Lucius M. Lampton, MD Editor D. Stanley Hartness, MD Richard D. deShazo, MD Associate Editors Karen A. Evers Managing Editor
Publications Committee Dwalia S. South, MD Chair Philip T. Merideth, MD, JD Martin M. Pomphrey, MD Leslie E. England, MD, Ex-Officio Myron W. Lockey, MD, Ex-Officio and the Editors The Association James A.Rish, MD President Claude Brunson, MD President-Elect Michael Mansour, MD Secretary-Treasurer R. Lee Giffin, MD Speaker Geri Lee Weiland, MD Vice Speaker Charmain Kanosky Executive Director
Journal of the Mississippi State Medical Association (ISSN 0026-6396) is owned and published monthly by the Mississippi State Medical Association, founded 1856, located at 408 West Parkway Place, Ridgeland, Mississippi 39158-2548. (ISSN# 0026-6396 as mandated by section E211.10, Domestic Mail Manual). Periodicals postage paid at Jackson, MS and at additional mailing offices. CORRESPONDENCE: Journal MSMA, Managing Editor, Karen A. Evers, P.O. Box 2548, Ridgeland, MS 39158-2548, Ph.: (601) 853-6733, Fax: (601)853-6746, www.MSMAonline.com. Subscription rate: $83.00 per annum; $96.00 per annum for foreign subscriptions; $7.00 per copy, $10.00 per foreign copy, as available. Advertising rates: furnished on request. Cristen Hemmins, Hemmins Hall, Inc. Advertising, P.O. Box 1112, Oxford, Mississippi 38655, Ph: (662) 236-1700, Fax: (662) 236-7011, email: cristenh@watervalley.net POSTMASTER: send address changes to Journal of the Mississippi State Medical Association, P.O. Box 2548, Ridgeland, MS 39158-2548. The views expressed in this publication reflect the opinions of the authors and do not necessarily state the opinions or policies of the Mississippi State Medical Association.
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Copyright© 2013 Mississippi State Medical Association.
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Official Publication of the MSMA Since 1959
OCTOBER 2013
VOLUME 54
NUMBER 10
Scientific Articles Emergency Department Triage of Low Acuity Patients to a Federally Qualified Health Center
280
Nghia D. Nguyen, DO; Justin B. Moore, MD; Nathan P. McIntosh, MD; Michael L. Jones, RN; Jason Zimmerman, RN; Richard L. Summers, MD
Clinical Problem-Solving: I Feel like I had a Stroke in My Throat!
284
P. Brent Smith, MD
Top Ten Facts You Need to Know - About Serotonin Syndrome
286
Roy R. Reeves, DO, PhD; Mark E. Ladner, MD; Percy Smith, PA
President’s Page POLST
293
James A. Rish, MD; MSMA President
Editorial Food Stamps, Public Health, Politics, a New Mississippi Social Determinant of Health, and the MMPAC Budget
296
Richard D. deShazo, MD; Associate Editor
Related Organizations Mississippi Professionals Health Program Mississippi State Department of Health
289 300
Departments From the Editor: A Rocky Rollout MSMA: Comment on AMA Resolutions Physician’s Bookshelf: Death Foretold
277 295 301
About The Cover: Historical Fuel Prices in Mississippi - Pictured is a DX Fuel (Gasoline) pump that dispensed either Ethyl gasoline (“premium” by today’s terminology) or regular gasoline. This pump is still located in front of the Taylor Grocery and Restaurant in Taylor, Mississippi. Taylor is a village/community in Lafayette County just southwest of Oxford with a population listed as 500 following the 2000 census. William Faulkner used Taylor as one of the settings in his book, Sanctuary. Upon close inspection of this fuel pump, one can see the dispensing gasoline price listed as $0.45 per gallon. This was the approximate average price per gallon of gasoline in Mississippi in 1972. In 1971, it was $0.31 per gallon. By the end of 1973, gasoline in Mississippi was approaching the $1.00 per gallon level. (“We love to remember the good ole days,” comments the photographer.) Through the years, many have personalized the pump, leaving signatures like Laura, Beth, Madison, and Sarah. The “Open: Eat or We Both Starve” sign remains a slogan for this popular eatery. The entrance signs posted are also quaint and unique: “Cannot seat until entire party present,” “Control your pets and kids,” and “Coach and Allison are getting married May 20.” This photograph was taken by Joe R. Bumgardner, MD, of Starkville. Dr. Bumgardner is a retired general surgeon who practiced there for 27 years. r October
VOL. LIV
2013
No. 10
October 2013 JOURNAL MSMA 277