Cap Scan - December 2020 by Capital Medical Society

DECEMBER EDITION, VOLUME 2020, NO. 12

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To our members and their families, our sponsors, and our friendsâ€¦

Happy Holidays from the Capital Medical Society and the Capital Medical Society Foundation Staff Mali

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CAPITAL MEDICAL SOCIETY 2020 MEETINGS CALENDAR November 24 - December 5, 2020 Virtual CMS Foundation Holiday Auction Bidding opens on Tuesday, November 24, 2020 at 12:00 pm; Bidding ends on Saturday, December 5, 2020 at 6:00 pm

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ory

BOARD OF GOVERNORS Ken Whithaus, 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

Rohan Joseph, M.D., President-Elect Paresh Patel, M.D., Secretary/Treasurer Maribel U. Lockwood, M.D., Immediate Past President

Professional Notes.........................................................................3 CMS News....................................................................................... 4 Florida Medical License Update.................................................6 CMS Virtual Lunchtime Learning Seminars.............................7 Thank You to the 2020 Sponsors and Displayers..................9 CMS Prepares for 2021...............................................................10 Portraits in COVID-19................................................................... 11 Viewpoint....................................................................................... 12 AMA Updates................................................................................ 13 Bond Community Health Center.............................................. 16 Simpler Times............................................................................... 18 Healthcare for All Week............................................................. 19 CMS Foundation End of Year Appeal.................................... 20 Donate to the CMS Foundation................................................ 21 CMS Foundation: We Care Network...................................... 22

Nicole Balmer, M.D. David Burns, M.D. Sybil Holt, CMS Alliance

HAPPY BIRTHDAY!

Sarah Ko, M.D. Amulya Konda, M.D.

{DECEMBER BIRTHDAYS}

Matt Lee, M.D. Nancy Loeffler, M.D. Helen Paulson, M.D. Cody VanLandingham, M.D. Julia Weeks, M.D. Pam Irwin, Executive Director, CMS Family Medicine Residents Mary Claire Smallwood, M.D. General Surgery Residents Hamzah Mansoura, M.D./SchMiyah Smith, M.D.

PUBLICATION EDITOR Frank Skilling, M.D.

MANAGING EDITOR Shannon Boyle

GRAPHIC DESIGN Gandy Printers

EDITOR EMERITUS Charles E. Moore, M.D.

ARE YOU INTERESTED IN WRITING AN ARTICLE FOR CAP SCAN?

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

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

Stephen Duncan, M.D. – 1st Terry Sherraden, M.D. – 1st Chaowen Chen, M.D. – 2nd J. Orson Smith, Jr., M.D. – 3rd Dorothy White, M.D. – 3rd C. William Applegate, M.D. – 5th Jared S. Barber, M.D. – 5th Walter Colón, D.M.D. – 5th Jeffrey Kirk, M.D. – 5th Anthony Otekeiwebia, M.D. – 5th Zelibeth Arocho, M.D. – 6th Jonathan Appelbaum, M.D. – 8th Arjun Kaji, M.D. – 8th Joshua Somerset, M.D. – 9th Larry Taylor, M.D. – 9th Fabiola C. Cardozo, M.D. – 10th Charles Kent, M.D. – 11th Thomas Lawrence, M.D. – 11th Jorge V. Perez De Armas, M.D. – 12th Paul Katz, M.D. – 13th W. Brad Stephens, M.D. – 13th Trey Blake, M.D. – 14th

Julie Kelch, M.D. – 14th Milagros Pescador, M.D. – 15th Ava Voss, M.D. – 15th Gary Winchester, M.D. – 15th Jenifer Brickler, M.D. – 16th Cristina Rodriguez, M.D. – 18th Arthur Clements, M.D. – 20th Cynthia Tie, M.D. – 20th David Jones, M.D. – 21st Amy Haddock, M.D. – 22nd Abel Romero-Corral, M.D. – 23rd Dale Wickstrum, M.D. – 23rd Isaac Moore, M.D. – 25th Mary Claire Smallwood, M.D. – 26th Efren Baltazar, M.D. – 28th Michelle Miller, M.D. – 28th Robert Watson, M.D. – 28th Daniel Bernabe, M.D. – 29th Tim Broeseker, M.D. – 31st Matthew Lee, M.D. – 31st Edwin Perry, M.D. – 31st Gregory Todd, M.D. – 31st

HAPPY BIRTHDAY! WE ARE SO GLAD YOU WERE BORN!

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DID WE MISS YOUR BIRTHDAY? IF SO, PLEASE EMAIL ROSALIE CARLIN AT RCARLIN@CAPMED.ORG!

PROFESSIONAL NOTES

PROFESSIONAL NOTES HIE Networks, a leading provider of health information exchange services, has been named a 2020 Top 10 Workflow Solution Provider by CIO Applications. The independent technology magazine, which specializes in enterprise solutions, recognized 10 companies that are at the forefront of providing workflow solutions that positively impact the marketplace. “Our innovative and robust suite of communication tools helps facilitate the exchange of health information in order to streamline and improve the effectiveness of workflow and health care delivery,” said Sandy Phillips, CIO of HIE Networks. “We’re honored to be recognized for our proprietary suite of technology products and solutions, which includes a cloud-based health care communications system that is 100% HIPAA/HITECH-compliant and secure. We believe this provides a better way than the traditional fax for health care providers to share medical records, and it’s gratifying that CIO Applications agrees.” HIE Networks’ innovative, interoperable health information exchange expands access and connectivity within the continuum of health care services. CIO Applications’ esteemed recognition highlights HIE Network’s trusted and secure workflow solutions and health care delivery efficiency. HIE Networks has had a strong footprint in Florida markets for over a decade and continues to grow its medical service areas throughout Florida and nationwide. The company recently joined the national eHealth Exchange, the oldest and largest nationwide health information network connecting the public and private sectors. 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.

