. Elaine Larkins, APRN Michael Mangan, M.D.

Ashok Manocha, D.D.S. Kenneth McAlpine, M.D. Jennifer Miles, APRN Kelley Miller, APRN Jayan Nair, M.D. Chukwuma Okoroji, M.D. Rose Origa, APRN Paresh Patel, M.D. Jorge Perez de Armas, M.D. Cybelle Pfeifer, M.D. Stephen Quintero, M.D. Alexander Ramirez-Valderrama, M.D. Brandi Richardson, APRN Charlie Richardson, M.D. Tim Ruark, M.D. Karen Russell, M.D. Lucilita Salvador, PA Eliot Sieloff, M.D. Gadi Silberman, M.D. Hardeep Singh, M.D. Joshua Somerset, M.D. Abisoye Somorin, APRN Alanna Steaple, APRN Christopher Sundstrom, M.D. Scott Tetreault, M.D. Lacie Thompson, APRN Faye Tinson, APRN Ramona Vossler, R.D.H. Jeffrey Wasserman, D.O. Lucas Watkins, M.D. Eula Weaver, APRN Daniel Yang, M.D. Brian Zirgibel, M.D.

DURING THE MONTH OF SEPTEMBER, THE WE CARE NETWORK: RECEIVED 219 REFERRALS, WITH 136 PATIENTS NEW TO THE PROGRAM

SCHEDULED 91 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS

$503,926.76 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS

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CMS FOUNDATION

The Impact of Private Support:

Donate to the CMS Foundation We Thank Our Donors We thank the following individual donors who made a donation to the CMS Foundation this past month: Capital Medical Society Foundation – Area of Greatest Need Dr. and Mrs. Charles D. Williams – In Honor of Arjun V. Kaji, M.D. Scholarship Fund David Bellamy, M.D. – In Memory of Kenneth William Forsthoefel David Bellamy, M.D. – In Memory of Thomas Lynn Hicks, M.D. MAG Mutual Foundation, Inc. We Care Network David Bellamy, M.D. Mr. and Mrs. Ray Munroe, Sr. – In Memory of Ray Munroe, Jr.

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 $105.4 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 2018-19, which ended June 30, 2019, more than $7.4 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 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. $50,000 was awarded in 2019. ➢ 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 2019, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program, the Big Bend Hospice for bereavement services, and the 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 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) Scholarship Fund 6) The Ronald G. Pickett Endowment 7) 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.

Your gifts to the 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: Judi Wills Development Director jwills@capmed.org or (850) 877-9018 or after hours at (850) 509-2058

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to ten FSU College of Medicine students to defray the cost of their medical education

providing confidential, free wellness coaching to CMS Active and Associate members through the CMSF Physician Wellness Program

donated by 345 We Care Network volunteer physicians and dentists to 2,129 low-income, uninsured patients

____ Physician Wellness Program for Active and Associate CMS members ____ The We Care Network Endowment Fund ____ Ronald Pickett Endowment Fund

www.capmed.org

For more information or if you have any questions, please call (850) 877-9018.

Capital Medical Society Foundation 1204 Miccosukee Road Tallahassee, FL 32308

Please return this card, along with your gift payable to:

The Capital Medical Society Foundation, Inc. is a non-profit 501(c)(3) status tax-deductible organization. A copy of the official registration and financial information may be obtained by the Division of Consumer Services at www.800HELPFL.com or by calling 1-800-435-7532 within the state. Registration does not imply endorsement, approval, or recommendation by the state. The Capital Medical Society Foundation Inc.’s registration number is CH-12222.

Credit Card, Direct Debit Gifts, and Recurring Gifts may be made at: www.capmed.org/donate

___ I would like to learn more about making a pledge, a stock donation, making a gift in my will or making a life insurance gift. Please contact me at ________________________________.

