Fall 2010

The Newsletter for the Kitsap County Medical Society
Fall 2010
EXECUTIVE BOARD
President
Michael Armstrong, MD
President-Elect
Gregory Duff, MD
Vice President
Paul Kremer, MD
Secretary/Treasurer
Michael Cook, MD
Immediate Past-President
Christopher King, MD
KCMS/WSMA Delegate
William Bauer, MD
KCMS/WSMA Delegate
Bernie Brown, DO
WSMA President
Dean Martz, MD
KCMSF President
Gregory Duff, MD
Executive Director
Rebecca Carlson
MARK YOUR CALENDAR
Medical Quality Assurance
Commission Meeting
Wednesday November 10, 2010
6:00 PM – 8:00 PM
Harrison Medical Center
Silverdale Campus
in the Orchid Room
KCMS Family Holiday Party
Sunday December 5, 2010
Kitsap Golf and Country Club
KCMS Holiday Foster Children
Shopping & Cookie Exchange
Tuesday December 7, 2010 at 5pm
Written by:
Michael Armstrong, MD, KCMS President
It is an honor and pleasure to be the new
president of the Kitsap County Medical
Society. Being born and raised in Kitsap
county, I have the unique distinction of
serving the physicians of the community of
my youth. I remember the first time I met
my new pediatrician at the age of eight. He
was a young, dashing and confident doctor
who seemed to have all the answers.
I quietly admired him as he examined and
explained health related issues to me and
my mom. He never knew he was my role
model and I aspired to one day lead the
next generation of patients as he had for
me. It is with him in mind that I embark on
composing the lead article in the Communiqué as an honor of my term as president.
We practice medicine in a challenging and difficult time. We work daily in shark
infested waters which are getting more crowded daily. The federal government
and the Health Care Act of 2010 pushed upon us by the Obama administration
will have dramatic effects on our future practice. Mandatory electronic medical
records require physicians to spend more time in front of a computer screen and
less time with the patient. Insurance companies and federally funded “insurance”
programs require more authorization and paperwork which impede timely and
appropriate care in an effort to please their shareholders. Medical centers, hospitals and accrediting agencies impose a myriad of rules and regulations which
cause additional strain on physicians and steal our time. In this environment some
in our profession end up asking themselves, is it all really worth it?
The answer to the above question is emphatically YES! Despite their efforts, all
the sharks can not destroy the most important relationship of all. We work in a sacred profession and at its core is the trust between patient and physician. Patients
trust that in their time of need physicians will use our knowledge and skill in their
best interest. Ours if a profession founded on paternalism and NO paternalism
is not dead. Although many attempts have been made to erode the physicians
1.
Board of Directors
Executive Board
Michael Armstrong, MD – President
Gregory Duff, MD – President-Elect
Paul Kremer, MD – Vice-President
Michael Cook, MD – Secretary/Treasurer
R. Christopher King, MD – Immediate Past President
William Bauer, MD - WSMA Delegate
Bernie Brown, DO - WSMA Delegate
Rebecca Carlson - KCMS Executive Director
Fall 2010
Physician, Role Model. .................................................................. Front Page
KCMS, KCMSA & KCMSF
Executive Board Members. ................................................................................ 2
Physician, Role Model con’t
KCMS Executive Board................................................................................................ 3
New WSMA Program Helps Physicians
Improve Performance. ................................................................................................ 4
Investing in Nurses to Care for
our Community................................................................................................................... 7
KCMSF Board Of Directors:
Gregory Duff, MD – President
Paul Kremer, MD – President-Elect
Michael Armstrong, MD – Immediate Past-President
Ann Armstrong
Bob Bright
Paul Kremer
KCMSF Board Members:
Lisa Ballou
Scott Bosch
Heidi Hutchinson
Lincoln Miller
Frank Warner
Melissa Ford
Medical Quality Assurance
Commission Meeting. .................................................................................................. 8
Membership Season...................................................................................................... 9
Fire and Ice Success!. ........................................................... Center Section
Fire and Ice Sponsors.............................................................................................. 12
Thank You Fire & Ice Volunteers................................................................. 13
New WSMA President. ............................................................................................ 14
New MRI completes our Comprehensive
Breast Diagnostic Center.................................................................................... 15
Dominican Republic 2010.............................................................. 16
KCMSA Board Of Directors:
Rebecca Carlson – Charitable Events
Pam Dore – Scholarship Chair
Kim Duff – Caring Fund Chair
Darcy Lund – Alive shelter/YMCA Chair
Karen Olch – FOT Chair
Stephanie White – Special Events Chair
& 17
Fitness Warrior............................................................................................. 18 & 19
Welcome to the Kitsap County Medical Society!
Save the Dates! ....................................................................................... Back Page
Executive Director KCMS, KCMSA & KCMSF
Rebecca Carlson
With Respect,
Ladies Who Lunch Co-Chairs:
Kathy Lubetich and Karen Olch
Fire & Ice Committee:
Karen Wayne
Deborah Gates Heather Soderberg
Mindy Whitney
Stephanie White
Lana Heike
Rebecca Carlson
Sandy Duffy
Michelle Reynaga
Malynda Green
Helene Kain
Greg Jacobs role in society, when needed, physicians are looked upon as the source of reason and leadership. One needs to
look no farther than recent natural disasters to find physicians, including our own Dr. Daniel Diamond leader of
recent medical rescue operation in Haiti, who step up and lead by example. Although many other professions
have fallen from grace, physicians guided by time honored knowledge, skill, and empathy will always be held in
high esteem. We have all achieved so much, be proud of your accomplishments, accept the responsibility of our
profession, and perpetuate it for those who walk in our footsteps. You are a role model, accept it and live it.
Members of the Kitsap County Medical Society have more to be proud of than they may be aware. Currently
we have 297 members, one of the highest percentage memberships for any county in the state. The KCMS has
the premier Alliance in the state and our Foundation is active and charitable regionally. Annual events like the
Kitsap Family Fun Run and Fire & Ice have become incredibly successful. Their success allows the KCMS to be
very charitable in our community and active in supporting childhood obesity prevention, the Washington State
Burn Foundation, Harrison Medical Center Nursing Scholarships, the Kitsap County Water Safety Program and
holiday gifts for local foster children. The KCMS is here to support our own including members and their families
in times of need. As a member of the KCMS you should be proud to be part of an organization which gives back
so much.
