7/23/2019 Aug-Sept 2015 Sombrero http://slidepdf.com/reader/full/aug-sept-2015-sombrero 1/32 S OMBRERO Pima County Medical Society Home Medical Society of the 17th United States Surgeon-General AUGUST/SEPTEMBER 2015 PCMS building sale underway A voyage Down Under Tucson, Nogales, and bullfighting
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SOMBRERO (ISSN 0279-909X) is published monthlyexcept bimonthly June/July and August/September by thePima County Medical Society, 5199 E. Farness, Tucson,
Ariz. 85712. Annual subscription price is $30. Periodicalspaid at Tucson, AZ. POSTMASTER: Send address
Happy birthday to Medicare (Part 2)By Dr. Melissa Levine
PCMS President
Some of you may recall,before my foray down the
Grand Canyon, I was talkingabout Medicare and the ACA.My idea was to compare andcontrast the two, showing thatessenally the beginnings werevery similar, with predicons ofsocialism and ruinaon.
But as I delved into the realseeds of Medicare, I found so much more history than I hadknown about. I found it fascinang. Admiedly I’m somewhat ofa nerd, so maybe I am just boring all of you. I hope not.
In our June issue I le o in 1946 with a Republican Congress and
President Harry Truman calling for comprehensive healthinsurance for all, funded through Social Security. When hecouldn’t get that passed, President Truman created a naonalcommission to study the naon’s health needs. He was able toget Congress to establish a federal grant program in 1950 thatprovided matching funds to states to pay providers caring forindividuals receiving public assistance. He connued to advocatefor a naonal health insurance program unl the end of hispresidency in January 1953.
The goal of Social Security was economicindependence for the elderly, and in theearly 1950s ocials were troubled that theywere not meeng that objecve. The reasonwas the high cost of medical care. If youremember Wagner-Murray-Dingell from theprevious arcle, some of them came backthen to try and x the issue.
Most likely they thought, if instead of naonalhealth insurance, they proposed the moremodest, healthcare for seniors under SocialSecurity, they could gain tracon. Thatproposal would be much less expensive, and itwould give the government some experience,and in providing for a group in such obviousneed, it would be more likely to pass.
The “beneciaries” proposal was baed
around, and on April 10, 1952, SenatorsMurray and Humphrey, and RepresentavesDingell and Cellar proposed Senate andHouse bills of what would essenally havebeen Medicare. Then Dwight D. Eisenhowerwas elected President, both houses ofCongress were Republican, and the ideaonce again died.
Interesngly, the next program happenedunder Eisenhower. In 1956 Congress enactedpermanent protecon for healthcare for thedependents of servicemen, the DependentsMedical Care Act, which today is part of
Tricare. They also expanded some payments for Welfarerecipients and nanced a study on the problems of the aged. Allof this led to a revival of the naonal health insurance debate.
The Kerr-Mills act of 1960 created a program called MedicalAssistance for the Aged. This was a grant program providing fundsto states and was means-tested. It was essenally the precursor
to Medicaid. Kerr-Mills did not end the debate, as some hadhoped. Then Sen. John F. Kennedy (D-Mass.) made healthcare forthe elderly, now calling it “Medicare,” a major issue in the 1960presidenal elecon campaign. Vice-President Richard M. Nixonactually conceded the point, and vowed to further the cause ifelected. When Kennedy won and a Democrac Congress wasagain in control, the issue, like a Phoenix, rose again to the top.
King-Anderson was proposed in 1962, and it provided for hospitaservices to be provided for the elderly and paid for by SocialSecurity. The AMA launched an all-out eort against “the mostdeadly challenge ever faced by the medical profession.” Dr. BruceHekrinsen, a New Jersey surgeon, wrote a memo and 200members of the hospital sta said they would refuse to see
paents under legislaon such as King-Anderson. But the ideawas gaining momentum. The American Hospital Associaon splitfrom the AMA saying help was needed.
