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IN THE NEWS 2002
OU physician assistant receives honor 

Tom Johnson, a physician assistant at the University of Oklahoma Health Sciences Center, was named Oklahoma Physician Assistant of the Year by the Oklahoma Academy of Physician Assistants. 

Johnson, a cardiovascular instructor at the OU Health Sciences Center and a physician assistant at OU Physicians, cares for cardiac patients, many of whom undergo treatment for irregular heart rhythms using a procedure developed at OU. 

Johnson, who lives in Norman, holds bachelor’s degrees in microbiology and education from OU and, in 1989, earned a bachelor’s of science degree from the physician associate program at the OU College of Medicine, after which he joined the OU Health Sciences Center faculty. Over the 2002 spring break, he traveled with medical professionals and students to Santa Cruz, Bolivia, to provide health care to people in rural villages. 
http://news.mywebpal.com/partners/899/public/news410328.html

Rules change to help remote small hospitals 
By JAMES HAGENGRUBER
Of The Gazette Staff 

The state's smallest hospitals got an early Christmas gift. 
The federal government announced it will add more flexibility to staffing requirements for Critical Access Hospitals, which serve remote areas. 

Under the proposed change, registered nurses will once again be allowed to serve as relief medical providers at facilities with fewer than 10 beds. The state must first approve the measure, but hope is running high for Dan Muniak, a physician assistant and the sole medical provider at the Garfield County Medical Center in Jordan. 
http://www.billingsgazette.com/index.php?id=1&display=rednews/2002/12/25/build/local/hospitalrulechange.inc

FOR IMMEDIATE RELEASE: by PAworld.netFOR IMMEDIATE RELEASE: by PAworld.net

Physician Assistants / Associates Are In Good Company

United States Surgeon General Richard H. Carmona, M.D., M.P.H., FACS, unknowingly helped lead the way as a decorated Viet Nam combat medic whose advanced medical training and medical expertise laid the foundation for what is now called the Physician Assistant profession.

After having first served our country as a Special Forces medic in Vietnam, receiving the Bronze Star, a Purple Heart and a Combat Medical Badge, Dr. Carmona furthered his service to our nation by studying advanced medical training and developing medical expertise in the early formation of the Physician Assistant concept.

The Physician Assistant profession owes its formation to several physicians who proposed utilizing the same fast track model that prepared doctors for deployment in World War II.

Duke University felt that this new physician assistant concept could help alleviate the increasing shortage of primary care physicians in rural areas. Duke proved they were able to successfully train Viet Nam war corpsmen and medics using the fast track model for doctors, thereby, giving birth to the Physician Assistant  [PA] profession.

"Dr. Richard Carmona is a dynamic leader with a remarkable background who can help lead America through the wide-range of medical and health challenges they face in their everyday lives. His diverse experiences also make him uniquely qualified for the position." said, HHS SECRETARY TOMMY G. THOMPSON.

Dr. Carmona is a hero to those he serves and we expect that he will be a hero to the cause of stronger public health in America as Surgeon General. Dr. Carmona dedicated himself to serving his patients, community and country in ways that few can match. He certainly embodies "Physician Assistant, for the love of medicine and patients."

Dr. Richard H. Carmona was sworn in as the 17th Surgeon General of the United States Public Health Service on August 6, 2002. He now holds the rank of Vice Admiral and serves as the Commander of the United States Public Health Service’s Commissioned Corps, numbering around 6,000 officers.

Born and raised in New York City, Dr. Carmona dropped out of high school and enlisted in the U.S. Army in 1967. While enlisted he received his Army General Equivalency Diploma, joined the Army's Special Forces, ultimately becoming a combat-decorated Vietnam veteran, and began his career in medicine. Dr. Carmona has worked in various positions in the medical field including paramedic, registered nurse, and a physician.

-END-

Special Ops medics prepare for the future 
Forces gather at convention

BY GEORGE CORYELL
MEDIA GENERAL NEWS SERVICE Dec 13, 2002

TAMPA - They are a community unto themselves within the small and secretive world of military special operations.

They are the medics and health-care providers who must remain soldiers first, while treating the wounds of their comrades. Last week, more than 700 of them gathered at the Special Operations Medical Association's annual convention in Tampa to swap stories about what worked in the past year and what terrors might lie ahead.

...The fear of biological and chemical weapons is something these troops must mentally prepare for, said Army Lt. Col. Louis Smith, a physician's assistant with the Special Operations Command at Fort Bragg, N.C.

"Everybody would be scared when dealing with something we've never had to deal with before," Smith said. "Most of them will be able to handle it because we train them and prepare them to get them through it."

http://www.timesdispatch.com/frontpage/MGB696XJN9D.html
 

Brightening Families' Holidays 

The cafeteria of Lucy D. Slowe Elementary School in Northeast Washington was filled with the laughter of children, toys and Santa's helpers during a Christmas party yesterday that was held for the city's homeless families.

"It's a blessing to get something nice for Christmas," said Michelle King, who along with her husband and five children came to the party from the Community of Hope, a District shelter. 

