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Governor's Newsletter - Fall 1999

From the Governor

Wednesday, October 6th was Associates Day at the University of Illinois School of Medicine hosted by Dr. Linda Lesky, Program Director and Dr. Larry Frohman, Chair of Medicine. Over 400 house officers, med students and guest physicians attended and heard 24 clinical vignettes from 18 training programs around the state. Presentation styles ranged from country music to poetry to traditional, but all shared wonderful clinical information, diagnostic acumen and something to take home to replenish old stores or to start building stores of new information. Every year we are at a different institution to encourage participation. Dr. Dave Steward comes by bus from Springfield with a whole gang and a great time is had by all. A key to success is "delegate" and this is an area that Steve Potts takes over every year and all I have to do is show up. Thank you U. of I. and thank you Associates and you wonderful presenters and especially thank you Dr. Steve R. Potts, Chair, Associates Committee.

The merger between the American College of Physicians, Illinois Chapter, and the Illinois Society of Internal Medicine is nearing completion. At an Advisory Council Meeting October 8th, the final changes in the Bylaws were discussed and approved. The Council will consist of 12 members, eight from northern Illinois and four from downstate. Half of the 12 members will be elected and half will be appointed. The recommendation was made to mail a ballot with one candidate for each position. Write-ins will be allowed. The ballot will be circulated with a return date of 30 days. The senior Governor will be the President of the Council and the junior Governor the Vice President. The Secretary and Treasurer will be appointed. The completion date of the merger is January 1, 2000.

On the way to preschool, the doctor had left her stethoscope on the car seat, and her little girl picked it up and began playing with it. "Be still my heart, my daughter wants to follow in my footsteps!" Then the child spoke into the instrument: "Welcome to McDonald's. May I take your order?"

Our Regional Meeting was held at The Lodge in Oak Brook, at McDonald's Hamburger University and was run jointly with the Midwest Chapter of the Society of General Internal Medicine. John Butter, MD, a member of SGIM and of the College was Program Director. We tried to have a program that would appeal to generalists as well as specialists, a program that would appeal to under-represented groups and a program that would get people to come! This was clearly our biggest regional meeting ever. We had 262 attendees for the 1-1/2 day meeting. Gary J. Martin, MD, the President of the Society of General Internal Medicine Midwest Chapter was our first speaker and gave us an Overview of Screening Tests. I think our working together increased our attendance and demonstrated that we are all internists and share the same problems. Let's work together. Thank you, Gary.

If one lives anywhere in the Chicago area you have heard Dr. George Kondos, from the University of Illinois, discuss the merits of HeartCheck America, his ultrafast CT scanner for the early detection of asymptomatic heart disease on radio station WGN. We had a wonderful debate on the merits of the ultrafast CT scan between Dr. Kondos and Dr. Phil Greenland, who is the Chair of Preventive Medicine at Northwestern University Medical School. It was a good discussion and included remarks by Whitney Addington, President of the ACP–ASIM regarding the ethics of direct advertising to the public. Dr. Kondos then introduced the group to Harvey, his simulated patient and we all enjoyed an interactive physical diagnosis session. Jan Fawcett, the Menninger Award Winner at the 1999 Annual Meeting, presented "Small Feedings of the Mixed Up Mind: Depression and Anxiety and Interventions for the Internist." Dr. Fawcett is a wonderful speaker and alerted us again to the critical needs of patients with these devastating problems. Omnipresent throughout the meeting was Dr. Charles Francis. He is currently the President of Drew University in Los Angeles and is well known for his major contributions to medical education especially at Harlem Hospital when he was Chair of Medicine. After lunch we proceeded to "Multiple Small Feedings of the Mind" which Dave Steward has called "The Facts and No Baloney". Outstanding discussions were given by Diane Altkorn from the University of Chicago, Jim Graumlich, a clinical pharmacologist from Peoria, Bob Kushner, Director of Nutrition, Fitness and Weight Management at Northwestern, and John Phair, the Chief of Infectious Disease at Northwestern. Their discussions of women's health issues, nonsteriodals, obesity, HIV, and antibiotic resistance were - because of Dr. Jeff Harris' truly marvelous multiple small feedings format - brief, timely and notable.

