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Celebrating 25 Years 25 Celebrating Next Month: Travel Adventures Travel Month: Next ADS6036 A.qxp 3/6/17 10:48 AM Page 1

PUBLISHER No Fake News Here Nancy A. Leonard Dear Healthcare Marketer:

January 2017 | www.acphospitalist.org September 2016 | Vol. 36 No. 8 | www.acpinternist.org A n a l s P.O. Box 64 ho doesn’t love a great wedding? ᮋ ® o f I n t e r a l Annals of Internal Medicine 7 February 2017 Volume 166 Number 3 ESTABLISHED IN 1927 BY THE AMERICAN COLLEGE OF PHYSICIANS • • M e d i c n Verona, NJ 07044 I am officially in wedding mode over here. We’ve got three sched- Clearing the air about climate change uled this year alone with many more to follow as each of my family RIGINAL ESEARCH 973-744-9505 O R By Charlotte Huff Dual Health Care System Use and High-Risk Prescribing in 157

Patients With Dementia. A National Cohort Study ncreasingly, patients are asking more online April 19 in Annals of Internal Medicine, questions about the health risks asso - relied on an evidence-based approach and W Targeting Functional Decline in Alzheimer Disease. 164 ciated with climate change, said Douglas encouraged physicians to “become educated 7 I A Randomized Trial DeLong, MD, FACP, chief of the division of about climate change, its effect on human F e b r u a y general internal medicine at Bassett health, and how to respond to future chal- Insurance Expansion and Hospital Emergency Department 172 Healthcare Network in Cooperstown, N.Y. He lenges.” The paper also recommended that [email protected] members reaches the marrying stage. I have 24 cousins who have over 70 Access: Evidence From the Affordable Care Act recalled a recent conversation he had with a physicians, both individually and collectively, patient about the Zika virus. “One of her con- “advocate for climate change adaptation and

2 0 1 7 cerns was should she delay pregnancy this mitigation policies” along with communicat- REVIEWS summer?” ing about related health issues with the public Brain-Type Natriuretic Peptide and Amino-Terminal 180 Dr. DeLong, vice-chair of ACP’s Health and policymakers. Pro–Brain-Type Natriuretic Peptide Discharge Thresholds for and Public Policy Committee, which recently “I think it’s a general recognition that cli- developed a position paper on the subject, mate change is a public health issue, maybe Acute Decompensated Heart Failure. A Systematic Review said that doctors can play a role in the con - even the most important public health issue Annals.org versations around climate change, not just of our generation,” said Dr. DeLong. “I think kids, and this is only the beginning. So I am going to be in this mode for quite Clinical Outcomes of Metformin Use in Populations With 191 by discussing potential health effects with it’s the obligation of physicians to be aware of Chronic Kidney Disease, Congestive Heart Failure, or Chronic patients but also by advocating for policies the potential medical consequences. They Letters 229 Liver Disease. A Systematic Review that might help mitigate the environmental don’t necessarily have to become proselytizers Complete Contents I-5 threat. The position paper, which was published See Climate, page 11 ASSISTANT TO THE PUBLISHER BEYOND THE GUIDELINES

V o l u m e Should We Prescribe Antibiotics to This Patient With 201 Persistent Upper Respiratory Symptoms? Grand Rounds Fibromyalgia characterized by controversy INSIDE awhile! Discussion From Beth Israel Deaconess Medical Center Test Yourself By Mollie Durkin with the

1 6 CIRCULATION MANAGER MKSAP Quiz CLINICAL GUIDELINE uch research is currently delving “[Fibromyalgia] is a fairly common and interpret any sensory stimuli are all increased Recommended Immunization Schedule for Adults Aged 209 into the pain mechanisms of almost ubiquitous problem. It doesn’t matter in volume or increased in gain.” 4 N u m b e r 19 Years or Older, United States, 2017 Mfibromyalgia, a disorder defined what type of subspecialty someone is in; But longtime fibromyalgia researcher by widespread muscle pain that many they’re going to see these patients,” said Frederick Wolfe, MD, founder of the National patients find debilitating and that has such Daniel Clauw, MD, a professor of anesthesiol- Data Bank for Rheumatic Diseases, sees these associated symptoms as fatigue, lack of ogy, rheumatology, and psychiatry at the central nervous system observations as being Next week kicks off this celebratory season with a wedding on the beach in Ocean City, NJ. I IDEAS AND OPINIONS restorative sleep, and memory difficulties. University of Michigan Medical School in Ann the mechanism by which disease is Meet ACP’s 3 Outcomes-Based Pricing as a Tool to Ensure Access to Novel 219 But there remains considerable dissent Arbor. “This is a different type of pain that expressed, not necessarily the cause. new Denise Pecora but Expensive Biopharmaceuticals among the medical community about the needs a fundamentally different type of treat- “What I think is bad is trying to say we

( P a g e s EVP/CEO condition’s cause. ment.” know what causes this, that this is really a dis- 9 DITORIALS Fibromyalgia is a contested illness. ease of the central nervous system caused by E While some physicians characterize it as a The controversy central pain. We really don’t know that,” he