___ I would like to designate my gift for: ____ Area of Greatest Need ____ The We Care Network ____ Scholarship Fund for FSU College of Medicine students ____ The CMSF General Endowment Fund

___ I would like to dedicate my gift in honor of:

___ I would like to dedicate my gift in memory of:

Enclosed is my tax-deductible gift of: $__________

I would like to make a contribution to support the mission of the Capital Medical Society Foundation

SUPPORT THE MISSION THROUGH YOUR END-OF-YEAR GIFT BY DECEMBER 31, 2019

Photo Credit: COLIN HACKLEY/FSU College of Medicine

$50,000 in Medical School Scholarships

Over $4,000 in Wellness Coaching Appointments

Over $7.4 Million in Donated Specialty Medical and Dental Care

CAPITAL MEDICAL SOCIETY FOUNDATION

Do You Know What Your 2018 Gift to the Capital Medical Society Foundation Made Possible?

CMS FOUNDATION END OF YEAR APPEAL

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CMS FOUNDATION ANNUAL REPORT: 2018-2019

CAPITAL MEDICAL SOCIETY FOUNDATION

2018-19

Annual Report

Photo credit: Colin Hackley/FSU College of Medicine

The mission of the Capital Medical Society Foundation is 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.

34 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


CMS FOUNDATION ANNUAL REPORT: 2018-2019

EXCEEDING EXPECTATIONS: A YEAR IN REVIEW Board of Directors John Mahoney, M.D., President Walt Colรณn, D.M.D., Vice President Nancy Loeffler, M.D., Secretary David Stewart, M.D., Treasurer J. Alan Cox, J.D. H. Avon Doll, M.D. Marlisha Edwards, M.D. Paula S. Fortunas Terreze Gamble, M.D. David Jones, M.D. Fred Lindsey, M.D., Emeritus Maribel U. Lockwood, M.D., CMS President Tracey Hellgren, M.D. Al McCully, M.D., Emeritus

Dear Friends and Supporters of the Capital Medical Society Foundation: As President of the Capital Medical Society Foundation, I am humbled by the dedication of the Capital Medical Society Foundation Board of Directors and the commitment of donating medical and dental providers, donors, grantors, and other advocates in ensuring that the Capital Medical Society Foundation will continue to improve access to healthcare in our four-county service area, through its support of patients, medical students, and physicians. The fabric of the Capital Medical Society Foundation intertwines with specialty and primary care medical physicians, dentists, other donating providers, medical students, patients, grantors, the FSU College of Medicine, corporate sponsors, individual donors, civic organizations, the Florida Department of Health, local governments, auction bidders, authors, board members, the Capital Medical Society Alliance, volunteers, and staff. Improving access to healthcare is a team effort. The Capital Medical Society Foundation remains true to its mission. We are honored to be able to award young medical students scholarships to reduce their increasing debt load for medical education. Listening to our awardees during their interviews, I am confident that the medical profession will be in good hands in the future. We have made local steps to address the increasing effects of physician stress and burnout by launching the Capital Medical Society Foundation Physician Wellness Program for Active and Associate members of the Capital Medical Society. We are pleased that CMS members are availing themselves of this member benefit of wellness coaching. Take care of yourself! Through the generous participation of its donating providers, over $105 million specialty medical and dental health care has been coordinated by the We Care Network. As we exceed $100 million in donated healthcare, we express our gratitude to specialty physicians, dentists, primary care physicians, healthcare partners, friends, grantors, donors, volunteers, and staff. These professionals and community investors have collectively and individually embraced and shared in our mission to improve access to healthcare through the We Care Network.