Dr. Charles Francis highlighted "Underutilization of Health Care Service by Minorities". Dr. Vivian Levy, who practices in the Hispanic area of Little Village in Chicago presented 20 cases of neurocysticercosis and Dr. Paul Carryon, who trained under Dr. Francis, presented "Problems Facing the Urban Internist in Managing Hypertension". I was very proud of these two young physicians in clinical practice bringing their personal experiences in their patient population to our group.

At dinner we gave Laureate Awards to three remarkable physicians, John Clarke, Holly Humphrey and John Schneider. Their biosketches are contained elsewhere in this newsletter. Jennifer Moore, MD, a third year resident from Loyola was given the Brookens Award as the outstanding resident in the State of Illinois, as nominated by the Program Directors. The Community Speaker of the Year Award, a national award from the College was given to Gail Clifford Mullen for her efforts from January 1, 1998 to June 30, 1999, when she delivered 15 talks to various groups in her community. She also appeared on radio broadcasts discussing the role of the internist in primary care medicine. She is off and running again for a possible repeat award this coming year and has already addressed a group of 80 at the Annual Sweet Corn and Watermelon Festival in Mt. Vernon, IL. last August. The opportunity to reward physicians for achievements makes for a memorable and moving evening. There were more than a few tears and there was much warmth. I was especially pleased to have my daughter, Dr. Anne Furey McKay, and son Peter Furey and his wife Susie Galloway Furey, both senior students at Northwestern Medical School, and my classmate (NUMS 1960) and bride of 38 years, Dr. Nancy Furey, present at the dinner. The final event of the evening was Louie Armstrong's "It's a Wonderful World" sung by yours truly with Annie trying to make up for my inadequacies, singing along from a nearby table.

Saturday morning we got off to a wondrous demonstration of Professors in Action arranged by Dr. Joan Boomsma, Chief of Pulmonary/Critical Care Medicine at Mercy Hospital. Two Masters of the College, Stuart Levin, Chairman of Medicine at Rush and Jim Webster, the recently retired Chief of the Geriatric Service at Northwestern led the discussions. It is disheartening to try to stump Dr. Levin and when we presented a jaundiced, homeless, Hispanic male. Stu's first word was leptospirosis. Dr. Boomsma still managed to keep everything interesting. Dr. Webster was his usual self-effacing, well-informed self in making a diagnosis of blastomycosis.

The Town Meeting was the most exciting part of an exciting weekend. Dr. James Webster with help from Dr. Nancy Furey arranged a program to frame the current problems in health care delivery in our state and the nation: Universal Health Care Coverage for Illinois: Good Medicine? Good Economics? The program started with four brief talks. I. Ethics: Medicine in the Marketplace by Whitney Addington: II. Benefits: The Appropriate Best Benefit Package for Universal Coverage. Is Oregon a Good Model? by Serafino Garella III. Quality: Maintaining Quality Under Universal Coverage. How To Do It by Jim Webster: IV. Delivery: How Should the System Be Managed and Delivered? Pleurism or Single Payer? with Quentin Young, MD, MACP, an advocate of the single payer system and John Schneider, MD, FACP, discussing other solutions. Peter Budetti, MD, JD, presented a study on the "Cost of Implementing Universal Coverage in Illinois." We don't have the results yet, but similar studies in other states have shown that universal coverage does not create a financial crisis. Responses from representatives of numerous professional medical associations followed and I am proud to say Congresswoman Jan Schakowsky, State Representative Mike Boland and State Representative Patti Bellock were present and addressed the group. The participation by the community and allied health professionals was truly moving. There is obviously a groundswell of support for universal coverage. In closing, I discussed one of my favorite topics, the Bernardin Amendment to the Illinois Constitution.