WELCOME Kiana Taba, MD Rheumatology

Medical School: Northwestern University Feinberg School of Medicine, Chicago, IL Residency: West Virginia University, Morgantown, WV Fellowship: University of Southern California, Los Angeles, CA Board Certified: Rheumatology

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CMS NEWS

NEW DOCS ON THE BLOCK

THE CAPITAL MEDICAL SOCIETY TAKES LEAD IN PUBLIC SERVICE ANNOUNCEMENT Ira Wayne Freilich, M.D. Medical School: Jefferson Medical College Internship: University of Pittsburgh Medical Center Residency: Wayne State University; Ohio State University Practice: Dermatology Specialists of Florida Specialty: Dermatology

CAPDDCad.indd SCAN - 1A CAPITAL MEDICAL SOCIETY PUBLICATION

The Capital Medical Society partners with local hospitals and physicians to encourage patients to seek needed healthcare through the Public Service Announcement, "Don't Put It Off!" To view the “Don’t Put It Off!” PSA, visit: https://drive.google.com/file/d/1f32WFxsO 33ot__1FsfCn0LIdfKQpGWBs/view.

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Hettie Spooner (850)509-4337 Lindsay Elliott (850)545-2463 Calynne Hill (850)545-6140 1390 Timberlane Road Tallahassee, Florida 32312

HILLSPOONER.COM CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

FLORIDA MEDICAL LICENSE UPDATE

CMS MEMBERS: ARE YOU RETIRING? If you are planning to retire, please be sure to contact Rosalie Carlin at the Capital Medical Society office - (850) 877-9018 or rcarlin@capmed.org. As a Retired CMS Member, your membership dues change to: Retired - $150.00 with meals (includes dinner at CME meetings) or Retired - $50.00 without meals (you are billed for dinner if you attend a CME meeting). It is your choice. Do you plan to change the status of your Florida Medical License to Retired? Visit this link: https://flboardofmedicine.gov/help-center/how-doi-change-the-status-of-my-license-to-retired/, or search online for: Florida Board of Medicine How do I change the status of my license to retired? You must formally request Retired status with the Board of Medicine (BOM) for your medical licensure and pay a fee rather than just not renewing. The penalty for being late in requesting a Retired status change with the BOM can be $515.00. Remember to let CMS know of your change in status.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS VIRTUAL LUNCHTIME LEARNING SEMINARS

CAPITAL MEDICAL SOCIETY VIRTUAL LUNCHTIME LEARNING SEMINARS On October 21st, Bert Mitchell gave an excellent program on internal customer service.

We thank TMH Federal Credit Union for sponsoring the October 21st Virtual Lunchtime Learning Seminar. Liz Thiele attended as a representative from TMH Federal Credit Union (https://www.tmhfcu.org/).

Stay tuned for information on the Spring 2021 Lunchtime Learning Seminars!

WELCOME Allison Moltisanti, PhD Neuropsychology

Internship: Harry S. Truman Memorial Veteran’s Hospital, Columbia, MO Fellowship: University of Kansas School of Medicine, Lawrence, KS Board Certified: Psychology

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THANK YOU TO THE 2020 SPONSORS AND DISPLAYERS

We thank the following people, businesses, and organizations for sponsoring or displaying at CMS Meetings/Events in 2020:

Audiology Associates of North Florida Betsy Barfield Photography CAMPUS USA Credit Union Capital City Bank Capital Health Plan Capital Regional Medical Center Dermatology Associates of Tallahassee Florida Medical Association Florida State University College of Medicine Hancock Whitney Keane Insurance Group KWB Pathology Associates MagMutual NeoGenomics Laboratory Novo Nordisk, Inc. Radiology Associates Southern Medical Group Stearns Weaver Miller, PA Summit Group-Ron Brafford, Broker SunTrust Private Wealth and SunTrust Mortgage SunTrust Private Wealth Management Tallahassee Ear, Nose, and Throat, P.A. Tallahassee Memorial HealthCare Tallahassee Primary Care Associates Tallahassee Research Institute TMH Federal Credit Union

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS PREPARES FOR 2021

PREPARING FOR 2021 The Board of Governors met in September to review the Strategic Goals of the medical society over the past year and to develop goals for 2021. One of our major goals is to continue to help better connect the medical community. If you are interested in serving on one of the following committees or service opportunities, please get in touch with Pam Irwin at pirwin@capmed.org. EDUCATE • CME Committee - to supervise the selection and review of all CMEs offered, as well as selection of other educational programs that would benefit the membership. ENGAGE • Membership Committee - to investigate applicants for membership as indicated by Chapter 1 of the CMS Bylaws and make appropriate recommendations to the Society. • Social Events Committee - to plan events that will help bind the medical community and their families to strengthen relationships and communication for the ultimate benefit of the patient. LEAD • Physician Leadership Committee - promote physician leadership and engagement in a 10 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

variety of settings. This includes physicians employed by physicians employed by hospitals, health systems, health plans, and government; physicians in private practice and small group setting and physicians; residents, and medical students in academic and medical education programs. ADVOCATE • Legislative Resource Committee - educate and inform CMS physicians, policy makers and the public on issues the public’s health, patient care, and the practice of medicine. SERVE • We Care Network - participate as a donating specialty medical provider in the We Care Network. • Scholarship Committee - award scholarships to FSU College of Medicine students who have expressed an interest in returning to the Big Bend to practice medicine upon completion of their residencies. • Physician Wellness Committee - collaborate with community partners to enhance physician wellness.

PORTRAITS IN COVID-19

CAP SCAN SERIES: "PORTRAITS IN COVID-19" – PLEASE SHARE YOUR EXPERIENCE

Capital Medical Society is accepting stories for its Cap Scan magazine from CMS and CMSA members as part of an occasional series called “Portraits in COVID-19,” to capture the changes happening in healthcare and our personal lives due to COVID-19 as experienced by physicians and laypeople. These stories can be about your experiences treating COVID-positive patients, supporting

patients and coping with families during “no visitation,” entering the world of telehealth, concerns about PPE shortages, distancing from your own families, family celebrations by social distancing, newfound time with family, newbie ZOOM meeting experiences worthy of an SNL skit, staycations extraordinaire, or schooling from home. You get the idea. Please try to stay within 800 words, include a photo if it makes sense, and be mindful of HIPAA, if writing about a patient experience. Please send by email to Shannon Boyle at sboyle@capmed.org. All submissions are reviewed by the Cap Scan editor prior to publication.

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VIEWPOINT

BLUE BLOOD By Pam Irwin, CMS Executive Director According to Webster's dictionary, a blue blood is an aristocrat. “Blue bloods come from privilege, noble families that are wealthy and powerful.” During my last visit to Cumberland Island in search of wild horses and magnificent horseshoe crabs on the beach, I read about an entirely different meaning of “blue blood” and its significance, especially during the COVID-19 pandemic. Not only was I rewarded with sightings of twelve horses, but also I found several horseshoe crabs along the beach. Some had washed ashore and missed their return to the ocean. Others had molted as part of the growth cycle. A crab can be up to 25% larger after molting, and Cumberland Island's arthropods tend to be very large. But, I digress. Each year, more than 400,000 horseshoe crabs are bled for a substance found in their blood. Horseshoe crabs are captured, cleaned of their barnacles, and stuck with stainless steel needles to draw their blood. Horseshoe crab blood runs blue and opaque, like antifreeze mixed with milk. Horseshoe crabs' blood, quite literally, saves millions of human lives. Horseshoe crabs use hemocyanin to carry oxygen through their blood. Because of the copper present in hemocyanin, their blood is a beautiful shade of cornflower blue. More importantly, this crab blood is a resource to the medical field because of its ability to detect bacterial contamination in minute quantities. In the simplest terms, the blood contains a special amebocyte that is separated and then used in FDA testing and other applications. It is used to test for contamination during the manufacture of anything that might go inside the human body: every shot, every IV drip, and every implanted medical device. Did I mention COVID-19 vaccines? LAL, which stands for limulus amebocyte lysate, is the test used to determine bacterial contamination. Limulus refers to Limulus polyphemus, the species of horseshoe crab native to the Atlantic coast of North America. Amebocyte refers to cells in the crab's blood. Lysate is the material freed from the cells once they have been 12

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

“lysed” or broken. This material is the component sensitive to bacterial toxins. The first person to figure this out was a pathologist named Frederik Bang in the 1950s. Before his discovery, the standard way to test for bacterial toxins was to inject a sample into a rabbit and check the rabbit every 30 minutes for three hours for signs of fever, which would suggest bacterial contamination. Without the ability to check for bacterial toxins, doctors were finding their patients given sterile shots coming down with “injection fever,” or in the worst cases, the patients were exposed to toxins that caused septic shock and even death. For decades, horseshoe crabs have played a role in vaccine development. Now, researchers are looking at how they can help with the COVID vaccine. Lab testing of the new vaccines is underway using the blood of the horseshoe crab. “Without LAL, you aren't going to be able to produce the billions of inoculations that are going to have to come about to handle this pandemic,” says John Tanacredi, the director of Environmental Research and Coastal Oceans Monitoring lab at Molloy College. Horseshoe crab blood harvesting will not occur without consequences or controversy. Although horseshoe crabs are not intentionally killed during the “bleeding,” up to 15% of crabs die during the process. Many don't survive after the draining 30% of their blood and removing them for three days from the ocean. Many of the survivors do not spawn again. Environmentalists are concerned about risks to the horseshoe population and the threat to migratory birds that depend on the crabs' eggs for food. Dr. Larry Niles, a wildlife biologist, says, “A synthetic alternative to horseshoe crab blood called Recombinant Factor C, or RFC, is already being used by pharmaceutical companies in Europe. For some reason, the U.S. pharmacopeia has placed so much restriction on RFC that it's going to take years to get it approved.” So, if you see a horseshoe crab marooned on its back the next time you walk the beach, flip it over and leave it alone. Consider just how vital this arthropod is to patient safety. Perhaps, spare a moment to contemplate the magnificence of the blue-blooded Horseshoe Crab.

