Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
NOVEMBER 2016
In 1961...
The average cost of a
new car was $2,850;
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Doctors began
seeing patients at
St. Elizabeths
Sombrero
Pima County Medical
Society Officers
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
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)
Members at Large
Vol. 49 No. 9
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
Phone: (520) 624-4939
E-mail: andyc@westpress.com
Advertising
Dennis Carey
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., Suite 151
Tucson, AZ 85712
Phone: (520) 795-7985
Fax: (520) 323-9559
Website: pimamedicalsociety.org
$259,000
Madeline Friedman
Vice President
296-1956 888-296-1956
Inside
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On the Cover
Mormon homesteaders settled in this valley below the Grand
Teton Mountains in Wyoming. Twenty seven families farmed
irrigated land from 1896 until 1937. Two picturesque barns
remain in what was known as Mormon Row. They were built
by brothers John and T. A. Moulton. Johns barn was built
about 1910 and is said to be the most photographed barn in
America. Image taken in June 2003 on a Arizona Highways
photo workshop. (Photo by Hal Tretbar)
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
n September 25,
1966 eighty-some
Stanford undergraduates arrived in
Semmering, Austria for
their six months of study
abroad. Semmering is 60
miles south of Vienna on
the pass between the two
largest cities in Austria,
Vienna and Graz (birthplace of Arnold Schwarzenegger). Semmering is a
resort town, with the ski
area nearest to Vienna. In
1888, a famous Viennese chef named Vinzenz
Panhans built his namesake hotel. In 1965, Stanford
rented half of the Grand Hotel Panhans for its Austrian
Overseas Campus. The hotel had fallen on hard times,
and the Stanford rental kept it solvent. The setting was
gorgeous, the hotel was beautiful, and many students,
including the author, learned to ski there. However, as
a resort town, there were almost no local residents of
an age similar to the Stanford students, and the
cultural resources of Vienna were 60 miles away, by
car, train or hitch hiking. The campus was moved to
Vienna in 1968, and the hotel closed at the beginning
of 1969. It was subsequently purchased and
renovated, maintaining its 19th Century elegance.
This group of students was unusual academically,
even for Stanford. As a group, the students were
purported to have the highest grade point average of
any group that had ever attended any of the five
Stanford overseas campuses. Roughly half of the
group were pre-medical students, and nearly half of
the group became physicians, although not
necessarily the ones who were pre-med when they
arrived at the campus. One
negative aspect of the
studiousness of the group
was that, initially,
opportunities for travel and
cultural or outdoor pursuits
were often foregone, in
favor of study. Fortunately,
this only persisted for one to
two months.
On September 25, 2016, 50
years after they first arrived,
15 of the students returned
with spouses/significant
others. Of the 15 who
returned for the reunion,
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UA College of Medicine
Development
of targeted therapies for more
effective treatment of disease and minimization of
adverse reactions.
Improvements
in cost effectiveness of health-care
delivery.
Empowerment tools for patient self-management.
Precision Medicine Today
The NIH Human Genome Project (www.genome.gov/
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Columbia, Cornell,
Harlem Hospital,
and NewYork-
Presbyterian
University of
Pittsburgh
University of
Arizona and
Banner Health
Health Risk
n recent months,
throughout Arizona and
several other states,
health officials discovered
a variety of skin-lightening
creams originating from
Mexico and Asia that
contain high levels of
Mercury, a highly toxic
substance. The companies
that sell these creams
often target older women
with the promise that the
cream will remove dark
spots, lighten the skin, and help them look younger.
While firm skin without signs of aging may make us
more attractive, we shouldnt sacrifice our health to
obtain it. Before using any type of skin products,
consumers must ensure the products contain safe
ingredients. I refuse to believe that anyone would
purposefully use these creams if they knew that theyre
putting themselves and those around them at risk.
Mercury is a toxic substance that easily vaporizes into
the air and gets absorbed by our body when we breath.