What makes a great meeting? A good program, timely subject matter, and participation, but mostly YOU. YOU make a great meeting! I am thrilled that we had so many people at this meeting but when we look at the size of our membership we are still really touching just a very small percentage. Please be active. We need you to be a successful organization. Come help us be even better. Eve Swiacki, Joe Calamito, thank you for your time, support, encouragement and thank you Dan Vicencio, our ACEL, taken for granted, our liason who gets us our CME credits. Our promise for next year in Downstate Illinois has to be that that meeting will be even bigger and better than this one.

Warren W. Furey, MD, FACP
Governor, Northern Illinois Region

ILLINOIS LAUREATE AWARDS 1999

JOHN F. SCHNEIDER, MD, PhD, FACP
Dr. John Schneider was born in Dayton, Ohio in 1936. He completed his undergraduate training at DePauw University in Green Castle, Indiana. In 1963 he graduated from the Pritzker School of Medicine at the University of Chicago and interned in Seattle. After two years in the military he returned to the University of Chicago to obtain a doctorate in biochemistry and completed a residency in internal medicine.

Upon appointment to the faculty at the University of Chicago in 1970 he combined research on the use of stabilized isotope tracers in the study of liver disease in man with becoming a founding member of the General Medicine section under the leadership of Dr. Alvin Tarlov. Dr. Schneider played an important role in the initiation of the General Medicine service by helping redevelop the clinical exam course for sophomore students. Along with participating on teaching on the inpatient General Medicine service he served as director of the Adult Faculty Health Service and the General Medicine Ambulatory Clinics. The General Medicine section continued to develop and now provides the bulk of inpatient and ambulatory teaching of medical students and housestaff. The Ambulatory Clinic provides care to faculty and staff, students and the elderly providing a broad range of learning experiences.

Early in his training he became concerned with what is now called the evidence-based medicine approach to improving utilization of hospital resources ultimately becoming Medical Director of Utilization Management. In this role he continues to participate in the development of guidelines and pathways as well as critical analysis of outcomes of those undertakings. As a result he has been involved with issues of external utilization used by the many managed care entities both private and governmental. Initially, he was involved with the Chicago Foundation for Medical Care, which later was replaced by the Illinois PRO. This led to his becoming involved with the Chicago Medical Society and interacting between the physicians who were impacted by review and quality actions of the PRO. Beyond his involvement with the Chicago Medical Society, Illinois State Medical Society and the AMA he was active with the American Society of Internal Medicine and with the merger became the Transitional Governor for Illinois. He was recently elected to serve on the AMA Council on Scientific Affairs and also appointed to the ACP–ASIM Managed Care Subcommittee of the Medical Services Committee.

As Professor of Clinical Medicine at the University of Chicago, he continues to provide quality care to his patients and quality teaching to students and residents while serving the profession by promoting the science of medicine through participation in local and national organizations. Dr. Schneider and his wife, Fran, have two children who reside in Chicago, which gives them an opportunity to spend time together in Chicago, and at their summer residence in Michigan. Dr. Schneider honors us by accepting this laureate award of the ACP–ASIM.

JOHN T. CLARKE, MD, FACP
John Clarke graduated from Yale University and Northwestern University Medical School. His medicine residency was at Barnes Hospital and his infectious disease fellowship at the University of Washington. John was in private practice in Colorado Springs before joining the faculty at Northwestern Medical School.

Throughout his career, patients, students, and colleagues have benefited from Dr. Clarke's broad knowledge, dedication, sensitivity, and integrity. He is Board certified in medicine, infectious disease and geriatrics. He has been the Chief of the Medical Service at the Veterans Administration Lakeside Medical Center and he has been the Associate Chief of the Department of Medicine at Northwestern Memorial Hospital. He has served as a College Mentor and is currently Vice Chief of Staff of Northwestern Memorial Hospital. He has held numerous professorships and currently is the first recipient of the James R. Webster, Jr., M.D. Distinguished Physician in Geriatric Medicine Award.