In a crazy turn, Republican Rep. Frank T. Bow of Ohio proposed a$125 income tax credit for the elderly to purchase healthinsurance. If they didn’t pay $125, they would be given a credit.Rep. John Lindsay (R-NY) proposed a bill embracing Social
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Epoch Health opens onGrant RoadTwelve Tucson urologists including doctors Kenneth Belko ,
Peter Burrows, Bill Kuo, Michael Levin andJenne Myers have
partnered to open EPOCH Men’s Health, 4951 E. Grant Rd., Suite103, at Crossroads East Plaza.
The urologists “have come together to create Epoch Health, a
center to serve the men of Southern Arizona. Epoch oers a free
comprehensive men’s health screening that checks for vitamin
deciencies, various cancers, kidney funcon, hormone and
electrolyte levels, and other condions.” No appointments are
necessary.
Dr. Sanders co-authors naonal
report on cardiac arrestTwo University of Arizona
researchers are co-authors of
a report, released in July in
Washington, D.C., that
examines current stascs of
cardiac arrest in the U.S. and
recommends public health
strategies to improve survival
rates, the university reports.
The report from the Instute
of Medicine is “Strategies to
Improve Cardiac Arrest
Survival: A Time to Act/” Itexamines naonal data on the
incidence and survival rates
from cardiac arrest in the U.S., assesses evidence on exisng
lifesaving therapies, and recommends public health strategies
that could save lives. Addionally, the report explores CPR and
the use of automated external debrillators, emergency medical
services, and hospital resuscitaon systems of care and
resuscitaon research.
Two University of Arizona Department of Emergency Medicine
researchers co-authored the report: Arthur B. Sanders, M.D.,
M.H.A., professor and a member of the Arizona Emergency
Medicine Research Center (AEMRC)—Tucson and the Instute ofMedicine, and Bentley J. Bobrow, M.D., professor and co-director,
AEMRC—Phoenix, and medical director for the Arizona
Department of Health Services, Bureau of Emergency Medical
Services and Trauma System.
“This collaboraon and development of a ‘system of care for
cardiac arrest’ have resulted in more than 2,500 out-of-hospital
cardiac arrest survivors in Arizona over the past decade, as well as
shaping the naonal and internaonal resuscitaon guidelines,”
Dr. Sanders said. “The Resuscitaon Research Group of UA Sarver
Heart Center, including doctors Gordon Ewy and Karl Kern, were
pioneers in the eorts to improve survival in Arizona and help
Epoch Health had ribbon-cutting ceremonies July 23 for its newTucson clinic at 4951 E. Grant Rd. From left are staffers Bianca Ruiz, Zulma Valenzuela, Steve House, Crystal Kasnoff, Jesse
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Arizona become a leader naonally in the approach to the
treatment of paents suering cardiac arrest. While there is
always room for improvement, much of what is recommended in
the IOM report is currently being done in Arizona.”
Doctors Lujan, Nguyen make quick work on strokeBy Tiana Velez
Carondelet Health NetworkOn the night of June 15,
Tucsonan Edward Moran went
about his usual evening
roune of several minutes of
exercise, a light dinner, and a
smoothie. At 70 the rered
accountant was in decent
health, which is why he says
he missed the signs of the
stroke that nearly claimed his
life in the morning.
Moran said he was alsosurprised by the speed and
level of care he received at
Carondelet St. Joseph’s
Hospital, where he spent the
rst few days of his recovery.
He was so impressed with his care that he instructed anyone
calling about his status to use the code phrase, “I love St. Joseph’s.”
That he’s able to tell his story is a credit to the many individuals of
Carondelet Neurological Instute (CNI) and the Primary Stroke
Center at St. Joseph’s Hospital, who work together seamlessly
femoral artery. Moran wasthen moved to the Neuro ICU
to recover.
On the morning of his stroke,
Moran checked in to his
former CPA rm, where he
occasionally helps out as a
consultant. Like many oce workers, he started his day with a
cup of coee and a quick chat with a friend. While chang, they
remarked that Moran seemed to be slurring his words.
