Knoxville Medicine Magazine Winter 2020 Issue

Vol u m e L X X VI I , N o. 3 • Wi n t erl 2 02 0

Ser v in g t h e G rea t er Met ropolit a n Kno x vi l l e A r e a

KAM KNOXVILLE ACADEMY OF MEDICINE

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KNOXVILLE ACADEMY OF MEDICINE

KNOXVILLEMEDICINE.ORG

Academy Officers Tim Wilson, MD PRESIDENT

Jeff Ollis, MD

PRESIDENT ELECT

Daniel Bustamante, MD SECRETARY

Brian Daley, MD TREASURER

Neil Coleman, MD

IMMEDIATE PAST PRESIDENT

Kimberly Weaver, PhD CEO

Board of Trustees James Choo, MD Greg Curtin, MD Jeff Gilbert, MD David Harris, MD James Hurst, MD Darinka Mileusnic-Polchan, MD

Ex- Officio Board Members Mark Browne, MD Richard Briggs, MD Debbie Christiansen, MD Randal Dabbs, MD Elise Denneny, MD Richard DePersio, MD Keith Gray, MD Terry Nowell, MD Robert Page, MD Carolyn Cates -KAMA Akshita Patel - LMU

Publisher Kim Weaver, PhD

Editor Jonathan Weaver

Production/Advertising Margaret Maddox

ADVERTISING: For advertising information, call the Academy offices at (865) 531-2766. The magazine is published four times per year by the Knoxville Academy of Medicine (KAM). All rights reserved. This publication or any part thereof may not be reproduced without the expressed written consent of the KAM. The appearance of advertising in KAM publications is not a KAM guarantee/endorsement of the product or

PRESIDENT’S MESSAGE Goodbye 2020, Hello 2021!

It is hard to believe that 2020 is coming to an end and certainly, many people will be glad to ring in 2021. After what can only be characterized as a very demanding year, I propose that instead of focusing on the trials of 2020, that we celebrate what good has come during this year and look forward to growth in the coming year!

There is hope on the horizon! As of press time, not only has a vaccine for Covid-19 been developed at a record pace but vaccines have arrived in Knoxville and will continue to be dispersed in the coming months.

The KAM leadership is committed to assisting our members by providing current information about vaccine distribution plans and helping those physicians who are not hospital-based find resources to immunize not only themselves but their critical staff. Additionally, please know that your Knoxville Academy of Medicine stands ready to support the membership in any way possible during the coming months.

We continue to offer counseling services in conjunction with the Tennessee Medical Foundation and to provide completely anonymous resources to help members during these emotionally trying times. If you are experiencing burnout, let me encourage you to visit https://etmf.org/tnpsq/ for access to free, voluntary services. Furthermore, we remain hopefully optimistic that we will be able to host our Vitality Initiative Project, the KAM VIP Conference, with Dr. Wayne Sotile on May 7-8, 2021. We were so excited to host an event of this magnitude and unfortunately had to postpone it several times due to the pandemic. However, everything happens for a reason and given the events of 2020, I believe that even more physicians will receive value from this experience in 2021! Please visit our website at knoxvillemedicine.org for registration and information.

While some may remember 2020 as a year of division, I would like to pay tribute to the medical community who came together in unity and faced head-on what is likely to be the worst

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pandemic during our lifetime. KAM physicians have been on the front lines of battling this disease. They have played a pivotal part in advising our elected officials on the best course of action towards the mitigation of this virus in our communities. Thank you to those colleagues who continue to serve affected patients and those who have promoted best practices to the public to slow the spread of Covid-19.

As we near 2021, let’s focus on continuing to build on the unity that we, as physicians, have developed in 2020. Even in the year of Covid, KAM saw an unprecedented growth among our membership adding almost 100 new dues paying members to its ranks. In an effort to further expand our membership, the KAM and TMA are offering special new member discounts for 2021. Physicians who have never been members of the Knoxville Academy of Medicine can now join at a 75% savings for the first year, followed by additional discounts of 50% during their second year and 25% discount during their third year. Please encourage your colleagues who are not members to take advantage of this exceptional offer! For those physicians who have not been a member in 5 or more years, we are also offering a Welcome Back Special of a 50% discount off your first year of dues. We hope that these incentives will inspire more physicians to become involved with the KAM and TMA. A unified voice among physicians is more important now, than ever!