The event was sponsored by Ella Strother, a physician assistant at the D.C. jail who founded Ella's Kids Inc. and has been hosting the annual Christmas event since 1990.

http://www.washingtonpost.com/wp-dyn/articles/A24867-2002Dec7.html

Taking Health Care To The Street
 Burlington, Vermont -- December 6, 2002

..."Homelessness is unhealthy, as you might imagine," notes Paul Dragon of the Homeless Health Care Project. But when a homeless person gets sick or needs a medical checkup, it's available from a physician's assistant, licensed to practice medicine under the supervision of an M.D. Dragon says the program helped 900 homeless people stay healthy last year.  ...

http://www.wcax.com/Global/story.asp?S=1040491&nav=4QcSCmRB

SFOR troops save fellow soldier's life 
By Ivana Avramovic, Stars and Stripes
European edition, Tuesday, December 3, 2002

John Dowling / Special to Stars and Stripes 
Capt. Paul Reo, 1-183rd Aviation at Eagle Base, guides a Black Hawk pilot into a tight landing zone on a restricted road overlooking the town of Olovo in Bosnia and Herzegovina on Nov. 22. A civilian physician's assistant back home in Schenectady, N.Y., Reo was instrumental in saving the life of another SFOR soldier after an accident. ...

http://www.estripes.com/article.asp?section=104&article=11865

No insurance? Faith Family Medical Clinic says come on in 
By JACK HURST
Staff Writer

A local Christian clinic funded entirely by private sources says its target population — the working uninsured — is large and growing larger in Nashville and across the state.

A year after its opening, the Faith Family Medical Clinic, 326 21st Ave. N., sees an average of 28 patients a day, and the prospects for more patients are excellent. ...The clinic has three office workers and three medical personnel — Henderson, a physician's assistant and a nurse practitioner...
http://www.tennessean.com/local/archives/02/12/26107757.shtml?Element_ID=26107757

Black ice bruises ER staff 
By Candace Chase 
The Daily Inter Lake 

...Kevin Wells, director of cardiovascular/emergency services, said the emergency room cared for 18 people with fall-related fractures Sunday.

"When I checked around 10 a.m., we had six this morning," Wells said Monday.

He said the emergency room went to secondary staffing Sunday to handle the rush of patients. Wells, a physicians assistant, did unexpected weekend duty as ice made for rough landings on all parts of residents' anatomies.

http://www.dailyinterlake.com/NewsEngine/SelectStory.tpl?command=search&db=news.db&eqskudata=93-805743-62

Doctors help ill Nicaraguan escape slow death 
November 29, 2002 Posted: 05:15:12 AM PST
By TY PHILLIPS
BEE STAFF WRITER

...The surgery is considered fairly routine in the United States. But not in Nicaragua.

"There isn't a cardiac center in the entire country," said William Gadea, a physician assistant at Doctors, who arranged for the surgery. "Young people are told to go home and die all the time. They are told there is nothing else that can be done for them."

Gadea, 41, knows what that grim scenario can do to a family. In 1978, he watched his mother die from breast cancer. The Gadeas were poor and had no access to the best medicines.

"You basically go to the local hospital and take a number," Gadea said. "It's your luck if you get to be seen by the best doctor. When she died, I promised that I would go to America and search for an education to study medicine. I had a dream that someday I would return to help my people." ...
http://www.modbee.com/local/story/5406644p-6393726c.html

Paging Dr. Wireless 
Mayo Clinic experiments with Tablet PCs 
By Jane Larson
The Arizona Republic
Nov. 27, 2002

Essie Haveman turns on her computer in the morning, pulls up the records on her next patient, and carries the computer into the examination room.

She can show the patient his X-rays, check other doctors' notes and, if she wants to consult another physician, all she has to do is walk down the hall and show him the computer screen.

Haveman, a physician assistant at Mayo Clinic Scottsdale, is part of the first wave of medical personnel at the clinic to experience the portability of traditional paper-based charts and the convenience of electronic records with the new Tablet PC.
http://www.arizonarepublic.com/business/articles/1127TabletPCs27.html

Physician assistant program earns five-year accreditation 
Nov. 26, 2002

KALAMAZOO -- The Department of Physician Assistant at Western Michigan University has been granted a five-year accreditation from the Accreditation Review Commission on Education for Physician Assistant.

The accreditation follows an on-site visit by the ARC-PA. The commission's previous on-site visit in 1998 resulted in a four-year accreditation. The new accreditation runs through 2007.

http://www.wmich.edu/wmu/news/2002/0211/0203-149.html

Sister receives highest award

BY RACHEL GALLAGHER
rachelgallagher@npgco.com

 Sister Mary Rae Schrick was honored recently as the state's top physician assistant. 

For about 50 years, Sister Mary Rae Schrick, OSB, has worn several hats in Atchison and surrounding communities. She was recently recognized for about 24 years of her tireless work.
As a physician assistant for more than two decades and an active member of the Mount St. Scholastica community, Sister Schrick certainly keeps herself busy. The Kansas Academy of Physician Assistants must have noticed this when they selected her as Kansas’ top physician assistant for 2002. 
http://www.atchisondailyglobe.com/main.asp?FromHome=1&TypeID=1&ArticleID=455&SectionID=16&SubSectionID=33
 

Posted on Mon, Nov. 25, 2002 
 Doctor at the doorstep
Thanks to a change in Medicare rules, physicians are hitting the highway to make house calls
By Kelly Greene
The Wall Street Journal

...He and his partner sifted through their database and plucked out 600 patients who had trouble walking or had advanced dementia or other problems that made them candidates for the service. Now, the doctors, five nurse-practitioners and one physician's assistant have carved up their community into quadrants and spend two-thirds of their time on the road, often checking in with the scheduling nurse using two-way radios. ...

http://www.dfw.com/mld/startelegram/living/4600701.htm

WSU PAs to practice in Bolivia soon
By Ginger Golden

Wichita State has teamed up with the local organization Hospitals of Hope to send a team of physician assistant students to Bolivia this spring.

