San Antonio Medicine February 2020 by Traveling Blender

S A N A N TO N I O

IN THIS ISSUE Installation of Officers and Physician Awards • One State’s Response to Opiods • 2020 Alfa Romeo Review

Danielle Henkes, 2020 BCMS Alliance President, and Gerald Greenfield, MD, the 2020 BCMS President.

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San Antonio Medicine is the official publication of Bexar County Medical Society (BCMS). All expressions of opinions and statements of supposed facts are published on the authority of the writer, and cannot be regarded as expressing the views of BCMS. Advertisements do not imply sponsorship of or endorsement by BCMS.

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2020 BCMS Elected Leadership ....................................................................................................10 2020 BCMS Alliance Exective Committee ....................................................................................11 Installation of Officers Event .........................................................................................................12 Physician Awards Event ................................................................................................................14 BCMS Award Recipients ................................................................................................................18 2019 Women in Medicine Event ....................................................................................................26 2019 UT Health San Antonio Colette M. Kohler Award Recipients ..........................................................................................................................30 BCMS President’s Message ........................................................................................................................8 One State’s Response to the Opiod Epidemic and How Other States Might Not Be Ready for their Own By Dylan Zayne Erwin ......................................................................................................34 BCMS Circle of Friends Physicians Purchasing Directory ..........................................................................36 Recommended Auto Dealers ....................................................................................................................43 Auto Review: 2020 Alfa Romeo Stelvio Quadrifoglio By Steve Schutz, MD ..............................................44 PUBLISHED BY: SmithPrint Inc. 333 Burnet San Antonio, TX 78202 Email: medicine@smithprint.net PUBLISHER Louis Doucette louis@smithprint.net ADVERTISING SALES: AUSTIN: Sandy Weatherford sandy@smithprint.net BUSINESS MANAGER: Vicki Schroder

San Antonio Medicine • February 2020

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BCMS BOARD OF DIRECTORS ELECTED OFFICERS Gerald Q. Greenfield, Jr., MD, PA, President Rajeev Suri, MD, Vice President Rodolfo “Rudy” Molina, MD, President-elect John Joseph Nava, MD, Treasurer Brent W. Sanderlin, DO, Secretary Adam V. Ratner, MD, Immediate Past President

DIRECTORS Michael A. Battista, MD, Member Brian T. Boies, MD, Member John D. Edwards, MD, Member Vincent Paul Fonseca, MD, MPH, Member Danielle Hilliard Henkes, Alliance Representative David Anthony Hnatow, MD, Member Lyssa N. Ochoa, MD, Member Gerardo Ortega, MD, Member Manuel M. Quinones, Jr., MD, Member John Milton Shepherd, MD, Member Richard Edward Hannigan, MD, Board of Ethics Co-chair Nora Lee Walker, MD, Board of Ethics Co-chair Charles Gregory Mahakian, MD, Military Representative George Rick Evans, Legal Counsel

San Antonio Medicine • February 2020

Jayesh B. Shah, MD, TMA Trustee Ramon S. Cancino, MD, Medical School Representative Corinne Elizabeth Jedynak-Bell, DO, Medical School Representative Robyn Phillips-Madson, DO, MPH, Medical School Representative Ronald Rodriguez, MD, PhD, Medical School Representative Carlos Alberto Rosende, MD, Medical School Representative Stephen C. Fitzer, CEO/Executive Director (ex-officio)

BCMS SENIOR STAFF Stephen C. Fitzer, CEO/Executive Director Melody Newsom, Chief Operating Officer Yvonne Nino, Controller August Trevino, Development Director Mary Nava, Chief Government Affairs Officer Phil Hornbeak, Auto Program Director Mary Jo Quinn, BCVI Director Brissa Vela, Membership Director Al Ortiz, Chief Information Officer

PUBLICATIONS COMMITTEE Kristy Yvonne Kosub, MD, Chair John Joseph Seidenfeld, MD, Vice Chair Louis Doucette, Consultant Charles Hirose Hyman, MD, Member Tzy-Shiuan B. Kuo, MD, Member Fred H. Olin, MD, Member Alan Preston, Community Member Rajam S. Ramamurthy, MD, Member Adam V. Ratner, MD, Member David Schula, Community Member Alexis A. Wiesenthal, MD, Member Tyler Adams, Student Member Chinwe Anyanwu, Student Member Darren M. Donahue, Student Member Anirudh Madabhushi, Student Member Teresa Samson, Student Member Stephen C. Fitzer, Editor

PRESIDENT’S MESSAGE

Physician Awards

That Mean Something By Gerald Q. Greenfield Jr., MD, PA, 2020 BCMS President

Education in medicine is a lifelong pursuit. It starts in medical

“awards” (both local and national) which require only a financial

school with the fundamentals. These basic concepts are imparted

investment. Some awards for top doctors are listed in magazines

formal and practical education are crammed into a much shorter

ments, these often receive little recognition from our colleagues.

in a process much like force or gavage feeding. Several years of

period of learning. Clinical rotations allow student physicians to

learn under direct supervision. Here, formal educational learning

is applied to day-to-day practical problems. While some of these are disease processes, others involve interpersonal relationships.

and other publications. While they may be important as advertiseFellow physicians who recognize us as successful in this pursuit seek our opinion or assistance in the care of their patients. In an

even higher sign of respect they may ask us to provide care for them or their family members. This is in fact the highest award

During residency training, an advanced degree of fundamental

which we may receive. The honor and responsibility to provide

vanced learners to a variety of situations. Here guidance is provided

be given or even earned, the opportunity to care for a fellow prac-

skills in a more narrowly focused subject area are applied by adby senior residents and attending physicians or surgeons. Fellowship training provides yet a more in-depth evaluation of a specific area of medicine or surgery.

When we finish training, we are released into the world to a life-

time of “practice” and the treatment of patients. Here we must

continue learning in a self-guided tour. In this we must identify our

care for a colleague or their loved ones. While other awards may titioner is the greatest recognition of our abilities. These abilities are the demonstration of our accumulated knowledge and technical

skill. They also represent our ability to communicate and interact with patients and practitioners alike.

The awardees who received recognition at the January 2020

Bexar County Medical Society Installation event were voted on by

own needs, define solutions, and apply them to an ever-changing

their colleagues. In achieving this level of recognition, they have

to patient care. Knowledge of contracting, business, personnel,

have a record of providing high quality compassionate care to pa-

series of problems. Many of these problems are not purely related

and allocation of resources are necessary for the success of a clin-

ical practice. If we fail at any point, our ability to adequately treat

patients may worsen. In addition to medical issues, the ability to

maintain a practice to even provide care may be compromised. This

may lead to poor patient outcomes or even the demise of a practice. Thus, our education must be a broad and lifelong pursuit.

Through all of this we must continue to learn from both our

successes and our failures. Public recognition of our success in

learning often comes in the form of awards. There are many 8

San Antonio Medicine • February 2020

demonstrated superior academic, technical, and social skills. They tients and accurate information in consultation with other care providers. These represent recognition of a lifetime of excellence.

Hopefully, many more of us will receive similar recognition for our lifetime pursuits.

Gerald Greenfield, MD, PA is an Orthopedic Surgeon in Bexar County

and is the 2020 President of the Bexar County Medical Society.

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

2020 Elected Leadership 2020 OFFICERS Gerald Q. Greenfield, Jr., MD, PA President

Rajeev Suri, MD, FACR, FSIR, FCIRSE Vice President John Joseph Nava, MD Treasurer

Brent W. Sanderlin, DO Secretary

Rodolfo Molina, MD President-Elect

Adam V. Ratner, MD, FACR Immediate Past President

Stephen C. Fitzer, BS, MIM CEO/Executive Director

2020 BOARD OF DIRECTORS Michael A. Battista, MD, Member John D. Edwards, MD, Member Vincent Paul Fonseca, MD, MPH, Member David Anthony Hnatow, MD, Member Lyssa N. Ochoa, MD, Member Gerardo Ortega, MD, Member Manuel M. Quinones, Jr., MD, Member John Milton Shepherd, MD, Member Charles Gregory Mahakian, MD, Military Member Danielle Hilliard Henkes, Alliance Representative Richard Edward Hannigan, MD, Board of Ethics Co-Chair Nora Lee Walker, MD, Board of Ethics Co-Chair George Rick Evans, Legal Counsel Robyn Phillips-Madson, DO, MPH, UIW Medical School Representative Ramon S. Cancino, MD, UT Health Medical School Representative Carlos Alberto Rosende, MD, UT Health Medical School Representative Katelyn Jane Franck, Student Sejal Ramesh Lahoti, Student

San Antonio Medicine â&#x20AC;¢ February 2020

2020 DELEGATION TO TMA DELEGATES Michael A. Battista, MD, Chair Brian T. Boies, MD Chelsea I. Clinton, MD John D. Edwards, MD Stephen D. Gelfond, MD Gerald Q. Greenfield, Jr., MD, PA Sheldon G. Gross, MD David Anthony Hnatow, MD John Robert Holcomb, MD James Loyd Humphreys, MD Leah Hanselka Jacobson, MD David Pryor Jones, DO Wendy Bay Kang, MD, JD Margaret Ann Kelley, MD Alexander B. Kenton, MD Kaparaboyna Ashok Kumar, MD David Trueson Lam, MD William Cannon Lewis, MD Juan Diego Martinez, MD John A. Menchaca, MD Darlene Metter, MD, FACR Jesse Moss, Jr., MD Erika Maria Sehne Munch, MD Lubna Naeem, MD John Joseph Nava, MD Gerardo Ortega, MD Adam V. Ratner, MD Umang Hasmukhlal Shah, MD John Milton Shepherd, MD Ezequiel Silva, III, MD J. Marvin Smith, III, MD Rajeev Suri, MD Bernard T. Swift, Jr., DO, MPH Marc T. Taylor, MD David Webster, MD, MBA Alexis A. Wiesenthal, MD ALTERNATE DELEGATES Ruth Elizabeth Berggren, MD, MACP Francisco Javier Garcia, MD Erika Gabriela Gonzalez-Reyes, MD