The vapor is colorless, odorless and only detected
through special testing. Young children exposed to
mercury may experience extreme fatigue, weakness,
insomnia, irritability, and behavioral issues as well as
headaches, tingling in the hands and feet, tremors,
short-term memory loss, or loss of sense of taste. In
severe cases of mercury poisoning, the kidneys can
become severely damaged and lead to renal failure.
The distribution of these Mercury-containing creams
has become so prevalent that the Federal Drug
Administration recently issued a warning about these
products, explaining that they are usually
manufactured abroad and sold illegally in the United
States. Consumers may have purchased these creams
in shops that cater to the Latino, Asian, African, and
Middle Eastern communities or online on various
websites that use mobile apps and social media to
promote the products. Health officials have also found
that, in some cases, consumers buy the creams in
another country and bring them back to the U.S. for
personal use.
The next time you go to purchase a skin product, read
the list of ingredients and follow these tips provided by
the FDA:
10
39th
Favorable rates include deep
discounts on lodging, ski
Available Feb. 18th 26th.
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SOMBRERO December 2014
Road Trip
Cochise County:
can direct you to the latest crafts markets in the area. Make
sure to admire the shops locally-made mesquite and
copper items and its mid-century collectibles, or browse
her binders full of local lore and architectural history.
Historic Houses
After visiting the What Not Shoppe, cross over the
railroad track and head east along Dragoon Road,
passing farm shops for local pistachios, salsas, relishes,
gourds. Theres also the turn off for the local winery, Gold
View Vineyards. At Cochise Stronghold Road, turn right,
where in less than four miles, youll pass a pecan grove
and come upon the Leonida Thompson house, one of the
oldest wooden structures in Cochise County. The leaning
but lovingly conserved homestead is decorated with
historic photos and period furniture. Owners of the
adjoining Rancho Casa Viejo will be happy to share their
research on Thompson family and Cochise ranching with
visitors. The Ranch hosts a craft sale at their barn in
November, so youll have an opportunity to sample
homemade caramel corn, tour the historic house and
purchase ironwork or other family handicrafts if you visit.
Apache Chief Legends
About five miles further south, you can turn right onto
Ironwood Road to visit the Cochise Stronghold National
Monument in the heart of the Dragoon Mountains, where
legendary Apace chief Cochise is said to be buried. The
landscape closes in with tumbles of towering granite,
which surround visitors in a cathedral-like silence. You
can enjoy a picnic lunch here, or meander along an easy
interpretive path.
stop, and the site where civil war rebel soldiers were
ambushed by the Apaches.
Resource List
Amerind
2100 N. Amerind Road
520-586-3666
Dragoon What-Not Shoppe
1863 N. Johnson Road
520-586-8635
Rancho Casa Viejo & Leonidas Thompson House
1685 N. Cochise Stronghold Road
520-237-3916
Holy Trinity Monastery
1605 S. St. Marys Way
520-720-4642
Cascabel Christmas Fair
520-212-2529
Cascabel.org/fair.html
Benson Museum
180 S San Pedro Street
BensonMuseum.com/index.html
15
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As a hospice physician, it is
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Hearing loss is
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Setting
perspective: The majority of Americans die
Although
medical teams must be involved in end
of-life decisions, doctors often are not prepared to
talk with patients about end of life. The
conversation must be initiated before critical endof-life medical intervention is required. Patients,
family members and the patients extended
community including social workers and faith
leadership must feel comfortable in talking about
end of life.
Earlier
this year, Medicare began allowing the end
of-life conversation to be a chargeable item in
health care billing, but providers must be properly
trained, according to Dr. Volandes.
Dr.
Volandes organization, as well as others
Dr.
