Tarrant County Physician May 2016 by Ussery Printing

TARRANT COUNTY

PHYSICIAN Vol.85 88No. No.45 Vol.

Journalofofthe theTarrant TarrantCounty CountyMedical MedicalSociety Society Journal

May April2016 2013

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Tarrant County Medical Society Delegates to the TMA Bohn D. Allen, MD Susan Rudd Bailey, MD Val F. Borum, MD Stephen L. Brotherton, MD Anita V. Chaphekar Tilden L. Childs, III, MD Gary W. Floyd, MD Gregory M. Fuller, MD Larry E. Reaves, MD Erica W. Swegler, MD Jason V. Terk, MD David V. Turbeville, MD Jay Nandalal Yepuri, MD

Past President Past President Past President Past President Medical Student Vote Texas Inter-Specialty Society Texas Delegation to the AMA Texas Delegation to the AMA Texas Delegation to the AMA Texas Inter-Specialty Society Council on Legislation TMA Board of Councilors Texas Inter-Specialty Society

Husam H. Alkersam, MD Joane G. Baumer, MD Susan K. Blue, MD James S. Cox, MD David Donahue, MD David Dyslin, MD Michael G. Enger, MD Aslam M. Malik, MD R. Larry Marshall, MD Luis H. Martinez, MD G. Sealy Massingill, MD John A. Menchaca, MD Shirley A. Molenich, MD

Woody V. Kagelar, MD Stuart C. Pickell, MD Robert J. Rogers, MD Ponniah S. Sankar, MD Joseph H. Shelton, MD Mark M. Shelton, MD Linda M. Siy, MD Joe M. Todd, MD E. Thomas Wightman, Jr, MD Dan A. Willis, MD Michael E. Wimmer, MD James R. Winn, MD Hujefa Y. Vora, MD

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Tarrant County Academy of Medicine 2015 Board of Directors President, Robert Bunata, MD Vice President: Craig Kneten, MD Jeff Beeson, DO Angela Bentle, MD Susan Blue, MD Theresa Crouch, MD Gary Floyd, MD Hujefa Vora, MD

Officers President, Gregory Phillips, MD President Elect, Ann E. Ranelle, DO Vice President, Linda Siy, MD Secretary/Treasurer, David Donahue, MD Past President, Robert J. Rogers, MD Trustees Chairman, G. Sealy Massingill, MD Larry Marshall, MD Tom Wightman, MD

Publications Committee Hujefa Vora, MD, Chair publications@tcms.org C. Thomas Black, MD Susan Blue, MD Robert E. Bunata, MD Samuel T. Coleridge, DO Hugh Lamensdorf, MD R. Larry Marshall, MD Layna Chase, Alliance Mary Ann Shelton, Alliance

TMA Officers Gary Floyd, MD Board of Trustees Arlington Medical Society Ajay Sobti, MD, President Northeast Branch Medical Society Paul K. Kim, MD, President

Managing Editor Jonathan Blessing editor@tcms.org

Alternate Delegates to the TMA Ralph F. Baine, MD Darrin Dâ&#x20AC;&#x2122;Agostino, DO Christopher S. Ewin, MD Josephine R. Fowler, MD Sreenivas Gudimetla, MD Eric Hill, MD Terance J. McCarthy, MD Gregory J. Phillips, MD Ann E. Ranelle, DO

CALENDAR OF EVENTS

Advertising Director Karen Reynolds 817-266-3651 kreynolds@tcms.org Executive Vice President & CEO Brian T. Swift bswift@tcms.org

)

Project Access Happy Hour Fundraiser at Live Oak on Magnolia, 5pm

June 11 - 15: AMA Annual Meeting, Hyatt Regency Chicago, Chicago, Illinois

TCMS Board of Directors Meeting (Open Meeting), TCMS 3rd Floor, 12pm

Annual Membership Card Swap, TCMS 3rd Floor, 6pm

North Texas Giving Day (Project Access)

Cover photo: “Boot Scoot” by Aubrey Guthrie, MD

2016

Departments & Columns 07

May Issue

President’s Paragraph Imagine by Greg Phillips, MD

TARRANT COUNTY

PHYSICIAN

Alliance Update

April Showers by Elizabeth McCurdy

On the Blacklist

Pathway to Private Practice: A RETIRED PHYSICIAN REMEMBERS PART ONE

Some Random Thoughts from my Brother-in-Law by Tom Black, MD

by Ben Benson, MD

Featured

Public Health Notes

Tarrant County Water Safety by Catherine Colquitt, MD

TCMS DOCTOR RECEIVES TOP AWARD

Lisa Nash, MD, receives Excellency Award

TCMS Family Members THE LAST WORD by Hujefa Vora, MD

24 26

PHOTOGRAPHY CONTEST Call for entries!

The Tarrant County Physician (SSN 0199-5499) is published monthly by the Tarrant County Medical Society (TCMS), 555 Hemphill, Fort Worth, Texas 76104. Subscription price is $6.00 per year for members; $28.50 per year for non-members. Periodical Postage paid at Fort Worth, Texas 76101 and additional entries. All property rights on articles, including the right to reprint, are reserved to the artist or the Tarrant County Medical Society. Reproduction without prior å is strictly prohibited. POSTMASTER: Please send change of address to Tarrant County Physician 555 Hemphill Street, Fort Worth, TX 76104. The articles published in Tarrant County Physician represent the opinions of the authors, and do not necessarily reflect the official policy of the TCMS. Acceptance of advertising in Tarrant County Physician in no way constitutes approval or endorsement by the TCMS of products or services advertised. Printed by COCKRELL ENOVATION, Fort Worth, Texas.

Spotlight on New Members

TMA News

Professional Cards

Classified Ads

Advertising Index May 2016 I Tarrant County Physician I 5

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PRESIDENT’S PARAGRAPH

IMAGINE... By greg phillips, md …medical care without the economic and financial burdens under which we all labor these days.

recently ordered The New York Times Book of Medicine and was intrigued by an article entitled “Can Dreaded Hardening of Arteries Now Be Cured?” Now, this article was published in 1911!! One paragraph started, “In the United States there is not, so far as we know, any widespread fear of atherosclerosis. The public recognizes that people are ill from ‘hardening of the arteries’ and that they often die with, if not from, this condition.” Despite the guidance provided in that article about the importance of controlling blood pressure and engaging in healthy behaviors, heart disease remains the number one cause of death not only in the United States, but also increasingly around the world. The term “Noncommunicable Diseases” (NCDs) is used to describe the various non-infectious diseases that now significantly affect both global mortality and global economic conditions.

lost prematurely due to NCDs. Over the next 15 years, an estimated $7 trillion in projected economic losses will be attributed to NCDs in low and middle-income countries. As a result, many organizations, including the World Health Organization and the CDC, have initiatives to try to get a handle on this huge problem. In fact, an editorial in the Annals of Internal Medicine last November discussed opportunities and challenges in NCD research. I am not discounting the importance of these efforts, but…imagine if people around the world had already incorporated the advice provided in the Times article from 1911. Imagine the lives and impacts of the 5 million people who die each year from tobacco use; imagine the lives and impacts of the 7.5 million people who die each year from the consequences of hypertension; imagine the lives and impacts of the 30 percent of cancer patients who die each year from preventable cancers.