1 5 7 – 2 3 ) The Veterans Affairs Pharmacy System: Perfectly Designed to 221 purely organic illness based on abnormal For Dr. Clauw, author of a fibromyalgia said. Because studies compare people with Achieve the Outcomes It Gets pain amplification, others consider it a bio- review article published in 2014 by JAMA, fibromyalgia to people with no pain, it’s not psycho-cultural disorder with a multifactor- “There’s very clear, objective evidence that surprising that there’s a difference in brain can’t wait to share this special occasion with my cousin Jane. She’s a triplet to boot. My cousin Inpatient Management of Heart Failure: Are We Shooting at 223 ial etiology. this is a real problem: The volume control or activity, he said. 973-744-9505 Managing the Right Target? These 2 groups do mostly agree on man- gain is set too high in the central nervous sys- In terms of potential causes of fibromyal- agement, however: Opioids don’t work, the tem, so people with these problems feel gia, Dr. Wolfe said many factors play a role, resistant hypertension Metformin Use in Patients With Historical Contraindications 225 medications that appear to be effective are things as being painful that are not usually including basic biological, psychological, limited in their therapeutic ability, and non- experienced as painful,” such as tight cloth- societal, and individual ones. In general, peo- 13 pharmacological treatment approaches (par- ing or an inflating blood pressure cuff. This ple with fibromyalgia tend to have less edu- ticularly exercise) seem to be paramount in pain amplification, he said, extends to other cation, be more distressed, and have more life ON BEING A DOCTOR decreasing patients’ pain and increasing sensory stimuli, such as bright lights or loud Fred (her father) has five girls altogether and this is his third one getting married. Let me tell you, Guiding 227 function. noises “because in the brain, regions that See Fibromyalgia, page 12 [email protected]  IN THE CLINIC

A n a l s . o r g Tuberculosis ITC17       he never disappoints with the festivities. The band is always amazing! Everyone sings and dances   ART DIRECTOR (Ad Submissions) like there’s no tomorrow – our family theme song is Build Me Up Buttercup, which everyone gets in James J. Ticchio a circle and sings to the moment the music starts. Direct Media Advertising Doctors everywhere trust these journals for accurate and I can’t believe how weddings have changed over the years. You never know what you are in 73 Glenmere Terrace for, which makes it fun and exciting. Even the showers, save the dates, bachelor/bachelorette Mahwah, NJ 07430 current medical information. parties are creative. And there are so many options for DIY touches. You can really make your 201-327-6985 [email protected] wedding your own. I love that! In this issue, we’re featuring a few fun and fabulous wedding stories from friends in the EDITOR (Editorial Submissions) industry. Dianne Reynolds, definitely ahead of her time as far as creative weddings go, shares Elise Daly Parker her unique wedding adventure celebrated 16 years ago. Angie Randazzo gives us a few glimps- 973-919-1067 es of her beautiful wedding in an historic picturesque setting. When it comes to DIY, Melissa [email protected] Devlin has us covered with loads of creative wedding day details. David Hymson shares his son’s romantic proposal. And Adam Persing provides snippets from three wedding tales. SPECIAL PROJECTS ADMINISTRATOR We’re also highlighting some creative endeavors. Charlotte Sibley shares her passion for Maddie Leonard music and how she’s made it a part of her life over the years. Nayari Valentin loves to write and Join us on has done some spoken-word events, so we’re happy to have one of her beautiful poems featured Facebook.com/HMExchange in the following pages. We’re delighted to have Peter Palmer for this month’s Personal Exchange. And, since we could all use a good laugh, don’t miss the 25th Anniversary Throwback story The Twitter.com/HMExchange Open Window, plus a little update from Rory Flanagan. LinkedIn.com/in/HMExchange Now summer is in full swing! Enjoy the easy breezy atmosphere, and fun family times this HEALTHCARE MARKETER’S EXCHANGE HEALTHCARE season brings. Happy July,

Copyright ©2017 HEALTHCARE MARKETER’S P.S. Don’t forget to send us your HME Humanitarian EXCHANGE. All rights reserved. Address all correspondence to HEALTHCARE MARKETER’S Award nominations. And be sure and include yourself EXCHANGE, LLC, P.O. Box 64, Verona, NJ 07044. as a nominee. Wouldn’t it be great to donate extra cash The opinions expressed are those of the authors to your favorite charity? Check out the details here www. and do not necessarily reflect the views or opinions of the publisher, HEALTHCARE MARKETER’S hmexchange.com/humanitarian.html or contact our Editor EXCHANGE. Available by subscription: $36 for 12 Elise Daly Parker directly at [email protected]. issues. Individual copies available at $4 each. Phone: 973-744-9505. Email: 81% of the physicians who receive ACP Hospitalist and ACPHospitalist.org cover the [email protected]. latest trends in hospital medicine, including advances Annals of Internal Medicine read it.* in health technology, clinical controversies, staffing Annals of Internal Medicine is the most highly cited and scheduling, patient safety, and reimbursement YOU COULD WIN $50 peer reviewed journal in internal medicine. Annals trends that affect hospitalists. and Annals.org publish practice defining studies, clinical guidelines, cutting edge commentary, and ACP Internist and ACPInternist.org provide news Let’s Have Some Laughs evidence-based reviews. Papers related to medical and information for internists about the practice of Submit your funniest and most embarrassing stories on the job, with a friend… education, health policy, ethics, and the history of medicine as well as the policies, products, and or a stranger, and famous family moments: activities of ACP. medicine are also presented. Annals links scholarly • Crazy sales call stories (that time your client stepped in dog doo) knowledge to practice. • Foot in mouth faux pas (when you asked if she was pregnant…and she wasn’t!) • Clothes debacles (the old toilet paper in the pants problem) For more information about our print and digital advertising, contact: • Wedding, kid, social media mishaps (when autocorrect goes too far!) Kevin Bolum, Director, Advertising Sales at [email protected] or Tell us your story. You can even remain anonymous. Send your story to naleonard@hmexchange. 215-351-2440 com or go to our poll at HMExchange.com and you could win $50. Kenny Watkins at [email protected] or 973-785-4839 * Source: Kantar Media, December 2016 Medical/Surgical Readership Study, Internal Medicine Next up? We’re putting together our Fall issue. Be sure and send us your autumn favorite recipes, activities… Office & Hospital Combined, Table 110. and join our Halloween Picture Parade. Send pictures to [email protected]. ADS6036 JULY 2017 Celebrating 25 Years www.HMExchange.com THE EXCHANGE 3 ANNOUNCEMENTS Let’s Celebrate Giving! Send press releases to: [email protected]

