Академический Документы
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OCTOBER 2015
Tumamoc Hill:
To your health!
Paramedicine: Coming
on strong in Rio Rico
The old Presidio:
Spanish garrison medicine
Sombrero
Pima County Medical
Society Officers
President
Melissa Levine, MD
President-Elect
Steve Cohen, MD
Vice-President
Guruprasad Raju, MD
Secretary-Treasurer
Michael Dean, MD
Past-President
Timothy Marshall, MD
Vol. 48 No. 8
Arizona Medical
Association Officers
Thomas Rothe, MD
immediate past-president
Michael F. Hamant, MD
secretary
Members at Large
Richard Dale, MD
Charles Krone, MD
Jane Orient, MD
Board of Mediation
Timothy C. Fagan, MD
Timothy Marshall, MD
R. Screven Farmer, MD
Timothy Fagan, MD
Thomas Griffin, MD
Evan Kligman, MD
George Makol, MD
Mark Mecikalski, MD
Delegates to AMA
William J. Mangold, MD
Thomas H. Hicks, MD
Gary Figge, MD (alternate)
Executive Director
Bill Fearneyhough
Phone: (520) 795-7985
Fax:
(520) 323-9559
E-mail: billf 5199@gmail.com
Editor
Stuart Faxon
E-mail: tjjackal@comcast.net
Please do not submit PDFs as editorial copy.
Printing
West Press
Phone: (520) 624-4939
E-mail: andyc@westpress.com
Advertising
Phone: (520) 795-7985
Fax:
(520) 323-9559
E-mail: dcarey5199@gmail.com
Art Director
Alene Randklev
Phone: (520) 624-4939
Fax:
(520) 624-2715
E-mail: alener@westpress.com
Publisher
Pima County Medical Society
5199 E. Farness Dr., Tucson, AZ 85712
Phone: (520) 795-7985
Fax: (520) 323-9559
Website: pimamedicalsociety.org
CE
ILL
TH
OO
NT
RA
$475,000
$459,000
Madeline Friedman
Vice President
296-1956 888-296-1956
Inside
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On the Cover
This tumbleweed patch was so dense, the tripod could not be placed.
Its a maturing Russian thistle with a red-and-purple-striped stem, its
leaves becoming tube-like, with pointed ends. The small flower is
2mm across. Shot with Nikon D600, Tamron 70-300mm on macro
setting, ISO 400, f.5.0, 1/1600th second, hand-held (Dr. Hal Tretbar
photo).
Brain Trouble
What brain problem is represented when we call one neurology
practice by the name of another? Seven obituaries in one issue? With
two CNI news items? Whatever the diagnosis, we glaringly erred in
our June-July issue obituary for Dr. Bill Masland, who died in May,
when our editor somehow claimed the nonsense that the former
Neurological Associates of Tucson is now Carondelet Neurological
Institute. In fact, Marketing Manager Alanna Gonzales reminded us,
Neurological Associates of Tucson still exists, and is doing business as
Center for Neurosciences. Our apologies to her and our member
doctors Norton, Callahan, Rivero, Sanan, Song, and Valdivia. The
minds mysteries are endless, and we salute the seekers.
Also, in our August-September Membership profile of Pima
Dermatology, we had some more name confusion. The practice
administrator is Rachel Chanes. The marketing and cosmetic
manager is Sarah Cadrobbi.
PCMS President
w!
o
rN
te
s
i
g
Re
2015 End-of-Life
Community Conference
Integrative Approaches
to End-of-Life Care
Featuring
Leers
Medicare unsustainable
To the Editor:
Thanks for Dr. Levines interesting history of Medicare, Parts 1 and 2 [May and AugustSeptember Sombrero]. They read rather like the history of the PCMS building. People tried
and tried until they got it. And now it is a financial disaster waiting to happen.
The optimistic predictions about PCMS didnt happen. The gloomy predictions about
Medicare made by the Association of American Physicians and Surgeons, did.
The 2015 Trustees Report on Medicare is full of hopeful speculations. It uses the word
insolvency only once, but acknowledges that (1) the number of beneficiaries is increasing
faster than the number of workers; (2) Part A expenditures have exceeded income every
year since 2008; and (3) the Trustees minimum standards expressed as short-term financial
adequacy and long-term actuarial balance have not been met for more than a decade.
The trustees also acknowledge that if [Trust Fund] assets were depleted, Medicare could
pay health plans and providers of Part A services only to the extent allowed by ongoing tax
revenuesand these revenues would be inadequate to fully cover costs. Beneficiary access
to health care services would rapidly be curtailed.
They assume that Congress will somehow find the money [in the future hopes and
opportunities of the younger generation], but as AAPSs journal editor Dr. Lawrence
Huntoon points out, There is no way to manage a wealth transfer Ponzi scheme to make
it financially sustainable. He concludes that Medicare at 50 is terminally ill. (seehttp://
www.jpands.org/vol20no3/huntoon.pdf).
Sincerely,
Jane M. Orient, M.D.
Tucson
Dr. Orient is AAPS executive director and a PCMS past-president.
Steven J.
Blatchford,
MD
A. J. Emami,
MD, FACS
James D.