This year will be another great year for the KCMS. We are planning programs to assist our members to understand vital and important current topics in the practice of medicine. Programs will include a Washington State
Medical Association led discussion of the Health Care reform Act 2010, the Washington State Quality Assurance
Program and the medical legal issues regarding head injury and concussion. The KCMS strives to be an advocate
for our members and our patients. The executive committee and executive director are always eager to hear
from members new and old regarding issues and topics of importance to our constituents. One of our goals this
year is to be relevant to our busy members in all aspects of their professional lives. Let me know how we can
help. You have people.
Aspire to be the best physician you can. Be active in your community. Advocate for your profession and
patients. Mentor and teach those around you. You are a role model every day. My childhood pediatrician is still
an active member and former president of the Kitsap County Medical Society. I am sure he is a good friend to
many of you all, his name is Dr. Bernie Brown. I still love to listen to the dashing, older, confident man who seems
to have all the answers. At a recent meeting, I carefully listened as he discussed with pride our profession and
the special bond we have with our patients. Thank you Bernie for being a quiet mentor and role model for me all
these years.
We are very pleased to announce the addition of Deanne M.
Nakamoto, MD to our practice as of September 1, 2010.
She will be specializing in Glaucoma and Uveitis.
Dr. Nakamoto is originally from Hawaii and has lived in New England for the
past 14 years. Her education and training have included the following:
Michael J. Armstrong, MD
President, Kitsap County Medical Society
KCMS Executive Board
Thomas J. Curry, Executive Director & Chief Executive Officer
Jennifer Hanscom, Senior Director & Chief Operating Officer
Len Eddinger, Senior Director, Legislative & Regulatory Affairs
John Arveson, Director, CME & Special Projects
Amy Fredericks, Director, Finance
Tim Layton, Director, Legal Affairs
Shannon McGeoy, Director, Administration
Bob Perna, Director, Health Care Economics
Karen Chapman, Associate Director, Membership
2.
2.
Washington State Medical Association
2033 6th Ave., Suite 1100
Seattle, Washington 98121
206-441-9762, Toll-free 800-552-0612
Dr. Nakamoto has recently published several chapters in the new textbook, “Ocular
Inflammatory Disease and Uveitis Manual: Diagnosis and Treatment” (2010; Lippincott/
Williams/Wilkins). She will be accepting consultations for glaucoma and uveitis at all
levels, from early to endstage.
Please join us in welcoming Dr. Nakamoto, her husband Frank and one year old
daughter Sydney to the Kitsap Peninsula. We are excited to have a physician with
her subspecialty interest join us!
Dr. Martha Motuz Leen, M.D.
Dr. Terrill C. Olsen, M.D.
Specialties: Glaucoma
Specialties: General Ophthalmology
Dr. Paul A. Kremer, M.D.
Specialties: LASIK. Cataract surgery,
Corneal surgery, Anterior segment surgery
Dr. Deanne Nakamoto, M.D.
Specialties: Glaucoma and Uveitis
Michael Armstrong, MD
President
Gregory Duff, MD
President-Elect
Paul Kremer, MD
Vice-President
Michael Cook, MD
Secretary/Treasurer
R. Christopher King, MD
Immediate Past President
3.
by: Lance Heineccius
• The new Medicare Shared Savings program (beginning in 15 months) will require accountable care organizations to measure and
report an extensive set of quality performance metrics about all primary care practices. [Section 3022(3) of the 2010 Patient Protection and Affordable Care Act (PPACA) (P.L. 111-148)]
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• The State of Washington will launch an accountable care organization demonstration pilot in early 2012, a key component of
which will be the ability to demonstrate adequate performance on selected quality metrics. [Section 2(2)(c) of ESSB 6522, Laws of
2010, State of Washington]
• CMS has already implemented a “pay-for-reporting” program through their Medicare Physician Quality Reporting Initiative
(PQRI), in which physicians voluntarily report complex clinical information from among 74 performance measures and receive bonus payments. Physicians (and beginning this year, medical groups) report information: (1) to CMS on their Medicare Part B claims,
(2) to a qualified PQRI registry, or (3) to CMS via a qualified electronic health record (EHR) product. This initiative is widely seen
as the precursor to a future “pay-for-performance” requirement for Part B Medicare. [initially through the 2006 Tax Relief and
Health Care Act (TRHCA) (P.L. 109-432), subsequently amended several times]
Federal and state legislation are increasingly requiring extensive measurement and reporting of quality metrics in order for
physicians to receive payment for services. Private sector insurers are also developing pay-for-performance systems that will require
complex quality reporting. WSMA physician research – surveys and focus groups – earlier this year demonstrated strong support
for the association helping physicians prepare for the changes in medical practice that are underway. Much uncertainty lies ahead
and the unknowns abound. The practice environment is shifting, and the WSMA is committed to help physicians anticipate, influence and adapt to whatever comes next. One specific WSMA program to help physicians is the Clinical Performance Improvement Network (CPIN), the initial learning
session of which will be held on Friday morning, September 24, 2010 at the Tacoma Marriott Hotel, from 7:30 – 9:00 AM. The
program will be offered at no cost and a continental breakfast will be provided. WSMA CME Category 1 credit, and AAFP Preferred CME credit, have been applied for, and will be available at no cost. This program immediately precedes the WSMA Board
meeting and other programs that open the WSMA annual meeting in Tacoma.
CPIN is jointly sponsored by the WSMA Foundation for Health Care Improvement, the Puget Sound Health Alliance, and the
Washington Academy of Family Physicians. It is a series of learning sessions to assist physician practices in refining their efforts on
quality improvement. The goal: to offer opportunities for medical practices to collaborate with one another by sharing best practices, proven innovations, tools, and resources to accelerate efficient implementation into clinical practice settings. The plan is to offer CPIN events bimonthly or quarterly, either in-person or via web conferences. Sessions will be scheduled for
early mornings, over the lunch hour, or at other times to accommodate individuals with busy practice schedules. CME credit will
be available at no cost for all sessions.
