May 2016 Sombrero

8/17/2019 May 2016 Sombrero

1/24

SOMBREROP i m a C o u n t y M e d i c a l S o c i e t y

Home Medical Society of the 17th United States Surgeon-General

M A Y 2 0 1 6

Far West Ajo provides variety

in the Sonoran Desert

Dr. Cairns appointed

Dean of UA College of Medicine

The new Tucson Concussion Center

moves in

Dr. Fagan catches up on the Arizona Legislature

PCMS Celebrates Five Years with WWAD Program


2/242 SOMBRERO – May 2016


3/24SOMBRERO – May 2016 3

Madeline Friedman ABR, CRS, GRI Vice President

296-1956 888-296-1956Madeline is Your Connection to

Tucson’s Favorite Neighborhoods!www.tucsonazhomes.com • [email protected]

FOOTHILLS Great find: Free standing home ina desirable Foothills townhousecommunity! Mountain views.

1,612 sq. ft., 3 bedroom, 2 bath,great room, covered patio. Updated too!

2 car garage. Community pool.

$215,000

NORTHEAST Pristine golf community home

with fabulous views. Buffered fromthe 15th hold of Arizona National.1,814 sq. ft., 3 bedroom, 2 bath,

great room w/ fireplace, beautiful décor!

Community pool & rec center.

$322,500

Official Publication of the Pima County Medical Society Vol. 49 No. 5

Printing West PressPhone: (520) 624-4939

E-mail: [email protected]

PublisherPima County Medical Society 5199 E. Farness Dr., Suite 151Tucson, AZ 85712Phone: (520) 795-7985Fax: (520) 323-9559

Website: pimamedicalsociety.org

EditorBill FearneyhoughI welcome your feedback and story ideas.

E-mail: [email protected]

Art Director

Alene Randklev Phone: (520) 624-4939Fax: (520) 624-2715E-mail: [email protected]

Pima County MedicalSociety Officers

PresidentTimothy C. Fagan, MD

President-Elect Michael A. Dean, MD

Vice-President Susan J. Kalota, MD

Secretary-TreasurerUnfilled / Appointment

Past-President Melissa D. Levine, MD

PCMS Board of DirectorsDavid Burgess, MD

Howard Eisenberg, MD

Kelly Ann Favre, MD

Jerry Hutchinson, DO

Roy Loewenstein, MD

Kevin Moynahan, MD

Snehal Patel, DO

Wayne Peate, MD

Kenneth Sandock, MD

Sarah Sullivan, DOSalvatore Tirrito, MD

Debra Townsend, MD

Fred Van Hook, MD

Scott Weiss, MD

Leslie Willingham, MD

Jaren Trost, MD (Resident)

Aditya Paliwal, MD (alt. resident)

Jared Brock (student)

Members at Large

Charles Krone, MD

Clifford Martin, MD

Board of Mediation

Thomas Griffin, MD

Evan Kligman, MDGeorge Makol, MD

Sheldon Marks, MD

Mark Mecikalski, MD

Arizona MedicalAssociation OfficersMichael F. Hamant, MD

Vice President

Thomas C. Rothe, MDOutgoing Past President

At Large ArMA Board Robert M. Aaronson, MDR. Screven Farmer, MD

Pima Directors to ArMATimothy C. Fagan, MD

Delegates to AMATimothy C. Fagan, MD (alternate)

Gary R. Figge, MD

Michael F. Hamant, MD (alternate)

Thomas H. Hicks, MD

SOMBRERO (ISSN 0279-909X) is published monthlyexcept bimonthly June/July and August/September by thePima County Medical Society, 5199 E. Farness, Tucson, Ariz. 85712. Annual subscription price is $30. Periodicalspaid at Tucson, AZ. POSTMASTER: Send address changes

to Pima County Medical Society, 5199 E. Farness Drive,Ste. 151, Tucson, Arizona 85712-2134. Opinions expressedare those of the individuals and do not necessarily representthe opinions or policies of the publisher or the PCMS Boardof Directors, Executive Officers or the members at large,nor does any product or service advertised carry theendorsement of the society unless expressly stated. Paidadvertisements are accepted subject to the approval of theBoard of Directors, which retains the right to reject anyadvertising submitted. Copyright © 2016, Pima CountyMedical Society. All rights reserved. Reproduction in wholeor in part without permission is prohibited.

SOMBRERO

Executive DirectorBill FearneyhoughPhone: (520) 795-7985

Fax: (520) 323-9559E-mail: [email protected]

AdvertisingDennis Carey Phone: (520) 795-7985Fax: (520) 323-9559E-mail: [email protected]



5 Dr. Timothy C. Fagan: An Update on the ArizonaLegislature Regarding Medical Issues

8 UA College of Medicine: Dr. Charles B. CairnsAppointed Dean of UA College of Medcine – Tucson.

9 BUMC News: Dr. Paul Gee and Dr. Ana Sanguine on

Sta of New Geriatric Consultaon Clinic at BannerUniversity Medical Center.

10 Grand Opening: The New Tucson Concussion CenterOpens Its Doors at 5199 East Farness Road.

12 Road Trip: Far West Ajo is an Easy Accessible Get-Away that Combines the Beauty, History andAdventure of the Sonoran Desert.

15 Makol’s Call: Hunger Pains are Not A Problem inToday’s Doctors Oce.

16 In Memoriam: Remembering Dr. Brendan Phibbs.

18 Walk With A Doc: PCMS Members Help Paents GetMoving In Naonal Program.

20 Navajo Scholarships: UA College of Medicine SignsAgreement to Establish Scholarship Fund to HelpNavajo Medical Students.

22 Educaonal Programs: Upcoming CME and medicalinformaon events.

On the Cover

A jackrabbit uses its speed to avoid capture in the desert, but this

one was caught at a slow shuer speed at dusk which makes for

an interesng image. (Dr. Hal Tretbar photo)

Inside



Another Busy Year for Organized MedicineBy Dr. Timothy C. Fagan

PCMS President

It has been a parcularly crazyyear at the Arizona legislature.

More than 1,250 bills were

introduced, approximately 120

of which were directly medical

or with medical implicaons.

These bills were monitored by

Arizona Medical Associaon,

Arizona Osteopathic Medical

Associaon, Arizona Chapter of

the American College of

Physicians, Pima and Maricopa

Medical Sociees and other

Arizona medical organizaons.

Hundreds of hours were

dedicated to monitoring legislave acvies.

As of this wring, the Legislature is sll in session but Governor

Ducey has asked that no addional bills be sent to him unl the

state budget is nalized. As a result, a number of bills included in

this arcle have yet to see nal acon.

SB1473/APRN Scope of Pracce: The primary focus of organized

medicine this session was SB1473 which proposed at least ve

separate changes in Arizona law, aecng four categories of

Advanced Pracce Registered Nurses (APRNs) and assigned many

responsibilies to the State Board of Nursing. The overall goal

was to remove all physician oversight of and collaboraon with

APRNS from Arizona Statute and at the same me change RN

licensing guidelines.

The more controversial issues were (1) expanded powers of the

BON (2) prescribing authority for Clinical Nurse Specialists (3)

removal of “presence and supervision” requirements for Cered

Registered Nurse Anesthests (CRNAs) (4) prescribing authority

for CRNAs (5) allow CRNAs to provide independent pain

management services.

Under the measure, a registered nurse, cered as an APRN, could

be licensed as a Nurse Praconer. This would be equivalent to

licensing a physician as an Internist rather than an MD or DO

cered in Internal Medicine. At the same me, it would mandate

untold amounts of extra work for the Board of Nursing (BON),

including inially and periodically evaluang all APRN training

programs in the country rather than accepng cercaon of

these training programs by other enes. This is a task for which

the BON has neither the experse nor funding to fulll.

