Kentucky Doc Fall 2019 by Rockpoint Publishing

fall 2019 • volume 11 • issue 3

GIANTS of the Lexington Medical Society PAST AND PRESENT

Dr. Daniel

DRAKE

President of the Lexington Medical Society, 1824 THE FOREMOST AMERICAN MEDICAL EDUCATOR OF THE NINETEENTH CENTURY

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CONTENTS LMS Giant: Samuel Brown PAGE 5 PROFILE IN COMPASSION John Collins PAGE 8 PHYSICIAN HEALTH AND WELLBEING Mindful Practice® PAGE 11 FROM THE COVER Concerning Dr. Daniel Drake PAGE 12 LMS Historical Timeline PAGE 16 Dale Toney, MD PAGE 21 COMMUNITY NEWS PAGE 24 NEW –PET HEALTH PAGE 26 A Glimpse into the Private Life of the Bensemas PAGE 29

EDITORIAL

BOARD MEMBERS

FROMTHEEDITOR • FALL 2019 Robert P. Granacher Jr., MD, MBA, Editor-in-Chief, Kentucky Doc Magazine

Welcome from the Editorin-Chief of the Fall edition of KentuckyDoc magazine. We have some interesting reading for our LMS colleagues, and for all others who may witness this particularly fascinating edition. We are highlighting “Giants of the Lexington Medical Society, Past and Present” in this KentuckyDoc. The two major persons emphasized are the founder of the Lexington Medical Society, Dr. Samuel Brown, and the foremost medical educator of the 19th century, Dr. Daniel Drake. Dr. Drake’s portrait hangs in honor at the Lexington Medical Society, as a hand painted creation by portrait artist Chester Harding, sometime in the 1830s. The recently restored Drake portrait also graces the cover of this edition of KentuckyDoc magazine. Please note that the essays on Dr. Brown and Dr. Drake both emanate from the writings of W. Porter Mayo, M.D., Ph.D. Dr. Mayo was a long-time Lexington Medical Society member and spent his medical career in Lexington as a general surgeon. After he completed his career, he attended the University of Kentucky to complete a Ph.D. in history. He was commissioned by the Lexington Medical Society to publish a book in 1999 to honor the 200th anniversary of the founding of the Lexington Medical Society in 1799. I have liberally taken information from Dr. Mayo’s book. Dr. Samuel Brown was born in 1769, a native of Augusta, Virginia, and died in 1830. As was the custom in the late 18th century, Dr. Brown first completed a medical apprenticeship with his brother-in-law, Dr. Alexander Humphries

of Stanton, Virginia. He also served with Dr. Ephraim McDowell of Danville at that time as well. Dr. McDowell later became an honorary member of the Lexington Medical Society and Dr. Brown and Dr. McDowell both matriculated to the University of Edinburgh Medical School in Scotland in 1793, and Dr. Brown later received his medical degree at the University of Aberdeen in Scotland. Following the Brown article, John Patterson, M.D. and LMS member, profiles John Collins, M.D., a current LMS member, and his career in Lexington as an ophthalmologist. This article is followed by a second presentation by Dr. Patterson portraying the University of Rochester School of Medicine and Dentistry and their program in The Mindful Practice.® John’s article on this premiere international training program is enlightening and offers insight into one of the great psychological movements currently in medicine at this time, and that is mindful practice. A portrayal of Dr. Daniel Drake follows Dr. Patterson’s University of Rochester article. Our readers should find the Brown article intriguing, because Sir William Osler of John’s Hopkins University called him “one of the most unique figures in the history of American medicine.” Our Vice President and CEO of the Lexington Medical Society, Chris Hickey, has produced a wonderful timeline of important historical milestones in the development of medicine in Lexington, and in particular the Lexington Medical Society. Chris’s article follows the Drake article, and it is enlightening reading. It summarizes the remarkable progress of this medical society from 1799 to its LETTER Continued on Page 30

Robert P. Granacher Jr., MD, MBA editor of Kentucky Doc Magazine Tuyen Tran, MD John Patterson, MD Thomas Waid, MD

STAFF Brian Lord Publisher David Bryan Blondell Independent Sales Representative Jennifer Lord Customer Relations Specialist Barry Lord Sales Representative Anastassia Zikkos Sales Representative Kim Wade Sales Representative Janet Roy Graphic Designer Purple Patch Innovations Website & Social Media

Cover: The Dr. Daniel Drake portrait: The society originally purchased the painting in 1937 for $400 (over $7,000 in today’s dollars) from the descendants of Dr. Joseph Carter of Versailles. The portrait was painted sometime in the 1830s by Chester Harding, one of the most prominent portrait artists of the 19th century. Among the people he painted were U.S. Presidents James Madison, John Quincy Adams, and James Monroe. He also painted Daniel Webster and Daniel Boone, the only one of him from a live sitting. Two of his sons fought on opposite sides of the Civil War. Dr. Carter was a good friend of Dr. Drake and the portrait was displayed in the Carter home for over 100 years. In 2019, the portrait was restored, funded by Dr. Robert Granacher, over a three month period by Old World Restorations in Cincinnati. The Dr. Drake portrait is now proudly displayed in the LMS Hall of Presidents.

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© Copyright Kentucky Doc Magazine 2019. All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Kentucky Doc Magazine. Kentucky Doc Magazine reserves the right to publish and edit, or not publish any material that is sent. Kentucky Doc Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. Kentucky Doc Magazine is a proud product of Rock Point Publishing.

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Samuel Brown: Giant of the Lexington Medical Society This article is about Samuel Brown, one of the great leaders of the Lexington Medical Society in its early days beginning in the late 18th century.

By Robert P. Granacher Jr., MD, MBA The material for this essay comes from the classic book written by W. Porter Mayo, M.D., Ph.D., a former Lexington Medical Society member who became a history doctorate after he completed his career as a Lexington surgeon. His book, still today is the greatest book written about the Lexington Medical Society, was commissioned by the LMS and published in 1999 to honor the 200th anniversary of the founding of the Lexington Medical Society. Samuel Brown is credited with developing the society in 1799. (Mayo, 1999) The story of the Lexington Medical Society begins with Dr. Samuel Brown (1769-1830). He was a native of Augusta, Virginia in Rockbridge County. Dr. Brown began his education under the tutelage of his father. At age 16, he continued his classical education at the seminary conducted by Dr. James Waddle in Virginia, preparatory to his enrollment in Dickinson College in Carlisle, Pennsylvania. Subsequent to this, Dr. Brown served an apprenticeship with his distinguished brother-in-law, Dr. Alexander Humphreys of Stanton, Virginia. Another famous Kentucky doctor was an apprentice there as well, young Ephraim McDowell of Danville. After a few months of instruction with Dr. Humphreys, Dr. Brown

transferred to the private instruction of Dr. Benjamin Rush of Philadelphia. (Mayo, 1999, page 28). Dr. Rush was not only a signer of the Declaration of Independence and the most renowned America physician of the time, but he is the author of Diseases of the Mind (1812), the first psychiatric textbook written in the United States for physicians. His image is on the great seal of the American Psychiatric Association. (Mayo, 1999, page 28) Dr. Brown and Dr. McDowell both matriculated to the University of Edinburgh Medical School in Ireland in 1793, and Dr. Brown received his medical degree at the University of Aberdeen. While in Scotland, Dr. Brown, with some other colleagues, entertained the possibility of founding a medical school in America. Brown returned home in 1795 and began practicing medicine in Maryland near Washington D.C. (Mayo,1999, page 30) The forerunner of the Lexington HeraldLeader announced in 1797 that Dr. Brown was going to practice medicine and surgery in Lexington, Kentucky. Brownâ&#x20AC;&#x2122;s reputation and skill led to his selection as one of the two medical professors in the newly organized Transylvania College. Brown was the first Professor of Medicine west of the Allegheny Mountains. He was appointed as Professor of Medicine, Chemistry, and Surgery. Dr. Brown announced the opening of his office in

