Perspective - Preventing firearm violence: Can anything really be done?

By Jerome M. Itzkoff, MD on Jan 6, 2019 2:28:00 PM

One of the benefits of a medical education is an indoctrination into the art of critical thinking. Physicians are chronically subjected to information overload comprised of past and present patient histories, new and old clinical and basic science research, psychosocial factors that relate to patient care, and governmental and institutional rules and regulations. We are besieged by an ever-expanding and increasingly complex volume of data that we must organize and effectively synthesize and manage to maintain our professional competence. We regularly re-educate and re-certify ourselves toward this end. We integrate evidence-based data and evidence-directed guidelines that inform and influence the critical thinking that enables us to render optimal medical care.

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Mentoring

By Richard H. Daffner, MD, FACR on Jan 5, 2019 9:07:00 AM

Recently, there has been increasing interest in the subject of mentoring with the publication of two Perspective pieces in the Bulletin.1,2 Anna Evans Phillips, MD, in the February 2017 edition and Geoffrey Lim, MD, in the May 2018 edition recalled their experiences with mentoring.1,2 Anna’s experiences during her residency and fellowship years inspired her to begin mentoring her own junior colleagues. As physicians, she pointed out our obligation the Hippocratic Oath holds us to regarding teaching our art to future generations of healers. Geoffrey added not only his thoughts and gratitude to his mentors as he completed his residency, but also enumerated a set of core qualities that he felt defined “healthy” mentorship. He went further in also listing the reciprocal qualities the ideal mentee should have. I would like to add my own perspective from the standpoint of someone who had the privilege of serving as a mentor to many younger physicians.

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Opioid update: New federal law and physician subpoenas for records and depositions

By Danielle Dietrich, Esq. on Jan 4, 2019 2:11:09 PM

On Oct. 24, 2018, President Trump signed into law the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and  Communities Act, also known as the SUPPORT for Patients and Communities Act (H.R.6).1 According to the White House, this Act “addresses the opioid crisis by reducing access to and the supply of opioids and by expanding access to prevention, treatment and recovery services.”2

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December 2018 Bulletin Available

By Allegheny County Medical Society on Jan 4, 2019 8:50:06 AM

Opinion18dec

Editorial ................................438
‘Shades of Gray’
Deval (Reshma) Paranjpe, MD, FACS

Editorial ................................440
Mentoring
Richard H. Daffner, MD, FACR

Perspective ......................... 442
Preventing firearm violence: Can anything really be done?
Jerome M. Itzkoff, MD

Perspective ......................... 444
Approaching the question of wellness in residency
Michael Barkowski, DO, MA

Departments
Society News ...................... 446
• Pittsburgh Ophthalmology Society
• Pennsylvania Geriatrics Society – Western Division
• ACMS announces publication of history of medicine book
Community Notes ............... 449
Editorial Index .................... 464
Advertising Index ............... 466

Articles
Feature .................................450
2018 ACMSF award winners
Christina E. Morton

Materia Medica .................... 456
Doravirine (Pifeltro®) for the treatment of HIV-1 in antiretroviral naive patients
Briana N. Schreckengost
Corynn E. Ozenghar
Alexis C. Treaster

Legal Report ....................... 460
Opioid update: New federal law and physician subpoenas for records and depositions
Danielle Dietrich, Esq.
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2018 Benjamin Rush Individual Award -  Bill Strickland, Jr.

By Christina Morton on Dec 17, 2018 2:11:00 PM

Benjamin Rush Individual Award

Topics: Awardee Gala
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2018 Richard E. Deitrick Humanity in Medicine Award - Thomas B. Julian, MD

By Christina Morton on Dec 15, 2018 2:07:00 PM

Richard E. Deitrick Humanity in Medicine Award

Topics: Awardee Gala
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2018 Ralph C. Wilde Leadership Award - Stanley M. Marks, MD

By Christina Morton on Dec 14, 2018 2:02:00 PM

Ralph C. Wilde Leadership Award

Topics: Awardee Gala
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2018 Nathaniel Bedford Primary Care Award - Ann L. McGaffey, MD, FAAFP

By Christina Morton on Dec 13, 2018 9:09:00 AM

Nathaniel Bedford Primary Care Award

Topics: Gala Awardee
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2018 Benjamin Rush Community Organization Award - Global Links

By Christina Morton on Dec 12, 2018 1:52:12 PM

Benjamin Rush Community Organization Award

Topics: Awardee Gala
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2018 Executive Leadership Award - James M. Collins and G. Alan Yeasted, MD, FACP

