RHODE ISLAND M EDICAL J OURNAL DR. FARMER IN HAITI PAGE 58 Jwu’s new PA SCHOOL PAGE 46 LIFETIME ACHIEVEMENT RIMJ AWARD FOR DEBUTS DR. CARPENTER IN 1917 Brown’s PAGE 54 PAGE 63 PRESIDENT PAXSON PAGE 47 JANUARY 2013 VOLUME 96 • NUMBER 1 ISSN 1086-5462 FROM THE PUBLISHER RIMS journal goes green, resumes former name NEWELL E. WARDE, PhD EXECUTIVE DIRECTOR, RIMS AS OF THIS MONTH, THE VENERABLE for a hiatus of one year and three monthly journal of the Rhode months in 1918–1919, when The Island Medical Society (RIMS) Rhode Island Medical Journal was has more readers, more pages, a temporary casualty of World War more color and more variety than I. In announcing a pause in publi- ever before, while simultaneous- cation after the September 1918 ly sparing the environment and issue, the Journal noted: “The consuming fewer of the Society’s Editor, the Business Manager and resources. Such are some of the the members of the Publication many advantages of electronic Committee are in the service” and publishing. Starting with this assured readers that “When the January 2013 issue, the journal is war is over – when the Hun has readily accessible anytime, anywhere on mobile gotten his just dues, and our brave fellows have devices, laptops and desktops. Advertisers and returned to their homes, and life is again normal readers now have the convenience of hypertext, – The Rhode Island Medical Journal, rejuvenat- live links and occasional video that expands, ed, will again represent the medical profession deepens and enriches the journal’s content. of this State. God grant that it may be soon.” And so, as the Medical Society enters its third Now, on the occasion of the Journal’s newest century, its journal too enters a new, innovative rejuvenation, the Society era. Mindful of its mission to educate and to re- takes pleasure in express- THESE PHYSICIANS SERVED cord, RIMS has been publishing its own clinical ing its deep gratitude to AS EDITORS OF THE RHODE journal for 154 years, beginning with the Trans- Dr. Joseph Friedman for ISLAND MEDICAL SOCIETy’s actions of the Rhode Island Medical Society, the quality of vision and PUBLICATION. PICTURED FROM TOP ARE: which first appeared in 1859. the continuity of lead- ROLAND E. HAMMOND, MD The family tree from which the Society’s jour- ership he has provided. (1917–1920) nal springs also includes The Providence Medical Dr. Friedman has been FREDERICK N. BROWN, MD Journal, which was founded by the Providence editor-in-chief since 1999 (1921–1936) not shown Medical Association (PMA) in 1900 and appeared and now leads the Jour- ALBERT H. MILLER, MD quarterly at first, becoming bimonthly in 1902. nal into the digital age. (1937–1942) Starting in 1912, RIMS and PMA merged their Immense thanks are due PETER PINEO CHASE, MD (1942–1956) two publications into one bimonthly journal as well to Dr. Stanley M. JOHN E. DONLEY, MD under the name The Providence Medical Journal. Aronson, editor emeritus, (1956–1960) In 1917, RIMS assumed full ownership of the regular contributor, muse SEEBERT J. GOLDOWSKY, MD journal, produced it monthly, and changed the and mentor. We also sa- (1960–1989) name to The Rhode Island Medical Journal. That lute the other six past STANLEY M. ARONSON, MD title endured for 75 years and returns with this editors of the RIMS Jour- (1989–1998) January 2013 issue. (From 1992 to 1995, the Jour- nal and echo Dr. George JOSEPH H. FRIEDMAN, MD (1999–PRESENT) nal was published as Rhode Island Medicine, and D. Hershey’s words from from January 1996 to December 2012 it was the inaugural issue of Medicine & Health/Rhode Island.) the Providence Medical Journal of January 1900: Monthly publication of the RIMS Journal “We are rather proud of the Journal, both of its has been continuous now for 96 years, except appearance and its contents.” v We’re Rhode Listening, Island! Local Partner, For a premium estimate Superior Service or on-site office visit, contact: To understand Rhode Island medicine, patients and the standard of care, your medical professional liability insurer needs to be here, listening to you. That’s how NORCAL Mutual delivers superior > Lisa A. O’Neill, Assistant Director 401-272-1050 service to Rhode Island physicians — Rhode Island Medical Society Insurance we’re your neighbors. Brokerage Corporation (RIMS-IBC) [email protected] Why NORCAL Mutual? (RI License #: 1049837) > endorsed by the Rhode Island Medical > Lynn White, Account Executive Society since 1994 401-276-7523 NORCAL Mutual Insurance Company > represented exclusively by RIMS The Fleet Center on Kennedy Plaza Insurance Brokerage Corporation [email protected] (RI License #: 2035061) > local risk management expert available for on-site visits > a flexible, fresh approach to underwriting we want to talk with you. RHODE ISLAND M EDICAL J OURNAL 7 COMMENTARY Thoughts on Malpractice JOSEPH H. FRIEDMAN, MD