|January 2013||Robert Brahan, MD, FACP, Governor|
- Governor's Letter
- March Meeting
- New from ACP
- Letter from the Governor-elect
- ďInternists FirstĒ a True Celebration of Our Profession
- MS LA ACP Meeting 2012, Point Clear, AL
- UMMC/ ACP Abstract Day Competition October 26, 2012
- UMMC ACP Abstract Day 2012
It is hard to believe that I have been your Governor for almost four years and even harder to believe that itís almost over. In 2008, when I became your Governor elect no one could have predicted that we would have an economic meltdown, a contentious presidential election, a bank bailout, a horribly contentious debate over health care reform, the passage of the ACA, the dispersal of electronic health records, meaningful use, nurse practitioners, ICD 11, high quality/cost conscious care, Medicaid expansion, and on and on. The number of difficult problems in health care has been dizzying to say the least.
Much of my time, especially at the Board of Governorís meetings twice a year, has been spent addressing these tough problems. Like good internists, ACP has always tried to look at the best evidence to make our own recommendations. We certainly donít have all the answers, but I sincerely believe, we have better answers than what we hear from the politicians, who are ultimately in charge. I donít think I appreciated that health care costs are the main reason we have so much trouble with our economy and therefore, our politics. It is the number one reason our country will fail economically in the future and our children and grandchildren will be paying the bills and getting poor health care for themselves. Physicians are not responsible for the whole problem, but they must share some of the blame. I believe, however, that physicians will be the ones to find solutions.
ACP has been using their resources within our profession to mitigate costs, while at the same time improving care. We have started a very impressive program we have called High Quality Cost Conscious Care. Over the last year and a half you may have noticed the Annals carrying various articles on subjects such as back pain, atrial fibrillation, screening tests, and others. These are areas that consume a lot of money, but are not being managed well in our health care system. ACP has subjected these topics to our own experts to give the best advice on diagnosis and management. As you would expect, ACP has an amazing amount of talent to draw on and contribute to this program.
When we look down the road at what will likely happen to health care and what will happen in our professional lives, itís easy to get depressed and worried. However, after dealing with fellow Governors and our national leadership in ACP, I believe we will come out at the other end as a much more vibrant profession delivering better care to our patients. It wonít be easy. By necessity politics will play a role, so we must all roll up our sleeves in this nasty business and keep ourselves informed on the key issues that affect us and our patients. If you know any politicians at the state or national level you must do your part to keep them informed on the facts and not simply rely on partisan ideas that will get us nowhere. ACPOnline is a good place to stay informed.
I am pleased to say that our chapter is as strong as ever. We have been able to support our students and house staff at UMC by sponsoring competition in posters and case presentations at UMC, our chapter meetings, and even at the national ACP meetings. We have had tremendous participation by students and house staff in the council and other leadership endeavors. The latest batch of abstracts are published in the November Journal of the MSMA. Hats off to Calvin Thigpen for leading these efforts at UMC.
We have had two chapter meetings in the last four years in association with the Louisiana chapter. In 2010 we met at the Lake Terrace Convention Center in Hattiesburg and in 2012 we met at the Grand Hotel on Mobile Bay. I think we hit the sweet spot at the Grand Hotel. We had 180 attend, which is a new record for our chapter meetings by a lot. The combination of the venue, the date in early September, and a great program brought members from Mississippi and Louisiana out in big numbers. I would like to see us go over 200 at our next meeting in 2014. But each member will need to bring someone with them to make it happen. Everyone who attended the September meeting needs to start working on one of your local colleagues to make a date for September 2014 .
I am also, pleased to report that our finances are in good shape. This is mainly due to tuition and sponsors from the chapter meeting. Itís not too early to recruit sponsors for the 2014 meeting now. The other source of revenue for the chapter is members. We have just under 800 members, including students and house officers, but we always could use more. The best way to recruit members is with a one on one interaction. The first answer is usually no, so donít give up.
