Memphis Medical Society Quarterly Summer 2019

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Volume 23, Number 2

Summer 2019

A New Team in Orthopedics World’s Best Eye Surgeon in Germantown


Internal Mediciine and Multispecialty Clinic • Cardiology • Endocrinology • Infectious Disease

• Internal Medicine • Neurology • Nephrology

EASTT CAMPUS S

• Pain Medicine • Rhheumatology • Wound o Care

Gynecology and Menopause Care Physical Therapy and Rehabilitation Fertility and IVFF Urology and Urrogynecology On-site Pharmacy and Imaging Cennter Online schedulling and same-day apppointments

REGIOONAL ONE HEALLTTH EAST CAM MPUS

Schedule online at

RegionalOneHealth.org//East Or call 901.515.EASTT

Regional One Health East Cam mpus 6555 Quince Road | Memphis, TTN 38119

Located at the Kirby Exitt of 385


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SEEING G ALL THE DE ETAIL A S doesn’t always requuire a microscop pe

As a mutual m malpractice insurance company, SVMIC has develooped a fast and easy alternatiive foor accessing policy inform o mation online. This new web-based tool was designed to match the responsive service that our o policyholders already experience with us over the phone.

See our new polic li y managemeent platf l form o

at svmic i .com /vantage


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Editorial Thomas C. Gettelfinger, M.D. Managing Editor Allison Cook 2019 Board of Directors President Jimmie Mancell, M.D.

Inside This Issue Volume 23, Number 2

Summer 2019

President-Elect Danielle Hinton Hassel, M.D. Vice President Justin Monroe, M.D. Secretary Christopher M. Pokabla, M.D. Treasurer David L. Cannon, M.D. Immediate Past President Autry J. Parker, M.D. Board Members W. Clay Jackson, M.D., DipTh Walter Rayford, PhD, M.D., MBA Paul Tackett, M.D. Lisa S. Usdan, M.D. Lindi Vanderwalde, M.D. Raymond R. Walker, M.D. Andrew Watson, M.D. Catherine Womack, M.D. JoAnn Phillips Wood, M.D. Ex-Officio Board Members LaTonya Washington, M.D., President of Bluff City Medical Society

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Editorial President’s Letter Benefits Membership Hospital Updates Spotlight Feature: OrthoSouth Legislation Finance Community Research Practice In Training Bulletin

Karen Adams, President of MidSouth MGMA

Cover: Dr. Jim Varner, Dr. Judith Lee-Sigler and Dr. A.H. Manugian of the newly formed OrthoSouth. 2

The Memphis Medical Society Quarterly


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Q

Editorial

My Friend at The Med Oops, of course, I meant Regional One Health My friend has lived in Seoul, Korea, the last twenty years, teaching and acting as copy editor of the most prominent English language newspaper there. By his own reckoning, his health care in Korea has been excellent, including bilateral cataract surgery, diagnosis and management of Type 2 diabetes and periodic routine health exams. At age seventy he retired, so he returned home to his native Memphis after not having visited here at all during those previous twenty years. Finding an apartment, getting a new mobile telephone, signing up for Medicare, returning to a changed city, nostalgic for his Korean friends, were all large obstacles that needed to be dealt with. After a few months home, he sent me a picture of the sole of his right foot. “Not too bad looking,” I thought. But, I arranged an appointment with a friend of mine in family practice four days later even though his supplement insurance and Part B were not active. Whoa. In the intervening four days even an Ophthalmologist could see it was blowing up—cellulitis past his ankle, ulcerated, edematous—a diabetic foot ulcer. The nurse practitioner sent him forthwith to the emergency room at The Med. Oops, of course, Regional One Health. Let me say, his care was excellent in every way. So how did Regional One Health get here with its 181 year old history? Chartered by the state in 1829, opening in 1830, as the Memphis Hospital (18291936), it was apparently on the west side of South Main Street, just south of Union Avenue. Following a gap of five years, the New Memphis Hospital (1841-1861) was built on 10 acres outside the eastern limits of Memphis, on the site of the former Forrest Park. That purchase determined the site of our Medical Center today.

Next as a military hospital (1861-1866), it was transferred to the city and renamed Memphis City Hospital (1866-1898), itself demolished in 1898 when a new Memphis General Hospital (1898-1935) was built on Madison. That became the newly built John Gaston Hospital (1936-1990), and that hospital was demolished in 1990 to make way for expansion. Overseen by the Shelby County Health Care Corporation with board members appointed by the County Mayor, the name Regional Medical Center at Memphis was adopted in 1983, the MED, and in 2014 it became Regional One Health. Surely there are problems that I know nothing about. But may I say to Reginald Coopwood, Meharry Medical College (1981-1985), CEO of Metro Nashville Hospital Authority (2005-2010), President and CEO of Regional One Health since 2010, thank you. May I say to him, thank you for leadership of such a storied institution with roots going back to the first hospital established in Tennessee. My friend would say that too.

Thomas C. Gettelfinger, M.D.

Spring 2019

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Tee up to a pain-free lifestyle with the top experts in spine care. Our doctors are always on par with the latest treatments and technologies to get you back on the green.