Lexington in September 1797, and he quickly became part of the civic life of Lexington. (Mayo, 1999, page 30) Dr. Porter Mayo notes that we do not have the constitution and bylaws of the LMS in 1799, but the first constitution preserved is that of 1821, and he is of the opinion it is likely identical. The minutes of the original Society that survived (1803-1804) are invaluable and consistent with the 1821 documents. (Mayo, 1999, page 37) Dr. Brownâ&#x20AC;&#x2122;s reputation exploded upon the state of Kentucky, and his reputation soon spread over the whole state. He was consulted far and wide during the early days of Transylvania Medical School. He was the preeminent physician west of the Allegheny Mountains. He was well ahead of New York physicians in the introduction of smallpox vaccination in 1801-1802. The Lexington Medical Society was not only the first medical society west of the Alleghenies, it was the first studentphysician medical society in America in which both medical students and physicians held elected office. While Lexington started out as the Athens of the West, by the introduction of the steamboat in 1812, Lexington entered a long decline that eventually culminated in the loss of medical supremacy to the cities of BROWN Continued on Page 7

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BROWN continued from Page 5

Cincinnati, Louisville, and St. Louis. Cincinnati and Louisville both rapidly surpassed Lexington in population. In 1809, Dr. Ephraim McDowell, an honorary member of the Lexington Medical Society, performed the world’s first successful abdominal operation when he removed a 22-pound ovarian tumor from Jane Todd Crawford. This surgery, done without the benefit of anesthesia or antiseptic means, was previously thought impossible. Dr. McDowell, who studied in Edinburgh with Dr. Brown, became known as the Father of Abdominal Surgery. The Lexington Medical Society came to an end in 1834. Dr. Brown had previously died in 1830 in Dayton, Ohio. However, before his death, he founded a national medical society, Kappa Lambda, and also the North American Medical and Surgical Journal. The Kappa Lambda Society was the forerunner to the American Medical Association. (Mayo, 1999, page 51) Dr. Brown, a member of the American Philosophical Society of Philadelphia, had become quite friendly with Benjamin Rush, M.D. and Thomas Jefferson. He learned of the vaccination for smallpox, and he had vaccinated at least two patients by May of 1801. Letters in existence in 1801 indicate that Dr. Brown had been given access to thread that was infected with cowpox matter that he used to develop vaccination techniques using the Jenner method in the very early days of the 19th century. (Mayo, 1999, pages 105-112) A series of events in 1819 put Transylvania University among the elite of American medical schools. However, there was a change of presidents and the attrition of Dr. Charles Caldwell (1772-1853) of Philadelphia added to the Chair of the Institutes of Medicine. At the same time, Dr. Samuel Brown was lured away from the invitation to join Dr. Daniel Drake in Cincinnati to take the Chair of the Theory and Practice of Medicine. There was a rapid increase in the number of students at the Transylvania Medical School beginning with 20 students and one graduate in 1817, and then escalating to 200 students and 56 graduates in 1823-1824. The preamble to the precipitous decline of the Transylvania Medical School and its eventual closing was noted by Daniel Drake, M.D. when he reported by letter to Henry Clay in 1825. He advised Henry Clay

Brown’s reputation and skill led to his selection as one of the two medical professors in the newly organized Transylvania College.

that the school had the misfortune to lose Professor Samuel Brown. Many professors at the Transylvania Medical School left to take positions at the University of Louisville, and particularly in 1837-1838, four medical professors left for the school in Louisville. For the 1856-1857 term, only 32 students were present at the Transylvania Medical School. (Mayo, 1999, pages 208-210) Four years after Dr. Samuel Brown’s death, the Lexington Medical Society came to an end in 1834. The demise of the society and precipitous manner of its closing is described by Porter Mayo, M.D. as “puzzling.” The last evidence of the activities of the Lexington Medical Society was published in the Transylvania Journal of Medicine and the Associate Sciences in 1834. (Mayo, 1999, page 208) By 1857, the “Athens of the West” lost its last vestige of fame with the closing of the Medical Department of Transylvania University. The 1850s were years of great upheaval of economic and social unrest. It was the eve of the Civil War. The famous Medical Hall of Transylvania built in 1839 by the philanthropic actions of the citizens of Lexington at the cost of $35,000.00,

reverted to the City in 1860. It was located at the corner of Broadway and Second Street. This building was commandeered by the federal government during the Civil War as a hospital for Union soldiers, and burned on May 22, 1863, while occupied. (Mayo, 1999, page 222) Even with these losses to Lexington, the M.D. was so unusual that of the 3,500 practicing physicians in the Colonies during the period of the Revolutionary War, less than 300 had received a medical degree. Most physicians had earned those degrees in Europe, because the Philadelphia Medical College and King’s College (later Columbia University) were the only medical schools available to Americans in their homeland. Thus, the early days of the Transylvania Medical Department were quite significant for the development of medicine and development of physicians in the United States going into the Civil War. (Mayo, 1999) Source • W. P. Mayo. (1999). Medicine in the Athens of the West. Kuttawa, KY; McClanahan Publishing House

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Kentucky

PROFILE IN COMPASSION

John Collins

Helping People Makes Me Feel Better By John A. Patterson, MD, MSPH, FAAFP I first met John Collins in 1978 during an ophthalmology rotation when we were in our respective residencies at UK. I liked him immediately, partly because he had just spent 6 years in primary care in rural Kentucky – a future I was planning for myself. My Experience as His Patient Now 41 years later, as one of his ophthalmology patients, I can say that John is never in a hurry, he sits down rather than hovering over me, performing the necessary exams and he engages in pleasant conversation. It gives me a good feeling and my experience is shared by his other Lexington Clinic patients, staff and partners. Office Staff and Patient Experience Patty Gilpin has assisted John in the office for over 35 years. She says, “He is patient with his patients and takes his time. He treats the staff with respect and kindness. If he’s having a bad day, he doesn’t take it out on staff or patients. He loves his patients and thinks about them all the time. He often gets behind because of getting into conversations with patients. He’s a great surgeon with a great reputation among colleagues for his plastic surgery expertise, including brow lifts, blepharoplasties, ptosis, ectropions, tear duct procedures, skin cancers around the eyes, surgical repair after skin cancer surgery and other ophthalmic plastic procedures. Patients talk about their experience and the great job he did. They love him. I was checking a patient’s vision after cataract surgery and she began crying. She was so happy she could see again. It warmed my heart.” Physician Partner Experience David Kielar MD has worked with John more than 20 years. “When I first joined the practice, John invited me to his home for dinner, welcoming and including me immediately. He gives a lot of his time to several community organizations. He loves what he does and really cares for people.” Deciding to be a Doctor John’s maternal grandfather was a GP in Connersville KY and a 1903 graduate of the University of Louisville School of Medicine. He died when John’s mother was 15. John’s father was a pharmacist and John

