Samer W. Cabbabe, MD, FACS Inside - St. Louis Metropolitan .
Samer W. Cabbabe,MD, FACSSLMMS President 2016InsideSLMMS 20164 p For the Love of Medicine6 p Thank You for theOpportunity to Serve10 p Q&A with Samer Cabbabe,MD, FACS12 p I nstallation Banquet PhotosValue-Based Payment16 p Transition to Value-BasedModels17 p M edicare ExpandsValue-Based Payment
f SLMMS 2016 pThank You to Our 2016 Installation Banquet SponsorsGold Advocate SponsorsKeane Insurance GroupSt. Anthony’s Medical CenterKeane Insurance Group provides medical professionalliability insurance and risk management services to health-careproviders for any specialty in any state. Visit keanegroup.comfor more information.St. Anthony’s Medical Center is among the largest hospitals inthe St. Louis metropolitan area, serving residents from nineMissouri and Illinois counties and the city of St. Louis. TheCatholic, non-profit medical center, located in south St. LouisCounty, operates a 767-bed comprehensive health-care complexand Level Two trauma center, as well as four urgent care facilities.Keystone Mutual Insuranceand Cogeris Insurance GroupKeystone Mutual Insurance is the first Missouri-based medicalprofessional liability insurance company to provide cash rewardsto policyholders. It is sold exclusively through its captive agent,Cogeris Insurance Group. The company provides unmatchedbenefits to doctors through its innovative, individualizedapproach to insurance. For more information, visitkeystonemutual.com.St. Luke’s HospitalSt. Luke’s Hospital congratulates Samer Cabbabe, MD, on hisinstallation as president of the St. Louis Metropolitan MedicalSociety.Southside Comprehensive Medical GroupSouthside Comprehensive Medical Group is an independentmanaged care physician network.LifeCell Tissue MatrixLifeCell Tissue Matrix products, AlloDerm RegenerativeTissue Matrix and Strattice Reconstructive Tissue Matrix, offera range of benefits to surgeons and their patients for soft-tissuereinforcement. LifeCell tissue matrices allow surgeons to restoremany types of tissue damaged through injury, surgery ordisease—using the body’s innate regenerative power.Silver Table Sponsorsp Moneta Groupp St. Alexius Hospitalp West County RadiologyMissouri Baptist Medical CenterMissouri Baptist Medical Center is committed to improvingthe health and well-being of the people and communities weserve through education, innovation and excellence in a fullcontinuum of medical and surgical services. We are leaders inopen-heart surgery, operate a nationally recognized cancer careprogram, and offer comprehensive orthopedic, gastrointestinaland women’s health services. Visit missouribaptist.org for moreinformation.Bronze Event Sponsorsp Clarity Financial Planners, LLCp Morgan Stanleyp Musculoskeletal Transplant Foundationp SSM Health DePaul Hospital
f SCAM-Q p Opinion How insurance companies, hospitals, government, etc. Slice Costs And Maintain QualityThe Affordable Care Act (ACA) for 2016By Richard J. Gimpelson, MDWhat does the future bring for the ACA in 2016? It is almosta given that rates will go up substantially since enrollment hascome up short of enough healthy people to pay the costs for thesick. The biggest rate increases are coming from health insurerswith the most enrollment.Some of these carriers with increases listed:1Texas Blue Cross – 20% Care First Blue Cross of Maryland – 34% PPO, 26.7% HMOModa (Oregon) – 25.6%Blue Cross Blue Shield of Tennessee – 36.3%Humana (Georgia) – 