From March 31 to May 1, students Sarah Lindsey, Crystal Knott, Brenda Avery and Tara Roa, along with David Day, assistant director of WSU’s PA program, will take part in an elective rotation at the HoH clinic near Cochabamba, Bolivia.
http://www.thesunflower.com/web/isite.dll?1037932110947

Medical Mission to Afghanistan
PAworld.net 11/21/02

Catherine Mason, PA-C. of New Mexico will be going to Afghanistan, January 2003 for a month to do a humanitarian mission with International Aid.  The two clinics she will be working with and have asked her for some medical equipment and supplies to help their work.  One clinic sees about 100 patients a day and the mobile medical clinic can seen 5 times that amount in a few days. 

An example of the type of equipment needed is:

BP cuffs, digital thermometers, Otoscopes, canes, patella hammers, tongue depressors, urine dipstix, gloves, suture material, nebulizers and albuterol soln and inhalers, bandaids, wound care products, gloves, steri-strips, 60 cc irrigation syringes, canes, peakflow meters, pulse oximeters, and a myriad of antibiotics--topical, oral, and opthalmic.
contact:Catherine Mason, PA-C 505-534-1717
http://www.paworld.net/missionhelp.htm
 

New health center opens its doors
Center will provide medical care for uninsured
By JANE ZHANG
jzhang@thespectrum.com 

..."We'll take all comers," said Todd A. Stirling, the new physician assistant at the center. "Nobody gets turned away."...
http://www.thespectrum.com/news/stories/20021119/topstories/403141.html

Grreat American Smoke Out
...Dr. Remenchik will talk about how to successfully quit smoking; then, a panel of three Health Center employees will discuss effective ways to kick the habit. Members of the panel will be Renee McCarty, a certified physician assistant and fac-ilitator in the Health Center's tobacco cessation support group that began in mid-2001; Jackie McDon-ald, a case manager and support group facilitator; and Teresa Prit-chard, an ex-smoker who works in Cardiology Services and has been a member of the support group...
http://www.zwire.com/site/news.cfm?newsid=6120256&BRD=1994&PAG=461&dept_id=227937&rfi=6
For his part, Mr. Jasper Mason, a physician assistant and resident tutor of the PHC, said the course which is a certificate program of four months' intensive training, started since June and brought together 15 social workers from various backgrounds, to include midwives, licensed practical nurses and registered nurses, among others.

He averred that the optimal goal of the course is to train health team members to primary health care approach of health care provision. He also presented 14 candidates to receive certificate.

http://allafrica.com/stories/200211140174.html

Commissioners also approved an interlocal agreement with Palo Pinto General Hospital for a physician's assistant to provide health care services to jail inmates.

According to the contract - which is contingent upon an agreement by County Attorney Phil Garrett and the attorney for PPGH - Physician's Assistant Richard Keller
 would attend to inmates' medical needs for two hours each Tuesday and Thursday. A tentative amount of $1,120 per month would be paid to Keller for his services, which Oakerson said would reduce expenses and the risk of escape. 
http://www.zwire.com/site/news.cfm?BRD=1224&dept_id=445897&newsid=6064237&PAG=461&rfi=9

A life renewed at 85 in 'Zozo 
By Sandy Suggitt
ruidoso news
...Veller gets blood tests at the clinic in Carrizozo, and one day physician's assistant Ernie Gonzales went to his apartment to explain that he needed to go to Albuquerque for a test. When he saw Veller was sleeping on an air mattress, he went out and returned two hours later with a bed, Aris said. Sue Sterns, who manages the apartments, brought him bed covers and towels. A man in Carrizozo is helping him get a hearing aid from the V.A. – something he was on a waiting list for for a year in California. ...

http://www.ruidosonews.com/Stories/0,1413,165%257E9426%257E991885,00.html

Paynesville Press - Nov. 13, 2002

Clinic gets new practitioner
By Bonnie Jo Hanson
 

  Janet Jacobson has joined the medical staff of the Paynesville Area Health Care System as a physician's assistant. 
Jacobson became a member of the medical staff last week and will split her time between clinics in Paynesville and Richmond. As a physician's assistant, she can perform many of the the duties of a physician under the supervision of medical doctor.

Jacobson, whose focus is on family medicine, comes from the Brainerd area, where she was a registered nurse until a few years ago. She wanted more of a challenge, so, at the urging of a friend who was a physician's assistant, she enrolled in a program at the University of North Dakota, from which she graduated in 1998. She continued to practice in Brainard until her move to Paynesville.

She enjoys family practice because it gives her an opportunity to teach her patients about healthy living, and she likes the modern facilities at PAHCS. She has already begun to see patients at both clinics.

Jacobson likes Paynesville and all it has to offer, but for now she is commuting from Brainerd until she and her husband find a home here. She has two grown children and enjoys tending to her animals, including a pet chicken.

http://www.paynesvillearea.com/news/HeadlinesArticles/1113janetjacobson.html

WMU professor appointed to Michigan Board of Medicine 
Nov. 11, 2002

KALAMAZOO -- William Fenn, a professor in the physician assistant program in Western Michigan University's College of Health and Human Services, is one of four people recently appointed by Gov. John Engler to the Michigan Board of Medicine.

http://www.wmich.edu/wmu/news/2002/0211/0203-x078.html

Woman buys clinics in Rio Hondo, Los Fresnos
By PALLAVI AGARWAL
Valley Morning Star
RIO HONDO — A physician assistant, who had been managing the Rio Hondo Health Clinic, has bought the clinic along with a health clinic in Los Fresnos.

Cheryl Dodson purchased the clinics because the former owner, Valley Baptist Health System in Harlingen, considered her a good candidate to carry on the mission VBMC began with the clinics.