By Christina Morton on Dec 11, 2018 5:43:00 PM

Executive Leadership Award

Topics: Awardee Gala
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2018 Physician Volunteer Award - Jan Madison, MD

By Christina Morton on Dec 11, 2018 1:49:51 PM

Physician Volunteer Award

Topics: Awardee Gala
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"A Tradition of Leadership, Innovation and Caring”

By Allegheny County Medical Society on Nov 29, 2018 3:43:29 PM

THistoryofMedCover-1wo years in the making, the Allegheny County Medical Society announces the publication of “A Tradition of Leadership, Innovation and Caring,” a 200-page history of medicine in Pittsburgh and Allegheny County. The work was commissioned by Jack Krah, former ACMS executive director, through Legacy Publishing Co., Birmingham, Ala. Its author is Diane C. Wuycheck, former ACMS director of communications, with layout assistance from Meagan K. (Welling) Sable, ACMS director of publications and Bulletin managing editor.

Topics: History
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Why do we call it ‘healthcare?’

By Robert Cicco, MD on Nov 21, 2018 2:37:00 PM

I’ve often wondered how we have come to call what we have in our country the American “healthcare” system. Within that system, we have large “healthcare” institutions, “healthcare” providers and patients or employers buying “healthcare” insurance. Yet, most of the work done by these entities doesn’t have much to do with keeping people in good health. Oh, we certainly do a great job at restoring health to those who are ill.

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November 2018 Bulletin

By Meagan Sable on Nov 20, 2018 4:09:44 PM

Opinion


President’s Message........... 394
Why do we call it ‘healthcare?’
Robert C. Cicco, MD

Editorial ................................396
The secret is kindness
Deval (Reshma) Paranjpe, MD, FACS

Perspective ......................... 400
Suicide and hastening death in terminally ill patients
Keith Lagnese, MD, FAAHPM, HMDC

Perspective ......................... 402
A century of modern influenza: 1918 to 2018
Bryan Stevens, MD

Perspective ......................... 404
The voice of the people and Medicare coverage
Thomas James III, MD, FACP, FAAP

Perspective ......................... 406
It’s time for Allegheny County physicians to embrace harm reduction
Wendy E. Braund, MD, MPH, MSEd, FACPM

Perspective ......................... 408
Hospital Within a Hospital: How to achieve value-based care
Anthony M. DiGioia III, MD
Molly H. O’Brien
Angela D. DeVanney

Topics: Bulletin
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2018 ACMS Bulletin Photo Contest Winners

By Meagan Sable on Nov 19, 2018 10:02:00 AM

The first-place winner of the 2018 ACMS Bulletin Photo Contest is Frederick Doerfler Jr., MD, for his photo “Full Moon at Disko Bay, Greenland.” His photo will appear on the January 2019 cover of the Bulletin. Congratulations,  Dr. Doerfler!Fullmoon at Disko Bay, Greenland
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2018 Medical Student Career Speed Dating Event

By Nadine Popovich on Oct 29, 2018 3:44:17 PM

The University of Pittsburgh’s medical student AMA chapter hosted a Medical Student Career Speed Dating event on Monday, October 22 at the Herberman Conference Center.

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Mandatory Opioid Training – Know the Requirements

By William H. Maruca, Esquire on Oct 25, 2018 2:46:13 PM

 

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October 2018 Bulletin Available

By Allegheny County Medical Society on Oct 22, 2018 8:00:00 AM

Opinion18Oct


Medical Editor.......................362
National News Journal Club and the Triple Test
Deval (Reshma) Paranjpe, MD, FACS

Editorial ..............................364
Let's Ask
Charles Horton, MD

Perspective ........................ 366
No Swan Song in Heart Failure and Pulmonary Hypertension
Andrew Pogozel, MD

Perspective ........................ 368
Doctor, My Antidepressant Stopped Working
Marc E. Garfinkel, MD, DLFAPA, DLFAACAP

Perspective ........................ 370
Introversion: Not a Weakness, but a Strength
Wendy Palastro, MD

Topics: Bulletin
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Pittsburgh and the Polio Vaccine

By Kristen Ann Ehrenberger, MD, Phd on Sep 27, 2018 12:40:00 PM

“MMR causes autism.” “Gardasil makes girls promiscuous.” Today’s highly publicized debates about vaccines are often compared (unfavorably) to the heyday of vaccine development in the mid-twentieth century, when smallpox was eradicated and schoolchildren lined up by the millions to be protected against polio. At a time when presidential candidates are asked about their stance on vaccines and when famous comedians make internet videos about how their benefits outweigh their risks, it may be mete to recall that those campaigns were no less political or fraught with uncertainty.

