JUL/AUG., 2022 VOLUME 52, NO. 4 Bulletin
This month, nine delegates from the Escambia County Medical Society in conjunction with Santa Rosa County (ECMS) will prepare to go to Orlando to the Florida Medical Association (FMA) Annual Meeting. At that meeting there will be discussion of different resolutions that have been brought forth by our fellow colleagues around the state. These resolutions will then be voted on to either be adopted by the Florida Medical Association, revised, studied further to be brought back at a different time and re-voted on or not adopted. Hundreds of physicians from around the state from various specialties and/or counties will come together to try to decide what course of action best serves the mission of their constituents. The delegates from the ECMS met recently to discuss each and every resolution that will come before the House of Delegates at the FMA. In that room there was varying degrees of opinions and concerns. At this meeting, each person had a chance to speak towards the resolution should they so choose and we heard their opinion, even if it was a dissenting opinion from our own. In some instances, it changed the opinion of another as some had not “thought of it that way” or had the same personal experiences through life or their profession as the other. In other instances, it did not change another’s opinion, but in ALL instances, we listened to each other and heard each other and tried to come to a common ground on different issues to improve our opportunity to be heard on a larger stage and make real change. It seems that recently the ability to truly hear one another is becoming harder and harder to do. I do not claim to have all of the answers. As a generalization, lately, it would appear sometimes that issues and opinions are either “right or wrong,” “truth or untruth,” or “good or bad.” That implies that someone that holds an opposite opinion to yours is “wrong,” “untruthful,” or “bad.” It implies there is malintent on the other’s part. There is an art to slowing down and listening to someone else’s opinion that is different than your own and truly hearing them. Not letting any preconceived notions or ego get in the way of listening, hearing, and seeing whether there is “right” and “truth” and “good” in another’s opinion and perhaps seeing things in a different light than you have ever seen before in regard to that topic. I have experienced that with some more controversial topics when I have taken the time to listen to my colleagues who maybe in a different specialty or practice in a different type setting and thus have different day to day interactions than I may have. It is extremely rewarding and necessary, I believe, in order to make an informed decision
Contents Page 6 - Medical/Legal Page 12 - Foundation Page 14 - Community
Editors: Alejandro Arevalo, M.D. | Erica Huffman, Executive Director www.escambiacms.org
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E.C.M.S. Bulletin The Bulletin is a publication for and by the members of the Escambia County Medical Society. The Bulletin publishes six times a year: Jan/Feb, Mar/ Apr, May/Jun, Jul/Aug, Sept/ Oct, Nov/Dec. We will consider for publication articles relating to medical science, photos, book reviews, memorials, medical/ legal articles, and practice management. Vision for the Bulletin: • Appeal to the family of medicine in Escambia and Santa Rosa County and to the world beyond. • A powerful instrument to attract and induct members to organized medicine. Ad placement Contact Erica Huffman at 478-0706 Ad rates 1/2 page: $350 · 1/4 page: $200 · 1/8 page: $150 View and opinions expressed in the Bulletin are those of the authors and are not neces sarily those of the board of directors, staff or advertisers. The editorial staff reserves the right to edit or reject any submission. Mission: Advancing physicians’ practice of medicine in our community. 4771 Bayou Blvd. # 157 Pensacola, FL 32503 Ph: 850-478-0706 Fx: 850-474-9783 Email: www.escambiacms.orginfo@escambiacms.org Editor Alejandro Arevalo, M.D. Executive Director Erica Huffman 4771 Bayou Blvd. #157 • Pensacola, FL 32503 Phone: 478-0706 • Fax: www.escambiacms.org474-9783 MEMBERSHIP2022DIRECTORY Physician Advocacy Since 1873 The 2022 ECMS membership directory available now! Pick one up at the next meeting on August 18. www.escambiacms.org | 3 Member Updates
ECMSevent notifications
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President’s letter cont’d
Stay current with event reminders text EZECMS to 561-363-6313 when choosing to vote on a topic. Each person bringing forth a resolution to be reviewed and voted on, is intelligent and accomplished in their own right and deserves to be heard. As delegates to the FMA representing the physicians of the ECMS, our goal is to come together and allow our mission statement to guide us in our discussions, opinions and how we choose to vote on various topics. Our mission: Advancing physicians’ practice of medicine in our community. We do this by Tradition, Service and Leadership. Tradition of honoring the history of medical care in Escambia and Santa Rosa counties. Service by serving the needs of our community through the service of our members in the practice of medicine. Leadership in meeting the challenges of the future and safeguarding our community’s health through organized collaboration on the local, state, and national level. The delegates are looking forward to a productive and successful Florida Medical Association Annual Meeting. As delegates, we represent our community. Please feel free to reach out to any of us if you would like your opinion heard or you feel compelled to get involved in the future. All my best, Kacey Montgomery, MD Escambia County Medical Society in conjunction with Santa Rosa County