"I felt that I had an obligation to the communities," Dodson said.

http://www.valleystar.com/files/n211125.htm

New AIDS tests provide rapid results
Lindsey McKee
New to the Tribune

...Unlike most medical testing, almost no previous training is needed or required. However, this concerns Mark Behar, a physician assistant at the Wisconsin Avenue Family Care Center, 1834 W. Wisconsin Ave. He believes training is a necessity. 

"I am not against the test, but I believe that it should be done in an area where people can tell you exactly what a positive or a negative means to you," Behar said. 

The presence of professional doctors or medical personnel ensures that people being tested are clear on how having or not having the disease affects them. ...

http://134.48.55.172:8000/tribune/tribunegetnews.shtml?n-aids110702

Oakes doctor keeps care close to patients
By Jack Sullivan
Associated Press Writer

OAKES, N.D. - Dr. Rup Nagala built clinics in southeastern North Dakota as hospitals were closing and other doctors were packing off to larger cities. When he decided the clinics needed physician assistants, he picked nurses from those towns and paid for them to go back to school.

The result of his work: the Southeast Medical Center, a network of six community clinics that provides a patient base that keeps the Oakes Community Hospital open - and allows 20,000 patients to get medical care in their hometowns.

http://www.aberdeennews.com/mld/aberdeennews/news/4464692.htm

MC offers new master's program 
By Connie Cartmell, ccartmell@mariettatimes.com 

...Today, Addis, 21, a 2002 graduate of Marietta College, is among 16 members of a new 27-month program at Marietta, under way just six months, that trains and prepares physician assistants for all types of medical settings from hospital emergency departments to private physicians' offices or nursing home facilities.

Celebrating their transition from the classroom to clinical settings this semester, members of the Class of 2004 of the Marietta College physician assistant program on Oct. 25 received white consultation coats. College officials, program faculty and staff, friends and family attended the ceremony...

The Marietta College PA Program is nationally accredited through the Accreditation Review Commission for Physician Assistants (ARC-PA). 

For more information: Gloria Stewart, director, 740.376-4458, or James Fry, academic coordinator, 740.376-4952

11/04/02
Rising prescription drug prices: Corporate greed or costly research?
By JANE ZHANG
jzhang@thespectrum.com 

...The first pill may cost $30 million to produce and the second pill 22 cents, said Mike McMahan, physician assistant of Zion Canyon Medical Clinic in Springdale. As HMOs are slow to add new medicine to their formularies, the high drug cost has kept many low-income patients away. Massive jury awards to users of such drugs as Fen-Phen, he said, have only added fuel to the fire.

"It does keep going up and up. Lawyers are just part of the problem," McMahan said. "Patients are paying more and more for their insurance. Insurance (companies) are paying less and less per patient per service."  ...

http://www.thespectrum.com/news/stories/20021104/topstories/298949.html

By Courtland Milloy-Washington Post
Sunday, November 3, 2002; Page C01
Young Activists All Fired Up to Get Out the Vote

"We just hope that everybody understands the issues," said Rashida Rogers, 21, who is studying to become a physician's assistant. "On campus, the students are very aware politically. But we need to reach out to the community and make sure they understand how the election could affect health care, education, justice, gun safety and the prospect of war."

http://www.washingtonpost.com/wp-dyn/articles/A59393-2002Nov2.html

Sunday, November 03, 2002 - 12:16 a.m. Pacific
Washington tribes invest casino proceeds by sending members to college 
By Lynda V. Mapes
Seattle Times staff reporter

...Dillon received a full-ride scholarship to Western Washington University in Bellingham, and two years for her master's degree in health sciences at Duke University in North Carolina. In August, she graduated from the physician assistant surgical residency program run through the Yale School of Medicine. After years of schooling, Dillon is looking for her first job as a surgical assistant. 

"I feel very, very lucky, just blessed that they have supported me in everything I wanted to do," said Dillon, who was given the money for her education as a gift — no strings attached. It made all the financial difference for her family, Dillon said. ...

http://seattletimes.nwsource.com/html/localnews/134568402_yale03m.html

Jennifer Wirth, FLORIDA TODAY-Entrepreneur Spotlight
Hamilton Boone Runs Physician Assistant Services in Melbourne

Business: Physician Assistant Services, 301 Hibiscus Blvd., Melbourne

Business description: “We provide surgical-physician assistants, who have each been certified by the National Commission on Certification of Physician Assistants, 24 hours a day, seven days a week, on a per-operation basis, in most specialties.  Our only focus is assisting in surgery.”

Business motivation: “To provide a core of professionals to the community and surgeons and the satisfaction that comes from doing this for the love of the patient and medicine.”

Professional background: Surgical experience for more than 31 years with 22 years as a NCCPA certified surgical P.A. in all specialties.

Lessons learned:  “Take full responsibility for all successes and setbacks.  Learn and understand your shortcomings and improve upon them.  Spoil your surgeon and patient with the best possible service and care.”

Business goals:  “To expand and cover all hospitals in Brevard County on a round-the-clock basis.”

Best business experience:  “Meeting Dr. Jonathan Paine for the first time in 1999 and explaining my concept to him.  He was the first supervising surgeon to give me the opportunity to prove my concept and myself.  Today, Physician Assistant Services assists more than 40 surgeons in multiple specialties.”