Statistics published by the Centers for Disease Control and Attention to NCDs would not lead to medical utopia, but Prevention (CDC) indicate that 68% of all deaths worldwide imagine what the world would be like (imagine what your life would be like) if there were even a 50 percent reduction in the in 2012 were caused by NCDs: incidence of NCDs - dramatic decreases in the cost of health • In low and middle-income countries, more people die care and economic impact of illness along with dramatic from cancer than from AIDS, malaria, and TB combined. improvement in quality of life. We don’t need research into • Tobacco use is a major risk factor for four main NCDs— what people need to do to stay healthy - those things are already cancer, cardiovascular disease, chronic lung disease, and well defined. What is needed is research into strategies that diabetes will enable people to effectively incorporate those things into • Cardiovascular diseases, such as heart attack and stroke, their lives - globally. are responsible for almost one in three deaths worldwide. • High salt intake has contributed to cardiovascular “Imagine….no need for greed or hunger, a brotherhood of disease now being the leading cause of death in China. man; imagine all the people sharing all the world…you might say I’m a dreamer, but I’m not the only one.” In addition, it is estimated that worldwide, 16 million lives are Imagine - John Lennon, 1971 May 2016 I Tarrant County Physician I 7

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Glasses, Laser, Surgery....OH MY! Thursday, June 2, 2016 You are Invited to our 2nd Annual Come-and-Go Happy Hour benefiting

Project Access Tarrant County • Community Eye Clinic • Cornerstone Cataract Clinic Come join us for an evening on Magnolia showcasing how these three organizations work together to bring sight to Tarrant County. Come mix and mingle, enjoy sips and appetizers, and enter to win a Jaguar for a day!

Live Oak Music Hall and Lounge 1311 Lipscomb Street Fort Worth, 76104

5-7pm Short program at 6:30

$30 per person/$50 per couple - Raffle tickets available for $20 or 3 for $50 Please RSVP to Jennifer Deakins at jenniferdeakins@me.com Invitations generously underwritten by Cockrell Enovation

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555 Hemphill Street • Fort Worth, TX 76104 May 2016 I Tarrant County Physician I 9

ALLIANCE UPDATE

Alliance Update by Elizabeth McCurdy

April Shower of Love April 8 - from bottom: Tricia Schniederjan and Brooke O’Patry; Mary Ann Shelton showcasing the baby items donated at Shower of Love; Jane Ann Gaines, TCMSA President Suzanne Wood and Kathy Coleman; Mary Ann Homer and Susan Todd; Lunch at Archie’s Gardenland

April Showers On Friday, April 8, Alliance members were invited to attend the JPS Shower of Love at Archie’s Gardenland. Guests donated baby items to give to new mothers at JPS. Boxed lunches from the Lunch Box were enjoyed al fresco in the beautiful weather while Steve McCoy, head horticulturist for Archie’s, gave an interesting and informative talk about gardening trends. He had many beautiful and colorful examples of plants to use in all types of landscapes, as well as tips for watering, soil enrichment, and pest control. The cool, sunny weather and beautiful flowers served as inspiration for members to challenge their green thumbs. Thank you to all who attended and for the generous donations to Shower of Love! Hard Hats for Little Heads The Fort Worth Police Department hosted a Kids’ Bike and Safety Rodeo on Saturday, April 2nd. Five UNTHSC students donated their time to help Dr. Robert and Suzanne Wood give away 88 bike helmets to young riders. There was another helmet giveaway on Sunday, April 3rd at an Earth Day event where over 100 helmets were given away. Thank you to Lori Urso and volunteers for helping at this event!

Hard Hats for Little Heads - from left: Suzanne Wood and medical students at Bike Rodeo; A young rider enjoying his new helmet; UNTHSC students volunteered April 2 at the Bike Rodeo

Membership Time to renew your membership in the Tarrant County Medical Society Alliance if you have not already done so, please contact Tricia Schniederjan at tschnied@ gmail.com. Renew by June 15 to be included in the handbook.

Tarrant County Alliance, Inc. | 555 Hemphill | Fort Worth TX 76104 | (817) 732 2825 President: Suzanne Wood rcwoodjr@charter.net President Elect: Lori Urso rurso@flash.net Past President: Lisa Queralt lisapq@att.net 1st VP Community Health: Orly Meyers orlymeyers@gmail.com

4th VP Communications: Elizabeth McCurdy emccurdy@sbcglobal.net

Representatives-at-large: Katie Dyslin Olivia Prebus

5th VP Legislation: Lisa Queralt lisapq@att.net

Membership Elect: Brooke O’Patry

Recording Secretary: Julie Diamond julie@diamondinternet.net Treasurer: Ellen Rogers ehrogers@flash.net

2nd VP Membership: Tricia Schniederjan tschnied@gmail.com 3rd VP Programs: Jenny Conrad jenny@conradcreative.com

Budget & Finance: Marilyn Kobs mkobs@charter.net

Interested in joining? Membership: $100.00/year Contact: Tricia Schneiderjan tschnied@gmail.com www.tcmsalliance.org Facebook: Tarrant County Medical Society Alliance

Parliamentarian: Kathy Coleman k.coleman@tcu.edu

Slate of Alliance Officers for 2016-2017 President President-Elect VP Community Health VP Membership VP Membership Elect VP Programs

Lori Urso Layna Chase Barbara Garcia Brooke O’Patry Orly Meyers Amber Dyke

VP Communications VP Legislation Recording Secretary Treasurer Representatives at Large

Elizabeth McCurdy Lisa Queralt Tricia Schniederjan Caryl Cochrum Tammy Jensen/IngridSmith

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May 2016 I Tarrant County Physician I 11

Dr Heitkamp Tarrant County Physician magazine ad.indd 1

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Bad decisions make good stories.