SEMMES-MURPHEY.COM CALL (901) 522-7700


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Q Dear colleagues, Spring begins when nature throws away the harness of winter. Not only do we take note of this around us, but in the air there is a freshness which makes us hope. It is a time of renewal and change for both nature and people alike. And as we have recognized this need for change, we focus on our new Thrive initiative. Our Thrive events will focus on welcoming each other in an environment of camaraderie in an effort to “throw away” the harness of physician stress and burnout. The second facuet of Thrive is to offer a truly confidential hotline for physicians to call for couceling no matter what stage of burnout they find themselves in. Our goal is to provide support to our colleagues whereever they find themselves. Recently, I attended the First Annual Memphis Friendship Foundation Award Banquet where its first recipient, Mr. Daryl Davis was recognized. If you do not know his story, I strongly encourage you to read about his efforts at improving racial and cultural relationships through dialogue among ALL of our society.

President’s Letter

I was impressed by the diversity of physicians in attendance. I am honored and proud to be a member of a profession which cares for our fellow men and women regardless of race, color, national origin, sex, religion or age. May we always be a beacon of inclusion in our city as well as society. Lastly, I know all of you will join me in congratulating our medical students on a very successful match this year and wish them all the best with their future endeavors. With much appreciation, Jimmie Mancell, M.D. President, Memphis Medical Society

EAT, DRINK JOIN US M1 Reception & Dinner August , 201 Dixon Gallery & Gardens 4339 Park Avenue, Memphis 5:00 p.m.-7:00 p.m. Family members are invited

Spring 2019

& BE M1s

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The Memphis Fire e Department is enhancing itts Emergency Medical Services (EMS) to ensure you receive the RIGH HT RESPONSE for your emergency. Our goal g is to help connect you w with consistent health care support for increased health and vitality.. Depending upon your emergency, EMS will give you the RIGHT RESPONSE, whether it’s an ambulance, an immediate or upcoming doctor visit or a ch hance to speak directly with a healthcare provider.

WHEN Y YO OU H HA AV VE AN EM MERGENCY Y‌ ‌ You will speak to professionals trained to recognize which medical

MEDICAL CONSULTA LT TA AT TION

Our dispatchers will connect you with the appropriate health care professional by phone to determine further medical needs and/or follow-up.

ONSITE CARE

Some situations can be resolved by a visit with a healthcare provider, rathe er e than a routine visit to the emergency room.

AMBUL LANCE

If you require e immediate medical asssistance, an ambulancce will be dispatched to address your n needs.

For more information, visit memphistn..gov/healthcare-naviga ator.


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Q

Benefits

Your Benefits

As we continue to expand benefits, we need your help!

Society Launching Financial Wellness Class for Medical Students! The Society is partnering with Ramsey Solutions and UTHSC to deliver financial education classes over the summer to UTHSC students. More information and dates should be arriving in your email soon. We need practicing physicians to be guest facilitators! Call For Psychologists! The Society is in need of referring psychologists for Thrive, the wellbeing hotline scheduled to launch in the coming weeks.

Email us at info@mdmemphis.org if you are interested in serving as a facilitator.

Send an email to info@mdmemphis.org to refer or have your psychologist colleague do so.

Membership News Welcome our newest members David E. Fingerhunt, M.D. Ophthalmology Eye Specialist Grup Ronald C. Bingham Physical Medicines and Rehabilitation Michael Huddlestone, M.D. Ophthalmology Charles Retina Institute Ryan R. McGuaghey, M.D. Pain Medicine Mays and Schnapp Pain Center Scott Eric Strome, M.D. Otolaryngology UTHSC 8

The Memphis Medical Society Quarterly


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Membership

Member Highlights Accolades in and out of the office Dr. Kashif Latif opens diabetic-focused healthcenter, AM360 Fitness Center This fitness center features specialized training center for people living with diabetes. Diabetics require special unique training, and AM360 Fitness is staffed with medical professionals that will be available to ensure that glucose levels, and other medical concerns, are monitored by staff specially trained in diabetes care. Dr. Latif’s full story was featured in our Fall 2018 Quarterly magazine. Methodist Le Bonheur Healthcare has been named to the national Becker's Healthcare 2019 list of 150 Top Places to Work in Healthcare, which highlights hospitals, health systems and healthcare companies that promote diversity within the workforce, employee engagement and professional growth. MLH was one of only six healthcare organizations in Tennessee to be selected, and has earned this recognition for five consecutive years. The University of Tennessee Health Science Center has received accreditation for a new anesthesiology residency program in its College of Medicine. The residency program was approved by the Accreditation Council for Graduate Medical Education following a collaboration by the university and its partner teaching hospitals. The inaugural cohort of residents will start in July 2020 Cassandra Howard, M.D., chief medical officer for Methodist Le Bonheur Germantown Hospital, earns Lean Six Sigma Black Belt. She works with physicians and hospital administrators to ensure that patients are receiving the highest quality care. Dr. Howard has more than 31 years of service in the United States Air Force in the Air National Guard. She is currently the senior medical officer for Tennessee. Dr. Howard was summoned to the Pentagon and has been appointed in the Reserve of the United States Air Force to the grade of Brigadier. Dr. Thomas C. Gettelfinger retires after a long and successful career. He specialized in cataract surgery, intraocular lens implant surgery, corneal surgery and other surgical procedures. He is described as an "artist" by his peers because of the exquisite nature of his surgeries. Spring 2019

