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December 2009 • Volume 108 • Issue 9<br />
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Official publication of the Wisconsin Medical Society<br />
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“Medicine is not a trade to be learned,<br />
but a profession to be entered.”<br />
—DoctorFrancesW.Peabody,1927<br />
WE EXIST<br />
TO MAKE SURE<br />
IT DOESN’T<br />
Multiple sclerosis interrupts the flow of information<br />
between the brain and the body and stops people<br />
from moving. With the help of people like you, the<br />
National MS Society addresses the challenges of<br />
each person whose life is affected by MS and helps<br />
them stay connected to the great big moving <a title="Wisconsin Medical Journal 108no9 page 1" href="http://viewer.zmags.com/publication/810586aa?page=1">December 2009 • Volume 108 • Issue 9Officia</a> December 2009 • Volume 108 • Issue 9Officia<a title="Wisconsin Medical Journal 108no9 page 2" href="http://viewer.zmags.com/publication/810586aa?page=2">WE EXISTTO MAKE SUREIT DOESN’TMultiple scleros</a> WE EXISTTO MAKE SUREIT DOESN’TMultiple scleros<a title="Wisconsin Medical Journal 108no9 page 3" href="http://viewer.zmags.com/publication/810586aa?page=3"> </a> <a title="Wisconsin Medical Journal 108no9 page 4" href="http://viewer.zmags.com/publication/810586aa?page=4">Official publication of the Wisconsin Medical Soc</a> Official publication of the Wisconsin Medical Soc<a title="Wisconsin Medical Journal 108no9 page 5" href="http://viewer.zmags.com/publication/810586aa?page=5">Volume 108 • Issue 9Marrow Suppression with Mye</a> Volume 108 • Issue 9Marrow Suppression with Mye<a title="Wisconsin Medical Journal 108no9 page 6" href="http://viewer.zmags.com/publication/810586aa?page=6">Call for PaPers, reviewersThe Wisconsin Medical</a> Call for PaPers, reviewersThe Wisconsin Medical<a title="Wisconsin Medical Journal 108no9 page 7" href="http://viewer.zmags.com/publication/810586aa?page=7"></a> <a title="Wisconsin Medical Journal 108no9 page 8" href="http://viewer.zmags.com/publication/810586aa?page=8">letter to the editorH1N1 vaccineshortage anddi</a> letter to the editorH1N1 vaccineshortage anddi<a title="Wisconsin Medical Journal 108no9 page 9" href="http://viewer.zmags.com/publication/810586aa?page=9">Commentary By increasing our</a> Commentary By increasing our<a title="Wisconsin Medical Journal 108no9 page 10" href="http://viewer.zmags.com/publication/810586aa?page=10">brown County: Forum on health care reformThe Bro</a> brown County: Forum on health care reformThe Bro<a title="Wisconsin Medical Journal 108no9 page 11" href="http://viewer.zmags.com/publication/810586aa?page=11">trast, dentists contributed nearly $50,000, chiro</a> trast, dentists contributed nearly $50,000, chiro<a title="Wisconsin Medical Journal 108no9 page 12" href="http://viewer.zmags.com/publication/810586aa?page=12">generosity: County medical societies help support</a> generosity: County medical societies help support<a title="Wisconsin Medical Journal 108no9 page 13" href="http://viewer.zmags.com/publication/810586aa?page=13">Richard A. Dart, MDW e have never see</a> Richard A. Dart, MDW e have never see<a title="Wisconsin Medical Journal 108no9 page 14" href="http://viewer.zmags.com/publication/810586aa?page=14">ety.”14 This compact fundamentallyputs the patie</a> ety.”14 This compact fundamentallyputs the patie<a title="Wisconsin Medical Journal 108no9 page 15" href="http://viewer.zmags.com/publication/810586aa?page=15">Commentary Creating anatmosphere of </a> Commentary Creating anatmosphere of <a title="Wisconsin Medical Journal 108no9 page 16" href="http://viewer.zmags.com/publication/810586aa?page=16">become patients, too. I would chal-lenge us all </a> become