14.8%-19.44%Wellmark Blue Cross of Iowa – 43%Coventry (Iowa) – 18%Highmark (Pennsylvania) – 13.5%-39.65%Geisinger HMO (Pennsylvania) – 40.6%-58.4%years, but there is no guarantee that there will be one for 2016.It should be noted that if someone wants insurance coverageto begin on Jan. 1, 2016, they should have enrolled by Dec. 15,2015, or else their coverage will not begin until Feb. 1, 2016.If one enrolls at the end of the 2016 open enrollment period,coverage will not begin until March 1, 2016.2One of the first pieces of legislation in 2016 will be a vote by theRepublican-controlled House to repeal the ACA as the Senatehas done in the past. In addition, House Speaker Paul Ryan willintroduce a Republican alternative to the ACA.3President Obama has delayed the ACA individual mandateuntil October 2016. Some feel that this is an attempt to helpDemocrats in the November 2016 congressional elections.4It should be noted that Geisinger was one of the original modelplans touted by President Obama.In 2016 the Supreme Court will hear the challenge to the ACAfrom religious non-profits and religious orders regarding therequirement that their health plans provide birth control whichviolates their religious beliefs.5Enrollment for coverage under the ACA started on Nov. 1, 2015,and ends on Jan. 31, 2016. There have been extensions in priorThe IRS has determined that the cheapest health insuranceplan for a family of four in 2016 will be 20,000.6Dr. Gimpelson, a past SLMMS president, isco-director of Mercy Clinic Minimally InvasiveGynecology. He shares his opinions here tostimulate thought and discussion, but hiscomments do not necessarily represent theDr. Richard J. Gimpelson opinions of the Medical Society or of MercyHospital. Any member wishing to offer an alternative viewis welcome to respond. SLMM is open to all opinions andpositions. Emails may be sent to editor@slmms.org.HARRY’SHOMILIES Harry L.S. Knopf, MDON REPUTATIONI have built a monument morelasting than bronze.In 2017, subsidies to insurance companies will end, so peoplecan expect even higher premium increases than in 2016.7A Google search of “Obamacare in 2016” shows 34 pages ofentries. Feel free to look up the rest since I only got throughthe first seven pages.Can anyone please tell me what Jonathan Gruber is doing are.netWashington Post snews.comwww.examiner.comPeople are often quite vain. If they have money, they want a building with their nameon it. They figure that it will be a lasting monument to remind future generations of whothey were. Maybe so, but who they were is more important than the building. And if theywere significant, people will remember them for their deeds, not their buildings. Futuregenerations will want to name buildings, parks, airports, babies, etc. after these peoplebecause of who they were and not the other way around. The Bible said it succinctly: “Agood name is better than precious oil.” (Ecclesiastes) You still have time to work on it. fDr. Knopf is editor of Harry’s Homilies. He is an ophthalmologist retired from privatepractice and a part-time clinical professor at Washington University School of Medicine.- Quintus Horatius Flaccus (HORACE)St. Louis Metropolitan Medicine 1
