PCOM Dean’S Corner Editorial Consultants Chairman: Mark B
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theJOURNAL of the Pennsylvania Osteopathic Medical Association June 2017 The Dawn of a New Era JOIN US ON SOCIAL MEDIA! LECOM Conference Information CME Credits LECOM Summer Primary Care 2017 in Sarasota, X)ka±ĹƋĜÏĜޱƋåŸeke±ĹÚee8{±ŞŞųŅƴ±Ĭ 8ĬŅųĜÚ±ŅýåųŸ±ƚĹĜŧƚåĬå±ųĹĜĹčåƻŞåųĜåĹÏåüŅų üŅųƖLj±ƋåčŅųƼŎěeųåÚĜƋŸţeĬĬĬåÏƋƚųåŸƵĜĬĬÆå ŞĘƼŸĜÏĜ±ĹŸ±ĹÚĘå±ĬƋĘϱųåŞųŅü域ĜŅűĬŸŸååĩĜĹč ĘåĬÚÆåƋƵååĹí±ţĵţ±ĹÚŎŞţĵţ±ĬĬŅƵĜĹčƋĜĵåüŅų ƋĘåŅŞŞŅųƋƚĹĜƋƼƋŅĬå±ųĹƋĘåĬ±ƋåŸƋĜĹüŅųĵ±ƋĜŅĹŅĹ ±üƋåųĹŅŅűÏƋĜƴĜƋĜ埱ųŅƚĹÚ±ų±ŸŅƋ±ţ ĵåÚĜϱĬ±Úƴ±ĹÏåĵåĹƋŸ±ĹÚƋųå±ƋĵåĹƋŅŞƋĜŅĹŸţ ŅŞĜÏŸüŅųƋĘĜŸƼå±ųÏŅƴåųϱųÚĜŅƴ±ŸÏƚĬ±ųĜŸŸƚåŸØ ŞåÚĜ±ƋųĜÏŸØŞ±ĜĹĵ±Ĺ±čåĵåĹƋƵĜƋʱĹÚƵĜƋĘŅƚƋ ĵåÚĜϱƋĜŅĹØkaaÚåĵŅĹŸƋų±ƋĜŅĹŸØĬåč±Ĭĵ±ƋƋåųŸ How To Register ±ĹÚŸŅĵƚÏĘĵŅųåúĜåƵƋĘåüƚĬĬĬåÏƋƚųåŸÏĘåÚƚĬå at lecom.edu/cmeţ ŅųåŸåųƴåƼŅƚųŸŞŅƋüŅųƋĘåX)kaƚĵĵåųa) ŅĹüåųåĹÏåĜűų±ŸŅƋ±Ø8ĬŅųĜÚ±ØčŅƋŅlecom.edu/ X)kaÏĬĜĹĜϱĬü±ÏƚĬƋƼƵĜĬĬŞųåŸåĹƋƋŅŞĜÏŸüųŅĵƋĘå cmeƋŅųåčĜŸƋåųţeÚģƚĹÏƋü±ÏƚĬƋƼϱĹųåÏåĜƴå± ŞåųŸŞåÏƋĜƴåŅü±ŞųĜĵ±ųƼϱųåŞĘƼŸĜÏĜ±Ĺţ ÚĜŸÏŅƚĹƋÆƼåĵ±ĜĬĜĹčŅųϱĬĬĜĹčƋĘåa)ÏŅĹüåųåĹÏå Registration Information ŅþÏåţ Standard Registration: $1,500 Adjunct Faculty Registration: $1,250 Commuter Registration: $450 Contact Us Ƌ±ĹÚ±ųÚ±ĹÚeÚģƚĹÏƋ8±ÏƚĬƋƼåčĜŸƋų±ƋĜŅĹĜĹÏĬƚÚåŸ a)üååØüŅƚųŠĉšĹĜčĘƋŸĬŅÚčĜĹč±ƋƋĘåĜƋDŽ±ųĬƋŅĹØ 0 ŎíĂíåŸƋ:ų±ĹÚƴĜåƵĬƴÚţØ)ųĜåØ{eŎƅĂLjĿ ±ų±ŸŅƋ±Ø8ĬŅųĜÚ±±ĹÚÆųå±ĩü±ŸƋaŅĹÚ±ƼƋĘųŅƚčĘ ! ŠíŎĉšíƅLjěĂŎƖĂ ĘƚųŸÚ±ƼţŅĵĵƚƋåųåčĜŸƋų±ƋĜŅĹĜĹÏĬƚÚåŸa) ï ƵƵƵţĬåÏŅĵţåÚƚxÏĵå üåå±ĹÚÆųå±ĩü±ŸƋţFƋÚŅåŸĹŅƋĜĹÏĬƚÚå±ĘŅƋåĬŸƋ±Ƽţ % ÏĵåÄĬåÏŅĵţåÚƚ Summer CME Ad 2017.indd 1 5/30/17 9:31 AM THE June 2017 / Vol. 61, No. 2 ASSOCIATION OFFICERS CONTENTS President — George D. Vermeire, D.O. President-elect — Joan M. Grzybowski, D.O., F.A.C.O.F.P. Vice President — Pamela S.N. Goldman, D.O., M.H.A., F.A.C.O.I Secretary/Treasurer — William A. Wewer, D.O., F.A.C.O.F.P. 4 From the Editor’s Desk Immediate Past President — Anthony E. DiMarco, D.O., F.A.C.O.F.P. — Robert H. Moran, M.B.A., M.P.A., A.C.C. Executive Director 5 Out of My Mind EDITORIAL STAFF LECOM Editor-in-Chief — Mark B. Abraham, D.O., J.D. 6 LECOM Dean’s Corner Editor Emeritus — Leonard H. Finkelstein, D.O., F.A.C.O.S. Managing Editors — Robert H. Moran and Brenda R. Dill Layout — Brenda R. Dill 7 PCOM Dean’s Corner EDITORIAL CONSULTANTS Chairman: Mark B. Abraham, D.O., J.D. 8 A Student’s Voice — PCOM Anesthesiology: