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J U N E / J U LY 2 0 1 6
Sombrero
Pima County Medical
Society Officers
Jerry Hutchinson, DO
Roy Loewenstein, MD
Kevin Moynahan, MD
Snehal Patel, DO
Wayne Peate, MD
Kenneth Sandock, MD
Sarah Sullivan, DO
Salvatore Tirrito, MD
Debra Townsend, MD
Fred Van Hook, MD
Scott Weiss, MD
Leslie Willingham, MD
Jaren Trost, MD (Resident)
Aditya Paliwal, MD (alt. resident)
Jared Brock (student)
President
Timothy C. Fagan, MD
President-Elect
Michael A. Dean, MD
Vice-President
Susan J. Kalota, MD
Secretary-Treasurer
Unfilled / Appointment
Past-President
Melissa D. Levine, MD
Members at Large
Charles Krone, MD
Clifford Martin, MD
Robert M. Aaronson, MD
R. Screven Farmer, MD
Board of Mediation
Thomas Griffin, MD
Evan Kligman, MD
George Makol, MD
Sheldon Marks, MD
Mark Mecikalski, MD
Delegates to AMA
Timothy C. Fagan, MD (alternate)
Gary R. Figge, MD
Michael F. Hamant, MD (alternate)
Thomas H. Hicks, MD
Arizona Medical
Association Officers
Michael F. Hamant, MD
Vice President
Thomas C. Rothe, MD
Outgoing Past President
Executive Director
Bill Fearneyhough
Phone: (520) 795-7985
Fax:
(520) 323-9559
E-mail: billf 5199@gmail.com
Editor
Bill Fearneyhough
I welcome your feedback and story ideas.
E-mail: billf 5199@gmail.com
Printing
West Press
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Advertising
Dennis Carey
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Alene Randklev
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Publisher
Pima County Medical Society
5199 E. Farness Dr., Suite 151
Tucson, AZ 85712
Phone: (520) 795-7985
Fax: (520) 323-9559
Website: pimamedicalsociety.org
CENTRAL
$325,000
Vol. 49 No. 6
NORTHEAST
$685,000
Madeline Friedman
Vice President
296-1956 888-296-1956
Inside
5 Dr. Timothy C. Fagan: More thoughts on the Arizona
Legislature Regarding Medical Issues.
6
On the Cover
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
he Arizona Legislature
adjourned on May 7th.
Overall, things turned out
better than I expected.
S1473, the Advanced Practice
Registered Nurse scope of
practice bill died, due to unified
opposition by organized
medicine regarding safety issues.
An agreement was reached on
H2236, changing the language
regarding collaboration of NPs
and CNMs with physicians.
However, the nurses did not
pursue this. It is widely expected that the Arizona Nurses
Association will seek similar legislation next year. On the same
topic, on May 25th, the Department of Veterans Affairs released a
proposed rule for all Advanced Practice Registered Nurses to
practice independently within the VA system. There are 30 days for
comment, before a final rule is published.
This was a
controversial,
strongly contested
year in the Arizona
Legislature.
Important health
related legislation
was passed. Several
bills with significant
adverse
consequences for
patients were
defeated or repealed.
All in all, it could have
been much worse;
without the united
efforts of organized
medicine, it would
n
have been.
UA College of Medicine
Charles B. Cairns, MD
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Looking ahead
As we move forward, we will address how to provide
comprehensive clinical strategy and incorporation of narrow
networks in Tucson and Phoenix. Were also exploring new
approaches to integrate educational, research and care
innovations into the Colleges of Medicine, Banner University
Medicine and the entire Banner system. You can expect to see
new educational strategies; enhanced clinical research strategies
to optimize the integration of clinical and translational research
outcomes across Arizona and the Banner Health system; and new
innovations in quality, performance and population health
management.