St. Louis Metropolitan Medicinewww.slmms.orgDavid M. NowakExecutive Editordnowak@slmms.orgJames BraibishBraibish CommunicationsManaging Editoreditor@slmms.orgPublications CommitteeSean B. Bailey, MDSamer W. Cabbabe, MDArthur H. Gale, MDRichard J. Gimpelson, MDHarry L.S. Knopf, MDJennifer L. Page, MDMichael J. Stadnyk, MDOfficersSamer W. Cabbabe, MD, PresidentJ. Collins Corder, MD, President-ElectChristopher A. Swingle, DO, Vice PresidentJason K. Skyles, MD, Secretary-TreasurerMichael J. Stadnyk, MD, Immediate Past PresidentCouncilorsSean B. Bailey, MDDavid K. Bean, DOMichael G. Beat, MDRamona Behshad, MDC.B. Boswell, MDRobert A. Brennan, Jr., MDJames W. Forsen, MDJoAnne L. Lacey, MDJennifer L. Page, MDAndrea R. Sample, MDInderjit J. Singh, MDAlan P.K. Wild, MDf VOLUME 38 NUMBER 1 FEB/MARCH 2016 pCover Feature: SLMMS 2016For the Love of Medicine Installation Address by 2016 SLMMS President Samer W. Cabbabe, MD, FACS4Thank You for the Opportunity to Serve in 2015 Address to the 2016 Installation Banquet by outgoing PresidentMichael J. Stadnyk, MD6MSMA President Reviews Legislative PrioritiesPostmaster: Send address correspondence to: St. Louis MetropolitanMedicine; 680 Craig Rd., Ste. 308; Saint Louis, MO 63141-7120.Annual Subscription Rates: Members, 10 (included in dues);nonmembers, 45. Single copies: 10.2 February/March 20161250-Year Members Recognized15Common Sense Investing – Part One Identify your goal and the resources you have availablep By Bill Bender, CPA, PFS, MS161718ColumnsSCAM-Q p By Richard J. Gimpelson, MDThe Affordable Care Act (ACA) for 20161MGMA of Greater St. Louis p By John Marshall, MGMA of Greater St. LouisRetrospective and Prospective21AAIM Human Resources Insightsp By Jessica Flora, PHR, Research and Solutions Analyst, AAIM Employers’ Association24NewsDavid M. NowakAdvertising Information: SLMM, 680 Craig Rd., Ste. 308;Saint Louis, MO 63141-7120; (314) 989-1014.Photos from the 2016 Installation BanquetMedicare Expands Value-Based PaymentExecutive Vice PresidentEstablished 1880. Owned and edited by the St. Louis MetropolitanMedical Society and published under the direction of the SLMMS Council.10Physician Compensation and the Transition to Value-Based Models Quality and cost measures are used to reward and incentivize providersp By Brian M. McCook, CPA, Anders CPAs ConsultantsVivek Gulati (Saint Louis University)Craig M. Yugawa (Washington University)Periodicals postage paid at St. Louis, MO.Q&A with SLMMS 2016 President Samer W. Cabbabe, MD, FACSFeaturesCouncil Medical Student LiaisonsSt. Louis Metropolitan Medicine,official bulletin of the St. Louis Metropolitan Medical Society (SLMMS),(ISSN 0892-1334, USPS 006-522) is published bi-monthly by theSt. Louis Metropolitan Medical Society; 680 Craig Rd., Ste. 308;Saint Louis, MO 63141-7120; (314) 989-1014, FAX (314) 989-0560.Printed by Messenger Print Group, Saint Louis, MO 63122.Graphic design by Lisa Troehler Graphic Design, LLC.7Fred W. Rottnek, MD, Receives Arthur Gale Writer’s Award8Two Members Appointed to Unexpired Terms on SLMMS Council8Innovation Nursing Unit Utilizes Latest Technologies, Best Practices19In Memoriam: Terry Watson19SLSMSE Supports Missouri Physicians Health Program23Society Receives Gift of Medical Statuettes and Figurines25Departments12020Harry’s HomiliesNewsmakersCalendar22 Alliance23 Obituaries25 Welcome New MembersThe advertisements, articles, and “Letters” appearing in St. Louis Metropolitan Medicine, and the statements and opinions contained therein,are for the interest of its readers and do not represent the official position or endorsement of the St. Louis Metropolitan Medical Society.SLMM reserves the right to make the final decision on all content and advertisements.