AMA UPDATES

AMA’S SURVEY RESULTS – IMPACT OF THE COVID-19 PANDEMIC ON PHYSICIAN PRACTICES In July and August, the AMA conducted a nationwide on-line survey of 3,500 physicians to better quantify the impact of the COVID-19 pandemic on physician practices. The results below present summary findings of that effort on issues such as income, use of telemedicine, availability and cost of personal protective equipment (PPE), and usefulness of the various federal financial relief programs available to physicians.

revenue stream did not completely offset the decline in in-office visits. • Spending on PPE is up, with physicianowned practices having the most difficult time acquiring these supplies. • Most physicians who applied for federal relief funds were successful and found it helpful. Check the following pages for in-depth results. _____

Key findings: • 81% of physicians said that their income this summer was still lower than it was in February, before the pandemic began to escalate. The average revenue drop was 32%.

Reprinted with permission by the American Medical Association

• The use of telehealth expanded significantly with eased coverage restrictions, although this CONTINUED ON NEXT PAGE

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Serving Tallahassee and surrounding counties since 1975. 2617 Mitcham Drive, Suite 102, Tallahassee, FL 32308 (850) 878-1171 • (850) 942-1291 fax • nfnephrology.com CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

AMA UPDATES

COVID-19 PHYSICIAN PRACTICE FINANCIAL IMPACT SURVEY RESULTS

The economic impact of COVID-19 on health care continues to reveal itself through reductions in patient volume and revenue and in higher practice costs. As the pandemic stretches on, physician practice viability remains under threat. The following graphics, which represent the results of an AMA nationwide physician survey, illustrate the precarious trends and realities physicians now face.

81% of physicians surveyed in July and August said revenue was still lower than pre-pandemic.

Average drop in revenue: 32%

15%

19%

Decrease of at least 75%

29%

32%

Decrease of 50–74%

15%

Decrease of 25–49%

32%

Decrease of less than 25% 29% 19%

Same or higher

Even with eased telehealth coverage restrictions, telehealth services did not offset reduced in-person patient visits. 81% of physicians were still providing fewer in-person visits when surveyed than pre-pandemic.

At the height of use, weekly telehealth visits were almost five times higher than pre-pandemic.

100%

22%

Decrease of at least 75%

15%

Decrease of 50–74%

22%

Decrease of 25–49%

22%

Decrease of less than 25%

7% 12%

Same More

Average in-person visits fell from 95 to 57 per week.

Percentage of physicians with any telehealth visits

Typical week pre-pandemic

“Height” of telehealth

Survey week

20%

77%

68%

Despite the telehealth increase, almost 70% of physicians were still providing fewer total visits (in-person + telehealth) at the time of the survey than pre-pandemic. 100%

Average number of weekly telehealth visits

Physicians who provided telehealth pre-pandemic

Physicians who did not provide telehealth pre-pandemic

All physicians

16 0%

At the time of the survey, weekly telehealth visits were still almost three times higher than pre-pandemic levels.

10%

Decrease of at least 75%

11%

Decrease of 50–74%

21%

Decrease of 25–49%

27%

Decrease of less than 25%

17%

Same

15%

Average total visits fell from 101 to 72 per week.

Reprinted with permission by the American Medical Association 14 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

AMA UPDATES

A significant expense: New safety practices require use of more PPE. Personal protective equipment (PPE)supplies remain difficult to acquire—especially for smaller practices that lack purchasing power or vendor relationships to compete with larger health systems in the marketplace. 64% of practice owners said that spending on PPE was up from pre-pandemic. Average increase in PPE spending was 57%. 25%

25% 20

All practice types 19% 15%

36%

1-5 physician practices 13%

12%

41%

14%

50+ physician practices

10 5

36% of physicians said that acquiring PPE was very or extremely difficult. Difficulties were more acute for smaller practices and those that were physician-owned.

30%

Physician-owned practices 2% Don’t Decrease know

43%

Hospital/health system owned practices 25% Same

1–25% 25–49% 50–74% Increase of Increase Increase Increase at least 75%

10 20 30 40 % of physicians who said very or extremely difficult

50%

Federal financial relief early in the pandemic was helpful and appreciated but… The core revenue issues these programs were intended to address remain. CARES Act

Medicare Accelerated and Advance Payment Program

SBA Paycheck Protection Program

Very helpful 29%

Very helpful 31%

Very helpful 26%

Somewhat helpful 18%

Somewhat helpful 24%

Somewhat helpful 12%

Not helpful at all 1%

Not helpful at all 5%

Not helpful at all less than 1%

Extremely helpful 51%

Extremely helpful 40%

Extremely helpful 62%

The vast majority of practice owners said federal financial assistance programs were very or extremely helpful.