The biggest change our chapter has made in the last four years is hiring an executive director. I donít know how Sam Peeples and the rest of my predecessors made it without an executive director. In case you havenít met her, our executive director is Nancy Youngblood from Terry, who was in the medicine department for ten years and knows a lot of you who came through the residency program. Nancy has done the heavy lifting to keep our chapter going. We have been able to send her to the Board of Governorís meetings the last two years, where she has networked with Governors and executive directors from around the country. We have been able to glean a lot of good ideas to help the Mississippi chapter run better, but people are now calling from around the country asking Nancy what to do.
Mississippi is a long narrow state, which makes it hard to get members together at one time. Over the last two years we have had two successful meetings for smaller groups to better serve all members from around the state. The first meeting was in Gulfport mainly for our Coast members. A second meeting was in Tupelo for the Northeast Mississippi members. Buck Franklin from Gulfport put on the Coast meeting and Frank Fortenberry put on the meeting in Tupelo. I would like to see local meetings occur more often, but it requires a volunteer to step up and make it happen. Most hospitals are willing to foot the bill but pharmaceutical houses or other sponsors are more than willing to help as well. The chapter can help find a speaker.
We could not operate the chapter at its current level without an active and involved Advisory Council. Your Council has dutifully met each quarter to do the chapterís business and direct Nancy and myself. I cannot thank them enough for their time and dedication.
In April, after my last ACP Convocation, I will hand the gavel over to Dr. Dan Woodliff from UMC. Dan and I have been working closely, since his election as Governor elect over a year ago. Dan has already immersed himself in operations of the chapter as well as the national organization. I assure you we are in good hands with Dr. Woodliff.
Our profession will be challenged greatly in the next few years. I am sure we will be asked to do more with fewer resources. There is plenty of work to do in our communities, at the state level, and nationally to get it right for our patients as well as our own professional lives. I invite each one of you to participate in this process and as my fellow Governor from Northern California, George Meyer reminds us at every meeting, ďIf you donít stick up for Internal Medicine, who will?Ē
I would like to thank the chapter for allowing me to represent you as Governor for the last four years. It has truly been the highlight of my professional career. My wife, Ree, and I have met many amazing people in the state and around the country. We always come back from meetings inspired by our fellow internists and their families. There is a great spirit of cooperation at ACP. There will always be disagreement within any organization, but the College has figured out how to harness the good nature of our profession and specialty. Your leadership is poised to do great things and I hope you will participate as well.
Bob Brahan, MD, FACP
Governor, MS Chapter
Make your plans to attend the Louisiana/Mississippi Chapter Meeting in New Orleans at the Windsor Court March 15 and 16. Louisiana is putting on the program this year. Their chapter brought a lot of members to our meeting in September, so we need to do our part to help them. New Orleans is always fun and the food is great. Bring another internist with you. If they are not a member, thatís fine. We will make them a member before they leave.
Both of the above links are on the MS and LA chapter web pages under "News and Meetings".
New from ACP
The College is continually trying to make our educational references easier to use and compatible with today's technology. Take a look at the updated Annals on your computer, especially on a pad or smart phone. Dr. Christine Laine, the editor, has done a remarkable job of bringing our journal up to date. It is designed to help bring the best data to the patient's bedside in a convenient and easy to navigate way.
ACPOnline has also been reengineered. This valuable site contains the Annals, The Internist, The Hospitalist, every pertinent guideline to internal medicine, PIER, MKSAP, the ACP Ethics Manual, The Advocate, governance, and an extensive library on advocacy. In the past these references have been in their own silos on the website. Our IT department has created an advanced search engine that will go through all these silos to give a complete bibliography on most topics. Much of this material is free, and some requires membership, and some references such as MKSAP require a subscription. But the search engine knows what the searcher is entitled to see.