No, said Moran, it was the coee. He had made it too hot, and it
had burned his tongue, causing him to slur. As he returned to his
desk, however, he started nocing other peculiaries. He wasspilling his coee as he tried rst, to drink, and then, to slurp it.
Also, it was becoming harder to keep his grip on the mug in his
le hand. Puzzled, but knowing something denitely was not
right, he called his friend to take him to the hospital. His friend
immediately dialed 911.
Prior to arriving, Emergency Medical
Services (EMS) alerted St. Joseph’s
Emergency Center, where the Brain Aack
Team was prepped and waing for Moran.
“When he presented to our hospital, we
graded his stroke symptoms on the Naonal
Instute of Health’s Stroke Scale (NIHSS) andscored him at a 6,” said Tiany Hoke, CNI’s
doctor of nursing pracce and neurocrical
care NP. The higher the score, the more
stroke symptoms a paent exhibits. Scores
range from zero symptoms to 42, equaling
extreme symptoms with severe impairment.
“Don’t let the number fool you, however, as
lower NIHSS scores can sll represent severe
impairment and lead to devastang
disability if le untreated,” Hoke said. Moran
“had slurred speech and signicant le-side
weakness involving his face, arm, and legupon arrival. If le untreated, his symptoms
and NIHSS would have most assuredly
worsened.”
Moran’s CT brain scan showed no
hemorrhagic stroke, but a large right middle
cerebral artery clot, which was the cause of
his stroke symptoms. Moran’s quick
presentaon to the hospital by way of EMS,
CT ndings, and lack of related
contraindicaons made him a perfect
candidate to receive the clot-busng drug ssue plasminogen
acvator or tPA.
“Mr. Moran received tPA within 28 minutes of entering our
doors,” recalled Hoke. “That door-to-drug me is remarkable and
far below the naonal goal of less than 60 minutes.”
Treatment didn’t stop there. The clot would have to be removed
or potenally cause further damage. “Essenally, the whole right
side of his brain was at risk to die. Moreover, Mr. Moran was at
risk to die,” Hoke said.Within 24 hours, he had gone from a 6 on the NIH Stroke Scale to
zero—“showing no sign of stroke on exam or imaging,” Hoke said
The enre process lasted less than eight hours.
“Everyone here is just unbelievable,” Moran said. “The nurses
come by oen, answer any quesons you have. They never seem
rushed or too busy for you. They make me feel like I’m on a cruise.”
Three days aer entering the hospital, Moran was preparing for
his discharge. Speaking with him, it’s hard to discern any signs
that he suered a near-paralyzing stroke. Without prompng,
he shows o how much moon he’s regained on his le side —
frequently raising and lowering his le arm, and poinng to
his nose.
“They got me all put back together,” he says. “They” is the group
of physicians, nurses, radiology technicians, EMTs, pharmacists,
and other Brain Aack Team members who comprise the
Carondelet Neurological Instute and the Primary Stroke
Center at St. Joseph’s Hospital. n
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There followed a vote in which members voted not to build a
building: 117 opposed, and 87 in favor, with 67 not vong and
one unmarked ballot. “In the 20 years since,” Sombrero reported
in 1981, “membership has tripled, needs have tripled, interest
rates have tripled, rents have tripled.”
The push for a building was revived and Sombrero was a
messenger, passing along member comments:
It will give the Society an identy.
It will be a place that various specialty sociees can holdfuncons.
The Society will be building equity.
Future costs can be controlled.
A kitchen will be available so that meengs can be catered.
An assessment would allow us to build reasonably without
paying high interest.
There is the possibility for posive cash ow from renng
oce space to various specialty sociees or paramedical
groups.
We could stop paying rent at an ever-escalang rate.
“It is really economically sound for the Society to own its own
building?” this magazine quesoned. “That answer to that one is
‘yes’ according to the current research.”
Today we might place all this in the category of “it seemed like a
good idea at the me.” But on Jan. 12, 1982 PCMS voted to assess
$500 per physician. But a number of members objected to the
amount, did not pay, and about 20 percent of our membership
resigned in protest. Many came back later, some did not.