This educational network is initially for primary care physicians and their clinical support staff. Various specialties will benefit
from different types of educational and programmatic support, which will be better defined as payment methodologies and delivery
systems evolve. At his time, however, the requirements for primary care are readily available and this is where the CPIN project, of
necessity, begins.
The first 90 minute CPIN program, on September 24, will feature two speakers:
• Ed Walker, MD, MHA, founding director of the UW Healthcare Leadership Development Alliance, speaking on the critical importance of physician leadership and engagement in quality improvement efforts at the practice level, and
• Susanne Quistgaard, MD, family medicine physician at Edmonds Family Medicine Clinic, who will speak on how to use disease
registries to improve outcomes by tracking patients with chronic conditions over time. Advance registration for this program is not required, but an RSVP to help plan for the breakfast would be appreciated. If you are planning to attend, please send an e-mail to Lance@wsma.org with the words “Sept. 24” in the subject line and indicate how many people from your practice will be attending.
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6.
Few of us give much thought to our local hospital …
until we need it. And then we want it to be the very best.
For most of us, Harrison Medical Center is our hospital
and the place we will rely should an emergent health event
strike our family.
Fortunately, care at Harrison is known to be excellent and
with the help of our community physicians the constant
focus of continued improvement.
Many initiatives are underway to make sure that Harrison
remains among the positive attributes we consider integral to our region’s quality of life. These initiatives include
investments in the EMR, new equipment, and facilities
such as the Heart & Vascular Center. But it also includes an
escalating investment in our responsibility to serve as the
community’s safety net, including nearly $40 million
in uncompensated care last year (double of what was
provided in 2007).
To provide exceptional healthcare, we need the support
of the communities we serve. Patients’ fees cover essential
services, but seldom provide all the resources needed to
advance our capabilities. In hospitals across the country,
charitable giving is increasingly playing a critical role in making the difference between good care and the very best.
For the first time in more than 40 years (since the current
Bremerton campus was built), we are inviting the community
to make an investment in their hospital through the Great
Nurses for a Great Community Campaign. While nurses account for approximately 40 percent of Harrison’s staff, they
provide more than 95 percent of the bedside patient care –
and, as such, are a strategic investment in the hospital’s
effort to provide safe, quality care.
A Crisis is Looming
Among the economy’s few positive impacts is the delaying
of retirement by many nurses (and physicians as well). However, the conspiring trends underlying the projected shortages
remain relevant. Put simply: aging patients and aging nurses.
Over the next 10 years, more than 50 percent of the current
RN population will retire, resulting in a projected shortage of
800,000 nurses by the year 2020. At Harrison, nearly 34% of
the nursing workforce will become retirement eligible (age
55) by 2012 – many who are eligible now.
At the same time, the demand for health care is accelerating as the population grows and gets older at an unprecedented rate– fueled by the 76 million baby boomers that
begin turning age 65 this year. Adding to the sheer quantity
of aging adults is also the increasing number of people who
are tending to one or more chronic illnesses that require additional attention and support. Without a proactive response,
the exodus of our most experienced nurses will threaten our
ability to deliver safe, quality healthcare – at a time when our
community needs it most.
Supporting Great Care for the Community
The Great Nurses Campaign seeks to boost the recruitment
and retention of nurses at every level, by using education as a
means to invest in this critical workforce, including:
Preparing newly hired nurses (recent graduates) to function
in a demanding acute-care setting through the RN Residency
Program.
Additionally, the Campaign is
raising funds for a permanent endowment that would provide perpetual
annual support to encourage nurses
to obtain and maintain specialty
certifications throughout the medical center, making them not only better providers of care at the
bedside, but also better partners for physicians.
Aided by a sizeable matching gift from Dr. Paul McCullough
(retired orthopaedic surgeon), the Campaign includes an effort
to secure an additional $300,000 in community gifts (with every
dollar to be matched by Dr. McCullough) for a strategy aimed at
recruiting nurse practitioners (ARNPs) to the area, serving either
as independent practitioners or as mid-level providers within the
hospital or physician practices.
To date, more than $3.2 million in cash gifts and multi-year
pledges has been raised toward the $5.5 million goal. Future funding is also being secured through charitable estate plan giving. For
more information about the Campaign, contact Stephanie Cline,
director, Harrison Foundation at (360) 744-6761.
A Letter from George Berni, M.D.
It’s a reasonable question and one that has been asked, “How are
your physicians supporting the Campaign?” My hope is with enthusiasm.
As physicians, we care deeply about our patients and know the
benefits of having great hospital care available in the community
to meet their needs. In most cases, our livelihoods have also been
shaped by a close association with Harrison Medical Center. But
hopefully, we can respond with enthusiasm simply because Harrison is also the place where we, our families and friends expect to
get their care.
My wife Gretchen and I believe that having great health care
readily accessible is essential to maintaining the quality of life we
have come to expect and enjoy. Never has that been more true, as
we embrace the realities of our own aging. For all these reasons,
we chose to make a gift to the Great Nurses Campaign and to
volunteer to encourage others to do the same.
Within the Campaign is a goal to raise $500,000 from the
physician community, including approximately 50 physicians who
will consider an annual gift of $2,000 for five years. However, the
amount you give is less important than your participation. Because
what matters most is that we validate the community’s significant
investment in this worthy venture.
Sincerely,
Dr.
George Berni
Chair, Physician Campaign
7.
Welcome to our newest KCMS members!
Thank you to the following Physicians and Physician Assistants for your 2010 Membership dues. Your support is valued at the state and county level and we are grateful for your participation.
Michael Tomberg, M.D.
Family Medicine
The Doctors Clinic
Bainbridge Island
Delia Kuizon, MD
Sound Physicians
Hospitalist
Fabio Vasquez, M.D.