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May 2016 I Tarrant County Physician I 13

FEATURE ARTICLE

PATHWAY TO PRIVATE PRACTICE: A RETIRED PHYSICIAN REMEMBERS Part One - Years 1 & 2

read with interest the article in the April 2016 issue of Tarrant County Physician written by Ms. Anita Chaphekar, a third year medical student at TCOM-UNTHSC. It brought back memories of medical school and experiences involved to reach private practice, times long since filed away in my dusty mental filing cabinet. I am now 78 years old, retired since December 1997, and a University of Tennessee Medical School graduate from 1963 (now called University of Tennessee Health Science Center). As I look back, I decided to pursue a career in medicine (ophthalmology) from age 5, spurred on by a family friend. I did well in public school, graduating near the top of my high school class. As I was a Tennessee resident, I applied only to University of Tennessee as an instate student (campus located in my home town). I applied for and eventually received a one-year scholarship that was renewed for

by Ben Benson, MD the next year if I was making good grades. As a result, I went through undergraduate school on scholarship for four years. At this point, I should mention that my medical school of choice was my state medical school, UT Medical Units in Memphis, TN. If one followed a three-year pre-med cur-

riculum and had good grades, one could enter UT Medical Units with only three years undergrad work. However, as I was getting a renewing yearly scholarship, I decided in the early part of my junior year to stay for a full four years, to get a BS degree in Zoology with a minor in Chemistry. This would give me a yearâ&#x20AC;&#x2122;s more maturity that I needed to handle the stresses of medical school. I graduated in June 1960. At that day and time, if my memory serves me correctly, one applied to one or several medical schools rather than many as is done today. For me, I had essentially only one choice due to family finances, which was the state medical school in Tennessee. As I remember, I had a 3.38 grade point average out of 4.0. I applied to start school in the July 1960 class and I was accepted without reservation. About two or three months into my senior year (undergrad studies), the Dean of the medical school contacted me and desired for

FEATURE ARTICLE me to come to the class starting in March 1960, one quarter earlier than my plans. I thanked him and told him I desired to get my BS degree first and I would keep my original place in the July 1960 class [It is my impression from talking to more recent medical students and young doctors that they applied to multiple undergrad schools and likewise to numerous medical schools with the hope of getting accepted in one. Then, if the medical school wanted to change their starting date, they would not refuse, for fear of losing a chance to attend that medical school]. The University of Tennessee, both undergrad and all graduate schools, ran on a quarter system. New classes started every three months with graduation exercises occurring every three months. Three quarters of schoolwork are equal to two semesters of schoolwork or one academic year. However for the undergrad students, most graduated in early June of each year. UT Med School started four classes a year and graduated four classes a year. This allowed for smaller class sizes, yet UT graduated on the average 200 new MDs each year. The dental school also ran on a similar schedule. Nursing, pharmacy, and post-graduate schools operated differently. My starting class had 51 students, yet when we graduated some three years and three months later; there were 56 in our graduating class. This occurred because we gained more students than we lost during the time we were in medical school. A student could fail 2 quarters

during their time in medical school, repeat those quarters and graduate. However if you failed a third quarter, you were out of luck. When you failed a quarter, you dropped back into the class that was three months behind you. So our class, the Class of September 1963, gained more students than we lost. We also had five ladies in our class that is a far cry from the make-up of medical school classes today. One was a DDS who desired to do maxillo-facial surgery but because she did not have MD after her name, she could not practice independently in the OR. Another was a CRNA who desired to become a MD anesthesiologist. All five graduated with me in September 1963. Today, many schools of medicine are comprised of greater than 50% women. Lodging and a Roommate: Shortly after receiving my BS degree, I went to visit the Memphis campus several weeks before I was due to start medical school. I located a permanent place to live at the AKK medical fraternity house, just two blocks from the main campus of the medical school. Rent was $65 a month for a semi-private room with all meals except for three on the weekends. An ex-Air Force lab officer and I shared a room together. We

Pathway to Private Practice continued on page 22

roomed together until one of us got married. He became the brother I never had, my big brother, my adopted brother (I have no siblings). I eventually joined the AKK fraternity so I could retain my residence there. My adopted brother was older than me by about five years. He had recently left the US Air Force after a four-year hitch, serving as a hospital lab officer. His experiences in the US Air Force helped me make up my mind about going into the military after graduation. He had decided to return to the Air Force after medical school. We talked a lot about Air Force medical services. The military services had great internships and great residencies. For our internship, we both ended up a Wilford Hall USAF Hospital in San Antonio, TX, in October 1963. I kept an open mind about possibly making a career in the military as an Air Force doctor. Experiences in the clinical years in medical school led me to change directions from Ophthalmology to becoming a General Surgeon. Of interest, my direction changed once more during my internship at Wilford Hall USAF hospital to the specialty of Anesthesiology, a move I have never regretted. The first official weekend we were there in school, four of us (first quarter students) from the AKK house put on our white shirts, our ties, and donned our white lab jackets. In our pockets, we placed our stethoscopes, our penlight flashlight, our percussion hammer, and found a few tongue blades and decided to visit the ER at John Gaston Hospital (the main May 2016 I Tarrant County Physician I 15

TARRANT COUNTY WATER SAFETY by Catherine A. Colquitt, MD

Local Health Authority and Medical Director Tarrant County Public Health

ost of us never give a second thought to how the water we expect from our taps materializes unless there is a problem. Fortunately, the Fort Worth Water Department (FWWD) and our municipal leaders have shown great foresight. They have upgraded our public water system, which has evolved over the last 124 years to meet our ever-growing demands. FWWD provides water to 1.2 million residents of Fort Worth and neighboring cities -- meeting and exceeding the standards for municipal water supplies. FWWD has been integral in establishing standards in the industry for lead and copper concentrations in municipal water. They performed groundbreaking work which led to the codification of standards for these heavy metals in the Lead and Copper Rule used throughout the US The department has been skillful at anticipating the changing regulatory standards of the agencies entrusted to guarantee safe drinking water to the pub-

lic. Tarrant County Public Health (TCPH) partners with public water systems managers in our jurisdiction to provide expertise and to develop responses to any challenge to the safety of our drinking water supply. It has been easy to observe the painful lessons of Flint, Michigan, in their attempt at cost-saving at the expense of safe drinking water, damaging public trust, and fueling concerns regarding the motives of the cityâ&#x20AC;&#x2122;s decision makers. The appointed emergency manager of that severely economically depressed city, under pressure to cut costs, opted to stop buying water from neighboring Detroit and instead to obtain its municipal water supply from the Flint River. The consequences were almost immediately visible. The result is perhaps 6,000 to 12,000 children in Flint, Michigan, have lead intoxication, and the cost of this tragedy is incalculable. Many of us have not given much thought to lead toxicity since our medical school days because most cases of lead toxicity in the U.S. are now imported from far-flung countries. At TCPH, all children processed though our refugee clinics undergo two blood lead levels, and elevated lead levels are addressed in consultation with their primary care physicians. Lead, however, has a long and ignominious role in human history. Ancient Romans used lead in pipes and pottery, and a

PUBLIC HEALTH NOTES Greek physician practicing in Rome during Nero’s reign wrote, “lead makes the mind give way.” Lead has long been associated with a host of systemic infirmities. Affected children may have irreversible neurological issues, as well as psychiatric sequelae including depression and anxiety. It can also result in an elevated risk of violent behavior. Children may also develop lead nephropathy, reproductive sequelae, and hearing loss. Some display lead-related deleterious effects on intelligence and development. Lead-intoxicated adults may manifest depression and other mood disorders, headaches, diminished cognitive performance, dizziness, fatigue, decreased dexterity, memory impairment, irritability, decreased concentration, lethargy, malaise, suppressed libido, peripheral neuropathies (wrist and foot drop related to lead toxicity were referred to as “the dangles” by Benjamin Franklin), renal tubular dysfunction resembling Fanconi syndrome, and saturnine gout. Lead also adversely affects Vitamin D metabolism, and thus impairs bone and dental development. Lead toxicity is linked to hypertension, coronary artery disease, and cerebrovascular disease as well. In 1988, the U.S. Congress passed the Lead Contamination