An honors graduate from University of Notre Dame, Dr. Gettelfinger received his Medical Degree from Harvard Medical School in 1966. He served his Internship and Residency in Ophthalmology at the University of Washington in Seattle and completed his Fellowship in Ocular Motility with Dr. Eugene Helveston at Indiana University Medical School. He has served as a national committee member of the American Academy of Ophthalmology and has received a National Honor Award. He is the founder of the Tennessee Ophthalmic Personnel Society, an organization active in training ophthalmic assistants, and has served as president of the Tennessee Academy of Ophthalmology. He is also Board Certified by the American Board of Ophthalmology. Dr. Gettelfinger was a Clinical Associate Professor in the Department of Ophthalmology at the University of Tennessee, in Memphis, and has been active in teaching and training in Ophthalmology programs in third world countries, including Afghanistan, India, Mexico, Zaire, China and Brazil. For more than a decade, he has been active in international charitable work with Orbis International, an airborne surgical eye hospital that travels to developing countries. He was an early recipient of the Good Samaritan Award presented by The Memphis Health Care News/Church Health Center. Campbell Clinic’s expansion project is ongoing. Construction of the new building at Campbell Clinic is quickly taking shape. The concrete that has been installed on the job-site so far comes out to be about 2,500 cubic yards. One cubic yard of concrete weighs approximately 4,050 pounds, which means the total weight of concrete installed on the job-site comes out to be roughly 10,125,000 pounds. This is enough concrete to fill 17 swimming pools, depending on the size! The Memphis Medical Society has joined into a support agreement with the Memphis and Shelby County Pediatric Society. Both societies are looking forward to expanding the offerings and membership benefits to all members. 9


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Q

Hospital Updates

The cross, made from welded aluminum, weighs in at 335 pounds and stands at 42 feet tall. 390 white LEDs are powered by fourteen 12volt power supplies. The inside of the cross is painted a flat white to reflect an even halo of light.

Methodist Le Bonheur Healthcare Illuminates Cross at Shorb Tower The inaugural Illumination of the Cross held Tuesday evening, March 26, marks a milestone in our construction of Shorb Tower at Methodist University Hospital, as it serves as the beacon of our faith-based mission to improve every life we touch.

Baptist Memorial Health Care recently held its annual Spring Quality Symposium. The symposium highlights the quality and safety efforts of the 22hospital system, as well as includes presentations from top hospital quality experts, such as Seth Edwards and Dr. Mike Schweitzer. During the symposium, Baptist’s president and CEO and chief medical officer recognize a hospital team for their efforts to transform and influence the quality of care across the entire health care system with the President’s Quality Award. This is the third year Baptist has given out the award. “It was my honor to grant Baptist Memorial HospitalNorth Mississippi the 2019 President’s Quality Award,” said Dr. Henry Sullivant, vice president/chief medical officer for Baptist Memorial. 10

The 450,000 square foot Shorb Tower, named for former MLH President and CEO Gary Shorb, represents a $275 million investment in our community, one of the largest transformational projects right here in the heart of the Memphis Medical District. Shorb Tower, which will open in the coming weeks, offers patients and guests convenient access to state-of-the-art technology and advanced comprehensive care for transplant, cardiology, blood and marrow transplant and oncology.

“This initiative has elevated the quality of care at the hospital and saved many patients’ lives. I believe it will have a substantial impact on the quality of care within the Baptist system, and I look forward to seeing other Baptist Memorial hospitals implement this initiative and achieve great outcomes.” Baptist North Mississippi developed a protocol, or process, to ensure the consistent and early identification of sepsis followed by immediate and effective treatment. Sepsis is the body’s extreme response to an infection and can happen when an infection you already have — in your skin, lungs, urinary tract or somewhere else — triggers a chain reaction throughout your body. According to the CDC, nearly 270,000 Americans die as a result of sepsis each year. Baptist North Mississippi’s initiative has saved 118 lives since being implemented in 2015. The Memphis Medical Society Quarterly


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Q Center for Innovation at Regional One Health Welcomes First Outside Project Regional One Health’s Center for Innovation gives companies that use disruptive thinking insight into the industry, a place to test products, and a chance to develop their go-to-market strategy by offering an “access incubator.” Now, Cast21 is the first access incubator project. Cast21 has created a new orthopedic device that aims to heal bone fractures while eliminating the inconveniences of a traditional cast. Earlier this year, Cast21 leaders trained orthopedic surgeons how to apply and remove the product, and in March, the orthotic was placed for the first time on a patient at Regional One Health.

Hospital Updates

The fluid reaches 95 percent of its eventual hardness within 30 minutes, and within 24 hours, the injured bone is protected, as it would be in a traditional cast. The waterproof sleeve has a rigid exterior but cushiony interior and is lighter than a regular cast, with an anatomical fit. Feedback from patients and staff at Regional One Health will help Cast21 perfect the product and take this new technology to market to improve the experience of patients.

The orthotic, a flexible webbed sleeve, is slid over the arm and then filled with a fluid.