Thank you for the opportunity to be your KAM President these last two years. It has been a pleasure and an honor. I remain committed to the concept that physicians are better when we stand together!

Season’s greetings and Happy New Year!

Tim Tilson, MD

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The fact that an advertisement for a product, service, or company has appeared in a KAM publication shall not be referred to in collateral advertising. The KAM reserves the right to accept or reject any advertising in the publication.

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ACADEMY NEWS New Members

A big welcome to our newest members! We are excited that you have decided to join the Knoxville Academy of Medicine.

CHRISTOPHER ACKER, MD FAMILY MEDICINE Trinity Medical Associates 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

RALPH M. GREEN, MD PEDIATRICS Trinity Medical Associates 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

JOSHUA BAKKE, MD DERMATOLOGY Knoxville Institute of Dermatology 6516 Kingston Pike Knoxville, TN 37919 ___________________________________

JENNIFER HAMM, MD

DAVIS BERRY, MD GENERAL SURGERY University General Surgeons 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

JOHN HANCE, MD CARDIOTHORACIC SURGERY East Tennessee Cardiovascular Surgery Group 988 Oak Ridge Tpke Ste 380 Oak Ridge, TN 37830 ___________________________________

TYLER BLACK, MD ANESTHESIOLOGY Fort Sanders Medical Center 501 19th St #301 Knoxville, TN 37916 ___________________________________

LAUREN HAVRILLA, DO PATHOLOGY Knox County Regional Forensic Center 2761 Sullins Street Knoxville, TN 37919 ___________________________________

ALEX CAVALEA, MD GENERAL SURGERY University General Surgeons 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

ANICKA KOLARIK, MD FAMILY MEDICINE Cherokee Health Systems 2018 Western Ave Knoxville, TN 37921 ___________________________________

MARY CHRISTIANSEN, MD OBSTETRICS/GYNECOLOGY Fort Sanders OB/GYN Group PC Trustees Tower - 501 19th St Knoxville, TN 37916 ___________________________________

CHRISTOPHER LOCHMULLER, MD

JOHN CRAWFORD, MD

Knoxville Orthopedic Clinic 1422 Old Weisgarber Rd Knoxville, TN 37909 ___________________________________

CASEY LOWRANCE, DO OPHTHALMOLOGY Tennessee Eye Care 1798 Roane State Hwy Harriman, TN 37748 ___________________________________

DANIEL FOX, MD RADIOLOGY Vista Radiology 2001 Laurel Ave Ste 304 Knoxville, TN 37916

JONATHAN MCBRIDE, MD ANESTHESIOLOGY University Anesthesiologists 1924 Alcoa Hwy # U-109 Knoxville, TN 37920

PEDIATRIC ORTHOPEDIC SURGERY

PEDIATRIC HEMATOLOGY-ONCOLOGY

East Tennessee Children’s Hospital 2018 Clinch Ave Knoxville, TN 37916 ___________________________________

PATHOLOGY Knox County Regional Forensic Center 2761 Sullins Street Knoxville, TN 37919 __________________________________

First Column: Christopher Acker, MD.; Joshua Bakke, MD.; Davis Berry, MD.; Tyler Black, MD.; Alex Cavalea, MD.; Second Column: Mary Christiansen, MD. Daniel Fox, MD.; Ralph M. Green,MD.; Jennifer Hamm, MD.; John Hance, MD. Third Column: Lauren Havrilla, DO.; Anicka Kolarik, MD.; Casey Lowrance, DO. 4

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KAM KNOXVILLE ACADEMY OF MEDICINE

First Column: Randy Pardue, MD.; William D. Robinson, MD.; Stephanie Scott, MD. Second Column: Andrew L. Smith, MD.; Che Solla, MD.; Vanessa Thomas, MD. Third Column: Katie Tipton, MD.; Jennifer Urbano, MD.; Stephen Wheless, MD.