The relavely noncontroversial issues were claricaon of

statutory language regarding Nurse Praconers and Cered

Nurse Midwives to replace “collaboraon with a physician” with

“consultaon and referral,” which reects current Arizona law.

The proposed legislave changes caused real concern for paent

safety, due to the marked disparity in educaon and supervised

pracce (Residency) between physicians and APRNs. ArMA andrepresentaves from other medical sociees tesed against the

bill at the Commiee of Reference on the APRN sunrise

applicaon in December of last year, and at mulple Legislave

hearings and stakeholder meengs.

The bill also demonstrated a complete lack of understanding of

DEA Schedules of controlled substances based upon abuse

potenal, as well as a lack of understanding of what constutes

“basic” and/or “advanced” Pharmacology instrucon. Thankfully,

S1473, died in the legislature but the “collaboraon” provision

was revived under “striker” bill H2236. The bill was not opposed

by organized medicine, but the Arizona Nurses Associaon

decided that “the ming was not right,” and H2236 also died.

Organized medicine connues to vigorously support thecontribuons of APRNS, as part of a physician-led team.

HB2309/KidsCare: Arizona is the only state that does not have

the federally subsidized Children’s Health Insurance Program

(CHIP). In Arizona it is known as KidsCare.

Approximately 30,000 Arizona children do not have health

Now you’re

Thinkin’ SmartSimplify your communications with

Simply Bits state-of-the-art managed

voice and data services

ROC #278632



insurance. It has been proven that health is worse and expensive

emergency care and hospitalizaons are more frequent for those

without health insurance. Since all other states have federally

funded CHIP, Arizonans nd themselves nancing other state

programs but not their own. B2309 also contained a provision,

that in the event the feds withdrew funding, the program could

be cancelled with a 30 day noce.

The bill passed the House, but State Senate President Andy Biggs

refused to assign it to a Commiee in the Senate, where it could

be discussed and receive a vote. Failure to consider HB2309 inthe Senate relegated 30,000 Arizona children to poorer health

and suering, while increasing costs to state taxpayers. Our hope

is that the program can be reinstuted by including it in the

budget.

H2502/Medical Licensure Compact: The bill would establish a

medical licensure compact to allow physicians to become

licensed in mulple states. It would adopt the prevailing standard

for licensure and require the physician to be under the

jurisdicon of the state medical board where the paent is

located. It would establish license eligibility and applicaon

requirements. It would establish an Interstate Medical Licensure

Compact Commission and establish Commission powers and

dues. It would provide condions for withdrawal from and

dissoluon of the Compact. The bill easily passed the House. It

was heard in the Senate Health and Human Services Commiee

in March. It passed 4-3, and then was approved by the Senate

Rules Commiee. It awaits nal acon in the Senate.

SB1283/CSPMP: This bill requires physicians to check the

Controlled Substances Prescripon Monitoring Program (CSPMP)

before prescribing opioids and benzodiazepines. Specifying only

opioid and benzodiazepines displays complete ignorance of the

DEA Drug Schedules, which classify drugs according to abuse

potenal. Including only one class of drugs, some of which are in

Schedule II, some in Schedule III as well as one class from

Schedule IV, leaves out many drugs with high abuse potenal. Itwas also unclear when a prescriber was required to check the

database. It received Senate approval aer several improving

amendments were adopted. It awaits nal House acon.

SB1363/Telemedicine; Insurance Coverage: This bill would

require that health and disability insurance policies or contracts

executed or renewed on or aer January 1, 2017 provide

coverage for health care services for trauma, burn, cardiology,

infecous diseases, mental health disorders, neurologic diseases

and dermatology that are provided through “telemedicine”

(dened as the use of interacve audio, video or other electronic

media for diagnosis, consultaon or treatment), if the service

would be covered were it provided through in-person

consultaon, and if the service is provided to a subscriber(paent) receiving the service in Arizona. The bill would expand

insurance coverage to all areas of the State, not just rural, and

adds pulmonology services in 2018. The bill does not apply to

limited benet coverage. The Senate has approved the bill along

with the House Insurance Commiee. It awaits nal approval

from the House.

H2501/Health Regulatory Boards: The bill is dead for this

session. The measure had called for the Department of Health

Services (DHS) to assume the administrave authority of health

profession regulatory boards in specied scal years.

“Our physicians were soimpressed with how multi-

talented your team was and

that we were able to get our

malpractice, office, workers

comp, health and disability

policies in what seemed

like an instant. I would not

hesitate to say Desert

Mountain Insurance is the

best insurance source in

the Southwest!”

– Eric, Administrator

Why choose

Desert Mountain Insurance?

see why our customers did...

866.467.3627866.467.3611 fax [email protected]

www.desertmountaininsurance.com

COVERAGE INCLUDES…

Professional Liability

General Liability & Property Employee Benefits

Read more testimonials at

desertmountaininsurance.com

VALUED VENDOR FOR THE

PIMA COUNTY MEDICAL SOCIETY

AZ MGMA MEMBER

ONE STOP INSURANCE FOR…

Physicians & Surgeons Other Medical Professionals Healthcare Facilities & Services



The raonale for this legislaon was that it would achieve savings

through consolidaon and oer shelter against antrust lawsuits.

A short me ago, the North Carolina Board of Dental Examiners

lost an antrust lawsuit when non-densts claimed the Board,

made up of a majority of densts, was prevenng them from

performing teeth-whitening services.

SB1112/Pharmacists; Scope of Pracce: The bill would allow

licensed pharmacists to administer inuenza vaccines to a person

at least three years old, booster doses for the primary adolescent

series as recommended by the U.S. Centers for Disease Controland Prevenon (CDC) and immunizaons or vaccines

recommended by the CDC, to a person who is at least 13 years of

age. Previously, a licensed pharmacist could only administer

immunizaons, inuenza and other vaccines to persons at least

six years of age and in response to a public health emergency. A

pharmacist who administers an immunizaon or vaccine is

required to report the administraon to the person’s idened

primary care provider or physician within 48 hours and

establishes eorts pharmacists must undertake to idenfy the

person’s primary care provider or physician. Failure to do so is

considered unprofessional conduct. As opposed to the APRN

scope of pracce bill, this was proposed as a Sunrise Applicaon

in 2014 for the 2015 Legislave Session. It met considerableopposion and did not pass the Commiee of Reference (COR).

The sponsors met with all stakeholders, and submied a new

Sunrise applicaon in 2015, which passed the COR without

opposion. The bill has undergone one minor change and now

awaits nal House approval.

H2310/Biological Products; Prescripon Orders: Under this bill,

a pharmacist is permied to substute a biological product for a

prescribed biological product only if a list of specied condions

is met. Condions include a determinaon by the U.S. Food and

Drug Administraon that the substuted product to be an

“interchangeable biological product” (dened), and that the

prescribing physician does not designate that a substuon is

prohibited. The bill has won House approval and now faces aSenate concurrence vote before heading to the Governor desk.

SB1324/Mifeprex: The legislaon mandates compliance with the

Mifeprex package insert. The FDA-approved guidelines took

eect in December of last year and include the use of a 600 mg of

mifepristone dose, which is three mes the previously

recommended amount.

Opposion to SB1324 related solely to ensuring physicians have

the ability to determine appropriate treatment for paents

pursuant to the best scienc, evidence-based medicine.

Representaves met with Sen. Kimberly Yee prior to the

commiee hearing to carefully explain opposion to the bill wasnot due to an an-aboron stand but science based, since it

forces physicians to use outdated FDA labeling informaon when

prescribing medicaon to induce an aboron. Senator Yee

appreciated knowing that, and explained in turn that her

movaon is merely to “correct” what a court held to be a fatal

aw in her previous aempt to legislate in this area. The court

threw out the prior law she sponsored because it required

compliance with “FDA protocols” but failed to idenfy a specic

FDA label as the standard to be applied.

