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Medical JOUR RHODE ISLAND M EDICAL J ournaL FORGING A NEW FRONTIER IN 3D PRINTING DURING COVID-19 PANDEMIC See Q&A with Dr. Albert S. Woo, page 83 JUNE 2020 VOLUME 103 • NUMBER 5 ISSN 2327-2228 PATIENT CARE QUALITY OUTCOMES FOCUS ON WHAT MATTERS MOST WITH COVERYS. Quality outcomes for better patient care are more easily achieved when distractions are reduced. At Coverys, we illuminate unforeseen risks so you can focus on patient satisfaction and reduce exposure to malpractice claims. As a premier provider of medical liability insurance, Coverys’ data insights and risk recommendations will help you provide optimal healthcare outcomes that you can see clearly. Very clearly. Visit Coverys.com for more information or call 800.225.6168. Medical Liability Insurance • Business Analytics • Risk Management • Education COPYRIGHTED. Insurance products issued by ProSelect® Insurance Company and Preferred Professional Insurance Company® RHODE ISLAND M EDICAL J OURNAL Preventing, Testing, Managing, and Treating Hepatitis C LYNN E. TAYLOR, MD, FAASLD, FACP GUEST EDITOR 19 Introduction Lynn E. Taylor, MD The Second Biggest Infectious Disease Killer in the U.S.: Hepatitis C Virus Infection and Steps Towards its Elimination in Rhode Island and Beyond LYNN E. TAYLOR, MD, FAASLD, FACP 22 Public Health Approaches Toward Eliminating Hepatitis C Virus in Rhode Island Matthew MURPHY, MD, MPH; KathariNE HOWE, MPH; THEODORE MARAK, MPH; THOMAS BertraND, MPH; MICHAELA MAYNARD, MPH, MSN, NP-C; COLLEEN DALEY NDOYE; RAYNALD JOSEPH; JERRY FINGERUT, MD; PHILIP A. CHAN, MD, MS 26 Liver Ultrasound Elastography: Review of Techniques and Clinical Applications ADIB R. KARAM, MD; MICHAEL D. BELAND, MD 30 Intrahepatic Cholangiocarcinoma in a Patient with Hepatitis C: A Cautionary Tale SOUMITRI BARUA, AB, MD’21; SoPHIE SPRECHT-WALSH, LPN; ZOE WEISS, MD; JAMES N. BUTERA, MD; KHALDOUN ALMHANNA, MD, MPH; SUSAN Hart, MD; JAEL RODRIGUEZ, MD; LYNN E. TAYLOR, MD 35 Comparing Treatment Response Between Older and Younger Patients with Chronic Hepatitis C Virus Infection on Direct-acting Antiviral Agents ALYSSA K. GREENWOOD FRANCIS, MPH; FRANCESCA L. BEAUDOIN, MD, PhD; SAFIYA S. Naidjate, PharmD; CHRISTINE BERARD-COLLINS, MBA, BSPharm; ANDREW R. ZULLO, PharmD, PhD 41 A Modifiable Barrier to Hepatitis C Virus Elimination in Rhode Island: The Prior Authorization Process for Direct-Acting Antiviral Agents Patrick DURYEA; JACKIE HABCHI, PharmD; SOPHIE SPRECHT-WALSH, LPN; AURIELLE THOMAS, MSc; JEFFREY BratberG, PharmD 3 RHODE ISLAND M EDICAL J OURNAL 8 COMMENTARY Keeping Hospitals Safe During the COVID-19 Pandemic LEONARD A. MERMEL, DO Miasmas and Other False Beliefs: The Road to Sickness and Death Herbert RakataNSKY, MD COVID-19: Misinformation Can Kill GHAZAL AGHAGOLI, BS, MD’23; EMILY J. SIFF, MS; ANastasia C. TILLMAn, BA, MD’23; Edward R. FELLER, MD, FACP, FACG 16 RIMJ AROUND THE WORLD London, New York, Rhode Island 79 RIMS NEWS Are you reading RIMS Notes? Working for You 83 SPOTLIGHT Q&A with Albert S. Woo, MD Forging a New Frontier in 3D Printing during COVID-19 Pandemic MARY KORR 85 GLOBAL SPOTLIGHT Q&A with Dean Winslow, MD, on Volunteering in Antarctica MARY KORR 89 BOOKS Q&A with Alyson McGregor, MD, author of ‘Sex Matters’ MARY KORR 99 HERITAGE From the Civil War to