For Now, We See Through a Glass, Darkly STANLEY M. ARONSON, MD 46 IN THE NEWS JWU launches first PA program in state 47 SPOTLIGHT Christina Paxson, Brown’s new president MARY KORR 49 PEOPLE Transitions/Recognition 57 OBITUARIES 58 BOOKS Haiti After the Earthquake by Paul Farmer MARY KORR 61 PHYsician’s LEXICON The Many Dia- Words STANLEY M. ARONSON, MD 63 HERITAGE Rhode Island Medical Journal debuts in 1917 MARY KORR JANUARY 2013 VOLUME 96 • NUMBER 1 RHODE ISLAND Rhode Island Medical Society R I Med J (2013) M EDICAL J OURNAL 2327-2228 PUBLISHER RHODE ISLAND MEDICAL SOCIETY 96 WITH SUPPORT FROM RI DEPT. OF HEALTH 1 PRESIDENT 2013 ALYN L. ADRAIN, MD January PRESIDENT-ELECT 4 ELAINE C. JONES, MD VICE PRESIDENT CONTRIBUTIONS PETER KARCZMAR, MD 12 Systematic Review of Caudal Epidural Injections SECRETARY ELIZABETH B. LANGE, MD in the Management of Chronic Back Pain TREASURER GAURAV DIGHE, MD; JOSEPH H. FRIEDMAN, MD JERRY FINGERUT, MD IMMEDIATE PAST PRESIDENT 17 Descriptive Study of Opioid-Acetaminophen Prescription Patterns NITIN S. DAMLE, MD at the Providence VA Medical Center EXECUTIVE DIRECTOR JAY H. LEVIN, MD; MARGARET M. GORDON, PHARMD; NEWELL E. WARDE, PhD FREDERICK W. BURGESS, MD, PhD EDITOR-IN-CHIEF JOSEPH H. FRIEDMAN, MD 21 Hepatocellular Carcinoma in HIV-Infected Women: Two Case Reports ASSOCIATE EDITOR MICHELLE L. WESTBROOK, MS; SHIKHA GARG, MD; STACEY CHAPMAN, RN; SUN HO AHN, MD SUSAN CU-UVIN, MD; KAREN T TASHIMA, MD; LYNN E. TAYLOR, MD EDITOR EMERITUS STANLEY M. ARONSON, MD 25 Adherence to American Diabetes Association Guidelines in a Volunteer-run Free Clinic for the Uninsured: PUBLICATION STAFF MANAGING EDITOR Better than Standards Achieved by Clinics for Insured Patients MARY KORR AHMED ELDAKROURY, ERICKA P. OLIVERA, ALEXANDRA BICKI, REBECCA F. MARTIN, [email protected] ANNE S. DE GROOT, MD GRAPHIC DESIGNER MARIANNE MIGLIORI 30 Carcinoid Tumor of the Ileoanal Pouch EDITORIAL BOARD in a Patient with Ulcerative Colitis STANLEY M. ARONSON, MD, MPH SONJA CHEN, MBBS; MURRAY RESNICK, MD, PhD; VICTOR PRICOLO, MD JOHN J. CRONAN, MD JAMES P. CROWLEY, MD EDWARD R. FELLER, MD 32 Report on Data Improvement Project on Patient Ethnicity and Race JOHN P. FULTON, PhD (DIPPER): Pilot Design and Proposed Voluntary Standard PETER A. HOLLMANN, MD ANTHONY E. MEGA, MD PAMELA S. WEBSTER, PhD, CTR; SWATHI SAMPANGI, BA MARGUERITE A. NEILL, MD FRANK J. SCHABERG, JR., MD 36 Whatever Happened to the Annual Pap Smear? LAWRENCE W. VERNAGLIA, JD, MPH MARGUERITE B. VIGLIANI, MD NEWELL E. WARDE, PhD PUBLIC HEALTH 39 Health By Numbers: HPV Vaccination among Female Adolescents in Rhode Island, 2008–2011 HYUN (HANNA) KIM, PhD; PATRICIA RAYMOND, RN, MPH RHODE ISLAND MEDICAL JOURNAL (USPS 464-820), a monthly publication, is 42 Vital Statistics owned and published by the Rhode Island COLLEEN FONTANA, STATE REGISTRAR Medical Society, 235 Promenade Street, Suite 500, Providence RI 02908, 401-331- 3207. All rights reserved. ISSN 1086-5462. Published articles represent opinions of the IMAGES IN MEDICINE authors and do not necessarily reflect the offi- 43 Ischemic Volvulized Meckel’s Diverticulitis in a Previously Healthy Boy cial policy of the Rhode Island Medical Society, unless clearly specified. Advertisements do ALEXANDER M. KOWAL, MD not imply sponsorship or endorsement by the Rhode Island Medical Society. Classified Infor- mation: Cheryl Turcotte, Rhode Island Medical Society, 401-331-3207, fax 401-751-8050, [email protected]. Isn’t it time you got your own second opinion? he Rhode Island Medical Society has partnered with Butler & Messier Insurance to provide an Texclusive CONCIERGE PROGRAM for all your insurance needs. Everyone in the Rhode Island medical ǡƥ Ǥ For your own FREE – NO OBLIGATION – SECOND OPINION call John Divver at 401.728.3200 Exclusive Insurance Partners www.ButlerandMessier.com COMMENTARY Thoughts on Malpractice JOSEPH H. FRIEDMAN, MD [email protected] 7 I OCCASIONALLY PERFORM mental state returned to cians to be sued. How many of us know 8 legal consultations con- normal for reasons that all the possible complications of all the EN cerning malpractice. Al- escaped her physicians, many drugs we give patients? These though potentially an although it coincided days it’s almost impossible to avoid unpleasant activity, I with stopping her bladder getting a call from the pharmacy that decided that I should be medication. Her parkin- there’s a possible interaction between available to either side in sonism, however, did not a newly prescribed drug and another a dispute, not only on the improve, since the medi- drug the patient is currently taking. In side of the physician. As cation causing it wasn’t some cases we know this is a theoretical we all know, only a frac- stopped. She was given interaction and one that has not actually tion of true malpractice a diagnosis of atypical been documented.