Calendar of Events APRIL 2021 23

KAPA’s Boot Scootin’ Ball Bridgewater Place

MAY 2021 7-8

Vitality Initiative Project Conference 6th Bridgewater Place & 7th LMU Knox

FOR MORE INFO ON ALL EVENTS, VISIT

WILLIAM OLIVER, MD PATHOLOGY Knox County Regional Forensic Center 2761 Sullins Street Knoxville, TN 37919 ___________________________________

MORGAN SPURLOCK, DO FAMILY MEDICINE UT Family Physicians Hardin Valley 2519 Willow Point Way Knoxville, TN 37931 ___________________________________

RANDY PARDUE, MD FAMILY MEDICINE Trinity Medical Associates 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

BARRETT THOMAS, DO RADIOLOGY Abercrombie Radiology 1112 E Weisgarber Rd Ste 201 Knoxville, TN 37909 ___________________________________

WILLIAM D. ROBINSON, MD INTERNAL MEDICINE Summit Medical Associates 9333 Park West Blvd Knoxville, TN 37923 ___________________________________

VANESSA THOMAS, MD

MAXWELL ROLLINS, MD PATHOLOGY Knox County Regional Forensic Center 2761 Sullins Street Knoxville, TN 37919 ___________________________________

KATIE TIPTON, MD INTERNAL MEDICINE Trinity Medical Associates 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

DAVID SCHUTTER, MD GENERAL SURGEON Premier Surgical North Knoxville 7714 Conner Road, Suite 103 Powell, TN 37849 ___________________________________

STEPHEN TONKS, MD VASCULAR SURGEON Premier Surgical Papermill 6408 Papermill Drive, Suite 200 Knoxville, TN 37919 ___________________________________

STEPHANIE SCOTT, MD GENERAL SURGERY University General Surgeons 1932 Alcoa Hwy Ste C270 Knoxville, TN 37920 ___________________________________

JENNIFER URBANO, MD FAMILY MEDICINE Trinity Medical Associates 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

ANDREW L. SMITH, MD FAMILY MEDICINE Trinity Medical Associates 220 Fort Sanders West Blvd Ste 101 Knoxville, TN 37922 ___________________________________

HANNAH VEGA, MD ANESTHESIOLOGY University Anesthesiologists 1924 Alcoa Hwy # U-109 Knoxville, TN 37920 ___________________________________

CHE SOLLA, MD ANESTHESIOLOGY University Anesthesiologists 1924 Alcoa Hwy # U-109 Knoxville, TN 37920

STEPHEN WHELESS, MD OTOLARYNGOLOGY ENT Consultants of East TN The Tower at Park West 9430 Park West Blvd., Suite 330 Knoxville, TN 37923

WWW.KNOXVILLEMEDICINE.ORG New Student Members: Alexander Anderson Shawn M. Beechwood Sven A. Byrnes

Alexander Cattran Elizabeth C. Conner Brielle Grote Rachael Lee Paul-Hus Chandler Keever

Christopher S. Kendall Abigail Sy Landenberger Christopher A. Loiselle Anthony R. Rivas Ryan Scarborough

PEDIATRIC EMERGENCY MEDICINE

Children’s Pediatric Group 2018 Clinch Ave Knoxville, TN 37916 ___________________________________

Amber Shirley Andrea Sparkman Ashley B. Sundin Zachary Thier

KNOXVILLE MED CINE | 5

ACADEMY NEWS KAPA Update

By: Danielle Sims 2020 has been hard to say the least. Many of our KAPA patients, like many in the community, have lost jobs and are uncertain about how they will be able to afford their daily necessities. Our healthcare providers are working day in and out to take care of those in the community who have become ill. With all the uncertainties, our KAPA program has remained constant.

Our KAPA staff has continued to assist the uninsured in our area but we are most thankful for those physicians and physician-extenders who remain dedicated KAPA volunteers. Even in the midst of a pandemic, KAPA physicians still find the time to care for the underserved in our community. We are forever grateful for their kindness and generosity. The below is a note from one of our patients which perfectly articulates how blessed we are to have a provider network committed to helping those who are underserved in our community.

“I wanted to reach out to you all and personally thank your organization and staff for helping me find the critical care I so desperately needed during these difficult times in my life! The passion and caring you display to your patients is clearly evident and sometimes I think people forget to say ‘Thank You!’ My surgery went very well and because of your help, I am on the way to a full recovery. I wish nothing but a prosperous future and again Thank You!” – KAPA patient From the bottom of hearts, we wish you and your loved ones a Merry Christmas and a Happy New Year!