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f SLMMS 2016 pFor the Love of MedicineInstallation Address by 2016 SLMMS President Samer Cabbabe, MD, FACSTMedical Society PresidentSamer W. Cabbabe, MD, FACSAs the indisputableleaders in medicine,it is our responsibilityto preserve thisphysician-patientrelationship andmaintain the highstandards requiredfor patient care.hank you for the privilege to serve asthe 2016 president of the St. LouisMetropolitan Medical Society. Once again,I would like to thank Dr. Michael Stadnykand all past presidents for their service to theMedical Society. I would like to recognizeand thank my wife Amy Cabbabe, my parentsEdmond and Rima Cabbabe, my siblingsNabil and Regan Cabbabe and Monica andBilli Bello, my children Parker and Blair, myin-laws Bob and Charlene Alvarez, executivevice president Dave Nowak, administrativeassistant Liz Webb and colleagues and friendsin attendance for your support.An Honor to Be InvolvedSix years ago, my father surprised me withnews that he had “nominated” me and I hadbeen elected as a councilor of the MedicalSociety. Although initially I was unenthusiasticabout the notion of organized medicine andancillary meetings, I quickly learned to valueboth the people and purpose of the MedicalSociety.I am honored and humbled by theconfidence this organization has placedin my leadership abilities. Why is this sucha tremendous honor? Because physiciansserve an essential role in society. Physiciansimprove and save lives and make the worlda better place. I would like to provide threehistorical and notable stories of suchremarkable physicians achievements:In 1794, Dr. Edward Jenner noticed that girlswho milked cows developed smallpox. Heinoculated a small boy named James Phippswith pus from the cowpox spots of a milkmaid and the boy developed smallpox. Twomonths later, Dr. Jenner scratched pus froma smallpox victim into young James’ arm but4 February/March 2016this time he did not develop smallpox. Thisled to the development of a smallpox vaccine,eventual eradication of smallpox and thedevelopment of widespread vaccination.Dr. Jenner is considered the father ofimmunology.In 1854, there was a cholera epidemic.Dr. John Snow observed where and howthe people who contracted the disease lived.By mapping where the people lived, hediscovered the cause of a cholera outbreakas a street water pump. His investigationsled to the discovery of the bacteria whichcauses cholera, a push for clean water andimproved sanitation and insight into diseasetransmission. Dr. Snow is considered thefather of epidemiology.Finally, in 1928 Dr. Alexander Flemingaccidentally left for vacation withoutsterilizing his agar plates and left thewindow open. When he returned, therewas mold present on some of the plates butsome of the bacteria had been killed. Hebegan the difficult task of isolating thissubstance and this eventually led to thedevelopment of penicillin. Dr. Fleming isconsidered the father of antibiotics.Millions of lives have been improvedand saved as a result of these physicians’accomplishments. Although their theorieswere initially spurned and rejected by thegeneral medical community, they remaineddevoted to their work and ultimatelysucceeded. Similarly, current physiciansexperience profound obstacles in fulfillingtheir ideals of medical professionalism inpractice. We endure because of our loveof medicine.
Love of MedicineWhy do we love medicine?We love medicine because it remains unsurpassed in thep gratification it provides to us.p W e love medicine because it is a profession in which wecontinue to learn, grow and challenge ourselves to furtherimprove on patient outcomes.We love medicine because we make a positive contributionp to our community and society.We love medicine because we are lucky to work withp physician colleagues and non-physician providers whoare smart, dedicated, trustworthy and share similar values.We love medicine because we are the leaders and authoritiesp in a large, complex health-care delivery system where weare given the task of protecting our patients from not onlythemselves, but also the government, insurance companiesand other bureaucrats.Importance of Organized MedicineAs the indisputable leaders in medicine, it is our responsibilityto preserve this physician-patient relationship and maintainthe high standards required for patient care. Organizedmedicine supports us in this regard. The Medical Society’smission statement is: “To