Many of the men and women of science and medicine have been honored by having their names associated with the fruits of their labors. We have Paget disease of bone and breast (Sir James Paget 1814 – 1899), Pasteurization (Louis Pasteur 1822 – 1895), Koch’s postulates (Robert Koch 1843 – 1910), and the Curie, a unit of radiation (Marie Curie 1867 – 1934). And then we have Phillipp Lenard, Hans Reiter, Eduard Pernkopf and Hans Asperger, all of whom made significant contributions to science and/or medicine, but whose names are all but forgotten. Lenard was awarded the Nobel Prize; Reiter and Asperger had syndromes named for them; and Pernkopf produced the most realistic anatomy atlas.

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As I write this, COVID-19 cases in our area are soaring; as you read this, they will undoubtedly have reached record-setting peaks. Vaccines loom on the horizon, but approval, rollout and distribution are still challenges which remain to be overcome.

In this cocktail called December 2020, we have equal parts terror and hope, dread and resolve, resignation and revelation. Add a sugar cube of faith and the bitters of loss, and muddle together.

Allow me to suggest a garnish which might make this cocktail slightly more palatable: gratitude.

Let us be grateful for our lives and the lives of our loved ones and friends.

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Opinion

Editorial …………………………. 369
Gratitude
Deval (Reshma) Paranjpe, MD, MBA, FACS

Editorial …………………………..370
Finding my niche: A kind, well-shaven face
Anthony L. Kovatch, MD

Editorial …………………………..373
Rightly forgotten
Richard H. Daffner, MD, FACR

Perspective ……………………..376
Reducing disparities in musculoskeletal care: Focusing on bone and joint health
Anthony M. DiGioia III, MD
Gina Edwards
Angela DeVanney
Gigi Crowley

Perspective ……………………..378
A physician’s reflection on Roberto Clemente and his leadership legacy
Johanna Vidal-Phelan, MD, MBA, FAAP

Departments

Society News …………………..380
• Fit with Your Physician walk held
• ACMS Foundation awards medical student scholarship
• ACMS member assists with removal of prior auth code
• Pennsylvania Geriatrics Society – Western Division

Classifieds ………………………381
Activities & Accolades………382
Membership Benefits………..384

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October was National Cybersecurity Awareness Month, and government agencies and private cybersecurity companies alike offered tips to stay secure online. Cybersecurity awareness is particularly necessary in 2020: Ransomware attacks against health care providers and entities that support them have continued in full force after a 350% increase in the fourth quarter of 2019. Even the U.S. Department of Health and Human Services suffered a cyberattack in March. COVID has not slowed hackers and other cybercriminals. eResearch Technology, a company that sells software used in clinical trials – including trials for a vaccine for the coronavirus – suffered a ransomware attack in mid-September.

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When I was on a toxicology elective as a resident, the fellow and I disagreed over the topic of the presentation I had to give. I wanted to cover a drug commonly prescribed to complex care patients, she wanted something “more interesting,” like an exotic compound that she would only see once in her career if she were lucky (and the patient very unlucky). We compromised on a historical topic of local relevance, the Donora Smog of 1948.

Donora, Pa., named for William Donner and Nora Mellon – lies in a bend of the Monongahela River on the eastern edge of Washington County, 25 miles south of Pittsburgh.

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The news of the patient’s death caught me off guard. I had helped transfer him urgently to our hospital two weeks before: He was admitted, treated and discharged with plans for follow-up. I received one short message from his family about a medication adjustment, and then silence. A week later, I heard that he had passed away peacefully in hospice.

My immediate feelings were grief, remorse and regret, followed by a barrage of questions: When had he gone to Hospice? Who had helped his family navigate that change? Had I done enough? Was there something more I could have done? Was his family okay?

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Opinion

Editorial …………………………..329
Fall nourishment
Deval (Reshma) Paranjpe, MD, MBA,FACS

Editorial …………………………..331
Roentgen and the discovery that changed medicine
Richard H. Daffner, MD, FACR

Miller Time ………………………335
A Viral Ode
Scott Miller, MD, MA, FAAHPM

Editorial ………………………….336
Physicians in mourning: Grieving with purpose
Anna Evans Phillips, MD, MS

Editorial …………………………..338
Lost too soon: An ode to Micah Man
Andrea G. Witlin, DO, PhD

Perspective………………………340
The Donora Smog
Kristen Ann Ehrenberger, MD, PhD

Perspective………………………342
Reflections on physician wellness and the challenges of COVID
Lawrence R. John, MD

Articles

Membership Benefits ……….344
Society News …………………..346
• ACMS Foundation opens Pediatric Asthma Clinic
• Pittsburgh Ophthalmology Society

Activities & Accolades ……..348

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Congratulations to Todd M. Hertzberg, MD, FACR, whose photo, “Glacial Watkins Glen,” was the first-place winner of the 2020 ACMS Bulletin Photo Contest. His photo will appear on the January 2021 cover of the Bulletin.

Additional winners include: Louis A. DiToppa, DO, FAAFP,  – “Montana Tranquility” and “Amalfi Coast;” John P. Williams, MD – “Rainbow over Victoria Falls;” Alexanndra Kreps, MD – “Pittsburgh Zoo Aquarium;” Mark E. Thompson, MD – “Pittsburgh Reflections at Sunset” and “The Moon and Venus over Pittsburgh at Sunrise;” Elias Hilal, MD – “The Flower Path;” James W. Boyle, MD – “Midnight – Gulf of Finland;” William R.

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2020 October Buller

A few weeks ago, I ran into a transplant surgeon friend whom I hadn’t seen since the beginning of the pandemic. We discussed how we really weren’t that psychologically affected by the restrictions until recently; the first six months hadn’t been that much of a hardship in terms of cabin fever. But now, at the six-month mark, we were really missing interactions with friends. Even though, in pre-pandemic times, we might not have accepted every invitation or gone to every event, we now are denied the ability to say yes to any of them. Our options have been removed and our autonomy restricted by a tiny virus over which we have little if any control.

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2020 October Buller

Physician recruiting can be expensive. Doing it wrong can be even more expensive, as a recent multimillion-dollar settlement illustrates.

When a group practice needs financial assistance to bring on an additional physician, hospitals may be willing to put up funds to protect the practice from incurring a loss as the new doctor becomes established in the community. Such recruitment agreements with hospitals are generally structured as monthly advances of the difference between the new physician’s collections and the cost of employing him or her, and treated as forgivable loans to the practice so long as the physician continues to practice in the hospital’s service area for a defined period.

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