James T. Arscott D.O., chairman Pain Mgmt: Harry Glass, D.O.; Jan T. Hendryx, D.O.; Christopher A. Davis, D.O. Acupuncture: Gregory W. Coppola, D.O., Silvia M. Ferretti, D.O.; Jan T. Hendryx, D.O. 9 About the Authors Dermatology: Anthony Benedetto, D.O.; Richard Johnson, D.O.; Jana Lynn Ebbert, D.O. Family Practice: Marc A. Monaco, D.O., chairman Geriatrics: Katherine E. Galluzzi, D.O.; Robert A. Weisberg, D.O., co-chairmen Medicine: Joseph M.P. Zawisza, D.O., chairman 9 Index to Advertisers Alcoholism, Drug Addiction, Toxicology: Joseph M. Kosakoski, Jr., D.O., chairman Allergy & Immunology: Timothy Craig, D.O.; James DeAngelo, D.O.; Timothy McCloskey, D.O. Cardiology: Peter F. Stracci, D.O. 10 Medical Update Critical Care: Michael A. Venditto, D.O. Emergency Medicine: Gary W. Welch, D.O., chairman The Effect of Cataract Surgery on Gastroenterology: Richard E. Moses, D.O., J.D.; Glenn S. Freed, D.O. General Internal Medicine: Joseph M.P. Zawisza, D.O.; Pamela S.N. Goldman, D.O. Intraocular Pressure in Glaucoma Patients, Infectious Diseases: Robert S. Jones, D.O.; David H. Loughran, D.O.; Amanda E. Wehler, D.O. Glaucoma Suspects, and Normal Patients Metabolic Diseases: Jeffrey S. Freeman, D.O.; James E. McCann, D.O.; Marc A. Vengrove, D.O. Nephrology: Michael L. Levin, D.O.; Edward J. Zaloga, D.O. Olga Stetsyuk, D.O. Neurology: Jeffrey J. Esper, D.O. Conference Information CME Credits Oncology/Hematology: John Conroy, Jr., D.O.; Carlin McLaughlin, D.O.; Jeffrey Stevens, D.O. (Golden Quill Winner, Pulmonary: Gilbert E. D’Alonzo, Jr., D.O.; Michael A. Venditto, D.O. 2017 Clinical Writing Contest) LECOM Summer Primary Care 2017 in Sarasota, Urgent Care: Mark B. Abraham, D.O.; Glenn R. Ortley, D.O. X)ka±ĹƋĜÏĜޱƋåŸeke±ĹÚee8{±ŞŞųŅƴ±Ĭ Obstetrics & Gynecology: Ralph E. Aldinger, Jr., D.O., chairman 8ĬŅųĜÚ±ŅýåųŸ±ƚĹĜŧƚåĬå±ųĹĜĹčåƻŞåųĜåĹÏåüŅų üŅųƖLj±ƋåčŅųƼŎěeųåÚĜƋŸţeĬĬĬåÏƋƚųåŸƵĜĬĬÆå Human Sexuality: Richard A. Ortoski, D.O. ŞĘƼŸĜÏĜ±ĹŸ±ĹÚĘå±ĬƋĘϱųåŞųŅü域ĜŅűĬŸŸååĩĜĹč Osteopathic Principles & Practices: Alexander S. Nicholas, D.O.; Evan A. Nicholas, D.O., co- chairmen 14 Medical Update ĘåĬÚÆåƋƵååĹí±ţĵţ±ĹÚŎŞţĵţ±ĬĬŅƵĜĹčƋĜĵåüŅų Pathology: Amanda E. Wehler, D.O. ƋĘåŅŞŞŅųƋƚĹĜƋƼƋŅĬå±ųĹƋĘåĬ±ƋåŸƋĜĹüŅųĵ±ƋĜŅĹŅĹ Pediatrics: Michael E. Ryan, D.O., chairman Malnutrition and the Physician ±üƋåųĹŅŅűÏƋĜƴĜƋĜ埱ųŅƚĹÚ±ų±ŸŅƋ±ţ Allergy & Immunology: Timothy J. Craig, D.O.; Timothy J. McCloskey, D.O. Capt. Joshua S. da Silva, D.O. ĵåÚĜϱĬ±Úƴ±ĹÏåĵåĹƋŸ±ĹÚƋųå±ƋĵåĹƋŅŞƋĜŅĹŸţ Cardiology: Harry P. Flanagan, III, D.O. Neonatology: Steven M. Snyder, D.O. (Second Place, 2017 Clinical Writing Contest) ŅŞĜÏŸüŅųƋĘĜŸƼå±ųÏŅƴåųϱųÚĜŅƴ±ŸÏƚĬ±ųĜŸŸƚåŸØ Physiatry/Rehabilitative Medicine: Silvia M. Ferretti, D.O., chairman Psychiatry: Timothy S. Mitzel, D.O.; H. Michael Zal, D.O.; Elizabeth A. Ramsey, D.O. ŞåÚĜ±ƋųĜÏŸØŞ±ĜĹĵ±Ĺ±čåĵåĹƋƵĜƋʱĹÚƵĜƋĘŅƚƋ Radiology: Richard M. Purse, D.O., chairman 20 George D. Vermeire, D.O., Installed as ĵåÚĜϱƋĜŅĹØkaaÚåĵŅĹŸƋų±ƋĜŅĹŸØĬåč±Ĭĵ±ƋƋåųŸ Diagnostic Radiology & Nuclear Medicine: Richard M. Purse, D.O. How To Register Invasive Radiology: Terry N. York, D.O. 106th President of POMA ±ĹÚŸŅĵƚÏĘĵŅųåúĜåƵƋĘåüƚĬĬĬåÏƋƚųåŸÏĘåÚƚĬå Radiotherapy: Ellen M. O’Mara, D.O.; Desiree Lerro, D.O. Ultrasonography: David A. Levin, D.O. at lecom.edu/cmeţ ŅųåŸåųƴåƼŅƚųŸŞŅƋüŅųƋĘåX)kaƚĵĵåųa) Rheumatology: Richard A. Pascucci, D.O. 22 Special Pictorial Section ŅĹüåųåĹÏåĜűų±ŸŅƋ±Ø8ĬŅųĜÚ±ØčŅƋŅlecom.edu/ Sports Medicine: Patrick F. Leary, D.O., chairman X)kaÏĬĜĹĜϱĬü±ÏƚĬƋƼƵĜĬĬŞųåŸåĹƋƋŅŞĜÏŸüųŅĵƋĘå Surgery: Theodore S. Eisenberg, D.O., chairman POMA 109th Annual Clinical Assembly Wrap-up cmeƋŅųåčĜŸƋåųţeÚģƚĹÏƋü±ÏƚĬƋƼϱĹųåÏåĜƴå± Cardiovascular: Joseph J. Stella, D.O. ŞåųŸŞåÏƋĜƴåŅü±ŞųĜĵ±ųƼϱųåŞĘƼŸĜÏĜ±Ĺţ General Surgery: Theodore S. Eisenberg, D.O.; Steven Katz, D.O. ÚĜŸÏŅƚĹƋÆƼåĵ±ĜĬĜĹčŅųϱĬĬĜĹčƋĘåa)ÏŅĹüåųåĹÏå Neurological: Richard B. Kanoff, D.O. ŅþÏåţ Ophthalmology: Elena R. Farrell, D.O. 24 POMA Welcomes the D.O. Class of 2017 Registration Information Orthopedics: John J. McPhilemy, D.O. Otorhinolaryngology: Carol L. St. George, D.O. Standard Registration: $1,500 Plastic & Reconstructive: Sherman N. Leis, D.O. 27 CME Quiz Proctology: Jerome A. Greenspan, D.O. Adjunct Faculty Registration: $1,250 Urologic: Laurence H. Belkoff, D.O.; George T. Zahorian, III, D.O. Commuter Registration: $450 Trauma: Susan M. Baro, D.O.; Jan A. Olenginski, D.O.; Regan P. Shabloski, D.O. Contact Us Ƌ±ĹÚ±ųÚ±ĹÚeÚģƚĹÏƋ8±ÏƚĬƋƼåčĜŸƋų±ƋĜŅĹĜĹÏĬƚÚåŸ The Journal of the Pennsylvania Osteopathic Medical Association (ISSN 0479-9534) is published four (4) a)üååØüŅƚųŠĉšĹĜčĘƋŸĬŅÚčĜĹč±ƋƋĘåĜƋDŽ±ųĬƋŅĹØ 0 ŎíĂíåŸƋ:ų±ĹÚƴĜåƵĬƴÚţØ)ųĜåØ{eŎƅĂLjĿ times a year, in March, June, September and December, as the official publication of the Pennsylvania Osteopathic Medical Association, Inc., 1330 Eisenhower Boulevard, Harrisburg, PA 17111-2395. Subscription $20 per ±ų±ŸŅƋ±Ø8ĬŅųĜÚ±±ĹÚÆųå±ĩü±ŸƋaŅĹÚ±ƼƋĘųŅƚčĘ ! 