support and inspire memberphysicians to achieve quality medicine through advocacy,communication, and education.”The St. Louis Medical Society was founded in 1836 as anadvocate for quality medicine. Its early contributions were todemand sanitation during a cholera epidemic and to petitionSaint Louis University to establish a medical faculty. Bothinitiatives were successful. In 1840, the Society sent delegatesto a national convention of medical societies and collegesthat would lead to the formation of the American MedicalAssociation. e love medicine because we are the leaders andWauthorities in a large, complex health-care deliverysystem where we are given the task of protectingour patients .fpThe AMA began in 1847 through the efforts of doctors whowere concerned that medical education in America was notregulated on a national level due to inconsistent standards.The AMA also tried to combat the prevalence of “quack”medicines—potions with secret ingredients of doubtful useor safety, which were widely available before the inventionof modern drugs. Furthermore, the AMA sought to raisestandards of medical journals.In 1903, the St. Louis County Medical Society formed with 20charter members. In 1979, the St. Louis Medical Society andthe St. Louis County Medical Society merged to become thecurrent St. Louis Metropolitan Medical Society. In past years,membership has numbered 2,800 physicians. In 2016, we markthe 180th year of our medical society. Our vision statement is“Physicians leading health care and building strong physicianpatient relationships.”In conclusion, physicians are indispensable members of society.For the last 180 years, medicine has prospered under theleadership of physicians, and it is our responsibility to preservethis role. Organized medicine assists us in accomplishing thistask. It is our duty to educate all physicians and non-physiciansabout what organized medicine has achieved and why it mustpersist—for our patients and communities. I urge you to joinme and the other leaders of St. Louis Metropolitan MedicalSociety to continue these efforts as there has never been amore critical time.Thank you. fCatholic IndependentCoed Montessori Toddler - KAll-Girls 1 - 12THE BEST OF VIZ STARTS HEREToddlers (Age 2) - Grade 5February 24 8:30 - 10:30 a.m.RSVP: 314-625-9292gotoviz.org/bestofvizSt. Louis Metropolitan Medicine 5
f SLMMS 2016 pThank You for the Opportunity to Serve in 2015Address to the 2016 Installation Banquet by outgoing President Michael J. Stadnyk, MDIMedical Society outgoing PresidentMichael J. Stadnyk, MDWe could notbe a successfulorganization withoutour membership.I encourage each ofyou to reach out to atleast one non-memberand ask them to join.have been honored to serve the organizationas president and look forward to serving asimmediate past president under Dr. Cabbabe.I need to take a moment to thank those thatmade this year possible. First, I would like tothank my wife Cheri and the rest of my familyfor their enduring love and support. Theyknow most about my dedication to medicineand wanting to make a difference. Second,I need to thank Dave Nowak for making myjob easy. And third, Liz, Chris, and Farris formaking his job easy. Jim, thank you for all ofyour help with the magazine.I can’t complement our council enough fortheir hard work and dedication to our causes.We could not be a successful organizationwithout our membership. I encourage each ofyou to reach out to at least one non-memberand ask them to join.This year saw the growth of our relationshipwith medical students, residents and fellows.I look forward to continued growth of theirinvolvement.SLMMS IS NOW ON FACEBOOK AND TWITTER!Like our Facebook page – St. Louis Metropolitan Medical olitan.medical.society/Follow us on Twitter @STLMedSocietyhttps://twitter.com/STLMedSociety6 February/March 2016This year also saw our first PhysicianLeadership Institute, which was a greatsuccess. The enrollment filled to capacityquickly. Our second Physician LeadershipInstitute will return February 13 of this year.The IDEA labs program involves medicalstudents developing innovative medicaltechnology projects. In September, thestudents heard clinical problems submittedby medical professionals and then began theinvention phase of their program. At theirdemo day in May, the students will presenttheir completed projects.We scored a major victory withreestablishment of tort reform. I figured that if we irritated those folksover in Jefferson City enough with ourWhite Coat Rallies, they would want tosee the end of us.I could go on and on, but I am anxious tohear Dr. Stanley’s and Dr. Cabbabe’s remarks.I humbly and sincerely thank everyone fortheir support. f