“We realize that not every member is convinced that this is a
good project,” PCMS President Robert S. Hirsch, M.D. said in the
February 1982 Sombrero. But he noted that the vote of membersto assess themselves had been taken, and that it was “incumbent
upon every member to fulll this obligaon.
“One thing we do not want to see is members leaving the Society
for this or any other reason. We hope that the membership will
realize that we are a large Society represenng a sophiscated
medical community and that they will support it in its need for
space to provide the services such an organizaon requires.”
Our building ocially opened on Jan. 5, 1983.
The Present
PCMS, commiee-chaired and goaded by the late John Clymer,
M.D., in 2007-08 raised about $40,000 for Project Restore, and
those restoraons were made. But those restoraons were
mostly supercial, said exec Bill Fearneyhough, who himself
spent many volunteer handyman hours on the project.
“Though a small amount of roof repair was done, and three new
air condioning units, and some new, energy-ecient lighng
was done in cooperaon with T.E.P.,” he said, “we sll need a new
roof and much painng and patching. The parking lot needs re-
paving and painng. We are probably out of code with EPA,
whose regulaons would add to cost of any related updates. The
Americans With Disabilies Act would be a similar potenal
regulatory cost for larger, more accommodang restrooms.”
When we got bids to do all these things, the esmates ranged
from $150,000 to $300,000, Fearneyhough said. This would
mean an assessment of $300 to $500 per member, another link in
the chain of informaon determining that, as he put it, “The
building makes no economic sense and is an economic threat to
the Society.” When surveyed in November 2014, membership
voted two-to-one against such an assessment.
The Future
Things will have proceeded apace while your magazine is in
producon.
History Commiee Chairman Jim Klein, M.D. and his commiee
are in charge of the futures of all our historical books and arfacts
On July 20, TMC Holdings delivers a purchase agreement to PCMS
to buy our building for $350,000. TMCH says it wants to close in
six to eight weeks. During the me of our magazine producon,
prinng, and delivery, exec Bill Fearneyhough is meeng with our
aorneys, Mesch, Clark and Rothschild, represenng PCMS, to
review the agreement. Findings are presented Aug. 25 at our
Board of Directors meeng.
For years PCMS has made about $13,000 annually renng our
meeng room. The many room renters are being noed that asof Oct. 1, we will no longer be available for their meengs. We
are working with TMC to see if they can provide some
replacement meeng space for our renters.
Our administrave oces will be in 925 square feet at the north
end of their current locaon once Tucson Concussion Center’s
build-out is completed. Meanwhile, plans call for PCMS
administraon to be temporarily housed across Farness Drive in a
vacant oce building.
“We want the membership to know all the details,” Dr. Levine
said, “but the boom is viability of PCMS. The board concluded
Dr. Marc Leib was keynote speaker at the PCMS-sponsored ICD-10 training workshop June 23 at Tucson Osteopathic Medical Foundation’s conference center. The workshop helps
physicians and practice managers prepare for the ICD-10coding conversion that takes effect Oct. 1
that for the long-term future, we had to become more agile,
more exible, in order to best serve members’ needs. A Society is
not a building; it is its membership.”
THMEP’s classroom alternave
The h bi-annual Colorado River Medical Conference took place
June 27 through July 3, and on the sandy beaches of the
Colorado, parcipants heard talks ranging from the treatment of
osteoporosis, gallbladder and hernia disease, thoracic outlet
syndrome, development of the trauma network, and the
principles of spinal stabilizaon.
The Tucson Hospitals Medical Educaon Program-sponsored
conference allowed for seven AMA Category 1 CME credits to be
earned at the nightly conferences. By day, aendees got to
experience one of the great natural wonders of the world with
rapids, wildlife, and a billion years of layered geology. Cold, cold
Colorado water alternang with hot, hot Arizona sun was the
order of the day. To paraphrase PCMS President Melissa Levine,
M.D., as recently stated in these pages, we “lived the life the river
gave us” daily.