Faisal Munasifi, M.D. Brian Sheedy, M.D. Joedrecka Brown Speights, M.D. Jay Walton, D.D.S. Kenneth Wasson, M.D. Ken Whithaus, M.D., CMS PresidentElect Barbara Williams, M.D. Charles Williams, M.D., Emeritus Pam Irwin, Executive Director

Photo credit: Colin Hackley/FSU College of Medicine

The Capital Medical Society Foundation Scholarship Fund has been one of the most successful and well-respected programs, first established by the Capital Medical Society more than 32 years ago. Archived records since 1997 document CONTINUED ON NEXT PAGE

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CMS FOUNDATION ANNUAL REPORT: 2018-2019

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that the Capital Medical Society Foundation has provided over $617,489 to students in the Program in Medical Science (PIMS), the precursor to the FSU College of Medicine, University of Florida medical students, and FSU College of Medicine students. $590,000 of those scholarship dollars have been awarded to FSU College of Medicine students beginning with those in its inaugural Class of 2005. Many of those past recipients are now practicing in Tallahassee, and some serve on the Scholarship Committee. The CMS Foundation typically presents scholarships annually to first and second-year medical students at the FSU College of Medicine and 3rd and 4th-year students from its Tallahassee Regional Campus. This year, we were able to award $50,000 to ten students from the Capital Medical Society Foundation’s Scholarship Fund. Medical students with a desire to return to North Florida to practice medicine after completion of their residencies were able to breathe a little easier over their debt load. The caliber of medical students applying for scholarships each year continues to rise, as does the average national debt for a graduating medical student. Nearly two-thirds of actively practicing physicians still carry this financial burden from medical school, according to a new national survey by Weatherby Healthcare. Of those doctors, 32% had more than $250,000 in debt. The high cost of medical school loans weighs heavily on doctors for many years following graduation. One-third of respondents (34%) expected to take at least ten years to pay off their student loans. Gifts in support of the CMS Foundation Scholarship Fund are vital to providing scholarships to supplement the financial aid of those who will help meet the physician demand in the Big Bend in the future. Made possible through a generous grant from the MagMutual Foundation, Capital Medical Society physicians have been anonymously seeking wellness coaching this year from a team of contracted psychologists who are also committed to physician wellness. Most have reported having more than one symptom of burnout on their pre-coaching survey. All have said that the coaching was helpful. Capital Medical Society physicians received over $4,000 in wellness coaching. Pay it forward and support the program for your colleagues. The Capital Medical Society Foundation made a significant paradigm shift this year in its efforts to build resourcecontinuity for its mission. Under the leadership of co-chairs

36 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Paula S. Fortunas and J. Alan Cox, the CMS Foundation Development Committee, Executive Director Pam Irwin and our new Development Director Judi Wills have laid the groundwork for building resources and cultivating likeminded advocates and donors who understand the priority of access to healthcare. As we faced United Way of the Big Bend’s decision to deprioritize access to healthcare as a funding focus, we have significantly invested in the future growth of the CMS Foundation’s ability to meet the healthcare access needs of this community. We will continue to explore new projects to improve access to healthcare. We look forward to working with you to help identify those projects that will help bridge the gap in access to healthcare. We are grateful to you for your advocacy, vision, donated healthcare, and financial support.

John Mahoney, M.D. President, Capital Medical Society Foundation


CMS FOUNDATION ANNUAL REPORT: 2018-2019

We Care Network Advisory Committee H. Avon Doll, M.D., Chair Karen Bartley, M.D. Patrice Bidwell, M.D. Patrick Brown, M.D. Karen Cauley Walt Colón, D.M.D. Deborah Congdon, APRN Jeanne’ Freeman, MSW, MSP Suzanne Harrison, M.D. Allison Herring, MSW Sarah Hinson, APRN Tom Jones, P.A. John Mahoney, M.D. Mary Martin, LCSW Temple Robinson, M.D. James W. Stockwell, M.D.