www.escambiacms.org | 5
6 | Escambia County Medical Society in conjunction with Santa
Solutions to Patient Telehealth Obstacles
Telehealth, when used appropriately, has the potential to be a powerful tool for reducing the cost of healthcare and improving patient satisfaction while providing improved patient outcomes and increased physician and provider efficiencies. It can positively impact a large spectrum of healthcare categories including acute care, remote access to care and chronic care management. It also presents the capability to improve patient outcomes through its ability to enhance patient compliance with visits, increase accessibility to the physician/provider and promote patient retention of information discussed during the visits since they occur in more relaxed environments. Telehealth can also save patients valuable time and money since it eliminates the inconveniences of office visits. However, in order for telehealth to reach its greatest potential, there are numerous obstacles that need to be overcome for optimal implementation, especially when considering patient utilization. These obstacles include platform software issues, access issues, fear of technology and fear of privacy issues. A commonly encountered patient obstacle to telehealth is the fear of technology. This is frequently seen in the older population or in patients who have limited experience with computeroriented technology and it can be worsened by telehealth platforms that are difficult to use. Solutions to this obstacle lay in the telehealth platform’s software which should be intuitive and simple to use with minimal steps for patient implementation. The telehealth company should also offer instructional support via educational videos, written instructions with screenshots and customer support. An additional step to help overcome this obstacle is to have the practice’s medical and administrative staff educated on the platform’s functionality to assist patients when they encounter problems. Another common patient obstacle is lack of high speed internet access, especially in rural areas. High speed internet access is necessary due to the bandwidth requirements for the audio and video communications. Fortunately, there are several developments occurring in this realm that will help overcome this access issue. There are governmental grants becoming available for communities to obtain high speed internet and there are private sector programs that have been launched to provide 5G access to rural communities along with satellite-based internet and “line of sight” internet accessibility. Another potential solution is internet accessibility at community locations, such as libraries, etc., although this may present privacy issues unless there is a space in which the patient can be isolated. An additional patient obstacle is the fear of privacy when using telehealth. This is easily overcome by implementing a telehealth platform that is cybersecure and HIPAA compliant.
By Dan McDyer, MD Chief Medical Officer, OnCall MD Member of Florida Woman Care Clinical Governance Board dmcdyer@oncall.md Rosa County
A final and less frequently encountered patient obstacle to telehealth is a lack of access to a smart device with a camera that is capable of connecting to the internet. This is a challenging problem to which there is no current realistic solution other than accessing capable devices at community centers, such as a public library, as mentioned above. Offering telehealth services to your patients can add a valuable dimension to your practice. Being aware of the obstacles that your patients encounter can help you decide if it is appropriate for your practice population. Once you have made the decision to move forward with a telehealth program, the obstacle that is in your control is your choice of the right software platform. The important features that you should seek for a positive patient experience are intuitive feature sets and functionality, simple and quick to use, reliable connectivity, HIPAA and cybersecurity compliance and educational and support tools to enhance your success and that of your patient. With the right choice, your patients’ satisfaction will increase as they engage in this mutually gratifying experience that efficiently enhances accessibility to high quality care.
Medival/Legal
On Thursday, July 21st the Escambia and Santa Rosa County Medical Society hosted a medical reception at Maserati Pensacola. Our guests enjoyed time with colleagues and friends while exploring the beautiful cars on the showroom floor. Special performancesmusicalby the very talented Emerald Coast Honors Orchestra and Pensacola Opera! Of course none of this would have been possible without “Maserati Madrina Ciano” and Step One Automotive Group. Thank you for your generosity and kindness! Event Sponsors: Fisher Brown, Benefits,Anderson,UnderwoodAaronErskine&PIPLegalGuide www.escambiacms.org | 7
Clinicians recognized the existence of these long COVID patients early in the pandemic.
