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<br /> advancing the art & science of medicine in the midwest<br /> volume 111 • no. 2 • april 2012<br /> Mandatory<br /> influenza<br /> vaccinations<br /> Protecting patients,<br /> health care workers Also inside:<br /> Advance Care Planning<br /> and the community Difficult but Essential<br /> CME Quizgvancing the art & science of medicine in the midwest<br /> -<br /> ???<br /> . 4, #?????;'< (<br /> +6't?-'ti'(iM<br /> volume 111 ??? no. 2 ??? april 2012<br /> X __<br /> *,00<br /> Mandatory<br /> influenza<br /> vaccinations<br /> Protecting patients,<br /> health care workers<br /> and the community<br /> Also inside:<br /> Advance Care Planning<br /> Difficult but Essential<br /> CMEOuiz<br /> r<br /> |medical offices<br /> License. Patients. Records. Society.<br /> It's what you need to do business.<br /> Looking to kee<a title="wmj_111no2 page 1" href="http://viewer.zmags.com/publication/c5edfaf8?page=1"> advancing the art & science of medicine in the mi</a> <a title="wmj_111no2 page 2" href="http://viewer.zmags.com/publication/c5edfaf8?page=2"> r |medical offices License. Patients. Records. </a> <a title="wmj_111no2 page 3" href="http://viewer.zmags.com/publication/c5edfaf8?page=3"> Go Paperless and Get Paid Register NOW for CMS El</a> <a title="wmj_111no2 page 4" href="http://viewer.zmags.com/publication/c5edfaf8?page=4"> COVER THEME Mandatory influenza vaccinations. Pro</a> <a title="wmj_111no2 page 5" href="http://viewer.zmags.com/publication/c5edfaf8?page=5"> advancing the art & science of medicine in the mi</a> <a title="wmj_111no2 page 6" href="http://viewer.zmags.com/publication/c5edfaf8?page=6"> EDITOLROIAOLKING BACK…TO 1912 'Tis for Sore</a> <a title="wmj_111no2 page 7" href="http://viewer.zmags.com/publication/c5edfaf8?page=7"> AS I SEE IT Effective Doctor-Patient Communica</a> <a title="wmj_111no2 page 8" href="http://viewer.zmags.com/publication/c5edfaf8?page=8"> FOCUS ON COMMUNITY HEALTH Treffert's Work wi</a> <a title="wmj_111no2 page 9" href="http://viewer.zmags.com/publication/c5edfaf8?page=9"> Darold Treffert, MD, uses video-editing equipment</a> <a title="wmj_111no2 page 10" href="http://viewer.zmags.com/publication/c5edfaf8?page=10"> ways. I get in touch with people or they get in t</a> <a title="wmj_111no2 page 11" href="http://viewer.zmags.com/publication/c5edfaf8?page=11"> IN THIS ISSUE A Potpourri John J. Frey, I</a> <a title="wmj_111no2 page 12" href="http://viewer.zmags.com/publication/c5edfaf8?page=12"> Improve your practice's efficiency & effectivenes</a> <a title="wmj_111no2 page 13" href="http://viewer.zmags.com/publication/c5edfaf8?page=13"> ORIGINAL RESEARCH Prevalence of Involuntary C</a> <a title="wmj_111no2 page 14" href="http://viewer.zmags.com/publication/c5edfaf8?page=14"> Table. Sample Survey Questions Does your county </a> <a title="wmj_111no2 page 15" href="http://viewer.zmags.com/publication/c5edfaf8?page=15"> Slightly more than half of the county representat</a> <a title="wmj_111no2 page 16" href="http://viewer.zmags.com/publication/c5edfaf8?page=16"> CASE REPORT A Case of Pulmonary Embolism and </a> <a title="wmj_111no2 page 17" href="http://viewer.zmags.com/publication/c5edfaf8?page=17"> when she was noted to have right-sided hemiparesi</a> <a title="wmj_111no2 page 18" href="http://viewer.zmags.com/publication/c5edfaf8?page=18"> foramen ovale in the general population is 10% to</a> <a title="wmj_111no2 page 19" href="http://viewer.zmags.com/publication/c5edfaf8?page=19"> CASE REPORT Pulmonary Lymphomatoid Granulomat</a> <a title="wmj_111no2 page 20" href="http://viewer.zmags.com/publication/c5edfaf8?page=20"> Figure 1: Chest CT demonstrating (A) a 2.5 cm mas</a> <a title="wmj_111no2 page 21" href="http://viewer.zmags.com/publication/c5edfaf8?page=21"> Systemic presentation of lymphoma- related B s</a> <a title="wmj_111no2 page 22" href="http://viewer.zmags.com/publication/c5edfaf8?page=22"> 2. Pittaluga S, Wilson WH, Jaffe ES (eds). World </a> <a title="wmj_111no2 page 23" href="http://viewer.zmags.com/publication/c5edfaf8?page=23"> C M E To receive CME credit, complete