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS Prabhdeep Kaur Grewal, MD John W. Hinchey, MD Tzy-Shiuan B. Kuo, MD Rodolfo Molina, MD Maulik P. Purohit, MD Francis Vu Tran, MD Nora Linda Vasquez, MD Veronica Marie Vasquez, MD Aruna Venkatesh, MD EX-OFFICIO Alice Kim Gong, MD Michael A. Battista, MD Donald Joseph Gordon, MD, PhD Anupama Gotimukula, MD David Norman Henkes, MD William Woolford Hinchey, MD Jennifer R. Rushton, MD Jayesh B. Shah, MD

BOARD OF ETHICS Richard Edward Hannigan, MD, Co-chair Nora Lee Walker, MD, Co-chair Rajaram Bala, MDMember Linda J. D. Banta, MD, Member William Hollis Bradshaw, MD, Member Kristi G. Clark, MD, Member Ravi L. Ganeshappa, MD, Member Alice Kim Gong, MD, Member David A. Marks, MD, Member Jesse Moss, Jr., MD, Member Manuel M. Quinones, Jr., MD, Member Luis Navarrete Torres, MD, Member

2020 BCMS Alliance Executive Committee PRESIDENT Danielle Henkes

TREASURER Cheryl Pierce-Szender

PRESIDENT-ELECT Nichole Eckmann

RECORDING SECRETARY Jennifer Torres

2ND VP - COMMUNICATIONS Alyse Craun

PARLIAMENTARIAN Rebecca Christopherson (Past President 2015)

1ST VP - MEMBERSHIP Taylor Frantz

3RD VP - PROGRAMS Virginia Profenna

4TH VP - CIVIC & PHILANTHROPIC Aleida Colen

CORRESPONDING SECRETARY Jazmin Gibbons

PRESIDENTIAL ADVISORS Lori Boies (Past President 2017) Jennifer Lewis (Past President 2016) Jenny Shepherd (Past President 2018)

5TH VP - SOCIAL Ryan Ramos

visit us at www.bcms.org

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

2020 BCMS Installation of Officers Event Above: 2020 BCMS Board of Directors (left to right): Danielle Hilliard Henkes, Alliance Representative; John M. Shepherd, MD, Member; Brian T. Boies, MD, Member; John J. Nava, MD, Treasurer; Rajeev Suri, MD, Vice President; Gerald Q. Greenfield, MD, President; Brent Sanderlin, DO, Secretary; David Hnatow, MD, Member; Stephen C. Fitzer, Executive Director; Lyssa N. Ochoa, MD, Member.

Above: 2020 BCMS Executive Committee (left to right): Stephen Fitzer, CEO/Executive Director; John Nava, MD, Treasurer; Rajeev Suri, MD, Vice President; Gerald Greenfield, MD, President; Brent Sanderlin, DO, Secretary; Not shown are Adam Ratner, MD, Immediate Past President, and Rodolfo Molina, MD, President-Elect. 12

San Antonio Medicine â&#x20AC;˘ February 2020

Not shown in photo are: Michael A. Battista, MD, Member; John D. Edwards, MD, Member; Vincent P. Fonseca, MD, MPH, Member; Gerardo Ortega, MD, Member; Manuel M. Quinones Jr., MD, Member; Col Charles G. Mahakian, MD, Military Member; Richard E. Hannigan, MD, Board of Ethics Co-Chair; Nora Lee Walker, MD, Board of Ethics Co-Chair; George "Rick" Evans, Legal Counsel; Robyn Phillips-Madson, DO, MPH, UIW Medical School Representative; Ramon S. Cancino, MD, UT Health Medical School Representative; Carlos Alberto Rosende, MD, UT Health Medical School Representative; Katelyn Jane Franck, Student; Sejal Ramesh Lahoti, Student.

BCMS Alliance Board (left to right): Jazmin Gibbons, Aleida Colen, Alyse Garber Craun, Jennifer Shepherd, Nichole Eckmann, Danielle Henkes, Lori Boies, Ryan Ramos, Virginia Profenna, Jennifer Lewis.

BCMS Past Presidents (left to right): Sheldon Gross, MD; Gerardo Ortega, MD; Jayesh Shah, MD; Ashok Kumar, MD; Donald Gordon, MD; Leah Jacobson, MD; David Henkes, MD; Gerald Greenfield, MD (current president); David Shulman, MD; Neil Gray, MD; Delbert Chumley, MD; Jesse Moss, MD.

BCMS Alliance Past Presidents (left to right): Louis Chumley, Martha Vijjeswarapu (TMA Alliance President-elect), Liz Queralt (TMA Alliance President), Danielle Henkes (current BCMS President), Jennifer Shepherd, Nichole Eckmann (Presidentelect), Lori Boies, Jennifer Lewis.

visit us at www.bcms.org

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

2020 BCMS Physician Awards Event Above: 2020 BCMS Award Recipients (left to right): Gerardo Ortega, MD – Golden Aesculapius Award; William L. Henrich, MD – Distinguished Service Award; David Fleeger, MD (receiving the award on behalf of Louis Goodman, PhD) – Lifetime Service Award; Fred Olin, MD – Golden Aesculapius Award; David N. Henkes, MD – Distinguished Service Award; David G. Shulman, MD – Golden Aesculapius Award; Delbert Chumley, MD – Golden Aesculapius Award.

At Left: David Fleeger, MD (receiving the award on behalf of Louis Goodman, PhD) – Lifetime Service Award.

San Antonio Medicine • February 2020

Fred Olin, MD Golden Aesculapius Award

David G. Shulman, MD Golden Aesculapius Award

Gerardo Ortega, MD Golden Aesculapius Award

Delbert Chumley, MD Golden Aesculapius Award

David N. Henkes, MD Distinguished Service Award

William L. Henrich, MD Distinguished Service Award visit us at www.bcms.org

San Antonio Medicine â&#x20AC;¢ February 2020

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

Fred H. Olin, MD

Golden Aesculapius Award In 1980, the Bexar County Medical Society (BCMS) established the Golden Aesculapius Award as its highest honor to recognize a lifetime of distinguished service by a BCMS member to patients and the profession. Rarely has it been earned by a doctor whose patients included the residents of the San Antonio Zoo as well as hundreds, if not thousands, of Homo sapiens, serving the Alamo City as an orthopaedic surgeon. Said Fred H. Olin, MD, “I knew I wanted to be a veterinarian by the time I was 12 years old.” Achieving his DVM in 1961 from the University of Illinois, he went on to serve in the US Army Veterinary Corps, stationed in Philadelphia, Pennsylvania. “Our duty was largely that of sanitary inspection of food processing plants that sold to the military. Even beyond passing Department of Agriculture standards, they had to be inspected by a military vet. With the Philadelphia Navy Yard, Fort Dix, NJ and a few other installations in the area, we were kept busy assuring the quality of food processing.” After his release from active duty in 1963, Dr. Olin joined a small animal veterinary practice, Broadway Animal Hospital, here in San Antonio. He and his employer, the late Thomas E. Vice, DVM, were offered the opportunity to serve as veterinarians to the San Antonio Zoo a year later. After they left the zoo, Fred decided to expand his practice by one species, and earned his MD from the University of Texas Medical School at San Antonio in 1973. Following graduation, he did a straight surgery internship at Bexar County Hospital, now called University Hospital. Leaving the Lone Star State to do his Residency at the University of Arkansas for Medical Sciences in Orthopaedic Surgery was rough, but it had the unmatched benefit of introducing him to a master teacher, Carl L. Nelson, Jr., MD, who arrived as chair shortly after Fred began his residency. “Carl was constantly in an instructive mode… he employed the Socratic Method, with a question ready for any occasion, from walking up stairs to scrubbing for surgery.” “He was a great teacher,” said Dr. Olin. “Hippocrates mandates that we honor our teachers as the parents of our profession. I was very fortunate to have teachers in both veterinary and medical school whose voices – and questions! – I can still hear resonating today.” Specializing in orthopaedics came naturally to the eternal optimist. “We very rarely lose patients; there are nearly immediate results and instant gratification. At heart, I’m a tool-using person and orthopedic devices are in a continual cycle of test and improvement.”

San Antonio Medicine • February 2020

With such professional devotion, Dr. Olin found himself serving as Chairman, Department of Orthopaedic Surgery at what was then St. Luke’s Lutheran Hospital, before chairing the Department of Orthopaedic Surgery of Southwest Texas Methodist Hospital, and eventually the Surgical Board at Methodist Hospital, where he also served on the Orthopaedic Quality Improvement Committee for nearly two decades. Readers of the San Antonio Medicine magazine are familiar with his diverse writings; his byline has appeared on articles ranging from book reviews to professional commentary. He has served as a member of the Bexar County Medical Society Publications Committee, from 2005 to the present, chairing the committee during 2014-2015.

“But his greatest leadership role isn’t likely to end up in a CV,” said Jennifer Olin, RN, elder of his two daughters and an OR nurse herself. “Dad promoted, encouraged and advanced women professionally throughout his entire career. He supported women pursuing their goals, even in deeply male-dominated fields. Dad was ‘woke’ before ‘woke’ itself got woke,” Jennifer concluded. For service to his patients, his profession and his community, the Bexar County Medical Society is proud to number Dr. Fred H. Olin among the recipients of the 2020 Golden Aesculapius Award.