What We Owe Long COVID Patients
Long COVID presents varying and unpredictable symptoms and has no known cure, so with very little information, health-care providers are facing an uphill battle when it comes to providing adequate care to these patients. The absence of a standard set of interventions leaves caregivers vulnerable to liability risks stemming from misdiagnoses—either by not recognizing that the patient has long COVID or by diagnosing long COVID when, in fact, the patient has another serious disease.
Medical errors do happen; in fact, diagnostic error is the No. 1 cause of serious harm, making it the top concern for
By Dr. Zijian Chen, Assistant Professor of Medicine at the Icahn School of Medicine at Mount Sinai, and Peter A. Kolbert, Senior Vice President of Claim and Litigation services for Healthcare Risk Advisors, part of TDC Group
8 | Escambia County Medical Society in conjunction with Santa Rosa County Medical/Legal
May 13, 2022 marked the two-year anniversary of the opening of the Mount Sinai Center for Post-COVID Care in New York City, a firstof-its-kind unit in the U.S. Since then, long COVID has emerged as one of the biggest but least-addressed medical concerns. Anywhere from 10% to 30% of those who contracted COVID-19 suffer chronic aftereffects, some lasting many months after the initial diagnosis. These patients face increased risk of thromboembolic disease, cardiovascular complications, hepatic and renal impairment, and systemic inflammatory response syndrome.
While most of the U.S. has returned to “normal” (or at least a new version of it), these long COVID sufferers, through no fault of their own, have been left behind. They may have avoided the most serious outcomes of COVID-19 initially but are missing out on the return to life as they knew it. And while these patients struggle, so do their health-care providers—many of whom suffer from long COVID themselves after fighting on the front line as intensive care units and morgues exceeded capacity.
When Gov. Andrew Cuomo shut down New York City in March 2020, we knew little about treating COVID-19. While treatment has improved considerably, most dialogue has focused on two types of patients—those with severe, even lethal illness, and those with milder symptoms. Yet there is a third category of patients: those suffering from long COVID, whose symptoms linger for an extended period or mysteriously reappear months after their original infection.
The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.
preventing patient injury. In light of these findings, patients need to present clinicians with the full range of symptoms and ask for comprehensive diagnostic tests to be run in order to identify if it’s long COVID or another ailment.
www.escambiacms.org | 9 Medical/Legal
In return, health-care providers need to bring experts from varying fields together. Forming a strong multidisciplinary care team, communicating clearly and often with patients, keeping detailed chart notes, conducting exploratory testing, following up frequently with the patient and proactively referring to specialists are all essential elements of effective long COVID care. If a patient suspects they suffer from long COVID or presents a variety of symptoms after having COVID-19, their assembled care team—which often starts at the office of their primary care provider—should first rule out a separate underlying illness. Health-care professionals need to find a balance whereby they maintain, when appropriate, a high index of suspicion for long COVID, without letting long COVID become a catchall diagnosis. Knowing that long COVID can present as more than 200 symptoms affecting 10 organ systems, health-care providers find it challenging to pinpoint which ailments, if any, were a direct result of COVID-19. With so many individual symptoms, patients may see a range of specialists, calling for a high degree of collaboration between providers. That there are other ailments masquerading as long COVID emphasizes the importance of seeing patients quickly and providing a thorough evaluation. Common long COVID symptoms like chest pain and heart palpitations could also be the presentation of some other, more emergent condition. As frustrating and debilitating as long COVID can be, it can mask worse diseases that might lead to costlier medical bills and a more rapid decline in a patient’s health—as well as a higher chance for litigation against physicians if these diagnoses are missed. When signs of long COVID emerged in the summer of 2020, many doctors were skeptical. Even now—two years later—skeptics remain. Consequently, many patients feel that medical professionals are failing them. In the early 1990s, given limited research, some health-care providers did not yet believe that chronic Lyme was a real disease. Similar doubts have been expressed about long COVID. When health-care providers struggle with doubts about long COVID, they should remember that COVID-19 can result in something other than short-term symptoms or death. There’s another scenario—a third category of COVID-19 patients—and we need to accept that reality.