We Care Network is the premier charitable endeavor of the Capital Medical Society Foundation. The We Care Network is an integral part of the healthcare delivery system in Leon, Gadsden, Jefferson, and Wakulla Counties for patients whose income falls at or below 150% of the Federal Poverty Level. Since its inception, over $105 million in donated specialty medical and specialty dental healthcare has been coordinated. Without the We Care Network, these patients’ access to appropriate specialty medical professionals is limited at best, due to the prohibitive nature of the cost of being a self-pay patient. While it is difficult to predict or quantify what would happen to these patients without the We Care Network, it is likely that significant uncompensated emergency room and hospital inpatient care is avoided. We are the only access to specialty medical care for the population we serve - the lowincome adults who fall through the cracks and have no other options for needed care.

• $7,413,228 donated specialty medical care was provided by 215 specialty physicians, imaging centers, labs, Capital Regional Medical Center, Tallahassee Memorial HealthCare, surgery centers, and durable equipment companies. • 846 patients were eligible for We Care Network services. • 2,282 patient visits were scheduled with volunteer specialty medical physicians. • 213 We Care Network physicians, 45 dentists, 6 physician assistants, and 45 APRNs have sovereign immunity (SI) protection afforded through the Volunteer Health Care Provider Program (VHCPP) with the Florida Department of Health.

Julia Weeks, M.D. Ed Zapert, D.M.D.* Pam Irwin, Executive Director Diana Bixler, Jean McCully We Care Network Program Coordinator

*Deceased

“Sometimes, we take little things like walking to the mailbox for granted, but not me. Being uninsured and having health problems has been a very humbling journey for me, and once again, I say, ‘Thank you for saving my leg and giving me the ability to walk anywhere freely.’” - We Care Network Patient

Photo credit: Matt Burke/Rowland Publishing

Low income, uninsured patients from Leon, Gadsden, Jefferson, and Wakulla Counties are thankful for the life-changing and life-saving services provided through the We Care Network.

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CMS FOUNDATION ANNUAL REPORT: 2018-2019

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We Care Dental Advisory Committee Walt Colón, D.M.D., Chair J.P. Bastien, D.M.D. Susan Byrne, D.M.D. David W. Cardman, D.M.D. Brittney Craig, D.M.D. H. Avon Doll, M.D. Michael Hartley, D.M.D. John Mahoney, M.D. Lynn McLarty, D.D.S. Lawrence Pijut, D.M.D. Stanley Sheppard, D.M.D. Erin Shiveler, D.M.D. Phillip Simon, D.M.D. Frank Swerdzewski, D.D.S. James Walton, III, D.D.S. Lawrence Weaver, D.D.S. Julia Weeks, M.D. Ed Zapert, D.M.D.* Diana Bixler, We Care Network Program Coordinator Roshanda Dorsey, We Care Network Senior Case Manager and Dental Coordinator Pam Irwin, Executive Director *Deceased

We Care Dental Network – The consequences of reduced access to dental healthcare can be damaging and costly, including preventable hospitalizations, poor overall health, disability, and premature death. Access to dental care for low-income, uninsured adults is incredibly limited for the adult population we serve. Physicians are sometimes forced to delay needed medical care, such as radiation treatments for patients with cancer until all infected teeth have been extracted. In 2018-19: • 25 dentists and periodontists volunteered in the We Care Dental Network. • $53,387 in dental care was provided by donating providers. • 291 new referrals were made to We Care Dental Network. • 78 patient visits were scheduled with volunteer dentists.

provides each new We Care Dental Network patient with a digital panoramic x-ray. These x-rays are an essential component of the program, increasing available information about the needs of each patient.

The Patient Assistance Fund – provides resources to purchase medications, assist with patient transportation costs, and to purchase medical and dental supplies related to patients’ treatment plans. In 2018-19: • $55,520 was spent providing medications, durable medical equipment, dentures, and transportation to We Care Network and We Care Dental Network patients.