promotions adult and pediatric patients with unresectable or metastatic solid tumors onward&upward additions that have been identified as having a biomarker referred to as microsat- ellite instability-high (MSI-H) or mismatch repair deficient (dMMR.) For Alexion Pharmaceuticals, Inc., has announced the appointment of Execu- further information, visit www.merck.com. tive Vice Presidents John Orloff, M.D., as Head of Research and Develop- Novartis has announced that it has entered into a clinical research collab- ment, Anne-Marie Law as Chief Human Resources Officer, and Indrani oration in which Bristol Myers Squibb will investigate the safety, tolera- Franchini, J.D., as Chief Compliance Officer. They can be reached at 475- bility, and efficacy of Mekinist (trametinib) in combination with Opdivo 230-2596. (nivolumab) and Opdivo + Yervoy (ipilimumab) regimen as a potential Bayer has announced the appointment of Bhavesh Ashar as Senior Vice treatment option for metastatic colorectal cancer in patients with micro- President and Head of Oncology for the company’s Pharmaceuticals Divi- satellite stable tumors where the tumors are proficient in mismatch repair sion in the United States. He can be reached at 862-404-3000. (MSS mCRC pMMR). For further information, visit www.novartis.com. Announcing the 3rd Annual Healthcare Marketer’s Exchange Braeburn Pharmaceuticals, Inc., has announced the appointment of Hoffman La Roche, Inc., has received FDA expanded approval of use of Michael M. Derkacz as President and Chief Exectuive Officer. He can be subcutaneous Actemra (tocilizumab) to treat adults with giant cell arteritis. reached at 609-751-5375. This new indication provides the first FDA-approved therapy, specific to Humanitarian Awards this type of vasculitis. For further information, visit www.roche.com. CMI Media, LLC, has announced the appointment of Jennelle Gilbert as Sanofi and Regeneron Pharmaceuticals, Inc., have received FDA approval Office Coordinator,Brinda Patel as Supervisor, Search Engine Marketing, for Kevzara (sarilumab) for the treatment of adult patients with moderately As we celebrate our 25th year, we continue to be amazed by the many ways the people Andrew Hansen as Director, Media, and James Ellis as Associate Analyst, to severely active rheumatoid arthritis (RA) who have had an inadequate and companies in our industry give back. As a way to acknowledge this giving spirit, we Social Media. They can be reached at 215-568-5944. Megan Lotorto response or intolerance to one or more disease modifying antirheumatic share these inspiring stories through our annual Charity Issue and present the Annual has been appointed to Director, Media, and Suzanne Vara as Supervisor, drugs (DMARDs), such as methotrexate (MTX). Kevzara is a human mono- Humanitarian Awards, now in our 3rd year. We invite you to participate! Media. They can be reached at 646-840-0717. Matthew Lenihan has clonal antibody that binds to the interleukin-6 receptor (IL-6R), and has been appointed to Internal Audit Coordinator. He can be reached at 856- been shown to inhibit IL-6R mediated signaling. IL-6 is a cytokine in the 667-8577. body that, in excess and over time, can contribute to the inflammation 2 TOP PRIZES associated with RA. For further information, visit www.sanofi.com. Fingerpaint Marketing has announced the appointment of Marissa Hill to HME Personal Humanitarian Award their Digital Strategy Team. She will be based in the Scottsdale, AZ, office and can be reached at 480-368-7999. Know anyone who really goes above and beyond to take care of others, lead a Publicis Health and Publicis Touchpoint Solutions, Inc., has announced Who you reach matters to your clients movement, raise funds to do good for others? Nominate this person for the HME the appointment of Marianne Nugent as Senior Vice President and Personal Humanitarian Award! The winner will receive a donation toward General Manager of CustomPoint Recruiting. CustomPoint Recruiting their favorite charity. DID YOU KNOW? offers specialized hiring and recruiting solutions for healthcare clients, (Nominate yourself and you could win a cash donation for your top cause!) supporting their internal departments and acting as an extension of their company. She can be reached at 212-771-5500. HME Company Humanitarian Award Rx EDGE Pharmacy Networks has announced the appointment of Joanne 95% Maybe there’s a company in our industry that you’d like to emulate? Carrara ([email protected], 917-793-6111), Dennis Turner of NPs prescribe medications A company that’s a forerunner in doing good…that bands together to make an impact ([email protected], 908-275-8780), and Chris Caggiano (chris. and write an average of on those in need…a company that truly makes giving back not just an obligation but a [email protected], 917-327-8707) as Executive Director, Sales. All 23 prescriptions per day. part of their culture. Maybe it’s your company? Nominate your company choice for the bring comprehensive healthcare media experience to Rx EDGE. 2016 AANP National Nurse Practitioner Sample Survey HME Company Humanitarian Award...the winner will receive a cash donation Surrey Services for Seniors has announced the appointment of Carol Meer- to fund further charitable activities. schaert, M.B.A., R.D., to their marketing and communications team. She Advanced Practitioners REALLY matter! will focus on Surrey’s Home Care services and public relations efforts. She 2 Ways to Nominate can be reached at 610-647-6404 or [email protected]. JADPRO is the publication designed ONLY 1. Go to the Nomination Form on our website, www.hmexchange.com. to eectively reach advanced practitioners awards, mergers 2. Submit your Charity Story directly to The Exchange at [email protected] and in oncology. new¬eworthy approvals you or your company are automatically nominated for the Advanced Clinical has been recognized by the National Association for HME Humanitarian Awards. Business Resources as one of the Best and Brightest Companies to Work Submission deadline is September 1, 2017. For® in Chicago. The award recognizes organizations for their innovative Contact me! Kristina Berberich O’Toole and thoughtful human recources approaches. For further information, visit And the Winner Is… [email protected] Winners will be chosen from all entries by a committee and acknowledged at the www.advancedclinical.com. 631.935.7668 Merck and Company has received accelerated approval for a treatment for advancedpractitioner.com Association of Medical Media 2018 Nexus/HME Humanitarian Awards. patients whose cancers have a specific genetic feature (biomarker). This Select nominations will be published in the 2017 HME November Charity Issue. is the first time the agency has approved cancer treatment based on a All entries will be judged anonymously. common biomarker rather than the location in the body where the tumor originated. Keytruda (pembrolizumb) is indicated for the treatment of