It is clear the COVID-19 pandemic continues to have a negative impact on physician practices, both in terms of decreased revenue and increased costs. While initial federal financial relief programs were helpful to practices that applied, it appears the road to recovery, particularly for smaller physician-owned practices, remains difficult and more economic relief is needed. SURVEY METHODOLOGY

WHAT DID WE ASK

• Forty question web-based survey (administered from mid-July through end of August 2020). • Sample of 3,500 physicians selected from the ISO-certified M3 Global Research panel. • Sample drawn to match physician population by age, gender, specialty, and census division. • Surveyed physicians met following criteria: provided at least 20 hours of patient care per week prior to the pandemic, were working in one of the 50 states or the District of Columbia, were not employed by the federal government, and had completed residency. • In some cases, percentages shown do not sum to 100% due to rounding.

• The findings presented here focus on the impact of the COVID-19 pandemic on patient visits, and on practice revenue and spending on PPE as well as the helpfulness of federal financial assistance programs to combat those impacts. • Physicians were asked about total patient visits and telehealth patient visits. The number of total patient visits and telehealth patient visits were captured for a typical week in February (pre-pandemic) and for the week prior to the survey. Physicians were also asked about the number of weekly telehealth visits in the month (February-June) in which telehealth use was at its height. In-person visits are the difference between total and telehealth visits. • We asked physicians for the percentage change in practice revenue and in spending on PPE between February (pre-pandemic) and the time of the survey.

Reprinted with permission by the American Medical Association CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

BOND COMMUNITY HEALTH CENTER

BOND COMMUNITY HEALTH CENTER ENROLLS FIRST FLORIDA PATIENT IN NATIONAL STUDY TO EVALUATE BLOOD THINNERS AS COVID-19 TREATMENT Bond Community Health Center (CHC) in Tallahassee is the first site in Florida to enroll patients in a national study to see if blood thinners can help prevent life-threatening blood clots from forming in people who have tested positive for COVID-19. “We are honored to be one of the first clinics in Florida to begin this study,” Dr. Robinson, CEO of Bond CHC says, “COVID-19 continues to impact our community, and Bond was proud to have been a leader in testing for the virus, and even prouder to be a leader in finding treatment options for those impacted.” According to the National Heart, Lung and Blood Institute (NHLBI), which is overseeing the study, researchers have found that many patients who died from COVID-19 had formed blood clots throughout their bodies. Blood clots that form in the blood vessels can travel through the bloodstream to other parts of the body and trigger heart attacks, strokes, pulmonary embolisms (blood clots in the lungs) and other life-threatening problems. Blood thinners help prevent blood clots from forming. These drugs have been used for many years to help prevent heart attacks and strokes in older adults who have been diagnosed with heart and blood vessel diseases. Doctors don’t know yet if blood thinners might be effective in treating patients with COVID-19, according to Lisa Merck, M.D., M.P.H., associate professor of emergency medicine and vice chair of research in emergency medicine in the UF College of Medicine. Merck is the site physician for the ACTIV-4 Outpatient trial in Florida. “We also don’t know when patients should start using blood thinners after they test positive for COVID-19,” she said.

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The ACTIV-4 Outpatient study will help answer these crucial questions. The University of Florida and the OneFlorida Clinical Research Consortium are coordinating recruiting efforts in Florida with several of OneFlorida’s consortium partners, including Bond CHC. The NHLBI’s ACTIV-4 Outpatient study, which is funded by the White House’s Operation Warp Speed initiative, is currently recruiting 7,000 participants at more than 100 sites worldwide to test the safety and effectiveness of blood thinners as a treatment for COVID-19. Adults 40 and older in the Tallahassee area who are interested in participating in the study should contact Dr. Temple Robinson at trobinson@bondchc.com. ____________________ The OneFlorida Clinical Research Consortium is a statewide research network and data trust that includes 12 academic centers and health systems across Florida. OneFlorida’s network of 22 hospitals, 1,240 practices/clinics and 4,100 providers care for about 74% of Floridians in all 67 counties. OneFlorida is also one of nine clinical research networks nationwide participating in PCORnet, the national patient-centered clinical research network. Bond Community Health Center provides comprehensive primary care, dental, behavioral health, HIV/AIDS primary care, podiatry, chiropractic care, mobile health and health care to low-income and homeless residents. Bond continues to enhance and restructure its services to provide quality care for all by consistently striving to improve the quality of life for the individuals and families we serve in Leon and surrounding counties.

You are having symptoms and have had a positive COVID-19 test within 14 days. You are between the ages of 40 to 80. You are not currently pregnant and can take blood thinners.

•

The study team will contact you to share more details about the study and determine if you would like to be screened and participate. The study team will take a blood sample to see if you meet the study criteria. If you meet the study criteria, you will be randomly selected to receive one of four medications to be taken for 45 days. Medication will be sent to your home and weekly follow-ups will take place by phone or email.

What to expect:

• •

•

You may be eligible if:

If interested, contact the study team: Phone: (855)-698-0692 | Email: trobinson@bondchc.com

A Bond study team led by Dr. Temple Robinson is part of a national effort to determine if blood thinners can help prevent blood clots that cause strokes, pulmonary embolisms and deep vein thrombosis in COVID-19-positive people.

Join ACTIV-4: COVID-19 Outpatient Thrombosis Prevention Trial

Interested in participating in a COVID-19 study?