This work first appeared in The New York Daily News and online at www.nydailynews.com.
KID’SROOMEMERGENCYEXHIBIT 10 | Escambia County Medical Society in conjunction with Santa
The newest addition to the PCM, the Escambia County Medical Society Foundation Kid’s Emergency Room, will teach children about doctors visits and will remove the fear and stigma of many common procedures. Join us in supporting the newest Pensacola Children’s Museum exhibit and help us educate future generations of museum visitors. Rosa
Pensacola Children’s Museum | 115 E Zaragoza St, Pensacola, FL 32502 | 850.595.1559
Since 2012, the Pensacola Children’s Museum has been the premier Northwest Florida site for hands-on educational learning for children. From birthday parties to storytime with friends, thousands of children have walked through the doors of the Children’s Museum to play, learn and explore. The museum seeks to provide relevant exhibits and activities that will allow our children to be prepared, educated and productive citizens of our community. Throughout the years, our exhibits have taught visitors about shopping at the grocery store, building and engineering, Pensacola maritime history and Indigenous American history.
County
SPONSORDOLL$15,000AMBULANCESPONSOR$20,000 LABORATORYSPONSOR$10,000PHARMACYSPONSOR$10,000 SCANX-RAY/CATSPONSOR$10,000 REGISTRATION/WAITINGROOMSPONSOR$10,000 Individual/Corporate/Family Sponsorship Opportunities Individual Sponsorship Opportunities PROVIDERGUIDE $500 per listing 50 “providers” will be included on the electronic provider guide in the PCM Emergency Room. LAB SPONSORCOAT $3,000 per coat Your name will be listed on one of ten lab coats in the PCM Kids Emergency Room. STETHOSCOPESPONSOR $1,000 per listing Your name will be listed on one of ten stethoscopes in the PCM Kids Emergency Room. COUNT ME IN TO SUPPORT THE ESCAMBIA COUNTY MEDICAL SOCIETY FOUNDATION KIDS EMERGENCY ROOM! NAME EMAILPHONEADDRESS_____________________________________________________________IWANTTO(CHECKALLTHATAPPLY):EricaHuffman Escambia County Medical Society Foundation director@escambiacms.org Robin Zimmern University of West Florida Historic Trust rzimmern@uwf.edu FOR ADDITIONAL INFORMATION OR QUESTIONS, CONTACT: ___Support financially with a contribution of $_______. ___Volunteer on Design Committee. ___Volunteer on Fundraising Committee. www.escambiacms.org | 11
ESCAMBIA COUNTY MEDICAL SOCIETY FOUNDATION Foundation 12 | Escambia County Medical Society in conjunction with Santa Rosa County Foundation
Physician Wellness Program: dedicated to helping our physician colleagues who may be suffering personal and professional angst. Member physicians may access three private sessions with a highly skilled psychologist.
1873 Society: dedicated to funding all of the initiatives/ programs of the ECMS Foundation. This is made possible through the generous donations of our physician colleagues. Please consider becoming a member of the 1873 society. We need you!
The Escambia County Medical Society Foundation has long been committed to help the elderly and economically disadvantaged patients in our community. We also have programs designed to help the physicians of our community, such as, the SMART program and physician wellness. The Foundation is actively collaborating with the Pensacola Children’s Museum to assist in raising funds for a new medical exhibit. We are currently attempting to secure donations for the future exhibit which will have an Emergency Room theme. The purpose of this project is to familiarize the children with medical procedures and testing in a way that is fun and educational. Erica is currently gauging support for this project among our medical society members. There are many ways in which we all can be a part of this important project, including many levels of sponsorship. I encourage you to consider donating to this very worthy endeavor. Please mark your calendar for our fall fundraiser which is October 27th, 2022. This is a kid-friendly event but the grownups also have a great time. Our Foundation programs include: Blood Pressure Cuff Program: dedicated to helping patients monitor their blood pressure at home by providing free blood pressure cuffs. We Care Program: dedicated to helping the indigent and uninsured patients access care. This is only achievable because of our member physicians who generously donate their time and skill. Please consider joining this effort. Go Seniors Program: dedicated to helping the elderly poor see their doctor on a regular basis by covering transportation expenses. Pensacola State College Endowment: dedicated to funding scholarships of students attending Pensacola State College who are interested in health-related fields of study.