• 4 Dental Clinic Days were conducted at the Leon County Health Department with an average of 6 patients seen. The Leon County Health Department also

A Quincy resident has given the Capital Medical Society Foundation permission to share her We Care Network story. Gadsden County ranks 64 out of 67 counties for health outcomes. There is no other program like the We Care Network in Gadsden County to provide donated specialty medical care to lowincome, uninsured adult residents. And so it began—the We Care Network received a genetics referral for a female patient from the TMH Center for Medical Genetics. After financial screening by a We Care Network case manager, the patient’s referral for a genetic study was accepted due to her personal and family history of breast cancer. Dr. Laura Martin at the TMH Center for Medical Genetics and Jessie Furlow Medical Center referred the patient to an oncologist for follow-up evaluation of a 2017 right-side mastectomy completed when the patient was insured by Capital Health Plan. As is often the case with We Care Network patients, multiple diagnoses were impacting her health. In addition to a breast cancer diagnosis, the patient also has lupus. The patient was referred to a dermatologist for active symptoms. The patient was seen by Dr. George Cohen at Dermatology Associates of Tallahassee, where she was treated for alopecia, a side effect of her lupus. Simultaneously, the patient started chemotherapy with Dr. Jorge Perez De Armas with TMHPP Cancer and Hematology Specialists. Gadsden 38 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

County We Care Network Case Manager Abby Edwards coordinated the scheduling of her treatment. Patient assistance for durable medical support, prescriptions, and transportation is another part of the We Care Network’s commitment to patients and the completion of their treatment plans. The patient was prescribed and provided custom compression sleeves and gloves by the We Care Network to assist with circulatory issues from the lymphedema. She was fitted for post-mastectomy bras as well. The patient is in remission at this time. She is no longer eligible for We Care Network because of recent Medicaid eligibility. The donated healthcare she received through the We Care Network dramatically improved her health and well-being. From October 2018 through July 2019, the patient received $27,672 worth of donated care, and $1,086 in patient assistance, including mastectomy bras, gas cards for appointments, prescriptions from specialists, and custom compression sleeves. This patient, like so many others, has always expressed gratitude to the We Care Network for the assistance she received. This is just one patient’s story. There are many others. We appreciate her allowing us to share her story with you. With gratitude, we thank those who have provided her healthcare through the We Care Network. Well done!


CMS FOUNDATION ANNUAL REPORT: 2018-2019

Scholarship Committee Frank Walker, M.D., Chair Jonathan Appelbaum, M.D. Mark Applegate, M.D. Mark Cannella, M.D. Erin Carlquist, M.D. Larry L. Harper, M.D. Myra Hurt, Ph.D.

Florida State University College of Medicine Scholarships totaling $50,000 were awarded to ten medical students from funds raised in 2018. The main criteria in scholarship consideration were financial need, a geographic connection to North Florida, other factors suggesting an interest in the mission of the Capital Medical Society Foundation, and the medical students’ interest in returning to practice medicine in North Florida upon completion of their residencies. 2019 scholarship recipients were:

Blaire Cote..................................... Class of Laura Ann Marie Davis...................... Class of Shelby De Cardenas.......................... Class of Chase Forehand............................... Class of Jacqueline Hanners........................... Class of Laken Johnson................................. Class of Samantha Mahon............................. Class of Caneisaya Matthews ......................... Class of Christopher Pope.............................. Class of Lauryn Reid.................................... Class of

2022 2021 2022 2023 2021 2022 2020 2023 2022 2023

David Jones, M.D. John Mahoney, M.D. David Miles, M.D. Sandeep Rahangdale, M.D. David T. Stewart, M.D. George R. Whiddon, M.D.