was in the drug store a lot, making deliveries and helping out. He entered college at UK thinking he would be an architect. After some experiences in the hospital, he decided to go into medicine. “It was a career in which you could help people. Anybody who goes into medicine for financial reasons is making a mistake. I remember my father going in at 3 AM to sell a child’s father a 15 cent can of formula.” Diverse Training After graduating from UK medical school in 1971, he went to Charleston SC for a one year surgery internship, then spent 6 years as a GP in Cadiz KY. The first 2 years were payback for a rural Kentucky medical scholarship. The other four years were for the love of it. He delivered babies, admitted to ICU/CCU and practiced the full scope of family medicine. Why Ophthalmology? “I got really interested in the eyes when I got glasses in the 7th grade for severe nearsightedness. I remember walking out and seeing the leaves on the trees and the bricks on the walls of buildings clearly for the first time.” He began his UK ophthalmology residency in 1978, followed by a Vanderbilt instructor position and fellowship in ophthalmic plastic surgery. He returned to UK on faculty for two years and ran a VA Hospital ophthalmic plastic clinic before going to the Lexington Clinic. Have You Ever Been Burned Out? “Not really- although it would be good to change some things administratively. Some days are worse than others. But I like the work and would rather be busy. My work helping people actually makes me feel better.” How do you recharge? My wife and I travel often, visiting our children and grandchildren. We’ve been to China, Russia, South Africa, Europe and Peru. I went to Ecuador on a medical mission trip. I like golf. I work out at home. I hunt and fish, collect toy soldiers and carve wooden duck decoys.” Community Service John and his wife have been active with the Lexington Philharmonic, his wife chairing the Philharmonic Ball one year. John chaired an advisory board of the UK art museum

and was part of the ‘Collectors’ group, whose members donated to the art museum and advised on art museum purchases. John was president of the Lexington Medical Society in the 1990s and has been on the Society’s foundation board for 30 years. He was instrumental in developing the annual golf outing and has chaired that event for 30 years. The first year there were about 40 participants. This year there were 78. There have been over 90 some years. Participants pay $150 each and there are corporate sponsors, including BB&T Bank, the main sponsor for the last 29 years. The event nets approximately $25,000 annually and supports local non-profits, includingBaby Health Service, Camp Horsin’ Around, Radio Eye, Chrysalis House, Faith Pharmacy, God’s Pantry Food Bank, Lexington Medical Society – Physician Wellness Program, Medical Student Emergency Relief Fund, McDowell House Museum, Mission Lexington, Ronald McDonald House Charities of the Bluegrass and Surgery on Sunday. John has no plans to retire but knows he will have to one day. “Right now, I like work and I like what I am doing.” Many of our colleagues are inspired by a physician who can say, “My work helping people makes me feel better.” About the Author Dr. Patterson chairs the Lexington Medical Society’s Physician Wellness Commission, is past president of the Kentucky Academy of Family Physicians, is board certified in family medicine and integrative holistic medicine and is a certified Physician Coach. He teaches Mindfulness-Based Stress Reduction for the UK Health and Wellness Program and Saybrook College of Integrative Medicine and Health Sciences (Pasadena) and is senior faculty for the Center for Mind Body Medicine (Washington DC). He owns Mind Body Studio in Lexington, where he offers integrative mind-body medicine consultations and classes, specializing in stress-related chronic conditions and burnout prevention for health professionals. He can be reached through his website at www. mindbodystudio.org

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PHYSICIAN HEALTH AND WELLBEING

Mindful Practice

University of Rochester School of Medicine and Dentistry By John A. Patterson MD, MSPH, FAAFP The Mindful Practice® program at the University of Rochester School of Medicine and Dentistry is the premier international training program for mindfulness-based approaches to physician well-being and clinical practice. Mindful medical practice is described as 1) the capacity for lowering one’s own reactivity (paying attention to experiences without reacting to them), 2) the ability to notice and observe sensations, thoughts and feelings even though they may be unpleasant, 3) acting with awareness and intention (not being on auto-pilot, knee jerk reactivity) and 4) focusing on experience, not the labels or judgments we apply to them (feeling an emotion rather than wondering if it is OK to feel that emotion). The Mindful Practice® program develops qualities of exemplary clinicians in medical students, residents and practicing physicians. These qualities include: Attentive observation Observing without making judgments that distort or diminish one’s understanding. This involves monitoring one’s own biases, thoughts and emotions. Critical curiosity By opening up to possibilities in each moment and with each patient, rather than premature closure and discarding disconfirming data, we avoid jumping to conclusions and making snap judgments. Informed flexibility (“Beginner’s mind”) Addressing the mind’s tendency to take only one perspective on a problem. By allowing a continually fresh perspective and taking more than one perspective simultaneously, more diagnostic and therapeutic options open up.

Presence Involves “being there” physically, mentally and emotionally for patients, and accurately communicating an understanding of the patient’s concerns and feelings back to them (empathy and mindful communication). Narratives are shared about success at intentionally, mindfully “being there” in a noisy, fast paced, stressful clinical environment. Those speaking and listening in such narratives can experience increased confidence, self-efficacy, control and choice as internal antidotes to the stress of medical education and medical practice. These skills can enhance the quality of life and decrease perceived stress in medical students, residents and practicing physicians. They can increase diagnostic accuracy and reduce medical errors while increasing the quality of care and the quality of caring. Mindful medical practice helps physicians increase self-awareness, resilience and well-being, while improving relationships with patients and colleagues. University of Rochester Mindful Practice® programs include interactive presentations, workshops, and seminars for physicians, physicians-in-training and medical educators. They are built on a strong bio-psychosocial foundation and utilize narrative medicine, appreciative inquiry and mindfulness meditation to develop a capacity for personal and professional mindfulness. Mindfulness is a naturally occurring human capacity It isn't restricted to meditation or other “mindfulness-based” interventions such as mindfulness-based stress reduction (MBSR) or mindfulness-based cognitive therapy (MBCT). Mindfulness can be cultivated through various means including meditative exercises, physical activity, narrative, dialogue, poetry, and music. Learners are encouraged to

find their own methods for cultivating mindfulness in their daily lives. Ron Epstein MD is co-director of Mindful Practice®. His 1999 JAMA article, titled “Mindful Practice,” is a seminal publication in the field of mindfulness and self-awareness in medicine. He is also the author of Attending (Medicine, Mindfulness and Humanity) (2017), a book written for doctors, patients and their families. It highlights the importance of mindfulness in the caring and healing provided by exemplary physicians. Co-director Mick Krasner MD demonstrated enhanced empathy and diminished burnout in primary care physicians participating in a Mindfulness Based Stress Reduction (MBSR) intervention. Epstein and Krasner co-created a series of programs in Mindful Practice® at the University of Rochester School of Medicine and Dentistry to address the educational needs of medical students, residents, medical center faculty, and community-based physicians. They then began to offer similar programs nationally and internationally. Intensive residential workshops are offered twice yearly. These retreat-like immersions promote compassion and healing for oneself and for others. The personal and professional impact is potentially life-changing and lifesaving for physicians, as well as those they love and those they serve. Resources 1. Mindful Practice®, University of Rochester School of Medicine and Dentistry https:// www.urmc.rochester.edu/family-medicine/ mindful-practice.aspx. 2. Epstein, RM. Mindful Practice. JAMA. 1999;282(9):833-839 3. Attending (Medicine, Mindfulness and Humanity), Simon and Schuster (2017) 4. Krasner, MS, et al. Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009;302(12):1284-1293

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Kentucky

Dr. Dani Concerning

Dr. Daniel Drake, President of the Lexington Medical Society, 1824, and the foremost American medical educator of the nineteenth century.

