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Wisconsin Medical Journal Cover 109No2 August 2010 • Volume 109 • Issue 4 Official publication of the Wisconsin Medical Society fighting the flu: what we’ve learned about H1N1 and more Wisconsin Medical Journal • 2010 • Volume 109, No. 4 185 Official publication of the Wisconsin Medical Society EDITORIAL ‘The Flu’ .......................................................................................191 John J. Frey, III, MD COMMENTARY Letters to the Editor ...................................................................190 A Summer in Research on Newborn Screening ......................225 Abigail M. Bales, BS ORIGINAL CONTRIBUTIONS COVER THEME Seasonal Influenza in Primary Care Settings: Fighting the flu: Review for Primary Care Physicians ........................................193 What we’ve learned Jonathan L. Temte, MD, PhD; Jacob P. Prunuske, MD, MSPH about H1N1 and more Epidemiologic and Clinical Features Among Patients Hospitalized in Wisconsin with 2009 H1N1 Influenza A Effective response to Virus Infections, April to August 2009 ....................................201 influenza requires back- Amit S. Chitnis, MD, MPH; Shaun A. Truelove, MPH; Jean K. Druckenmiller, BS, CIC; Richard T. Heffernan, MPH; ground knowledge about Jeffrey P. Davis, MD the virus as well as up-to- Influenza-related Viral Myocarditis ..........................................209 date public health surveil- Shereif H. Rezkalla, MD; Robert A. Kloner, MD, PhD lance data. This issue of The Usefulness of Health Care Databases in Wisconsin the Journal offers a better for Identifying Hmong Patients with Cancer .........................214 understanding of the epide- Mary Foote, MS; Jacqueline Matloub, MB, BS miology, clinical character- CASE REPORTS istics, diagnosis, prevention, Cardiac Computed Tomography and Quadricuspid Aortic and management of both Valve: A Case Report ..................................................................219 Carrie B. Chapman, MD; Takushi Kohmoto, MD; seasonal and H1N1 influenza Annie F. Kelly, MD; Frank Thornton, MD; Jon G. Keevil, MD –essential elements of effective patient care. Cover design by Mary Kay Adams-Edgette. The mission of the Wisconsin Medical Journal is to provide a vehicle for profes- sional communication and continuing education of Wisconsin physicians. 186 Wisconsin Medical Journal • 2009 • Volume 109, No. 4 The Wisconsin Medical Journal (the Journal) (ISSN 1098-1861) is the official publication of the Wisconsin Medical Society and is devoted to the interests of the medical profession and health care in Wisconsin. The managing editor is responsible for overseeing the production, business operation and con- tents of the Journal. The editorial board, chaired by the medical editor, solic- its and peer reviews all scientific articles; it does not screen public health, socioeconomic, or organizational articles. Although letters to the editor are reviewed by the medical editor, all signed expressions of opinion belong to the author(s) for which neither the Journal nor the Wisconsin Medical Society take responsibility. The Journal is indexed in Index Medicus, Hospital Literature Index, and Cambridge Scientific Abstracts. Send manuscripts to the Wisconsin Medical Journal, 330 E Lakeside St, Madison, WI 53715. Instructions to authors are available at the Wisconsin Medical Society Web site: www.wisconsinmedicalsociety.org, call 866.442.3800, Volume 109 • Issue 4 or e-mail [email protected]. MEDICAL EDITOR SOCIETY OFFICIALS John J. Frey, III, MD Thomas Luetzow, MD, FACEP HEALTH INNOVATIONS President EDITORIAL BOARD ‘SWINEUPDATE’: Using EMR charting tools as a clinical George M. Lange, MD, FACP, John J. Frey, III, MD President-Elect decision support tool during the H1N1 outbreak ...................222 Philip F. Giampietro, MD Robert J. Jaeger, MD, FACOG Mahendr S. Kochar, MD, MACP Immediate Past President Alexander Young, MD Kathleen R. Maginot, MD Susan L. Turney, MD, Thomas C. Meyer, MD Executive Vice President/CEO Richard H. Reynertson, MD John W. Hartman, MD, Treasurer YOUR PROFESSION Sarina B. Schrager, MD Charles J. Rainey, MD, JD, Speaker Dean’s Corner Geoffrey R. Swain, MD Michael Miller, MD, Vice Speaker Darold A. Treffert, MD Birthday Reflections for Family Medicine BOARD OF DIRECTORS Steven H. Yale, MD Kevin A. Jessen, MD, Chair at the University of Wisconsin ..................................................231 Evidence-Based Medicine Martha (Molli) Rolli, MD, Vice Chair Valerie J. Gilchrist, MD; Robert N. Golden, MD Consultant District 1 David A. Feldstein, MD Mark E. DeCheck, MD Mahendr S. Kochar, MD, MACP STAFF From the Office of General Counsel Kesavan Kutty, MD Kendi Parvin Five Things Every Physician Needs to Know About Jeffrey W. Bailet, MD Communications Director Lowell H. Keppel, MD Freebies