patients, too. I would chal-lenge us all <a title="Wisconsin Medical Journal 108no9 page 17" href="http://viewer.zmags.com/publication/810586aa?page=17">WISCONSIN MEDICAL JOURNAL </a> WISCONSIN MEDICAL JOURNAL <a title="Wisconsin Medical Journal 108no9 page 18" href="http://viewer.zmags.com/publication/810586aa?page=18">WISCONSIN MEDICAL JOURNALTable 1. Dimensions Inc</a> WISCONSIN MEDICAL JOURNALTable 1. Dimensions Inc<a title="Wisconsin Medical Journal 108no9 page 19" href="http://viewer.zmags.com/publication/810586aa?page=19">WISCONSIN MEDICAL JOURNALTable 3. Univariate Ana</a> WISCONSIN MEDICAL JOURNALTable 3. Univariate Ana<a title="Wisconsin Medical Journal 108no9 page 20" href="http://viewer.zmags.com/publication/810586aa?page=20">WISCONSIN MEDICAL JOURNALTable 4. Univariate Ana</a> WISCONSIN MEDICAL JOURNALTable 4. Univariate Ana<a title="Wisconsin Medical Journal 108no9 page 21" href="http://viewer.zmags.com/publication/810586aa?page=21">WISCONSIN MEDICAL JOURNALTable 5. Multivariate A</a> WISCONSIN MEDICAL JOURNALTable 5. Multivariate A<a title="Wisconsin Medical Journal 108no9 page 22" href="http://viewer.zmags.com/publication/810586aa?page=22">WISCONSIN MEDICAL JOURNALTable 6. Multivariate A</a> WISCONSIN MEDICAL JOURNALTable 6. Multivariate A<a title="Wisconsin Medical Journal 108no9 page 23" href="http://viewer.zmags.com/publication/810586aa?page=23">WISCONSIN MEDICAL JOURNALfemales.17 This gender</a> WISCONSIN MEDICAL JOURNALfemales.17 This gender<a title="Wisconsin Medical Journal 108no9 page 24" href="http://viewer.zmags.com/publication/810586aa?page=24">WISCONSIN MEDICAL JOURNALpopulation. Results su</a> WISCONSIN MEDICAL JOURNALpopulation. Results su<a title="Wisconsin Medical Journal 108no9 page 25" href="http://viewer.zmags.com/publication/810586aa?page=25">WISCONSIN MEDICAL JOURNAL travel-a</a> WISCONSIN MEDICAL JOURNAL travel-a<a title="Wisconsin Medical Journal 108no9 page 26" href="http://viewer.zmags.com/publication/810586aa?page=26">WISCONSIN MEDICAL JOURNALFigure 1. Distribution </a> WISCONSIN MEDICAL JOURNALFigure 1. Distribution <a title="Wisconsin Medical Journal 108no9 page 27" href="http://viewer.zmags.com/publication/810586aa?page=27">WISCONSIN MEDICAL JOURNALfor patients with onse</a> WISCONSIN MEDICAL JOURNALfor patients with onse<a title="Wisconsin Medical Journal 108no9 page 28" href="http://viewer.zmags.com/publication/810586aa?page=28">WISCONSIN MEDICAL JOURNALTable 2. Travel Destina</a> WISCONSIN MEDICAL JOURNALTable 2. Travel Destina<a title="Wisconsin Medical Journal 108no9 page 29" href="http://viewer.zmags.com/publication/810586aa?page=29">WISCONSIN MEDICAL JOURNALity and seasonal condi</a> WISCONSIN MEDICAL JOURNALity and seasonal condi<a title="Wisconsin Medical Journal 108no9 page 30" href="http://viewer.zmags.com/publication/810586aa?page=30">WISCONSIN MEDICAL JOURNALthey occur 24 hours be</a> WISCONSIN MEDICAL JOURNALthey occur 24 hours be<a title="Wisconsin Medical Journal 108no9 page 31" href="http://viewer.zmags.com/publication/810586aa?page=31">WISCONSIN MEDICAL JOURNAL </a> WISCONSIN MEDICAL JOURNAL <a title="Wisconsin Medical Journal 108no9 page 32" href="http://viewer.zmags.com/publication/810586aa?page=32">WISCONSIN MEDICAL JOURNALclinical practice has </a> WISCONSIN MEDICAL JOURNALclinical practice has <a title="Wisconsin Medical Journal 108no9 page 33" href="http://viewer.zmags.com/publication/810586aa?page=33">WISCONSIN MEDICAL JOURNALTable 1. Challenges and</a> WISCONSIN MEDICAL JOURNALTable 1. Challenges and<a title="Wisconsin Medical Journal 108no9 page 34" href="http://viewer.zmags.com/publication/810586aa?page=34">WISCONSIN MEDICAL JOURNALTable 2. Completed and </a> WISCONSIN MEDICAL JOURNALTable 2. Completed and <a title="Wisconsin Medical Journal 108no9 page 