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iel Drake By Robert P. Granacher Jr., MD, MBA Dr. Daniel Drake was considered the foremost medical educator in America in the 19th century. He gave a presidential address to the Lexington Medical Society on November 14, 1823 when he was inducted to that medical society and accepted the second Presidency in 1824 (Mayo, 1999, pg. 16). When the Lexington Medical Society finally closed in 1834, Dr. Caldwell served as President of the College of Physicians and Surgeons while he was Dean of the Medical Department of Transylvania University. It has been noted that this indicated an amicable split and not a rupture between Transylvania and the physicians of Lexington. (Mayo 1999, pg. 54), Dr. Drake became one of the leading political advocates for American medicine at the time, and while at the 1850 meeting of the American Medical Association in Cincinnati, his advocacy led to a runoff for the presidency of the AMA between himself and a fellow Cincinnatian, Reuben D. Mussey. Dr. Mussey won the election for the AMA presidency. A collection of Daniel Drake materials can be found at the University of Cincinnati Health Sciences library in the Center for History of the Health Professions. Drake was born in New Jersey in 1785 and graduated from the medical school at the University of Pennsylvania. He was taught by Benjamin Rush, M.D., the foremost physician in the United States at that DRAKE Continued on Page 14

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DRAKE continued from Page 15

time, and a signer of the Declaration of Independence. Drake eventually settled in Cincinnati, Ohio. In 1819, he successfully founded the Medical College of Ohio, which later became the University of Cincinnati College of Medicine. Drake’s journey into medicine began when he was 15 years old, and he started a medical apprenticeship in Cincinnati. In 1805, William Goforth, Surgeon General of the First Division of the Ohio Militia, gave him a certificate for his preceptorship. Dr. Goforth left Cincinnati to go to New Orleans in 1807, and Drake took over his practice at that time and continued to serve the people of Cincinnati until 1815 when he returned to Philadelphia and received his medical degree from the University of Pennsylvania in May

1816. Within a year, he accepted the Chair of Materia Medica at Transylvania University. In 1830, Drake was offered the Chair of Theory and Practice of Medicine at Jefferson Medical College in Philadelphia. He accepted that position to become the first U.S. western physician to be invited to a professorship in an eastern medical school. Drake’s portrait graces the cover of this edition of KentuckyDoc magazine. It is thought to be one of the best paintings available of Dr. Drake. One of the most colorful episodes in Dr. Drake’s life occurred in 1817 and involved three members of the Lexington Medical Society and the Transylvania College faculty. Benjamin Dudley, Daniel Drake, and William Richardson were the perpetrators. The difficulty originated between Dr.

Dudley and Dr. Drake in relation to the resignation of the latter, and some matters connected with a postmortem examination of an Irishman who had been killed in a quarrel. They passed very sharply written pamphlets between them, and a challenge to mortal combat came from Dudley to Drake. Dr. Drake declined, but his position was vicariously accepted by his next friend, Dr. William H. Richardson. A dual resulted, in which at the first fire, Richardson was seriously wounded in the groin by the ball of Dudley, severing the inguinal artery. Richardson should have speedily bled to death, as an applied tourniquet did not stanch the flow. Dr. Dudley immediately asked permission of Dr. Richardson to assist the hemorrhage and pressed his thumb over the ilium, giving time for

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"In many ways, Daniel Drake is the most unique figure in the history of American medicine." – William Osler, M.D., Johns Hopkin’s Medical School

application of a ligature by Dr. Richardson, a surgeon. This converted his deadly antagonist into a lifelong friend (Mayo, 1999, pg. 189). Daniel Drake left Lexington for Cincinnati in 1818. Drake resumed his professorship in Lexington from 1823 to 1827. The great William Osler, M.D. of Johns Hopkin’s Medical School, said of Drake, “In many ways, Daniel Drake is the most unique figure in the history of American medicine.” His accomplishments and person loom ever larger in the epic of medicine. (Mayo, 1999, pg. 198). When Charles Caldwell, M.D. of Philadelphia was called to the Chair of the Institutes of Medicine and Materia Medica at Transylvania, Dr. Samuel Brown at the very last moment was lured away from the invitation for that position to join Dr. Daniel Drake in Cincinnati to

take the Chair of the Theory and Practice of Medicine. Interestingly, at the same time, the naturalist, C.S. Rafinesque, was persuaded to lecture the medical students on botany and natural history at Transylvania. (As many from Lexington will note, Rafinesque’s tomb is in the basement of the Morrison Hall on the Transylvania Campus and Rafinesque’s ghost is generally celebrated by students on Halloween.) Before Dr. Drake left for Cincinnati, in 1817 a habit of the medical students at Transylvania Medical College came to light in Lexington. The famous dual that Dr. Drake eschewed occurred between Dr. Dudley and Dr. Richardson instead. This duel was caused after an Irishman had been disinterred at the Old Baptist Graveyard. It was common for medical students to disinter recently deceased persons in

the Lexington area to provide bodies for dissection at Transylvania University. Basic human anatomy was essential for the study of medicine. Occasional hangings afforded a legal dissection, but generally bodies were “imported” or sometimes stolen (Mayo, 1999, pg. 207). In 1852, Dr. Daniel Drake rejoined the faculty at the Medical College of Ohio but died a few days after receiving his appointment. He is buried at Spring Grove Cemetery in Cincinnati, Ohio. This is currently thought to be the third largest cemetery in the United States. It is recognized as a U.S. National Historic Landmark. Source W.P. Mayo. (1999). Medicine in the Athens of the West. Kuttawa, KY; McClanahan Publishing House.

LMS/KMA District LMS/KMA 1010 District LMS/KMA 10th10 District & && th LMS/KMA District & th LMS/KMA 10 District & Past Presidents Dinner Meeting Past Presidents Dinner Meeting Past Presidents Dinner Meeting Past Presidents Dinner Meeting Past Presidents Dinner Meeting October 8, 2019 October 8,8,8,2019 October 2019 October 8, 2019 October 2019 thth

Guest Speakers Guest Speakers Guest Speakers Guest Speakers Guest Speakers R. Brent Wright, MD R. Brent Wright, MD R. Brent Wright, MD Wright, R.Brent Brent Wright,MD MD KMAR. 2019-2020 President KMA 2019-2020 President KMA 2019-2020 President & KMA President KMA2019-2020 2019-2020 President & & Tuyen T. Tuyen Tran, MD, MBA & T.& Tran, MD, MBA th Tuyen T. Tran, MD, MBA KMA 10 KMA District Trustee th 10 District Trustee Tuyen T. Tran, MD, MBA R. Brent Wright, MD T. Tran, MD Tuyen T. Tran, MD, MBA Tuyen th KMA 10 District Trustee R. Brent Wright, MD Tuyen T. Tran, MD KMA 2019-2020 President KMA 10th District Trustee

KMA KMA1010 District DistrictTrustee Trustee

R. Brent Wright, MD President th th KMA 2019-2020 Go to lexingtondoctors.org to register Go to lexingtondoctors.org to register KMA 2019-2020 President R. R. Brent Wright, MD Brent Wright, MD