For more information: Call (321) 409-8941

Service with a smile: Retired Darlington doctor has always been involved
Published Thursday, October 31, 2002 11:15:02 AM Central Time
By Tom Osterday of the TimesPlus Monroe, WI
 

...Olson and his wife raised five children and cared for a foster child who lived with them five years. The children are now grown and Olson proudly list the children and their accomplishments: Craig is a high school principal in the Minneapolis area; Kirstin is a church musician in Pennsylvania; Ingrid is a nurse in Platteville; Kim is an air handling engineer in Seattle, Wash.; and Kirk is a physician's assistant in the U.S. Army in Virginia...

http://www.themonroetimes.com/o1031pol.htm

PAs and NPs 
Explaining Rxs with a PA or NP Signature 
David Mittman, RPA-C
USPharmacist
Vol. No: 27:10 Posted: 10/15/02
 

In 2003 there will be over 45,000 Physician Assistants (PAs) and 90,000 Nurse Practitioners (NPs) in practice throughout the United States. Both professions can practice in all 50 states and they have been accepted by the VA, U.S. Public Health Service and the armed services. It is estimated that NPs are growing by 9,000 graduates and PAs by 4,000 graduates annually. These clinicians, although not physicians, routinely evaluate, diagnose, treat and prescribe, as only physicians have traditionally been able do so in the past. 

Generally, most NPs and PAs work in practices with their physician colleagues. Frequently, both professions can be found operating satellite offices and in rural areas, operating offices with minimal or no physician contact. All PAs must be associated with a physician while in some states nurse practitioners can practice independently.

full article at http://www.paworld.net/media.htm   or
http://www.uspharmacist.com/index.asp?show=article&page=8_964.htm

Genetic tests can help cut risk of cancer
 Don Clasen, Staff Writer October 30, 2002 

...At Wilkinson Clinic, genetic cancer risk assessment is a multistep process. It begins with a one-on-one consultation with Phillips and Tim Welsch, a certified physician assistant trained in genetic counseling. The pair detail personal and family health history and determine whether genetic testing is necessary and desirable...

http://www.zwire.com/site/news.cfm?newsid=5889851&BRD=1400&PAG=461&dept_id=173209&rfi=6

10/31/02

...Proctor's "folks" are the thousands of poor migrant and seasonal workers in south Hillsborough County who, because of their legal status, are ineligible for Medicare or Medicaid. As they trickle into Wimauma and Balm and Plant City and Dover to spray trees and pick fruit this fall, they also make their way to the Catholic Mobile Medical Services clinic complaining of skin allergies, eye irritation and back pain. Proctor, a physicians assistant, is always there to treat them. Proctor's assistant, Maria Lamas, and one or more of the clinic's volunteer doctors and medical students generally drive out to meet her. 

http://www.sptimes.com/2002/10/31/Floridian/Mending_bodies_and_li.shtml

10/29/02
MICHAEL GALLAGHER 
The Cle Elum Urgent Care Center, 505 Power St
http://www.kvch.com
Kittitas Valley Community Hospital
603 S. Chestnut Street
Ellensburg, WA 98926
509/962-9841 
...The urgent care center will provide walk-in service for people in need of medical care including X-ray and laboratory capabilities. Weekdays the center will be staffed by emergency-department-trained registered nurses. 

Additional staff on the weekends will include either a physician assistant or nurse practitioner. Rob Merkel, physician assistant at Cle Elum Family Medicine, will staff the clinic beginning in November while KVCH continues to recruit for an additional physician assistant...

http://news.mywebpal.com/partners/665/public/news384614.html

SURGEON GENERAL BRINGS MESSAGE OF PREVENTION TO SIUC 
BY JOHN D. HOMAN   THE SOUTHERN 

...Dr. Carmona brings such passion to his job," Jackson said. "Having grown up in an impoverished background has shaped his policy views. Issues such as obesity and smoking with children are still No. 1 with him. It was surprising, but enlightening. I thought it was an excellent presentation." Carmona, who was a decorated combat medic in the Vietnam War, also worked as a paramedic, registered nurse in an emergency room setting, and a physician's assistant before becoming a trauma surgeon...
http://www.southernillinoisan.com/rednews/2002/10/28/build/top/TOP004.html

10/25/02... The majority of students at the schools served by the health centers are poor and for many, this is the only medical attention they receive, Royster said. 

Harrison and Trewyn will have a nurse practitioner or physician assistant daily. The other schools will share a nurse practitioner or physicians assistant, and every school will have its own medical office assistant. 

http://www.pjstar.com/news/topnews/g132023a.html

Posted on Fri, Oct. 25, 2002    THE SUN NEWS

What is a physician assistant?

PAs are health care professionals licensed to practice medicine with physician supervision. 
What can they do? They can conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery and, in most states, including South Carolina, they can write prescriptions. They cannot write prescriptions for narcotics in South Carolina. 

What is their training requirement in South Carolina? Master's degree in physician assistant studies at the Medical University of South Carolina in Charleston includes comprehensive didactic, laboratory and clinical instruction, including courses in human anatomy, pharmacology, pediatrics and other areas. Students must also complete 12-month clinical clerkships. 

For more information, visit 

http://www.musc.edu/pa. 
http://www.myrtlebeachonline.com/mld/sunnews/news/local/4368077.htm

In creatine, some athletes think they have found a shortcut to success
 By DAVID BIRKETT, Of The Oakland Press October 23, 2002 

October 23, 2002
Darryl Celmer is like most other high school football players in that he wants to be big, strong and fast. 
Rick Kedzierski, a volunteer team physician for the Madison Heights Bishop Foley football team, said it's possible some of the cramped and pulled muscles were caused by not enough water intake while supplementing.