Dr. Clarke is best known as a mentor to hundreds of medical students at Northwestern University. He has received awards for his teaching every single year of the decade. He was awarded the medical school's George H. Joost Outstanding Teacher of the Year Award conferred by the senior class in 1991, 1992, 1993, 1998 and 1999. He received the Outstanding Clinical Teaching Award four times in 1994, 1995, 1996, and 1997.

Above all, John Clarke is family. One cannot talk with him, but hear about his wife Bonnie and his children, Ken, Tom, Anne, and Gib. The entire Northwestern Medical School class and residency program also find him a father figure and role model. He has been a comfort and a solace and has given the encouragement and the love that so many young men and women in training need for brief or extended periods of time during their training. John Clarke used his own personal experience with illness and health at a memorable Firm Conference. John Clarke is the epitome of the caring physician and John honors us by accepting this Laureate Award of the ACP–ASIM.

HOLLY J. HUMPHREY, MD
Holly Humphrey-Follman, MD, has spent the majority of her professional life in historic Hyde Park on the campus of the University of Chicago. An Honors graduate and AOA member of the University of Chicago Pritzker School of Medicine, Dr. Humphrey completed her postgraduate education at the University of Chicago Hospitals. She squeezed in a Chief Medical Residency year before her fellowship in Pulmonary Critical Care Medicine. Her year as Chief Medical Resident launched an avid interest in the education and development of young physicians She is presently the Program Director of the Internal Medicine Residency Program for the Department of Medicine at the University of Chicago. She is a core faculty member of the Robert Wood Johnson Scholars Program. Her national work has taken her to great success in the Association of Program Directors in Internal Medicine. As an active member of the National Council, she served as its President in 1995. She has been a major force in moving this prominent organization into the future, serving as chair and member of numerous instrumental committees and task forces that address the future quality of medical resident education.

Dr. Humphrey is married to cardiologist Dr. Duane Follman. They have three children, Sarah, Benjamin, and Hannah, all of whom agree she is not only a world class physician, but a world class mom and wife. In appreciation for your service and dedication to the development of young physicians and medical students, Dr. Humphrey honors us by accepting this Laureate Award of the ACP–ASIM.

OCTOBER 9TH TOWN MEETING A HUGE SUCCESS

The town meeting jointly sponsored by the ACP–ASIM and the Illinois Ad Hoc Committee to Defend Health Care held on October 9, 1999 at The Lodge at McDonald's Headquarters in Oak Brook was a huge success. Attendance was 262! Facts and hard data were presented and there was tremendous audience participation.

Whitney Addington, MD, FACP, President of the ACP–ASIM, began the session by discussing the need for a continuing ethical commitment of physicians in contrast to the marketplace business ethic of medicine. He highlighted the specific deleterious effects of lack of health insurance on health outcomes and stressed the need for a cooperative, unified approach by the house of medicine to solve the problem. Serafino Garella, MD, FACP, Governor-Elect for Northern Illinois ACP–ASIM, reviewed the Oregon experience as a methodology for determining a rational benefits package. Dr. Webster stressed the need to continue to strive for excellence in a universal system to achieve equity and maintain quality. He discussed the fact that we must use evidence-based medicine, algorithms and guidelines (National Guideline Clearinghouse www.guideline.gov) to maximize quality. There is no industry in which emphasizing quality has not saved money. Further it will be essential, that our professional medical organizations and physicians at every medical center be involved in setting and maintaining the standards of care. Guidelines imposed from outside the medical profession will never work

John Schneider, MD, PhD, FACP and Quentin Young, MD, MACP, had a lively discussion regarding the question of using an incremental approach using multiple payors to achieve universal health care versus just simply supporting a single payor health care system. Finally, Peter Budetti, MD, JD, reviewed the assumptions that he is using for the research project commissioned by the Illinois Ad Hoc Committee to Defend Health Care. This study, which is in progress is examining the feasibility from a financial standpoint, of universal coverage for Illinois. He also reviewed the recent Massachusetts studies in which their data showed that universal coverage would actually be the least expensive way to fund health care for their state.

