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September 2018 BulletinALLEGHENY COUNTY MEDICAL SOCIETY September 2018 Genomic Tests Pittsburgh Advances In Breast and the Cancer Treatment Polio Vaccine Telehealth Developments Houston Harbauughhh has over 30 yyeears off expeeriihlihiiience in helping physicians anddild medical pract ices manage chhhange throughh contract negotiations with hospitals and payyoors; contract management; advocacy and new practice start-up counsel. WWee have ppprovided critical supppport in practice merggqers and acquisitions. And we have provided sound advocacy on issues ranging from HIPPAAA compliance to medical staff and peer review matters. EEvvveery challenge a medical practice can facee, wwee havvee seen. WWee havvee helped practices of all size and structure meet these challenges. And wewe know what is ahead. hh-law.com Business • Employment • Estates and TTrrusts • Health Care Litigation • Oil and Gas • Public Finance • Real Estate BulletinALLEGHENY COUNTY MEDICAL SOCIETY SEPTEMBER 2018 / VOL. 108 NO. 9 Opinion Departments Articles Medical Editor.......................330 Community Notes................350 Legal Report ......................340 Explore Pittsburgh’s Hottest Fine Foundation, Jewish Healthcare Federal and Pennsylvania New Restaurants Foundation Announce Winners of 10th Telehealth Developments Deval (Reshma) Paranjpe, MD, FACS Anniversary Fine Awards for Teamwork Mike Cassidy, Esq Excellence in Health Care Editorial ..............................332 Materia Medica ....................344 Disruptive Innovation? Community Notes................351 Eculizumab: A New Treatment Option John Kokales, MD Healthcare Council’s Annual For Myasthenia Gravis Fall Member Conference Lisa Yamagishi, PharmD Perspective ........................ 334 Karen M. Fancher, PharmD, BCOP Pittsburgh and Society News ...................... 354 the Polio Vaccine Pittsburgh Ophthalmology Society Special Report .....................352 Kristen Ann Ehrenberger, MD, PhD Welcomes Shakeel R. Shareef, MD Reportable Diseases 2018: Q2 in October Allegheny County Health Department Perspective ........................ 336 Genomic Tests Results Alliance News ..................... 354 Special Report .....................353 in Major Advances in Mark Your Calendar: December 2 Statement of Ownership, Management Breast Cancer Treatment ACMS Alliance Holiday Party and Circulation Adam Brufsky, MD, PhD Perspective ........................ 338 On the cover Why Neurosurgeons Should Re-Engage in the Palliative Care The Ibis of Cancer Pain Patients Nestor D. Tomycz, MD Apartment, Venice, FL Mark F. Thompson, MD Dr. Thompson specializes in cardiology. EDITORIAL/ADVERTISING OFFICES: Bulletin of the Allegheny County Medical Society, 713 Ridge Avenue, Pittsburgh, PA 15212; (412) 321-5030; fax (412) 321-5323. USPS #072920. PUBLISHER: Allegheny Affiliated with Pennsylvania Medical Society and American Medical Association Bulletin County Medical Society at above ad- dress. The Bulletin of the Allegheny County 2018 PAMED DISTRICT TRUSTEE Medical Society welcomes Medical Editor Executive Committee Amelia A. Paré contributions from readers, physicians, Deval (Reshma) Paranjpe and Board of Directors medical students, members of allied ([email protected]) COMMITTEES professions, spouses, etc. Items may President Awards be letters, informal clinical reports, Associate Editors Robert C. Cicco Keith T. Kanel editorials, or articles. Contributions Richard Daffner President-elect Bylaws are received with the understanding [email protected] Adele L. Towers William K. Johnjulio that they are not under simultaneous Charles Horton Vice President Finance consideration by another publication. ([email protected]) William K. Johnjulio Peter G. Ellis Issued the third Saturday of each Robert H. Howland Secretary Gala month. Deadline for submission of ([email protected]) Patricia L. Bononi David L. Blinn copy is the SECOND Monday John Kokales Treasurer Patricia L. Bononi preceding publication date. Periodical [email protected] Peter G. Ellis Nominating postage paid at Pittsburgh, PA. Scott Miller Board Chair Thomas P. Campbell ([email protected]) Bulletin of the Allegheny County David J. Deitrick Primary Care Amelia A. Paré Medical Society reserves the right to Lawrence R. John ([email protected]) edit all reader contributions for brevity, DIRECTORS Joseph C. Paviglianiti clarity and length as well as to reject 2018 ([email protected]) any subject material submitted. David L. Blinn The opinions expressed in the William F. Coppula Editorials and other opinion pieces Kevin O. Garrett Managing Editor are those of the writer and do not Raymond E. Pontzer Meagan K. Sable necessarily reflect the official John P. Williams ADMINISTRATIVE STAFF ([email protected]) policy of the Allegheny County 2019 Chief Executive Officer Medical Society, the institution with Thomas P. Campbell Jeremy T. Bonfini which the author is affiliated, or the Michael B. Gaffney ([email protected]) opinion of the Editorial Board. Keith T. Kanel Assistant to the Director Advertisements do not imply Jason L. Lamb Dorothy S. Hostovich sponsorship by or endorsement of Maria J. Sunseri ([email protected]) ACMS ALLIANCE the ACMS, except where noted. 