Control Act and empowered the Centers for Disease Control and Prevention to create a program to enforce the new law. The Childhood Lead Poisoning Prevention Program was created to oversee the implementation of the Lead Contamination Control Act. North Central Texas has had past isolated but significant issues with lead contamination (mainly toxic levels in ambient air) associated with smelters and battery recycling plants. The Texas Commission on Environmental Quality has partnered effectively with the Environmental Protection Agency and with local municipalities to solve lead contamination issues locally and to devise remedies. All Texas public and community water systems are subject to Lead and Copper Rule monitoring requirements. The results of such monitoring are readily available on the Texas Drinking Water Watch website - http://dww2.tceq.texas.gov/DWW/. Safe drinking water occupies a complicated intersection between budget pressures, aging infrastructure, political will, and public expectation. Tarrant County’s population is bursting at the seams, testing the ability of our infrastructure to meet the expectations of our residents. Through it all, FWWD has a steady hand on the wheel.

The Texas Medical Association is advancing the Choosing Wisely® campaign, an initiative to help physicians and patients talk about avoiding unnecessary care. Through the Choosing Wisely campaign, TMA is helping Texas physicians spur conversation around evidencebased recommendations created by your medical specialty societies. Learn more about the Choosing Wisely campaign and how it can help you. Watch the Choosing Wisely CME webinars and earn 3.75 AMA PRA Category 1 Credits™ and 3.75 ethics credits. For a limited time, the Choosing Wisely CME bundle is available free at www.texmed.org/ChoosingWiselyCME. For more information about Choosing Wisely, visit www.texmed.org/ChoosingWisely/.

May 2016 I Tarrant County Physician I 17

TMA AWARD FOR EXCELLENCE TCMS DOCTOR RECEIVES TOP AWARD Lisa R. Nash, DO, received a Texas Medical Association Award for Excellence in Academic Medicine at the Silver Level, on April 28, 2016. The multilevel award program, created in 2012 by TMA’s Subcommittee for Academic Physicians, is designed to recognize academic physicians who are consummate teachers, role models, and medical professionals. Dr. Nash was among 14 physicians who were recognized by TMA this year at its annual meeting through the academic award program. Website: http://www.texmed.org/TMA_Academic_Award/ TMA is the largest state medical society in the nation, representing more than 49,000 physician and medical student members. It is located in Austin and has 110 component county medical societies around the state. TMA’s key objective since 1853 is to improve the health of all Texans.

Our TCMS Family Members The Texas Medical Association is advancing the Choosing Wisely® campaign, an initiative to help physicians and patients talk about avoiding unnecessary care. Through the Choosing Wisely campaign, TMA is helping Texas physicians spur conversation around evidencebased recommendations created by your medical specialty societies. Learn more about the Choosing Wisely campaign and how it can help you. Watch the Choosing Wisely CME webinars and earn 3.75 AMA PRA Category 1 Credits™ and 3.75 ethics credits. For a limited time, the Choosing Wisely CME bundle is available free at www.texmed.org/ChoosingWiselyCME. For more information about Choosing Wisely, visit www.texmed.org/ChoosingWisely/.

MAY 2016

Spotlight on New Members

Gaurav Mavinkurve, MD Emergency Medicine 6451 Brentwood Stair Rd Ste 200 Fort Worth, TX 76112 Johns Hopkins university School of Medicine Timothy Welter, MD Internal Medicine 8020 Matlock Rd Arlington, TX 76002 University of Wisconsin Medical School Steven Kim, MD Pulmonary Critical Care 1521 Cooper St Fort Worth, TX 76104, UT Health Science Center San Antonio Jason Caldwell, MD Diagnostic Radiology 816 W Cannon St Fort Worth, TX, 76104 University of Louisville School of Medicine Hien Le, MD General Surgery 5204 Colleyville Blvd Colleyville, TX 76034 University of Arkansas School of Medicine Thomas Zyniewicz, DO Emergency Medicine 5450 Clearfork Main #100 Fort Worth, TX 76107 Michigan State University College of Osteopathic Medicine Ikponmwosa Iyamu, MD Vascular Radiology 816 W Cannon St Fort Worth, TX 76104 Meharry Medical College Stephanie Aymond, MD Radiology 300 Miron Dr Southlake, TX 76092 Louisiana State University School of Medicine Manuel Castro-Arreola, MD Critical Care Surgery 5204 Colleyville Blvd Colleyville, TX 76034 University De Chihuahu Facultad de Medicinia

Lee Drinkard, MD Hematology/Oncology 431 E State Hwy 114 Southlake, TX 76092 West Virginia University School of Medicine Teddrick Dunson, MD Anesthesiology/Pain Management 7235 Boat Club Rd Fort Worth, TX 76079 Wright State University School of Medicine

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TMA NEWS

At Its Annual Conference, The TMA Inducts A Dallas President; Eyes Reform Over Balance Billing, Mental Health Reprinted from Dallas/Fort Worth Healthcare Daily The Texas Medical Association over the weekend wrapped another annual conference, inducting a new—and local—president while mounting up in preparation for a renewed fight with insurers over narrow networks and balance billing that will almost certainly continue until next year’s legislative session. The 2016 TexMed conference was held in Dallas at the sprawling Hilton Anatole on Friday and Saturday, although the delegate councils began meeting on Wednesday to debate the topics the association anticipates lobbying for and against over the next 12 months. Dr. Don Read, a Dallas-based colorectal surgeon, was sworn in as the group’s president, succeeding the outspoken Houston cardiologist Dr. Tomas Garcia. Dr. Carlos Cardenas, a gastroenterologist from Edinburgh in the Rio Grande Valley, will serve as president elect. Read is a past president of the Dallas County Medical Society as well as the Texas Society of Colon and Rectal Surgeons. “Today, the business practice of medicine is changing rapidly. It’s like swimming in shark infested waters,” Read said Saturday morning. “We have lots of challenges and I won’t enumerate what they are, you all know what they are. But challenges can either be anchors around our neck that sink us, or they can be opportunities for us to be the leaders of a new paradigm in healthcare.” Read spoke about TMA’s PracticeEdge, which launched last year as a healthcare services organization for independent physicians. It provides assistance with increased administrative burden and helps doctors retain data for value based care initiatives, essentially aiding in their efforts to remain independent. Read also urged the physicians in the room to get involved politically, arguing that too many stay on the sidelines. “If we elect legislators who believe that parents shouldn’t be required to vaccinate their children, who believe that hospital ethics panels are death panels, and who believe that anybody should be able to practice medicine like we do without having gone to medical school, we’re going to have trouble,” Read said. The topic of balance billing was top of mind for many of those in the audience. Last year, the fight between doctors and insurers about this practice boiled over into the public sphere, as major payers accused doctors of not seeking in-network contracts so they could continue to bill higher out of network rates when seeing patients in hospitals. The Texas Association of Health Plans publicly accused physicians of inflating medical charges to boost profits, while the Texas Medical Association decried ever-narrowing insurance networks that gave doctors little room to negotiate fair payments.