this quiz</a> <a title="wmj_111no2 page 24" href="http://viewer.zmags.com/publication/c5edfaf8?page=24"> CASE REPORT An Acute, Progressive Encephalo</a> <a title="wmj_111no2 page 25" href="http://viewer.zmags.com/publication/c5edfaf8?page=25"> retical possibility of aerosol transmission, but </a> <a title="wmj_111no2 page 26" href="http://viewer.zmags.com/publication/c5edfaf8?page=26"> HEALTH INNOVATIONS Influenza Vaccination as a</a> <a title="wmj_111no2 page 27" href="http://viewer.zmags.com/publication/c5edfaf8?page=27"> influenza virus was the circulating strain of inf</a> <a title="wmj_111no2 page 28" href="http://viewer.zmags.com/publication/c5edfaf8?page=28"> Figure 2, Percentage of employees receiving influ</a> <a title="wmj_111no2 page 29" href="http://viewer.zmags.com/publication/c5edfaf8?page=29"> vaccination policy. Positive and negative informa</a> <a title="wmj_111no2 page 30" href="http://viewer.zmags.com/publication/c5edfaf8?page=30"> PROCEEDINGS Proceedings from the 2011 Annual M</a> <a title="wmj_111no2 page 31" href="http://viewer.zmags.com/publication/c5edfaf8?page=31"> incidence of EE from 1995 to 2007 in a populatio</a> <a title="wmj_111no2 page 32" href="http://viewer.zmags.com/publication/c5edfaf8?page=32"> record also were introduced to facilitate appropr</a> <a title="wmj_111no2 page 33" href="http://viewer.zmags.com/publication/c5edfaf8?page=33"> Applying the principles derived from expe- rience</a> <a title="wmj_111no2 page 34" href="http://viewer.zmags.com/publication/c5edfaf8?page=34"> A Rare Complication Associated with Graves' Disea</a> <a title="wmj_111no2 page 35" href="http://viewer.zmags.com/publication/c5edfaf8?page=35"> posterior mediastinum and an ill-defined, enhanci</a> <a title="wmj_111no2 page 36" href="http://viewer.zmags.com/publication/c5edfaf8?page=36"> male sexual partners in the last year, which prom</a> <a title="wmj_111no2 page 37" href="http://viewer.zmags.com/publication/c5edfaf8?page=37"> Patient had not taken more warfarin than recommen</a> <a title="wmj_111no2 page 38" href="http://viewer.zmags.com/publication/c5edfaf8?page=38"> ken down into calcium oxalate and other harmful m</a> <a title="wmj_111no2 page 39" href="http://viewer.zmags.com/publication/c5edfaf8?page=39"> (AKI) (baseline creatinine of 1.3 mg/dL in Septem</a> <a title="wmj_111no2 page 40" href="http://viewer.zmags.com/publication/c5edfaf8?page=40"> predominance). Serial CSF AFB smears greatly impr</a> <a title="wmj_111no2 page 41" href="http://viewer.zmags.com/publication/c5edfaf8?page=41"> An Unusual Case of Cardiac Tamponade Mary Bassing</a> <a title="wmj_111no2 page 42" href="http://viewer.zmags.com/publication/c5edfaf8?page=42"> a patient with myxedema presenting with unusual c</a> <a title="wmj_111no2 page 43" href="http://viewer.zmags.com/publication/c5edfaf8?page=43"> 6.9 g/dL, and platelets 158 x 103/uL. Blood smear</a> <a title="wmj_111no2 page 44" href="http://viewer.zmags.com/publication/c5edfaf8?page=44"> still caused by extra-laryngeal malignancy 13.5% </a> <a title="wmj_111no2 page 45" href="http://viewer.zmags.com/publication/c5edfaf8?page=45"> FROM THE PRESIDENT Advance Care Planning C</a> <a title="wmj_111no2 page 46" href="http://viewer.zmags.com/publication/c5edfaf8?page=46"> leged to care for a significant number of elderly</a> <a title="wmj_111no2 page 47" href="http://viewer.zmags.com/publication/c5edfaf8?page=47"> DEAN'S CORNER Transforming the Research Envi</a> <a title="wmj_111no2 page 48" href="http://viewer.zmags.com/publication/c5edfaf8?page=48"> resulted in the publication of 40 articles in pee</a> <a title="wmj_111no2 page 49" href="http://viewer.zmags.com/publication/c5edfaf8?page=49"> YOU'RE INVITED! Created and hos</a> <a title="wmj_111no2 page 50" href="http://viewer.zmags.com/publication/c5edfaf8?page=50"> CLASSIFIED ADVERTISING OFFICE SPACE F</a> <a title="wmj_111no2 page 51" href="http://viewer.zmags.com/publication/c5edfaf8?page=51"> W ith more than 30 years of dedi</a> <a title="wmj_111no2 page 52" href="http://viewer.zmags.com/publication/c5edfaf8?page=52"> "As physicians, we have so many unknowns coming </a>