KMA 2019-2020 President KMA 2019-2020 President

for more information to register Goand to lexingtondoctors.org and for more information and for more information Go to lexingtondoctors.org to register

Go to lexingtondoctors.org to register When: October 8, 2019 When: and October 8,more 2019 forfor information more information - When: 6:00pm Social 8,and October - 6:00pm2019 Social - - 6:30pm Dinner 6:00pm Social - 6:30pm Dinner - - 7:00pm Program 6:30pm When: October 8, 8, 2019 When: October 2019 - Dinner 7:00pm Program - - 8:00pm Complete 7:00pm Program -Where: - Social 8:00pm Complete - 6:00pm 6:00pm Social Hilary J.Complete Boone Center, 8:00pm Where: Hilary J. Boone Center, -University Dinner - 6:30pm 6:30pm Dinner of Kentucky, 500 Rose Street Where: Hilary J. Boone Center, University of Kentucky, 500 Rose Street -Cost: 7:00pm Program Free to members & their spouses -University 7:00pm Program of Kentucky, 500 Rose Street Cost: Free to members & their spouses for8:00pm non-member guests & their spouses -$30 Complete Cost: Free$30 to Complete members - 8:00pm for non-member guests $30 forHilary non-member guests Where: J. Boone Center, Where: Hilary J. Boone Center, University of of Kentucky, 500 Rose Street University Kentucky, 500 Rose Street

Tuyen T. Tran, MD District Trustee KMA 10th th District Trustee KMA 10 Tuyen T. Tran, MDMD Tuyen T. Tran,

th KMA 10th10District Trustee District Trustee KMA

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Kentucky

1799 Lexington Medical Society founded by Dr. Samuel Brown. Dr. Brown was the first professor of medicine appointed by Transylvania University and the brother of John Brown, Kentucky’s first United States Senator). Dr. Brown helped establish the first national medical society in America, Kappa Dr. Samuel Brown Lambda of Hippocrates, which later influenced the structure of the American Medical Association. (Mayo, 1999, page 11)

HISTORICAL TIMELINE Note: Most of this information for this timeline was extracted from Medicine in the Athens of the West, by W. Porter Mayo, M.D., PhD. Dr. Mayo, an LMS member, authored this book in 1999 for the 200th anniversary of the society’s founding. LMS members: let us know if you would like a copy of the book and we will send it to you at no charge.

1790s Ten physicians practice medicine in Lexington, population 2,400. (Mayo, 1999, page 327)

1797 Dr. Samuel Brown begins practice of medicine in Lexington. Dr. Brown studied under the private tutelage of Dr. Benjamin Rush of Philadelphia, a signer of the Declaration of Independence and the most renowned American physician of the time. He studied, along with Dr. Ephraim McDowell, at the University of Edinburgh Medical School in 1793 and received his medical degree at the University of Aberdeen. (Mayo, 1999, page 30)

1783-1820: Lexington’s Golden Age. The pioneers and their children turned Lexington into the Athens of the West. Manufacturing, commerce, art, law, and politics flourished. During the golden age, Lexington laid at the major overland routes of the trans-Appalachian frontier. With the introduction of the steamboat in 1812, Lexington entered a long and humiliating decline that eventually culminated in the loss of medical supremacy to the river cities of Cincinnati, Louisville, and St. Louis. Cincinnati and Louisville, both of which were mere villages when Lexington became a budding city, rapidly surpassed Lexington in population. (Mayo, 1999, page 23)

1809: Dr. Ephraim McDowell of Danville, an honorary member of the Lexington Medical Society, performs the world’s first successful abdominal operation when he removed a twenty-two-pound ovarian tumor from the Jane Todd Crawford. This operation, done without Dr. Ephraim McDowell the benefit of anesthetic or antisepsis, had previously thought impossible. Dr. McDowell would become known as the father of abdominal surgery. (Mayo, 1999, page 48)

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1817: Drs. Benjamin W. Dudley and William H. Richardson, members of the Lexington Medical Society and faculty members at Transylvania medical school, fought a duel which resulted in Dr. Richardson being seriously wounded in the groin by Dr. Dudley. Dr. Dudley went on to perform medical care and save Dr. Richardsonâ&#x20AC;&#x2122;s life. They became lifelong friends following the duel. Dr. Dudley was one of the foremost surgeons in America in the 19th century. Dr. Dudley was President of the Lexington Medical Society in 1818. (Mayo, 1999, page 139)

rather than a physician. Col. Dudley commanded the 21st Infantry in Lexington. He was a graduate of Harvard University and Transylvania Medical School and died in 1862 of typhoid. (Mayo, 1999, page 229)

1869: After the Civil War, the Lexington and Fayette County Medical Society was organized. (Mayo, 1999, page 333) Dr. Benjamin W. Dudley

Josephine D. Hunt, M.D., the first women to become a member of the Fayette County Medical Society. She was elected Vice President of the medical society in 1911. (Mayo, 1999, page 336)

1941-1945: Fayette County physicians in World War II. (Mayo, 1999, page 311) Dr. William H. Richardson

1942:

1822: Dr. Henry Miller was elected President of the Lexington Medical Society. He later was elected as the thirteenth president of the American Medical Association in 1859. (Mayo, 1999, page 46)

1824: Dr. Danial Drake, President of the Lexington Medical Society. Dr. Drake was the foremost American medical educator of the nineteenth century. (Mayo, 1999, page 16)

Dr. Danial Drake

1834:

Fred Wharton Rankin, M.D., elected President of the American Medical Association. He became the second member of the Lexington-Fayette County Medical Society to serve as AMA president. Dr. Rankin served his country in both World Wars, as a Major in the medical corps In France during World War I and as Chief Consulting Surgeon to the Office of the Surgeon in World War II. (Mayo, 1999, page 314)

WWII Physicians

Fred Wharton Rankin, MD

1948:

Lexington Medical Society closed. (Mayo, 1999, page 331)

Fayette County Medical Society Auxiliary was established. Mrs. Halbert Leet was named the first president. (Mayo, 1999, page 307)

1862: Colonel Ethelbert Dudley, M.D. Chose to serve the Union Army as a field officer

1907:

Colonel Ethelbert Dudley, MD

continued...

Auxiliary Members

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Kentucky

HISTORICAL TIMELINE, CONTINUED 1960: Matthew Cotton Darnell, M.D., was elected President of the Fayette County Medical Society. He served as a medical officer of the destroyer U.S.S. Laffey in World War II. He saw action at the D-Day Normandy invasion, the Philippine and Iwo Jima invasions and the Matthew Cotton Darnell MD battle of Okinawa. He was wounded during a Kamikaze attack at Okinawa on April 15, 1945. He earned the Bronze Star and Purple Heart. (Mayo, 1999, page 310-312)

Medical Society President in 1968, led the effort to create the Central Kentucky Blood Center to centralize blood-banking services in Fayette County. Prior to that, Lexington hospitals operated their own blood collections. Dr. Stevens was the first donor to give blood at the Waller Avenue location and the first one to give at the current Beaumont Donor Center.

1971: Carolyn Kurz begins her 43-year career as the Executive Vice President/CEO of the Lexington Medical Society. In 2011 she was awarded the AMA Medical Executive Lifetime Achievement Award.