by Matt Goodman May 2, 2016 “The health insurance industry games the system to keep more of patients’ premium dollars by forcing patients to seek care out of network,” Garcia said last year. “Then they have the gall to criticize what some doctors bill for that care.” The patient, of course, is stuck in the middle. It’s possible that a practitioner on his or her care team is not in network even though the hospital itself is, making it a confusing matter to navigate. State lawmakers last session passed a new law that allows patients to request a third party mediator to debate charges over $500, although that legislation was pared back from its original incantation that allowed any balance bill to be mediated. It’s clear from TexMed that doctors anticipate a battle. Read, Cardenas, and Garcia all mentioned the matter up front, both onstage and in interviews. Dr. Joseph Valenti, a Denton OBGYN and the outgoing chair of the Council on Socioeconomics, called the matter “the single most important issue we’ve faced since tort reform.” Mental health, Medicaid reform, the Zika virus, and proper medical certification also got time in the spotlight. U.S. Sen. John Cornyn spoke on Friday on behalf of his Mental Health and Safe Communities Act, which has received bipartisan support in committee but has drawn the ire of gun critics who say it doesn’t go far enough to keep firearms away from the mentally ill. The bill boosts funding for behavioral health treatment strategies and court-administered programs that would treat offenders outside the jail system with the help of their family, often aiding existing state and county-run programs. But it also requires a judicial hearing before someone can be turned away from buying a gun. It allows anyone who has been committed for a mental illness to buy a firearm once the judge’s commitment order expires. Cornyn has previously referred to guns as “inanimate objects” and contended that the primary problem is that there aren’t enough resources in the public domain for mental health treatment. “This is one of the urgent areas of which I think you’ll see more activity in the coming months,” Cornyn said. “The truth is our criminal justice system has become a provider of first resort, and maybe last resort too, for so many people with mental health challenges. And having those challenges addressed in a timely, appropriate way is something we ought to try to aspire to.” The 85th Texas Legislative Session kicks off in Austin on January 10, 2017. In addition, the TMA voted three Dallas-area doctors to represent the association in D.C. at the American Medical Association’s House of Delegates meeting. They include Dr. Gregory Fuller, a Keller family doctor; Dr. Larry Reaves, a Fort Worth plastic surgeon; and Dr. Leslie Secrest, a Dallas psychiatrist.

May 2016 I Tarrant County Physician I 21

Pathway to Private Practice

FEATURE ARTICLE

continued from page 15

teaching hospital for the school). We introduced ourselves to one of the interns or residents present (after we got past the gate-keeper ER nurses). We told them that were new students (as if they couldn’t tell) and we asked if there was something we could do. We were told that we were in luck. They had an old lady (a hypochondriac) who comes in almost every week with the same complaint. She had been thoroughly checked out and there was nothing wrong with her except what was between her ears! Crazy complaints, always the same. We were introduced to her as specialists in her type of problems. The intern told us to just listen to her story, ask a few non-threatening questions, take her blood pressure and pulse and listen to her heart (through her clothing). Then give her some placebo meds that they had available and she will leave feeling much improved. We had fun and we had helped out the ER personal. So the first weekend passed with not a lot of fanfare. My first quarter was highlighted by Gross Anatomy. It was a two-quarter course. Our class was blessed by having a visiting professor, an internationally known anatomist from the University of St. Andrews, Edinburgh, Scotland. Coauthor of Cunningham’s Anatomy Text, he was also a well known cardiovascular surgeon in the British Isles. Dr. Robert Walmsley was a gentleman in his mid-50s. He would come in every day and greet the class “Ladies and Gentlemen” in a thick Scottish brogue. He took each of us “under his wing” and taught us the “art” of the human anatomy. He was always dressed in a coat, vest and tie, a bow tie as I remember. When he worked with us in the dissection lab, he took off his coat and vest and

put on a lab coat. Unfortunately, he had to leave as our instructor after only about 8 to 9 weeks into our first quarter. His class was taken over by the most dreaded anatomy professor in the department, Dr. Harry Wilcox, a PhD. Known among the students as “Hatchet Harry,” he had acquired that nickname because he was a tough instructor and didn’t take any “bull” from anyone. He expected perfection from each student. Dr. Walmsley had taught us well, so our class fared very well under Dr. Wilcox. Dr. Wilcox was a hard instructor and gave hard tests, but he was very fair with each student. As time went on, we found in him a worthy replacement for Dr. Walmsley. (At the end of our senior year, we honored Dr. Wilcox by electing him to be one of four honorary class sponsors of our graduating class. No class had ever honored him before and he actually cried when he found out that we had chosen him to be a class sponsor.) Now let me tell you about old Joe, our cadaver. On our first day in the anatomy lab, we were taken down to the basement of the anatomy building where the cadavers were stored. It was a large room with a pungent smell of formalin, the fluid that our cadavers were stored in. Overhead, there were several large I-beams like found in auto repair shops. On each rolled an endless chain hoist with a large hook. These could be centered over several large vats in the floor of the room in which contained numerous preserved naked bodies (cadavers) acquired by the medical school for educational purposes. Each body had a rope tied around it’s waist. Using a long pole with a hook (basically a boat hook), we “fished” out the cadaver we desired. Pulling the cadaver to the surface of the formalin, we directed the big hook on the hoist

around the rope tied about the waist and then hoisted the cadaver out of the vat and onto a Gurney stretcher for transport back to the dissection lab room. In the lab room, the cadaver was transferred to the dissection table, a messy operation to say the least. As our class had 51 students, there were 13 cadavers placed on the dissection tables in the dissection room with four students assigned per cadaver. My lab partners and I selected a male cadaver. Once the cadavers were place on the tables, they were covered with several layers of cheesecloth that was “wetted down” with a weak formalin solution from a container in the corner of the room. Then we would cover the cadaver up with a large piece of oilcloth that was tucked under the cadaver to help keep the formalin from evaporating. As I remember, we didn’t wear any gloves when we did our dissections. As such, our hands absorbed some of the formalin and the smell went with us everywhere. The smell was especially noticeable at meal times. As I remember, our cadaver had many anatomical anomalies, more than almost any of the others in our class. Thus our cadaver was viewed frequently by the whole class. These anomalies were interesting but made our dissection difficult. As we dissected, usually two students dissected, one had the textbook and atlas and the other made notes or compared our work with our class notes. By the end of six months, our cadaver was fairly dried out despite anointing it with formalin solution after each lab session. Any parts that were removed were disposed of in a proper place. We did have aprons that we wore to protect our clothing but as I said before, I do not remem-

“MY ADOPTED BROTHER’S....experiences in the US Air Force helped me make up my mind about going into the military after graduation.”