Saint Francis Hospital - Memphis and Saint Francis Hospital - Bartlett were both awarded an ‘A’ from The Leapfrog Group’s spring 2019 Leapfrog Hospital Safety Grade. The designation recognizes Saint Francis’ efforts in protecting patients from harm and providing safer health care. The Leapfrog Group is a national nonprofit organization committed to improving health care quality and safety for consumers and purchasers. The Safety Grade assigns an ‘A’, ‘B’, ‘C’, ‘D’ or ‘F’ grade to hospitals across the country based on their performance in preventing medical errors, injuries, accidents, infections and other harms to patients in their care. “We are proud of the measures we have in place to continuously improve patient safety and to have these measures validated by prestigious organizations such Spring 2019

as The Leapfrog Group,” commented Dr. David Schwartz, CMO of Saint Francis Healthcare. Saint Francis has made improvements in their labor and delivery programs at both facilities. Saint Francis Bartlett was designated “Baby Friendly” for their ongoing efforts to promote breastfeeding. It is the first hospital in the area to earn this designation. Saint Francis Memphis has undergone an extensive renovation in the Saint Francis Family Birthing Center. It now features family-friendly suites in a spalike atmosphere with space for mother and baby to bond while visitors and family can gather in the adjoining family room complete with sofa, dinette and a separate restroom. 11


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Member Spotlight World's foremost eye surgeon works and works and works, in Germantown

The world’s most gifted eye surgeon decides to grab dinner, sits down in a Memphis bar and nods to the stranger on the next stool. “What do you do for a living?” the stranger asks. “I’m a surgeon, an engineer and a teacher.” “Which do you actually do?” “I do all three.” “Well, what do you do for fun?” “I work.” Steve Charles tells this story. He’s the doctor. The story’s true.

“I don’t play golf. I don’t go fishing. I don’t go to the movies,” the Memphis resident said. “I just work.” Dr. Steve Charles is lauded not only as one of the nation's top eye surgeons, but also one of the leading inventors in his field of vitreoretinal surgery. The Germantown eye surgeon was inducted into the Memphis Society of Entrepreneurs this April.

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Dr. Steve Charles is to the world’s eye doctors what LeBron James is to the world’s basketball players. While the one's peerless athletic exploits are broadcast worldwide, the other seeks no fame. His inventive mind has saved the vision of tens of thousands of people on every continent, a feat barely recognized in Memphis, although his patients and other doctors worldwide understand. In the medical community, his reputation is unrivaled. Says associate and friend Dr. Stephen Huddleston: “He is the most famous retinal surgeon in the world.” A twice-divorced father of three daughters, he ventures never into the country club, church or FedExForum. He did spend idle time in the Orpheum, Memphis’ splendidly refurbished vaudeville-era theater and concert hall — but only once, he pointed out — many years ago. He would rather work and invent.

The Memphis Medical Society Quarterly


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We know w you’ve got a choice of healthcare providers to refer your patients.. That’s why we work so hard to make the patient experience with us as ple easing as possible. We listen carefully y. We answer questions. And we simp i lify the whole process, from getting a an appointment to following up after the patient is home. We strive to do more than keep patients well, but keep patients happy, too. So let us help you keep p patients healthy.

V isi t s f m p.c om to le arn mor e or r e f er a pa tien t to day.

Spring 2019

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Q

Spotlight

“I don’t want to waste my time when there are blind people out there in need,” said Charles, whose insights in the operating room underpin more than 50 tools and techniques he's invented, enabling surgeons to make intricate maneuvers inside the eye once considered impossibly risky. A spare, bald 76-year-old South Florida native and University of Miami medical school graduate, he could pass for 56. On a recent late Friday afternoon in his Germantown office, he drank a Red Bull energy drink and talked of his life. He’s no introvert. I called and asked for an interview. He proved to be friendly, earthy, candid and obsessed with medical achievement. “I just think you have a moral imperative to get out there in the world and work your ass off, particularly if you have a particular talent,” he said. In April, he was accepted into the Society of Entrepreneurs, a group of 114 living Memphians, including FedEx founder Frederick Smith, known for their remarkable achievements. Charles Retina Institute, the 50-employee clinic in Germantown, will enter the limelight, although his own personal deeds range beyond opening a business. Here are some but not all of his accomplishments: • •

• • •

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He’s performed about 38,000 eye surgeries. He calculates his 100-plus patents are the backbone of medical devices whose total sales have surpassed $7 billion (although relatively little of the money flowed to him). He founded MicroDexterity Systems, which develops robots used in knee and hip replacement and spine surgery, and led the way in developing Alcon, a retinal surgical system used worldwide. He wrote and has updated the medical textbook, “Vitreous Microsurgery.” He pilots his own eight-seat Sabreliner 56, a 565mph jet aircraft. Destinations include cities where he lectures, often once or twice a week. He volunteers for Orbis Flying Eye Hospital, which flies into under-developed nations and performs surgery inside the jet airliner donated by FedEx's Smith. He was awarded the American Society of Retinal Specialists’ First Founders medal.

He’s the focus of the 2019 non-fiction book, “Give Back the Light,” by James C. Moore, an accomplished author living near Austin, Texas, who feared late in life he himself would go blind.