Gordon,
MD
(520) 792-2170
Adam D. Ray,
MD
Green Valley
Sierra Vista
Marana
David T.
Miyama
MD
Milestones
PCMS News
Members Classifieds
ATTENTION CARDIOLOGISTS Very busy central Tucson
cardiology office is seeking an experienced cardiologist to join its
practice. Interested candidates contact Denise at timm@flash.net
with resume or any questions about the position.
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Macular degeneration
Diabetic retinopathy
Macular diseases, e.g., macular
hole and macular pucker
Flashes and floaters
Retinal tears
Retinal detachment
Central and branch retinal vein
Pediatric retinal conditions
Tumors involving the retina
and choroid
Second opinions
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Public Health
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SOMBRERO October 2015
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In Memoriam
By Stuart Faxon
Remote Receptionist
Appointment Scheduling
Order Taking
Se Habla Espaol
2434 N. Pantano
Medical Society
Exchange
790-2121
Established
1971
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umbleweed, or Russian
thistle, is a common plant
in the West, known scientifically
as Salsola tragus. Your mental
image of it depends on which
name you give it.
Call it Russian thistle, and you
think of the large dry weed that
stacks up against fences or
houses and causes traffic
problems when it blows across
your lane, getting stuck in your
car grille.
But when you call it tumbleweed, your thoughts turn to an iconic
image of the Old West. Here a cowboy slouches on his horse as a
tumbleweed bounces across the barren landscape. Your brain
probably starts playing Tumbling Tumbleweeds, written by Bob
Nolan in 1933 for the Sons of the Pioneers:
Im a roaming cowboy riding all day long
Tumbleweeds around me sing their lonely song.
Nights underneath the prairie moon,
I ride along and sing this tune.
See them tumbling down
Pledging their love to the ground
David B. Williams writes on the website www.desertusa.com/
flowers/tumbleweed:
Although tumbleweed is native to the arid steppes of the Ural
Mountains in Russia, it is now ubiquitous throughout the Western
states, growing in disturbed soils such as agricultural fields,
irrigation canals, and roadside shoulders and ditches. These
plants thrive in salty and alkaline soils...
Tumbleweeds were first reported in the United States around
1877 in Bon Homme County, South Dakota, apparently
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Paramedicine
Rio Rico Fire and Medical Chief Les Caid says, I truly believe
that working pro-actively in the health of our communities, to
improve outcomes, is the logical evolution of the fire service
(Photo courtesy Les Caid).
healthcare resources that exist, but which they may not have
known about, or known how to access.
Caid brings a wealth of experience to the job. He began his fire
service career in 1979, and served 25 years with the Tucson Fire
Department. While with TFD he worked in all areas of the
department, including many years as a paramedic and EMS
supervisor, battalion chief of technical rescue; hazmat; and
support services. He retired as the deputy chief of emergency
management. While with Tucson Fire, Caid was recognized at the
national level for his work in building the Tucson Metropolitan
Medical Response System (MMRS). He worked four years with
Rural Metro Fire as regional fire chief, running operations in
Arizona and Oregon.
Caid has an A.A. in fire science, a bachelors degree in public
administration, and an MS in executive leadership. He is
president of the Medical Reserve Corps of Southern Arizona. He
sits on the IAFC Exercise and Response Subcommittee, is EMS
Representative for the Arizona Fire Chiefs Association, and is a
long-standing member of the AFCA Mutual Aid Committee. He is
currently co-chairman of the USEPA Border 20/20 Emergency
Preparedness Task Force, chairs the Santa Cruz County LEPC, and
chairs the Pima Community CollegeFSC-EMT Advisory Board.
He has served on numerous boards, including the Board of
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This is the kind of thing that would never have been caught
without someone actually going into the home and being the
eyes and ears of the primary care provider to ensure that the
reconciliation was done.
scope of practice for CIP; we just need to change the role of the
CEP. We have to work within the current scope of practice and if
we do, we can have positive outcomes right away, and we have
proven that.
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and material. It was always a good sign when they got what they
called laudable pus.
The Tucson Presidio Trust for Historic Preservation operates the
Presidio San Agustn del Tucson Museum, a re-creation of the
original Spanish fort from which metropolitan Tucson sprang. The
museum functions as a monument to Hispanic history in Tucson
and the region.
The Presidios goal is to educate the public about the many layers
of Tucson history, including an archaic pit house, the northeast
corner of the Presidio, a Territorial Patio, and in the future, exhibit
space to honor the Mexican-American veteran and a visitor
center for the Juan Bautista de Anza National Historic Trail.
The humanities content of the Trusts mission is history,
anthropology, and archeology, providing the general public and
students with an appreciation of the mixture of cultures that
made up early Tucson and their success in building a culture of
cooperation that still permeates the lives of the residents of
region.
The all-volunteer staff includes two PCMS members, the aforementioned Dr. Rudy Byrd, and Robert Hunter, D.O. The Trust has
designed and constructed rotating exhibits and related programs
that honor those cultures and aspects of life that make Tucson
unique. The Trust also conducts Living History Days, and a handson school program known as Friday at the Fort. The hands-on
activities promote critical thinking, study of history, and further
exploration of this period and its cultural diversity.
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