4 THE EXCHANGE www.HMExchange.com Celebrating 25 Years JULY 2017 JULY 2017 Celebrating 25 Years www.HMExchange.com THE EXCHANGE 5 Wedding Stories Wedding Stories

Mountaintop Three Tales from the Winter Fairytale Wedding Frontlines by Angie Randazzo Romance by Adam Persing y husband Mike proposed the Friday before out upon during our by David Hymson Golden Girl – My friend got married recently, and her eight-year-old daugh- Thanksgiving of 2015 with the help of our lit- ceremony. Our friends his is a photo of my son, Dan ter was her maid of honor. At the rehearsal dinner on the night before the tle French bulldog, Napoleon, who presented and family were excited Hymson, proposing to his lovely M wedding, the bride publicly gave her daughter a necklace from Tiffany’s as a the engagement ring, tied around his neck with a ribbon. and positivity surround- girlfriend, Maria Paniou, atop a T way to thank her for being such a great maid of honor. She also gave a speech ed our choice, mountain on how her daughter is her best friend as most told in the Hud- and how she’s proud of the young girl us that they son Val- she’s becoming. Upon receiving the never had big ley. I never necklace, her daughter said, “Actually, plans for New thought Mommy, I prefer gold,” and handed Year’s and now he had a it back! they had a fun romantic weekend to bone in his Not Meant to Be – In 2011, my friends look forward body, yet he tried to set me up with another friend to. There was managed to of theirs from law school at a party. arrange this We both walked into the party, took only one little I’m at left, and my good friend and Dan proposing to Maria. one look at each other, and decided problem – the event in an ex-roommate is at right. it wasn’t meant to be. My roommate venue did not Napoleon and Louie. idyllic and remote setting. (at the time) arrived at the party shortly after. He saw the woman who I was allow dogs. They’re avid hikers. Dan set up the camera himself telling Maria he wanted a supposed to be meeting and made a beeline. They hit it off, and I was the best MAKING OUR DOGS PART OF OUR JOY man at their wedding in 2015. After the proposal, but by the time we were unique shot of the two of them with a dramatic backdrop. He caught her completely ready to formally announce our wedding plans, Die-hard Fans – At my sister’s wedding, the groomsmen took off their tuxe- by surprise. The wedding will be in August we added our second Frenchie, Louie, who we dos and wore their high school football jerseys throughout the reception (they, Wedding ceremony at French Creek. atop another mountain in northern NJ. had already planned on getting. We were just and the groom, are huge football fans and all played together when they were Anyone who knows us will attest to the fact that our lives waiting for the next litter to be born. So since we couldn’t younger). The reception was held at a country club and was intended to be a revolve around our dogs, so it was no surprise that Napo- have them with us the day of the wedding, we decided to David Hymson is Executive fancy affair. My parents and the groom’s parents were...displeased. leon was a part of our proposal. incorporate them by making them a part of our engagement Vice President, Director of Stra- THE PERFECT WEDDING PLACE shoot – and using one of these photos for our Save the Date. tegic Services, Sentrix Health Adam Persing is Chief Data Scientist, PeerSourcing Solutions, 35 East 21st Street, 4th Floor, New York, NY 10010. He can be reached Shortly after our engagement, we started venue searching Continued on page 7 Communications, 230 Park Ave- and fell in love with French Creek Golf nue South, New York, NY at 973-809-7290 or [email protected]. Club among the rolling hills of historic 10003. He can be reached at 212-771-1348 or Chester County, Pennsylvania. A new Wedding Details [email protected]. stone clubhouse sat on the site of a pictur- Color scheme: Blush and White esque old homestead amidst many of the property’s original buildings. A dramatic Flowers: Majestic Florals, Reading, PA Winter Fairytale Continued from page 6 backdrop completed the picture with acres Photography: Jenny Castro It worked out perfectly and we were thrilled with the way Even though I didn’t get my winter wonderland wed- of rich, breathtaking beauty provided by Photography, Philadelphia, PA our Save the Date turned out. ding, the day was still a fairytale. Our pictures turned the surrounding terrain and wildlife. We Fast forward after months of meticulous planning and out beautifully and we had the absolute best day sur- Bride’s look: Gown by Lazaro set our date to be married on the first of making sure every little detail was perfect, the day finally rounded by all the people in our lives who mean the from La Bella Moda, Conshohocken, January 2017; a New Year’s Day wedding. arrived. I went downstairs as I do every other morning and most to us. PA; Hair by Suzy Tranquillo, Reading, I had always dreamed of a winter wed- asked Alexa for the weather. Her voice responded, “Today’s PA; Makeup by Roxy Jackson, ding, mostly because I couldn’t imagine high is 50 degrees.” You heard that right – January 1st, 2017, Angie Randazzo is Account Manager, AMC/ Reading, PA more gorgeous photographs. Wishing for was to be a lovely sunny day, with a high of 50 degrees… ONS (Oncology Nursing Society), 630 Madi- just the perfect amount of snow to coat Bridesmaid dresses: Amsale Sequin not at all the snowy winter white I was hoping for. We son Avenue, Manalapan, NJ 07726. She can Capturing the moment after the ground and trees, French Creek was Collection from La Bella Moda, bared our shoulders with no problem at all that day – be reached at 610-507-9186 or arandazzo@ the ceremony during sunset. the perfect venue. There was even a small Conshohocken, PA I think the fur I bought for each of the bridesmaids actually americanmedicalcomm.com. lake with an old stone springhouse for our guests to look made them sweat.