Professionally, evening lectures were smulang, collegial and
enjoyed by all. Low-tech prompts and handouts were eecve
alternaves to PowerPoint presentaons as you can see in the
photos. As we evolved over six days into a seasoned band of river
runners, we all grew and were enriched from the professional
interacon and discourse.
And it was fun!
PCMS Member-at-Large Richard Dale, M.D. has been the driving
force behind this CME/travel event. We think you should start
planning to go on the sixth version!
Tenet, Dignity, Ascensionpartner to own, operateCHN in ArizonaIn a July 15 news release dated Dallas, San Francisco, St. Louis,and Tucson, Carondelet Health Network announced that major
insurer Tenet Healthcare Corporaon, Dignity Health, and CHN
owner Ascension signed a denive agreement to create a
partnership that will own and operate Tucson-based CHN.
The new joint venture includes three hospitals, an outpaent and
ambulatory services network, and two physician groups. Tenet
will be majority partner in the venture and will manage the
hospitals’ operaons, related physician pracces, outpaent and
ambulatory services, and aliated businesses in Tucson and
Nogales. Dignity and Ascension will own minority interests in the
partnership.
The agreement comes amid industry-wide buyouts and mergersthat have already hit Tucson in the Banner Health buyout of
University of Arizona Health Network. On July 24 Anthem Inc.,
headquartered in Indianapolis, Ind., the naon’s second-largest
health insurer, announced it had reached a deal to buy rival
Cigna Corp. in a deal valued at $54.2 billion, creang the
naon’s largest health insurer by membership, naonal news
services reported. They said the deal is part of health insurance
industry-wide following introducon of the Obama
government’s “Paent Protecon and Aordable Care Act.” The
Anthem and Aetna deals will face intense regulatory scruny
from concerns over the consolidaons driving up insurance
premiums for businesses and consumers.
“We look forward to the opportunity to partner with two highly
respected and dedicated healthcare organizaons to improve
healthcare delivery to the communies of Southern Arizona,”
Tenet President of Hospital Operaons Bri T. Reynolds said.
“Through this innovave partnership, we will not only connue
Carondelet’s 135-year healthcare mission to care for residents
across Tucson and Southern Arizona, but will also connect
Carondelet to a larger, growing statewide healthcare network,
enhancing paent access to a wide range of healthcare
resources throughout the state. This is consistent with Tenet’s
strategy to create new, innovave models for paent care.”
Dr. Stephen Curtin, who wrote our report on this year’s CMEriver conference, had to compete with the Colorado for attention(Jim Herde photo).
Dr. Jim Herde explains principles of hernia repair at theTHMEP-sponsored Colorado River Medical Conference, given June 27-July 3—where else—on the banks of our desert’slife-sustaining water source (Steve Curtin photo).
“Forward-looking statements by their nature address maers
that are, to dierent degrees, uncertain. Parcular uncertaines
that could cause our actual results to be materially dierent
than those expressed in our forward-looking statements
include, but are not limited to, the factors disclosed under
‘Forward-Looking Statements’ and ‘Risk Factors’ in our Form
10-K for the year ended Dec. 31, 2013, and in our quarterly
reports on Form 10-Q, periodic reports on Form 8-K, and other
lings with the Securies and Exchange Commission.
“The informaon contained in this release is as of the datehereof. The company assumes no obligaon to update forward-
looking statements contained in this release as a result of new
informaon or future events or developments.”
AHSC’s Med-Startaims to change faceof healthcareHigh school students compevely selected
statewide spent six weeks this summer
exploring healthcare careers and educaonopportunies in a program conducng
research and taking college-level courses at
the Arizona Health Sciences Center, the
university reports.
The six-week Med-Start summer program
ended July 11. Students presented their
research projects July 10 at UofA Cancer
Center. Students from Douglas, Kearney,
Nogales, Payson, the Phoenix area (Gilbert,
Glendale, Goodyear, Mesa), San Carlos,
Sells, Tuba City, Tucson, Whiteriver,
Winslow, and Yuma competed for a place in
Med-Start. They lived on campus.
