Cutting edge medicine - innovation - treatment - solutions - advances - cure ALACHUA COUNTY MEDICAL SOCIETY House Calls WINTER 2020 Women's Health Connecting practices to EMERGING TRENDS. We’re taking the mal out of malpractice insurance. In an ever-evolving healthcare environment, we stay on top of the latest risks, regulations, and advancements. From digital health innovations to new models of care and everything in between, we keep you covered. And it’s more than a trend. It’s our vision for delivering malpractice insurance without the mal. Join us at thedoctors.com 7226_FL_Alachua_CMS_WFI_Fal2019_0719_v1.indd 1 7/19/19 3:02 PM The recognition speaks for itself. UF Health Shands Hospital and UF Health Shands Children’s Hospital are ranked for a combined 12 specialties, according to U.S. News & World Report. This reflects our unwavering dedication to providing high-quality patient care. Home to the state’s #1 research hospital, we conduct landmark translational research that moves medicine forward with innovative treatments and discoveries that advances care for millions of patients each year. We have the resources to solve the toughest challenges in health care. UFHealth.org 25716 HOUSE Calls WINTER ad.indd 1 11/15/2019 11:20:11 AM 2 HOUSE CALLS Contribute to the Raise The Roof Campaign! ROBB HOUSE MEDICAL MUSEUM The Robb House Medical Museum was built in 1878 and became the home and medical office of doctors Sarah Lucretia and Robert Robb. Sarah Lucretia Robb was the first female physician in Alachua County. She practiced medicine from 1884 to 1917. The Robb House was renovated by the Alliance and ACMS Community in 1981 and the roof is once again in need of replacement. We are kicking off a Raise The Roof Campaign this spring inviting you and the community to help us replace the roof on this historic treasure. Stay tuned for more next issue! ACMS Board of Directors Executive Officers: Advisory Board Members Matthew F. Ryan, MD, PhD, President Carolyn G. Carter, MD Carl A. Dragstedt, DO, Vice President Christopher R. Cogle, MD Ann T. Tong, MD, Secretary/Treasurer Timothy C. Flynn, MD Matheen Khuddus, MD, Past-President Jennifer K. Light, MD Jesse A. Lipnick, MD Board Members-at-Large Michael J. Lukowski, MD Christopher Balamucki, MD Gerold L. Schiebler, MD Payam Chini, MD Bruce K. Stechmiller, MD, John Colon, MD We Care Medical Director Mary Clarke Grooms, MD Dale Taylor, MD Ronald M. Jones, Jr., MD Ann T. Weber, MD Norman S. Levy, MD, PhD Faraz Afridi, MD, UF Resident Physician, Eduardo Marichal, MD Harry Meisenbach, MD Erick Perez Sifontes, UCF/NFRMC Resident Physician Charles E. Riggs, Jr., MD, FACP Brittany S. Bruggeman, MD, UF Resident Physician Eric Rosenberg, MD Sierra Blashock, UF Medical Student Rep. Robert A. Skidmore, MD E. Scott Medley, MD, Executive Editor Jackie Owens, Executive Vice President HOUSE CALLS 3 CONTENTS 02 Raise The Roof Campaign! 04 Contributing Authors President's Column - Guest Columnists: 06 Human Trafficking in Our Area Robyn Hoelle, MD and Ashley Barash, DO 07 From the Desk of the EVP Jackie Owens, ACMS EVP ACMS September 2019 Dinner Meeting 24 Featured Articles In Memoriam 22 Hal G. Bingham, MD Thomas F. Newcomb, MD Building Awareness About Infertility & Transition 09 To Early Pregnancy Care: A Case Based Example Alice Rhoton-Vlasak, MD and Michelle Larzelere, MD 24 ACMS Happenings What Really is a High Risk Pregnancy? - An introduction 12 to the Subspecialty of Maternal Fetal Medicine 30 ACMS Board Highlights Rizwana Fareeduddin, MD and Kathryn Patrick, MD, A Note from Our Editor: Vaping and Marijuana 31 Use in Pregnancy - A Very Dangerous Intersection Becoming a Reproductive Health Champion Scott Medley, MD 14 Austin Chen, MD In Memoriam 32 Stanley I. Cullen, MD We Did It! How We Started an 16 OB/GYN Residency Program Parker Long, DO Our Medical Community 17 Welcome New Members “It’s Time to Bring Safe Syringe Exchange 20 to Alachua County” ACMS/CBTFL Tailgate Party September 2019 Olgert Bardhi and David Tyson 26 4 HOUSE CALLS CONTRIBUTING AUTHORS Austin Chen, MD Robyn Hoelle, MD, FACEP Parker Long, DO SIMEDHealth Gynecology North Florida Emergency Medicine Resident - Women's Group of North Florida Austin Chen, M.D. practices Gynecology at Dr. Hoelle is Chair of NFRMC Dr. Long is currently a PGY-2 OB/GYN SIMEDHealth’s Women’s Health Clinics in Emergency Medicine and the Resident at North Florida Regional Gainesville, Chiefland and Ocala. She completed Program Director of the North Hospital. He completed his undergraduate her undergraduate and medical education at the Florida Emergency Medicine degree at Rhodes College with a Bachelor State University of New York at Stoney Brook, Residency Program. She graduated of Science in Biology, and then completed and was at Columbia Presbyterian College of from the University of Florida his medical degree at the Edward Via Physicians and Surgeons, Harlem Hospital for College of Medicine and completed College of Osteopathic Medicine in 2013. her