SMART program: dedicated to Stress Management and Resiliency Training. Our physician instructor is Dr. Rohit Amin who will teach a 90 minute class each week over nine weeks. Most physicians would benefit from learning skills which may help them to handle stress more appropriately and be more resilient when attempting to meet life’s challenges.
Ellen W. McKnight, M.D.
The ECMS foundation board is committed to strengthen and expand the our existing programs. We are actively developing additional programs, such as our museum exhibit, to try to be a positive force in our community. This can only be done through the generosity of our physicians, both through financial contributions and by donation their time. We ask that you participate in anyway that you can.
Jennifer Miley, M.D. Jack Kotlarz, M.D. Hillary Hultstrand, M.D. Susan Laenger. M.D. Brett Parra, M.D.
The 1873 Society members are recognized and awarded with their names permanently engraved on a traveling Wall of Honor to be displayed in the ECMS office and at ECMS and ECMSF events.
Contact the ECMS Foundation for more information | 850.478.0706 or info@escambiaCMS.org
The Escambia County Medical Society Foundation is a non-profit organization dedicated to providing healthcare services on a volunteer and funding basis through its members. The Foundation was created in 1994. The primary goal is to assure access to adequate healthcare for the medically indigent citizens of the area, to study and promote improved methods and facilities for healthcare, to pursue the protection of public health, implement the means of financing healthcare at reasonable costs, to cooperate with other organizations and institutions interested in pursuing these goals, and disseminate information concerning healthcare in general. Current Foundation programs include “We Care” and “Go Seniors!”
Since 1873, Escambia and Santa Rosa County Medical Society physicians have dedicated themselves to their patients and the people of Escambia/Santa Rosa County. To further our mission and build on the loyal support of our members, the Board of Directors approved the formation of The 1873 Society, a special recognition opportunity to formally honor physicians who contribute to our organization and have demonstrated a long-term commitment to the quality of health care and well-being of our community. As a member of The 1873 Society your good name as a physician will be honored in our community forever – entwined with the good works of the medical society in a cherished legacy. Membership in The 1873 Society is for physicians who have chosen to pledge $3,000 to Escambia County Medical Society Foundation, Inc. This can be accomplished through a single gift or a recurring gift of $1,000 over three years, THREE IN THREE!
Michael Riesberg, M.D. Robert Sackheim, M.D. J.Howell Tiller, M.D. Steve Ziller, M.D.
Michelle Brandhorst, M.D. Joanne Bujnoski, D.O. Kurt Krueger, M.D. Ken Long, M.D. Ellen W. McKnight, M.D.
The individuals listed below are both founding members as well as others who have joined The 1873 Society since its founding. We thank you for joining their distinguished ranks.
THE 1873 SOCIETY MEMBERS
www.escambiacms.org | 13 Foundation
Who is the Escambia County Medical Society Foundation?
THE 1873 SOCIETY
Congratulations to Dr. Kacey Montgomery for being elected to serve as an alternate American Medical Association delegate for the FMA.
14 | Escambia County Medical Society in conjunction with Santa Rosa County Community
2022 FMA ANNUAL MEETING Thank you to our delegates for serving: Dr. Kacey Montgomery, Dr. Maureen Padden, Dr. Dawn Hannah, Dr. Caroline Wolverton, Dr. Brian Kirby, Dr. Ellen McKnight, Dr. Karen Snow, Dr. Hillary Hultstrand, and Dr. Alejandro Arevalo.
Bob Murphy Returns to Baptist Health Care as VP of Quality, Safety and Experience Baptist Health Care has named Bob Murphy to the new position of vice president of quality, safety and experience. Murphy will have oversight of the division of clinical quality, safety and excellence, pastoral services, clinical education and organizational development. Murphy’s new position is a return to BHC where he previously worked for 18 years.