“The highly compeve program is a proven
success,” the university reported. “Eighty
percent of its parcipants go on to enroll in
higher educaon courses. Med-Start has
two goals: to address the crical shortage of
a diverse health-care workforce, and to
provide high school students with
opportunies to explore health careers and
college experiences to successfully reach
their academic and career goals.
“Creang a diverse healthcare workforce
representave of the populaons it serves
is a priority for Joe G.N. “Skip” Garcia, M.D.,
UA senior vice president for health sciences.
He and Francisco A. Moreno, M.D., assistant
vice-president for diversity and inclusion at
AHSC, professor of psychiatry, and deputy
dean for diversity and inclusion at the UA
College of Medicine—Tucson, are leaders in
AHSC’s eorts to recruit and train a
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knowledgeable, inclusive and diverse health-care workforce
commied to eliminang healthcare disparies.
“Med-Start is one of several AHSC programs created to promote
health equity and wellness in Arizona’s communies, regardless of
race, ethnicity, gender, geography, environment or socioeconomic
status. Since 1969, more than 1,000 high school students,
including students from Arizona’s most remote and under-
represented areas, have been accepted into Med-Start. The
Merlin K. “Monte” DuVal Memorial Med-Start Endowment was
established to generate funds to support the Med-Start program.”
NIH grants Sarver to study contracleproteinsUofA researchers have idened the
connecon between thin-lament length and
cardiac funcon, as well as the role thin-
lament length dysregulaon plays in
cardiomyopathies. The new NIH grant will
help to uncover insights into novel
therapeuc targets for dilated
cardiomyopathy, the UofA reported in July.
“The Gregorio Lab in the University of Arizona
Sarver Heart Center’s Molecular and
Cardiovascular Research Program (MCRP) was
awarded $1.77 million from the Naonal
Instutes of Health (NIH) for a study called
Deciphering the Role of Lmod2 in Thin
Filament Length Regulaon and Dilated
Cardiomyopathy (NIH Grant 1R01HL123078).”
“This award demonstrates the value of SarverHeart Center’s Invesgator Awards Program,
which provides seed funding for promising
research ideas,” said Carol C. Gregorio, Ph.D.,
head of the UA College of Medicine—Tucson
Department of Cellular and Molecular
Medicine, director of the MCRP, co-director
of the UA Sarver Heart Center, and principal
invesgator on the grant.
“Under Gregorio’s mentorship, Christopher
Pappas, Ph.D., a postdoctoral research
associate, obtained a Sarver Heart Center
Invesgator Award funded by the Steven M.
Gooer Foundaon. With the funding, Pappas
studied the role of the protein Lmod2 in
cardiac development and dilated
cardiomyopathy (DCM). The Invesgator
Award enabled Pappas to jump-start his path
to career independence by obtaining the data
necessary to compete successfully for the NIH
grant as a co-invesgator, Gregorio said.”
“Cardiac muscle is composed of thick and thin
protein laments. In studying the heart’s
mechanism of contracon, we found that the laments have to be
precisely organized for ecient beang. Proper contracon requires
laments of the proper length. We found that Lmod2 is an acn
lament elongaon protein that regulates the lengths of thin
laments in heart muscle,” Pappas said.
The researchers idened the connecon between thin-lament
length and cardiac funcon, as well as the role thin-lament
length dysregulaon plays in cardiomyopathies. Their goal is to
uncover insights into novel therapeuc targets for dilated
cardiomyopathy. Future direcons for the research team include
determining how short thin-lament lengths lead to dilated
cardiomyopathy and if Lmod2 mutaons are present in human
paents with dilated cardiomyopathy.