The UA-Banner partnership addresses the need for a rapid
evolution in health care delivery with far-reaching implications
for education, training and research. We are creating a new,
fiscally responsible, innovative paradigm in academic medicine
here in Tucson, and medical schools across the country are
watching. We look forward to working with physicians on behalf
of our students, residents, fellows and faculty in helping us shape
the future of academic medicine in Tucson and across the state
of Arizona.
n
SOMBRERO June/July 2016
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Leer to Editor
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8
In Memoriam
ichelle Mickey
McDonald, MD,
former Chief Medical
Officer of the Pima County
Health Department,
passed away May 11 after
a prolonged illness due
to carcinoid tumors.
She was 61.
Remote Receptionist
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SOMBRERO June/July 2016
Makols Call
10
said NO. The only way this is possible is if they never made an
investment. This is quite possible, when you consider that less
than 20% of a group earning low six figures on average saves two
million dollars in a lifetime.
Sixty-nine percent of pediatricians claimed they never made an
investment mistake; maybe they should have invested in
becoming orthopedists!
However, due to new medical breakthroughs, it is possible that
this joint replacement bonanza may not go on forever. I myself
have started on one of the new drugs for weight loss that
reportedly works as serotonin agonists, or at least thats what
medical researchers conjecture is their mode of action. I, while
being a patient on one of these drugs, have discovered exactly
how these drugs work. It is not so much their effect on serotonin
receptors in the brain, but their effect on dead president
receptors found in your wallet. Once you start paying for one of
these drugs, you actually do not have enough money left to buy
food, hence you lose weight. It actually may be more cost
effective to move to France where a ham sandwich costs $50 and
you have to walk everywhere. You hence will lose weight while
shelling out about the same amount as you would for this
medication! As a bonus in socialistic France you may retire at 50
and live off the government, Voil`a Bernie.
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ArMA News
even though LCME warned college officials last year to make fixes
to maintain and advance its accreditation.
The resolution also called on the Arizona Board of Regents to
immediately conduct an independent investigation into the
departure of the senior leadership and take corrective action.
ArMA released their public statement on June 7th.
Elections
Michael F. Hamant, MD was elected President-Elect and will serve
on ArMAs Executive Committee. Hamant is a private-practice,
board-certified family and sports medicine physician. More
recently he served as the state associations vice president and
alternate AMA delegate. He has been a member of the Pima
County Medical Society since 1989 and is a past president.
Several other Society members won election to key positions.
Thomas Hicks, MD was elected Delegate to
the AMA while PCMS President Dr. Timothy
C. Fagan will serve as the AMA Alternate
Delegate. Dr. Robert Aaronson was elected
At-Large Director. Drs. Fagan and PCMS
President-Elect Michael Dean will serve as
Pima Directors. All will serve on ArMAs
Board of Directors.
As a hospice physician, it is
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a team of individuals totally
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patients and their loved ones.
This is why I became a doctor in
the first place.
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Barry Kirschner professionally handles claims of persons who have become medically
disabled from employment through personal or group disability insurance policies and are
denied benefits. Barry has successfully litigated on behalf of doctors, lawyers, and other
professionals. Barry has handled ERISA terminations administratively and in court, opposing
every major disability insurance carrier. Barry continues to be selected by his peers for
inclusion in The Best Lawyers in America in the field of Litigation ERISA and continues
to receive the highest AV ranking for quality and ethics from Marindale Hubbell.
13
3.END OF LIFE TASK FORCE: Asks that ArMA, along with other
appropriate medical organizations, form a task force to examine
medical and end of life decisions, and assist physicians to
effectively engage patients and families regarding decisions,
options and care for these patients. Passed.
4.CONTROLLING THE SPREAD OF ZIKA AND MOSQUITO-BORNE
ILLNESSES: Calls on ArMA to support State and Federal efforts to
control the spread of Zika and other Mosquito-borne illnesses in
Arizona and provide the necessary funds to support their efforts.
Passed.