6 THE EXCHANGE www.HMExchange.com Celebrating 25 Years JULY 2017 JULY 2017 Celebrating 25 Years www.HMExchange.com THE EXCHANGE 7 Wedding Stories Wedding Stories

How I Created my DIY Wedding

by Melissa Devlin

eddings – and my friends with magical, smiles full of braces. W fun, full It was such a fun of love…and expen- piece to add to the sive. Many couples cocktail hour. find themselves plan- Once I gathered ning (and paying all of the photos, for) a wedding while I bought 4” x 6” trying to pay off stu- wooden frames from dent loans, stroke the a local arts and craft monthly rent check, store for $1. I then and put food on the wrote the names of DIY Decorations. table. the people in the Photo Booth Fun. That is why my picture as well as the A TWIST ON THE husband and I decid- year the photo was GUESTBOOK ed to add DIY touch- taken. We placed The year before our from the photo booth es to our wedding. I these along the wall wedding, my husband printed and sent them have always been a of our cocktail hour and I gathered post- to everyone in our crafty person, so it for the guests to cards from all of the places we traveled to together. We Thank You cards. made sense to add as enjoy. It gave a per- put them out on a table in the lobby where the guestbook LASTING FAVORS much DIY pieces to sonal touch and would typically be. Each postcard was already stamped For our favors, we our big day as possi- didn’t cost us much with our address. The Wedding Party. wanted something ble to make it more at all. All you had to do memorable that our personal – and to save money. Here are just some of the DIY DECORATIVE TOUCHES was write your well guests would use for elements that made our wedding our own. We provided every- wishes on the post- years to come. We thing from the place-card card and drop it in COCKTAIL HOUR made wine-bottle lights “Take a Walk Down Memory Lane” holders to the cake top- the mailbox on the out of wine bottles, If you’re looking for a unique addition to your cocktail per. One of my favorite table. My mom then strings of Christmas hour, a photo gallery is fun and a great conversation starter! decorations we created collected all of the lights, and a few deco- For our were the drink flags we filled out cards at rations from the craft store. We drilled a hole in the back of cocktail placed up at the bar. I the end of the night each bottle and snaked the Christmas lights inside. On the hour, we took a package of wooden and mailed a few out outside we added some twine and a tag thanking the guests surprised skewers and cut each one to us each week. It for attending, plus a small bag of yellow and grey M&Ms. I our wed- in half. I then bought dif- was so fun getting Postcards From Our Travels. love visiting my friends’ houses and seeing our favor lit up ding party ferent colored scrapbook the postcards in the on a counter or shelf. with old paper (mainly yellow and mail, weeks after the wedding festivities ended. Creating our DIY wedding was fun. We couldn’t have photos. Our grey since those were our CUSTOM PHOTO BOOTH done it without help from our family. It made our wedding wedding wedding theme colors) With a little creativity you can save a lot of money with extremely personal, fun, and helped us save money. I hope guests went and cut them into various a DIY Photo Booth. First we had to choose a backdrop. We this inspired some of you to try a little DIY of your own. crazy at pic- flag shapes. I glued each decided a classic red curtain would be perfect. We bought tures of my flag to the skewer and props from the local dollar store and a big plastic bin to husband added stickers. Some stick- hold them. My brother created the sign encouraging people Melissa Devlin is Marketing Manager, UBM Life and his ers had quotes about love, Decorative Cocktails. to use the photo booth. The only thing we splurged on was Sciences, Norwalk, CT. She can be reached at 203- best man others had our initials. a tripod and wireless remote for our camera. We then set 523-7067 (o), 203-807-6952 (c), or melissa. as teenag- This was a great way for guests to keep track of their drinks everything up and had people snap away wearing the fun [email protected]. A Step Back In Time. ers or of me and they also added a pop of color. props. After the wedding was over, we had all of the photos