BOND COMMUNITY HEALTH CENTER

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

SIMPLER TIMES

MEMORIES OF CHRISTMAS Charles D. Williams, M.D., FACR, FAAP (“Pedro”) Christmas is just around the corner and memories will be made. The joys of this Christmas will be tomorrow’s memories and precious memories will linger with us. Most of us have a rich treasury of Christmas memories from our own childhood and so often we continue customs from our own heritage. I have wonderful memories of Christmas in Moultrie and very few have anything to do with money or material things. I remember the feelings of this season and things that money can’t buy. Christmas for Pedro began on the day school let out. That was the same day of the Christmas play where Pedro got to play the donkey except for the one time they used a real donkey. That was also the same day the Off-Key Children’s Gospel Group sang “The First Noel”. The program was heavy on scripture, prayers and Christmas carols. That was before the Supreme Court ruling. The main attraction in Moultrie was the strings of Christmas lights on the court house square leading up to the sky to the top of the court house. A star towered above the lights reminding us of another star over 2000 years ago. There were memories of going with Daddy into the woods to select and cut a perfect tree. The perfect tree always seemed crooked. We’d drag it home and decorate it with paper chains and other homemade ornaments. Aunt Pearlie always said that it was the prettiest tree she had ever seen. The magic of Christmas always carries me back to the unheated bedroom of my childhood. I remember pressing my face against the cold glass of the bedroom window while covered with two or three quilts hoping to catch a glimpse of Old St. Nicholas’ sleigh and reindeer dashing among the stars. Sometimes I still glance up to the heavens on Christmas Eve looking for St. Nick. I’ve never seen him in flight, but I’ve seen the magic he leaves behind.

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

Mama said that Christmas was not about money. She said that Christmas was about love and caring. That’s what Mama said. It seems to me that we do a lot of unusual things at Christmas to reflect that love. It also seems that we don’t understand how to express it so we go to Walmarts and Stein Marts trying to find the perfect gift which turns out to be somewhat less than perfect. Some of the most precious memories are those spent with family. My family and I have been so blessed at Christmas but I feel saddened that so many children will not have the opportunity to experience the kind of Christmases that many of us have seen and felt. There are many children who have never known the joy of wishing for something special and then finding it under the tree. There are also children who have never known the joy of giving to someone else. One of my most favorite Christmas memories came about when I was about eight. There was a family who lived a short ways down our dirt road. The father had been ill and out of work. We wrapped and loaded up some of our old toys for distribution later. Mama had baked some cakes and cookies. She also dressed and fried some chicken and made an ice-box fruitcake. Daddy had picked up some pecans from the yard and we headed over to their place in our old Ford coupe. I’ll never forget the excitement of those kids. It’s been over fifty years now and I don’t even remember their names. However, I’ll never forget their faces and the tears in their Mama’s eyes. I wish all people could know the special feeling and memories that Pedro felt during that Christmas at that time. Still there are families even in Tallahassee who are doing without this year at Christmas. Still there is plenty of time. Merry Christmas to all. Reprinted with author permission from More Simpler Times. Dr. Williams’ sequel book, More Simpler Times, can be purchased from the Capital Medical Society. All proceeds from the book are donated to the Capital Medical Society Foundation’s We Care Network program. The total sales from his books have raised over $39,000 for the CMS Foundation’s We Care Network.

HEALTHCARE FOR ALL WEEK

HEALTHCARE FOR ALL WEEK SUPPORTS THE CAPITAL MEDICAL SOCIETY FOUNDATION’S WE CARE NETWORK By Jennifer Trebilcock

I am a second-year medical student at the Florida State University College of Medicine. Medical student Jacqueline Lowell and I were co-chairs in planning the Florida State University College of Medicine’s annual “Healthcare for All Week.” As a Naples, Florida resident, I was not familiar with access to healthcare issues in Tallahassee, but was thrilled with the opportunity to better understand the needs in this community. In the past, local medical students have fund-raised during “Healthcare for All Week” to help cover healthcare costs for uninsured patients. This year, we wanted to donate the money we raised throughout the week to the Capital Medical Society Foundation’s We Care Network program. The program’s mission to “provide a safety net to those low-income, uninsured patients most in need in our community through donation of specialty medical care and dental care” aligned perfectly with the week’s focus. “Healthcare for All Week” ran from Sunday, October 18thFriday, October 23rd. Fundraising for the We Care Network was part of our goal. The week was kicked off with a partnership with local business Painting with a

Twist. They offered to host a virtual “Painting with a Purpose” event on October 18th to raise funds for the We Care Network. Thirtyone attendees enjoyed painting while enabling Painting with a Twist to present a check to the Capital Medical Society Foundation Executive Director Pam Irwin for $449.50. Store Manager Janelle Murraine said they were happy to help with this effort and were thrilled to give back to help the community. An additional $454.00 was raised through Bonfire t-shirt sales. Two panel discussions were also hosted in conjunction with the focus on access to healthcare. Two We Care Network patients were included in the patient panel. It was a very important and powerful discussion. It gave a voice to patients who experience issues accessing healthcare and how the We Care Network program has been a resource for those with no other options. They were both such incredible additions to the panel. We cannot thank them enough for their bravery in sharing their stories. We have heard nothing but positive feedback from audience members. Personally, hearing the stories of Ms. Richardson and Ms. Ward re-invigorated my passion for legislatively advocating for patients. Our focus was the humanistic side of the healthcare issue. Ms. Ward’s recording and Ms. Richardson’s presence on the panel were both incredibly enlightening and inspiring. I was impressed by the work We Care Network does before the panel, but after hearing the firsthand accounts of patients, I am so incredibly honored that we were able to partner with the Capital Medical Society Foundation’s We Care Network for Healthcare for All Week.