The bill was passed by the Legislature, and signed by the

Governor. Almost simultaneously, the FDA issued new guidance

that 200 mg of mifepristone is appropriate, as is use up to 10

weeks of pregnancy. It is possible that a new bill, reecng the

new FDA guidance, could be introduced this year. Regardless, this

bill amounts to the Arizona Legislature telling physicians what

they can tell paents and prescribe, even if it is sciencally

invalid.

Budget: The Governor is proposing a $9.84 billion budget.

Revenues are expected to reach $10.27 billion, resulng in a

projected surplus of $430 million, or 4%. At the recommendaon

of the Governor and his health advisors, the bill connues toblock the previously proposed 5% cut in payments to AHCCCS

providers.

Legislator Leadership: Arizona Senate Leadership will change

next year. Ma Salmon is rering as U.S. Representave from CD

5. Andy Biggs is rering as President of the Arizona Senate to run

for the seat against Maricopa County Supervisor Don Stapley and

Arizona Representave Jusn Olson. Steve Yarbrough of Gilbert

will be the new Senate President while Debbie Lesko, an ally of

organized medicine in confronng APRN Scope of Pracce bill,

will become President Pro Tem of the Senate and Chairman of the

Senate Appropriaons Commiee. Kimberly Yee becomes Senate

Majority Leader.

If physicians have the me to track legislave bills and advocate

for or against them, they should do so. In the absence of the me

and will to do so, all physicians should ensure they are members

of their County, State and Specialty Sociees. These organizaons

are essenal and diligently represent and advocate on behalf of

physicians around the state. n



UA College of Medicine

Charles B. Cairns, MD hasbeen named Dean of theUniversity of Arizona College of

Medicine aer serving morethan a year as interim. It was

eecve April 11.

When making the announce-

ment, Senior Vice President for

Health Sciences Dr. Joe “Skip”

Garcia said “As interim dean

for the past 14 months, Dr.

Cairns has provided outstanding

leadership stability and played

a crical role in the transion

of the college’s clinical pracce

group under the University’sAcademic Aliaon Agreement

with Banner Health. His

leadership skills and passion for academic excellence have been

recognized and embraced by everyone at the college and by our

colleagues within the University and from Banner Health.”

The Dartmouth College graduate joined the UA Health Sciences in

Charles B. Cairns, MD

November 2014 as assistant vice president for clinical research

and clinical trials, vice dean of the UA College of Medicine –

Tucson and professor in the UA Department of Emergency

Medicine. Prior to joining UA, Cairns was professor and chair ofthe Department of Emergency Medicine at the University of

North Carolina at Chapel Hill.

Cairns completed an emergency medicine residency and EMF

Research Fellowship at the Harbor-UCLA Medical Center and

post-graduate training in the Program in Genecs of Complex

Diseases at the Jackson Laboratory in Bar Harbor, Maine. He is

board-cered in emergency medicine, a fellow of the American

College of Emergency Physicians and fellow of the American

Heart Associaon.

His research interests include the host response to acute

infecons, illness and injury, trauma, cardiac and pulmonary

resuscitaon and systems of emergency and crical care. He

currently serves as director of the U.S. Crical Illness and Injury

Trials Group which is funded by the Naonal Instutes of Health

and the U.S. Department of Health Services.

Cairns is a member of the Pima County Medical Society and as

dean serves on its board of directors. n

Superior medical care, right in your neighborhood!

Steven J.Blatchford,MD

A. J. Emami,MD, FACS

James D.

Gordon,MD

Adam D. Ray,MD

David T.MiyamaMD

OFFICES LOCATED IN:

Call our office today to schedule an appointment!

(520) 792-2170

Valley ENT is proud to offer Southern Arizona residents the most comprehensive treatmentof the diseases of ear, nose and throat (ENT).

• Tucson

• Nogales

• Willcox

• Green Valley

• Sierra Vista

• Marana

Our services include: • Effective, minimally invasive in-office procedures, geared to improve your quality of life

• Standard and no-shot allergy treatment • State of the art services in audiology and hearing aids • Standard and at-home studies for sleep apnea

Cairns Appointed Dean at College of Medicine



BUMC News

BUMC Opens Geriatric Consultation Clinic

Banner University

Medicine recently

announced the April 1

opening of their new

Geriatric Consultaon

Clinic.

The new clinic is located

in the Department of

Medicine’s Mulspecialty

Outpaent Adult

Medicine Department,

1501 N. Campbell Ave.

According to clinic

physician Dr. Paul Gee,

services will include

24 Hours • 7 Days A Week

Established1971

Established1971

Medical SocietyExchange

Authorized Answering Service for

PIMA COUNTY MEDICAL

SOCIETY SINCE 1981

Se Habla Español

2434 N. Pantano

“WE ANSWER FOR YOU!”• Pagers• Voice Mail• I.V.R. (InterActive Voice Response)

• Message Delivery via Live Operator, Email, Text Messaging, Voice Mail or Fax

• Live Answering• Remote Receptionist• Appointment Scheduling• Order Taking

790-2121www.RinconCommunications.comwww.RinconCommunications.comwww.RinconCommunications.com

consultaons in the diagnosis and management of geriatric

syndromes and condions such as demena, frailty, weight

loss, depression, insomnia, mulmorbidity, polypharmacy

and falls for complex paents 70 years of age or older.

“The goal is to provide paents with the highest value care

possible in support of the paent’s primary care provider.

Referring physicians will promptly receive a consultaon

leer and phone call if necessary,” Gee said.

Banner University Medicine Physicians may refer using the

Epic system under “Ambulatory Geriatrics.” All physician

consultaon requests must include the paent’s name,

date of birth, their contact informaon and the reason for

the referral. Physicians outside Banner may refer by faxing

the informaon to 874-7009. Consults are available on

Wednesday and Thursday mornings. n Dr. Paul Gee



Grand Opening

Comprehensive Concussion Center OpensBy Bill Fearneyhough

The center is located in the Tucson Medical Park complex.The newly remodeled building is now the home of TCC and PCMS administrative ofces.

The Tucson Concussion Center (TCC) ocially opened itsdoors March 29th during a two-hour celebraon and ribbon-cung ceremony. The new four-thousand-square-foot leased

facility is located in what was formerly the Pima County Medical

Society (PCMS) headquarters. It is the rst comprehensive

interprofessional concussion care center “under one roof.”

The ve-thousand-square-foot building was sold to TMC

Holdings, Inc. in September of last year by PCMS, who has leased

the remaining thousand square feet for its administrave oces.

The nal touches to the remodeling project were completed mid-

March.

According to TCC’s Managing Member Dr. Hirsh Handmaker, the

center is unique in that it will oer “best pracces” assessments

and treatment for a multude of dicules stemming from a

concussion, from physical challenges like vision or balance issues

to the paent’s mental health and cognive ability. The facility

boasts a high-tech physical therapy gym, a 40-meter arcial turf

track, and cung edge technology. The center will serve paents

six years old and older with traumac brain injury or with a

history of concussion.

“We are already receiving referrals from southern Arizona

concussion specialists, physicians, emergency rooms, and

hospitals, as well as self-referrals generated through general and

social media coverage,” he stated.

CDC reports an esmated 1.6 to 3.8 million recreaon-related

concussions occur in the United States each year. The vast

majority of those occur among children, adolescents and teens

ve-18 years of age. A concussion is a traumac brain injury that

alters the way the brain funcons. Eects are usually temporary

but can include headaches and problems with concentraon,

memory, balance, vision and coordinaon.