PART I OF II “Known among the students as “Hatchet Harry,” he had acquired that nickname because he was a tough instructor and didn’t take any “bull” from anyone.” ber wearing gloves though we may have had access to them. In those days, disposable gloves were just coming into use. Surgical gloves were heavy duty, thick, and were reused if they did not have holes or tears; they were checked, cleaned, and re-sterilized. Another class we had during our first year was Medical Lab. Here I was fortunate as I had paired off with my roommate. We had to do urinalysis on our own urine, do blood counts (amount of hemoglobin) and do blood smears (white blood cell counts, etc.) on our own or partner’s blood. We learned how to take samples of blood for the regular lab. We also did some blood typing. In that day and time, many physicians offices did a lot of simple tests with the nurse or the doctor doing these tests themselves. In this class, we drew our partner’s blood. Here, my lab partner was an expert at drawing blood while I was a novice. Early on, my roommate’s arms looked like pin cushions as I frequently missed the intended vein. Fast forward to my senior year in school when I moonlighted as a lab tech doing blood counts and urinalysis on patients for a ENT doctor one day a week (on Saturday when his regular lab person was off). One of the more interesting Med Lab exercises involved collecting a 24hour urine specimen. It was quite a sight to see students carrying gallon glass jugs (plastic jugs were not available). This collection was for a 24-hour determination of creatinine excretion. Medical school life was definitely different from living at home and going to undergraduate classes in one’s hometown. I would come to the AKK House in the evening, very tired.

Usually, along with many of the other students living at the AKK house, we would unwind for a few minutes in front of the only TV set (black and white) and watch cartoons (such as... Huckleberry Hound, The Flintstones, Deputy Dog just to name a few). At suppertime, we ate family style in the dining room, a meal that was cooked by an African American lady, hired as our cook. The cooking definitely had a soul food flavor. After supper, we would hit the books until about 10 pm and then come down and to watch the news. Then usually, we go study another hour or so, then walk to the small grill about a half block away. This was a place where the only seating was at the counter. There I would have a sausage sandwich and coffee; refreshed, my roommate and I would return to study some more, getting into bed approximately 1 am. When morning came, I would shower, shave, grab breakfast and basically run to class for the 8 AM lecture. Lunch was usually at the AKK house and then back classes located one to two blocks away.

Our first two years of classes were usually taught by PhD instructors. There were several MD/PhD instructors. When got into last two years, our clinical years were taught by MD instructors. Several of our MD instructors made the comment that they felt it were a waste of their time and effort to teach a woman to be a physician. Their reasoning was that most female students came to medical school looking for a husband. After graduation, or even before, they would start a family and thus drop out of the work force at a time that there was a growing shortage of physicians in the US. Their reasoning was why waste a student slot (that could be filled with a male student) as many of these ladies didn’t plan to practice medicine upon graduation. A male student was more than likely to practice for many years before retiring. Needless to say, this angered a few students, especially our five lady students.

THIS IS PART ONE OF A TWOPART SERIES. THE SECOND PART WILL BE PUBLISHED IN Most of our lectures and clinics were within walking distance. In my clini- THE JUNE EDITION OF THE cal years, I took my general surgery TARRANT COUNTY PHYSIand internal medicine rotations at the CIAN. VA hospital located on the outskirts of town. I drove to these classes on a daily basis.

The physiology lab was both interesting and troubling. Here we often used small, stray dogs and cats from the pound as subjects for our experiments. Some of the animals were euthanatized at the end of the experiment. Thinking back on this class, I did not like this lab because of the fate of the cats and dogs. However, they served a purpose in our education.

May 2016 I Tarrant County Physician I 23

THE LAST WORD

The

Last Word

by Hujefa Vora, MD

Chairman, Publications Committee

Do any of you find it amazing that Sesame Street has had such staying power? I danced with my mother to songs on Sesame Street when I was still a child. I remember planting myself in front of the television with my nose 2 feet from the screen counting with the Count, giggling with Ernie, and eating cookies with Cookie Monster. My favorite was always Super Grover, the blue-haired spindly alternative persona of Grover, who was famed far and wide for doing good deeds to protect and serve his neighborhood. This evening, I came home to my daughter and my wife dancing in the living room in front of the television. I had that beautiful “dad moment” where I just watched this little girl jumping up and down with reckless abandon, making my wife follow right along. They didn’t notice me right away, so I smiled quietly and watched with wonder. There was a glow about the room. My daughter’s curls bounced up and down. Her little giggles were magical. She tried to sing along to the words, but her lips and tongue simply stumbled through the tune. Here was my wife reveling in this next generation of Sesame Street with my daughter. On screen were all of my old friends, and my daughter’s favorite, a relatively new character, Elmo. My daughter turned 2 years old this past month. She fills my home with such light and joy. I thought being a father meant loving her, protecting her, teaching her everything I think I know. What I find every day I am with her though is that she is constantly loving me, protecting me, and teaching me everything she needs me to know. She loves me with those big brown eyes and melts my heart. When I come home from the salt mines, she finds a way to melt away all of my worries of the world. I forget how tired I

am. She protects me from all of that negativity. So many days, it is like the negativity hasn’t even happened. She teaches me with those innocent eyes. The lens she sees our world through is unstained. It is a pure vision of the truth that we don’t necessarily see anymore because our own vision has become blurred by our internal dialogue, lenses tainted by our own experience. I find it difficult to describe all of the emotions that ran through my heart as I watched this beautiful scene. Most of you are mothers and fathers, so you know what I am talking about. I pray that all of us see this joy in our lives. This month, Mothers’ Day will come around and we will honor our parents in some way, shape, or form. For myself, I want to leave all of you with the song my daughter and my wife were dancing to this evening. It is the Sesame Street gang dancing and singing with an artist named Will.i.am. The song resonated with the child in me. My daughter noticed me standing in the foyer watching her and her mother and beckoned me over. I skipped over to the 2 Loves of my life and joined their revelry. The message of the song is simple. It may not have much to do with medicine, but we all should appreciate it nonetheless. If you are sufficiently inspired, you can check out the video at www.youtube.com/ watch?v=cyVzjoj96vs. Our mothers, our fathers gave us this message so often, and I can honestly tell you that I would not be where I am today if my Mother had not ingrained in my heart these words from her heart and Sesame Street. I miss those days of dancing with Mom, but I revisit them every day when I come home and my daughter dances across the living room. My name is Hujefa Vora, and this is this month’s Last Word.

THE LAST WORD Verse 1 If what I am is what’s in me then I’ll stay strong - that’s who I’ll be and I will always be the best “me” that I can be There’s only one me, I am it have a dream I’ll follow it It’s up to me to try Chorus 1 Oh! I’mma keep my head up high (high) Keep on reaching high (high) Never gonna quit I’ll keep getting stronger And nothing’s gonna bring me down (no!) Never gonna stop, gotta go because I know I’ll keep getting stronger Bridge 1 And what I am is (thoughtful) and what I am is (musical) and what I am is (smart) and what I am is (brave) and what I am is (helpful) and what I am is (special) and what i am is (happy) There’s nothing I can’t achieve because in myself I believe and...