and Discounts .............................................................233 Mary Kay Adams-Edgette Kathryn Leonhardt, MD Alyce C. Katayama, JD; Lisa A. Lyons, JD Layout and Design George L. Morris, MD Rachel Berens-VanHeest Michael W. Lischak, MD Editorial Consultant Barbara A. Hummel, MD MetaStar Matters Lisa Hildebrand Rosanna Ranieri, MD WHITEC: The Wisconsin Health Information Editorial Assistant Sridhar V. Vasudevan, MD Technology Center ......................................................................229 ADVERTISING District 2 Heidi Koch, Slack Attack Jay A. Gold, MD, JD Jay A. Gold, MD, JD, MPH; Ashley Green Advertising, 608.222.7630 or David C. Murdy, MD Tosha Wetterneck, MD [email protected]. Martha (Molli) Rolli, MD YOUR SOCIETY SUBSCRIPTION RATES Kurt Wilhelm II, MD Members: included in member- District 3 Barriers to Research in Rural Wisconsin ..................................227 ship dues. Non-members: $99. Erik A. Gundersen, MD, MA Current year single copies, $12 Katherine Hilsinger, MD Alisha Fahley each. Previous years single cop- District 4 ies, when available, $10 each. Jean C. Montgomery, MD Periodical postage paid in Richard A. Dart, MD YOUR PRACTICE Madison, Wis, and additional Mary Jo Freeman, MD, FACP Instructions to Authors ..............................................................224 mailing offices. Noel Deep, MD Published every other month, District 5 Terry L. Hankey, MD Classified Ads ..............................................................................236 beginning in February. Kevin A. Jessen, MD Acceptance for mailing at special Karen L. Meyer, MD rate of postage provided for in Section 1103, Act of October District 6 3, 1917. Authorized August 7, Nicky Plementosh, MD John W. Hartman, MD 1918. Address all correspon- Bruce M. Neal, MD dence to the Wisconsin Medical Journal, PO Box 1109, Madison, District 7 WI 53701. Street address: 330 E Arne T. Lagus, MD Lakeside St, Madison, WI 53715; Andrea C. Hillerud, MD e-mail: [email protected] District 8 David Saarinen, MD POSTMASTER Send address changes to: Medical Schools Section Philip Redlich, MD Wisconsin Medical Journal, PO Box 1109, Madison, WI 53701 Young Physician Section Jerry L. Halverson, MD ISSN 1098-1861 Established 1903 Resident Fellow Section Summer Hanson, MD Medical Student Section Cory J. Hartman, Medical College of Wisconsin Kevin Campbell, UW School of Medicine and Public Health © 2010 Wisconsin Medical Society Letters to the Editor doctors more, it is to pay them dif- has occurred during that time. Comments on ‘The ferently. We went into this profession I look back with pride at when we at to take care of patients, not do office the Marshfield Clinic adopted the phi- Worst Doctor in visits. And we want to do it in a thor- losophy that we all worked hard and pay ough, thoughtful and proactive fashion, should be based on that, not productivity. the Worst Clinic’ rather than a piecemeal, reactive, and So we adopted in 1953 the so-called equal recovery fashion. salary plan, with all doctors, after a few The best idea I have come up with years, getting the same salary. It was what I liked your editorial entitled “The to accomplish this agrees with Dr Frey’s made us successful, but outside pressure Worst Doctor in the Worst Clinic.” suggestion: pay primary care docs a in radiology brought it to a close in 1980. (WMJ. 2010;109[3]:123-124.) Even dependable salary, perhaps through a The only important thing today is more so, I am glad that you published per-patient-per-month approach, and to use your editorial to change or mod- it. It needs to be said, many times and then allow innovation and time for ify the system. The only way I see to in many ways. paperwork, phone calls, e-mails, popula- accomplish this is by the profession. I The primary care environment con- tion health initiatives and other efficient would hope that the Wisconsin Medical tinues to get worse. In my practice, care measures. Society would accept this challenge, set we were just told that we were getting We need to get paid to take good up a study group charged with com- an “increase in salary at the expense of care of patients, not just see them in the ing up with a compromise solution and the specialists.” When I looked at the office. Then we will see real advances in then taking that to government, which provider and patient satisfaction, costs numbers, however, we are in reality see- is the only organization with the power ing approximately 15% to 20% more and outcomes. to make this vital change. Primary care patients to make 10% more dollars com- Thanks for spreading the word. physicians have been the backbone of pared to 4 years ago; ie, we are getting Paul Hartlaub, MD, Brown Deer good medical practice forever, and if we paid less per unit of work.
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