It was in 2005 that a lile-known, 42-year-old, Nigerian-born

forensic pathologist and neuropathologist discovered andpublished ndings of chronic traumac encephalopathy (CTE) by

examining American football players. His ndings created an

invesgave frenzy among media and put the Naonal Football

League on defense. The league has now taken steps to increase

surveillance measures, including the placement of an

independent neurologist on the sideline for every game.

Long-me PCMS member Michael Hamant, MD, a family pracce

and sports medicine physician, will serve as the center’s medical

director. He will collaborate with the center’s AT Navigator, Carisa

Raucci, PhD, in conducng baseline tesng and supervise “return-

to-play” protocols and tesng for athletes while overseeing the

facilies integrated treatment team which includes a neuro-

optometrist, neuropsychologist, audiologist, vesbular and

physical therapists.

“It’s not the rst concussion that is the biggest risk and danger.

It’s the second concussion before the brain heals from the rst

that is the greater risk,” Hamant said.

Not every paent will need to see all members of the team, but

all will be involved in each evaluaon, he explained. Once the

comprehensive workup is completed, paents receive an

individualized treatment plan.

Handmaker said close aliaons with local hospitals, physicians,



Dr. Carissa Raucci prepares the Computerized Dynamic Posturography unit for patient testing. The machine is used toquantify the central nervous system adaptive mechanisms(sensory, motor and central) which control posture andbalance.

specialty clinics and other public and private organizaons

concerned with concussions have already been established

including the Pima County Junior Soccer League (PCJSL), FC

Tucson and the Pima County Health Department. The center is

providing free base-line tesng for PCJSL athletes through a grant

from the TMC Foundaon.

“The typical soccer mom doesn’t have me to make four trips to

four dierent locaons for the young athlete with a concussion.

All the medical records are recorded in an advanced electronic

health record system, in one place,” he said. At TCC you’ll “have

the best, most capable professionals all praccing in the same

locaon collaborang closely on behalf of the paent.”

CONTACT INFORMATION

Tucson Concussion Center

5199 E. Farness Drive, Ste. 101Tucson, AZ 85712Phone: 520-520-9200

www.tucsonconcussioncenter.com

Pima County Medical Society 5199 E. Farness Drive, Ste. 151Tucson, AZ 85712Phone: 520-795-7985Fax: 520-323-9559

www.pimamedicalsociety.org

This is the second such facility Handmaker and his colleagues

have had a hand in creang. The Banner Concussion Center in

Phoenix, the rst of its kind in the U.S., was established in 2014.

TCC and the Phoenix facility were conceptualized and developed

by the CACTIS Foundaon, a Scosdale-based instuon focused

on advancing the diagnosis, treatment, and prevenon of

disease. CACTIS would later form Conquering Concussions, LLC

which manages TCC.

Operang hours are M-F, 8 a.m. to 5 p.m. More informaon

about TCC is available by contacng the center at(520) 620-9200 or by vising the center’s website at

www.tucsonconcussioncenter.com. n



Far West Ajo Adventure Explore the Tohono O’odham Nation, a national monument and our region’s copper

mining history during this absorbing Sonoran Desert getaway.

By Monica Surfaro Spigelman

Photos by Leigh Spigelman

Road Trip

A bout 150 miles west of Tucson,the desert calls to you for adierent kind of escape. Here’s a

route that takes you westward

through rugged wilderness and

discoveries that include a Nave

American cultural center, an historic

mining town with beauful

architecture, good eats and arts…

and a most amazing organ pipecactus naonal monument.

Ki Peak Wonders

Start out on Arizona State Road 86,

familiar to many locals for its turn-

o to visit Ki Peak Naonal

Observatory at the juncon of AZ SR

386. This road leads you up 12 miles

to a summit and the Observatory’s amazing showcase of opcal

telescopes. If you’re stopping at the Observatory, remember to

check the website (see Resource, below) prior to your visit, to

learn about special tours or weather notes. Up at the summit

you’ll enjoy top-of-the-world sky-watching and a beauful gishop with Nave American arts.

If you’re not stopping at Ki Peak during this journey, you’ll want

to connue on SR 86 past the SR 386 turn-o, about 20 more

miles, to Sells, the capital of the Tohono O’odham Naon. In town

there is a small café called Desert Rain where you can order a

heart-healthy and nave breakfast granola, or lunch stews of local

meats and heirloom vegetables. There is no frybread here, but the

mesquite cookies and prickly pear lemonade are delicious. Check

the website (see Resource, below ) for hours. A small gallery and

gi shop adjoin the café, and here youll nd beauful locally-

made nave baskets, poery, jewelry and other arts, in addion to

a small but interesng selecon of books and nave foods.

Land of I’itoi and O’odham Culture

In Sells, to visit the Tohono O’odham Naon cultural center, you

will connue your travels south onto Bureau of Indian Aairs(BIA)

Route 19, where, aer an eight-mile drive through grasslands,

you come to a turn-o to visit Himdag Ki, the Tohono O’odham

Naon Cultural Center and Museum (see Resource, below). The

turn-o in Topawa is easy to miss, so be on the lookout for it, on

your le.

The eastward turn-o is a rued dirt road (which also leads to

Baboquivari picnic area. A permit to visit Baboquivari park is

required from the Naon’s oce, located at the intersecon of

the turno and BIA Route 19). But the Himdag Ki Museum is free

and open to the public, and visitors are able to explore the

O’odham history, foods and language in the exhibits. Opened in

2007, Himdag Ki also includes arst studios, educaon areas,

archive storage and collecon areas, a hall honoring war

Veterans, a family-history room and spaces for tribal members tomeet in privacy. It is important to call ahead to the Museum to

learn about what exhibits are open or to request a tour of the

impressive and sustainably-built architecture and archives. The

small complex is in a seng that oers stunning views of

Baboquivari Peak, the most sacred mountain to the O’odham,

central to their culture and home to their Creator, I’itoi. This

dramac landscape is also an unparalleled backcountry climbing

adventure for the experienced hiker (again, permits from the

Naon are necessary).

Aer your Museum visit, you may return to Sells via BIA Route 19

passing the ny St. Catherine Mission Church, which was

completed in 1925 by O’odham villagers. Although not in prisne

condion, the church interior deserves a respecul peek to see

interesng statuary and nave murals.

Once you are back in Sells, you may connue on AZ SR 86 for your

extended road trip to Ajo. You’ll travel approximately 70 more

miles west through wilderness. There are stands of giant

saguaros and sparsely seled O’odham villages along the way.

The road will fork at the town of Why, and at the fork turn right to

Ajo – headquarters for your look back into Arizona copper mining

glory days.

Arizona Copper Mining History

Before reaching the small town of Ajo, you’ll pass the open pit

Ajo’s historic Plaza is one of the most signicant, still preserved Spanish Colonial revival style town centers in the country.



copper mine, which closed in the

mid 1980s. Once in Ajo, you’ll noce

that the town is being revived by the

Internaonal Sonoran Desert

Alliance (ISDA), an organizaon

founded in 1993 to represent the

environmental, cultural and art

interests of Anglo-American,

Mexican and indigenous desert

communies (see Resource, below).The ISDA purchased the historic

town Plaza, and iniated a mul-

year revitalizaon, which has

included a restoraon of the Plaza

buildings and implementaon of

programs which include food

symposia and special events. ISDA

also has helped spur a number of

local organizaons that now support

regional nature, arts and culture.