Medical leaders from various state organizations gave their responses to the issue of the need for universal coverage. Steven Wilk, MD, Pres. Emeritus for the IL.Academy of Family Physicians, Arnold Widen, MD, FACP, Exec. Dir. of the Institute of Medicine, Pedro Poma, MD, Chairman, IL Section of the American College of Obstetrics and Gynecology and Clair Callan, MD, Pres. of the Illinois State Medical Society gave their viewpoints. It was exciting to witness the beginning of cooperative discussions among leading academic medical professional organizations.

The highlight of the meeting was the presentations by Rep. Michael Boland of the Illinois House of Representatives, sponsor of the Bernardin Amendment, which now has over 40 cosponsors, and Rep.Jan Schakowsky of the United States House of Representatives. Both of these legislators are enthusiastic in their support of our activities and clearly are well-informed and wonderful allies. The meeting concluded with a lively open mike session followed by a ringing closing comment by Warren W. Furey, MD, FACP, current ACP–ASIM Governor for Northern Illinois, in support of the Bernardin Amendment. We hope that passage of this amendment in the spring session of the Illinois Legislative session will finally pave the way to achieve a solution for the uninsured people in our state.

THE ILLINOIS AD HOC COMMITTEE TO DEFEND HEALTH CARE
James R. Webster, Jr., MD, MACP, Chair

The Ad Hoc Committee to Defend Health Care starts its third year and the good news is that it indeed appears that health care will be a major item on the national agenda for the next year, a remarkable turn of events, thanks in no small measure, to the egregious activities of the for-profit insurance industry. It has been identified by all of the presidential candidates and the public as a prominent election issue. It also seems that the momentum has shifted very much in favor of universal coverage and access, even though powerful forces still oppose this. Obviously there are many major aspects of this that will need to be sorted out, including funding, benefits, and maintenance of quality.

The committee is planning the following activities:

  1. Education of our legislators to get their assistance in helping pass the Bernardin Amendment in the spring Illinois legislative session.
  2. A report card initiative for the 2000 election candidates to force them to go public regarding their stand on universal health care and the right to health care.
  3. Development of a questionnaire for Illinois physicians to solicit their thoughts about solutions to achieve universal medical coverage.
  4. We will continue to challenge inappropriate, non–evidence-based guidelines received from the for-profit insurance companies by citing evidence. We should all be writing op-ed letters to local newspapers and specialty journals about health care reform.

Finally, it appears that opinion has shifted in favor of reestablishing the primacy of the patient, instead of the marketplace. Please feel free to keep in touch with my e-mail j-webster@nwu.edu or by phone 312/503-6842. Remember our website (www.ILADHOC.org).

ACP–ASIM LEGISLATIVE ACTION CENTER

To make participation in grassroots advocacy easier for its members, ACP–ASIM has a Legislative Action Center (LAC), which may be accessed from ACP–ASIM Online. The LAC allows ACP–ASIM members to view the most current ACP–ASIM Legislative Alerts, find out who your federal legislators are, and send e-mails or faxes to your members of Congress. It also provides you with the status of key legislative issues of concern to the ACP–ASIM, Congress' schedule and tips on communicating with your legislators.

You can access the Legislative Action Center through the "Where We Stand" section of ACP–ASIM Online at http://www.acponline.org/home/policy.htm, or by going to the LAC at http://congress.nw.dc.us/acp. To send a message to Congress, you are prompted for your zip code and are zip-matched to your federal legislators. You will then be asked for your name and address so that congressional offices can identify you as a constituent. Questions? Please contact Jenn Jenkins, Associates for Grassroots Advocacy at jjenkins@acponline.org.

On Oct. 7, 1999, the House passed the Bipartisan Consensus Managed Care Improvement Act of 1999. Please note how your representative voted and express your thanks or disappointment.