Photo credit: Colin Hackley/FSU College of Medicine

“I am unbelievably honored and grateful for your decision to award me a scholarship. The money you raise for this scholarship means so much to me, and the many medical students whose lives you have touched.” - Medical Student, FSU College of Medicine

“I cannot thank you all enough for making this scholarship possible. With this scholarship, I can pay for a year’s worth of car and health insurance, in addition to setting aside some funds for STEP 2 test prep and the test itself.” - Medical Student, FSU College of Medicine

“I am writing to express my sincere gratitude for awarding me the 2019 Capital Medical Society Foundation scholarship. I was very humbled to learn that I was selected as a recipient of an award that seeks to support passionate physicians with goals of returning to the community. I am a 4th year medical student who is currently applying to Emergency Medicine residency programs across the Southeast. I am planning to attend residency close to Tallahassee in the hopes of returning to the Big Bend to practice. This fall, as I travel for residency interviews, I will be met with a multitude of expenses. Thanks to your thoughtful scholarship, your support will help with these travel expenses and put me one step closer to reaching my goals of becoming an Emergency Medicine physician. By awarding me the CMS Foundation scholarship, you have lightened my financial burden of the application fees, travel, and board exam expenses associated with this busy season of medical school. Your generosity is extremely appreciated and I hope one day to be able to return to the Big Bend and support students in a similar situation.” - Medical Student, FSU College of Medicine “Thank you so much. I am so honored. Receiving this scholarship is a blessing, and I am very thankful.” - Medical Student, FSU College of Medicine

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CMS FOUNDATION ANNUAL REPORT: 2018-2019

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$1,000 Robin McDougall Access to Care Award was presented to Florida State University College of Medicine’s Stefano A. Leitner, M.D. The Access to Care Award is presented to 4th-year medical students with a “strong interest in providing access to health care for underserved populations.” The award is given in honor of former We Care Network Program Coordinator, Robin McDougall. Karen Myers, APRN, presented the award with the following recognition comments on May 17, 2019:

Ft Pierce campus in several service projects. He also returned to Maryland Oaks after Match Day. One of the nominators said it best: ‘I can think of no other student more genuinely interested in providing access to care for everyone than Stefano Leitner.’” Dr. Leitner exemplifies our future, a young physician who has demonstrated and will hopefully take an on-going interest in increasing access to medical care for the underserved. We wish him the best in his residency in MedicinePrimary at George Washington University School of Medicine and Health Sciences in Washington, D.C.

“Within FSUCares, the student service organization here at FSU College of Medicine is the Chapman Community Health Program (CCHP) sponsored by the Chapman Foundation. This student-run community outreach adopted a transitional housing community in Tallahassee called Maryland Oaks. Our recipient has been extremely involved with this community project since its infancy. During his time at the main campus, he held many positions within CCHP: • Chairman • Community Resource Liaison • Senior Advisor He worked hard outside of these elected roles as he piloted an exercise program; established a children’s tutoring program; established a service partnership with FSU’s USSTRIDE program to coordinate food distribution at Maryland Oaks, completed the steps necessary to have speedbumps installed by the City of Tallahassee to increase safety for the residents at Maryland Oaks; established a nutrition education program between the Tallahassee Memorial Hospital TMH FOR LIFE Health Pictured l-r: Diana Bixler, Stefano Leitner, and Karen Myers, and Wellness program and the community APRN. Photo courtesy of Bill Lax/FSU Photo Services. members of Maryland Oaks to improve their ability to read nutrition labels and purchase healthy foods on a budget. Remember, this was all done during his first two years in medical school. When he left for his medical school regional campus, he felt ‘lost’ and joined his peers at the 40 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION


CMS FOUNDATION ANNUAL REPORT: 2018-2019

Grants totaling $10,000 were awarded to improve access to health care. From donations received in 2018-19:

Funding the mission would not be possible without the collaborative support of our grantors, donors, foundations, corporate and private donors, the Capital Medical Society Alliance, local businesses and individuals who donated items, and corporate sponsorships to the 2018 Holiday Auction. We appreciate grants received in 2018-19 from: Capital Health Plan CareNet

$4,000 to the Big Bend Hospice to provide services to support staff salaries for its bereavement programs.

City of Tallahassee Community Human Services Partnership Florida Association of Free and Charitable Clinics Gadsden County Health Department Jefferson County Commission Jefferson County Health Department Leon County Health Department The Charles A. Frueauff Foundation

$4,000 to the Elder Care Services, Inc. to provide services for 20 at-risk seniors and their caregivers to help them remain at home and as independent as possible.