Family Medicine
The Doctors Clinic
Ridgetop West
Christopher Stadtherr, MD
Sound Physicians
Hospitalist
Naushaba Marri, MD
Sound Physicians
Hospitalist
8.
Rana Tan, MD
Sound Physicians
Hospitalist
Duane Whitaker, M.D.
Dermatology/MOHS Surgeon
The Doctors Clinic
Cavalon Place
Adeel Seyal, MD
Sound Physicians
Hospitalist
Jon Tomada, MD
Sound Physicians
Hospitalist
Sindy del Fierro, PA-C
Orthopedics/Physician Assistant
The Doctors Clinic
Salmon Medical Center
Oscar Cogan, MD
Sound Physicians
Hospitalist
Deanne M. Nakamoto, MD
Glaucoma and Uveitis
Achieve Eye &
Laser Specialists
Jana Gasow, MD
Sound Physicians
Hospitalist
Chaitanya Chandravanka, MD
Sound Physicians
Hospitalist
Barbora Volovarova, MD
Sound Physicians
Hospitalist
Anjna Grover, MD
Sound Physicians
Hospitalist
Darren Chotiner, MD
Sound Physicians
Hospitalist
Robert Pyne, MD
Sound Physicians
Hospitalist
Irina Case, MD
Sound Physicians
Hospitalist
Monica Alberts, MD
Fred Albrecht, MD
Jason Allen, MD
Rachel Anderson, MD
Michael Armstrong, MD
Denis Ashley, DO
Kittredge Baldwin, DO
Arunas Banionis, DO John Banzer, MD John Bartow II, DO Linda Bartram, MD
James Bates, MD William Bauer, MD
Christopher Becker, MD
Steve Bell, MD
Martin Bennett, MD
Steven Bennett, MD Michael Benoit, MD
George Berni, MD
David Bernstein, DPM
Jeffrey Bernstein, MD Scott Bildsten, MD
Jack Birnbaum, MD Donald Bliss, MD
Nancy Bohannon, MD
Michael Boyer, MD
David Bray, MD
Donald Bright, MD
Robert Bright, MD
Arnel Brion, MD
Melody Bronold, MD
Bernie Brown, DO
Brad Brown, MD
Irene Buno, MD
Glen Carlson, MD
Bruce Carlton, MD
John Carpenter, MD
Irina Case, MD
Robert Caulkins, MD
Chandravanka Chaitanya, MD
Elizabeth Chattin, PA-C
Asmita Chaudhary, MD
Michael Chernekoff, MD
Jason Cheung, MD
Ellen Chirichella, MD
Darren Chotiner, MD
Jenny Chow, MD Bruce Christen, MD Glen Christen, MD Ty Chun, MD
Terry Chun, MD Andrea Chymiy, MD James Clemen, MD Oscar Cogan, MD
Catherine Cogley, MD
Eric Cole, MD
Phillip Conrad, PA-C Michael Cook, MD
John Corrales-Diaz, MD David Cowan, MD
Roger Cox, PA-C
Gordon Cromwell, MD
Yudthsak Damrongpipatkij, MD
Joe-Jack Davis, MD
Erin Dawson, MD
Monica DeBaca, MD
William Depaso, MD
Sukhdeep Dhaliwal, MD Angela Diamond, MD
Daniel Diamond, MD
Frederick Dore, MD
Howard Douds, MD
Gregory Duff, MD
Karen Eady, MD
Roger Eagan, MD
Catherine Edwards, MD
Erik Elam, MD
Christian Erichsen, MD
George Evanoff, MD
Byron Faber, MD
David Feig, MD
Sindy l. del Fierro, PA-C Willa Fisher, MD
Mechelle Fleischer, PA-C
Greg Fleischhauer, MD
Sally Fleischman, MD
Brad Frandsen, MD
Daniel Frum, MD Todd Garvin, MD David Gent, DPM
Larry Gorman, MD
Michael Grabowski, MD
Johnny Green, MD
Gary Greene, MD
Bernard Greenfeld, MD
Gary Gretch, MD
Nancy Grey, MD
Anja Grover, MD
Mark Gunion, MD
Stephen Habener, MD
Karl Hadley, MD William Halligan, MD Keith Hallman, MD
Christina Hardaway, MD Timothy Harpur, MD
Courtenay Havers, MD Wendy Hawley, MD
Frank Haydu, MD Katherine Hebard, MD
Kari Heber, MD
John Hedges, MD.