Results of the role call for the Access for the Uninsured and Managed Care Improvement Act: HR 2723

Yea: Bobby Rush (D), Jesse Jackson (D), William Lipinski (D), Luis Gutierrez (D), Rod Blagojevich (D), Henry Hyde (R), Danny Davis (D), Janice Schakowsky (D), John Porter (R), Jerry Costello (D), Lane Evans (D), David Phelps (D)

Nay: Philip Crane(R), Jerry Weller (R), Judy Biggert (R), Dennis Hastert (R), Thomas Ewing (R), Donald Manzullo(R), Ray LaHood (R), John Shimkus (R)

CONNECT WITH MEMBERS THROUGH ACP–ASIM'S NEW ONLINE DIRECTORY

Do you need to correspond with a member of the College, but find that you don't have his/her current mailing address? Use Member Connection, the College's new online membership directory, which is accessible to members-only via ACP–ASIM Online (www.acponline.org). Updated daily, the information in Member Connection is taken directly from the College's main membership database and can be used to search for colleagues by name, state, city, zip or postal code, country, region or specialty.

MIKE BOLAND
STATE OF ILLINOIS HOUSE OF REPRESENTATIVES
71ST DISTRICT

Dear Friend: Over a year ago, two people came to visit me in my office. One was a 28-year-old man who was studying to become an elementary school teacher. In addition to his studies, he was also working two part-time jobs totaling 9 hours per day. He had been diagnosed with multiple sclerosis. Only earning minimum wage, he could not afford health insurance! The other visitor to my office was a young mother with three children. Her husband worked as an auto mechanic for eight dollars an hour with no health insurance. She had been diagnosed with ovarian cancer.

There are 1.3 million potential disasters like these waiting to happen in Illinois! More than 300,000 children are uninsured. The number of people without insurance is growing at the rate of 125,000 a month. Many of the uninsured are young workers or couples working part-time jobs. Another large group of the uninsured are people in their fifties who have lost their jobs due to downsizing. A disproportionate percentage of minorities do not have any form of health insurance.

This moral crisis is why I've introduced the Bernardin Amendment. This amendment was named in honor of the late Cardinal Joseph Bernardin, a man who was respected by people of all faiths. In an October 1995 pastoral letter, Cardinal Bernardin declared that adequate health care is a basic human right. The Bernardin Amendment would require the Illinois Legislature to come up with a plan to make sure all Illinois residents have state health care coverage.

I am writing to ask that you join the growing number of supporters of the Bernardin Amendment by returning the enclosed coupon to my office. I would also ask that you copy the enclosed question and answer sheet with endorsement coupon and distribute it to friends, relatives and members of your church, synagogue or temple.

We urgently need your help! Only through a concerted grassroots effort will we overcome the extremely powerful special interests who oppose this amendment.

Some of the many organizations across the state that have endorsed the Bernardin Amendment include:

Illinois Nurses Association, Illinois Hospital Association, Illinois State Council of Senior Citizens, Northern Illinois American College of Physicians, Illinois Retired Teachers Association, Catholic Conference of Illinois, Citizen Action, Campaign for Better Health Care, Project NOW Community Action Agency, Advocacy Union of American Hebrew Congregations, The Jewish Labor Committee, Social Action Committee, Franciscan Friars–St. Francis of Assisi Church, Holy Cross Convent-Dominican Sisters, Islamic Foundation, Beth Tikva Congregation, Immaculate Heart of Mary Church, Faith Lutheran Church, St. Marks Lutheran Church Council, Zion Temple, United Methodist Women–Cabery, Faith Evangelical Lutheran Church, West Suburban Dental Hygienists Society, Institute for Economic Justice, Rockford Urban Ministries, AIDS Foundation of Chicago, Rockford Harm Reduction, National Clearinghouse for Legal Services, Illinois State AFL–CIO and many unions, priests, and nuns from nearly 200 separate Catholic Parishes and hundreds of spiritual leaders from all major faiths have endorsed the Bernardin Amendment.

Former U.S. Senator Paul Simon says . . . "I believe that the passage of the Bernardin Amendment will be a good thing for Illinois."