"You see athletes cramping up on the sidelines and when you talk to the kid and find out what they've been eating, what they've been drinking, almost 100 percent of the time the cramps are caused by dehydration," said Kedzierski, a physician assistant at Hamilton Community Health Network in Flint. "They think because they're drinking water a couple, three times a day, it's enough. But they don't realize that when they're engaged in athletic practice and contests it requires pretty constant intake of water, or like a Gatorade-water solution. And a lot of kids think that pop counts as water and it doesn't, of course. It actually dehydrates them a little."
http://www.zwire.com/site/news.cfm?BRD=982&dept_id=129886&newsid=5804387&PAG=461&rfi=9

Memorial pioneers surgical technique  PA comment

By Cary Leider Vogrin - The Gazette

Memorial Hospital on Tuesday became the fourth medical center in the nation to perform a groundbreaking procedure that benefits patients undergoing coronary bypass surgery. 

In fact, the surgery -- called endoscopic radial artery harvesting -- was done twice on Tuesday, once in the morning and once in the afternoon. 

A 69-year-old Colorado Springs man was the first patient; the afternoon surgery was performed on a 54-year-old man, also from Colorado Springs. 

In the past, patients have had to endure long, painful elbow-to-wrist incisions from which surgeons removed the radial artery for use in the heart bypass. 

With the new procedure, first done in July in Wisconsin, only two tiny incisions are made. An endoscope, basically a long, thin camera lens with scissors and other instruments attached, is then inserted into the arm. The image is projected onto a monitor, and the surgeon is able to cut the artery, tie it off and pull it out. 

Matt Bershinsky, a physician assistant specializing in cardiothoracic surgery, performed both of Tuesday's artery "harvests." Physician assistants perform many of the same duties as physicians. They practice medicine under a doctor's supervision, assist in surgeries and prescribe medication. 

"Today I was a little nervous, to be perfectly honest with you," Bershinsky said in an interview between procedures. "Not many people are comfortable in trying this technology in the arm." 

At about 8 a.m., Bershinsky and Don Gutknecht's left arm made hospital history. 

It took just 34 minutes from start to finish for Bershinsky to make the cuts, retrieve the artery and sew the incisions shut. Bershinsky then turned the artery -- about the length and width of a ballpoint pen -- over to Dr. Bryan Mahan, a cardiothoracic surgeon who cut open Gutknecht's chest and performed the 41/2-hour bypass procedure. 

Gutknecht began suffering heart pains about a decade ago. He switched to a low-fat diet and began exercising. But on Friday, he suffered a mild heart attack. Various tests showed he had blocked arteries. Bershinsky said the blockages were too numerous and too severe for angioplasty. 

More tests were performed to see if Gutknecht would be a good candidate for endoscopic radial artery harvesting. To qualify, physicians had to make sure the other artery in Gutknecht's arm, the ulnar, would be able to go it alone and offer him a sufficient blood flow. 

The test showed good results, and Gutknecht gave the go-ahead for the procedure. 

"He's never been one to shy away from trying alternative things," said his daughter, Conni DeMark, who, along with her brother, Steve, spent much of Tuesday in a waiting room. 

At the time they finally got to see their dad, around 2:15 p.m., Bershinsky was back in the operating room, performing the second procedure. That patient's name was not released, but hospital spokesperson Chris Valentine said that artery harvest also was a success. 

Memorial has been doing similar endoscopic harvests on leg veins for about three years. Bershinsky, in fact, also retrieved a vein from Gutknecht's leg for the bypass. Artery harvests, however, are a bit more complicated because arteries pump blood at a higher pressure. 

Bershinksy called Tuesday's cases "a natural progression." "I think at this hospital it will be the standard very very shortly." 
http://www.gazette.com/display.php?id=66864

The proposal would have allowed schoolchildren and their families, and possibly other community members, access to an on-site clinic staffed at all times by either a nurse practitioner, a physician assistant or a physician.

http://www.berkshireeagle.com/Stories/0,1413,101%257E6282%257E937501,00.html

Johnson, who with 23 years in the medical field is a physician assistant for Dr. Art Steed, an obstetrician/gynecologist in Marion, noted that nationally one in four to five pregnancies ends in loss. In Southwest Virginia, she said, the rate is even higher largely due to problems such as smoking and a lack of prenatal care. 

Through her work, she has often helped women who’ve lost a baby. Up until now, she said, the nearest support group she could direct them to was in Abingdon. For years, Johnson said, she recognized a real need. 

http://www.wythenews.com/MGBOXI7XL7D.html

Physician Assistants provide vital health care 
October 6, 2002

Albany- Sunday is National Physician Assistant day. Tim Fowler, has been an Emergency Services Physician Assistant at Palymra Hospital for three years. 

He assists the emergency doctors and makes sure each patient receives the proper medical attention they need. He says even though the Physician Assistant profession is relatively new, more people are realizing how important they are in healthcare. 

Fowler says Physician Assistants can do the majority of what a physician can do. They can even write prescriptions. 

http://www.walb.com/Global/story.asp?S=962170&nav=5kZQBehh

Emergency medical technicians at Adirondack Medical Center in Lake Placid, where both Reynolds and Shea were taken, drew Reynolds's blood with permission from a physician assistant and a nurse, not from a physician, as required. 

http://www.newsday.com/news/local/wire/ny-bc-ny--shea-indictment-e1016oct16,0,3720768.story?coll=ny-ap-regional-wire

Work on stand-alone Pahrump VA clinic will begin shortly

By HENRY BREAN, Managing Editor October 18, 2002 

Sometime in the next week or two, construction activity is expected to begin at the site of what one local doctor has described as the best thing that's ever happened for veterans in Pahrump.

Late last week, the Department of Veterans Affairs Southern Nevada Healthcare System officially announced plans for a new Pahrump Community Clinic dedicated to providing medical care for area veterans.

"It's a godsend to the veterans of Pahrump," said local VA Dr. Frank Toppo. "This improves medical care 10-fold."