MSMA President Reviews Legislative PrioritiesAt the 2016 Installation Banquet, MSMA President andinstalling officer John O. Stanley, MD, of Kansas City,reviewed 2015 state legislative accomplishments and 2016priorities for physicians.The primary victory in 2015was passage of MSMA’s tortreform language which cappednoneconomic damages inmedical malpractice lawsuits.In addition, Dr. Stanley said,MSMA deflected attemptsby other health-care licenseesto encroach on the practiceof medicine, but did agree toallow advanced-practice nursesto prescribe small supplies ofDr. John O. StanleySchedule II hydrocodone. TheMissouri Board of Healing Arts is finalizing the rules necessaryto implement the new Assistant Physician law. MSMA isfollowing this process and providing input when needed.For the 2016 legislative session that began Jan. 6, MSMAlobbyists have been working with many legislators to havelegislation filed and ready to push forward. “One issue thatdidn’t pass during 2015 that is top of mind for this session isthe maintenance of certification bill that will prohibit the Boardof Healing Arts from using any maintenance of certificationor specialty board certification in making licensure decisions.It will also prohibit the state from discriminating againstnon-board certified physicians,” Dr. Stanley said.Legislation has been filed to create a prescription drugmonitoring program to make Missouri the final state in thenation to have a program in place. Other priorities for MSMAinclude passage of Missouri’s first comprehensive telemedicineact; mitigating any type of statewide capitated managed caresystem in the Medicaid program; and addressing APRN scopeof practice and collaborative practice issues.Dr. Stanley encouraged physicians to participate in thePhysician of the Day program at the Capitol. Physicianscan register through the MSMA website. fSt. Louis Metropolitan Medicine 7
Fred W. Rottnek, MD, Receives Third Annual ArthurGale Writer’s AwardFred J. Rottnek, MD, MAHCM, was honored at the SLMMSAnnual Meeting and Installation Dinner on Jan. 9 as thethird annual recipient of the Arthur Gale Writer’s Awardrecognizing him for authoring the best contributed articlepublished in St. Louis Metropolitan Medicine during 2015.His article, “When Treatment Doesn’t Lead to Healing: HowTrauma and Toxic Stress Impact Health,” was published in theApril/May issue focusing on disparities in health. The articleshared information about the Adverse Childhood Experiences(ACE) study, which demonstrates the correlation betweenadverse events as a child and poor health outcomes as anadult. He also reflected on the prevalence of trauma andtoxic stress in our society and specifically in the St. Louisregion.Dr. Rottnek is an associate professor and the medical directorof the Area Health Education Center in the Department ofFamily and Community Medicine at Saint Louis University.He is also medical director of corrections medicine for theSt. Louis County Department of Health. A graduate of SaintLouis University School of Medicine and the Master of Artsin Health Care Mission program at Aquinas Institute ofTheology, he teaches in the School of Medicine and theInterprofessional Education Program, and engages incommunity-based and academic research.Fred Rottnek, MD, left, and 2015 SLMMS President Michael Stadnyk, MD.Dr. Rottnek received a 250 cash prize and a plaque. Theaward is funded by SLMMS past president and longtimeSt. Louis Metropolitan Medicine contributor Arthur Gale, MD,to encourage more physicians and allied professionals toexpress their opinions while advancing the practice ofmedicine through writing. fTwo Members Appointed to Unexpired Terms onSLMMS CouncilTwo longtime members of SLMMS have been appointed tocomplete unexpired terms on the SLMMS Council for thebalance of 2016.In September, Jennifer L. Page, MD, wasappointed to complete the balance of Dr.Susan Dando’s term. Dr. Page specializes inphysical medicine and pain management withRehabilitation Medicine Specialists, part ofDr. Jennifer L. PageSignature Medical Group. She serves as medicaldirector of the acute rehab unit at St. Anthony’s MedicalCenter. She graduated from the University of Missouri-KansasCity School of Medicine, and completed