Gerardo Ortega, MD, FACS Golden Aesculapius Award The Golden Aesculapius Award recognizes a lifetime of distinguished service by a BCMS member to patients, organized medicine and the profession. “Lifetime of service” only scratches the surface of contributions made by Gerardo Ortega, MD, FACS. Serving as President of Baptist Health System Medical Staff and member of Baptist Health System Board of Trustees from 20172019 and currently serving on the Baptist Health System Medical Executive Board, Dr. Ortega has been a member of the Bexar County Medical Society continuously for more than 38 years, becoming President of the Bexar County Medical Society in 2001. He has held multiple leadership positions over the years including that of the Hispanic Medical Society President, San Antonio Vascular Surgery Society President, founding President of the University of Nuevo Leon Medical School Foundation, and currently both a Member of the BCMS Board of Directors and Chair of the Philanthropic Committee of the BCMS Library Association. Building community comes naturally to Dr. Ortega. “I believe that organized medicine is the best way to make changes and improve health care. We can make a difference one leader at the time, but when all leaders get together, the impact is tremendous along with the potential for change.” In the mid-1990s, Dr. Ortega found out that Baptist Medical Center was going to replace a hospital incinerator and he was instrumental in negotiating a donation of the older incinerator to the University Hospital Medical School in Monterrey, Mexico, his alma mater. Raising $50,000 for transportation of this large incinerator to Monterrey, Mexico, the incinerator continues to work now, providing services and income to the University Hospital. This was the initial step to the foundation of an association of 500 alumnae of physicians in the US who graduated from Monterrey, Mexico, 80 of which were in San Antonio and Bexar County. This organization, of which he became founding president, provided donations and resources to the medical school there. This 2020 BCMS award reminds him that it takes a community of colleagues, friends and family to achieve accomplishments. Said Dr. Ortega, “From my fifth-grade teacher (who told me I’d never be a doctor!) to the current day, each step of the way has always relied upon people helping. From classmates, friends, my friend’s father who was a physician (with a wonderful library!), to professors I emulate to this day; and of course, my wife is critical to each and every accomplishment. Someone helped me take each step in the journey and this – this honor – is a great opportunity to review and appreciate them.” Dr. Ortega has been dedicated to the education of the community, and in so doing has been Chair of the Baptist Vascular Update Symposium. This is an annual conference that attracts approximately 200-250 attendees and prominent physicians as speakers from around the country. The Baptist Wound Care Update was

started by Dr. Ortega and chaired by him for more than 17 years. He has done a program on television, "Consulte a su Medico" (Consult Your Doctor) for three annual seasons. He established a oneyear fellowship program in conjunction with Peripheral Vascular Associates and Baptist Health System. (The first Fellow was Dr. Cesar Pena from Monterrey, Mexico in 1995.) Dr. Ortega’s continual role in the Bexar County Medical community makes him a North Star, a fixed point in an ever-changing constellation, and one of our most nominated members for this honor. Said Daniel D. Tamez, Jr., MD, “I have known Dr. Ortega for more than 38 years and he has shown very strong dedication to the physicians in the community as well as to the education of Bexar County population at large. Dr. Ortega was recipient of the WB Ross, MD award by Baptist Health System in April 2016, and he has given multiple lectures on amputation prevention, emphasizing the need for revascularization.

He is most fond of saying, ‘Education is the best way to improve the health of our community’ and ‘Education is the key to success in the Land of Opportunity." visit us at www.bcms.org

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

Delbert Chumley, MD Golden Aesculapius Award

Dr. Chumley has received numerous honors and awards including: • American College of Gastroenterology Governor Award, 1996 • American College of Gastroenterology William D. Carey Award, 2000 • Texas Society of Gastroenterology and Endoscopy Marcel Patterson, Robert Nelson Award, 2002 • American College of Physicians Texas Chapter Laureate Award, 2007 • San Antonio Business Journal Healthcare Heroes Lifetime Achievement Award, 2013 • University of Texas Medical Branch Ashbel Smith Distinguished Alumnus Award, 2016 • Texas Society of Gastroenterology and Endoscopy Patient Advocacy Award, 2019

Born and raised in San Antonio, Delbert Chumley attended Central Catholic High School and has spent the last four decades here in private practice. After graduating from Texas A&M University, he received his medical degree from The University of Texas Medical Branch, Galveston where he remained for his post-graduate education serving as Chief Resident in Internal Medicine and completing a Fellowship in Gastroenterology in 1976. Afterwards, he moved back to his hometown and established Gastroenterology Consultants of San Antonio which has grown into a 26-physician group. Dr. Chumley is a Fellow in the American College of Physicians and the American College of Gastroenterology and continues to maintain a clinical faculty appointment of Professor of Medicine at the UT Health San Antonio Long School of Medicine. He has held several hospital and professional appointments and remains very active in organized medicine, legislative affairs and development of medical education programs. In recent years, Dr. Chumley has served as President of the Texas A&M Medical and Dental Society, President of the Texas Society of Gastroenterology and Endoscopy, President of the Bexar County Medical Society, and President of the American College of Gastroenterology. 20

San Antonio Medicine • February 2020

He and his wife of 45 years, Louise, have remained active in community affairs supporting numerous nonprofit organizations including serving as co-chairs for the American Cancer Society Cattle Barons Gala. Dr. Chumley most recently served on the Board of Directors for BioMedSA which focuses on the growth of biomedical research in San Antonio and as Administrative Liaison for the American College of Gastroenterology Board of Trustees. Dr. Chumley and Louise enjoy spending time at their second home in Rockport, fishing in Aransas Bay, attending Texas A&M home football games and supporting the Spurs. They obtain the greatest pleasure, however, enjoying their three adult children and their spouses and their four grandkids, (soon to be five).

When asked what he enjoys most from his 40-plus years of practice, Dr. Chumley responds, “caring for my patients whose trust and friendship I truly cherish.” He also has been and continues to be amazed at all the advancements in gastroenterology, including the development of new drugs to treat duodenal ulcers, to inflammatory bowel disease, to hepatitis C and how technology has helped to improve diagnosis. However, he emphasizes that attentively listening to a patient and performing a complete and careful physical examination still remain the foundation of quality healthcare.

David G. Schulman, MD Golden Aesculapius Award David G. Shulman, MD is a board-certified ophthalmologist whose career is a devotion to improving Texans’ eyesight; little wonder he was nominated to receive the “2020” Golden Aesculapius Award. Practicing in the San Antonio area for over 30 years, he graduated from the Creighton University School of Medicine, completing his internship and residency in ophthalmology in Temple, Texas. Dr. Shulman has a special interest in cataract and refractive surgery, having performed refractive surgery procedures since 1985. He is certified in the Catalys procedures, which is the latest technology in cataract removal for his patients. He has participated in clinical research concerning ophthalmic drugs for the treatment of glaucoma, eye infections and allergic conditions of the eye. A team of investigators, led by Dr. Shulman, conducted a phase 3 extension study showing similar efficacy in reducing intraocular pressure of BAK-free latanoprost compared to latanoprost containing BAK. In this follow-up study, investigators sought to determine the long-term safety of use without the preservative. Dr. Shulman is a clinical professor of ophthalmology at the UT Health San Antonio Long School of Medicine. He has served his medical community by being President of the Texas Opthalmol-

ogy Association in 1993, President of the Bexar County Medical Society in 1995, President of the BCMS Foundation in 2003 and President of the San Antonio Society of Ophthalmology in 1997. He has had the honor of sitting on the Board of Trustees of the American Academy of Ophthalmology from 2000-2003.

“Dr. Shulman has been very active in the Bexar County Medical Society, having served many leadership positions and contributing vastly to our legislative/patient advocacy agenda” said co-award-recipient Dr. Delbert Chumley. “He also is a highly respected and admired ophthalmologist still practicing and contributing to the healthcare of our city and still supporting our Medical Society.” Married to Becky Shulman for over 40 years, they have two grown children, Lucia and Birge, and five grandchildren, Thomas, Rebekah, Ava, Kathryn, and David.

visit us at www.bcms.org

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

David N. Henkes, MD Distinguished Service Award The Bexar County Medical Society (BCMS) Distinguished Service Award recognizes doctors who have provided distinguished service to the physicians or patients of Bexar County, or to the medical profession in general. It is with pleasure that Dr. David Henkes is named a 2020 recipient of the Distinguished Service Award, an award for specific acts of service and accomplishments. Dr. Henkes has been a strong advocate for physicians and patients for over 30 years.

Dr. Henkes said, “Early in my career, a mentor told me that as a professional we are expected to not only do a good job but to also give back to the profession. Being involved in organized medicine, from the time that I was a medical student until now, is my attempt to follow that advice and the results have been very rewarding to me.” He has served the Bexar County Medical Society as President, Vice President, Treasurer, and as an at-large Board member. He also has served as Chair of many BCMS committees, including the legislative, BCMS Delegation to Texas Medical Association, and finance committees. He is currently the Chair of the BCMS Leadership Development Committee. In the Texas Medical Association (TMA), Dr. Henkes has served 22

San Antonio Medicine • February 2020

on the Socioeconomics and Legislative Councils, on the TMA Board of Trustees for nine years, and as Vice Chair and as Chair of the TMA Board of Trustees. He currently is the Chair of the Texas Delegation to the American Medical Association. He is also currently the President of the Christus Santa Rosa Medical Staff which oversees the medical staff of four hospitals in this area and has been Chief of Staff at the Christus Santa Rosa Medical Center Hospital two times. Dr. Henkes is a past president of the Texas Society of Pathologists and served on advocacy councils and committees for the College of American Pathologists. He also previously chaired the Texas Medical Association Political Action Committee (TexPAC). At the national level, he frequently attends the American Medical Society National Advocacy Conference and visits legislators in Washington to ensure that Texas medicine and the doctor-patient relationship are protected from harmful legislation. Throughout his service to the physicians and patients of San Antonio and Texas, Dr. Henkes has maintained a reputation for being a trusted authority on medicine and is frequently called upon to talk with news media on emerging issues. “Dr. Henkes has earned the Bexar County Medical Society Distinguished Service Award through fierce advocacy for medicine”, said colleague Shazli N. Malik, MD of Christus Santa Rosa Hospital. “He is known for an integrity that has doctors from all over the country seeking his advice.”