the Present: A Snapshot of Floating Hospitals MARY KORR 4 RHODE ISLAND M EDICAL J OURNAL IN THE NEWS RI HOSPITAL AUTHORS 91 92 STUDY FINDS publish study comparing incidence only 3% of individuals with of respiratory virus peak incidence autism receive recommended among varying age groups genetic tests RI FOUNDATION 91 93 URI awards COVID-19 Behavioral offers new online Master’s program Health Fund grants in health care management PEOPLE/PLACES ALAN DANIELS, MD 94 95 JOHN B. MURPHY, MD named Spine Surgery honored by American Division Chief at Geriatrics Society University Orthopedics 95 DR. ANDREW ZULLO BETTY RAMBUR 94 receives American Geriatrics Society URI Nursing Professor, New Investigator Award appointed to Medicare 96 BROWN UNIVERSITY Payment Advisory COVID-19 Research Seed Fund Commission 97 OBITUARIES Peter B. Baute, MD Vincent A. DeRobbio, MD Andrew Edmund Slaby, MD, PhD, MPH 5 JUNE 2020 VOLUME 103 • NUMBER 5 RHODE ISLAND Rhode Island Medical Society R I Med J (2013) M EDICAL J ournaL PUBLISHER 2327-2228 RHODE ISLAND MEDICAL SOCIETY 103 PRESIDENT CHRISTINE BROUSSEAU, MD 5 PRESIDENT-ELECT 2020 CatheriNE A. CUMMINGS, MD VICE PRESIDENT June ELIZABETH B. LANGE, MD CASE ReportS Secretary 45 F18-FDG PET/CT Diagnoses Vasculitis after a 1 THOMAS A. BLEDSOE, MD TREASURER Negative Indium-111 Leukocyte Scan PAARI GOpalakrishNAN, MD JING WANG, MD; DON C. YOO, MD; ELIZABETH H. DIBBLE, MD CHAIR OF THE BOARD PETER A. HOLLMANN, MD 49 Delayed Diagnosis of an Occult Wooden Orbital Foreign Body EXECUTIVE DIRECTOR Yash J. VAISHNav, MD; David POrtelli, MD; MICHAEL E. MIGLIORI, MD, FACS NEWELL E. WARDE, PhD 52 A Rare Case of 4 Ps: Bilateral Pneumothoraces and EDITORS-IN-CHIEF Pneumomediastinum in Pneumocystis Pneumonia WILLIAM BINDER, MD DANIEL YEE, MD; DANNI FU, MD; CHANNING HUI, DO; Edward FELLER, MD NEAL DHARMADHIKARI, MD; GERARDO CARINO, MD, PhD Associate EDITOR KENNETH S. KORR, MD EDITOR-IN-CHIEF EMERITUS JOSEPH H. FRIEDMAN, MD IMAGES IN MEDICINE 55 Simple Nasotracheal Tube Fixation to Prevent Inadvertent Extubation PUBLication StaFF TAIF MUKHDOMI, MD; DANIELLE LOVETT-Carter, MD; MANAGING EDITOR MARK C. KENDALL, MD; SCOTT BENZULY, MD MARY KORR [email protected] GRAPHIC DESIGNER CONTRIBUTIONS MARIANNE MIGLIORI ADvertising ADministrator 57 COVID-19 and Intimate Partner Violence: A Call to Action SARAH BROOKE STEVENS ODETTE ZERO, BA, MD-ScM’22; MEGHAN GEARY, MD [email protected] 60 Work-Life Balance and Career Experiences of Part-Time Versus Full-Time Faculty at the Warren Alpert Medical School of Brown University ERICA Y. CHUNG, MD; ALLISON W. BRINDLE, MD; SHUBA Kamath, MD, MPH; KRISTIN C. LOMBARDI, MD; DELMA-JEAN Watts, MD; VALERIE RYAN, PhD; OFFICE OF WOMEN IN MEDICINE AND SCIENCE ADVISORY BOARD 65 An Evaluation of Connect for Health: A Social Referral Program in RI EMILY ZHU, AB’20; JASJIT S. Ahluwalia, MD, MPH, MS; M. BartON Laws, PhD 70 Brown Urology: A Historical Perspective TIMOTHY K. O’RoURKE, MD; MARK SIGMAN, MD; ANTHONY A. CALDAMONE, MD; ERIC JUNG, MD RHODE ISLAND MEDICAL JOURNAL (USPS 464-820), a monthly publication, is 73 The Health and Socioeconomic Outcomes of Abortion Denial owned and published by the Rhode Island Medical Society, 405 Promenade Street, Suite in Rhode Island: A Health Impact Assessment A, Providence RI 02908, 401-331-3207. All NYKIA R. LEACH, MPH; SAMANTHA