Be on the lookout for an updated PIER, our point of care reference service. The College is very excited about this program. It will go under another name, which has not been decided yet, but will probably be "Smart Medicine". It will be more interactive than the previous version and is designed to work primarily on a smart phone. This product will rival Up to Date, but will be more portable and easier to use.
The new MKSAP is out. The electronic version will be available this January. ACP has negotiated with ABIM to allow you to receive up to 80% of your points for maintenance of certification. This is a big convenience.
Letter from the Governor Elect
As your incoming Governor Elect I want to say thank you for this opportunity to represent and work with each of you. After twenty six years in private practice and four years in academic medicine I have a deep respect for both paths in this rewarding vocation. Internal Medicine is a calling and the leadership of the ACP recognizes our national shortage of internists and is doing an excellent job of advocating for internists and our patients. We do live in interesting times and this is your professional organization so we ask you to voice your opinion on all of the healthcare challenges that are facing us.
Education, teamwork, and support will be our main thrusts. I plan on continuing the outstanding work that Bob Brahan, your current Governor, has done over the last four years. With the help of Nancy Youngblood, our Executive Director, we had the most successful educational /scientific chapter meeting we have ever had. Calvin Thigpen has spearheaded and organized an exciting team of students, residents, and fellows who are very active. The Abstract Day Competition in October showcased some amazing talent and compelling presentations.
Join me in telling our story about this profoundly gratifying profession, Internal Medicine. I hope to see you at our combined La/Ms Chapter Meeting in New Orleans and the Annual Meeting in San Francisco.
Dan Woodliff, MD, FACP
Governor Elect, MS Chapter
ďInternists FirstĒ a True Celebration of Our Profession
Thank you to all of you who were able to attend the MS/LA ACP Meeting this past September in Point Clear, Alabama. You made our 2012 regional meeting one of our best gatherings in the past several years. With participation by medical students, residents, fellows, private practice physicians, and attendings from the universities of both states, the meeting truly had the feel of its ďInternists FirstĒ title.
Perhaps more visible at The Grand than ever before was the contribution of our Associate and Student members, who displayed 39 posters and gave seven oral presentations, in addition to participating in every other aspect of the conference. Dominique Pepper of UMMC was the recipient of the automatic entry to the IM 2013 abstract competition in the Clinical Research category, and Amanda Horne, also of UMMC, was the recipient of the automatic entry in the Clinical Vignette category.
A strategic planning half-day workshop on the 6th kicked off the meeting. Sue Hingle, Chair-Elect of the ACP Board of Governors, facilitated the session, which produced ideas that will form the backbone of our chapterís activity in the coming two to four years. Then, over the ensuing 48 hours, participants at the conference earned more CME credit than has been available at our previous meetings.
Those present heard from several experts in our field from both states, including Rick deShazo, Fred Lopez, Angela Subauste, Vikas Majithia, Stephen Geraci, and Joe Files. Also present were Michael Barr from the national office to speak about practice management and Steven Weinberger, the Executive Vice-President and CEO of the ACP, to speak about the state of the college as well as high-value, cost conscious care.
The two chapters honored this yearís laureate award winners on the evening of the 7th Ė Dr. Rick deShazo of Mississippi and Dr. Fred Thompson and Dr. Joseph Bordelon of Louisiana. Presenters recognized the significant contributions of their careers not only to the health of their patients, but also to the lives of their peers and their mentees in the discipline of internal medicine. The three laureate recipients joined previous laureates the following night at the laureate emeritus dinner where Marshall Ramsey delivered an inspiring message as one who has received care from internists in of our chapter.
While the MS/LA 2013 ACP meeting in New Orleans is still in the future, plans are already in motion for the 2014 meeting when Mississippi coordinates the meeting once again. We look forward to another very exciting slate of presenters and activities that will serve as another celebration of the impact internal medicine has our lives and, more importantly, the lives of our patients.