Chorus 2 Oh! Gonna keep our heads up high (high) Keep on reaching high Never gonna quit just keep getting stronger And nothing’s gonna bring us down (no!) Never giving up, gotta go Because I know I’ll keep getting stronger Bridge 2 What I am is (super) What I am is (proud) What I am is (friendly) What I am is (grouchy) What you are is (magical) and what you are is (special) There’s nothing I can’t achieve because in myself I believe and... Chorus 3 Oh! Gonna hold my head up high (high) Keep on reaching high (high) I’m never gonna stop I’ll keep getting stronger Nothing’s gonna bring me down Never give it up gotta go, oh... yeah... I’ll keep getting strong-er

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May 2016 I Tarrant12/17/14 County Physician 6:19 PM I 25

PHOTOGRAPHY

CALL

ES I R T N FOR E

ST E T N O C Y H P A GR O T O PH

The TCMS Publications Committee would like to invite all TCMS and Alliance members to submit their photographs for the first TCMS photography contest. All entries will be published in a later edition to be judged by the membership and Publications Committee. Please submit your photograph to Kathryn Narumiya at knarumiya@tcms.org no later than August 1, 2016.

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Mary B. Brian, MD Lea K. Krekow, MD Angela E. Seda, MD Janice K. Tomberlin, MD 1609 Hospital Parkway Bedford, TX 76022 (817) 662-0008

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VIRAT R. DAVE, MD Susan Deering, NP MEGHAN FREED, NP Josh George, MD KUMAR GUTTA, MD ARTHI KUMARAVEL, MD Terri Losack, NP RENEE MIPHOUVIENG, NP DAN A. MORTON, MD SUSAN G. MOSTER, DO SHARAD NANGIA, MD SYED SADIQ, MD Joseph Shelton, MD Amy STEVENS, NP KAMAL A. SYED, MD FATEMA UDDIN, MD ELLA WALLACE, NP KENNETH YANG, MD 900 W. Magnolia #100 Fort Worth, Texas 76104 Phone: (817) 870-7300 Fax: (817) 332-8372

MEDICAL ONCOLOGY and HEMATOLOGY

Fort Worth Noelle G. Cloven, MD Asad Dean, MD Kenneth C. Hancock, MD Sanjay Philip Oommen, MD Chi Pham, MD Mark W. Redrow, MD Stephen L. Richey, MD Robert L. Ruxer, Jr., MD Reagan Street, MD, MMS 1001 12th Avenue, Ste. 200 Fort Worth, TX 76104 (817) 850-2000 Southwest Fort Worth Cristi Aitelli, DO David N. Barrera, DO 6500 Harris Parkway Fort Worth, TX 76132 (817) 263-2600 Arlington South Shrinivas Diggikar, MD Lixin Liao, MD, PhD Linda Verkruyse, MD, PhD 515 W. Mayfield Rd., Ste. 101 Arlington, TX 76014 (817) 664-4400

TARRANT DERMATOLOGY CONSULTANTS, PA

Arlington North Charles J. Deur, MD Scott Fleischauer, MD Angela E. Seda, MD Reagan Street, MD, MMS

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Mansfield Shrinivas Diggikar, MD Lixin Liao, MD, PhD Sarju Waghela, DO 2800 East Broad, Suite 218 Mansfield, TX 76063 (817) 276-3300 Lake Worth Jessica Hals, DO 6302-A Jacksboro Hwy. Lake Worth, TX 76135 (817) 597-7900

Bedford Thomas C. Anderson, MD Vikas Aurora, MD Randall T. Davis, MD Sandeep S. Gill, DO Henrick B. Illum, MD Lea K. Krekow, MD Mark J. Messing, MD Mrugesh P. Patel, MD Reagan M. Street, MD, MMS James M. Turner, MD 1609 Hospital Parkway Bedford, TX 76022 (817) 359-9000 North Richland Hills Sandeep S. Gill, DO Henrick B. Illum, MD Mrugesh P. Patel, MD James M. Turner, MD 4351 Booth Calloway Rd., Ste. 208 North Richland Hills, TX 76180 (817) 284-4994 Grapevine Thomas C. Anderson, MD Vikas Aurora, MD Randall T. Davis, MD Heidi A. Jordan, MD Lea K. Krekow, MD 1631 Lancaster, Ste. 150 Grapevine, TX 76051 (817) 251-9080 Weatherford David D’Spain, DO Jessica Hals, DO 911 Foster Lane Weatherford, TX 76086 (817) 597-7900 Cleburne Sandhya Bejjanki, MD 191 Walls Drive Cleburne, TX 76033 (817) 648-0120 Granbury David D’Spain, DO Jessica Hals, DO 303 West Pearl Street Granbury, TX 76048 (817) 579-3700

May 2016 I Tarrant County Physician I 27

Professional Cards NEUROLOGY

OPHTHALMOLOGY

PSYCHIATRY

PULMONARY DISEASES

Neurological Services of Texas, P.A.

KASSIM A. KHAN, MD, PA

DANIEL A. GOGGIN, MD

Susan K. Blue, M.D.

Adult Ophthalmology Cataract Surgery

Diplomate American Board of Psychiatry & Neurology

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Fort Worth - Medical District John R. Burk, M.D., FACP Stuart D. McDonald, M.D., FCCP Kerim F. Razack, M.D., FCCP Indra V. Singh, M.D. Harpreet S. Suri, M.D. 1521 Cooper Street Fort Worth, Texas 76104 (817) 336-5864

ORTHOPEDIC

PULMONARY DISEASES

Phone 817-334-7922 Fax 817-870-2144 1001 Washington Ave Fort Worth, Texas 76104

NEUROSURGERY

TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA

DEREK A TAGGARD, MD Diplomate, American Board of Neurological Surgery 1000 Houston St, 2nd Floor Fort Worth, TX 76102 (817) 336-0551 www.cndpa.com

NEURODIAGNOSTICS EMG/NCS

Michael H. Boothby, MD Richard P. Wilson, MD Bret D. Beavers, MD Diplomate American Board of Orthopedic Surgery, Fellow American Academy Orthopedic Surgery Arthroscopic Surgery • Sports Medicine

2901 Acme Brick Plaza Fort Worth, Texas 76132 P(817) 529-1900 F(817) 529-1910 www.OSMIFW.com

PHYSICAL MEDICINE AND REHABILITATION Scott T. Stoll, DO, PhD Over 20 years experience performing clinical EMG/NCS Diplomat, American Board of Physical Medicine & Rehabilitation Diplomat, American Osteopathic Board of Physical Medicine & Rehabilitation Diplomat, American Board of Neuro-Musculoskeletal Medicine & Osteopathic Manipulative Medicine Doctorate, Neuromuscular Physiology www.stollneurodiagnostics.com 5717 Edwards Ranch Road Fort Worth TX 76109 Phone: 817-294-3195 Fax: 817-294-3466