Volandes organization has developed a suite of
Tucson
healthcare leadership needs to help build
20
AZ Health-e Connecon
1. Publication Title
2. Publication Number
0 2
Sombrero
4. Issue Frequency
3. Filing Date
9-23-2016
$30
7. Complete Mailing Address of Known Office of Publication (Not printer) (Street, city, county, state, and ZIP+4 )
Contact Person
Dennis Carey
(520)-795-7985
8. Complete Mailing Address of Headquarters or General Business Office of Publisher (Not printer)
Pima County Medical Society, 5199 E. Farness Dr. Ste 151, Tucson AZ 86712-2134
11. Known Bondholders, Mortgagees, and Other Security Holders Owning or Holding 1 Percent or More of Total Amount of Bonds, Mortgages, or
None
Other Securities. If none, check box
Full Name
12. Tax Status (For completion by nonprofit organizations authorized to mail at nonprofit rates) (Check one)
The purpose, function, and nonprofit status of this organization and the exempt status for federal income tax purposes:
Has Not Changed During Preceding 12 Months
Has Changed During Preceding 12 Months (Publisher must submit explanation of change with this statement)
13.
Publication
PS Form
3526,Title
July 2014 [Page 1 of 4 (see instructions page 4)] PSN: 7530-01-000-9931
14. IssueSee
Dateour
forprivacy
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Below
PRIVACY NOTICE:
policyData
on www.usps.com.
Sombrero
Aug-Sept. 2016
900
(1) Mailed Outside-County Paid Subscriptions Stated on PS Form 3541 (Include paid
distribution above nominal rate, advertisers proof copies, and exchange copies)
b. Paid
Circulation
(By Mail
and
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Street Vendors, Counter Sales, and Other Paid Distribution Outside USPS
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Distribution (2) Free or Nominal Rate In-County Copies Included on PS Form 3541
(By Mail
and
Free or Nominal Rate Copies Mailed at Other Classes Through the USPS
Outside
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are claiming
copies, go to line 16 on page 3. If you are not claiming electronic copies, skipAverage
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on Copies
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0
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689
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93%
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I certify that 50% of all my distributed copies (electronic and print) are paid above a nominal price.
17. Publication of Statement of Ownership
XIf3526,
the publication
is (Page
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publication of this statement is required. Will be printed
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November 2016
in the ________________________
issue of this publication.
18. Signature and Title of Editor, Publisher, Business Manager, or Owner
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I certify that all information furnished on this form is true and complete. I understand that anyone who furnishes false or misleading information on this form
or who omits material or information requested on the form may be subject to criminal sanctions (including fines and imprisonment) and/or civil sanctions
(including civil penalties).
22
PCMS Alliance
T he 45t h Annual
Pima County Medical Society Alliance
Holiday Luncheon
is scheduled for
December 7
at
24
Myra Muramoto, MD
appropriate
prenatal care for
the first time. She
carried her fetus
full-term, then
gave birth to a
perfectly healthy
baby boy.
For many
individuals and
families, the
Mobile Health
Program is the
only place where
they can get
Martha Ortiz
health care that
they trust, said Ravi Grivois-Shah, MD, the programs
medical director and associate professor in the UA
College of Medicine Tucsons Department of Family
and Community Medicine, which now oversees the
program.
There always will be the need for this kind of
program, he said, so our goal is to make our program
sustainable into the future.
Since its grass-roots beginnings, the UA Mobile Health
Program has received financial support from a variety
of funders, including Banner Health, the UA, Pima
County, non-government organizations and private
donors. Recent grants from Delta Dental of Arizona
Foundation, Arizonas First Things First childdevelopment program and the March of Dimes support
prenatal care, well baby check-ups and preventive
dental care for children and adolescents in Tucson and
surrounding communities.
Family and Community Medicine is extremely proud
of the Mobile Health Programs service to our
communities over the past 40 years, said department
head Myra Muramoto, MD, MPH. It also has enabled
generations of medical students and other health
professions students to experience the satisfaction of
providing care to rural and underserved people. The
Mobile Health Program truly brings together our
departments missions of service, teaching and
community outreach.
25
Members Classifieds
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.
26
Benefits Include
Alerts for finalized
patient reports
Customizable notifications
Alert preferences
User friendly interface
Compatible with
iPhone and iPads
(Android app coming soon)
Free download from
the iOS App Store
For more information, contact RadVision Technology Services at (520) 901-6747 or radvision@radltd.com.
A TUCSON TRADITION FOR MORE THAN 80 YEARS
27
(602) 956-5276
(800) 352-0402
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SOMBRERO November 2016