Ajo’s historic Plaza is a rare example

of the early 20th century City

Beauful movement, and is one of

the most signicant, sll preserved

Spanish Colonial revival style town

centers in the country. The grand Curley School anchors one end

of the complex, with its bell-tower uniquely aligned with the bell

tower of the nearby century-old mission-style Church. A

decommissioned train depot, built in 1915, anchors the other

end of the town Plaza. The Curley School, on the Naonal

Register of Historic Places, has been converted to arst housing

and also accommodates an amazing Sonoran Desert Conference

Center (see Resource, below), where visitors stay in classrooms-

turned-guest rooms and are able to explore more about

Southwest regional foods and culture. For accommodaons also

check a local Airbnb hideaway where this author has stayed, just

steps away from the church (see Resource, below).

Photo Ops, Car Tours and Art Walks

Ajo is undergoing a renaissance as

an arst and cultural outpost, and

the Plaza’s center park is currently a

place for Second Saturday arts

walks, local food fests and many

other events, depending on the

month you visit. Check the ISDA

website for the schedule, which

includes an Old Time Fiddlers

gathering in February, Cinco de

Mayo and 4th of July community

events, a September Internaonal

Day of Peace parade, and a Santa

sleigh ride in Ajo Plaza during the

winter holidays.

Whenever you visit, recreaonal andcultural acvies abound. A 10-mile

scenic loop drive above the town is

an interesng tour for history bus

and photographers (get a map from

ISDA or the local Chamber before

you drive it ). You may tour the

Historical Society Museum at the

open pit mine lookout. The restored

Plaza also deserves a meander, to

stop in at the local Chamber oces,

a coee shop and a gallery and print

Organ Pipe Cactus National Monument just outside the town of Ajoattracts thousands of campers and hikers each year.

A century-old mission-style church is part of the restoration and revitalizationefforts in the town of Ajo.



shop run by the ISDA. Around town, there are murals and art

walks, new age bouque and thri stores, a home-made donut

shop and addional galleries – you can get direcons from the

Chamber or ISDA oces. There are historic Ajo buildings steps

away from the Plaza, and the beauful starry skies aord more

photo opportunies above the local cathedral in the evenings.

If you are looking for a lunch spot you’ll also want to explore the

Ajo Golf Club (open through May; see Resource, below ) and

aireld, which was part of the Army Air Corps prior to World War

II. Lunch in the historic clubhouse is delighul and the groundsare interesng. Back in town, the 100 Estrella Restaurant has an

impressive assortment of cra beers and Kobe burgers treats (but

check the Facebook page for hours; see Resource, below ).

Organ Pipe Opportunies

Beyond Ajo’s in-town or mining historic aracons, thousands

are drawn here for the camping, hiking, birding and nature

photography in nearby Organ Pipe Cactus Naonal Monument

and the Cabeza Prieta Wildlife Refuge. The immense stands of the

Organ Pipe cactus in the Naonal Monument are beyond

compare, and the Cabeza Prieta Wildlife Refuge, a sanctuary for

endangered desert bighorn and Sonoran pronghorn, is

breathtaking.

Organ Pipe Cactus Naonal Monument (see Resource, below) is

about 30 miles south of Ajo, reached from a State Highway 85

turno back in Why, which would be your last stop for refueling

and for homey, local pancakes or tacos.

Organ Pipe is included in worldwide UNESCO Biosphere Reserve

system, and is a paradise of rare cactus whose enormous cac

limbs form a canopy in the desert, reminiscent of their musical

instrument namesake. Their beauful white funnel owers

bloom in May and June. Check in at the Visitor Center for maps

and to see the schedule of ranger programs, guided hikes and

talks. Trails are plenful and well maintained, and a 21-mile

graded, one-way dirt road allows cars to loop the tour at leisure.The Cabeza Prieta Naonal Wildlife Refuge (see Resource,below) is the third largest refuge in the country.The VisitorCenter is open weekdays, with a friendly sta eager to let you

know what’s happening on the Refuge and the Air Force Range.

All visitors must stop at the Refuge headquarters to acquire a free

permit, and be instructed about potenal dangers of traversing

the harsh wilderness. You’ll also be required to sign a disclaimer

for traveling limited porons of the Barry M. Goldwater Air Force

Range – all perfect spots for capturing glimpses of scenic natural

wonders and well-preserved Nave American and mining history.

Be aware: Occasionally the scenic roads are closed, especially

during the summer monsoon season.

***

Just beyond each switchback in this rugged desert wilderness,

there are surprises of nature, arts, culture and history. Go take a

ride west along AZ SR 86, to discover these surprises and blend it

all into a memorable western adventure.

Monica Surfaro Spigelman is a Tucson writer who has traveled

throughout Arizona and the Southwest. n

Ajo Resource ChecklistKi Peak Naonal Observatory

AZ State Route 386

520-318-8726

Noao.edu/kpvc/Plan/

Tohono O’odham Cultural Center and MuseumFresnal Canyon Rd.

Topowa, AZ

520-383-0200

Tonaon-nsn.gov/cultural_center_museum.apx

Desert Rain Café and Tohono Oodham Community

Acon

Tohono Plaz

Sells, AZ

520-383-4918

Tocaonline.org

Internaonal Sonoran Desert Alliance (ISDA)38 W. Plaza, Ajo, AZ 85321

Ajo, AZ

520-387-6823

Isdanet.org/

The Sonoran Desert Conference Center

Sonorandesertconferencecenter.com

520-775-2565

[email protected]

Airbnb in Ajo

Airbnb.com/rooms/1021656

Organ Pipe Cactus Naonal Monument

10 Organ Pipe Drive

Ajo, AZ

520-387 6849

Nps.gov/orpi

Cabeza Prieta Naonal Wildlife Refuge (headquarters)

1611 N. Second Street

Ajo, AZ

520-387-6483

Fws.gov/refuge/cabeza_prieta/

Ajo Golf Course

520-387-5011

ajogolfcourse.com/facilies/

100 Estrella Restaurant

Facebook.com/pages/100-Estrella-

Restaurant/113449562021709



Makol’s Call

Pharmacy Reps Keep Calories ComingBy Dr. George J. Makol

In early April, I again foundmyself sing in the lobby ofthe MGM Grand hotel in LasVegas. Like many of you, I try

to get there as oen as I can to

visit my money.

Las Vegas not only oers

excing gambling, but is an epic

music venue, and, perhaps

more importantly, this city is a

foodie’s delight.

At this parcular moment, I

found myself lounging just

across from Wolfgang Puck’s

Café, contemplang the many dining opons. Just around thecorner from Puck’s, you’ll nd Emeril’s New Orleans Fish House,

Michelin starred L’Atelier de Joel Rubuchon’s Fine Dining, and, for

the more budget conscious, a food court featuring everything

from Big Macs to Subway sandwiches.

I am absolutely sure that as long as the one-armed bandits and

poker tables had not drained your wallet, this is one of the last

places on earth that one could starve to death. Well maybe not

the last place; the last place would be a doctor’s oce.

When my father pracced general medicine, you could barely

nd a potato chip in the oce. However he had boxes of drug

samples, monogramed pens, pads and leer openers galore lying

around his desk. No one really seemed to care unl about adecade ago when the goodies given Doctors started to get out of

hand, and in stepped congress.

Congress threatened to legislate the Pharmaceucal Research

and Manufactures of America (PhRMA) out of existence if they

didn’t quit giving doctors free pens, pads of paper or trips to

Hong Kong. It may have crossed your mind that these are the

same congressmen who accept tens of thousands of dollars from

lobbyists for their supposed charity golf tournaments, or the

thousands of dollars lobbyists pay to aend weekly congressional

brieng breakfasts. It is worth nong, however, that our

congressmen are not allowed to accept pens that exceed $100 in

value, so, thank goodness, there is no chance that they could be

inuenced by such gis. On the other hand, they did allow themedical eld one small loophole through which you could slip

thousands of calories – drug companies were allowed to wine

and dine doctors for educaonal purposes.

With that as background, let’s fast forward to the medical oce

of today.