On the first pages, Moore explains why he decided to write the 233-page book: “I became determined to find the best possible retinal surgeon practicing in America and see if I might gain access. The search led me, improbably, to Memphis and the Charles Retina Institute.” Charles, indeed, saved his sight. Moore doubts any American eye surgeon has performed as many operations as Charles. Or amassed so many useful retinal inventions. “He doesn’t do anything but work,” Moore said in an interview. “He doesn’t read books. He does read manuals and medical books. He’s not the kind of guy who’s going to go out and see a movie. I traveled to San Diego when he was being honored and giving a speech at the American retinal society dinner. After the speech there was a reception and cocktails. Everyone wanted him to hang around. Steve doesn’t drink. He went back to his hotel and in his room worked on three patents that night before he went to the airport and caught a flight the next morning to Beijing.’’ His devotion to work, as if the purpose of life were work, strikes Mary McDonald as a trait among gifted entrepreneurs. “Many are focused doers, focused creators,” said McDonald, the Society of Entrepreneurs president, referring to society members. “They don’t seem to be able to separate what they do from what they love doing. It’s kind of like their hearts beat in this rhythm — making a difference, making a difference. It’s not about money. The money comes. But for them it’s about using their talent. You see this in Steve. He knows people who were losing their sight are able to see because of what he is doing. He always wants to do more. He knows he can make a difference.’’

The Memphis Medical Society Quarterly


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Q The son of a University of Miami art history professor, Charles set out early on to become an engineer, learned he also could earn a medical degree, became fascinated with the intricacy and beauty of the eye, and landed first at Miami's leading-edge Bascom Palmer Eye Institute. He later ended up at the U.S. government's National Eye Institute

Spotlight

"He's always juggling without taking credit for anything," Huddleston said. "It’s a waste of time for him not to work. He will think deeply about issues and then it's black and white for him. He's thought it through. It's an ethical response of his to work hard as he does." On the night of April 6 in the Holiday Inn on the University of Memphis campus, the Society of Entrepreneurs inducted new members Christopher W. Bird, Steve Charles and Carl D. Ring. Charles was supposed to be inducted last year. He couldn't attend. He was too busy.

June 16, 2016 - Bob Ranck (left), Brigadier General, United States Air Force (retired), and President/CEO of Orbis, shakes hands with Dr. Steve Charles, with Germantown's Charles Retina Institute, as they stand on the Orbis Flying Eye Hospital at the FedEx Express World Hub Thursday. The MD-10 aircraft is a state-of-the-art surgical and training facility with an operating theatre, sterilization room, a pre-and post-operative care.

He made a key discovery early on. Eye doctors could not easily drain fluid behind the eye that interfered with the retina's reattachment. Charles extracted the fluid with a syringe. He invented the process. He brought his inventive mind to Memphis, lured here in 1975 by a Memphis ophthalmologist. By the time Texas native Stephen Huddleston entered the University of Tennessee medical school in Memphis, Charles was a leading light in the school's ophthalmology department and ran his own eye clinic. Huddleston, now a partner in Charles Retina Institute, noticed an admirable characteristic in his mentor. Whatever he did, he focused fully and immediately on the task, as if he was born to do it, whether performing surgery, teaching students, lecturing doctors, flying his jet and talking to patients.

Spring 2019

Reprinted with permission: Ted Evanoff, Memphis Commercial Appeal Published Feb. 28, 2019. Photos: Courtesy CommercialAppeal.com

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Feature

OrthoSouth Triples Down on New Identity OrthoSouth locations continues to operate three clinics in Memphis and one in the communities of Bartlett, Germantown, Southaven, MS and Mario, AR Three of the most respected orthopedic practices in the Memphis metro area have come together under one name – OrthoSouth – to create a single orthopedic brand with 35 doctors, 44 physical therapists, seven clinic locations, two MRI suites and two orthopedic outpatient surgery centers. The mission of OrthoSouth is to provide world-class orthopedic care combined with an industry-leading focus on the patient experience. OrthoSouth is a recent addition to the all-inclusive member group club of Memphis Medical Society and TMA. These groups demonstrate their commitment to organized medicine by having each physician be members. Underscoring OrthoSouth’s commitment to enhancing the patient experience, the company announced three new initiatives. “First, we have implemented live answering within our call center,” said Kimble Jenkins, Chief Executive Officer for OrthoSouth. “A caller into OrthoSouth will be greeted by the warm, caring voice of one of our friendly call center attendants, instead of a cold, impersonal recording. We believe that speaking with a person is meaningfully better than having to suffer through an endless cue of recorded options. Second, over the last several months, we have undergone training to improve our customer service. Back in January, we asked the world-renowned hotel chain, Ritz Carlton, to come train our employees on how to provide a higher level of service to our patients. Starting today, when a patient visits us, we hope they can begin to see the OrthoSouth difference.

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Third, we are pleased to announce the launch of our new online appointment scheduling capability. With this new capability, a person can easily schedule an appointment directly from our website - picking a time, location and physician that best meets their needs. We believe convenience and accessibility are extremely important to our patients, and we hope this new scheduling feature will help achieve these goals.” Memphis Medical Society Board of Directors Secretary Chris Pokabla, M.D., is also one of the six board members of OrthoSouth. “We are excited about the future of OrthoSouth. These enhancements allow us to be better at what’s important, specifically patient care, and be nimbler when new opportunities arise,” he says. “Excellence in orthopedic care is the foundation of OrthoSouth,” continued Jenkins. “The physicians and staff of Memphis Orthopaedic Group, OrthoMemphis and Tabor Orthopedics have come together to build on their decades-long histories of world-class orthopedics with a new kind of focus on the patient experience. We hope the name OrthoSouth will quickly become synonymous with a new level of service to patients, one that is personal, individualized and unique.” Memphis Orthopaedic Group, OrthoMemphis and Tabor Orthopedics have been a vital component of the orthopedic community in Memphis for many years. Today, these three great institutions have come together to take orthopedic care to the next level, and their talented physicians and team members look forward to serving the Mid-south under the new name OrthoSouth for years to come. The Memphis Medical Society Quarterly