Ade L. Adedokun, RPh, DO Diplomate of the American Board of PM&R Diplomate of the American Board of Electrodiagnostic Medicine Diplomate of the American Board of Pain Medicine Metroplex Medical Rehabilitation & Sports Medicine, P.A. 6116 Oakbend Trail, Suite 112 Fort Worth, Texas 76132 (817) 423-9054 Fax (817) 423-9719

Arlington - North Joseph Austin, Jr., M.D., FCCP Jack G. Gilbey, Jr., M.D., FCCP Luis F. Guerra, M.D., FCCP David H. Plump, M.D., FCCP Tony H. Su, M.D., FCCP 911C Medical Center Drive Arlington, Texas 76012 (817) 461-0201 (Metro)

Samer Fahoum, M.D., FCCP Roger Gleason, M.D., FCCP John T. Pender Jr., M.D., FCCP John W. Hollingsworth II, M.D., FCCP 1201 Fairmount Avenue Fort Worth, Texas 76104 (817) 335-5288 Fort Worth - Southwest Kevin G. Connelly, M.D., FCCP Huy X. Duong, D.O. 6100 Harris Parkway, Suite 285 Fort Worth, Texas 76132 (817) 263-5864

Arlington - South E. Duane Dilley, M.D., FCCP Phan Nguyen, M.D. Southpark Medical Building 601 Omega Drive, Suite 206 Arlington, Texas 76014 (817) 465-5881

Mansfield Kiran K. Papala, M.D. John L. Tiu, M.D., FCCP 2800 E. Broad Street, Suite 408 Mansfield, Texas 76063 (817) 453-8883

Bedford James T. Siminski, M.D., FCCP Donald L. Washington, Jr., M.D. 1604 Hospital Parkway, Suite 403 Bedford, Texas 76022 (817) 354-9545

North Richland Hills R. L. “Lin” Cash, Jr., M.D., FCCP David R. Herrmann, M.D., FCCP Madhuri Kamatham, M.D 4375 Booth Calloway, Suite 402 North Richland Hills, Texas 76180 (817) 284-4343 Pulmonary Evaluation and Treatment Asthma Evaluation and Treatment Bronchial Thermoplasty Bronchoscopy Critical Care/Intensive Care Medicine Interventional Bronchoscopy Medical Thoracoscopy Sleep Disorders Diagnosis and Treatment

Professional Cards RADIATION ONCOLOGY

SLEEP MEDICINE North Texas Lung & Sleep Clinic, PA

Fort Worth Jerry L. Barker, Jr., MD Clinton Park, MD Kathleen L. Shide, MD 1450 8th Avenue Fort Worth, TX 76104 (817) 923-7393 Klabzuba Karen L. Nielson, MD Stephen D. Sorgen, MD 1300 West Terrell Ave. Plaza Level Fort Worth, TX 76104 (817) 820-4700 Southwest Fort Worth Harold P. Freeman, Jr., MD 6500 Harris Parkway Fort Worth, TX 76132 (817) 263-2600 Bedford Ajay K. Dubey, MD Janice K. Tomberlin, MD 1609 Hospital Parkway Bedford, TX 76022 (817) 685-4700 Arlington Berchmans John, MD 515 W. Mayfield Rd., Ste. 101 Arlington, TX 76014 (817) 467-6092 Weatherford Thanh Nguyen, MD 911 Foster Lane Weatherford, TX 76086 (817) 597-7900

David Ostransky, DO, Medical Director Diplomate, American Board of Sleep Medicine Diplomate, American Osteopathic Board of Internal Medicine/Pulmonology

TRAVEL MEDICINE Travel Health Services Tarrant County Public Health/Travel Health Services Catherine Colquitt, MD Travel Shots / Yellow Cards 817-321-4707 Locations in Fort Worth, Southlake, Arlington

Sleep Disorders - Pulmonology 2801 S. Hulen St., Suite 600 Fort Worth, TX 76109 (817) 731-0230 AASM Accredited 731 E. Southlake Blvd, Ste 190 Southlake, TX 76092 (817) 731-0230 AASM Accredited Sleep Consultants, Inc. John R. Burk, MD Huy X. Duong, DO John T. Pender, Jr., MD Kerim F. Razack, MD Donald E. Watenpaugh, PhD, DABSM

UROLOGY Urological Surgery Center of Fort Worth State Licensed-Medicare Approved ASC Charles Bamberger, M.D. Diplomate American Board of Urology (817) 338-4636 www.drbamberger.com 416 South Henderson Fort Worth, Texas 76104

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May 2016 I Tarrant County Physician I 29

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MD/DO WANTED

NEW AND USED SURGICAL INSTRUMENTS Retirement requires getting rid of surgical instruments. Many dedicated surgeons travel the world, setting up clinics, teaching, operating and carrying instruments. Response is gratifying. Tools received are put to good use. I will pick up and mail any single or box of instruments to one of those dedicated doctors. Please call me if you have instruments you will never use (no drugs please). (817) 988-2025 Dr. Donald Matheson.

PHYSICIAN NEEDED Physician needed 1-4 days per week for supervision of Mobile Modified Barium Swallow Studies Clinic visiting metroplex rehabilitation centers. GREAT OPPORTUNITY FOR RETIRED OR SEMI RETIRED PHYSICIANS. NO SPECIALIZED TRAINING NEEDED. Required basic computer skills. Professional liability insurance provided. Office is centrally located in Hurst, TX. Contact Pam Ragland at (817) 514-6271.

FOR LEASE IN GRANBURY Beautiful office building; 10,000 sq. ft. Ideal for medical center. 4425 Hwy 377, E. Lease all or part. Near new Kroger an HEB. Contact: Burt Hollingsworth, (817) 293-8470

#2 POWER TABLES First chair is large, deluxe “Midmark,” $6,000 OBO; 2nd chair is smaller “Midmark,” $3,000 OBO Call (682) 444-2716

Urgent Care and Family Medical clinic is currently seeking MD/DO to join our team of physicians and Nurse Practitioner in Mansfield and Grand Prairie, Texas. Clinic hours M-F 9am - 8pm and Saturday 9am - 6pm. Flexible days, $5,000 sign-on bonus. Health benefits, FP outpatient only, no rounding. Must have current Texas medical license and be BC or BE. Contact - fax CV to (682) 5188919 or email ahowell@mansfieldurgentcare. com (no recruiters please).

Arlington Assn or Neurosurgeons

Central Imaging of Arlington

The Doctors Management Co.

Fred Parker Company, Inc.

Frost Bank

IBC*

Medicus - Norcal Mutual

Pro Assurance

BC*

Radiology Associates

Sleep Consultants, Inc.

Southside Bank

12,25

Texas Department of

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20 TMAIT 03 TMLT 14

US Air Force

Vitas Healthcare

IFC*

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