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The Knoxville Academy of Medicine mourns the recent loss of these physician members: Robert Barnes III, MD KAM member since 1978

William Dobbins, MD KAM member since 1989

Donald Wallis, MD, KAM member since 1964

Joe Black, Jr., MD KAM member since 1963

Robert D. Proffitt, MD, BCMS member since 1999 BCMS Past President

Stephen Wilson, Jr MD KAM member since 1987

KAM BOARD OF TRUSTEES 2021 The Nomination Committee of the Knoxville Academy of Medicine is pleased to present the following Slate of Officers for terms beginning January 1, 2021. To be eligible for election to the KAM Board of Trustees, members must be an active member of the Knoxville Academy of Medicine for a minimum of five (5) years prior to election. Members interested in future service in KAM leadership are encouraged to submit their names to the nomination committee. The nomination committee meets each fall to develop a slate of officers. For more information on leadership opportunities, contact KAM CEO, Kimberly Weaver, PhD, at kweaver@knoxvillemedicine.org.

2021 NEWLY NOMINATED OFFICERS: President Elect: Brian Daley, MD Secretary: David Harris, MD Treasurer: Daniel Bustamante, MD NEW TRUSTEES TO THE KAM BOARD: Matt Doppelt, MD Jeff Gilbert, MD Melissa Chiles, MD

CONTINUING OFFICERS AND TRUSTEES: President: Jeff Ollis, MD Immediate Past President: Tim Wilson, MD Trustees: Darinka Mileusnic-Polchan, MD Greg Curtin, MD James Hurst, MD

KAMA Corner

By: Carolyn Cates, KAMA President As we all have prepared for the holidays, KAMA’s Community Health Promotions committee chaired by Juliann Chavez made the holidays a little more special for school children and their families at New Hopewell Elementary School. KAMA members contributed to Thanksgiving baskets and Blessing boxes, which supported both the teachers and students with needed gift items. In addition to the holidays, KAMA members deliver food packages to virtual students at New Hopewell throughout the year.

KAMA once again delivered our Holiday Sharing Card. KAMA initiated our Holiday Sharing Card in 2016 to benefit the KAMA medical and nursing scholarship endowments. KAMA recognized our donors in the Holiday greeting card mailed to the local medical community.

At our November meeting, Captain Dan Nelson and Major Sarah Nelson enlightened our KAMA members. Their presentation gave an overview of The Salvation Army of Knoxville, and volunteer opportunities with Angel Tree Knoxville and Red Kettle Bell Ringing themed

KNOXVILLEMEDICINE.ORG

Rescue Christmas. KAMA member Tina Callicutt serves on the board of The Salvation Army in Knoxville.

An exciting virtual cooking class led by our own KAMA member, Chef “Tom” Arpakon Walker, was a fun event for our December 3rd, 2020 meeting. She presented a couple of dishes for each member to prepare or to follow along. Chef Walker is the owner/baker at Rice Catering and Personal Chef.

With the approaching of the new year, our membership drive will begin in January. If any KAM spouse is interested in a KAMA membership, please feel free to contact one of our Membership Chairs, Jo Terry (joterry@comcast.net) or Jacqlyn Schmitt Booth (jacqlynschmitt@gmail.com).

Happy Holidays, Carolyn Cates KAMA President

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LEGAL NEWS

KAM KNOXVILLE ACADEMY OF MEDICINE

COVID-19 Moving Into 2021: A Healthcare Lawyer’s View

By Ian P. Hennessey

2020. There’s no simple way to adequately sum up this past year – from a legal, medical, or humanitarian standpoint. As this article goes to print, the first Pfizer vaccines have been delivered to UT Medical Center and administered to frontline healthcare workers, with still more vaccines promised over the coming weeks. At the same time, Tennessee has emerged as a “hot spot” for COVID-19, both nationally and perhaps even globally. As the calendar moves to 2021, however, it is worth reviewing some of the key developments in healthcare law and to look forward to what may lie ahead in the coming year at both the national and state level.

• Federal Relief Programs – In response to the thenemerging threat of the global COVID-19 pandemic, the federal government passed a series of relief packages for ailing businesses, including the healthcare sector. Relief programs such as FFCRA, the Paycheck Protection Program, and the HHS Provider Relief Funds provided a combination of forgivable loans, direct funding, and payroll tax credits. Each of these packages delivered significant aid to hospitals and medical practices, despite their often cumbersome and frequently changing regulations and other “strings attached.” One other thing that these various relief programs shared in common, however, was the underlying assumption that the COVID-19 pandemic would subside within a few months and, in any event, no later than December 31, 2020. Unfortunately, this has not come to pass. As this article goes to print, Congress is negotiating another round of stimulus. Beginning on January 20, 2021, a new administration will take on the responsibility of fighting the pandemic and is likely to adopt some different approaches. Bottom line: do not be surprised to see extensions of the current relief programs and perhaps the establishment of new relief programs as we head into 2021.