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Legislative

2019 Legislative Report With the end of the 2019 legislative session, we look at our advancements

The Tennessee Medical Association has released a summary of its most recent government affairs efforts following adjournment of the 2019 legislative session on Thursday, May 2. TMA staff, with the help of Memphis Medical Society Legislative Committee, Board of Directors and staff, reviewed all 1,549 bills filed in the session, tracked more than 340 related to healthcare, amended 32, defeated 11 and passed six. From Memphis, members influenced the process by attending this year’s Day on the Hill (over 40 MMS members attended) and conducting a series of 1-on-1 and group meetings locally with our legislators. This year’s efforts were highlighted by our Meet the Candidates sessions on June 21 and June 28 at the MMS office, along with our annual Legislative Reception on November 12th. Want to get involved in our Legislative Committee? Email our CEO, Clint Cummins, at ccummins@mdmemphis.org and we will get you added. The first session of the 111th General Assembly brought more than 30 new legislators and was the start of a new gubernatorial administration. TMA entered the transitional year with an intentionally limited focus on opioids, graduate medical education funding and scope of practice, but engaged, as usual, on every healthcare issue affecting doctors and patients.

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The Memphis Medical Society Quarterly


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Q OPIOIDS – TMA’s top legislative priority in 2019 was working with the General Assembly to amend Gov. Bill Haslam’s TN Together laws passed in 2018. New amendments address specific issues raised by doctors and patients, and ensure that the laws do not unreasonably obstruct patients from accessing legitimate, effective pain management. TMA developed a number of proprietary resources to educate doctors when the laws first took effect in 2018 and promptly updated them to reflect the 2019 changes. TMA members can access the materials at tnmed.org/opioids. SCOPE OF PRACTICE – TMA helped defeat a version of a bill that would have given physician assistants a new license to practice in Tennessee without physician supervision or collaboration. TMA also helped defeat a measure that would have given PAs and nurse practitioners the ability to prescribe buprenorphine. There were no bills related to nurse independent practice thanks to a moratorium TMA negotiated with the Tennessee Nurses Association. The moratorium expired after the session. TMA continues advocating for physician-led, team-based healthcare delivery as the best way to ensure patient safety and quality of care. Memphis Medical Society members met with Rep. Kevin Vaughan, the chair of the Facilities, Licensure, & Regulations Subcommittee and member of the Health Committee. We will continue to participate in dialogue on this issue.

Legislative

GME – Governor Bill Lee announced in his State of the State address in March that he would propose more than $8 million in additional funding for graduate medical education in Tennessee. TMA, after years of lobbying for increased funding for residency training slots, worked with the new administration and General Assembly to advocate for the additional monies in the state budget. The legislature approved $8.7 million that will allow Tennessee to train and keep more doctors instead of exporting them to other states, and improve healthcare access in underserved areas. Memphis Medical Society Student Section leadership, including Jennings Dooley and Matt Scott, led a group of students from across the state to raise greater awareness to this important issue. Stay tuned for more as we tell the story of how this funding came to be and how it stemmed from grassroots action from Memphis Medical Society members. BALANCE BILLING – While no related bills gained traction in the 2019 session, TMA continued to work toward a reasonable solution to “surprise medical bills” that shares the burden between all parties—providers, payers and hospitals—and frees patients from unexpected charges for out-out-network treatment. TMA continues to educate lawmakers on health plans’ narrow networks as the root cause of balance billing and advocate for physicians’ rights to be compensated fairly for the services they provide. TELEMEDICINE – TMA supported a bill to ensure telehealth services would be reimbursed at the same rates as in-office visits. The bill did not pass in 2019, but it helped advance the conversation about appropriate rules and reimbursement for telehealth services. TMA will continue advocating for laws, rules and regulations that support telehealth as part of a coordinated, integrated healthcare delivery network, especially in rural, underserved areas of the state.

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give back

& volunteer at Church Health

Whether you volunteer once a week or once a year, your time and talent matter.

“Church Health has such a

me a great way to give back.� Dr. Orin Davidson Volunteer since 2000

We need primary and specialty medical providers like you to care for those most in-need. Volunteer either in our Crosstown Concourse Contact Rebekah Heacock to learn about opportunities for individual providers and practices. 901-701-2108 heacockr@churchhealth.org

NOW HIRING! Full-Time Family Physician Visit ChurchHealth.org/jobs for details!

ChurchHealth.org/Volunteer


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Q

Finance

Financial Q&A Protecting your investment portfolio

Q. My wife and I are planning a month-long trip to Europe this year. During detailed discussions about the trip, my wife expressed concerns that our estate plan might not be adequate in case of an emergency or accident. We both retired last year and updated our last will and testaments at that time to reflect our current situation. What additional estate planning techniques should we consider before we travel? A. You are already off to a great start with updated last will and testaments. Prior to your trip, I would recommend that you have incapacity documents (advance directives) in place. A durable financial power of attorney, living will, and medical power of attorney are three basic documents you want to have drafted. You could also include a parental appointment of guardianship for minors, a HIPPA release form, and instructions on organ/tissue donation as they apply. If you are not already utilizing it, a will substitute is a common and alternative form of property transfer to consider. This legal instrument expedites the distribution of assets at death, and it is not affected by the probate process, intestacy laws, or provisions in your last will and testament. Examples include property coownership in the form of joint tenancy with rights of survivorship or tenancy by the entirety, pension and profit-sharing plans, 403(b) and 457 plans, IRAs,

Spring 2019

insurance policies, and payable on death accounts. transfer on death accounts, revocable living trusts, and annuity contracts. Selecting a beneficiary of your choice that receives property at your death and outside the probate process is a significant advantage of the will substitute. I suggest you review the beneficiary designations on all your will substitute accounts to guarantee they are current and properly listed.