Obstetrics and Gynecology residency. After her Residency at Drexel University. Dr. Long served as an OB/GYN in the US eleven years of solo practice in New York City, she Dr. Hoelle's academic interests Navy stationed at Naval Medical Center embarked on a three-year program at Schuylkill are focused on the NFRMC GME San Diego, where he completed his Medical Center in Pennsylvania to further Emergency Medicine Program and internship. He became a flight surgeon develop her minimally invasive women’s health devleoping it into one of the best for the Navy in 2014, spending the last surgery skills. Dr. Chen relocated to Gainesville residency programs in Florida. She four year as a practicing physician at in March 2019 and is on medical staff at HCA/ enjoys the outdoors and spending Marine Corps Air Station Beaufort in South North Florida Regional Medical Center and time with her children. Carolina. HCA/West Marion Community Hospital. Alice S. Rhoton-Vlasak, MD Rizwana Fareeduddin, MD David Tyson UF Health Obstetrics & Gynecology North Florida Perinatal Associates UF COM Medical Student Dr. Rhoton-Vlasak is an Associate Professor at the Dr. Fareeduddin (better known as Dr. David Tyson is a 3rd year medical University of Florida, Department of Obstetrics Fareed) is an experienced physician student at the University of Florida. and Gynecology, working in the Division of who focuses on patient care and quality He grew up in North Carolina, and Reproductive Endocrinology and Infertility. Dr. outcomes. She received her medical completed a degree in history at the Rhoton’s area of interest includes treatment of degree from the American University of University of Virginia. Since moving conditions leading to infertility, as well as other the Caribbean, completed her Residency to Florida for medical school, he reproductive endocrinology disorders including at Providence Hospital and Medical Center, has pursued a passion in organized the treatment of hirsutism, amenorrhea, and followed by a Fellowship at Cedars Sinai medicine and has represented UF endometriosis. She also takes great interest in Medical Center. Dr. Fareed is Board certified College of Medicine in the AMA, routine women’s health care that involves yearly in Obstetrics & Gynecology. Raised in FMA, and as liaison to the ACMS. visits, as well as education that can be given at the South Florida, she is an avid Florida Gators He is the current Chair of the time of those visits. She recently found interest in fan and a passionate supporter of charities Florida Medical Association Medical medical history, and was elected a member of the that benefit the victims of domestic Student Section. American Osler Society in 2017. violence. HOUSE CALLS 5 CONTRIBUTING AUTHORS Scott Medley, MD Kathryn Patrick, MD, FACOG Michelle Larzelere, MD Retired Family Physician Maternal Fetal Medicine UF Health Obstetrics & Gynecology After graduating from the University of Kentucky Dr. Patrick is a Maternal Fetal Medicine Dr. Larzelere completed her undergraduate College of Medicine, Dr. Scott Medley served in physician at North Florida Perinatal degree at the University of Pittsburgh with a the U.S. Army, completing his Residency in Family Associates. She received her undergraduate Bachelor of Arts in Neuroscience, minoring in Medicine and attaining the rank of Major. He degree in Biology from Vanderbilt University Spanish and graduating Phi Beta Kappa. As a entered Private Practice in Gainesville, establishing and then became a true Gator, completing medical student at the University of Virginia, Gainesville Family Physicians. After 20 years in her medical school, OBGYN residency, and She was involved with biomedical research Private Practice, Dr. Medley became a Hospitalist Maternal Fetal Medicine fellowship training projects examining glucagon response to and later acted as Chief Medical Officer at NFRMC. at the University of Florida. Although she insulin-induced hypoglycemia and studying He served as President of the ACMS and of the grew up in Kansas City, she has been a the effect of increased awareness of post- Florida Academy of Family Physicians. He was Gainesville resident since 2008. She is board partum venous thromboembolism on given the Gainesville Sun Community Service certified in Obstetrics and Gynecology and practice behaviors and patient outcomes. Award in 1987 and was chosen Florida Family board eligible in Maternal Fetal Medicine. She was a volunteer Spanish interpreter for Physician of the Year in 1992. He currently is retired underprivileged Hispanic parents at the and volunteers at Haven Hospice. Dr. Medley has Jefferson Area Children’s Health Initiative, served as Executive Editor of House Calls for the and served as a medical student mentor to past 21 years, and has authored over 90 editorials University of Virginia premed students. and articles for this publication. Advertising in House Calls does not imply approval or endorsement by the Alachua County Medical Society.