2004:

1960: Lexington become home to a new medical school, the University of Kentucky College of Medicine.

1963: Bush Hunter, M.D., was the first African American physician to become a member of the Fayette County Medical Society. He received his M.D. from Howard University and began practicing in Lexington in 1926. He continued to practice for an additional Bush Hunter, MD 50 years. He was named the outstanding general practitioner of the year, 1970, by the Kentucky State Medical Association. (Mayo, 1999, page 249)

1968: Fayette County Medical Society created the Central Kentucky Blood Bank. David Stevens, M.D., the Lexington

David Stevens, M.D., an orthopedic surgeon and member of the Lexington-Fayette County Council, was instrumental in leading the effort to get a city-wide smoking ban passed.

2013: Lexington Medical Society member, Ardis Dee Hoven, M.D., elected as the President of the American Medical Association, the third LMS member to do so.

2015: Lexington Medical Society member, Steven J. Stack, M.D., elected as the President of the American Medical Association, the fourth LMS member to do so.

W. P. Mayo. (1999). Medicine in the Athens of the West. Kuttawa, KY; McClanahan Publishing House David Stevens, MD

Ardis Dee Hoven, MD

Steven J. Stack, MD

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Dale Toney, MD By Thomas H. Waid, MD There is a time honored cliché: you get as much out of it as you put into it. This is true for any endeavor and it certainly pertains to organized medicine. The Lexington Medical Society (LMS) is fortunate to have had members who have been involved in all aspects of the medical profession, exceeding the routine of daily patient care and excelling in other aspects of medical practice. Dr. Dale Toney’s career has been such an example. Briefly, Dr. Toney has been LMS Vice-President 2003 and LMS President 2004; KMA 10th District Trustee 2014-2018, Chairman of the Board of Trustees 2016-2017 and KMA Vice-President 2018-present. He currently serves on the KMA Long Range Planning Commission. But, there is more! I recently interviewed Dr. Toney during his limited free time and asked him six questions to which he graciously responded. Q: Why did you become involved in organized medicine? Did you think of it as a professional obligation or where there other compelling reasons? A: “I wanted to help patients and fellow physicians. However, I quickly discovered that I could make a difference by helping other physicians improve their practices and their own health and by doing so would have a positive impact on society. Organized medicine has allowed me to work with other physicians who have similar goals and ideologies to create the biggest impact. Working together, the LMS and KMA play a tremendous role in achieving these goals and I have been proud to be a part of these organizations and their accomplishments. “ Q: You have been more involved in the governance and structure of the LMS/KMA than most physician members. Is there a reason for this? A: “I found that the more I became involved, the more impact I could make on my goals outlined above (in question 1). Both organizations respected my time allowing me to contribute as I could. Both organizations provided me with excellent staff support allowing me to be efficient with my time and allowing me to make the most of contributions despite my busy schedule. “ Q: You are currently the Vice-President of KMA. Are you the also the Chair of the Board of Trustees?

Q: What are your future plans? Is there another office in the KMA or AMA you seek?

A: “I have been the 10th district trustee 2014-2018, Chair of the Board of Trustees 2016-2017 and currently KMA Vice-President.”

A: “I plan to seek a second term as KMA Vice-President and if successful, I plan to run as President.”

Q: I believe you previously served on the Medicaid Pharmacy and Therapeutics Advisory Board and also on the Kentucky Board of Medical Licensure, Could you elaborate?

Q: Do you have an accomplishment that you consider your most significant?

A: “I was on the Medicaid Pharmacy and Therapeutics Advisory Board for 12 years and chaired the board for 10 years. I was appointed by Governors Paul Patton, Ernie Fletcher and Steven Beshear to this position. I was appointed by Governor Beshear to the Kentucky Board of Medical Licensure and completed my fouryear term this year. During the past year I have been the chair of Panel A and the Vice-President of KBML. “

A: “I am most proud of helping my patients, my fellow Kentuckians, fellow physicians and the societies through my contributions in each of these roles.” Perhaps there will be future offices in the AMA. Perhaps Dr. Toney could challenge the Klingons for intergalactic supremacy. Regardless, for all that he has done for the profession of medicine, “May you live long and prosper!”

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All I Need to Know is Where I Need to Go! Call 1-844-249-0708! For Information on FREE Mammograms and Pap Tests Eligibility Requirements: • Age 21 or older • Has a household income at or below 250% of the federal poverty level • Has no health insurance (no Medicare, no Medicaid, or no private health insurance) The Kentucky women’s cancer screening program (KWCSP) offers FREE breast and cervical cancer screenings. The program provides Mammograms and Pap tests and follow up services, education and outreach to low income, eligible women. Once in the program, if a woman has an abnormal screening, the KWCSP covers the cost of most diagnostic tests. If a pre-cancer or cancer is found, the program connects her to treatment through Medicaid’s Breast and Cervical Cancer Treatment Program (BCCTP). The KWCSP provides services through Kentucky’s local health departments, community health clinics and other healthcare providers. A woman does not have to reside in the same county in which she receives services. Healthcare providers, please refer eligible women to a participating KWCSP clinic/provider. For a participating clinic/provider listing call KWCSP, 1-844-249-0708.

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Quick Guide for Health Care Providers to Kentucky’s Breast & Cervical Cancer Screening and Treatment Programs All I Need to Know is Where I Need to Go! Call 1-844-249-0708! • The Kentucky Women’s Cancer Screening Program (KWCSP) provides breast and cervical cancer screening and follow-up diagnostic services for eligible Kentucky women.

• KWCSP eligibility requirements: – Age 21 or older – Has a household income at or below 250% of the federal poverty level – Has no health insurance (no Medicare, no Medicaid, or no private health insurance)

• The Breast and Cervical Cancer Treatment Program (BCCTP) provides treatment for breast or cervical cancer, or precancer of the breast or cervix for eligible Kentucky women. • Women who may qualify for the KWCSP or BCCTP must be referred to the local health department or contract provider PRIOR to screening or treatment by the health care provider.* • The local health department or contract provider will facilitate completing the application for Medicaid who will determine participant eligibility for BCCTP.

• BCCTP eligibility requirements: – Has been screened and diagnosed with cancer by the Kentucky Women’s Cancer Screening Program through a local health department and/ or contract providers – Has been found to be in need of treatment for either breast or cervical cancer, including a precancerous condition or early stage cancer – Age 21 or older and younger than 65 – Has a household income at or below 250% of the federal poverty level – Does not otherwise have credible health insurance coverage – Is a United States citizen or qualified immigrant

* Please refer program eligible patients to the local health department, contract provider or call 1-844-249-0708 prior to screening or diagnosis.