Calvin Thigpen, MD, FACP
Chairman, Educational Committee
MS LA ACP Meeting 2012, Point Clear, AL
Calvin Thigpen, MD, FACP, Chairman, Education Committee
Joe Files, MD, MACP, Last Lecture
Fred Lopez, MD, FACP
Rick deShazo, MD, FACP
Steven Weinberger, MD, FACP
Susan Hingle, MD, FACP
2013 Jeopardy winners
MS Laureate 2013 - Dr. deShazo and family
Stump the Professor 2013
|Dual-source, dual-energy computed tomography to determine renal stone composition to guide appropriate management||J. Peyton Hines, Laura Skelton-Smith, Brittany Tubb, Charles Upshaw, MD, Kevin Byrd, Cyrillo Araujo, MD, Sunit Sebastian, MD||University of Mississippi|
|A sheep in wolfís clothing: a case of pseudovasculitis||Amanda Horne, MD, Vikas Majithia, MD, Sarah Gaugler, MD, Kenneth Ball, MD, Joe Pressler, MD, Albert Dreisbach, MD||University of Mississippi|
|Ossifying fasciitis presenting as abdominal pseudotumor||Ifrah Jamil, MD and William Davis, MD||Ochsner|
|FRAX (Fracture Risk Assessment Score) has poor correlation with bone mineral density (BMD) in males and exhibits significant racial differences in its characteristics||Allison Jones, Vandana Vedanarayanan, Vikas Majithia, MD||University of Mississippi|
|Lingering shadow from the past: syphilis, a historical disease in present day Louisiana||Jennifer Minadeo, MD, Scott McRight, MD, Armaghan Nematullah, MD, and Madhuchhanda Choudhary, MD||LSU-Shreveport|
|The modified early warning score is a useful tool to diagnose hyperglycemic emergencies and predict mortality in resource limited settings||Dominique Pepper, MD, Porcia Williams, MD, Demondes Haynes, MD||University of Mississippi|
|Low body mass index, medication use, and social factors such as smoking but not secondary medical disorders or older age, may be more prevalent in males with low bone mineral density||Vandana Vedanarayanan, Allison Jones, Vikas Majithia MD||University of Mississippi|
|Curious etiology of pruritic rash in HIV disease||Madan Acharya, MD, Sachin Pai, MD, Samina Hayat, MD||LSU-Shreveport|
|When is Raynaudís disease not just Raynaudís disease: The importance of continue surveillance in patients with Raynaudís disease||Randall Beyl, MD and Dean Lauret, MD||LSU-Baton Rouge|
|Cecal plexiform neurofibroma: an unusual manifestation of neurofibromatosis type I||Joshua Black, Feriyl Bhaijee, MD, Kimberly Gabriel, MD, Luminita Rezeanu, MD||University of Mississippi|
|Getting to the GIST of the GI bleed: A case report||Stewart Boyd, MD, Stephanie Tanner, MD, Naveed Ahmed, MD, John Sheehan, MD||University of Mississippi|
|Central diabetes insipidus: An uncommon complication of invasive rhino-cerebral zygomycosis||Cory Carter, MD, Matthew Craig, MD, Charles McCollum, MD, Andrew Wilhelm, MD||University of Mississippi|
|Acute Hemophilus parainfluenzae endocarditis||Andrew Stevenson, Joel Chandranesan, MD, Nuri Akkus, MD, Madhuchhanda Choudhary, MD, Joan Blondin, MD||LSU-Shreveport|
|Varicella pneumonia in pregnancy||Andrew Stevenson, Joel Chandranesan, MD, Madhuchhanda Choudhary, MD, Keith Scott, MD, Joan Blondin, MD||LSU-Shreveport|
|The invisible man||Vijayaratna Chockalingam, MD and Alan Burshell, MD||Ochsner|
|The sleeping beauty: Successful treatment of a patient with myxedema coma||Vijayaratna Chockalingam, MD and Alan Burshell, MD||Ochsner|
|Postinfectious glomerulonephritis||Hitarth Dave, MD, Lane Frey, MD, Jessica Bhathal, MD, Dragana Lovre, MD, Shaminder Gupta, MD||Leonard J. Chabert|