8 THE EXCHANGE www.HMExchange.com Celebrating 25 Years JULY 2017 JULY 2017 Celebrating 25 Years www.HMExchange.com THE EXCHANGE 9 Wedding Stories Creative Endeavorsjournalism section of a new blog that’s launching. So I guess Writing – writing will now be so much more! Two Weddings – Twice the Fun! Here’s a poem written a few years ago. Lighthouse Human by Dianne Reynolds A Journey in Itself by Nayari Valentin by NayaOnFiyah e got York, overlooking the Shawangunk Moun- love to write; it’s my favorite outlet and, in many cases, You were the first person to see me; I exposed my soul married tains. Although it was so hazy that day we my form of release. I actu- I traveled within & basked in worlds unknown official- might as well have been anywhere. W ally wrote a piece for The No cover, no shade, just displays of revelation ly in Las Vegas on The exciting part of this wedding was I Exchange last year, regarding As you inhaled me, you were my exhalation November 8, 2001, that my husband’s entrance was as a tan- my trip to Costa Rica. I truly In your existence I felt free at the Paris Hotel. dem skydiver with 20 of our friends doing feel that something deep I reveled in the beauty of our crazy My inspiration was a circle in the air around him. Then they all within me changes every Lighthouse human you gave me direction, that I had seen Six landed on time I visit a new city, state, No mirrors, but you showed me my reflection Feet Under and when the ground or country and I find myself the main characters among our Traces of our adventures sway & linger compelled to write about it! Brenda and Nate were awaiting I channel my spirit & you are still the trigger In college, I wrote a lot running out of the family and I find myself craving your essence of pieces that I would per- Eiffel Tower, I was friends. I was Lighthouse human I thirst for your presence form at poetry slams or spo- sure they were in Las hiding near- You are the first person to see me naked ken-word events; but now I Vegas. As a result, I by watching. I exposed my soul write mostly for myself and learned about the As soon as No cover Las Vegas wedding with my parents, their friends, enjoy journaling my travel Paris Hotel in Vegas. they landed, No shade and Michael’s brother and wife. adventures. Literature, poetry, Thailand the “Land of Smiles.” When Michael and I I was driven novels, sci-fi, and autobiographies fascinate me. I enjoy the decided to get married and he suggested Vegas, I said yes on back over to the skydiving Nayari Valentin is Media Investment Specialist, fact that a good written piece is a voyage I can take to an two conditions: drop zone to be transported SSCG Media Group, 220 East 42nd Street, New Michael landing. unknown world by sitting on my couch at home or on a 1. No cheesy Elvis chapel in a helicopter and dropped train ride to work and simply flipping a page. York, NY 10017. She can be reached at 212-450- 2. We had to have another wedding reception back off right in the midst of all While I write as a form of self-expression, most recently 2983 or [email protected]. home for family and friends. of our guests. My friend put down a cake plate on the grass I was asked to become a contributing writer for the travel and Billy (my friend and owner of the drop zone) landed Fortunately, my parents had right on the target! a trip planned to go to Vegas My husband and with another couple – my I also catered it our- mom’s childhood friends – so selves. In fact, we were I planned around their trip. there, performing the great masterworks by Bach, Mozart, up till 2 a.m. preparing Michael’s brother and wife Handel, Beethoven, Mendelssohn. No matter how trying the food, leaving the drove in from Arizona, and we Making Music the day, coming to Monday night rehearsals erased all onsite final work to were able to have a small desti- by Charlotte Sibley anxiety and distress in the exacting process of making some culinary friends. nation wedding in Las Vegas! I music. It was September have always Now, my creative outlet is limited to being an enthusias- booked the trip on September 21, 2002, and I was been involved tic audience member at the Fabulous Philadelphia Orchestra 10, 2001 (do the math…the prepared for a cold Iwith music: concerts, and serving as Chair of the Board of Directors of next day was 9/11). Because of night and had heaters piano lessons, The Mendelssohn Club Chorus of Philadelphia, the largest the timing, the world was a little on order only to have and performing volunteer chorus in Philadelphia – and frequent performers crazy and I wasn’t sure if my it be about 95 degrees in choruses and with the Philadelphia Orchestra. Like The Cecilia Chorus, parents were still going to go. and hazy. Regardless, orchestras since Despite hours-long security lines The Mendelssohn Chorus performs some of the same mas- Getting married next to the My dad escorting me from the helicopter. a good time was had junior high terworks, as well as being renowned for commissioning new Eiffel Tower Las Vegas-style! that backed up throughout the by all! school. choral works. A true labor of love! airports and, in the Vegas air- When I lived port, military with rifles, the wedding went on as planned in New York and it was great!! Dianne Reynolds is Group Publisher, OBG Man- City, my cre- A Feast of Carols 2015 – Mendelssohn Club Chorus of Charlotte Sibley is on the Board of Directors, THE SECOND ADVENTURE agement and Ob.Gyn. News, 7 Century Drive, ative outlet was Philadelphia. Taconic Biosciences, 115 Hunt Valley Circle, Ber- Our second wedding was nice because there were no Suite 302, Parsippany, NJ 07054. She can be singing with The Cecilia Chorus of NY under David Ran- wyn, PA 19312. She can be reached at 484-477- pre-wedding jitters since we were already married. We had reached at 973-206-8014 (o), 917-880-9545 (c), dolph. We performed two concerts per year in Carnegie 6668 or [email protected]. this celebration on my friend’s property in Gardiner, New or [email protected]. Hall. It was one of the greatest thrills of my life to sing