– Is a resident of Kentucky – Is not eligible for medical assistance or public insurance in any other eligible group – Is not a resident of a public institution (e.g. prison)

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ANNOUNCEMENTS AWA R D S N E W S TA F F EVENTS AND MORE

EMAIL brian@rockpointpublishing.com TO SUBMIT YOUR NEWS

Diasome Announces Publication of Phase 2b Results in Diabetes Care First ever six-month study of a mealtime liver-targeted insulin

Diasome Pharmaceuticals announced Sept. 24, 2019 the online publication of its InSulin Liver Effect (ISLE-1) Phase 2b study results in respected clinician-focused journal Diabetes Care. The study investigated Hepatic Directed Vesicle (HDV) technology added to rapid-acting insulin in people with type 1 diabetes. The publication, authored by David Klonoff, MD, et al., is titled “The Divergent Hypoglycemic Effects of Hepatic Directed Prandial Insulin: A Six-Month Phase 2b Study in Type 1 Diabetes Mellitus.” Robert Geho, chief executive officer of Diasome, commented, “We believe that HDV technology, an additive that is designed to be mixed with any commercially available insulin, has the potential to be the first insulin therapy that enables decreased hypoglycemia risk by delivering mealtime insulin to the liver and restoring more normal physiology. Our enthusiasm is supported by the results of this clinical trial, which demonstrated HDV’s ability to simultaneously reduce HbA1c levels from baseline and decrease hypoglycemia risk in patients with high baseline HbA1c levels. If these results continue in our upcoming Phase 3 trial, patients taking insulin should benefit from not having to make a trade-off choice between lower HbA1c levels and less hypoglycemia risk.” The full publication can be accessed at: https://care.diabetesjournals.org/lookup/ doi/10.2337/DC19-0152.

and joint pain. Individuals struggling with an obesity-related condition, who have a body mass index of 35 or above, and those who have had difficulty losing weight through diet and exercise alone, may be a candidate for weight loss surgery. CHI Saint Joseph Health invites those struggling with excess body weight to learn more about the benefits of weight loss surgery. Weight loss surgery programs from CHI Saint Joseph Health offer free, educational seminars. Patients also have access to a team of providers, including a registered dietitian, health psychologist and exercise physiologist. “Surgery is just one part of the process for weight loss,” said Hillenmeyer. “Patients must also commit to lifestyle changes to successfully attain and maintain a healthy weight.” The Center for Weight Loss Surgery at Saint Joseph East offers a full range of weight loss surgery options. Board-certified bariatric surgeons perform hundreds of procedures each year, using the latest minimally invasive techniques. Chris Rogers of Paris, Ky., began his journey to better health at 417 pounds. He lost 37 pounds before surgery in June 2018, and, by June 2019, he had lost a total of 201 pounds. “Before I decided to have surgery, everyday tasks were becoming a struggle – like getting dressed, tying my shoes and going out to eat,” said Rogers. For more information about weight loss surgery, visit www.chisaintjosephhealth.org/ lexington-weight-loss-surgery.

Lexington Clinic Partners with Berea College

Lexington Clinic is pleased to announce Berea Collegehas signed a multi-year, exclusive population health and premier provider network agreement with Lexington Clinic. To learn more about this program, please contact employeehealth@lexclin.comor visit youremployeehealth.com.

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Saint Joseph Hospital Foundation to Host 5th Annual Yes, Mamm! 5K

Weight Loss Surgery Proven to Help Those Struggling with Excess Body Fat

Proceeds from run/walk will help to provide breast cancer screenings across Kentucky

Paris resident Chris Rogers lost more than 200 pounds from procedure

The Saint Joseph Hospital Foundation’s 5th Annual Yes, Mamm! 5K, presented by R.J. Corman Railroad Group, will be held on Saturday, October 12. The race will begin promptly at 9 a.m. at the R.J. Corman Railroad Group Headquarters, located at 101 R.J. Corman Drive in Nicholasville.

More than one in three Kentucky adults are classified as obese. Obesity is linked to serious medical conditions such as heart disease, high blood pressure, type 2 diabetes, sleep apnea

Proceeds from the event will benefit the Saint Joseph Hospital Foundation’s Yes Mamm! program, which provides free mammography screenings, diagnostic services and program support for uninsured and underinsured patients, to aid in the fight against breast cancer. Participants can register in advance online or in person at packet pick-up locations. Race day registration will also be available beginning at 7:30 a.m. Participants can register individually or as a company or team. Those wishing to volunteer at the race can also register on the website. To register or for additional information, visit www.chisaintjosephhealth.org/ yesmamm5k.

Call or visit website for reservations.

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Looking for the best care options for the health and wellness of your four-legged friends? Then welcome to our new “Pet Section,” where we will feature the finest businesses in Central Kentucky that tend to the care and well-being of your furry loved ones. In this issue we feature Uptown Hounds, an upscale pet resort in downtown Lexington that will pamper your pooch in the way he or she deserves.

DOGGIE PARADISE

AWAITS AT UPTOWN HOUNDS By David Bryan Blondell, Special Sections Dir.

hen you and your medical staff associates are busy tending to our 2-Legged friends during your shift, who can you trust to look after and care for YOUR 4-Legged friends? America’s Uptown Hounds Luxury Resorts is such a place: it was created as an allinclusive, high quality, high-energy environment where canine pets of anyone in the medical field can play, primp, relax and stay. Conveniently located in downtown Lexington near all of the downtown hospitals and healthcare facilities, office buildings, and the University of Kentucky campus, Uptown Hounds’ guests — pets AND their owners — have a multitude of luxurious amenities to enjoy. Uptown Hounds features large, plush hotel suites for short & long-term boarding, private daycare rooms, independent on-site veterinarian services, an oversized doggie-only pool, a topnotch grooming facility & spa, a boutique with the finest of toys, treats, food and pet-related merchandise, and of course extremely large air-

conditioned indoor and manicured outdoor play areas that provide your pooch the most fun and friendly environment possible. Moreover, the beautiful marble floors & walls and the upscale fixtures that are part of the facility’s luxurious decor simply reflect the upscale treatment that your 4-legged member of royalty deserves! Upon arrival, Concierge Services can help you create a custom long-term boarding or daycare stay for your dog; at check-in you can arrange fetch, belly rubs, swim time, gourmet treats and toys from their Boutique, email postcards or Salon & Spa services — which can further pamper your pooch with toenail polish, toothbrushing and hair coloring. (Photo and custom art services are also available upon request.) The Daycare Services at Uptown Hounds are considered second-to-none, with newlyexpanded hours of 6:30am to 7:30pm to make it more convenient for working owners. Once there, the friendly Pet Services Staff make sure your pet is well-cared for and is having a happy, fun stay with up to 3 play-time sessions with its new-found friends (grouped by weight and

activity level). Individual playtime and extra attention is also offered, as is supervised usage of the popular 30’ x 50’ outdoor pool. Open to all customers during the May 1 — Nov 1 season to visit without any other services required, the swimming pool area is a favorite spot for members and their pets alike! The in-ground, saltwater pool is specially-designed for canines with a depth of 4 feet, with a wraparound step for easy in & out. The pool’s fountains and geysers entertain pets and soothe their onlooking parents as you relax poolside,

The swimming pool area is a favorite spot for members and their pets alike.

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Upon arrival, Concierge Services can help you create a custom long-term boarding or daycare stay for your dog. and toys, towels and lifejackets are available as needed. Whether you are treating your dog to a cooling swim, aquatic exercise, or are just coming to enjoy the atmosphere, Uptown Hounds’ pool is a private retreat for you and your pet! Uptown Hounds recognizes that the proper, professional care of your pets is among the most important considerations you have; for anyone wanting to give as much love and special treatment to your dogs as they give you, please give America’s Uptown Hounds Luxury Resorts a try. All physicians and persons in the medical field are welcome to visit their website at www. UptownHounds.com or call their Guest Services at (859) 255-2275; Uptown Hounds is conveniently located just off of South Broadway at 466 Angliana Avenue, just a 1/2-mile from downtown and a block from The Red Mile. They invite you to a quick tour of the facility, and look forward to welcoming you and your dog as a part of the Uptown Hounds family!