Michael Hegewald, MD Charles Helming, MD
Gregory Henderson, MD
Jenifer Henderson, MD
Manfred Henne, MD
David Hennes, MD
Glen Hilborn, MD
Jon Hillyer, MD
Ward Hinrichs, MD
Gregory Hoisington, DO Dale Holdren, MD
Anthony Hoovler, MD Robin Houck, MD Alex Hsi, MD
Robert Hurlow, MD Indrawan Husodo, MD
Chad Hutchinson, MD
Heidi Hutchinson, MD
Wayne Hwang, MD
Simone Ince, MD
Larry Iversen, MD
Laura Jacobson, MD
Doug Jennings, MD
Christopher Johnson, MD
Joseph Johnson, MD
Michael Johnson, MD
Theodore Johnsrude, MD Dana Jungschaffer, MD
Christopher Kain, MD
Rapin “Chai” Kanithanon, MD
Lance Keck, PA-C
Timothy Kennedy, MD David Kessler, MD David Kim, MD Jeong Kim, MD
Brian Kim, MD . George Kina, MD Christopher King, MD
Brent Kish, PA-C Leah Kiviat, MD
Kenneth Klions, MD
William Klipper, MD
Kurt Klussman, MD
Steven Knuesel, MD
Kenneth Koskella, MD
Maureen Koval, MD Paul Kremer, MD
Ruben Krishnananthan, MD
Delia Kuizon, MD
Sheila Lally, MD
Charles Lamb, MD
Christine Larson, MD
Kim Leatham, MD
Arthur Lee, MD
David Lee, MD
Uyen Lee, MD Martha Motuz Leen, MD
Victor Leen, MD
Peter Lehmann, MD Frederick Leist, MD
Dianne Levisohn, MD James Lin, MD
Dennis Lindfors, MD
Molly Lindhardt, MD
Melissa Lo, MD Todd Loutzenheiser, MD
John Lubetich, MD
Roger Ludwig, Jr., DO Tai Luong, MD
Berit Madsen, MD
Mary Maier, MD
Naushaba Marri, MD
Joel Martin, MD
Marie Matty, MD Anita McIntyre, MD
Lauren McKinley, MD
Steve McKinnon, MD
Julie McMillan, MD Tom Meeks, DO
Michael Metzman, MD
David Miller, MD
Filiz Millik, MD
William Minteer, DO
Marc Mitchell, DO
Randall Moeller, MD Thomas Monk, MD Michelle Montalbano, MD
Donna Moore, MD
David Mourning, MD Traske Muir, MD
Ann Murphy, MD
Deanne Nakamoto, MD
William Neal, MD
Enayat Niakan, MD
Eva Nicholas, MD
Jayshri Nimbargi, MD
Bruce Nitsche, MD
Brian Nyquist, MD
Christine Perry-Ockerman, MD
Christopher Olch, MD Terrill Olsen, MD
David O'Morchoe, MD
Gilbert Ondusko, MD
Mark Paciotti, MD
Satyavardhan Pulukurthy, MD
Robert Pyne, MD
Jennifer Quimby, MD
Hedim Ramirez, MD
Christopher Rankin, MD Eric Rasmussen, MD
William Reed, MD
Stephen Reichley, MD Ronald Reimer, MD
Susan Reimer, MD
Blake Reiter, MD
Hector Reyes, MD
Sarah Rice, MD
Preston Rice, MD Glen Rico, MD Sundance Rogers, MD
James Rohlfing, MD
Christine Romascan, DO Spencer Root, MD Robert Rubenstein, MD Sandy Saffier, MD
Catherine Salisbury, MD
Michael Schlegel, MD
Keith Schulze, MD
Nathan Segerson, MD
Adeel Seyal, MD
Pankaj Sharma, MD
Lein-Chun Shaw, MD
Matthew Shutske, MD
Narendra Siddaiah, MD
Christopher Smith, MD
Wes Solze, MD
Scott Sorensen, MD
Charles Springate, MD
Chris Stadtherr, MD
Justin Stahl, MD
Michael Steele, MD
Donald Stevens, MD
William Stump, MD
Lynn Sudduth, MD Robert Sudduth, MD Marc Suffis, MD
Virginia Swanson, MD
Linda Swartz, MD
David Swift, MD
Benjamin Sy, MD Rana Tan, MD
Shawn Tedford, PA-C Michael Thomas, MD Ingela Thomsen, MD Benjamin Tibbals, MD
Paul Tice, MD
David Tinker, MD
Steffan Tolles, MD
Rupert Tomada, MD
Michael Tomberg, MD
Patrick Tracy, MD Audrey Tran, MD
Oanh Truong, MD Bill Underdown, MD
Susan Valentine, PA-C
Kent Van Buecken, MD Fabio Vasquez, MD
Ismael Vargas, PA-C
Prasert Vijibenjaronk, MD
Barney Voegtlen, MD
Barbara Volovarova, MD
Frederick Walters, MD
Linda Warren, M
Brad Watters, MD
Ronald Wayne, MD
Alan Weissman, MD
Brian Wicks, MD George Wiggins, MD
Dennis Willerford, MD
Malcolm Winter, MD
Laurie Witcher, PA-C
Thomas Wixted, MD
Charles Woodman, MD
Jillian Worth, MD
Michael Worth, MD
Yuen San Yee, MD
Robert Yekel, MD
9.
Thank you to our major sponsors, auction
donors, guests in attendance, cast and crew
and volunteers that participated with this
year’s Fire and Ice Hot Hollywood Nights. Our
gross proceeds were $104,000.00 which is
an increase of 60% from 2009! Proceeds will
benefit the Kitsap County Medical Society’s
gift of $10K to the Harrison Nursing Residency
Campaign, $3K to Harrison Nursing Scholarships, $5K to the WSCFF Burn Foundation to
benefit young burn victims attending a special
burn camp and burn research in WA State. In
addition this year, the KCMS Board has elected
to provide $10K to the YMCA to support the
construction of the new Silverdale facility. We
anticipate partnering with the Y in the future
to sponsor swim lessons and open-water
safety classes at the YMCA. This gift supports
the Safe Swimmers program and the KCMS Foundation’s Childhood Obesity Prevention program. Safe Swimmers will also
benefit with the restocking of life vests at area lakes where the
life jacket loaner boards have been installed and expanding the
program to other public swim areas. Additional proceeds will go
into a protected fund to support charitable projects not currently within our financial reach and to provide ongoing support of
our current endeavors.
If you are not familiar with Fire & Ice or have never attended
the event, Fire and Ice began as an event put on by the KCMS
10.
Alliance, to encourage physician members and
their staff to attend a fun, quality event together.
For this reason KCMS physician members attend
the event for free in hope that they will in return
purchase a ticket(s) for their staff to attend and
celebrate with them. The event has grown and
for the past three years has also attracted business supporters and dozens of volunteers. The
event has served as an excellent marketing opportunity for the Medical Society that showcases
the charitable work we do within our State and
County. Fire and Ice has been sold out for three
years in a row with 500+ in attendance. Next
year we are anticipating continued growth, both
in attendance and volunteers to help create
another fantastic event.
A special thank you to our Oscar Nominees
and Performers, who stepped outside of their
comfort zone to provide fun entertainment on stage at Fire and Ice
all in the spirit of raising funds for great local causes.
To view or purchase photos from this year’s event please go to:
http://jaredribic.smugmug.com/
If you are interested in volunteering for the 2011 Fire and Ice
event the planning will begin in February. Please contact
Rebecca Carlson at the KCMS office at 360.689.2928 or kcmsmed@
gmail.com to learn more.
Please see page 13 for a list of this years Major Sponsors
11.
Fire Title Sponsor
Event Presenting Sponsor
5 Years Running!
Ice Title Sponsor
Thank you to the 2010 Fire & Ice Committee for your months of
hard work, enthusiasm and support of the Medical Society!