10 THE EXCHANGE www.HMExchange.com Celebrating 25 Years JULY 2017 JULY 2017 Celebrating 25 Years www.HMExchange.com THE EXCHANGE 11 Reprinted from the Exchange Throwback July 1992 issue. Must-Know Industry Events AUGUST 2017 1-3 MINNEAPOLIS, MN 17-20 SAN FRANCISCO, CA Neuroradiological Society ExL Pharma is sponsoring “7th 69th Annual Meeting of the Pacific (ENRS) 2017, 800-338-5901 Annual Digital Marketing for Medical Dermatologic Association, The Open Window Devices,” 866-207-6528 888-388-8815 MEETINGS IN by Rory Flanagan 18-20 KAHUKU, HI 16-17 PHILADELPHIA, PA SEPTEMBER Annual Hot Spots in Dermatology, The Center for Business Intelligence 6-9 OJAI, CA mong my first calls as a young rep for Too quickly, as it happened, because in 413-458-2800 18th Annual Fall Conference a business publication was to the CEO is sponsoring “Partnering with IDNs retreating I somehow managed to dislodge the 21-22 PHILADELPHIA, PA on Integrative Medicine in of a major aircraft-leasing company at BioPharma Strategy Summit,” A Waterford crystal replica of a Concorde jet that Women’s Health, The Center for Business Intelligence Shannon Airport in Ireland. I was 800-817-8601 adorned his desk. The crystal fell is sponsoring “Life Sciences Forum 925-969-1789 told to make myself comfortable in to the floor and shattered amid 16-19 AMELIA ISLAND, FL on Data Science and Business 18-20 LAS VEGAS, NV his office and await his arrival. As the papers already strewn there. 28th Annual National it was a grossly overheated office, 27th Annual Mayo Clinic Intelligence,” 800-817-8601 Conference on Women’s I decided to open the window a I felt deep concern for the execu- Hematology and Oncology Reviews, 24-27 TORONTO, ONTARIO Health Care, 925-969-1789 smidge. Unfortunately, weather tive’s cardiovascular health as he 800-462-9633 29th Annual Meeting of The Eastern conditions at Shannon change rap- stared in rage and disbelief at the idly, and that morning an Atlantic devastation, while still sucking on gale had just hit the airport. Upon his bleeding finger. my attempt to open the window a Then he fell to his knees, grab- fraction, instead it flew wide open. bing the crystal fragments and JULY/AUGUST Every bit of paper in the CEO’s u 2017 roaring that the figure was one F n Things To Do office went flying. Some papers of only 20 ever produced – more blew right out the window. Per- Rory Flanagan plexed, I watched them destroyed than the Concorde airplane itself. SummerStage Festival SummerStage is an outdoor festival of the arts held each year at Rumsey Play- by the rain, then blown across the As he kneeled, however, a large field in Central Park. Performances are mostly free, with the exception of a runway by the gale-force winds and by a jumbo shard of crystal – the plane’s nosecone, I always few big name benefit concerts that help fund the SummerStage programming. jet that was taxiing nearby. suspected – cut a jagged hole in the knee of his Check www.centralpark.com periodically as performances are still being added.

Dismayed though I was by this setback, I pants. I noted with regret that he was wearing 7/7 Umphrey’s McGee almost had the window closed when the man an expensive suit. 7/19 PJ Harvey 7/27 Regina Spektor walked in. His expression registered shock and, SummerStage Box Office: 7/31 All Time Low/SWMRS/Waterparks/The Wrecks I offered to help clean up his office and drive Tickets to benefit concerts are available for purchase on-site across I intuited, displeasure, over the shambles in his 8/10 The Revivalists/White Denim from the VIP check-in table on East Drive. Cash and credit cards him to a local hospital, but his intemperate 9/13 Young the Giant w/ Special Guests Cold War office. I apologized. Then he leapt toward the are accepted. The box office is only open on show days. reply cannot be printed here. I have avoided Kids and Joywave window just as I slammed it shut. Unhappily, in the process, the tip of one of his fingers got Shannon ever since that day. 100 Ocean Parkway • Wantagh, NY 11793 • www.JonesBeach.com nipped. He howled with pain. Overwhelmed by Jones Beach – embarrassment and remorse, I quickly stepped Rory Flanagan is retired. He lives in Short Hills, July and The Doobie Brothers 19/20 – Billboard Hot 100 Festival – Demi 29 – Honda Civic Tour – OneRepublic, back. NJ, and can be reached at [email protected]. 18 – Rod Stewart and Cyndi Lauper Lovato, Big Sean, Major Lazer, Zedd, 19 – Incubus, Jimmy Eat World, and Judah Fitz and The Tantrums, and James Bebe Rexha, Camila Cabello, DJ and the Lion Arthur Khaled, Echosmith, Gucci Mane, and 20 – Foreigner, Cheap Trick, and Jason August more Bonham’s Led Zeppelin Experience 1 – Kings of Leon, and Nathaniel 23 – John Mayer 21 – Chris Stapleton, Anderson East, and Rateliff and the Night Sweats 25 – Lynyrd Skynyrd and Hank Williams, Brent Cobb 3 – Brad Paisley, Dustin Lynch, and Jr., and Aaron Lewis As a member of the Met, MoMA, and a number of other 22 – Muse, 30 Seconds to Mars, and PVRIS Chase Bryant and Lindsay Ell 26 – Deep Purple and Alice Cooper, and UPDATE! galleries, I spend a fair amount of time in Manhattan. I do 23 – Boston – The Band, and Joan Jett and 13 – Goo Goo Dolls, Phillip Phillips The Edgar Winter Band the Blackhearts one hour every day of deep-water aquarobics at a local Y. And, periodically, I 15 – Jimmy Buffett and the Coral 27 – Luke Bryan and Brett Eldredge, and 27 – Brantley Gilbert, Tyler Farr, and Luke Reefer Band Craig Campbell go on and off a no-carb diet to avoid buying bigger sizes. The family is well and Combs 16 – Styx, REO Speedwagon, Don 31 – Matchbox Twenty and Counting prospers. I just wish I’d retired 50 years earlier!! 28 – Chicago – The Band 50th Anniversary, Felder Crows, and Rivers and Rust