her post-graduatetraining in physical medicine and rehabilitation at RushPresbyterian St. Luke’s Medical Center in Chicago. Boardcertified in physical medicine and rehabilitation, and inthe subspecialty of pain management, Dr. Page has beena member of SLMMS since 1996.8 February/March 2016At the December meeting, Alan P. K. Wild, MD,was appointed to fill the councilor positionvacated by Christopher Swingle, DO, followingDr. Swingle’s election as SLMMS vice president.Dr. Wild is board certified in otolaryngologyDr. Alan P. K. Wildand head and neck surgery, and is an assistantprofessor in the Department of Otolaryngology at SaintLouis University School of Medicine. He received both hisundergraduate and medical degrees at Tulane University, andcompleted his internship at Jewish Hospital and residency atBarnes Hospital in St. Louis. A member of SLMMS since 1990,Dr. Wild served on the Council from 2013-2015. f
“Growing to Slowing” your practice: Strategiesfor investing in and planning for your future.Practice Transitions: Selling and/or Buying practices (100% financing available) presentedby Wells Fargo Bank, N.A.Economy and the Markets: Current economic conditions and market outlook presented byOppenheimer Funds, Inc.Date:Thursday March 3, 2016Time:5:30 pm- 7:30 pm (5:30-6pm appetizers and drinks followed by presentations)Location:Hilton St. Louis Frontenac1335 South Lindbergh BoulevardSt. Louis, MO 63131Co-Hosted by:St. Louis Metropolitan Medical Society andElliot Pokoik, CFP , First Vice President-InvestmentsWells Fargo Advisors, LLCGuest Speakers:Jayson Foley, Practice Finance Territory ManagerWells Fargo Bank, N.A.Bill Friebel, Vice President, Senior Advisor consultantOppenheimer Funds, Inc.Seating is limited. RSVP to Liz Webb (314) 989-1014 ext. 108 or via email lizw@slmms.orgMutual funds are sold by prospectus. Please consider the investment objectives, risks, charges andexpenses carefully before investing. The prospectus, and, if available, the summary prospectus,which contains this and other information, can be obtained by calling your financial advisor. Readthe prospectus and, if available, the summary prospectus carefully before you invest.Seminar financially sponsored by Oppenheimer Funds, Inc. and Wells Fargo Advisors, LLC. The opinions expressedby Oppenheimer Funds Inc. are their own and may not reflect the views of Wells Fargo Advisors, LLC or itsaffiliates.Elliot L. Pokoik, CFP First Vice President-Investments16647 Chesterfield Grove CourtChesterfield, MO 63005636-530-3279 · curities and Insurance Products: NOT FDIC Insured NO Bank Guarantee MAY Lose ValueWells Fargo Advisors, LLC, Member SIPC, is a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. 2010-2015 Wells Fargo Advisors, LLC. All rights reserved. E6762A 1215-03193.St. Louis Metropolitan Medicine 9
f SLMMS 2016 pSamer W. Cabbabe, MD, FACSQ&A with SLMMS PresidentTell us about your practice.I am a cosmetic and reconstructive plastic surgeon with anemphasis on facial rejuvenation procedures, breast surgeryand body contouring. A large part of my practice involvesbreast reconstruction and body contouring after massiveweight loss (surgery).Why did you choose to go into medicine?Why did you choose plastic surgery?I chose to go into medicine because I had a natural interest inthe sciences and math. I had exposure to medicine and plasticsurgery through my father, a plastic surgeon. I suppose I alwayshad a surgeon’s mentality or “personality.” I initially thoughtI may go into orthopedic surgery but had a change of heart inmy fourth year of medical school.Tell us about your family.My wife, Amy Alvarez Cabbabe, MD, is an anesthesiologist.We have two children, Parker, 5, and Blair, 3.What are your hobbies and interests?Outside of the hospital, I like to spend time with my family.Most weekends we are at the zoo or botanical gardens or otheroutdoor space. I am an avid golfer and love to snow ski. I’d liketo learn more about fishing/fly-fishing. I try to exercise regularlyand I love to watch and participate in all sports. We travel asmuch as possible and have “dates” regularly. I have a neverending “honey-do” list.Samer Cabbabe, MD, with his family: son Parker, wife Amy Alvarez Cabbabe,MD, and daughter Blair.What accomplishment(s) (personal or professional)are you most proud of?I am most proud of my family. There is nothing I would ratherdo than spend time with them. I also feel fortunate to havematched into a plastic surgery program