5.APPROPRIATE USE OF ANTIMICROBIAL MEDICATIONS: Asks
ArMA to urge the states public health agency, hospitals and other
health care organizations to develop physician and other health
care provider education and training programs about the
Your partner
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Q&A
Scott D. Lick, MD
Q: Is U of Arizona still
transplanting hearts and
lungs?
A: Yes, the heart and lung transplant programs are alive and
well at U of Arizona!
Q: Why havent we heard more about them?
A: The lung program was pretty much shut down for three
years, as there was a long period without any lung transplant
surgeon. We re-started it March 2015 and are keeping a low
publicity profile until we get Medicare re-approval which we
applied for earlier this year, immediately after we completed
our 10th lung transplant. Next comes their site visit to certify
us. Most insurers follow Medicares suit. So once we regain
Medicares blessing, well play the trumpets!
The heart program was closed for a shorter time, for the same
reason; it re-opened in mid-2014 and continues to be a
Medicare-approved program.
Q: Why did the programs temporarily close?
A: Frankly, the place went through a post-Copeland purge: the
previous Chairman of Surgery made life uncomfortable for
anyone tied to Jack, and they left. And they were the heart and
lung transplant surgeons. It went through some dark times.
Light started re-emerging shortly before Leigh Neumayer, MD,
became Chair of Surgery in 2014. She understands that
thoracic transplant is a core identity of the Department of
Surgery. She is one of our biggest champions.
Q: Is U of A still implanting ventricular assist devices and
artificial hearts?
A: Definitely. We still have the whole Artificial Heart
Department intact, including Rich Smith, MSEE, who has been
running that show for some three decades. We implant all the
currently approved long-term devices: Heartware, Heartmate,
and the SynCardia total artificial heart (TAH). Were involved in
TAH trials, and implant devices as both bridges-to-transplant,
16
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Opinion
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and final rules), 2013 (final rule), 2014 (final rule), 2015 (final rule).
20
Without the year-long, behind the scenes efforts of staff the Southwestern Conference on Medicine
would just be another CME event: L-R: Susan Henderson, TOMF director of operations; Nicole
Struck program & meetings manager; Tyler Smith, program associate; Csilla Myers manager of
global CME at the Center for International Medical Education at Cleveland Clinic and Daniella
Elliott, TOMF administrative assistant.
That, and the fact weve done this for 25 years, said Steve Nash,
TOMF executive director. You learn some things over a quarter
of a century.
TOMFs joint provider relationship with Cleveland Clinic means
AMA PRA Category 1 Credits and AOA Category 1A Credits can be
offered at the same time.
The Southwestern Conference on Medicine was first held in 1991
at what is now the Omni Resort. It moved to Westward Look,
which built a conference room to accommodate the annual event,
and remained there until it outgrew that space. It has been held at
JW Marriott Starr Pass and The Westin La Paloma since.
I recall attending the first or second Conference out at Tucson
National, Nash said, It was a little like being back in high school
with 20 or 30 of us sitting at desks and taking notes; seeing a filled
ballroom today with more than 400 is something I never
dreamed of 25 years ago.
SOMBRERO June/July 2016
22
BUMC News
L-R: Charles Cairns MD, dean, UA College of Medicine Tucson; Ann Weaver Hart, UA president;
Akinlolu Ojo MD, associate vice president for Clinical Research and Health Initiatives, UA Health
Sciences; Kathy Bollinger, executive vice president, Banner University Medicine; Tom Dickson, chief
executive officer, Banner University Medical Center Tucson; Jonathan Rothschild, mayor of Tucson.
Pima County
Medical Foundation
Speakers Series
Sept 13:
Balloon Dilation of the Sinuses,
The Only Constant in Life is Change
Dr. Steven Blatchford.
October 11:
Treatment of Thrombophlebitis
and other Vascular Problems
Dr. Christopher Compton.
November 16:
Radiology Ltd. to provide the topic
and speakers.
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Four of the five tips are crested. This cactus is more unusual
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