• Telemedicine – In the early days of the pandemic, changes to telemedicine rules were widely seen as temporary measures to help providers and patients. In March, CMS broadened access to Medicare telehealth services to allow Medicare beneficiaries to receive services from their physicians without having to travel to a healthcare facility. In a related change, the HHS Office for Civil Rights (OCR) waived applicable HIPAA prohibitions to allow health care providers to serve patients in good faith through everyday communications technologies, such as FaceTime or Skype. As the pandemic continued and showed lit-

tle sign of easing, there was increasing momentum toward making these temporary changes more permanent. In May, the FTC wrote a 19-page letter urging CMS to continue expansion of telehealth after the pandemic subsides, including supervision requirements under Medicare’s “Incident To” billing rules. In late June, CMS issued a proposed rule to make certain temporary, COVID-19 related changes to the use of telehealth in home health services permanent beginning January 1, 2021. At the state level, the Tennessee General Assembly passed new telehealth legislation during its special legislative session which expanded both telehealth flexibility and payment parity for Tennessee providers and patients.

As 2020 comes to a close, it looks increasingly likely that telemedicine is here to stay as part of a “new normal.” If that is the case, it will be interesting to see whether OCR will maintain its “loosened” guidelines for telemedicine technology security or return to a stricter standard.

• Independent Practice – Over the past few years, there has been a strong legislative push led by the Tennessee Nurses Association to allow independent practice for advanced practice registered nurses and remove the requirement of physician oversight. Proposed legislation was defeated in committee during the 2020 legislative session. In the early days of the pandemic, however, Governor Bill Lee issued an executive order temporarily permitting advanced practice registered nurses and physician assistants to practice without the requirement of filing a notice and formulary, having charts reviewed, or having remote sites visited by collaborating physicians every thirty days.

Although this measure expired on May 18, 2020, it will not be surprising to see it used to validate and support independent practice in the next legislative session.

Mr. Hennessey is an attorney with London Amburn, a law firm dedicated to delivering client-driven legal services to its healthcare clients. For over 25 years, London Amburn has provided legal services encompassing health law, including regulatory and compliance, mergers and acquisitions, corporate and business, and employment matters, as well as medical malpractice and nursing home defense.

Disclaimer: The contents of this article are for general informational purposes only and are not to be construed as legal advice. You should consult an attorney regarding any specific legal questions.

KNOXVILLE MED CINE | 9

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Knoxville Academy of Medicine’s

KNOXVILLE ACADEMY OF MEDICINE

Initiative Project

Vitality Initiative Project Conference with Keynote Speaker, Wayne Sotile, PhD

Friday, May 7 Bridgewater Place

& Saturday, May 8

LMU DeBusk College of Osteopathic Medicine Knoxville Campus

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Space is limited.

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(865) 531-2766

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New Date!

Friday, April 23, 2021 6:30 PM

New Location!

Bridgewater Place

KNOXVILLE’S MOST TALKED ABOUT FUNDRAISING EVENT

They say hindsight is 20/20… so in 2021 we’ll be taking KAPA’s Boot Scootin’ Ball Back to the 80s!!!!!!

To celebrate the 80s in style, our special guests for the 2021 KAPA’s Boot Scootin’ Ball will be the Journey Tribute Band, RESURRECTION! Come hear all the great Journey music from the 80s like Don’t Stop Believing, Any Way You Want It and Faithfully!!! Step back in time with a remarkable Journey Tribute Experience along with a great dinner, dancing, and a variety of beers in your own bottomless souvenir glass, and a large silent auction. Be sure and dust off those neon bracelets, leg warmers, high waisted jeans and tease that hair!!!!! KAPA’s Boot Scootin’ Ball is going BACK TO THE 80s!

All proceeds to benefit Knoxville Area Project Access (KAPA).

FOR MORE INFO VISIT KAPABOOTSCOOTIN.COM OR CALL (865) 531-2766