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

William L. Henrich, MD, MACP Distinguished Service Award William L. Henrich, MD, MACP, a specialist in kidney diseases, has served as the president of The University of Texas Health Science Center at San Antonio (now called UT Health San Antonio) since 2009. UT Health San Antonio is one of six health institutions under the umbrella of The University of Texas System. UT Health is a dynamic and rapidly expanding health science center with five professional schools (medicine, nursing, dentistry, health professions and graduate school of biomedical sciences) with missions of education, clinical care, research and community service. With a budget of nearly one billion dollars, a work force of 7,100 and a research portfolio of approximately $300 million, UT Health is quickly rising in prominence among academic medical centers in the United States. Henrich received his undergraduate degree from Columbia University and his medical degree from Baylor College of Medicine, and later completed a residency in Internal Medicine at The University of Oregon Medical School and a fellowship in Nephrology at The University of Colorado School of Medicine. During his career, Henrich has served as Professor of Medicine at The University of Texas Southwestern School of Medicine, as Pro24

San Antonio Medicine • February 2020

fessor and Chair of Medicine at the Medical College of Ohio, and as the Theodore Woodward Professor and Chairman of the Department of Medicine at The University of Maryland School of Medicine in Baltimore. He became the Dean of the School of Medicine and Vice President for Medical Affairs at UT Health San Antonio in 2006 prior to being selected as its President in 2009. He is the inaugural holder of the John P. Howe, III, MD, Distinguished Chair in Health Policy. He is the author of over 300 original articles and chapters, and the founding editor of the popular dialysis textbook, “Henrich’s Principles and Practice of Dialysis”. His current areas of interest are in improving dialysis and vascular renal disease. An elected member of several prominent research societies, Henrich also served as President of the American Society of Nephrology. He is passionate about mentoring students, residents and young physicians and has received teaching accolades in every institution in which he has served. A devotee of literature and opera, he is also committed to staying fit by running or swimming most days so that he can continue to enjoy life to the fullest with his wife of 50 years, Mary, son and daughter, and five grandchildren.

Louis J. Goodman, PhD Lifetime Service Award The Award for Lifetime Service to an Organization is designated for those who have shown exceptional leadership in the development of our professional community. Louis J. Goodman, PhD, the Executive Vice President and CEO of the Texas Medical Association (TMA), served in that capacity from 1997 through 2019. Dr. Goodman is an economist with a decades-long perspective on the American health care delivery system. He is an astute leader who inspires his team to set and reach ever-higher goals in their work on behalf of US physicians. He melds a deep appreciation of the health care marketplace, politics, organized medicine, and human behavior. As CEO, Dr. Goodman was responsible for the strategic, legislative, and operational direction of the TMA with more than 51,000 physician and student members. Since his appointment as CEO, membership increased 47-percent. During his 31 years of experience at the TMA, Dr. Goodman leveraged his extensive expertise on such critical health care issues as physician shortages, tort reform, and the legislative, economic, and political determinants of health reform, on behalf of his member physicians. Highlights and accomplishments for TMA under Dr. Goodman’s direction include the return of millions of dollars to Texas physicians as a result of the passage of an amendment nullifying the re-

coupment in the Omnibus Budget Reconciliation Act, historic state medical liability reform legislation that became the model for the entire country, and the repeal of the Medicare Sustainable Growth Rate formula. Dr. Goodman has held numerous leadership positions at renowned medical societies and organizations, including president of the American Association of Medical Society Executives, chairman of the Texas Society of Association Executives, and honorary member of the American Medical Association. He held the appointment of Adjunct Professor of Public Health at The University of Texas Health Science Center at Houston. He was a board member and former president of The Physicians Foundation and chair of its Medical Practice Committee, and was the treasurer of the Physician Advocacy Institute. In addition to his leadership roles, Dr. Goodman has been recognized for his outstanding work in health care with the American Medical Association’s “Medical Executive Lifetime Achievement Award” and the Texas Society of Association Executives “Distinguished Executive Award.” Dr. Goodman has a master’s and a doctoral degree in public policy and medical economics from New York University. He has published more than 70 articles on health care.

visit us at www.bcms.org

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

2019 Women in Medicine Event

Several local female healthcare leaders, selected by the BCMS Women in Medicine Committee, were honored at the Bexar County Medical Society Women in Medicine event on Thursday, November 21, 2019, at the Mays Family Center at The Witte Museum. Over 500 guests attended the event to celebrate their female colleagues as they were being presented with the 2019 BCMS Women In Medicine Leadership Awards.

CONNIE GARCIA MacGregor Medical Group INSTITUTE FOR WOMEN’S HEALTH A Division of Women’s Health Texas

2019 Practice Manager of the Year

2019 BCMS Large Practice Group of the Year

BRITTANY DEBERRY, MD START Center for Cancer Care 2019 Women Surgeon Distinguished Award

NORMA BORRERO, MD Family Medicine University Medicine Associates 2019 Healthcare System Outstanding Service Award

San Antonio Medicine • February 2020

DIANE BIERY, MD Chief Medical Officer Methodist Specialty & Transplant Hospital 2019 Female Healthcare Executive Leadership Award

CAROLYN EATON, MD University Medicine Associates 2019 Healthcare System Outstanding Service Award

RENEE DE LA TORRE, MD University Medicine Associates 2019 Healthcare System Outstanding Service Award

STEPHANIE BURNS, MD South Texas Radiology Imaging Centers 2019 Leader in Cancer Patient Treatment

CHRISTINE GILLIAM, MD Everyone’s ENT 2019 Outstanding Service in Solo Practice

MICHELLE HARDEN, MD Stone Oak Women’s Center 2019 Champion in Women’s Health

CHRISTINA BUI, MD San Antonio Eye Center 2019 Excellence in Compassionate Care

GRACE N. CORTEZJACKSON, MD Clinical Pathology Associates 2019 Outstanding Work in Clinical Medicine

ERICA GONZALEZREYES, MD South Texas Allergy and Asthma Medical 2019 Excellence in Military Service, Teaching & Private Practice Award

MANICA ISIGUZO, MD Texas Intensivist, Pulmonary and Sleep Medicine (IPS) 2019 Group Partner Positive Impact Award

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INSTALLATION OF OFFICERS & PHYSICIAN AWARDS SUSAN LEE, MD Wellmed Medical Group 2019 Female Executive in a Large Group Practice

LENIBET MONTEMAYOR, MD Health Texas Medical Group 2019 Distinguished Service in Family Care

NORMA PARRA, MD CentroMED 2019 Excellence in Local Community Service Award

MARISA SANDERA, MD START Center for Cancer Care 2019 Executive in Hematology Care Award

San Antonio Medicine â&#x20AC;¢ February 2020

SOWJANYA MOHAN, MD Sounds Physicians Baptist Medical Center 2019 Outstanding Service in Hospital Medicine

NIVEDITA PARACHUR, MD Texas Indo-American Southwest Chapter (TIPSSW) 2019 Excellence in Patient Care & Dedication Award

TAMRYA ROGERS, MD Dr. Rogers Medical Center 2019 Female Medical Leader in Business Award

ZAREMA SINGSON, MD Gastroenterology Consultants of San Antonio 2019 Outstanding Work in Specialty Medicine

BLANDINE BUSTAMANTE HELFRICH, MD UIW School of Osteopathic Medicine 2019 Excellence in Teaching Future Medical Leaders Award

LAUREN TARBOX, MD South Texas Renal Care Group 2019 Outstanding Provider of Chronic Disease Care Award

CATHERINE TISDALL, MD Dermatology SA 2019 Excellence in Patient Care Award

NORA VASQUEZ, MD Communicare Health Centers 2019 Rising Star Award

MARY ANN SNYDER, MD UIW School of Osteopathic Medicine 2019 Excellence in Teaching Future Medical Leaders Award

ALICIA TEZEL, MD Little Spurs Pediatric Urgent Care Group 2019 Leader in Pediatric Healthcare Award

MARTA K. UHLER, MD South Texas Radiology Imaging Centers (STRIC) 2019 Excellence in Professional Dedication Award

JOCELYN ZARATE, MD Zarate Medical Group 2019 Female Leader in Medical Partnership Award

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INSTALLATION OF OFFICERS & PHYSICIAN AWARDS

2019 UT Health San Antonio

Colette M. Kohler Award Recipients The BCMS Women in Medicine Committee also recognized the UT Health SA Colette M. Kohler Award Recipients.