Once you gather all essential information, store it in a secure location and provide a trusted individual with instructions on how to locate and access the documents in case of an emergency. The personal representative/executor named in your last will and testament is a good person to select for this task.

Being prepared for unfortunate events like death and incapacitation can require comprehensive planning Organizing your personal solutions, so consider consulting a information does not sound like a team of qualified financial and sophisticated estate planning estate planning professionals for technique, but it can be just as detailed recommendations based on important. Collect and make copies your unique situation. of your identifications (driver’s license, passport, birth certificate, marriage certificate), wills, trust agreements, property titles, and recent tax returns. Create a list that includes important contacts (personal, medical, and professional), financial accounts, insurance policies, loans/debts, and health related issues.Organize your digital assets too by keeping a record of your email, social media, cloud storage accounts with username, passwords, and any additional security protocols.

William B. Howard, Jr., ChFC, CFP International Place II 6410 Poplar Ave., Suite 330 Memphis, TN 38119 Telephone: (901) 761-5068 Facsimile: (901) 761-2217 E-mail:whoward@whcfa.com 21


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Q

Community

Community Work Physicians needed to curb emergency room visits!

The Memphis Fire Department Emergency Medical Services Team and an extensive list of health care and community partners are addressing Memphis’ issue of over-crowded emergency departments and overburdened ambulances by creating the Healthcare Navigator. This is designed to be an innovative prehospital care. Memphis citizens calling 911will experience a wider range of services because a visit to the emergency department may not be what every person needs. EMS will now be able to provide the right response for each citizen, whether it be an ambulance, an immediate or upcoming doctor visit or a change to speak directly with a healthcare provider. As callers are re-directed away from the emergency department when it is not needed, there will be more ambulances on the road and beds in the emergency rooms for patients in truly critical situations.

If you are interested in accepting lowacuity 911 callers who have been redirected from emergency department, please reach out to Lt. Spratlin directly at charles.spratlin@memphistn.gov

With the growth of this EMS initiative, The Memphis Medical Society has been contacted in the hopes of finding healthcare providers who can partner with this program and can receive the wide variety of nonemergency patients. “We are particularly interested in primary care clinics but also need to connect with urgent care and walk-in centers,” says Memphis Fire Department Lieutenant Kevin Spratlin, MS, NRP. “Certain specialties such as pediatrics and orthopedics will be useful as well as we build our resource database.” Lieutenant Spratlin won the national Hooley Award for his work with the Healthcare Navigator program, and he is excited to continue to grow the network of providers throughout Memphis.

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The Memphis Medical Society Quarterly


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Hiring g in H lth Healthcare?

da Need Healthcaare Job?

We staff We offfer emp-to-hire, Director of Operations, CEO, Direct hire, Te ositions and Medical Coder, RN, CRNA Permanent po and many others Part timee jobs

Call Cailyn Lillard today! 761-0200 901-7 MedTem mps is accredited by Th he Joint Commission, and is a division of Th he Memphis Medical Society

Learn more at w www.mdmemph his.org 24

The Memphis Medical Society Quarterly


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Q

Research

Current Research

Evan S. Glazer, M.D., awarded $100,000 grant to study pancreatic cancer progression

Memphs Medical Society member Evan S. Glazer, MD, PhD, FACS, assistant professor in the Division of Surgical Oncology and the Department of Surgery in the College of Medicine at the University of Tennessee Health Science Center (UTHSC), has been awarded $100,000 from the Society for Surgery of the Alimentary Tract (SSAT) to study a protein’s role in pancreatic cancer progression. The award comes through the organization’s Career Development Award, which establishes young faculty members as basic or clinical scientific investigators in digestive diseases The SSAT is a global community of nearly 2,700 gastrointestinal surgeons advancing research, innovation, and advocacy to benefit interdisciplinary patient care Its mission is to lead in advancing the science, and practice of gastrointestinal surgery. Pancreatic cancer is one of deadliest and most difficult cancers to treat. It is the third leading cause of cancer related deaths. In a few years, it expected to be the second-leading cause of cancer related deaths, preceded only by lung cancer. Dr. Glazer’s laboratory investigates how pancreatic cancer changes the immune cells in cancer and the role of a specific protein, transforming growth factor beta (TGF-B), in making pancreatic cancer worse. This grant, with support from UTHSC and Methodist University Hospital, will allow Dr. Glazer to examine living pancreatic cancer tissue from patients. “When I remove pancreatic cancer, there is often excess tissue that is not needed to treat the patient,” Dr. Glazer said. “I use it in my laboratory to study the pancreatic cancer cells and immune cells with many treatments and develop better treatments with living cancer tissue. This research can only be done with excess patient tumors, so I am eternally grateful for the patients who are willing to let me study their tumors and develop better therapies.” According to Dr. Glazer, the treatment for pancreatic cancer has not dramatically changed in the past 30 years. “Techniques for surgical resection have improved, but the standard chemotherapies have not dramatically changed,” he said. “At the same time, many other cancers have many new treatments. The most common new treatment is to activate the immune system to attack cancer, which does not work for pancreatic cancer at the moment. No one knows precisely why, but the immune cells around the tumor are different in pancreatic cancer compared to other cancers such as melanoma, kidney cancer, or lung cancer.” The title of Dr. Glazer’s grant is titled, “Role of TGF-beta in Pancreatic Cancer Progression.” It will be funded for two years. Spring 2019