Many mornings these days, you will nd so many dropped-o

doughnuts in my oce that many of the cops on neighborhood

patrol rounely stop by. One pharmaceucal representave

frequently comes in with cupcakes from Phoenix that are piled so

high with creamy frosng that you would fail your cholesterol test

if it was drawn within 10 days of eang just one of these

confeconery monstrosies. Oen, between paent visits,

Starbucks overly-caeinated and caloric-lled Macchiatos orFrappes mysteriously appear on my desk.

Just last week, my trusty $.99 Circle K coee in hand, I rolled into

my Northwest oce. I was about halfway through that libaon,

when one of my nurses plopped a Starbuck’s iced coee on my

desk and said, “I bought one for everyone on the sta, here’s

yours.” So, I quaed down the hot coee, followed quickly by the

iced coee, just in me to see my rst paent. When I returned,

there was a Starbuck’s caramel macchiato on my desk, decaf as if

it maered, so what can a guy do? I drank it. The rest of the

morning, I felt like I was at a Red Bull aerial compeon, but I

didn’t need a plane.

Then came lunch. I usually try and quietly make my way to thecafé next door for a healthy Cajun chicken salad, but oen on the

way out, I almost trippped on a Mexican buet complete with

guacamole and even churros for dessert. Every day cookies

appear as if by magic, and cakes drop out of the sky, whipped

cream included. I don’t know, I think I prefer the outlawed pencils

and pads of paper monogrammed with company logos. I can’t

eat those.

As a physician, I am obviously familiar with the principles of

nutrion. In fact, when single I mastered all four of the basic food

groups: takeout, delivery, dine in, and drive-through. A while ago

during lunchme my nurses asked if my wife could cook

(apparently they had never noced how much I like to eat). I said

that I would not have considered marrying even Marilyn Monroe

if she could not cook. They got a big laugh out of that, but then I

recalled those four food groups I learned as a bachelor, and

decided Marilyn would’ve been okay even without culinary skills

Every month or so, an expert is invited to town to give a talk on

allergy or immunology, and, of course, these talks are never held

at the salad bar. More likely, I nd myself at a steakhouse that

serves the best garlic mashed potatoes in the world,

accompanied by fresh-baked bread, lobster bisque, and crème

brûlée to boot. My internist asked me the other day why I could

not lose weight. This is like asking the fox guarding the hen house

where the chickens have gone. If I ever had a smidgen of

willpower, it has obviously let me down.

Now, don’t get me wrong, I really enjoy interacng with

pharmaceucal representaves, and I do appreciate that they are

trying to make sure that I never pass out from hypoglycemia. Do

doctors even write more prescripons aer eang doughnuts? Is

there any scienc evidence to back this up?

I actually really miss the good old days of pharma’s invitaons to

golf, the amusement park ckets for the family, and maybe even

an occasional invite to a concert. Nope, now it’s just food, food,

and more food, unfortunately my three favorite things. Now, if I

could only nd that old pharma-engraved pen I had. I need to

sign o on my column. n



In Memoriam

Brendan P. Phibbs, MD,

cardiologist, internalmedicine physician and medical

pioneer, died on March 5. He

was 99.

Born Dec. 3, 1916, in New York

City, Phibbs grew up in Chicago.

He earned his medical degree

from Northwestern University

in 1941.

He served as a combat surgeon

in the 12th Armored Division of

the United States Army from

1942-1945, ghng through the

Bale of the Bulge and earning

two Bronze Stars. A major, he was one of the rst American

physicians to volunteer in the typhus-ravaged Dachau

concentraon camp. Phibbs wrote a memoir of his World War II

experiences, “The Other Side of Time,” which was published in

1987. The book was awarded the PEN West Award for Noncon

and was nominated for the Pulitzer Prize in non-con.

Aer the war, Phibbs completed his residency in internal

medicine at Presbyterian-Saint Luke’s Hospital in Chicago and

earned a Master of Science degree in physiology.

In 1971, Phibbs moved to Tucson to join the Secon of Cardiology

at what was then the new University of Arizona College of

Medicine. He joined the Pima County Medical Society and

became chief of cardiology at the Pima County Hospital in 1975.

Referred to as the “Kino legend,” he helped found Kino

Community Hospital in 1977 and served as its Chief of Medicine

unl his rerement in 2006.

Phibbs established Tucson’s rst mobile cardiac care unit. He also

developed a throat-culture screening program for strep for the

Tohono O’odham community in Sells, where rheumac heart

disease was the leading cause of death at the me.

Phibbs had established a similar program during the 1950s in

Wyoming, where he moved with his family in 1952, to pracce

internal medicine and cardiology for 20 years

in Casper. He led a crusade against silicosis

and lung cancer among miners in bentonite

and uranium mines, resulng in industry-

wide health standards to protect miners.

PCMS named Phibbs Volunteer of the Year in

2003. He had served on the Board of

Directors for the Naonal Audubon Society

and was a member of the board for the

Southern Arizona ACLU for 21 years. In 2012

the Pima County Medical Foundaon

awarded him its PMF Award for the

Furtherance of Medical Educaon. In 2007,

he received the Herbert K. Abrams Award

from the Nichols Iniave for his life-long

commitment to public health. He authored

several cardiology texts.

“Brendan was one of the most interesng

and accomplished individuals that I have

met.” said Gordon A. Ewy, MD, professor

emeritus and director emeritus, UA Sarver

Heart Center. “He was a hero in World War II

and a pioneer in several areas of cardiology.

He was the best teacher of

electrocardiography, and had a collecon

illustrang almost every arrhythmia known.

He was a personal friend.”

Dr. Brendan P. Phipps 1916-2016By Dennis Carey



520.544.9890 | www.casahospice.com

Hospice services are paid for by Medicare

As a hospice physician, it is

incredibly satisfying to work with

a team of individuals totally

devoted to easing suffering for

patients and their loved ones.

This is why I became a doctor in

the first place.

James Nicolai, M.D.

Associate Medical Director

”

“

The Faces of Casa are the

Penny Phibbs, his wife of 34 years, died in

Tucson in 1975. Phibbs married Liana

Fernandez de Castro in 1982. They shared

their passions for literature, art and the

outdoors unl her death in 2011.

“On the few occasions I met Dr. Phibbs, it was

clear he was an accomplished and

inspiraonal man and a great cardiologist.

This is truly a loss to the Sarver Heart Centerand the Tucson community,” said Nancy K.

Sweitzer, MD, PhD, professor of medicine,

chief of cardiology, and director, University of

Arizona Sarver Heart Center.

“Brendan was one of the most interesng

and accomplished individuals that I have

met,” said Gordon A. Ewy, MD, professor

emeritus and director emeritus of the UA

Sarver Heart Center. “He was a hero in

World War II, and pioneer in several areas

of cardiology, including the development

of a system to prevent rheumac fever

and thus rheumac heart disease, and one

of the rst to advocate treadmill tesng

before hospital discharge of all paents

with a heart aack. He was the best

teacher of electrocardiography, and had

a collecon of almost every arrhythmia

known. He was a personal friend. One of

the highlights of Priscilla (Ewy) and my

experiences was taking him back to

Europe to visit areas where he had

fought in World War II. He was a truerenaissance man.”

Phibbs is survived by his brother Roderic

Phibbs, MD (Jane) and their four sons; by

his children Susan Breznay (George), Henry

Phibbs (Leslie Pedersen), Judith Phibbs,

Hugh Phibbs (Joan Warburton); and seven

grandchildren and two of their spouses.

A memorial service was held in Kiewit

Auditorium at Banner-University Medical

Center in Tucson on March 30. The family’s

goal is to create an endowment that willimprove heart health. Details of the

endowment are not available. Checks in

memory of Brendan P. Phibbs, MD, should

be made payable to UAF/Sarver, University

of Arizona Health Sciences, PO Box 245018,

Tucson, AZ 85724. n

More than ink on paper.