and to have trainedat some of the best programs in the country with some of thenation’s premier surgeons at Emory/Grady and University ofAlabama at Birmingham. I had a great exposure to all types ofsurgical problems and procedures at these institutions. I am alsoquite proud of all my patients who have endured breast cancerand other debilitating illnesses that I have been able to helpthem in restoring what was lost.SLMMS OfficesPracticep President-Elect 2015p Cabbabe Plastic Surgeryp Vice President 2014Chief of plastic surgery, St. Anthony’s Medical Centerp p Councilor 2011-2013Other hospitals: SSM Health DePaul Hospital, St. Luke’sp Hospital, Missouri Baptist Medical Center, Des Peres HospitalAssistant clinical professor of plastic surgery, Saint Louisp University School of Medicine10 February/March 2016
What are your goals and priorities for SLMMS this year?IN THE FAMILYI believe SLMMS is entering a new phase. We can no longer relyon membership revenue and need to find other income sources.I am also interested in ways that we can work with insurancecompanies to alleviate the financial and work burden beingplaced on us.What is your biggest concern about medicine’s future?I have several concerns. One is that the best and brightest nolonger want to become physicians. Also, I am concerned aboutnon-physicians trying to practice as physicians. Another issueis the instability of increasing premiums and deductibles. Thiswill
LifeCell Tissue Matrix LifeCell Tissue Matrix products, AlloDerm Regenerative Tissue Matrix and Strattice Reconstructive Tissue Matrix, offer a range of benefits to surgeons and their patients for soft-tissue reinforcement. LifeCell tissue matrices allow surgeons to restore many types of tissue damaged through injury, surgery or
Fast-FACS: A Computer-Assisted System to Increase Speed and Reliability of Manual FACS Coding FernandoDe la Torre 1,TomasSimon, Zara Ambadar 2, and Jeffrey F. Cohn 1 Robotics Institute, Carnegie Mellon University, Pittsburgh, PA 15213, USA 2 University of Pittsburgh, Pittsburgh, PA 15260, USA Abstract. FACS (Facial Action Coding System) coding is the state of the art in
Laparoscopic Totally Extraperitoneal Groin Hernia Repair and Quality of Life at 2-Year Follow-Up Matthew E Gitelis, BS, Lava Patel, MD, Francis Deasis, BS, Ray Joehl, MD, FACS, Brittany Lapin, PhD, John Linn, MD, Stephen Haggerty, MD, FACS, Woody Denham, MD, FACS, Michael B Ujiki, MD, FACS BACKGROUND: The lack of long-term data on quality of life after groin hernia repair presents a
lab. Nevertheless, with the hybridoma technology available in Milstein's laboratory, it was natural to put part of my time into exploring its potential for alleviating the key problem facing FACS users at the FACS innovation Clin Invest Med Vol 27, no 5, October 2004 243 Fig. 5: Diagram of the working components of the FACS instrument .
Roy Soliman Published by NSW Department of Family and Community Services FACS Analysis and Research 223-239 Liverpool Road, Ashfield NSW 2131 Email: facsar@facs.nsw.gov.au Website www.facs.nsw.gov.au July 2017 ISBN: 978-0-9924253-4-0 Suggested citation Robertson, C, Laing, K, Butler, M & Soliman, R 2
Leonard B. Kaban, DMD, MD, FACS R. Bruce MacIntosh, DDS, MD, PhD George Obeid, DDS M. Anthony Pogrel, DDS, MD, FACS, FRCS Jeffery Posnick, DMD, MD, FRCS(C), FACS . Dr. Steven A. Guttenberg Strauss Oral and maxillofacial surgeons must have a
FACS 581 Professional Preparation for a Dietetic Internship FACS 586 Medical Nutrition Therapy in Practice FACS 587 Seminar in Concepts and Methods of Dietetic Practice NURS 605 Leadership in Nursing Practice NURS 606 Advanced Clinical Practice . Publication manual of the American Psychological Association (6th ed.). Washington, DC: American .
Automated face analysis by feature point tracking demonstrated high concurrent validity with manual FACS coding. Descriptors: Facial expression, FACS, Computer vision, Optical flow The face is a rich source of information about human behavior. Facial displays indicate emotion Ekman, 1993; Russell, 1994! and
Hydrostatic Tank Gauging API MPMS Chapter 21.2, Electronic Liquid Volume Measurement Using Positive Displacement and Turbine Meters API MPMS Chapter 22.2, Testing Protocols–Differential Pressure Flow Measurement Devices 3 Definitions For the purposes of this document, the following definitions apply. 3.1 Automatic Tank Gauge (ATG) An instrument that automatically measures and displays liquid .