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Q

Practice

Practice Development

ABMS vision initiative commission releases recommendation report for next steps in Maintenance of Certification (MOC) saga Memphis Medical Society continues to monitor the developments of ABMS’ Vision Initiative Commission, a collaborative effort that brought together multiple stakeholders to envision the future of continuing board certification. We have summarized the report below for our members. You can read the slides in their entirety at mdmemphis.org The Commission has gathered stakeholder input from organizations across the country, including Memphis Medical Society and TMA. This Final Report is an attempt to collect and act on the recommendation from those groups. The Commission recommendations focuses on two key points: 1) Maintenance of Certification must deliver recognizable value to participating physicians and 2) MOC must yield a meaningful certificate to all parties affected including physicians, hospitals, payers, pubic, etc. Recommendations include: •

• • • • •

• • •

Foundational Recommendation to implement new/revised standards by addressing flexibility in knowledge assessment and advancing practice, increased feedback to diplomates and overall consistency in the standards Assessment Recommendation that includes pursuing alternatives to point-in-time examinations Create a uniform cycle length across all ABMS Boards Develop reciprocity agreements between Boards for physicians who are multi-specialty Clearly defined remediation pathways to enable diplomates to meet continuing certification standards in advance of and following any loss of certification Credential Use Recommendation that states ABMS should not dictate to stakeholders (hospitals, payers, etc.) how they should make their privileging and other decisions but provide education on certificate use policy Increased financial stewardship from ABMS per past reports of gross expenses for overhead Professionalism Recommendation to develop collaborative methods that better evaluate professionalism There are several Implementation Actions in the report that Memphis Medical Society will continue to monitor and report back to membership.

Remember, the full report is downloadable at mdmemphis.org. You can learn more about ABMS at abms.org

The mission of the American Board of Medical Specialties (ABMS) is to serve the public and the medical profession by improving the quality of health care through setting professional standards for lifelong certification in partnership with Member Boards.

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Q

Training

In Training Member meet-ups engage residents with members

A BIG thank you to everyone who joined us for our most recent member meet-up. Carolina Watershed was a wonderful location, and after a littel rain, the sun came out and made for a beautiful evening. With the help of our sponsoors, SVMIC, Triumph Bank and U.S. Army, the Society was able to provide a unique event for its members/ The staff at Carolina Watershed made an incredible spread of food, including beef brisket po-boys, chicken poboys, seasonal marinated grilled vegetables and a lovely mediterranean pasta salad. A wide variety of local beers were on tap, and several wine selectionns were also included. Guests enjoyed lots of fun swag items from sponsors, and a great time was had by all. It was the ideal opportunity for students and residents to network with current practicing physicians in a relaxed atmosphere. Be sure to subscribe to our new online event calendar to RSVP for future events! mdmemphis.org/events

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Q The mission of the Memphis Medical Society is to unite the physicians of Memphis and Shelby County into an organization to promote the highest quality of medical practice and the health of our citizens.

Bulletin

Bulletin

Society updates and events Summer Events June 4

Board Meeting

June 21

Incoming Residents: Experience Memphis!, Levitt Shell

July 26

Medical District Collaborative Member Meet-Up

August 7

Board Meeting

August 13

M1 Reception, Dixon Gallery & Gardens

August 18

House of Delegates

Find full event details and RSVP online at mdmemphis.org/calendar

The Memphis Medical Society 1067 Cresthaven Road Memphis, TN 38119 901-761-0200 Fax: 901-374-9574 CEO/Executive Vice President Clint Cummins

WE WANT TO HEAR FROM YOU! If you have ideas or suggestions for The Quarterly, please email info@mdmemphis.org. We are always looking for updates, achievements and stories of our members. Volume 22, Number 3

Fall 2018

Volume 21, Number 2

IN SERVICE TO OTHERS

Summer 2018

Member Spotlight:

Members Serving Our Country Through Medicine

Marion Boyd Gillespie, M.D., MSc, FACS

State Air Surgeon, Cassandra Howard, M.D.

Feature: A House of Doctors

Executive Assistant Janice Cooper Director, Communications & Marketing Allison Cook Director, Healthcare Staffing Cailyn Bautista Lillard Finance Director Leah Lumm MedTemps Administrative Coordinator Katie Yaun

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In Memoriam Richard W. Babin, M.D. December 24, 1942-March 19, 2019 William Jerry Deaton, M.D. September 25, 1933-May 28, 2019 Yanco Nicolas Gavrizi, M.D. August 21, 1952-May 6, 2019

Elder Charles Russell Wallace, Jr., M.D. July 3, 1951-March 7, 2019 James Barney Witherington, III, M.D. December 2, 1944-Apri 3, 2019

The Memphis Medical Society Quarterly


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