Dr. Clavenna was born in Texas butspent most of his childhood in
Baton Rouge, Louisiana. Heattended Trinity University in SanAntonio for his undergraduate work,receiving a B.S. in Biochemistry. Dr.Clavenna’s desire to personallyhelp those with ailments, led himinto the field of medicine. He earned his medical degree fromLouisiana State University Medical School in Shreveport in 2009,where he was elected into Alpha Omega Alpha Honor Society.While in medical school, he was introduced to Otolaryngology(ear, nose, & throat), a wonderful field of complex anatomy,requiring surgical and medical expertise to treat those withproblems of the head and neck. Dr. Clavenna completed a generalsurgery internship and otolaryngology surgical residency atLouisiana State University Health in Shreveport.
Following residency, Dr. Clavenna completed a Fellowship in sinus,
allergy, and anterior skull base surgery at Vanderbilt University inNashville, Tennessee. There he trained under internationallyknown surgeons, Drs. Rick Chandra, Paul Russell, and JustinTurner. During fellowship he focused on advanced sinus surgeries,including management of frontal sinus disease, nasal and skullbase tumors, pituitary surgery approaches, ophthalmologicalrelated procedures and treatment of allergies. Many of thesecases were performed in conjunction with neurosurgeons andophthalmologists. One of his most fond memories from fellowshipinvolved treating a patient emergently transferred to Vanderbiltfor severe sinus disease encroaching on the vision of his right eye.Using his recently learned endoscopic sinus surgery techniqueswith the aid of image guidance, he was able to successfully treatand drain the infection and preserve the patient’s vision.
Dr. Clavenna moves to Tucson with the desire of helping those inthe community with their ear, nose and throat related problems.He is the first fellowship trained sinus and anterior skull basesurgeon to join a private practice group in Tucson. Though he hasa passion for nasal, sinus, and allergy related disorders, he alsoenjoys treating the full gamut of ENT related issues, from neckmasses to ear surgery.
Dr. Clavenna in his free time enjoys spending time with his wife,the outdoors, and looks forward to taking advantage of thewonderful surroundings Tucson and Arizona have to offer.
Pima County MedicalFoundaon CMEPima County Medical Foundaon, a 501(c)3 nonprotorganizaon derived from, but separate from PCMS, presentsConnuing Medical Educaon lectures by our members and
others, for our members and others, on second Tuesday eveningsmonthly, with dinner at 6:30 p.m. and presentaon is at 7.
New locaon is Tucson Osteopathic Medical Foundaonheadquarters, Camp Lowell and Swan roads. Make turn on rststreet on right and follow curved road to front door. Scheduledfor September is:
Sept. 8: “What’s Up Down Below—Hot Topics and Controversies in
Testosterone, ED, PS, Prostate Cancer, and Vasectomy Reversals
and Impotence” with doctors Sheldon Marks and Peter Burrows.
SeptemberSept. 22-27: Cycling CME in Colorado says: “Please joins us for aunique CME experience in beauful Colorado! These two CMEconferences emphasize nutrion, exercise as medicine, andcommon musculoskeletal problem therapy. Conference groupsare small, helping to create an atmosphere conducive tointeracve learning in a hands-on atmosphere. Each day we willbe rewarded with a challenging road bike ride through beaufulterrain. If you enjoy acve learning, cycling, and Colorado, please
join us in 2015. Cycling CME Western Colorado is in GrandJuncon Sept. 22-27. Website is www.cyclingCME.com .”
Sept. 24-26: The Western Occupaonal & Environmental MedicalAssociaon presents the Western Occupaonal Health Conference:
To Workers’ Health in the West at Loews Ventana Canyon in Tucson,oering more than 20 hours’ CME credit for physicians.
WOHC 2015 provides “opportunies for learning” using “thelatest informaon in medical educaon to provide for workers’health,” organizers say. “This includes updates in general health,eects at the workplace, environmental and medical surveillance,and late-breaking controversial issues.” PCMS member ScoKrasner, M.D., M.P.H., F.A.C.O.E.M., medical director of KrasnerMedical Consultants, chairs the conference.