Inferno Sponsors $2500
Rebecca Carlson, KCMS Executive Director
Stephanie White, Fire & Ice Gala Chair
Fire & Ice Planning Committee
Blazing Sponsors $1000
Icicle Sponsors - $500
Ron & Sue
Reimer, MD
Jackie Ashley
Helene Kain
Michelle Reynaga ~ Sunset Styling
Mark Boardman
Wendy Kile
Heather Richardson
Anne Bryant ~ Physicians Insurance
Kohl’s Dept. Store
Nicole Snyder ~ Dymanic Video
Glen Carlson
Liberty Bank of Poulsbo Staff
Heather Soderberg
Kathy Cole ~ Graphic Design
Darcy Lund
Monica Sorensen ~ Island Health
Joanie Coreson
Jessica Mackay
Joe & Terri Stanik
Kori Duffy
Sharon Megahee
Jean Stinson
Sandy Duffy
Andrew Montana
Cas Taylor
Deborah Gates
Donna Moore, MD
Paul Tice ~ Movieposter Extraordinaire
Malynda Green
Eileen Morton
Carrie Todd ~ Lorenzen
Liz Golubiec ~ Physicians Insurance
Sheila Ohl
Carol Tolles
Noel Harmon
Karen Olch
Nelis Vanderpol
Mickie Hartman
Danielle Ostro
Shirley Vanderpol
Lana Heike
Judy Parr ~ Tease Salon
Ron Wayne, MD
Dale and Rose Holdren and family!
Stasie Pike ~ Legacy Group
Karen Wayne
Tracy Johnson
Chris Price ~ InMotion Dance Studio
Mindy Whitney
Greg Jacobs
Susan Radtke ~ Silverwood School
Julie Williams
Doctors Dale &
Rose Holdren
Dr. Steffan & Mrs. Carol Tolles
Bella Bella Cupcakes
12.
Dr. Johnny &
Mrs. Kathy Green
13.
SEATTLE – Dr. Dean Martz was elected president of the Washington State Medical
Association (WSMA) at the association’s annual meeting in Tacoma, Sunday, September 26. The WSMA represents over 9,600 physicians, residents, medical students, and
physician-assistants throughout Washington state. Dr. Martz is a neurosurgeon at
Inland Neurosurgery and Spine Associates in Spokane, WA. Dr. Martz received his medical degree from Case Western Reserve University. He
completed his neurosurgery residency at University of Michigan Hospitals in Ann Arbor, Michigan. He is board certified in neurosurgery. Dr. Dean Martz
WSMA President
Dr. Martz is also a member of the Spokane County Medical Society, the American College of Surgeons and
the American Association of Neurological Surgeons.
The following physicians were also elected as officers at the association’s annual meeting: ~ Dr. Douglas R. Myers, Vancouver otolaryngologist, president-elect
~ Dr. Nicholas Rajacich, Tacoma orthopedic surgeon, 1st Vice President
~ Dr. Michael Weinstein, Seattle rehabilitation hospitalist, 2nd Vice President
~ Dr. Dale P. Reisner, Seattle maternal fetal medicine specialist, Secretary-Treasurer
~ Dr. Ray Hsiao, Seattle psychiatrist, Assistant Secretary-Treasurer.
The seventh officer of WSMA Executive Committee is past-president, Dr. Deborah J. Harper,
pediatrician from Spokane, who will serve as committee chair.
In attendance from the Kitsap County Medical Society:
Bernie Brown, DO ,William Bauer, MD, Jason Cheung, MD, Paul Kremer, MD,
Martha Leen, MD,Terrill Olsen, MD and Rebecca Carlson, KCMS Executive Director
Advanced Medical Imaging proudly announces that
the Silverdale Women’s Diagnostic Center now offers all
modalities commonly used for breast cancer diagnosis in
one location. We are able to promptly and conveniently
serve women who have breast conditions requiring further
evaluation. With the recent installation our a High Field MRI
in Silverdale, AMI now offers advanced breast imaging
services including diagnostic MRI for newly diagnosed
breast cancer, screening MRI for women who are at
high risk for breast cancer and MRI-guided breast
biopsy at this location. “This relatively new tool in the
fight against breast cancer, is very sensitive in detecting breast cancer and has the advantage of not using any
radiation” according to Dr. Victor Leen, AMI radiologist. “Breast MRI can sometimes see breast cancers that
cannot be seen on mammography or ultrasound, and the
great strength of MRI is that it is very sensitive, meaning it
will rarely miss an invasive cancer” according to Dr. Leen. In addition to breast MRI, AMI was the first facility
on the Peninsula to install direct digital mammography,
which has many advantages. It is currently available at
both Silverdale and South Kitsap. In early 2011, we will
be offering digital mammography and DEXA scans at
our new Poulsbo office. Additional breast services in the Silverdale location include breast ultrasound and three different types of imageguided biopsies. Available are stereotactic core biopsy,
which uses x-ray images and computer guidance for precise
placement of the vacuum-assisted needle for the collection
of sample and ultrasound-guided biopsy, which uses highfrequency ultrasound to locate the area of concern, and
after a small skin nick, directs the needle to collect tissue. MRI-guided biopsy may be recommended in patients whose
lesions are difficult to see by mammography or ultrasound. Using a grid applied to the breast surface, this technology
uses a special vacuum-assisted needle to withdraw a small,
cylindrical-shaped sample, with usually only one insertion of
the needle. These types of biopsies are faster and less painful than
surgical biopsies. All of them take about one hour to perform, are scheduled on an outpatient basis, and require no stitches. Patients can resume normal, non-strenuous activity the same day. Our Women’s Diagnostic Center was established over 20
years ago. AMI has nine board certified, fellowship trained
radiologists, and one is on site in the women’s center Monday through Friday for immediate consultation with patients. They interpret over 21,000 mammograms annually. We have
a staff of 65 dedicated employees at four locations in Kitsap County. Exceptional Breast Diagnostic Technology available in Silverdale
· Digital Mammography
· Breast MRI
· Ultrasound-guided Biopsy
· Breast Ultrasound
· Stereotactic Core Biopsy
· MRI-guided Biopsy
Answering the cause of a woman’s concern in a
timely manner is a priority for AMI. With the recent
installation of High Field MRI in Silverdale, we now
offer all of the above technology to detect breast
cancer at this location.