AMELIE RAMIREZ, DrPH UT Health SA, Long School of Medicine

JAN BRUDER, MD UT Health SA, Long School of Medicine

JAN EVANS PATTERSON, MD, MS UT Health SA, Long School of Medicine, Infectious Disease

BARBARA S. TAYLOR, MD, MS UT Health SA, Long School of Medicine, Infectious Disease

WARIDIBO ALLISON, MD, PHD UT Health SA, Long School of Medicine, Infectious Disease

San Antonio Medicine â&#x20AC;¢ February 2020

SANDRA SANCHEZ-REILLY, MD UT Health SA, Long School of Medicine, Associate Chief of Staff, for Geriatrics and Extended Care South Texas Veterans Health Care System

SANDRA OSSWALD, MD UT Health SA, Long School of Medicine

MARIA DEL PILAR MONTANEZ VILLACAMPA, MD UT Health SA, Long School of Medicine, Department of Family & Community Medicine

KRISTEN A. PLASTINO, MD UT Health SA, Long School of Medicine, Department of Obstetrics & Gynaecology

PAULA K. SIREMAN, MS, MBA, MD UT Health SA, Long School of Medicine, Department of Surgery

TATIANA CORDOVA, MD UT Health SA, Long School of Medicine, Department of Family & Community Medicine

LOLA MORGAN, MD UT Health SA, Long School of Medicine, Department of Neurology

SARAH PAGE-RAMSEY, MD UT Health SA, Long School of Medicine, Department of Obstetrics & Gynaecology

LILLIAN LIAO, MD UT Health SA, Long School of Medicine, Division of Trauma & Emergency Surgery

INSTALLATION OF OFFICERS & PHYSICIAN AWARDS NANCY KELLOGG, MD UT Health SA, Long School of Medicine, Department of Pediatrics

JANE SHI, MD, PhD UT Health SA, Long School of Medicine, Department of Radiology Oncology

San Antonio Medicine â&#x20AC;¢ February 2020

DARLENE METTER, MD, FACR UT Health SA, Long School of Medicine, Department of Radiology

OPIOD RESPONSE

ONE STATE'S RESPONSE TO THE OPIOID EPIDEMIC & How Other States Might Not Be Ready for their Own By Dylan Zayne Erwin Most people have felt the joy of holding a newborn. It is often visceral: the innocence, sounds, and smell can make us smile like few other things. This smile fades when we look down at what appears to be a perfectly healthy newborn, writhing in pain as their nerve endings fire in response to every sensation. This is the reality for thousands of newborns across the country fighting gestational opioid exposure, leading to Neonatal Abstinence Syndrome (NAS). Treatment of NAS involves a hospitalization and a painful withdrawal from opioids in the first months of life. I first grew interested in the opioid crisis while volunteering during college at a Dallas neonatal intensive care unit, where I witnessed infants with NAS daily. The United States Department of Health and Human Services has declared opioid usage and overdose a public health emergency1. Consequently, studies have shown an over five-fold increase in NAS rates in the last decade (Figure 1), leading to hundreds of millions of dollars in increased healthcare costs2. Recently, I traveled to Huntington, West Virginia, considered by many to be the epicenter of the opioid crisis, to spend a few weeks FIGURE 1

San Antonio Medicine â&#x20AC;˘ February 2020

learning more about the issue. West Virginia has the highest ageadjusted opioid overdose rate in the country (Figure 2), but the West Virginian healthcare system is rising to the meet this challenge2. Throughout my visit, I met countless healthcare professionals dedicating their lives to confronting the epidemic. West Virginia has become a leader in opioid abuse treatment and detoxification. The state has championed residential and medication assisted treatment, along with unique outpatient programs aimed at treating NAS3. A large amount of the funding for the advancement and innovation occurring in West Virginia is from Medicaid expansion4. West Virginia is one of the 36 states (plus Washington, DC) to expand Medicaid, and it has experienced one of the largest increases in Medicaid enrollment5,6. Since expanding, over 150,000 additional West Virginians have enrolled, contributing to a 56% reduction in the stateâ&#x20AC;&#x2122;s number of uninsured. It is predicted that over 20,000 people within the expansion population have received opioid addiction treatment as a direct result of the expansion4. With my own experiences in Dallas, and now seeing patients with opioid addiction in San Antonio, I have seen that Texas is not immune to the epidemic plaguing the rest of the country. However, statistically this might not appear to be the case, as Texas has one of the lowest opiate overdose rates in the country. Although, a deeper look shows that Texas has seen a twofold and threefold increase in heroin and fentanyl containing opiates in the last decade2. Texas ranks top-five in the U.S. in number of opioid related deaths, second highest in opioid related healthcare costs and in the bottom five for mental health expenditures. Specifically, the

OPIOD RESPONSE

San Antonio metroplex is FIGURE 2 one of the most severely affected regions in Texas. San Antonio accounts for onethird of all Texas cases of NAS, and the mortality rate for opioid-related overdose is almost double the national average7. Politically, West Virginia and Texas appear similar. But as Texas is one of the 14 states to not expand Medicaid, this added source of funding in West Virginia is not available in Texas. Texas has not experienced the rates of opioid usage seen in the mid-East, but as seen above, the statistics are cause for alarm. Since expanded Medicaid funding is not available, Texas should be proactively planning for unique funding opportunities to address this worsening problem. Traveling to West Virginia also illustrated that the overall attitude towards opioid treatment is very different across the country and even from city to city in the same state. Local attitudes towards medication assisted treatment and needle exchange programs vary drastically. For example, local political debate and protests to treatment centers has led to increased tensions between the West Virginian cities of Charleston and Huntington, which are just an hour apart. States that have not started to address the opioid crisis will struggle not only finding funding to manage the crisis, but also with de-stigmatizing treatment. Limited sources of funding, societal opinion regarding treatment, and a large at-risk population prime Texas and many other states to be potentially vulnerable to the worsening opioid epidemic. Currently, programs like the Texas Targeted Opioid Response are proactive measures underway in Texas and are a significant start, but continued work is needed to keep pace with increasing opioid usage8. Dylan Zayne Erwin is a third-year medical student in San Antonio. He plans to pursue a residency in otolaryngology. Dylan is a member of the Bexar County Medical Society. REFERENCES 1. Health and Human Services. What is the U.S. Opioid Epidemic? Retrieved from https://www.hhs.gov/opioids/about-the-epi-

2. 3.

4. 5.

6. 7.

demic/index.html National Institute on Drug Abuse. (2019, March 29). West Virginia Opioid Summary. Retrieved from https://www.drugabuse.gov/ opioid-summaries-by-state/west-virginia-opioid-summary Health and Human Services. FACTSHEET: West Virginia’s Oversight of Opioid Prescribing and Monitoring of Opioid Use. Retrieved from https://oig.hhs.gov/oas/reports/region3/31803302_ Factsheet.pdf Norris, L. (2019, June 16). West Virginia and the ACA's Medicaid expansion: eligibility, enrollment and benefits. Retrieved from https://www.healthinsurance.org/west-virginia-medicaid/ The Henry J. Kaiser Family Foundation. (2019, August 2). Status of State Medicaid Expansion Decisions: Interactive Map. Retrieved from https://www.kff.org/medicaid/issue-brief/status-of-statemedicaid-expansion-decisions-interactive-map/ Sommers, B. D., & Epstein, A. M. (2017). Red-State Medicaid Expansions — Achilles’ Heel of ACA Repeal? New England Journal of Medicine, 376(6), e7. https://doi.org/10.1056/NEJMp1700156 Bridger, C. A Brief Overview of the Opioid Epidemic. Retrieved from https://capitol.texas.gov/tlodocs/85R/handouts/ C3942018062610001/8d274093-7d2c-46e7-b363-84b6e6 ee0ac6.PDF Texas Health and Human Services. Texas Targeted Opioid Response. Retrieved from https://hhs.texas.gov/services/mentalhealth-substance-use/adult-substance-use/texas-targeted-opioid-re sponse

PHYSICIANS PURCHASING DIRECTORY Brought to you by the BCMS Circle of Friends

By supporting these sponsors with your patronage, you are supporting the BCMS. ACCOUNTING FIRMS

“Leaders in Healthcare Software & Consulting”

www.kreagermitchell.com “Client-centered legal counsel with integrity and inspired solutions”

ARCHITECTURE Sol Schwartz & Associates P.C. (HHH Gold Sponsor) With This Celebrating our 40th anniversary, our detailed knowledge of medical practices helps our clients achieve a healthy balance of financial, operational, clinical and personal well-being. Jim Rice, CPA 210-384-8000, ext. 112 jprice@ssacpa.com www.ssacpa.com “Dedicated to working with physicians and physician groups.”

ASSETT WEALTH MANAGEMENT

LK Design Group, Inc. (HH Silver Sponsor) LK Design Group has over 24 years of experience designing various medical and hospital buildings. We have experience in both ground up developments and re-design of interior spaces for medical professionals. Lynn Kuckelman Peters President 210-824-8825 Lynn.p@lkdesigngroup.com Kristin Savage Director of Business Development 210-824-8825 Kristin.s@Lkdesigngroup.com www.lkdesigngroup.com

ATTORNEYS Bertuzzi-Torres Wealth Management Group (HHH Gold Sponsor) We specialize in simplifying your personal and professional life. We are dedicated wealth managers who offer diverse financial solutions for discerning healthcare professionals, including asset protection, lending and estate planning. Mike Bertuzzi First Vice President Senior Financial Advisor 210-278-3828 Michael_bertuzzi@ml.com Ruth Torres Financial Advisor 210-278-3828 Ruth.torres@ml.com http://fa.ml.com/bertuzzi-torres

ACCOUNTING SOFTWARE

Express Information Systems (HHH Gold Sponsor) With over 29 years’ experience, we understand that real-time visibility into your financial data is critical. Our browser-based healthcare accounting solutions provide accurate, multi-dimensional reporting that helps you accommodate further growth and drive your practice forward. Rana Camargo Senior Account Manager 210-771-7903 ranac@expressinfo.com www.expressinfo.com

San Antonio Medicine • February 2020

Constangy, Brooks, Smith & Prophete (HHH Gold Sponsor) Constangy, Brooks, Smith & Prophete offers a wider lens on workplace law. With 190+ attorneys across 15 states, Constangy is one of the nation’s largest Labor and Employment practices and is nationally recognized for diversity and legal excellence. Kathleen Barrow Partner 512-382-8796 kbarrow@constangy.com Ashlee Mann Ligarde 512-382-8800 aligarde@constangy.com John E. Duke Senior Counsel 512-382-8800 jduke@constangy.com www.constangy.com “A wider lens on workplace law.”