Topics: Bulletin History
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Genomic Tests Results in Major Advances in Breast Cancer Treatment

By Adam Brufsky, MD, PhD on Sep 25, 2018 12:40:00 PM

As a practicing medical oncologist with a specialty in breast cancer for the past 22 years, I have been fortunate to see substantial advances in treatment. A majority of women are now diagnosed with early stage disease, and five-year survivals without recurrence for women with estrogen receptor positive stage I and II breast cancer now exceed 85-90%. The question I now deal with is not: “Will I survive this,” but rather, “What will it take to get me there?”

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Federal and Pennsylvania Telehealth Developments

By Mike Cassidy, Esq on Sep 17, 2018 12:38:00 PM

  1. Introduction

CMS has been actively promoting telehealth since 2000, when Social Security Act §1834(m) was adopted, and CMS has continued to expand the covered telehealth services. Pennsylvania is a late comer to the telehealth legislative field, but its proposed Telemedicine Act is a comprehensive payment parity and state licensing/enabling piece of legislation.

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September 2018 Bulletin Available

By Allegheny County Medical Society on Sep 15, 2018 12:32:00 PM

18sep-1Opinion
Medical Editor.......................330
Explore Pittsburgh’s Hottest New Restaurants
Deval (Reshma) Paranjpe, MD, FACS

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Caring for the Elderly Requires Compassion and Communication

By Ed Kelly, MD on Aug 25, 2018 3:10:00 PM

Many of us have crossed the hurdle where we are now referred to as “senior.” Thus, we have lived long enough so that we are able to embark on the journey referred to as the “golden years.” That term connotes that we will enjoy a life of leisure and pleasure which we have worked long and hard for. A bit of reflection perhaps will open our minds to what lays ahead and why the future may be not quite as smooth as we had expected. We have heard that being healthy will allow us to enjoy the many activities during retirement of which we have dreamed. However, pause for a moment and ponder as to how much health care spending goes to the elderly. I could list incessantly some of the problems that we may face – prostate, gynecologic, visual, musculoskeletal, mental health, gastro intestinal, and there are many more. Perhaps we may be fortunate and not develop the myriad of conditions which may afflict many senior citizens. Allow me to spend a few moments describing how and what I learned about the seniors in my life and practice.

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On Compassion

By Kris Gopal, MD, FACS on Aug 25, 2018 12:39:00 PM

Compassion is a word for a very positive emotion that has to do with being thoughtful and decent. When you have compassion, you’re putting yourself in someone else’s shoes and really feeling for them. When you feel compassion for someone, you really want to help them. Giving to a charity takes compassion. Volunteering to work with sick people or animals takes compassion. Anytime a disaster like a hurricane or earthquake hits, others will feel compassion for the victims.

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DNA Database Risks to Privacy and Safety

By Deval (Reshma) Paranjpe, MD, FACS on Aug 20, 2018 3:03:00 PM

It was only a matter of time. The recent announcement that GlaxoSmithKline bought a $300 million dollar stake in the leading genomics company 23andMe and now has exclusive rights to 23andMe’s DNA data for drug testing research should come as no surprise to those of you who have been watching the intersection of technology companies and genomics. DNA, the ultimate identifying personal information, is now a commodity like the rest of your data. It’s official: nothing is sacred.

Topics: Bulletin
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August 2018 Bulletin Available

By Allegheny County Medical Society on Aug 18, 2018 2:27:00 PM

18augOpinion

Medical Editor.......................294
DNA Database Risks to Privacy and Safety
Deval (Reshma) Paranjpe, MD, FACS

Editorial ................................296
Core Values
Amelia Paré, MD, FACS

Editorial ................................300
Towers in Medicine
Anna Evans Phillips, MD

Perspective ........................ 302
Pharmaceutical Pricing in the United States of America: Disease or Symptom?
Bruce Wilder, MD, MPH, JD

Perspective ........................ 304
Caring for the Elderly Requires Compassion and Communication
Ed Kelly, MD

Perspective ........................ 306
In Aging Western PA...the Eyes Have It
Miguel A. Busquets, MD, FACS

Perspective ........................ 308
On Compassion
Kris Gopal, MD, FACS
Topics: Bulletin
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2018 Celebration of Excellence Gala – Photos Available

By Allegheny County Medical Society on Jul 1, 2018 3:12:00 PM

2018gala

Thank you to our attendees and sponsors for making this an outstanding evening!

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