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Opinions expressed by individuals through the pages of this magazine do not necessarily represent the official position of the Pennsylvania Osteopathic Medical Association. Summer CME Ad 2017.indd 1 5/30/17 9:31 AM FROM THE EDITOR’S DESK Mark B. Abraham, D.O., J.D. As we embark upon a new year at POMA the opportunity to better understand the ser- with a new chief executive officer, Diana M. vices, so that when a patient asks about how Ewert, M.B.A., C.A.E., and new president, the psychologist or physical therapist may be George D. Vermeire, D.O., there is the obvious able to help that patient, there will be knowl- opportunity to continue to not only improve edge beyond basics; there will be an ability to OUR organization, but bring new energy, understand and appreciate the other discipline move forward and become a leader amongst and be able to answer questions which the professional medical organizations. In addi- patient may choose to ask you. tion to the articles from our contest winners, Integrative medicine can also work in an which you will have the opportunity to now interdisciplinary way. Familiarize yourself read, we again have other submissions. You with other modalities. Be able to understand Mark B. Abraham, D.O., J.D. will have the joy to read articles, which happen them for when a patient asks about the ben- Editor-in-Chief to discuss in different ways, on moving for- efits of physical manipulation, therapies such ward in the ever-changing world of medicine. as acupuncture, chiropractic vs. OMM, reiki, Just like in a medical practice where you have massage, herbal remedies, and the like. Many your “shoulder days” or “chest pain days” or may be appropriate at one time or another. “rash days,” the same is sometimes true for Perhaps the nature of the modality itself can a journal — just coincidence that all should help provide other benefits to the patient touch on this subject in some form. which we may not recognize at first glance. It Think back to when you were on rotations, may also allow you to try them for yourself.