Kreager Mitchell (HHH Gold Sponsor) At Kreager Mitchell, our healthcare practice works with physicians to offer the best representation possible in providing industry specific solutions. From business transactions to physician contracts, our team can help you in making the right decision for your practice. Michael L. Kreager 210-283-6227 mkreager@kreagermitchell.com Bruce M. Mitchell 210-283-6228 bmitchell@kreagermitchell.com

Norton Rose Fulbright (HHH Gold Sponsor) Norton Rose Fulbright is a global law firm. We provide the world’s preeminent corporations and financial institutions with a full business law service. We deliver over 150 lawyers in the US focused on the life sciences and healthcare sector. Mario Barrera Employment & Labor 210 270 7125 mario.barrera@nortonrosefulbright.com Charles Deacon Life Sciences and Healthcare 210 270 7133 charlie.deacon@nortonrosefulbright.com Katherine Tapley Real Estate 210 270 7191 katherine.tapley@nortonrosefulbright.com www.nortonrosefulbright.com “In 2016, we received a Tier 1 national ranking for healthcare law according to US News & World Report and Best Lawyers”

ASSETS ADVISORS/ PRIVATE BANKING

BB&T (HHH Gold Sponsor) Banking Services, Strategic Credit, Financial Planning Services, Risk Management Services, Investment Services, Trust & Estate Services — BB&T offers solutions to help you reach your financial goals and plan for a sound financial future. Claudia E. Hinojosa Wealth Advisor 210-248-1583 CHinojosa@BBandT.com www.bbt.com/wealth/start.page "All we see is you"

Jeanne Bennett EVP | Private Banking Manager 210 343 4556 Jeanne.bennett@amegybank.com Karen Leckie Senior Vice President Private Banking 210.343.4558 karen.leckie@amegybank.com Robert Lindley Senior Vice President Private Banking 210.343.4526 robert.lindley@amegybank.com Denise C. Smith Vice President | Private Banking 210.343.4502 Denise.C.Smith@amegybank.com www.amegybank.com “Community banking partnership”

BankMD (HHH Gold Sponsor) We believe Physicians deserve specialized products and services to meet the challenging demands of their career and lifestyle. Moses D. Luevano Market President 512-663-7743 mdl@bankmd.com www.bankmd.com “BankMD, "Specialized, Simple, Reliable" Banking for Doctors”

BB&T (HHH Gold Sponsor) Checking, savings, investments, insurance — BB&T offers banking services to help you reach your financial goals and plan for a sound financial future. Joseph Bieniek Vice President Small Business Specialist 210-247-2985 jbieniek@bbandt.com Ben Pressentin 210-762-3175 bpressentin@bbandt.com www.bbt.com

BANKING

Amegy Bank of Texas (HHH Gold Sponsor) We believe that any great relationship starts with five core values: Attention, Accountability, Appreciation, Adaptability and Attainability. We work hard and together with our clients to accomplish great things.

Josh Collins SVP, Global Wealth Executive 210-370-6194 josh.collins@bbva.com Mary Mahlie SVP, Private Banking 210-370-6029 mary.mahlie@bbva.com Mark Menendez SVP, Wealth Financial Advisor 210-370-6134 mark.menendez@bbva.com www.bbvacompass.com "Creating Opportunities"

Broadway Bank (HHH Gold Sponsor) Healthcare banking experts with a private banking team committed to supporting the medical community. Ken Herring 210-283-4026 kherring@broadwaybank.com Daniel Ganoe Mortgage Loan Originator 210-283-5349 www.broadwaybank.com “We’re here for good.”

The Bank of San Antonio (HHH Gold Sponsor) We specialize in insurance and banking products for physician groups and individual physicians. Our local insurance professionals are some of the few agents in the state who specialize in medical malpractice and all lines of insurance for the medical community. Brandi Vitier, 210-807-5581 brandi.vitier@thebankofsa.com www.thebankofsa.com

Synergy Federal Credit Union (HHH Gold Sponsor) Looking for low loan rates for mortgages and vehicles? We've got them for you. We provide a full suite of digital and traditional financial products, designed to help Physicians get the banking services they need. Synergy FCU Member Services (210) 750-8333 info@synergyfcu.org www.synergyfcu.org “Once a member, always a member. Join today!”

BUSINESS CONSULTING Waechter Consulting Group (HH Silver Sponsor) Want to grow your practice? Let our experienced team customize a growth strategy just for you.

Utilizing marketing and business development tactics, we create a plan tailored to your needs! Michal Waechter, Owner (210) 913-4871 Michal@WaechterConsulting.com “YOUR goals, YOUR timeline, YOUR success. Let’s grow your practice together”

COMMERCIAL PROPERTY MANAGMENT

Investment Realty Company, L.C. (HHH Gold Sponsor) We act as Trusted Advisors leveraging our expertise as we assist Physicians in making the best commercial real estate decisions for their practices whether it's leasing, purchase or asset acquisiton. Connie P. Raub Executive V. Pres., Broker Associate Realtor 210.314.7838 cpraub@investmentrealty.com Joanne Vollmer Mirelez, CCIM, MHA, Broker Associate Realtor 210.314.7843 joanne@investmentrealty.com Miranda Rihn, Associate Realtor 210.642.5429 mrihn@investmentrealty.com www.InvestmentRealty.com Expect Extensive research, innovative solutions, value added services, unparalleled service."

DIAGNOSTIC IMAGING

Touchstone Medical Imaging (HHH Gold Sponsor) To offer patients and physicians the highest quality outpatient imaging services, and to support them with a deeply instilled work ethic of personal service and integrity. Caleb Ross Area Marketing Manager 972-989-2238 caleb.ross@touchstoneimaging.com Angela Shutt Area Operations Manager 512-915-5129 angela.shutt@touchstoneimaging.com www.touchstoneimaging.com "Touchstone Imaging provides outpatient radiology services to the San Antonio community."

FINANCIAL ADVISOR

“Get what you deserve … maximize your Social Security benefit!”

FINANCIAL SERVICES

SWBC ( 10K Platinum Sponsor) SWBC for Personal and Practice: Physician programs for wealth management and homebuying; For Your Practice: HR administration, payroll, employee benefits, property insurance, and exist strategies Jon M. Tober SWBC Mortgage—Sr. Loan Officer NMLS #212945 (210) 317-7431 jon.tober@swbc.com Maria Martinez SWBC Insurance Services, Commercial Lines Producer (210) 376-3478 maria.martinez@swbc.com Michael Gugliotti SWBC PEO, Sales Manager 830-980-1236 MGugliotti@swbc.com Tom Jordan SWBC Investment Services, Executive Benefits and Business Planning Advisor 210-376-3378 thomas.jordan@swbc.com www.swbc.com SWBC family of services supporting Physicians and the Medical Society

Aspect Wealth Management (HHH Gold Sponsor) We believe wealth is more than money, which is why we improve and simplify the lives of our clients, granting them greater satisfaction, confidence and freedom to achieve more in life. Jeffrey Allison 210-268-1530 jallison@aspectwealth.com www.aspectwealth.com

Bertuzzi-Torres Wealth Management Group ( Gold Sponsor) We specialize in simplifying your personal and professional life. We are dedicated wealth managers who offer diverse financial solutions for discerning healthcare professionals, including asset protection, lending and estate planning. Mike Bertuzzi First Vice President Senior Financial Advisor 210-278-3828 Michael_bertuzzi@ml.com Ruth Torres Financial Advisor 210-278-3828 Ruth.torres@ml.com http://fa.ml.com/bertuzzi-torres

Elizabeth Olney with Edward Jones ( Gold Sponsor) We learn your individual needs so we can develop a strategy to help you achieve your financial goals. Join the nearly 7 million investors who know. Contact me to develop an investment strategy that makes sense for you. Elizabeth Olney Financial Advisor (210) 493-0753 Elizabeth.olney@edwardjones.com www.edwardjones.com/elizabeth-olney "Making Sense of Investing" Avid Wealth Partners (HH Silver Sponsor) The only financial firm that works like physicians, for physicians, to bring clarity and confidence in an age of clutter and chaos. You deserve to be understood and well-

continued on page 38

visit us at www.bcms.org

PHYSICIANS PURCHASING DIRECTORY continued from page 37 served by a team that's committed to helping you avidly pursue the future you want, and that's our difference. Eric Kala CFP®, CIMA®, AEP®, CLU®, CRPS® Founder & Wealth Management Advisor 210.446.5752 eric.kala@nm.com avidwealthpartners.com “Plan it. Do it. Avid Wealth”

HEALTHCARE BANKING

Amegy Bank of Texas ( Gold Sponsor) We believe that any great relationship starts with five core values: Attention, Accountability, Appreciation, Adaptability and Attainability. We work hard and together with our clients to accomplish great things. Jeanne Bennett EVP | Private Banking Manager 210 343 4556 Jeanne.bennett@amegybank.com Karen Leckie Senior Vice President Private Banking 210.343.4558 karen.leckie@amegybank.com Robert Lindley Senior Vice President Private Banking 210.343.4526 robert.lindley@amegybank.com Denise C. Smith Vice President | Private Banking 210.343.4502 Denise.C.Smith@amegybank.com www.amegybank.com “Community banking partnership”

BBVA Compass (HHH Gold Sponsor) We are committed to fostering our clients’ confidence in their financial future through exceptional service, proactive advice, and customized solutions in cash management, lending, investments, insurance, and trust services. Josh Collins SVP, Global Wealth Executive 210-370-6194 josh.collins@bbva.com Mary Mahlie SVP, Private Banking 210-370-6029 mary.mahlie@bbva.com Mark Menendez SVP, Wealth Financial Advisor 210-370-6134 mark.menendez@bbva.com www.bbvacompass.com "Creating Opportunities"

San Antonio Medicine • February 2020

HEALTHCARE CONSULTING

INSURANCE

CareAllies (HHHH 10K Platinum Sponsor) CareAllies works side-by-side with health care providers to accelerate the transition to valuebased care, helping improve the quality, value and experience of care for patients and make health care better for everyone. Sabrina Moreno, Network Operations Senior Manager (713) 437-3088 X 523088 Sabrina.Moreno@careallies.com info@careallies.com https://www.careallies.com/ “For Better Health and Better Business”

TMA Insurance Trust (HHHH 10K Platinum Sponsor) Created and endorsed by the Texas Medical Association (TMA), the TMA Insurance Trust helps physicians, their families and their employees get the insurance coverage they need. Wendell England 512-370-1746 wengland@tmait.org James Prescott 512-370-1776 jprescott@tmait.org John Isgitt 512-370-1776 www.tmait.org “We offer BCMS members a free insurance portfolio review.”