At its October 29-31, 1999 meeting, the Board of Regents voted to accept the recommendations of the Board of Governors to adopt three resolutions, refer one for further study, and reject two.

  • Resolution 3–F99 calls on the ACP–ASIM to solicit reports from the various states on the effectiveness of their efforts to address tort reform and periodically release a report making this information available to chapters and regions.
  • Resolution 4–99 calls on the ACP–ASIM to continue to develop an expedited CME application process and a shortened time frame for accreditation of local CME programs.
  • Resolution 6–F99 calls on the ACP–ASIM to advocate that a direct physician patient relationship remains inviolate and that the use of the Internet for prescribing should facilitate, not circumvent that relationship. This resolution also charges the ACP–ASIM to advocate that Internet prescribing should be used only in the context of an established physician-patient relationship.

The Board of Regents voted to refer Resolution 1–F99, Recertification in Internal Medicine, to the Education Committee for further study. This resolution from the Wisconsin Chapter called on the College to support the position that employment opportunities for physicians who do not seek recertification or who fail to become recertified should not be jeopardized. Resolution 2–F99 from the Wisconsin Chapter requesting that the ACP–ASIM amend its dues statement to combine national and chapter dues and Resolution 5–F99 from the New Jersey Chapter calling for support of campaign funding reform legislation were not adopted.

The deadline for members interested in submitting a resolution for consideration at the Spring 2000 BOG meeting is January 11, 2000.

THE "OVER 40" MINI MEDICAL RECORD

A wallet-sized brochure for your patients to keep track of their medical statistics is available. Includes space to record medications, dates of immunizations, tests results (e.g. HDL/LDL, blood pressure, etc) as well as a listing of risk factors for particular illnesses (e.g. stroke, cancer, etc.). If you want free copies for your patients please call (312) 567-2333 and leave your name, address and phone number.

26th ANNUAL ILLINOIS REGIONAL ASSOCIATES MEETING

The 26th Annual Illinois Regional Associates Meeting was held on Wednesday, October 6, 1999 at the University of Illinois College of Medicine. There were over 400 participants in this event including a large contingent of our downstate colleagues. Dr. George Kondos, Associate Professor of Medicine at the University of Illinois at Chicago, presented "The George and Harvey Show: Cardiac Auscultation and the Telltale Heart". In addition, Maurice Rabb, M.D., Professor of Ophthalmology at the University of Illinois at Chicago and Chairman of Ophthalmology at Mercy Hospital presented "The 'Eyes' Have It!" Dr. Joaquin Brieva, Instructor in Dermatology at Northwestern presented "Necrotizing Skin Processes". This year's meeting was interactive with the addition of an audience response system.

The highlight of the Associates Meeting of course is the vignette presentation by ACP–ASIM Associate Members. This year there were 24 presenters from 18 different institutions across the state. The meeting ended with a catered Awards Reception in the Alumni Center on the medical center campus. The five winners were invited to attend the ACP–ASIM Regional Meeting which was held on Friday and Saturday, October 8th and 9th, 1999, at The Lodge in Oak Brook. All of the winners also presented their vignettes at this regional meeting. Below is a listing of the vignette, presenter and program being represented. In addition, please check our website www.acponline.org/chapters/il/northern for a reprint of each of the 24 vignettes abstracts:

Jennifer Coican, DO, Lutheran General
Got Milk?

Gaurav Dhar, MD, U. of Chicago/Weiss Hospital
Rhythm and Blues

Julia Draznin, MD, U. of Chicago
Catastrophic Antiphospholipid Syndrome: A Calamitous Multisystem Failure

Stephen Driker, MD, Northwestern University
The Painful Knee

Sanjay Gandhi, MD, U. of Illinois at Chicago
Mean Bug in Not So Mean Patient

Elizabeth George, MD, Finch University of Health Sciences/CMS
The Masquerader

Mary Ann Huang, MD, University of Illinois at Chicago
Look into my Eyes...