Included are work-site tours including Asarco Copper mine andRaytheon. For staying at the resort, call Loews Ventana Canyon at800.234.5117. Deadline is before Sept. 1. For more informaon,e-mail WOEMA at [email protected], call 415.764.4918, or fax415.764.4915. Registraon fees vary by addional Thursdayevents aended. Friday and Saturday Plenary Sessions are $675
for ACOEM/WOEMA member physicians, $795 for non-members,and $425 for allied health professionals including NPs, PAs, andRNs. Registraon forms can be mailed to WOEMA, 575 MarketSt., Suite 2125, San Francisco, Calif. 94105.
OctoberOct. 1-2: Ethical Dilemmas—Consultaon and Problem-Solving:
the Mayo Clinic Approach is at Mayo Clinic Educaon Center,
5777 E. Mayo Blvd., Phoenix 85054. AMA, AAFP AOA, and nursing
accreditaon to be announced.
“Ethical dilemmas related to paent care can be associated with
medical, psycho-social, ethical, and spiritual challenges forhealthcare team members. This course focuses on how toeecvely determine paent preferences and appropriate goalsof care; developing a coordinated, consistent approach to ethicaldilemmas to reduce both the frequency of occurrence, and stressamong providers, paents and their families, and the community;and implemenng an ethics consultaon service in your praccebased on the four-quadrant approach.”
Oct. 1-3: The Associaon of American Physicians and Surgeons72nd Annual Meeng isConstuonal Symptoms: Curing
American Medicine’s Government-Induced Illness is at the HiltonSt. Louis Frontenac, 1335 S. Lindbergh Blvd., St. Louis, Mo. 63131.
“Doctors must lead the charge,” AAPS says. “This must-aendmeeng will arm you with the tools you’ll need to help in thisght to save American medicine. Join your colleagues and learnhow you can make a dierence!”
For reservaons call 314.993.1100 and menon AAPS to receive
group room rate of $129 per night. Link to online roomreservaons at aapsonline.org/2015am. Registraon: AAPSmember $475 unl Sept. 1 increase to $525; $250 spouse orguest. Scholarships available for med students and residents.
CME: Max 12.0 AMA Category 1 designated by New MexicoMedical Society with joint providership of Rehoboth McKinleyChrisan Health Care Services and AAPS.
Oct. 9: The Fourth Annual Current Trends in Liver Disease:
Hepas C From A to Z is 11:30 a.m. to 5:30 p.m. at SonntagPavilion, St. Joseph’s Hospital and Medical Center in Phoenix,directed by Richard A. Manch, M.D., FAASLD,FACE,FACG, St.Joseph’s Center for Liver and Hepatobiliary Disease chief ofhepatology.
Register by calling ResourceLink at 1877.602.4111. For more info,contact [email protected]
Topics include Hep C Current Standard of Care; Which FibrosisAssessment is Best: Biopsy vs. Labs?; Special Populaons: RenalFailure, Decompensated Cirrhosis, Pre- and Post-Transplant;Future of HCV Treatment: What’s in the Pipeline? and PayerPerspecves: Is There Light at the End of the Tunnel? Paneldiscussion included.
Oct. 15-18 and Oct. 29-Nov. 1: The 18th Annual Mayo Clinic
Internal Medicine Update: Sedona 2015 is at Hilton SedonaResort, 90 Ridge Trail Drive, Sedona 86531; phone 928.284.4040.hp://www.hiltonsedonaresort.com/ Accreditaon TBA. Four-day course oers primary care physicians, NPs and PAs apraccal update on a variety of subspecialty topics, includinganesthesiology, allergy, cardiovascular diseases, consultavemedicine, dermatology, endocrinology, gastroenterology,hematology, infecous diseases, nephrology, neurology,otolaryngology, palliave, preventave medicine, psychiatry,pulmonary, urology, women’s health, and other areas applicableto today’s pracce and paents.
Website: hps://ce.mayo.edu/internal-medicine/node/3762Contact: Registrar, Mayo School of Connuous ProfessionalDevelopment, 13400 E. Shea Blvd., Scosdale 85259; phone480.301.4580; fax 480.301.8323 [email protected]