HOSPITALS/ HEALTHCARE SERVICES

Warm Springs Medical Center Thousand Oaks Westover Hills (HHH Gold Sponsor) Our mission is to serve people with disabilities by providing compassionate, expert care during the rehabilitation process, and support recovery through education and research. Central referral line 210-592-5350 “Joint Commission COE.” Methodist Healthcare System (HH Silver Sponsor) Palmire Arellano 210-575-0172 palmira.arellano@mhshealth.com http://sahealth.com

INFORMATION AND TECHNOLOGIES

Humana (HHH Gold Sponsor) Humana is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. Jon Buss: 512-338-6167 Jbuss1@humana.com Shamayne Kotfas: 512-338-6103 skotfas@humana.com www.humana.com

OSMA Health (HHH Gold Sponsor) Health Benefits designed by Physicians for Physicians. Bill Brooks Senior Vice President (214) 329-4584 BBrooks@abadmin.com www.osmahealth.com/ “People you know Coverage you can trust”

INSURANCE/MEDICAL MALPRACTICE

Texas Medical Liability Trust (HHHH 10K Platinum Sponsor) Texas Medical Liability Trust is a not-for-profit health care liability claim trust providing malpractice insurance products to the physicians of Texas. Currently, we protect more than 18,000 physicians in all specialties who practice in all areas of the state. TMLT is a recommended partner of the Bexar County Medical Society and is en-

dorsed by the Texas Medical Association, the Texas Academy of Family Physicians, and the Dallas, Harris, Tarrant and Travis county medical societies. Patty Spann 512-425-5932 patty-spann@tmlt.org www.tmlt.org Recommended partner of the Bexar County Medical Society

The Bank of San Antonio Insurance Group, Inc. (HHH Gold Sponsor) We specialize in insurance and banking products for physician groups and individual physicians. Our local insurance professionals are some of the few agents in the state who specialize in medical malpractice and all lines of insurance for the medical community. Katy Brooks, CIC 210-807-5593 katy.brooks@bosainsurance.com www.thebankofsa.com “Serving the medical community.” MedPro Group (HH Silver Sponsor) Medical Protective is the nation's oldest and only AAA-rated provider of healthcare malpractice insurance. Kirsten Baze 512-375-3972 Kirsten.Baze@medpro.com www.medpro.com ProAssurance (HH Silver Sponsor) ProAssurance professional liability insurance defends healthcare providers facing malpractice claims and provides fair treatment for our insureds. ProAssurance Group is A.M. Best A+ (Superior). Delano McGregor Senior Market Manager 800.282.6242 ext 367343 DelanoMcGregor@ProAssurance.com www.ProAssurance.com/Texas

MEDICAL BILLING AND COLLECTIONS SERVICES

Acumen Systems, LLC (HHH Gold Sponsor) Acumen Systems specializes in helping practices become more efficient and profitable, and aims to accelerate their growth with proven successes and systems Christiane Escobar, CMRM Certified Medical Revenue Manager 210-687-5506 cescobar@acumen.systems Angeles Hubard Medical Revenue Representative

210-867-3834 ahubard@acumen.systems https://acumen.systems When was the last time your medical practice had a check-up? Commercial & Medical Credit Services (HH Silver Sponsor) A bonded and fully insured San Antonio-based collection agency. Henry Miranda 210-340-9515 hcmiranda@sbcglobal.net www.cmcs-sa.com “Make us the solution for your account receivables.”

MEDICAL FURNITURE

MEDICAL SUPPLIES AND EQUIPMENT Henry Schein Medical (HH Silver Sponsor) From alcohol pads and bandages to EKGs and ultrasounds, we are the largest worldwide distributor of medical supplies, equipment, vaccines and pharmaceuticals serving office-based practitioners in 20 countries. Recognized as one of the world’s most ethical companies by Ethisphere. Tom Rosol 210-413-8079 tom.rosol@henryschein.com www.henryschein.com “BCMS members receive GPO discounts of 15 to 50 percent.”

MORTGAGE CBI Group (HHH Gold Sponsor) From reception to waiting rooms to workstations, CBI Group is your trusted partner for turnkey office furnishing solutions. Our culturedriven approach and unique access to factory-direct pricing allow us to work within any budget/timeline. Brent Warrilow 210-504-3740 brent.warrilow@cbi-office.com Brody Whitley 210-741-0438 brody.whitley@cbi-office.com Craig Hewines 210-941-1257 craig.hewines@cbi-office.com www.cbi-office.com

MEDICAL PRACTICE

UT Health Physicians (HHH Gold Sponsor) UT Health Physicians, the faculty practice of UT Health San Antonio, features the region's most comprehensive array of specialists & sub-specialists. Now offering free, secure access to your patients’ records. Most health plans accepted. For referrals or questions, contact: Jose Gamez, Director, Physician Relations (210) 450 8347 GamezJ4@uthscsa.edu www.UTHealthcare.org “Offering daily grand rounds with no-cost CME to local physicians since 1969.”

PrimeLending (HHH Gold Sponsor) Doctor Loans, Construction Loans, VA Loans, Conventional and FHA Loans. Cleo Garza Sr. Loan Officer NMLS#218858 210-483-4907 cleo.garza@primelending.com www.lo.primelending.com/cleo.garza Home Loans Made Simple

OFFICE FURNITURE

CBI Group (HHH Gold Sponsor) From reception to waiting rooms to workstations, CBI Group is your trusted partner for turnkey office furnishing solutions. Our culturedriven approach and unique access to factory-direct pricing allow us to work within any budget/timeline. Brent Warrilow 210-504-3740 brent.warrilow@cbi-office.com Brody Whitley 210-741-0438 brody.whitley@cbi-office.com Craig Hewines 210-941-1257 craig.hewines@cbi-office.com www.cbi-office.com

PRACTICE SUPPORT SERVICES

SWBC ( 10K Platinum Sponsor) SWBC for Personal and Practice: Physician programs for wealth

management and homebuying; For Your Practice: HR administration, payroll, employee benefits, property insurance, and exist strategies Tom Jordan SWBC Investment Services, Executive Benefits and Business Planning Advisor 210-376-3378 thomas.jordan@swbc.com Maria Martinez SWBC Insurance Services, Commercial Lines Producer (210) 376-3478 maria.martinez@swbc.com Michael Gugliotti SWBC PEO, Sales Manager 830-980-1236 MGugliotti@swbc.com Debbie Marino SWBC Employee Benefits, SVP Corporate Relations (210) 210-525-1248 DMarino@swbc.com www.swbc.com SWBC family of services supporting Physicians and the Medical Society

PROFESSIONAL ORGANIZATIONS The Health Cell (HH Silver Sponsor) “Our Focus is People” Our mission is to support the people who propel the healthcare and bioscience industry in San Antonio. Industry, academia, military, nonprofit, R&D, healthcare delivery, professional services and more! President, Kevin Barber 210-308-7907 (Direct) kbarber@bdo.com Valerie Rogler, Program Coordinator 210-904-5404 Valerie@thehealthcell.org www.thehealthcell.org “Where San Antonio’s Healthcare Leaders Meet”

San Antonio Group Managers (SAMGMA) (HH Silver Sponsor) SAMGMA is a professional nonprofit association with a mission to provide educational programs and networking opportunities to medical practice managers and support charitable fundraising. Tom Tidwell, President info4@samgma.org www.samgma.org

REAL ESTATE SERVICES COMMERCIAL

CARR Healthcare (HHH Gold Sponsor) CARR Healthcare is the nation’s leading provider of commercial real estate services for tenants and buyers.Our team of healthcare real estate experts assist with start-ups, lease renewals, expansions, relocations, additional offices, Purchases and practice transitions Matt Evans Agent 210-560-1443 matt.evans@carr.us www.carr.us “Maximize Your Profitability Through Real Estate”

KW Commercial (HHH Gold Sponsor) We specialize in advising Medical

continued on page 40

visit us at www.bcms.org

PHYSICIANS PURCHASING DIRECTORY continued from page 39

Professionals on the viability of buying & selling real estate, medical practices or land for development Marcelino Garcia, CRE Broker Assciate 210-381-3722 Marcelino.kwcommercial@gmail.com Leslie Y. Ayala Business Analyst/ CRE Associate 210-493-3030 x1084 Leslie.kwcommercial@gmail.com www.GAI-Advisors.com “Invaluable Commercial Real Estate Advice for The Healthcare Professional”

STAFFING SERVICES

Favorite Healthcare Staffing (HHHH 10K Platinum Sponsor) Serving the Texas healthcare community since 1981, Favorite Healthcare Staffing is proud to be the exclusive provider of staffing services for the BCMS. In addition to traditional staffing solutions, Favorite offers a comprehensive range of staffing services to help members improve cost control, increase efficiency and protect their revenue cycle. Donna Bakeman Office Manager 210-301-4362 dbakeman@favoritestaffing.com www.favoritestaffing.com “Favorite Healthcare Staffing offers preferred pricing for BCMS members.”