12 THE EXCHANGE www.HMExchange.com Celebrating 25 Years JULY 2017 JULY 2017 Celebrating 25 Years www.HMExchange.com THE EXCHANGE 13 PERSONAL EXCHANGE Peter Palmer

“To the world, What is your favorite website and/or app? Considering my employer, I should say MDLinx, but I like you may be only and rely on the Uber app quite a bit. one person, but What would you do or buy if you won the lottery? I would love to pay off my kids’ education and loans. If I had to one person, any money left, I would buy a home in Clearwater, FL, which you may be the is the home of the Phillies Spring Training. It is my hope to retire there one day. world.” If your life had a theme song what would it be? I Won’t Back Down – the Johnny Cash version. Do you have any hobbies? Name: Peter Palmer Is yard work considered a hobby? I typically can be found on Birthplace: North Tarrytown, NY the weekends in my backyard gardening and landscaping. I Marital Status: Married get a great deal of satisfaction creating something of beauty with my hands that others can enjoy. Children: I have a son, daughter, and 2 stepdaughters Who was your favorite teacher? Job Title: Vice President, Agency Business Development Dennis Smyth – he was my history teacher in high school Years in Industry: 23 and my coach. He taught me self-worth and how to raise the bar and achieve anything in life I wish to pursue. I still catch a Who is your mentor and how did he/she impact you? beer with him a few times a year to reminisce. William McCausland introduced me to pharmaceutical adver- What one little thing always makes you happy? tising sales 23 years ago. He owned an independent repre- Sitting on a beautiful beach, with my wife, and a cold sentation firm for major medical publications. I am forever Corona Light. thankful for his tutorage. Craziest thing you’ve ever done? What are two things on your bucket list? This is a toss-up between completing the Tough Mudder I would like to play Defensive End on the Eagles, or pitch challenge and almost sinking in a fishing boat 70 miles off- for the Phillies. However, I feel that both opportunities are shore from Atlantic City. That is a long story, but feel free to beyond my capabilities now! ask me about it sometime. What was your first job? What is your pet peeve? Unfortunately, McDonald’s, when I was 16 years old. To this date, I will not eat fast food! One word, Entitlement. You need to work hard and often to Do you have any pets? achieve what you want in life. I have a boxer named Haley who is a true joy; I love her play- If you could see anyone in concert, who would it be? ful energy and silly character. I also inherited a Chihuahua Johnny Cash. named Paco when I married who is just no fun at all. What is your most memorable birthday? If you could do a guest role on a TV show, which one I recently celebrated my 50th birthday, so that is the eas- would it be? iest to remember. My wife and I vacationed in Mexico to I would pull up a barstool next to Norm. celebrate. Finding PCPs is easier than you think. How do you stay fit? What is one thing you can’t live without? If you’re looking to reach primary care docs, look no further than American Family I went to school for Exercise Physiology at Temple University, I know this sounds corny, but that would be my wife. Jen is a Physician. Not only does AFP reach more individual PCPs1, but it’s also a publication so fitness has always been a big part of my life. I lift weights true inspiration in my life and she brings me tremendous joy they trust. Nine out of ten readers have made or changed a patient care decision every day, walk my dog, and do cardio a few times a week. AFP every day. 2 How did you get started in the industry? based on what they read in the journal or online . Make the most of your media placement. Choose the journal that knows PCPs. I started off in this industry representing the American Journal Peter Palmer is Vice President of Agency Business Develop- of Health-System Pharmacy for William McCausland & Asso- 201-288-4440 | [email protected] | aafp.org/afp-mediakit ciates. I helped launch The Lancet in America, and repped ment, M3 USA, 501 Office Center Drive, Suite 410, Fort Wash- Mosby nursing journals. I was soon promoted to Vice Presi- ington, PA 19034. He can be reached at 202-293-2288, ext. 1. Kantar Media, MARS Medical Online Reach Analysis, June 2017 Primary Care Readership and Website study data dent and eventually assumed responsibility of the company. 308 (o), 202-253-5287 (c), or [email protected]. 2. The Essential Journal Study, Primary Care, The Matalia Group, January 2017, an independent survey conducted among office and hospital-based primary care

14 THE EXCHANGE www.HMExchange.com Celebrating 25 Years JULY 2017 Dr. Lu doesn’t do logins, but you’ll recognize her immediately.

Name: Lydia Lu NPI: 9241139807 Specialty: Cardiology State: Michigan

SM Audience Identity Manager (AIM) gives you the name and profile A UDIENCE of physicians who visit your website — no visitor login required. IDENTITY Delivered in real time, this data unleashes new opportunities for visitor MANAGER insights, personalized content, measurable ROI, and post-visit engagement. Learn more at www.dmdconnects.com/AIM.

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