From concept to completion, West Press is your marketing communications provider.

Scan with a QR code

reader enactedphone. www.westpress.com

520.624.4939 | 888.637.0337

• Cross-media marketing

• Graphic design, typesetting, and layout

• Website design

• SEO

• Large format printing, mounting, and laminating

• Newsletter design, production, and distribution

• Disc duplication

• Full-color offset printing – small and large run

• Digital printing – B&W and color

• UV Coating

• Full-color digitally printed envelopes

• Mailing – list management, addressing, postage advice, and target mailing

• Fulfillment and inventory

• Delivery

At West Press, we provide you with exceptional service from beginning to end.

Our services include:



PCMS News

O

n a chilled February morning ve years ago, the Pima

County Medical Society held its rst Walk with a Doc event.

A tradion was born at Rillito River Park that happens on the

second Saturday of each month from September through April.

Walk with a Doc is a naonal organizaon founded 10 years ago

by Ohio cardiologist David Sabgir, MD who wanted to familiarize

PCMS Walk with A Doc is a Saturday Tradition

people of all ages to the benets of regular exercise. His story is a

familiar one in the medical community.

“I’m a doctor, I graduated, and gosh darn it people will listen to

me!” said Sabgir as a hot shot cardiologist right out of med

school.

Like many fresh docs, he believed that

having a paent’s best interest at heart and

communicang with them sincerely was

enough to get them to instantly change their

life-threatening habits. Months later, when

his paents returned having made lile to no

progress, he scratched his head and

aempted in vain to remove his heart from

his sleeve. In an act of fury, during a

consultaon with one of his favorite

paents, he blurted out without much

forethought, “Will you go on a walk this

Saturday with me and my family or what?”

Or that’s how he imagined it went. To

Sabgir’s delight the paent, in addion to

the 99 others that Sabgir invited, said yes

and Walk with a Doc was born.

Since that rst Walk in 2005, Sabgir has put

his me outside of the oce into the Walk.

In its ten years Walk with a Doc has

developed into something that changes the

relaonships between community members

and physicians from a scary to-do meeng

into a fun get-to-do Saturday morning

acvity by removing as many barriers as

possible to get people up and moving. Docs

and community organizaons all over the

country and beyond have found that the

addion of a doctor to a walking group helps

people who haven’t exercised in years feel

safe enough to take their rst intenonal

steps.

“It is unfair not to expose people to this.”

Sabgir said.

On a less altruisc level, the Walk gives docs

an outlet that works. Docs oen feel

powerless to change the physical acvity

habits of their paents. Rather than going

through the pain of prescribing a medicaon

that will only delay the consequences of a

sedentary lifestyle, the Walk allows docs to

We know Tucson. We are Tucson.We are Tucson’s homegrown, full-service law firm providing legal services forSouthern Arizona since 1969. We provide a wide array of legal services in business

and corporate transactions, litigation, estate planning, bankruptcy, creditors’rights, international transactions and disputes, personal injury, DUI, divorce, child

custody, and employment law.

Barry Kirschner professionally handles claims of persons who have becomemedically disabled from employment through personal or group disability

insurance policies and are denied benefits. Barry has successfully litigated on

behalf of doctors, lawyers, and other professionals. Barry has handled ERISA

terminations administratively and in court, opposing every major disability

insurance carrier. Barry continues to be selected by his peers for inclusion in

The Best Lawyers in America® in the field of Litigation—ERISA and continues

to receive the highest AV ranking for quality and ethics from Marindale Hubbell.

Williams Centre | 8th Floor | t 520.790.5828

An independent member of

MERITAS LAW FIRMS WORLDWIDE

For more info visit

www.wechv.com



Dr. Shana Semmens provides a handout on the currenttreatments for Arthritis as part of the presentation at the latest PCMS Walk With A Doc event.

Dr. Shana Semmens, a resident with the Banner University of Arizona Medical Center, continues a conversation walkersabout Arthritis during the April 9 Walk With A Doc event held at Rillito River Park.

give paents and members of their community a manageable,

eecve prescripon.

The PCMS-sponsored walks are the only ocial Walk with a Doc

events in Arizona. They take place at Rillito River Park near Camp

Lowell and Swan Road. Physician leaders give a short

presentaon on a subject in their range of experse. The event

connues with a “walk and talk” session covering an easy 1.2- or

2.4-mile hike along the park’s trail or paved path. Walkers are

encouraged to ask quesons and interact with the walk leader.

With more than 218 sites in 40 states across the country the Walk

is working to reverse the consequences of sedentary lifestyles by

educang and empowering individuals to no longer be afraid or

overwhelmed to take control of their health. An annual Walk witha Doc survey has 92.4% of respondents reporng feeling more

educated since starng Walk with a Doc, 79.4% feel that they get

more exercise, and 78.8% feel more empowered.

PCMS needs walk leaders for its events in 2016-17. Events will be

held on September 10, October 15, November 12, December 10,

January 14, February 11, March 11 and April 8. If you are interested

in parcipang in the Walk with a Doc program, contact Dennis

Carey at 795-7985 or [email protected]. n

Walkers prepare to cross the bridge along the bank of the washat Rillito River Park. Walk With a Doc encourages people toengage in regular exercise and enjoy the unique opportunitiesin Tucson.



Navajo Scholarships

UA Colleges of Medicine Establish ScholarshipFund for Navajo Medical studentsBy Jane Erikson

Photos courtesy of University of Arizona Health Sciences Oce of Public Aairs.

Contact us at:

(520) [email protected]

Your partnerin behavioral health care.

At Community Partnership CareCoordination, our multidisciplinary teamof behavioral health care professionalscan improve the emotional well-beingand coping skills of your clients throughcounseling, therapy and other servicesfor all ages.

• Psychiatric and psychotherapeuticservices• Coordination of care with otherproviders• Screening, education and treatmentfor DUI and domestic violence• Psychological testing• Dedicated children’s practitioners• Specialized care for veterans andtheir families• Services in American Sign Languageand Spanish

Scheduling an assessment is fastand easy. Plus CPCC accepts manyinsurance plans at our centrally locatedTucson clinic.

A subsidiary ofCommunity Partners, Inc.

Formerly Community Partnershipof Southern Arizona (CPSA).

New Name. New Services.

Same Community Mission.

www.CommunityPartnersInc.org/CPCC • 4601 E Broadway Blvd • Tucson, AZ 85711

In a March 10 ceremony at the University of Arizona College ofMedicine – Tucson, ocials with the Navajo Naon and the UAColleges of Medicine in Tucson and Phoenix signed an agreementto establish the Navajo Naon Future Physicians’ Scholarship

Fund to help more Navajo students pursue careers as physicians.

Navajo Naon President Russell Begaye and Vice PresidentJonathan Nez; UA Health Sciences Assistant Vice President for

Diversity and Inclusion Francisco Moreno,MD; UA College of Medicine – Tucson Dean

Charles Cairns, MD; and UA College ofMedicine – Phoenix Associate Dean ofAdmissions Tara Cunningham, EdD, wereamong those who parcipated in the signingceremony.

“This agreement is historic for us,” Begaye

said. “We have never had a relaonship withany medical school anywhere in the country.And for the University of Arizona to open itsdoors and its schools for this to happen isreally phenomenal. We are excited aboutseeing seven students enter this program,and then bringing them home when they aredone with their medical educaon.”

Cairns called the agreement “a majormilestone in the history of the University ofArizona Colleges of Medicine. This is going tobenet not just the Navajo Naon and itsstudents who want to become doctors. It’s

also going to benet all of our students andfaculty by creang a richer and more diverselearning environment.”