Erik Iversen, MD, Illinois Masonic Hospital
The Patient with a Loose Screw: Who Would you Consult: Neurology or Psychiatry?

Enrique Jimenez, MD, U. of C./Weiss Hospital
Heart to Believe...

Jamshed Khan, MD, Southern Illinois U.
UTI Culminating in Brain Biopsy and Memory Loss

Raghu Krishnamurthy, MD, St. Joseph Hospital
There's Something Fishy Here

Jonathan Maltzman, MD, U.of Chicago
When Big Hands Mean a Big Heart

Michelle Milic, MD, Rush-Presbyterian.
From Construction to Destruction

Jennifer Moore, MD, Loyola University
Shakespeare On Call

Kevin O'Leary, MD, Northwestern University
Death Caused by Toxin A Negative, Toxin B Positive C. diff Diarrhea

Rekha Parameswaran, MD, Westlake Community
Dead Men Do Tell Tales

Robert Quintos, MD, Loyola University
The Postprandial Ventricular Tachycardiac Hoedown

Namita Sachdeva, MD, St. Joseph Hospital
The Officer and the Clown

Ziad Sara, MD, Mercy Hospital and Medical Center
The Vitamin Cure

Tushar Shah, MD, Ravenswood Hospital
Year 2000 Bug

Mohammed Siddiqui, MD, Cook County Hospital
Worst Headache of Life: A Unique Differential Diagnosis

Mohammed Siddiqui, MD, Cook County Hospital
Exercise Induced Thigh Compartment Syndrome with Rhabdomyolysis and Acute Renal Failure

Beata Styka, MD, Christ Hospital
Painless Hematuria Does Not Always Point to Renal Disease

Nancy Wozniak, MD, U. of Illinois at Urbana-Champaign
Topical Acetacaine and Methemoglobinemia

Many thanks to the University of Illinois Department of Medicine staff, especially Donna Toohey, Helen Micari, Drs. Linda Lesky, Andy Sherman, Laura Kulik and Heliodoro Medina. As this year's sponsors your hard work and participation made this yearly meeting a great success.

THE BROOKENS AWARD 1999
THE OUTSTANDING RESIDENTS IN ILLINOIS

The Outstanding Residents:
1st Place Jennifer Moore, MD Loyola
2nd Place Ayesha Bashir, MD Mercy
3rd Place Judit Pulai, MD Ravenswood

1999 CLINICAL VIGNETTES WINNERS

1st Place
Nancy Wozniak, MD
University of Illinois at Urbana–Champaign
Topical Acetacaine and Methemoglobinemia

2nd Place
Namita Sachdeva, MD
St. Joseph Hospital/Catholic Health Partners
The Officer and the Clown

3rd Place
Jonathan Maltzman, MD
University.of Chicago
When Big Hands Mean a Big Heart

4th Place
Erik Iversen, MD
Illinois Masonic Hospital
The Patient with a Loose Screw: Who Would you Consult: Neurology or Psychiatry?

5th Place
Raghu Krishnamurthy, MD
St. Joseph Hospital/Catholic Health Partners
There's Something Fishy Here

DATES TO REMEMER

ANNUAL SESSION 2000
REGISTER NOW: visit www.acponline.org or call (800) 523-1546, ext. 2600
Philadelphia, Birthplace of America
April 13-16, 2000

27TH ANNUAL ILLINOIS ASSOCIATES MEETING
Wednesday, October 18, 2000
Rush Medical College

ILLINOIS CHAPTER REGIONAL MEETING
Please Join Us In Springfield, October 20-21, 2000 for the Illinois Chapter Regional Meeting.

 

NORTHERN ILLINOIS CHAPTER
Governor: Warren W. Furey, M.D., F.A.C.P.
Administrative Assistant: Nikki Keil
E-mail: w-furey@nwu.edu • FAX: 312/328-7737
Mail: ACP–ASIM • 332 S. Michigan, Ste. 525 • Chicago, IL 60604
Website: www.acponline.org/chapters/il/northern