35" href="http://viewer.zmags.com/publication/810586aa?page=35">WISCONSIN MEDICAL JOURNALfrom research performa</a> WISCONSIN MEDICAL JOURNALfrom research performa<a title="Wisconsin Medical Journal 108no9 page 36" href="http://viewer.zmags.com/publication/810586aa?page=36">WISCONSIN MEDICAL JOURNAL3. Klein R, Klein B</a> WISCONSIN MEDICAL JOURNAL3. Klein R, Klein B<a title="Wisconsin Medical Journal 108no9 page 37" href="http://viewer.zmags.com/publication/810586aa?page=37">WISCONSIN MEDICAL JOURNAL a Case of newl</a> WISCONSIN MEDICAL JOURNAL a Case of newl<a title="Wisconsin Medical Journal 108no9 page 38" href="http://viewer.zmags.com/publication/810586aa?page=38">WISCONSIN MEDICAL JOURNALafebrile, had baseline</a> WISCONSIN MEDICAL JOURNALafebrile, had baseline<a title="Wisconsin Medical Journal 108no9 page 39" href="http://viewer.zmags.com/publication/810586aa?page=39">WISCONSIN MEDICAL JOURNALpura was discovered. P</a> WISCONSIN MEDICAL JOURNALpura was discovered. P<a title="Wisconsin Medical Journal 108no9 page 40" href="http://viewer.zmags.com/publication/810586aa?page=40">WISCONSIN MEDICAL JOURNAL </a> WISCONSIN MEDICAL JOURNAL <a title="Wisconsin Medical Journal 108no9 page 41" href="http://viewer.zmags.com/publication/810586aa?page=41">WISCONSIN MEDICAL JOURNALTable 1. Complete Blood</a> WISCONSIN MEDICAL JOURNALTable 1. Complete Blood<a title="Wisconsin Medical Journal 108no9 page 42" href="http://viewer.zmags.com/publication/810586aa?page=42">WISCONSIN MEDICAL JOURNALABFigure 1. Magnet</a> WISCONSIN MEDICAL JOURNALABFigure 1. Magnet<a title="Wisconsin Medical Journal 108no9 page 43" href="http://viewer.zmags.com/publication/810586aa?page=43">WISCONSIN MEDICAL JOURNALadiponectin (independe</a> WISCONSIN MEDICAL JOURNALadiponectin (independe<a title="Wisconsin Medical Journal 108no9 page 44" href="http://viewer.zmags.com/publication/810586aa?page=44">Wisconsin Medical Journal Instructions to Au</a> Wisconsin Medical Journal Instructions to Au<a title="Wisconsin Medical Journal 108no9 page 45" href="http://viewer.zmags.com/publication/810586aa?page=45">proceedingsproceedings from the 2008 annualMee</a> proceedingsproceedings from the 2008 annualMee<a title="Wisconsin Medical Journal 108no9 page 46" href="http://viewer.zmags.com/publication/810586aa?page=46">in the right lung base and 3 calcifiedgranulomas</a> in the right lung base and 3 calcifiedgranulomas<a title="Wisconsin Medical Journal 108no9 page 47" href="http://viewer.zmags.com/publication/810586aa?page=47">polyarthitis: an expressionof undiagnosed Malign</a> polyarthitis: an expressionof undiagnosed Malign<a title="Wisconsin Medical Journal 108no9 page 48" href="http://viewer.zmags.com/publication/810586aa?page=48">hands, legs, and feet. These spasms,which are pr</a> hands, legs, and feet. These spasms,which are pr<a title="Wisconsin Medical Journal 108no9 page 49" href="http://viewer.zmags.com/publication/810586aa?page=49">were also negative. Serum ceruloplas-min was n</a> were also negative. Serum ceruloplas-min was n<a title="Wisconsin Medical Journal 108no9 page 50" href="http://viewer.zmags.com/publication/810586aa?page=50">DiSplayeD pOSterS‘by the Way, i Did Have aneara</a> DiSplayeD pOSterS‘by the Way, i Did Have aneara<a title="Wisconsin Medical Journal 108no9 page 51" href="http://viewer.zmags.com/publication/810586aa?page=51">data shows promise for the use ofrituximab</a> data shows promise for the use ofrituximab<a title="Wisconsin Medical Journal 108no9 page 52" href="http://viewer.zmags.com/publication/810586aa?page=52">24 on 6 LPM O2; WBC 15.3 (0 bandsand absolute ne</a> 24 on 6 LPM O2; WBC 15.3 (0 bandsand absolute ne<a title="Wisconsin Medical Journal 108no9 page 53" href="http://viewer.zmags.com/publication/810586aa?page=53">protein-losinggastroenteropathy ina previously </a> protein-losinggastroenteropathy ina previously <a title="Wisconsin Medical Journal 108no9 page 54" href="http://viewer.zmags.com/publication/810586aa?page=54">The FENa was 0.7%. Urine toxicologyconfirmed coc</a> The FENa was 0.7%. Urine toxicologyconfirmed coc<a title="Wisconsin Medical Journal 108no9 page 55" href="http://viewer.zmags.com/publication/810586aa?page=55">neuropathy since the diagnosis and arapid funct</a> neuropathy since the diagnosis and arapid funct<a title="Wisconsin Medical Journal 108no9 page 56" href="http://viewer.zmags.com/publication/810586aa?page=56">lungs of healthy individuals; however,this infec</a> lungs of healthy individuals; however,this infec<a title="Wisconsin Medical Journal 108no9 page 57" href="http://viewer.zmags.com/publication/810586aa?page=57">group b Streptococcaliliopsoas abscess andpelvi</a> group b Streptococcaliliopsoas abscess andpelvi<a title="Wisconsin Medical Journal 108no9 page 58" href="http://viewer.zmags.com/publication/810586aa?page=58">eral inguinal lymphadenopathy, andinflamed an</a> eral inguinal lymphadenopathy, andinflamed an<a title="Wisconsin Medical Journal 108no9 page 59" href="http://viewer.zmags.com/publication/810586aa?page=59">your Society 2009 Physician Citizen of the Ye</a> your Society 2009 Physician Citizen of the Ye<a title="Wisconsin Medical Journal 108no9 page 60" href="http://viewer.zmags.com/publication/810586aa?page=60">with someone they trust. For several years, D</a> with someone they trust. For several years, D<a title="Wisconsin Medical Journal 108no9 page 61" href="http://viewer.zmags.com/publication/810586aa?page=61">Dean’s Corner The Collaborative Center for Heal</a> Dean’s Corner The Collaborative Center for Heal<a title="Wisconsin Medical Journal 108no9 page 62" href="http://viewer.zmags.com/publication/810586aa?page=62"> assist CMH with identifying Programt</a> assist CMH with identifying Programt<a title="Wisconsin Medical Journal 108no9 page 63" href="http://viewer.zmags.com/publication/810586aa?page=63">From the Office of general CounselRecent Wisc</a> From the Office of general CounselRecent Wisc<a title="Wisconsin Medical Journal 108no9 page 64" href="http://viewer.zmags.com/publication/810586aa?page=64">tor for whom Dal Pra worked. Heaccepted this off</a> tor for whom Dal Pra worked. Heaccepted this off<a title="Wisconsin Medical Journal 108no9 page 65" href="http://viewer.zmags.com/publication/810586aa?page=65">authors ofpeer-reviewedarticlesAblove, MD, Rob</a> authors ofpeer-reviewedarticlesAblove, MD, Rob<a title="Wisconsin Medical Journal 108no9 page 66" href="http://viewer.zmags.com/publication/810586aa?page=66">Ravdin, MD, Jonathan I.: 2-115, 4-207, 6-3</a> Ravdin, MD, Jonathan I.: 2-115, 4-207, 6-3<a title="Wisconsin Medical Journal 108no9 page 67" href="http://viewer.zmags.com/publication/810586aa?page=67">invited editorialsAdvancing the science of </a> invited editorialsAdvancing the science of <a title="Wisconsin Medical Journal 108no9 page 68" href="http://viewer.zmags.com/publication/810586aa?page=68">For ticket or sponsorship information, contact Re</a> For ticket or sponsorship information, contact Re<a title="Wisconsin Medical Journal 108no9 page 69" href="http://viewer.zmags.com/publication/810586aa?page=69">Wisconsin Medical Journal • 2009 • Volume 108, No</a> Wisconsin Medical Journal • 2009 • Volume 108, No<a title="Wisconsin Medical Journal 108no9 page 70" href="http://viewer.zmags.com/publication/810586aa?page=70">Classified adsSENSIA HEALTHCARE—Is an estab-</a> Classified adsSENSIA HEALTHCARE—Is an estab-<a title="Wisconsin Medical Journal 108no9 page 71" href="http://viewer.zmags.com/publication/810586aa?page=71"></a> <a title="Wisconsin Medical Journal 108no9 page 72" href="http://viewer.zmags.com/publication/810586aa?page=72"></a>