TELECOMMUNICATIONS ANSWERING SERVICE

TAS United Answering Service ( Gold Sponsor) We offer customized answering service solutions backed by our commitment to elite client service. Keeping you connected to your patients 24/7. Dan Kilday Account Representative 210-258-5700 dkilday@tasunited.com www.tasunited.com “We are the answer!"

For questions regarding services, Circle of Friends sponsors or joining our program please contact August Trevino, Program Director at 210-301-4366, August.Trevino@bcms.org, bcms.org/COF.html

San Antonio Medicine • February 2020

RECOMMENDED AUTO DEALERS • • • •

Bluebonnet Chrysler Dodge Ram 547 S. Seguin Ave New Braunfels, TX 78130 Matthew C. Fraser 830-606-3463

We will locate the vehicle at the best price, right down to the color and equipment. We will put you in touch with exactly the right person at the dealership to handle your transaction. We will arrange for a test drive at your home or office. We make the buying process easy! When you go to the dealership, speak only with the representative indicated by BCMS.

11001 IH 10 W at Huebner San Antonio, TX Esther Luna 210-690-0700

Northside Chevrolet 9400 San Pedro Ave. San Antonio, TX 78216

Northside Ford 12300 San Pedro San Antonio, TX

David Espinoza 210-912-5087

Marty Martinez 210-525-9800

GUNN AUTO GROUP

GUNN Acura 11911 IH 10 W San Antonio, TX

GUNN Honda 14610 IH 10 W San Antonio, TX

Coby Allen 210-625-4988

Eric Schwartz 210-680-3371

Northside Honda 9100 San Pedro San Antonio, TX 78216

Cavender Audi Dominion 15447 IH 10 W San Antonio, TX 78249

Sean Beardsley 210-988-9644

Rick Cavender 210-681-3399 KAHLIG AUTO GROUP

Mercedes Benz of San Antonio 9600 San Pedro San Antonio, TX

Mercedes Benz of Boerne 31445 IH 10 W Boerne, TX

North Park Mazda 9333 San Pedro San Antonio, TX 78216

William Taylor 210-366-9600

James Godkin 830-981-6000

Scott Brothers 210-253-3300

KAHLIG AUTO GROUP

North Park Subaru 9807 San Pedro San Antonio, TX 78216

North Park Lexus 611 Lockhill Selma San Antonio, TX

North Park Lexus at Dominion 21531 IH 10 W San Antonio, TX

North Park Subaru at Dominion 21415 IH 10 W San Antonio, TX 78257

Mark Castello 210-308-0200

Tripp Bridges 210-308-8900

Justin Blake 888-341-2182

Stephen Markham 877-356-0476

KAHLIG AUTO GROUP

North Park Toyota 10703 SW Loop 410 San Antonio, TX 78211

North Park Lincoln 9207 San Pedro San Antonio, TX

North Park VW at Dominion 21315 IH 10 W San Antonio, TX 78257

Justin Boone 210-635-5000

Sandy Small 210-341-8841

James Cole 800-611-0176

Cavender Toyota 5730 NW Loop 410 San Antonio, TX Gary Holdgraf 210-862-9769

Land Rover of San Antonio 13660 IH-10 West (@UTSA Blvd.) San Antonio, TX Ed Noriega 210-561-4900

Porsche Center 9455 IH-10 West San Antonio, TX Matt Hokenson 210-764-6945

Call Phil Hornbeak 210-301-4367 or email phil.hornbeak@bcms.org

AUTO REVIEW

2020 Alfa Romeo Stelvio Quadrifoglio By Stephen Schutz, MD

San Antonio Medicine â&#x20AC;¢ February 2020

AUTO REVIEW For many years there have been almost no bad cars for sale in the U.S. That doesn’t mean bad cars don’t exist, because they do. It just means that if you wander into any car dealer and buy a new vehicle at random, that vehicle will almost certainly be good – it will start every morning regardless of the weather, run smoothly and trouble free day after day, and not leak or rattle. For 200,000 miles or more, in all likelihood. Again, I’m not saying there aren’t lemons, because there are. The wife of a cardiologist friend of mine just traded in her four year old Mercedes GLS after innumerable break downs, and yet consumer websites don’t flag the GLS as any more problematic than its competitors (and another friend’s wife loves her GLS, has had zero problems, and can’t wait to buy a new one). What I’m saying is that, while you can point to the occasional problem car here or there, you can’t legitimately say, “don’t buy a 2020 model X because most of them are bad,” while you could have said that about a 1983 Chevy Citation. On the other hand, it’s much harder in 2020 than it was in 1983 to say that a certain vehicle is interesting. Back then we had Saab 900 Turbos, Volkswagen GTIs, and Plymouth Volares. By today’s standards all of those cars were unreliable and unsafe, but they were certainly interesting. Name a 2020 vehicle that’s actually interesting. That’s Ok, I’ll wait… Oh, the McLaren Senna? Great, a million-dollar car. It had better be interesting, hadn’t it? I actually found one for a lot less money, the Alfa Romeo Stelvio Quadrifoglio. It’s a mid-size Audi

SQ5/BMW X3 M competitor that just brings it, and wow is it interesting. For starters, it uses the same platform as the enthusiast fave, the RWD Alfa Guilia (FYI – all Stelvios are AWD), and then adds the joyous engine from the Guilia Quadrifoglio. That engine would happen to be a 2.9L 505HP twin-turbo V6 that’s essentially ¾ of a Ferrari V8, and I can definitely vouch for its awesomeness. It’s loud and fast, and I found myself shifting down often using the huge Ferrari-like paddles – that don’t move with the steering wheel, as god and Enzo Ferrari intended – just so I could listen to this glorious internal combustion wonder. This engine is SO much more interesting than anything BMW, Mercedes, Audi, or Lexus have right now. Yes, I’m aware of all those AMG V8s, M turbo in-line sixes, and RS what-have-yous. This is better. It’s a cliché to say that so-and-so crossover or SUV drives like a car, and mostly it’s true. But the Stelvio Quadrifoglio drives better than a car, at least most cars. Through any corner, turning is

quick and decisive, body lean is minimal, and balance tilts toward oversteer. In fact, driving this SUV is a joy except for low speed wheel hop when you turn the wheel too much and slightly excessive road noise at high speeds. For the record, 0 – 60MPH takes just 3.4 seconds(!), and top speed is 177MPH. Not surprisingly, fuel economy is not a strong suit with EPA numbers that would certainly make Greta Thunberg frown: 17MPG city/23MPG highway. And while more pedestrian Stelvios go for $41,000 and change to start, the base price of a Stelvio Quadrifoglio is just over $80,000, a big number to be sure. In fact, the Stelvio you want is more than $10,000 more than a BMW X3 Competition and, gulp, $25,000 more than an Audi SQ5 (neither of which is as interesting or fun as this inspired vehicle). I would predict that BCMS’ Phil Hornbeak would be able to do much better than that price, as he generally does for BCMS members no matter which vehicle we’re shopping. As you’d expect for a vehicle from Italy, the exterior design of the Stelvio is attractive and contemporary. And the interior is different from the usual Audi/Lexus/Cadillac fare. I especially enjoyed the Ferrari-esque red engine start button on the steering wheel and the large central tachometer, but mostly I liked that the overall feel inside the Stelvio Quadrifoglio is special and different from anything else on the market. Regrettably, numerous reviewers have encountered quality glitches with both Guilias and Stelvios, and those problems are certainly of concern. I had no issues of any kind during my week

with the Stelvio Quadrifoglio, and Alfa Romeo spokespeople reassure me that fixes have been and will continue to be made. But that reality will need to be weighed against the fun/interesting/fast pluses that this vehicle brings in spades. After decades of incredible progress, the automotive industry has brought us an amazing array of, umm, similar vehicles that are mostly devoid of personality and boring. Thank you, Alfa Romeo, for giving us vehicles that are interesting and fun. I salute you. To get your best deal on a new Alfa Romeo, call Phil Hornbeak at BCMS at 210-301-4367. Stephen Schutz, MD, is a board-certified gastroenterologist who lived in San Antonio in the 1990s when he was stationed here in the US Air Force. He has been writing auto reviews for San Antonio Medicine since 1995.

visit us at www.bcms.org

THANK YOU to the large group practices with 100% MEMBERSHIP in BCMS and TMA ABCD Pediatrics, PA

MEDNAX

Dermatology Associates of San Antonio, PA

Peripheral Vascular Associates, PA

Diabetes & Glandular Disease Clinic, PA

San Antonio Gastroenterology Associates, PA

ENT Clinics of San Antonio, PA

San Antonio Infectious Diseases Consultants

Gastroenterology Consultants of San Antonio

San Antonio Pediatric Surgery Associates, PA

General Surgical Associates

South Alamo Medical Group

Greater San Antonio Emergency Physicians, PA

South Texas Radiology Group, PA

Institute for Women's Health

South Texas Renal Care Group

Little Spurs Pediatric Urgent Care, PLLC

Star Anesthesia (USAP Texas-South)

Lone Star OB-GYN Associates, PA

The San Antonio Orthopaedic Group

M & S Radiology Associates, PA

Urology San Antonio, PA

MacGregor Medical Center San Antonio

Contact BCMS today to join the 100% Membership Program! *100% member practice participation as of January 31, 2020.

San Antonio Medicine â&#x20AC;¢ February 2020