The Perkins Charitable Foundation The SunTrust Foundation The Tallahassee Rotary Club United Way of the Big Bend United Way-Rural Counties Wakulla County Commission Wakulla County Health Department

$2,000 to the Lighthouse of the Big Bend to purchase aids related to medical care for clients with vision loss. CONTINUED ON NEXT PAGE

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CMS FOUNDATION ANNUAL REPORT: 2018-2019

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Holiday Auction Steering Committee Scott Sellinger, M.D., Chair Shannon Boyle Jana Bures-Forsthoefel, M.D. Rosalie Carlin Tracey Hellgren, M.D. Pam Irwin David Jones, M.D. John Mahoney, M.D. David Miles, M.D. Tony Weaver, M.D. Barbara Williams, M.D.

CMS Alliance Auction Committee Shannon Boyle Pam Irwin Amy Pagano Gillian Stewart Missy Whiddon Carol Winchester

Auction Decorating Committee Valerie Draper Cay Ford Tami Franklin

The CMSF Holiday Auction is the signature fundraising event of the Capital Medical Society physician community to fund the operational expenses, programs, and initiatives of the Capital Medical Society Foundation. The support of the medical, dental, and business communities, hard-working staff, and the many volunteers and auction participants enable CMSF to fund the We Care Network, provide scholarships to medical students, and grants to programs that improve access to healthcare. • The 2018 event raised $80,290 to support the mission of the Capital Medical Society Foundation. • Local businesses and medical practices provided over $57,000 in sponsorships. 2018 scholarship recipients and medical students volunteered in gratitude for the support they received from funds raised during the event: Mitchell Darnell, Koleton Forehand, Jeffrey Johnson, Julianna Kacheris, Marvin “A.J.” Rhodes, and Caitlin Tweedie.

Sarah Ho Amy Pagano Mara Rumana Kathleen Smith Jane Snyder Gillian Stewart

42 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Building for the future continues due to the generosity of donors and foundations - FY 2018-19: Beginning Balance

Ending Balance

CMSF Endowment

$395,758

$426,332

We Care Network Endowment

$349,833

$375,435

Ronald G. Pickett Scholarship Endowment

$72,670

$82,939

$87,515

$82,939

FUND ENDOWED

UNENDOWED

CMSF Scholarship Fund

Financial Report Balance Sheet as of June 30, 2019 Cash and Investments General Endowment We Care Endowment Scholarship Fund Accounts Receivable Prepaid and Other Assets Building and Equipment Total Assets

500,188 426,332 375,435 82,939 124,121 19,274 155,545 $1,683,835

Accounts Payable & Accrued Expenses 29,657 Net Assets 1,654,177 Total Liabilities & Net Assets $1,683,835 Income Statement as of June 30, 2019 Donations Grants Auction Rental and Other Income Total Income Expense Dollar Salaries and Benefits Supplies & Other Expenses Professional Fees Total Operational Costs

61,158 467,679 125,733 104,059 $758,629 358,361 123,734 48,435 $530,530

Auction Expense Donations/Recognition/Scholarships Patient Assistance Fund Expense Other Expenses

44,925 53,657 47,585 $146,166

Total Operational & Other Expenses

$676,696


CMS FOUNDATION ANNUAL REPORT: 2018-2019

Physician Wellness Committee Faisal Munasifi, M.D., Chair Nicole Balmer, M.D. Alma Littles, M.D. Maribel Lockwood, M.D. John Mahoney, M.D. Julia Weeks, M.D.