(L-r) Pam Irwin, Janelle Murraine, and Jennifer Trebilcock. CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

CMS FOUNDATION END OF YEAR APPEAL

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DONATE TO THE CMS FOUNDATION

The Impact of Private Support:

Donate to the CMS Foundation – We Thank Our Donors We thank the following donors who made a gift to the CMS Foundation this past month: Capital Medical Society Foundation – included with their annual dues payment Julian Hurt, M.D. Capital Medical Society Foundation Richard L. Henry, M.D. – to purchase and distribute PPE Scholarship Fund David Bellamy, M.D. – In Memory of Dora Lee Nabors We Care Network Dr. and Mrs. David A. Jones Dr. and Mrs. Charles D. Williams – In Honor of Maribel U. Lockwood, M.D.

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 $112.3 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 2019-20, which ended June 30, 2020, more than $6.9 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. $31,000 was awarded in 2020. ➢ 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 2020, the CMSF awarded a total of $10,000 in grants to Elder Care Services for their In-Home Services Program and the Big Bend Hospice Foundation for bereavement services. Gifts to Honor and In Memoriam: You can make a gift to the CMS Foundation in memory of someone who has passed away or in honor of someone, such as a fellow physician, you hold in high esteem or has taken care of you or your family. The CMS Foundation will send an acknowledgement letter to those you memorialize and honor. How to Give: Through the generosity of donors, funds have been created in order to establish financial stability to meet our mission. You can make a gift at any time to one of the CMS Foundation’s current funds: 1) Capital Medical Society Foundation-area of greatest need 2) The Capital Medical Society Foundation Endowment 3) We Care Network 4) We Care Network Endowment 5) The Anesthesiology Associates of Tallahassee Scholarship Endowment 6) Scholarship Fund 7) The Ronald G. Pickett Endowment 8) Physician Wellness Fund Gifts should be made payable to the CMS Foundation and indicate on the memo line of your check to which designation you would like to give. Bring your check to the CMS Office or mail it: Capital Medical Society Foundation ~ 1204 Miccosukee Road ~ Tallahassee, FL 32308. Gifts may be made by credit card or direct debit from the CMS website. If you would like to discuss a gift of appreciated securities, an insurance policy, designation of retirement plan assets, estate gift, or multi-year pledge, please contact:

Your gifts to the Capital Medical Society Foundation transform lives in the Big Bend.

Pam Irwin Executive Director pirwin@capmed.org or (850) 877-9018 or after hours at (850) 559-8611 CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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 October 2020. Your generosity and support of the We Care Network makes a difference.

Physicians Christopher Babl, M.D. Venkata Bavikati, M.D. Marie Becker, M.D. David Bellamy, M.D. Timothy Bolek, M.D. Andrew Borom, M.D. Robert Brumberg, D.O. Tony Bryant, M.D. Viet Bui, M.D. Carlos Campo, M.D. Joseph Camps, M.D. Francisco Carpio, M.D. Gilbert Chandler, M.D. Alan Chen, M.D. Raymond Cottrell, M.D. William Dixon IV, M.D. Amara Emenike, M.D. Gian-Carlo Giove, M.D. W. Harris Green, M.D. Muhanad Hasan, M.D. Todd Hewitt, M.D. Brook Hill, M.D. Marc Inglese, M.D. Barbara Jaeger, M.D. Amit Jain, M.D. John Katopodis, M.D. James Killius, M.D. Fang Sarah Ko, M.D. Maribel Lockwood, M.D. Tod Morris, M.D. Jayan Nair, M.D. Charles Newell, M.D. Thomas Noel, M.D. Anthony Otekeiwebia, M.D. Paresh Patel, M.D. Vatsal Patel, M.D. Michael Pentaleri, M.D. Jorge Perez de Armas, M.D. Hussein Rayatzadeh, M.D. James Renehan, M.D. Davis Rierson, M.D. Andres Rodriguez, M.D. Abel Romero-Corral, M.D. Philip Sharp, M.D. Eliot Sieloff, M.D. Gadi Silberman, M.D. Hardeep Singh, M.D.

David Smith, M.D. Denise Smith, M.D. Jon Soble, M.D. Joshua Somerset, M.D. Bhavik Soni, M.D. Timothy Sweeney, M.D. John Thabes, M.D. Ernesto Umana, M.D. Beatriz Cepeda Valery, M.D. Kaisa van der Kooi, M.D. David Vermess, M.D. Lucas Watkins, M.D. Dorothy White, M.D. Kenneth Whithaus, M.D. William Yaakob, M.D. Daniel Yang, M.D. Charles Yowell, M.D. Samuel Yu, M.D. Dentists Laban Bontrager, D.M.D. Walter Colón, D.M.D. William McFatter, D.D.S. Frank Swerdzewski, D.D.S. Facilities Advanced Urology Institute Airway Works, LLC Anesthesiology Associates Apalachee Primary Care Beachton Denture Clinic Bond Community Health Center Bristol Dental Clinic Capital Health Plan Capital Regional Cancer Center Care Point Health & Wellness Center Deborah ZurSchmiede, PhD, LCSW Dermatology Associates Desloge Home Oxygen Digestive Disease Clinic Eye Associates of Tallahassee Florida Cancer Specialists & Research Institute Frank Swerdzewski DDS FSU PrimaryHealth Gadsden County Health Department Gynecology and Obstetrics Associates of Tallahassee Gynecologic Oncology of Tallahassee Jessie Furlow Medical Center Ketchum, Wood, & Burgert Pathology Associates Madison Medical Center Neighborhood Medical Center North Florida Nephrology Associates North Florida Women’s Care North Monroe Medical Center