Moreno commented: “As a medical schoolcommied to increasing diversity in thephysician workforce, it is a privilege and anhonor to partner with the Navajo Naonto establish this important new scholarshipfund. We know there is a naonwideshortage of physicians, parcularly in ruralareas, and that reservaons are amongthe hardest hit. These scholarships willenable Navajo students to fulll theiraspiraons of becoming physicians, while

serving as role models for Navajo youth whowant to follow in their footsteps.”

At a meeng of UA and Navajo ocialsbefore the signing, Cunningham said, “It’sheartbreaking for us to know there are verybright Navajo students who want to come toour colleges, but we lose them to otherschools that have been able to oer themmore nancial support. Now these studentswill know that the University of Arizonamedical schools, both campuses, arecommied to their development. It will



change their trajectory. So this is a very excing day for us.”

Increasing the diversity of the physician workforce is a top priorityfor both UA medical schools. The UA Collegeof Medicine – Tucson’s Pre-MedicalAdmissions Pathway Program (PMAP), givesstudents a year of classes and academiccounseling to prepare for the Medical CollegeAdmissions Test. The program seeks to enroll

students from under-represented minoritygroups, parcularly Nave Americans, andthose who have not had the economic andeducaonal advantages that help otherstudents qualify for medical school.

The UA College of Medicine – Phoenix oersa similar program, the Pathway ScholarsProgram (PSP). Both programs are fundedthrough the U.S. Health Resources andServices Administraon. The agreementsigned today goes into eect July 1 for sixyears, when it will be reviewed for renewal.

Other key points of the Navajo Naon Future

Physicians’ Scholarship Fund include:

• The fund will provide nancial aid to coverstudents’ tuion, and academic support forup to seven Navajo scholars per year, to helpthem earn a medical degree from the UACollege of Medicine – Tucson or the UACollege of Medicine – Phoenix.

• Current UA medical students will beeligible for the awards, as will students whoare accepted into the PMAP and PSPprograms.

• Navajo medical students who receive

support from the Navajo Naon Future Physicians’ ScholarshipFund, and earn their medical degrees, will be required to servethe Navajo people for a minimum of ve years upon complengtheir post-MD medical residency programs.

• The UA Colleges of Medicine in Tucson and Phoenix will matchthe scholarship funds provided to students by the NavajoDepartment of Diné (Navajo) Educaon.

Jane Erikson is a Writer/Communicaons Specialist for theUA College of Medicine – Tucson Telemedicine Programs and

Family Community Medicine. n

On March 10, the Navajo Nation and the UA Colleges of Medicinein Tucson and Phoenix signed an agreement to establish the

Navajo Nation Future Physicians’ Scholarship Fund to help more Navajo students pursue careers as physicians. Participating inthe ceremony are: (seated left to right): Jonathan Nez, Navajo

Nation vice president; Russell Begaye, president; College of Medicine - Tucson Dean Charles Cairns, MD; College of Medicine- Phoenix associate dean of admissions, Tara Cunningham, EdD.

Standing are (left to right): Karen Frances Begay, MA, UAassistant vice president for tribal relations; and Tanisha

Price-Johnson, PhD, UA College of Medicine – Tucson executivedirector of admissions and nancial aid.

Navajo Nation President Russell Begaye speaks about thehistoric agreement with the UA Colleges of Medicine to establishthe Navajo Nation Future Physicians’ Scholarship Fund.



Pima County

Medical Foundation

Speakers SeriesMay 10:

“Biphosponates and Fractures ofthe Femur”

Dr. Jennifer Schneider.

June 14:

“Pain Management 2016”

Dr. Ken Gossler.

Sept 13:

“Balloon Dilaon of the Sinuses,

The Only Constant in Life is Change”

Dr. Steven Blatchford.

October 11:“Treatment of Thrombophlebis

and other Vascular Problems”

Dr. Christopher Compton.

November 16:

Radiology Ltd. to provide the topic

and speakers.

All programs begin at 7 p.m. at the TucsonOsteopathic Medical Foundaon, 3182 N.Swan Road.

Members’ Classifieds

USED MEDICAL EQUIPMENT FOR SALE:

• One NovaSure Endometrial Ablaon RF Controller

with cavity assessment Model 09;

• One NovaSure Endometrial Ablaon Footswitch;

• One NovaSure Endometrial Ablaon AC Power Cord.

(Please note that the NovaSure CO2 canisters used

in conjuncon with the operaon of this machine

are not available for sale. The sterile single-

paent use NovaSure Disposable Device is not

for sale either. These must be purchased from the

manufacturer).

Hysteroscopy Equipment:

• One ACMI Micro digital IP4.2 Single-Chip ImageProcessing Video Endoscopy Camera System.

Includes camera and adaptor.

• One ACMI ALU-2B 150 wa halogen light source w/

detachable light cord

• Sony Color Video Printer UP-21MD

• Magnavox 15” Color Monitor

Contact Catherine Westerband, MD at 520-498-5000

or [email protected]

MEDICAL OFFICE FOR LEASE - Well situatedon Northwest Medical Center campus with great

visibility on Orange Grove. Well designed, 4,300

square feet, aesthecally-pleasing with high

eciency, suited for 4-6 providers, built in 2006.

Features 12 exams rooms, including 1 procedure

room; 4 oces; and 1 large recepon area; spacious

storage area for supplies; at door parking. Available

April 2016 (Current leaser is merging with another

pracce) Compeve rates. Contact Catherine

Westerband, MD, 520-488-7515 or cwesterband@

genesisobgyn.net

FULL-TIME PEDIATRICIAN – Great family andgolf community. Full-me Pediatrician BC/BE to join

well established Pediatric pracce in Tucson, Az.

Compeve salary with excellent benet package,

including bonus compensaon. Send CV to kolleenr@

comcast.net

Doctor of the Day Program

The Arizona Medical Association’s (ArMA) Doctor of theDay program offers a wonderful opportunity to enhancethe visibility of the medical profession and gain greatercredibility with the elected officials whose decisions

affect the practice of medicine in Arizona. Physiciansrepresenting ArMA as Doctor of the Day provideinvaluable medical assistance should any emergencyarise at the Capitol complex, and our staff coordinatetheir ability to attend committee meetings, watchsessions of the House and Senate, and meet withindividual legislators to advocate for your profession andyour patients.

If you’re a member of ArMA and would like toparticipate, please contact PCMS Exec. Director BillFearneyhough at [email protected].



Annual Screening Mammography

Why start at age 40?Radiology Ltd. stands firmly behind its recommendation

that women should receive yearly mammograms starting

at age 40 in order to receive the maximum benefit from

breast cancer screening.

Radiology Ltd.’s local data from 2007-2014 shows that 14%

of cancers detected by screening mammography were in

women ages 40-49. Nationally, 40% of the life years lost

to breast cancer are in women diagnosed in their 40’s.

Please call and requestyour 3D Mammo today

(520) 733-7226

For more informationabout this and other

screening exams provide

by Radiology Ltd., pleasvisit our websites atwww.radltd.com or

screeningsforlife.com

A TUCSON TRADITION FOR MORE THAN 80 YEARS

radltd.com | (520) 733-7226 |


24/24

MICA was founded in

1976. This year we are

celebrating our 40th

anniversary. We have grown

and prospered because of our dedication and commitment to our

members – our policyholders. As a mutual insurance company,our policyholders are our beneficial owners. We do not have

stockholders who benefit from our success. Our members share

in our success, and our decisions are based on their interests.

Medical Professional

Liability Insurance

(602) 956-5276

(800) 352-0402

Strength

May 2016 Sombrero

Documents

Transcript of May 2016 Sombrero