EXECUTIVE DIRECTOR’S MESSAGE Greetings from the Capital Medical Society Foundation! This year, under the direction of the CMS Foundation Board and Development Committee co-chairs Paula S. Fortunas and J. Alan Cox, and their dedicated committee members including Walt Colón, D.M.D., Nancy Loeffler, M.D., John Mahoney, M.D., and David Stewart, M.D., landmark strides have been made to ensuring mission sustainability. With the hiring of Judi Wills as its Development Director and acquiring and implementing nationally-recognized donor database software, the CMS Foundation is equipped to build financial resources in support of its mission and to explore other innovative projects that will improve access to healthcare in this four-county community. The CMS Foundation has taken the steps necessary to become less grant-dependent as more demands are placed on shrinking grant-funding resources and long-term partners like United Way of the Big Bend shift their priorities from improving access to healthcare.

Your partnership with the Capital Medical Society Foundation is mission-critical. This annual report is a snapshot of the impact financial gifts and grants and donated specialty medical and specialty dental healthcare have had this past year. Without those precious resources available, the burden of medical school debt and the weight of complex diagnoses for low-income, uninsured residents of this community would be daunting. You are the partners that enable the Capital Medical Society Foundation to stay mission-focused. The Capital Medical Society Foundation’s performance is rooted in the vision of its Board of Directors, the dedication of its committees, the quality of its staff, but equally important, the generosity of its donors. As partners, Capital Medical Society Foundation is also committed to its greatest asset, its physicians. Not only has it made free, confidential wellness coaching sessions available to practicing physicians, but it is also providing scholarships to the next generation of physicians. Under the leadership of a committed Board that has historical perspective and focus on its mission, 2018-19 has been a year of transition as we honed our business model in preparation for the increasing need for improved access to healthcare and to help build a pipeline of physicians to serve our community in the future. The Capital Medical Society Foundation advances the charitable endeavors of the physicians in this community through its commitment to awarding scholarships for medical education locally. Each year, the pool of applicants consistently has financial need but also has a clear the commitment to practice of medicine often stemming from personal family experiences. They are excited about their future in medicine, but also are recognizing early the stresses facing physicians in the workplace through their rotations in the local medical community. The CMS Foundation’s Board is focusing on increasing its commitment to scholarships to provide as much support as possible to this next generation of physicians. They solicit your support as well in their effort to grow the Scholarship Fund through personal donations, practice support, and Holiday Auction involvement. Over $4,000 in physician wellness coaching has been made possible through the Capital Medical Society Foundation’s Physician Wellness Program. The program enables physicians to schedule wellness coaching

sessions with a Ph.D.-level psychologist to assist them in strategies to help with the symptoms of burnout. This program offers six, confidential wellness coaching sessions a year for Active and Associate CMS, as funding permits. There are minimal notes taken, and no names of those seeking coaching services are accessible by Capital Medical Society’s or CMS Foundation’s staff or boards, or by physicians’ employers. The program is supported by gifts and grants. The Capital Medical Society website provides other resources for you to review that might also provide you with tools to improve your wellbeing. According to Medscape’s National Physician Burnout, Depression & Suicide Report 2019, “44% of physicians reported feeling burned out; 11% were colloquially depressed, and 4% were clinically depressed.” Please avail yourself of this membership benefit. Over $105 million in healthcare services have been provided by generations of generous, donating physicians, dentists, and partners of the We Care Network. This total value of services does not include services donated by primary care physicians to their patient. Without the ongoing commitment of those providing healthcare through the We Care Network, these low-income, uninsured adult patients would have nowhere to turn, for often lifesaving treatment. Although the need for donated care never wanes, some specialties continue to be hard to access for patients. Neurology, neurosurgery, podiatry, and the continued availability of low-cost dentures remains a challenge. For each of you who is a donating provider, thank you. You are making a difference, one patient at a time. Thank you for your commitment to access to healthcare, your gifts, your donated services, and advocacy for your patients. We look forward to another great year! I look forward to seeing you on December 5th at the 2019 CMS Foundation Holiday Auction! With gratitude,

Pam Irwin Executive Director, Capital Medical Society Foundation

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

43


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