David Martinez, spokesman for the VA Southern Nevada Healthcare System, said the contractor picked to develop the facility was expected to seek a building permit this week and start work "almost immediately after that." The facility will be housed at 2100 E. Calvada Blvd. in a 4,760-square-foot prefabricated building, so the clinic could see its first patient as early as mid-December.

"The facility will be (more than) twice as big, and we'll be able to help twice as many veterans," added John Hempel, director of the VA Southern Nevada Healthcare System.

And with the larger clinic comes a slightly larger staff. Toppo will be joined by another full-time medical provider, most likely a physician assistant, which will allow the facility to cover five days instead of four with hours from 7 a.m. to 5 p.m. Monday through Thursday and from 8 a.m. to 5 p.m. Friday. There will also be a registered nurse, two health technicians, a pharmacy technician and two medical support assistants on staff.

The first of its kind in Nevada, the clinic will have seven exam rooms, two group rooms, a procedure room, a first-fill medication dispensing machine, and a lab collection room.

More importantly, perhaps, the facility will be able to perform minor surgeries and pulmonary function tests, and patients will be allowed to see cardiologists in Pahrump under the same VA fee schedule. In other words, at least half of the 1,500 local veterans served by the VA "will be spared a drive to Las Vegas," Toppo said.

The free-standing clinic will replace the current clinic facility, which has two exam rooms and about 800 square feet to work within the offices of Dr. Georges Tannoury. The doctor took over Pahrump's VA contract in April 2001, after he replaced Utah-based Rural Health Management Corp. at Pahrump Medical Center. He pulled out of PMC after the now-dissolved Pahrump Community Hospital District Board declined to renew his lease, but Tannoury has continued to provide a home for the VA clinic.

The contract clinic will remain open until the new facility is ready. Starting Oct. 25, a licensed clinical social worker will begin making weekly visits to Pahrump to provide mental health services to veterans.

Toppo said a lot of people deserve credit for bringing the new clinic to Pahrump, including Hempel and other VA officials. Toppo also singled out Pahrump resident Art Jones, who currently serves as State Commander for Disabled American Veterans. "Him being the president and being from Pahrump has definitely helped," Toppo said of Jones.

Something else that helped according to Toppo: During a visit to Pahrump earlier this year, U.S. Sen. Harry Reid (D-Nev.) was greeted at the local VFW hall by 125 veterans with health care issues on their minds.

Toppo said he would have preferred to see the clinic built a little closer to the proposed site of Pahrump's first hospital, but he certainly isn't complaining. "This is the best thing that's happened for veterans in this valley ever," he said. 

http://www.zwire.com/site/news.cfm?newsid=5754050&BRD=1125&PAG=461&dept_id=99545&rfi=6


 
Local PA finds her niche

By Barbara Jones
Independent Tribune

Today is a special day for physician assistants across the country. 
It was on this day in 1967 that the first physician assistant (PA) graduated form Duke University.

And in 1987 the American Academy of Physician Assistants designated Oct. 6 as National Physician Assistant Day.

Local PA Suzanne Brown is delighted that the day not only recognizes physician assistants, but it provides an opportunity to educate the public.

“Most people don't know what or who we are,” she said.

According to Brown, being a PA allows her to do much of the same things a medical doctor can, but without the constant demands.

“It allows us to do the same stuff, but still have a family,” she said.

Unlike physicians, PAs are usually not on call, and generally don't work alone on complicated cases.

Brown, 33, didn't get where she is right away. She actually started off at Davidson College as a history major. 

“I didn't have your typical career path,” she said. “I had played around with the idea of med school but decided the time it took wasn't worth it.”

After she had been out of school five or six years, Brown still couldn't keep her mind off the medical profession, but again felt she couldn't go to medical school.

Instead, she met a PA, and interested in the work, started shadowing the PA to see exactly what the job entailed.

Realizing she needed clinical exposure to even train as a PA, Brown worked as an EMT in Charlotte, than went to Duke University to become a PA.

Even though a student can become a PA with only two years of prior college and some health care experience prior to admission, Brown decided that since she was there anyway, she might as well get her master's degree.

She now works for Kannapolis Family Physicians. The office is one of a chain of five in Cabarrus County, and Brown said all but one have PAs.

The biggest problem Brown said she runs in to is that the general public is not aware of what a physician assistant is or does.

“People don't know what or who we are,” she said. “The profession is still relatively new.”

According to the American Academy of Physician Assistants, a PA is a health care professional licensed to practice medicine with physician supervision.

This year, the growing profession has more than 42,000 people in clinical practice.

PAs can conduct exams, diagnose and treat illnesses, order and interpret tests, counsel on preventative health care and assist in surgery.

In 47 states, including North Carolina, PAs can write prescriptions for their patients.

Though their job description sounds remarkably similar to that of a nurse practitioner, there are some differences.

Brown said the main difference is that PAs use doctors as their models and mentors, while nurse practitioners generally use other nurses.

Also, someone must be a nurse for a certain number of years before becoming a nurse practitioner, and Brown said she and many others like her never had any intention of becoming a nurse.

And, Brown said, PAs work closely with a physician as a team.

The best part of being a PA is doing much of what a doctor does but without the time involved, she said.

“I'm able to have a life outside of medicine,” she said.

Though Brown said some people may disagree, she feels she may not be able to spend as much time with her children or husband if she were a medical doctor.

And though she said people ask her all the time when she is going on to be a doctor, Brown said she has no intention of following that path. 

“It's a different career (being a PA), not a link to being a doctor,” she said.

http://www.independenttribune.com/news/MGBP1ACEY6D.html

Veterans' Corner October 07, 2002 

Veterans' Corner, a column to inform armed-forces veterans about services and benefits available to them, appears in The Indiana Gazette the first Sunday of each month. 
The column is compiled by Ron Merritt, disabled veterans employment representative, and Brenda Stormer, director of veterans affairs for Indiana County.