360-337-6500 or
1-800-972-9264
www.amiradiology.com
Accredited by the
American College of Radiology
in CT, MRI, Ultrasound
and Mammography
14.
Our new Poulsbo Women’s Diagnostic Center offering
Digital Mammography and DEXA Scans will open
early 2011.
Dr. Michael Cook · Dr. Howard Douds · Dr. Christian Erichsen · Dr. Leah Kiviat
Dr. Ruben Krishnananthan · Dr. Victor Leen · Dr. Tai Luong · Dr. Matthew Shutske · Dr. J. Wesley Solze
SILVERDALE
1780 NW Myhre Rd., #1220
BREMERTON
2601 Cherry Ave., #105
2530 Cherry Ave.
PORT ORCHARD
450 South Kitsap Blvd., #110
15.
Dr. David Bernstein
Board Certified in Foot Surgery,
Primary Podiatric Medicine and Wound Care
Specializing in:
•Foot surgery
•Diabetic foot care and limb salvage
•Patient wellness education
•Prescription foot/foot & ankle orthotics & braces
•Non-surgical and surgical foot care
Treating children and adults
16.
1001 N.E. Riddell Road | Bremerton, WA 98310
Appointments: 360 850 4321
Nurse’s line: 360 850 4314 | Doctor’s line: 360 850 4315
17.
What? Fitness warrior, me? OK, maybe I had just gotten
in from a workout when I got the message a “Greg from the
nominating committee” had called. I was thinking, hmmmm,
PTA again, needing a position filled for next year? Surprising
to have Greg Duff answer and give me the news I had been
nominated for a “Fitness Warrior” award by the KCMS board.
Yes, I have been working out regularly now for at least 4
years. I have even managed for this past year and a half to do
what I thought previously was impossible…. work (am back
at it at the Bremerton Naval Hospital Family Medicine Clinic)
AND find time to work-out. Amazingly I still have time to see
my family; I think that was my previous excuse for not doing
it. What has made it doable for me? Picking things I actually
enjoy, doing them with friends, and scheduling it in. Something I knew from my prior inactivity, if it’s not on my schedule, it’s not likely to get done.
With a friend Sonia Hambleton’s encouragement, I decided
to try the Wildcat Lake Tri Turtle Sprint Triathlon, which would
involve a ½ mile swim, 12.5 mile bike and a 3.4 mile run.
Swimming – I have always loved the water. It wasn’t
until I was an adult that I learned how to do flip turns (Bonnie Burmaster, my daughters’ swim coach taught me). Then
I heard about a Master’s swim team, a friend urged me to
join. I couldn’t imagine I would be on a swim team, but
now that I have been for the past 3 years, I can’t imagine not
being on one. I look forward to M/W and sometimes Friday
night workouts with a great group of adults with a similar
goal – staying fit (come join us, at Olympic High School Pool
7:30-8:30pm M/W, we have all variety of swimmers, organized
by lane/ability, and an awesome coach Marilyn Grindrod)! I
swim 3000+ yards now and it feels great heading home from
that hour of exercise. I even entered a meet, humbling to
realize that my kids had times better than me in most events
and to get “DQ’d” twice, but learned a ton.
Biking –– I hadn’t biked since I was in elementary school.
A friend stepped up and offered to help. She was an amazing
biker, and very patient with me when I tried to learn clipping
in and out of the pedals (only fell twice….). We had lots of
fun rides on Holly-Seabeck highway. Thank you Kim Duff!
Running/walking - OK, not my favorite thing, but a good
way to cross train and a fun way to catch up with friends
(thanks Michelle Reynaga!). Now I was going to do all three
in a triathlon. I never would have guessed I would be able to
finish. I managed to finish despite a flat tire on the bike. The
feeling coming across the finish was incredible. I was hooked!
This season another friend Alicia Cole talked me into an
Olympic Tri. Yikes, double the distance of a sprint tri! 1 mile
swim, 25 mile bike and 10 k run, definitely something needing more regular training. Good thing I had already joined
the Tribabes. What an awesome group, headed by fearless
leader and Ironwoman Lisa Ballou. Every Saturday morning
starting in May, I headed out to Wildcat Lake and she had
a multitude of volunteers there to guide 100’s of women
18.
Hi Lisa,
I am in my afterglow from my Olympic “Federal Escape Tri” - I can’t even tell you how thankful I am to be a Tribabe - everything
I’ve been learning this past season was helpful, EVEN down to the
reverse swim direction you had us do on Tuesday, you think of everything! Yes we swam counter clockwise, TWICE.
Highlights
for me ~
1. The bike ride! I actually enjoyed the bike ride, it was FUN! We
had to do 4 loops, so even got to see the fast ones, as they sped by me,
which was inspiring; the ride felt so easy after training on hills, and
this
was what I would call mild rises and falls.
2. Coming out on my first of two loops for the run, feeling like lead
feet, and having another Tribabe (who was doing the sprint tri, so was
on her bike) whiz by me and cheer me on, “go Tribabe”!! Not sure
who
it was, but it was energizing.
3. Not hitting a “wall” on my run, actually feeling good - no nausea
(Skittles were the trick - who knew - my husband gave them to me
and
told me to give them a try)
4. FINISHING in 3 hours 2 minutes when I thought it would be
almost impossible to finish in 3 hours 30 minutes (that was my goal),
blew myself away when I saw the clock at the finish, wow, training
paid
off! (Alicia finished in 2 hours 45 minutes!)
5. Doing it with a friend, Alicia Cole, so much fun - we scouted out the
course the night before and stayed at a hotel nearby and went shopping
and ate out, both of us with husbands at home with our girls (she has 3 girls too)
6.
No flat tire!!
7. The feeling of running in the last 1/4 mile or so at a full sprint to a
cheering
crowd, awesome!