Chad McCammon has been named vice president of orthopaedics for Baptist Health Care. He will be responsible for the day-to-day operations of Andrews Institute for Orthopaedics & Sports Medicine, including physician alignment, strategic business partnerships and affiliations, and physician recruitment. McCammon joined Andrews Institute in 2014.
Target Stroke Honor Roll with Advanced Therapy. The award goes to hospitals that meet specific criteria that reduce the time between an eligible patient’s arrival at the hospital and treatment to remove the clot causing the stroke.
Target Heart Failure Honor Roll Award
Baptist Health Care Welcomes New VP, Chief Medical Officer Dr. Dennis Szurkus
Baptist Health Care has welcomed Dennis C. Szurkus, Jr., M.D., MBA, FACOG, CPE, as vice president, chief medical officer. Dr. Szurkus comes to Baptist from HCA Healthcare, Inc., in Richmond, Virginia, where he served as chief medical officer for Henrico Doctors’ Hospital, Parham Doctors’ Hospital and Retreat Doctors’ Hospital. At BHC, he is responsible for directing the office of medical affairs, clinical performance, physician leadership development and leading the clinical direction for BHC.
Bobby Potomski is the new administrator of Gulf Breeze Hospital. Potomski has been with Baptist Health Care for 12 years, holding various positions including director of primary care services, senior manager of physician practice development and operations, and most recently executive director of hospital medicine.
Baptist Health Care Names Beau Pollard VP of Operations Beau Pollard has been named vice president of operations for Baptist Health Care. He will be responsible for support services, surgical services, ancillary services and the Baptist Medical Park – Nine Mile Ambulatory Surgery Center. Pollard has been a leader for Baptist Health Care for more than 20 years, serving in a variety of roles including operations, marketing, imaging and, most recently, as administrator of Gulf Breeze Hospital.
Baptist Health Care Names Bobby Potomski New Administrator of Gulf Breeze Hospital
Chad McCammon Named VP of Orthopaedics for Baptist wHealth Care
Target: Type 2 Diabetes Honor Roll: The award aims to ensure patients with type 2 diabetes receive the most up-to-date care when hospitalized with cardiovascular disease or stroke.
www.escambiacms.org | 15 Community
Get With the Guidelines® Stroke Silver Plus
Electrocardiograms were added to the pre-participation physical examinations given at Andrews Institute for Orthopaedics & Sports Medicine in June. The annual health event provides required physicals to student-athletes from Andrews Institute’s partner schools in Escambia, Santa Rosa, Okaloosa and Walton counties. While ECGs are not required by the Florida High School Athletic Association or in those four counties, they have been shown to be useful in potentially identifying cardiac conditions that may pose a higher risk of a cardiac arrest or event while participating in athletics. More than 1,350 student-athletes from 20 schools received their physicals at this one-day event. Dr. Kimia Sohrabi, a foot and ankle surgeon with advanced training in reconstructive surgery, has joined the orthopedics team at Ascension Medical Group Sacred Heart. Dr. Sohrabi sees patients at 4521 N. Davis Highway and , and performs surgeries at Ascension Sacred Heart Pensacola. In addition to English, she speaks Persian and Italian. Ascension Sacred Heart Pensacola has received American Heart Association Get With The Guidelines awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke. Hospitals recognized with these awards are better able to achieve shorter recovery times and fewer readmissions by consistently following treatment guidelines. Based on 2021 data, the awards include: Get With The Guidelines® Heart Failure Gold Plus, for its commitment to improving outcomes for patients with heart failure, meaning reduced readmissions and more healthy days at home.
Electrocardiograms Added to the Andrews Institute for Orthopaedics & Sports Medicine Pre-Participation Physicals Event for High School Student-Athletes
Wish You Were Here! Advertise your Business in the ECMS Newsletter. Call or Email Erica Huffman, Executive Director 850.478.0706 | Director@escambiacms.org 4771 Bayou Blvd. #157 • Pensacola, FL 32503 Phone: 478-0706 • Fax: www.escambiacms.org474-9783 MEMBERSHIP2022DIRECTORY Physician Advocacy Since 1873 THE NOW!AVAILABLEDIRECTORYMEMBERSHIPECMS2022