How can I get my medication through the VA?

Many veterans have heard that they can get medications through Veterans Administration medical centers, either free or for a small co-payment. 

While this may be true, depending on your eligibility status, it is not possible to just show up at a VA pharmacy with a prescription written by a private physician and have the prescription filled. 

Even if you are under the care of a private physician, to receive medication through the VA you must also be under the care of a VA provider while taking the medication.

Being under the care of a VA provider is necessary so that the VA provider, physician, nurse practitioner or physician assistant can monitor your condition and manage the problem for which the medication is prescribed.

 http://www.zwire.com/site/news.cfm?BRD=1078&dept_id=151030&newsid=5620383&PAG=461&rfi=9
 

Coalition Discourages Overuse of Antibiotics
 Tuesday, October 15, 2002 
BY HILARY G. SMITH
THE SALT LAKE TRIBUNE 

   Sniffle, sneeze, cough and complain all you want, but if a coalition of Utah doctors gets its way, no amount of whining will get you a prescription for an antibiotic. Unless, of course, you really, really need it. 
    Overprescribing antibiotics is counterproductive and plain dangerous, according to AWARE, the Utah Alliance Working for Antibiotic Resistance Education. The group, made up of health care providers, insurers, pharmaceutical manufacturers, the Utah Medical Association and the state Department of Health, kicked off its awareness campaign, "Use the right drug for the right bug," on Monday. The setting was a local day care center, a hotbed they said, for misconceptions about coughs and runny noses. 
    "There is no evidence that green or yellow nasal discharge, commonly known as 'snot,' needs to be treated with an antibiotic," said Bob Bunnell, a physician assistant for a group of Salt Lake City pediatricians. "There are more than 50 million cases of inappropriate antibiotic prescriptions each year." 
    According to a recent survey by Intermountain Health Care, most of the antibiotic misuse in Utah involves children and taking the drugs when they really aren't needed makes serious infections more difficult to treat. 
    "Antibiotic resistance could affect us for generations to come," said Kim Bateman, a physician who studies the issue. "We're teaching doctors not to treat a stuffy nose and a stuffy head unless it has gone on for at least one week and the symptoms are getting worse, not better." 
    Contrary to some day-care center rules, the group said, children should be allowed to return to school or day care after being free of fever for 24 hours. The coalition said some centers require that children be taking antibiotics before they can come back. 
    But that is not to say that serious maladies should be dismissed by patients and doctors. Strep throat, pneumonia, sinus and ear infections still require medical attention and treatment. The key, they say, are lab tests or X-rays for a proper diagnosis. 
    "For almost every infection, there's some kind of lab confirmation," Bateman said. 
    So if there is a question about an infection, call the doctor, the group said. If a physician does prescribe antibiotics, they should be taken as directed, not shared with anyone, and used along with other common sense treatments such as plenty of rest and fluids. 
    But perhaps the best prevention is the simplest: thorough hand washing. And that antibacterial hand gel? Forget it, Bunnell said, unless there is absolutely no water available. Using it tends to rub germs around hands, and makes the bugs more resistant to the cleaner. It does not get rid of them, he said. 
    Instead, studies have shown that a 20-second hand washing with soap, antibacterial or otherwise, is better. 
    At the IHC Child Development Center, children are taught to wash their hands properly as soon as they can stand at the tiny sinks. Teacher Jamee Carter uses the "Alphabet Song" to judge the longevity of a hand-washing session. Children are told to sing the song, saying all the letters, while they are washing their little hands. 
    "They try to skip letters so they don't have to wash as long, but we try to catch them," she said. 

http://www.sltrib.com/10152002/utah/7270.htm

County commission approves agreement with health center
October 08, 2002 

Cloud County board of commissioners Monday approved an agreement with the Cloud County Health Center under which the hospital will provide a nurse practitioner or physician assistant at $40 per hour or physician at $50 per hour to serve as clinician for the family planning clinics. 

http://www.zwire.com/site/news.cfm?BRD=1993&dept_id=224177&newsid=5633208&PAG=461&rfi=9

Davis said Primary Care Associates is growing rapidly. It now has seven doctors: Davis, Jed Holmes, Hai Truong, Darla Rivera, Mark Leiker, Angela Leiker and Charlotte Lim, and physician assistant Melissa Funk. It will add Jennifer Halavi and Lynette Jacobsen in January.

http://www.kansas.com/mld/kansas/business/4241436.htm

Women's Health Day slated for Tuesday in Crosby

CROSBY -- Women's Health Day will be hosted from 5-8 p.m. Tuesday by appointment at Central Lakes Medical Center and Cuyuna Regional Medical Center in Crosby.

This program offers convenient access to health care for working women. One-stop is meant to offer women preventative care with one appointment. This appointment will include a pelvic exam, pap smear, breast exam performed by a physician or physician assistant and a mammogram performed by a registered mammography technologist.

These exams are available at no cost to women 40 or older, who are uninsured or have a co-pay and meet generous income guidelines.

http://www.brainerddispatch.com/stories/101202/new_1012020038.shtml

Physician assistant Matt Bershinsky, right, assisted by Shannan Donovan, uses an endoscope to remove an artery from Donald Gutknecht’s arm for use in bypassing arteries in Gutknecht’s heart Tuesday at Memorial Hospital in Colorado Springs. It was the first such procedure in Colorado.
http://www.denverpost.com/Stories/0,1413,36%257E53%257E942830%257E,00.html

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