|I sphinc-thereís a problem with Oddi||Ravinder Dhaliwal, MD and Kareem Abed, BA||Leonard J. Chabert|
|One of many headaches with APL||Kevin Dixon, MD, Carter Milner, MD, Stephanie Elkins, MD||University of Mississippi|
|Recurring extracorporeal circuit clotting during continuous renal replacement therapy in a patient with Scedosporium prolificans induced fungal species: Successful treatment with argatroban||Lee Ferguson, MD, Albert Dresibach, MD, Eva Csongradi, MD, Luis Juncos, MD, and Tibor Fulop, MD||University of Mississippi|
|Emphysematous pyelonephritis: A case report||Paul Fernandes, MD, V Fernandes, Lactancio Fernandes, MD||University of Mississippi|
|Hodgkinís lymphoma presents as pseudoachalasia||Codey Fontenot, MD and Angela Johnson, MD||LSU-Baton Rouge|
|Desmopressin for hyponatremia overcorrection: An effective adjunct treatment for reversing rapid overcorrection and osmotic demyelination syndrome||Kamel Gharaibeh, MD, Nadear Elmahi, MD, Eva Csongradi, MD, Tibor Fulop, MD||University of Mississippi|
|Improvement of post-traumatic stress disorder (PTSD) symptoms with continuous positive airway pressure therapy among veterans with PTSD and obstructive sleep apnea||Kamel Gharaibeh, MD and Sadeka Tamanna, MD||University of Mississippi|
|Pulmonary embolization in face of tunneled catheter-associated blood stream infection: the perils of systemic anticoagulations||Kamel Gharaibeh, MD, Michael Shoemaker-Moyle, MD, Bela Kanyicska MD, Eva Csongradi, MD, Tibor Fulop, MD||University of Mississippi|
|Hemolytic havoc: HELLP, DIC, and TTP in a patient with intrauterine fetal demise||Jacob Graham, MD, Calvin Thigpen, MD, Zeb Henson, MD, Carolyn Bigelow, MD||University of Mississippi|
|Altered mental status following myelography||C.T. Grayson, and Uyen Caro, MD||Tulane|
|Chronic shortness of breath and chylothorax||John Haas, MD and Lee Engel, MD||LSU-New Orleans|
|Adenocarcinoma of the lung presenting with hematemesis||Allyn Harris, MD, Joe Pressler, MD||University of Mississippi|
|An uncommon cause of headache||Canh Hoang, MD and James Crowe, MD||Leonard J. Chaubert|
|Itís just a little red bump, or is it?||Christin Laufer, MD and Layne Green, MD||Keesler|
|I am getting tired and short of breath||Faisal Musa, MD and Luis Espinoza, MD||LSU-New Orleans|
|A curious case of symptomatic hypercalcemia in an HIV patient||Srikanth Paladugu, MD, Saurabh Rajpal, MD, Taru Saigal, MD, and Kenneth Booth, MD||LSU-Shreveport|
|Methylprednisolone: When push comes to shove||David Pollet, MD and Lee Engel, MD||LSU-New Orleans|
|Mean platelet volume is higher in coronary artery disease compared to peripheral artery disease regardless of its severity||Saurabh Rajpal, MD, Kenny Newgene, MD, Elvis Peter, MD, Christopher Kevil, MD, Nuri Akkus, MD||LSU-Shreveport|
|Watershed brain infarct: Can a prescription cause infarction?||Saurabh Rajpal, MD, Abhishek Seth, MD, Taru Saigal, MD, Francisco Luque, MD||LSU-Shreveport|
|Canít catch this: Sore throat associated with leukemia||Jeffrey Reeves, MD, Carter Milner, MD, Stephanie Elkins, MD||University of Mississippi|
|Kikuchiís disease not associated with systemic lupus erythematosus||Talayeh Rezayat, DO, Bryan Ramsey, MD, Andria Smith, MD||Keesler|
|Catastrophic antiphospholipid antibody syndrome: Catastrophe of a thrombotic storm||Taru Saigal, MD, Saurabh Rajpal, MD, Abhishek Seth, MD, Keith Scott, MD||LSU-Shreveport|