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Take Care of Your Patients by Taking Care of Yourself

The Lexington Medical Society

Physician Wellness Program

TAKE CARE OF YOUR PATIENTS BY TAKING CARE OF YOURSELF The Physician Wellness Program (PWP) was designed as a safe harbor for physicians to address normal life difficulties in a confidential and professional environment.

WHY WAS THIS PROGRAM CREATED? Being a physician isn’t easy. Difficulties with the current health care delivery system, maintaining a healthy work/life/ family balance, and dealing with the normal stresses of everyday life can take their toll on physicians. We serve not only as treating physicians, but many times as counselors to our patients who turn to us for guidance. Who do we turn to when we need to talk through an issue or get some coaching for how to handle stress in our life? Too often the answer is “no one,” and that is regrettable because it is imperative that we be as healthy as possible in our role as health care providers. We deserve to function at our best in all areas of our life. By addressing areas of difficulty, we can decrease our stress levels and increase our levels of resilience.

Some examples of those difficulties include: • •

Family issues

•

Relationship problems

Depression & anxiety

•

Work-related

Difficulty managing stress

• •

Mood swings

difficulties

•

Alcohol/drug abuse

Suicidal thoughts

How PWP Works We have contracted our program with The Woodland Group. The Woodland Group will provide counseling to active physician members of the Lexington Medical Society and UK Graduate Medical Education residents and fellows. The Woodland Group also provides telephonic or video counseling to UK Graduate Medical Education residents and fellows located outside of Lexington, Kentucky. Non-emergency sessions will be scheduled during regular business hours. Emergency sessions can be scheduled on a 24-hour, 7 days-aweek basis. Seven licensed psychologists make up the Woodland Group and have been vetted by LMS. Steven Smith, Ph.D. and Sandra Hough, Ph.D. are our program coordinators and will serve as points of contact to access PWP. The Woodland Group will maintain a confidential file for each physician, but no insurance will be billed and LMS will not be given any information about those who utilize the program. As such, this program is completely confidential which is crucial to its success. LMS will pay The Woodland Group a monthly bill based on the number of sessions provided. The Woodland Group will verify LMS membership from the physician finder on the LMS webpage.

TO MAKE YOUR APPOINTMENT 1) Call the confidential hotline at 1-800-350-6438 and leave a message in either Dr. Smith’s or Dr. Hough’s voice mailbox. 2) They will call you back to schedule an appointment. It’s that simple!

PWP Benefits 8 free sessions each calendar year Complete confidentiality Easy access Convenient location (535 W. 2nd Street, Suite 207) 24/7 availability

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www.kentuckydoc.com | Fall 2019 | Kentucky

A Glimpse into the Private Life of

the Bensemas By Dr Tuyen Tran, MD, MBA and Lynh Tran There is an old saying “behind every successful man, is a strong woman to pick up the slack.” Dr. David Bensema is an internal medicine doctor who was Lexington Medical Society’s president in 2002, and he was Kentucky Medical Association’s President from September 2014-2015. He stays busy now with his involvement as an AMA (American Medical Association) Delegate. Dr. Marian Bensema is a pathologist and the first female to become President of the Medical Staff in 2011 at Baptist Hospital. Both Drs. Bensema retired 2 ½ years ago, a few months apart, and on the day David Bensema retired, they jumped on a plane and flew to New Zealand to start their retirement. Dr. Marian and David Bensema will be celebrating their 35th wedding anniversary in November. They have raised 2 wonderful young men and are the proud grandparents of 4 grandsons. Dr Marian Bensema grew up in a small town in rural Kentucky. Her family was unique for that time because all the women in her family went to college. Marian always wanted to be in medicine; however, in high school she was talked out of going to medical school. So, she went on to become a medical technologist and worked in the field for several years before the calling and her dream to go to medical school propelled her to apply and get accepted into the University of Kentucky Medical School. Marian was a “nontraditional” medical student. She was more mature, a single mom and she had two young boys at home. She managed to find a balance between her medical studies and being a mom to her sons, Steven and Michael. Marian never viewed herself as anything but a person who has passion for medicine. She said, as a woman in a male dominated field, she lived her life to always be professional, worked hard, and was extremely comfortable living life her way and to handle any problems BENSEMA Continued on Page 30

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Kentucky

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with a sense of humor. Marian did her residency at UK and said she was always drawn to pathology. She loved the schedule and the freedom it gave her so she could be available for her sons who were 8 and 12 years old at the time. David Bensema grew up in Oak Lawn, Illinois. He knew at the tender age of 3 years old he wanted to be a doctor. His biggest admirer was Dr Was, who delivered everyone in his family including his mother. It was unfortunate that Dr Was passed away when David was seven years old. He never once waivered or ever thought of doing anything else in life but going into medicine. David went to UK medical school and did his residency in internal medicine. He met Marian at UK, got married, and he became an instant dad to her boys. Both David and Marian always made sure to find time for each other. They said

LETTER continued from Page 4

endpoint with LMS member, Dr. Steven Stack becoming President of the American Medical Association in 2015. The timeline points out that Dr. Stack is the fourth LMS member to become President of the American Medical Association. LMS member, Thomas H. Waid, M.D., has written a heartfelt portrayal of Dale Toney, M.D., President of LMS in 2004

the secret to their marriage is “date night or date lunch,” where they take time out of their busy life to just focus on each other for that moment. The motto in their personal and professional life is if you talk the talk then you need to walk the walk. To gain the respect of colleagues, the Bensemas wanted to set an example by conducting themselves professionally, both in and out of the hospital. They did not become active in the LMS until their boys were in college and on their own. They said that family time was important and it was best to keep the distraction of being involved in the community to a minimum until their boys were out of the house. They said the key to their marriage and family was to “prioritize date night.” As much as they love their career, the boys and family are important. They emphasized that date night was vital to their marriage. With their long and fulfilling careers, the Bensemas feel the field of medicine is bright. They are optimistic about some changes in

healthcare, such as team care for patients, where doctors are part of a team that consists of nurses, pharmacists, and social workers all working together for the best results for the patients. They are excited to see where “augmented intelligence” will take medicine. Dave is especially excited to know that the AMA has invested 12 million dollars to medical schools to get them to be all in with team care for patients. Their advice for medical students and residents is to make sure that the area of specialty they chose should fulfill their passion, enjoy life, and do not let medicine and studying consume their life. They truly believe in the best medicine of all, laughter. They recommended to always go to bed and think of one positive thing that happened during the day. When bad things occur, learn from it and move on but don’t dwell on it and let it ruin the rest of the day. They believe in living life with a sense of humor and that everything will work out the way it should.

and currently a member of the KMA Long Range Planning Commission. Dr. Waid shares Dr. Toney’s comments on his enjoyment of and contributions to organized medicine. Lastly in our portrayal of past and current LMS members is the literary portrait composed by Dr. Tran, LMS member, giving us a glimpse into the private lives of the Bensemas. Dr. Tran recounts these two Lexington doctors and how they

have handled raising their two sons while both practiced medicine until their recent retirements. Their sage advice for medical students and residents is to make sure that their area of chosen medical specialty fulfills their passions. Please read these and enjoy. I recommend saving them, as the historical treasure points in these articles suggest that the Lexington Medical Society today stands on the shoulders of giants.

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