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Oral & Facial Surgery Center Periodontal Associates of North Florida Radiology Associates of Tallahassee Southeastern Plastic Surgery Southern Medical Group, P.A. Southern Vitreoretinal Associates Tallahassee Diagnostic Imaging Tallahassee Ear, Nose, and Throat Tallahassee Memorial HealthCare TMH Family Medicine Residency Program TMH Physician Partners Cancer and 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 Heart Rhythm Clinic TMH Physician Partners Surgical Specialists TMH Physician Partners Urology Specialists TMH Transition Center Tallahassee Orthopedic Clinic Tallahassee VA Clinic TOC Canopy Vascular Surgery Associates Wakulla County Health Department Wakulla Medical Center Women’s Imaging Center

Please contact Diana Bixler at dbixler@ capmed.org or 201-0130 if you are a We Care Network volunteer and you provided volunteer specialty care in the month of October 2020, and your name is omitted.

The We Care Network strongly encourages our volunteer physicians and dentists to send their value of donated services to us. The value of donated services is important for us to share with our funders and the community. In addition, up to five hours, per biennium, of CE credit may be fulfilled by performing pro bono medical and dental services to We Care Network patients, if we have received documentation of value of services. You can send your value of donated services via fax to Diana Bixler at (850) 2010085 or mail to 1204 Miccosukee Road, Tallahassee, FL, 32308. Thank you!

CMS FOUNDATION: WE CARE NETWORK

We thank our referring providers from October 2020:

Ebonie Allen, APRN

Muhanad Hasan, M.D.

Alexander Ramirez

Anne Ananga, APRN

Hantz Hercule, M.D.

Jonathan Appelbaum, M.D.

Todd Hewitt, M.D.

Hussein Rayatzadeh, M.D.

Christopher Babl, M.D.

Amit Jain, M.D.

Pablo Rengifo-Moreno, M.D.

Katrina Ball, APRN

Anneka Johnson, APRN

Brandi Richardson, APRN

Karen Bartley, M.D.

Ren Jolly, P.A.

Charlie Richardson, M.D.

Megan Bassett, APRN

John Katopodis, M.D.

Carla Robertson, APRN

Marie Becker, M.D.

Howard Kessler, M.D.

Tim Ruark, M.D.

Dhananjay Bendre, M.D.

Elaine Larkins, APRN

Lucilita Salvador, P.A.

Viralkumar Bhanderi, M.D.

Janice Lawson, M.D.

Hardeep Singh, M.D.

Kendra Brady, APRN

Michael Mangan, M.D.

David Smith, M.D.

Daniel Breivogel, APRN

Ashok Manocha, D.D.S.

Abisoye Somorin, APRN

Viet Bui, M.D.

Megan March, M.D.

Joseph Soto, M.D.

Carlos Campo, M.D.

Damon McMillan, M.D.

Alanna Steaple, APRN

Frances Carney, APRN

Kelley Miller, APRN

Franckel Taylor, APRN

Francisco Carpio, M.D.

Michelle Miller, M.D.

John Thabes, M.D.

Victor Chou, D.M.D.

Marcia Morris, APRN

Lacie Thompson, APRN

Melba Colon-Renta, M.D.

Tod Morris, M.D.

Faye Tinson, APRN

Deborah Congdon, APRN

Manoela Mota, M.D.

Jean-Paul Tran, M.D.

Raymond Cottrell, M.D.

Jayan Nair, M.D.

Jeffrey Wasserman, D.O.

William Dixon IV, M.D.

John Ness, M.D.

Lucas Watkins, M.D.

Alexander Dudley, D.M.D.

Chukwuma Okoroji, M.D.

Shana Wood, APRN

Elizabeth Fajer, M.D.

Rose Origa, APRN

Charles Yowell, M.D.

Sharron Foster, M.D.

Jorge Perez de Armas, M.D.

Deborah ZurSchmiede,

Alexander Franz, M.D.

Lisa Perkins, APRN

Charmaine Gilmore, APRN

Lawrence Pijut, D.M.D.

Amy Haddock, M.D.

Stephen Quintero, M.D.

Valderrama, M.D.

PhD, LCSW

DURING THE MONTH OF OCTOBER 2020, THE WE CARE NETWORK: RECEIVED 260 REFERRALS, WITH 124 PATIENTS NEW TO THE PROGRAM

SCHEDULED 145 APPOINTMENTS WITH VOLUNTEER PHYSICIANS AND DENTISTS

$834,258.99 IN DONATED CARE WAS REPORTED BY WE CARE VOLUNTEERS

CAP SCAN - A CAPITAL MEDICAL SOCIETY PUBLICATION

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