|Pseudomelanosis duodeni: A benign coincidence||Taru Saigal, MD, Saurabh Rajpal, MD, Abhishek Seth, MD, Ankur Sheth, MD||LSU-Shreveport|
|Spontaneous epidural hematoma: Beware of the ďbenignĒ back pain||Abhishek Seth, MD, Saurabh Rajpal, MD, Taru Saigal, MD, and Shawn Milligan, MD||LSU-Shreveport|
|IgG4-related disease presenting as systemic lymphadenopathy: A challenging diagnosis||Benjamin Smith, MD, Matthew Carroll, MD||Keesler|
|The prevalence of two xanthine oxidase single nucleotide polymoprhisms in patients with hyperuricemia and gout||Derek Smith, MD and Matthew Carroll, MD||Keesler|
|Hiding in the shadows: A story of hepatocellular carcinoma||Kunal Suryawala, MD, Stacey Fulton, MD, Kamran Shahid MD, William Kurban, MD||LSU-Shreveport|
|Obstructive liver disease: An unusual presentation of sarcoidosis||Sruthi Veerisetty, MD, Feriyl Bhaijee, MD, Shou Tang MD, Christopher Anderson, MD, Wilson Hannah, MD, Sunit Sebastian, MD||University of Mississippi|
UMMC/ ACP Abstract Day Competition October 26, 2012
Scholarly activity at the University of Mississippi Medical Center (UMMC) has blossomed with another year of bountiful submissions of outstanding caliber. Not to be outdone by last yearís activities, this yearís medical students, residents and fellows submitted a total of 60 abstracts, 5 of which were considered for oral presentation.
This yearís winners in the oral competition were Sumana Nagireddy, a 1st year Heme/Onc fellow, and Patrick Williams, a 4th year medical student. Sumanaís insightful presentation about an IgG4 related testicular pseudotumor guaranteed her a trip to the National ACP Meeting to be held in San Francisco in April 2013. Patrick succinctly described an interesting case of two metachronous neoplasms in the radiotherapy fields of a young man with familial adenomatosis polyposis coli. Our poster winners were Carter Milner, a 2nd year Heme/Onc fellow, John Saxon, a 1st year cardiology fellow, and Brittany Simpson, a 2nd year medical student. We are truly indebted to judges such as Rajesh Bhagat, Mary Jane Burton, Joe Files, Stephen Geraci, Celso Gomez-Sanchez, Vikas Majithia, Rob McMurray, Gwen Windham, and Marion Wofford who selflessly gave of their time to review and judge abstracts and presentations.
At our UMMC/ ACP Abstract Day, we recognized Brett Bennett, Rebecca Chick, Arnaldo Lopez-Ruiz and Adesh Patel as winners in the ACP Olympics for their participation in Morning Report, Fridays at the Bedside, and Noon Conference. We also acknowledged Bobby Tullos, a 1st year resident, with the ACP Mississippi Chapter Volunteerism Award for his selfless and passionate leadership to renovate the Jackson Free Clinic. Due to his efforts and support from many others at UMMC, the Jackson Free Clinic now boasts physical therapy, dentistry and pharmacy services as well as many well-equipped examination rooms to assist medical students as they tend to the health care needs of the poorest in Jackson.
Having laid a secure foundation in scholarly activity and community involvement, we look forward to great opportunities that are created as we continue to build on the commitment and achievements of our medical students, residents and fellows.
Dominique Pepper, MD
ACP Associates Council, Mississippi
UMMC ACP Abstract Day 2012