8. Unexpectedly having someone yell out my name at the start of the
run, and realizing Frank Warner was there cheering on his daughter
and then proceeded to cheer me at all the spectator spots, nice!
Not
too many low lights but to be complete:
through “brick training” – a bike ride followed by a run, each
week working up on the distance of each. “Rubber legs”
would describe how it feels the first mile running after getting off the bike. I had saved up the prior year and bought
a “road bike”, even added aerobars, thanks to Silverdale
Cyclery outfitting everything I needed. It was very inspiring to be there with all types of athletes, making their own
personal goals a reality.
Alicia and I coordinated work-outs together too, including long bike rides throughout Kitsap County, one also
with Ann Coupe all the way out to Point No Point. I had no
idea I could bike there and back until we did it, and almost
quit on the way back on a particularly steep hill at the end
(?Gunderson hill?) in Poulsbo. Yes, there were curse words
involved, but I made it back. We also swam weekly across
Wildcat lake and back. Was I ready? I calculated out what
I thought I might be able to finish in and had a goal of 3
hours and 30 minutes. Here was my post event email to
Lisa Ballou:
1. Inhaling water at the first buoy on the swim with the masses of
people all around me and thinking I could drown - then I flipped on
my
back and recovered, thank you for the “starfish” maneuver.
2. Dropping my cell phone on the bike ride and having to go back
for it (I know, why on earth did I have it in my pouch on my bike, but
when I was grabbing skittles, out it flew) Yes I am drinking water and
snacking, and appreciate all of your tips that came in handy throughout my day today, waiting for the pictures and official results to post (I think I was 13th in my age group).
Thank you!!
Heidi
My favorite outcome of my getting active has been seeing my kids getting active too! They worked out all summer too, normally swim team swimmers, Alyssa, my oldest,
worked out at Snap Fitness with friend Julia and my middle
daughter Kimberly on the beach, running 3-4 times/week.
They participated as a team in the Triturle Tri – Alyssa swam,
Julia biked, and Kimberly ran. Here was my email post
this event:
Hi all,
Finished my triathlon season today. It was so fun, thanks to you
that helped by training with me (Michelle and Alicia and Laura and
Tribabes!!) and helping me train (Lisa and Marilyn!) and to you that
braved the early hour and came WITH me - Alyssa, Julia and Kim
- (they did AWESOME in their relay!!) and Chad, Kylee and Michelle
and Alicia.
Highlights
~ My new wetsuit, LOVE IT - still got beaten out of the water by
my DAUGHTER Alyssa who did NOT have one on, you go girl!!,
definitely think the swim course was longer than prior (hmmmmm...., but really, Dane Ballou swam it in just under 13 minutes, when I
think he can do it in 11?)
~ Starting to realize I love biking, and it may have surpassed the other 2 legs as my favorite leg
~ didn’t inhale water and kept up with the men that were swimming
all around me
~
finished 47th (out of I think 306) overall (men and women)
~ was the 12th female finisher overall (out of approx 200), 7th
for my age group (out of 71)
~ SO PROUD of my girls - Alyssa, Julia and Kim - Alyssa for being
such an AMAZING SWIMMER, Julia - for riding the OLDEST,
HEAVIEST bike on the course and doing it at 16. 3 MPH with a
smile (thanks Chad for greasing/cleaning the chains!), and Kim for running her 3.4 mile HILLY run at a 10 min/mile pace, her best time
ever (AND she was sick this week, incredible!) and for not complaining
too much that she had to run instead of swim, since she can DEFINITELY outrun her older sister.
Lowlights: NONE!!!
Have
a great week,
Heidi
My favorite place to work out: Sugar Beach in Kihei on
Maui. Running in the surf and sand what a feeling, even
doing it barefoot some mornings!
My favorite sport: Swimming (though biking may have
surpassed swimming this season)!
New goals: Open water swimming with Kihei Master’s
group next June; maybe experience the Hawaii Ironman
as an event doctor? Remember hearing from a fellow family physician who has done this before. Urge my friends to
do that event so I can live it through them as their support/training partner (right Alica!?!) course physician; and
contemplating doing a ½ ironman myself at Lake Stevens
next year…………
Thanks KCMS for the award and support!
19.
When:
Wednesday November 10, 2010 ~ 6:00 PM – 8:00 PM
Where:
Harrison Medical Center Silverdale Campus in the Orchid Room
Subject:
Informational Meeting about the Medical Quality Assurance Commission and
its role and relationship to providers (PAs and MDs) of medical care in Washington
State and to provide an update on the pilot project which moved the commission
to a more independent status directly under our governor.
Speakers:
Frederick Dore, MD of Olympic Internal Medicine and
Les Burger, MD chair of the Medical Quality Assurance Commission
Invitees:
Open to all KCMS Physicians and PA-C members and Practice Managers
RSVP:
Please RSVP with Rebecca Carlson at the KCMS: kcmsmed@gmail.com or
360.689.2928 so we are prepared with food and drink
2010 Save the Dates!
Medical Quality Assurance
Commission Meeting
Wednesday November 10, 2010
6:00 PM ~ 8:00 PM
Harrison Medical Center
Silverdale Campus in
the Orchid Room
KCMS Family
Holiday Party
Sunday December 5, 2010
Kitsap Golf & Country Club
KCMS Holiday Foster
Children Shopping &
Cookie Exchange
Tuesday December 7, 2010 ~ 5:00 PM
WSMA Legislative
Summit
January 25th, 2011
Lion Olympia Hotel, Olympia
WSMA Board of Trustees Retreat
May 15-16th ~ 2011
Campbell’s, Chelan
Fun Run
June 5, 2011
Kitsap Sun Pavilion
The Communiqué is produced by KatCole Studios, katcole@wavecable.com, for the Kitsap County Medical Society and
is distributed to all members. Responses, inquires or suggestions for articles may be directed to:
20.
Rebecca Carlson at: KCMS (360) 689-2928 • fax (360) 204-5709 • kcmsmed@gmail.com • PO BOX 490 • Silverdale, WA 98383