ROSENTHAL, MPH, PhD rights reserved. ISSN 2327-2228. Published articles represent opinions of the authors and do not necessarily reflect the official policy of the Rhode Island Medical Society, unless clearly specified. Advertisements do not im- PUBLIC HEALTH ply sponsorship or endorsement by the Rhode 77 Vital Statistics Island Medical Society. ROSEANN GIORGIANNI, DEPUTY State REGISTRAR © COPYRIGHT 2013–2020, RHODE ISLAND MEDICAL SOCIETY, ALL RIGHTS reserved. Ready for Tomorrow Keep moving toward your goals with HUB. When you partner with us, you’re at the center of a vast network of healthcare industry experts who help practices like yours prepare for the unexpected with: ý Medical liability and business insurance to protect your practice, your reputation and your assets ý Employee benefits that help you navigate change and support your people ý Personal insurance and wealth management to help you protect your home and family For more information about our tailored solutions, visit, hubinternational.com/rimed Put our resources to work for you. Daniel Nissi, LIA 800-649-9111 [email protected] Advocacy | Tailored Insurance Solutions | Peace of Mind Commentary Keeping Hospitals Safe During the COVID-19 Pandemic Finding inspiration in a father’s credo LEONARD A. MERMEL, DO 8 8 EN MY FATHER SURVIVED clean their hands. How- physicians, supply chain staff, house- starvation, sickness, and ever, I had not thought of keepers, engineers, infection prevention the death marches of the national shortages in the professionals, public health profession- Holocaust. Growing up, availability of personal als, and many more who have put the he always told my sisters protective equipment well-being of others before themselves. and I how lucky we were worn by staff, shortages In a time of such need, the likes of to be Americans. He said in stethoscopes used to which has not been seen since the 1918 that the United States examine patients, short- flu pandemic, those who have risen to government allowed him ages of filters used on the challenge speaks of the passion and to immigrate here and equipment to prevent the humanity they bring to work each day. have a good life, so we virus from circulating in In my father’s self-penned obituary a should be humble, give the air, shortages of hos- few weeks before his death, he wrote, back, and help the less fortunate. pital disinfectants, shortages in swabs “The only thing I take with me is my The last day off I had was January 6, used to collect specimens to 2020. I am not on the front lines of the test patients for COVID-19 Camaraderie among our staff has afforded us the fight; instead I am charged with devel- infection, shortages in tests opportunity to work together, innovating every hour oping strategies to reduce the risk of used to make the diagnosis, of every day of every week, as much as humanly COVID-19 transmission to our hospital and so much more. Yet, possible, to mitigate risk to those for whom we are staff and uninfected patients. Over the camaraderie among our staff last nearly 30 years, the focus of my has afforded us the opportu- honored to serve with and reduce risk to those who career has been on the prevention of hos- nity to work together, inno- enter our hospital system for care.
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