2020 Accounting and Finance Manager President Publisher reserves the right to exclude Lawrence R. John Amanda S. Kemp Kathleen Reshmi any advertisement which in its opinion Bruce A. MacLeod ([email protected]) First Vice President does not conform to the standards of Amelia A. Paré Director of Publications Patty Barnett the publication. The acceptance of Matthew B. Straka Meagan K. Sable Second Vice President advertising in this publication in no Angela M. Stupi ([email protected]) Joyce Orr way constitutes approval or Assistant Executive Director, Recording Secretary endorsement of products or services PEER REVIEW BOARD Director of Member Relations Justina Purpura by the Allegheny County Medical 2018 James D. Ireland Corresponding Secretary Society of any company or its Sharon L. Goldstein ([email protected]) Doris Delserone products. Membership Relations Manager Treasurer Bruce A. MacLeod Subscriptions: $30 nonprofit Nadine M. Popovich Josephine Martinez 2019 organizations; $40 ACMS advertisers; ([email protected]) Assistant Treasurer Robert W. Bragdon $50 others. Single copy, $5. John A. Straka Sandra Da Costa Advertising rates and information sent 2020 upon request by calling (412) James W. Boyle 321-5030 or online at www.acms.org. Matthew A. Vasil COPYRIGHT 2018: ALLEGHENY COUNTY MEDICAL SOCIETY www.acms.org POSTMASTER—Send address changes to: Bulletin of the Allegheny County Medical Society, 713 Ridge Avenue, Leadership and Advocacy for Patients and Physicians Pittsburgh, PA 15212. ISSN: 0098-3772 ® Medical Editor Explore Pittsburgh’s Hottest New Restaurants DEVAL (RESHMA) PARANJPE, MD, FACS Autumn evokes in most of us a features sourdough crusts made from you’ll be glad to know that chef/owner sense of buckling down and getting unbleached, nonbromated flour topped Chris Bonfili (also of B Gourmet in down to serious work that harkens back with fresh, local and organic Sewickley) is opening his next venture at to our own school days, even though we ingredients. At $19-24 for a 16 inch pie, the site of the former Mullen’s on East may have worked hard all summer. But it isn’t cheap, but quality tastes good Carson Street. The first floor will feature as the hot weather recedes and cool fall and the proof is apparently in the substantial and elegant comfort food and breezes arrive, a different mode of (nationally recognized) pie. a craft beer menu that will be sure to living comes to pass. Gone are the please as the cold weather arrives. The backyard barbecues, the casual salads 2) Bitter Ends Garden and second floor will feature seasonal and suppers on the deck, picnics, and Luncheonette, 4613 Liberty Avenue, American cuisine a la Avenue B and vacations. Your meal choices are back Bloomfield—Top 50 National Finalist for wine/craft cocktail service. to cooking indoors or venturing out and 2018 Bon Appetit’s Top 10 New rediscovering your own city. Restaurants. Serves breakfast and lunch 5) Lorelei, 124 S. Highland Ave, But where to go? What to try? Your Wed-Sun, featuring housemade East Liberty. Unique Alpine-inspired time and resources are limited, and the sandwiches, salads, pastries, cocktail bar and beer hall, this labor of array of culinary choices in Pittsburgh doughnuts, snacks and coffee. love features Executive Chef Jamilka is finally, happily, and utterly Vegetables are sourced from the Borges, the pastry chef formerly of the bewildering, as befits a city of note. owners’ organic farm in Verona, and you Twisted Frenchman, and the cocktail Fear not, gentle reader! Here’s a list can order online. Menu changes daily. and wine program is headed by talents of the dozen hottest new Pittsburgh from Hidden Harbor and the Rick restaurants to explore and make your fall 3) Fish Nor Fowl, 5523 Penn DeShantz restaurant group. Sure to free time enjoyable. Remember to take Avenue, Garfield (former Salt of the please during Oktoberfest. time to refresh and recharge yourself; Earth location). Another Rick DeShantz part of that includes taking pleasure in restaurant, this is a crowdpleaser with 6) Mediterra Café, 430 Beaver the simple things. I can think of no better upscale, unique and delicious fare under Street, Sewickley Village. Mediterra simple and deeply satisfying joy than a the headings of Farm, Field, Water, and artisan bakery (est. 2001) has now good meal with good company, whether Sweets. Craft
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