Opinion

Editorial …………………………..234

The malady lingers on

Deval (Reshma) Paranjpe, MD, MBA, FACS

 

Editorial …………………………..238

Scientific misconduct

Richard H. Daffner, MD, FACR

 

Editorial ………………………….241

Reconnecting during COVID

Andrea G. Witlin, DO, PhD

 

Perspective ……………………..246

Telepsychiatry appointment adherence and productivity during COVID-19

Timothy Lesaca, MD

Pamela Pyle, AAS

 

Perspective ……………………..249

Reflections after 52 years

Richard L. Green, MD

 

Departments

 

Membership Benefits ……….244

Society News …………………..251

  • Pittsburgh Ophthalmology Society

Activities & Accolades ……..253

 

Articles

Materia Medica …………………254

Istradefylline (Nourianz®)

Samantha DeMarco, PharmD

Rachael Cardinal, PharmD, BCPS

Legal Summary ……………….256

Pennsylvania Superior Court decision: Further deterioration of the peer review privilege

Beth Anne Jackson, Esq.

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“I tell you this: you do not lead by hitting people over the head. Any damn fool can do that, but it’s usually called ‘assault,’ not leadership … I’ll tell you what leadership is. It’s persuasion – and conciliation – and education – and patience. It’s long, slow, tough work. It’s the only kind of leadership I know – or believe in – or will practice.”

– President Dwight D. Eisenhower

Wise words from a wise man. Many of us have, at one time or another, held a leadership position professionally, in the military, in the community, or in politics. Reduced to its simplest form, a leader is a person who tells people what to do, and they follow his/her request(s).

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As medical practices and other workplaces begin to emerge from the closures and restrictions imposed in response to the COVID-19 pandemic, employers need to know what they can and cannot require of their employees. On March 21, 2020, the Equal Employment Opportunity Commission (EEOC) updated a 2009 publication that had been issued during the H1N1 influenza outbreaks to advise employers of their rights and responsibilities under federal employment laws. Further guidance was published on June 17, 2020, in the form of Technical Assistance Questions and Answers, and in a question-and-answer webinar published on the agency’s website. The EEOC publications address the impact of the Americans with Disabilities Act (ADA), the Rehabilitation Act, Title VII of the Civil Rights Act, the Age Discrimination in Employment Act (ADEA) and the Genetic Information Nondiscrimination Act (GINA).… Read more

COVID-19 has quashed plans for a normal restaurant edition of this editorial, so I’d like to offer you something different. You may be frequenting your favorite restaurants for take-out or delivery, or avoiding outside food altogether depending on your risk tolerance. For those of you getting delivery – do consider contactless pickup or calling the restaurant directly to order rather than using an app like GrubHub, Doordash or Seamless. These apps have been charging hidden fees to restaurants to the point where restaurants lose money when customers order through the app.

Instead of the simple pleasures of dining out, I’d like to focus on the simple pleasures of summer quarantine.… Read more

Opinion  

Editorial …………………………..201

Nourishment: Pandemic edition
Deval (Reshma) Paranjpe, MD, MBA, FACS

Editorial …………………………..203
Gateway Medical Society celebrates new star – A history of supporting African American youth
Amelia A. Paré, MD, FACS

Editorial …………………………..207
12 essential leadership skills
Richard H. Daffner, MD, FACR

Editorial …………………………..214
Finding my niche: Residency and beyond
Andrea G. Witlin, DO, PhD

Perspective ……………………..215
COVID-19 masquerade
Wendy Palastro, MD

Departments
Membership Benefits ……….212
Society News …………………..218
Pittsburgh Ophthalmology Society
Activities & Accolades ……. 220
Community Notes ……………220

Articles
Materia Medica …………………222
Innovations in postmenopausal osteoporosis: Romosozumab (Evenity®)
Karen M. Fancher, PharmD, BCOP

Legal Report ……………………225
Avoid employment law violations when dealing with COVID-19
William H.

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Within a few generations of the Emancipation Proclamation, the social and political environment of the South became inhospitable for African Americans. In the three years known as the Great Migration, 1916 to 1919, over half a million African Americans fled the South seeking higher wages and a less hostile environment. During the great Depression in the 1920s, when sharecroppers were turned away from their farms and the Ku Klux Klan was on the rise as a home grown terrorist organization, more than a million African Americans left the South in an attempt to escape the rigid race-based social hierarchy, poverty, lack of educational opportunities and racial violence.

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Besides the astoundingly rapid progress made in describing the nature of SARS-CoV-2 (COVID-19) and the advances in describing the virus and approaches to treatment, another result of the recent pandemic has been resurgent interest in previous epidemics and pandemics, and most notably the Spanish Influenza of 1918-19. The estimated world-wide death toll of that H1N1 illness was probably 50 million, and possibly as high as 100 million. The world population in 1918 was only 28 percent of today’s population, thus a comparable toll today would be 175 to 350 million. It has been estimated that one-third of the world’s population may have been clinically infected during the pandemic, with mortality rates among the infected of more than 2.5%.

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Although physician offices were always classified as essential businesses under the Pennsylvania Emergency Closure Rules, and could always have remained open, many physician practices nevertheless opted to close the practices, reduce hours, or remain only open for emergency patients. Now that Pennsylvania is reopening to all businesses in stages, we thought it would be valuable to have a source of curated information specifically applicable to the reopening of physicians’ offices, similar to the COVID-19 Private Practice Checklist published by ACMS on March 19, 2020.

We believe the risk issues can be separated into four basic categories:

  1. Patient management
  2. Facility management
  3. Staff protection
  4. Patient consent forms and waivers

Patient management

The scheduling, management and testing of patients returning to the practice, and prioritizing their treatment based upon the severity of their medical conditions, will be one of the most challenging aspects of reopening the practice, if only because of your lack of actual control over patients’ conduct.

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I started this narrative 17 days into my “house arrest” resultant from the COVID-19 pandemic. Unfortunately, despite having more free time than I cared to admit, I was too worried and preoccupied to continue my chronicle. I had been confined to “house arrest” several times previously. Twice while recovering from extensive orthopedic surgery and again as a precaution secondary to life-threatening neutropenia. But this time is very different. “House arrest” is the norm, especially for those in my demographic group. I don’t have a friend or family member to help navigate the outside world for me. I can’t invite the outside world in.

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Welcome to the second quarter of 2020! The coronavirus pandemic has changed the way physicians interact with their families, practice medicine and spend money. Perhaps you’ve been on the front lines in the critical care units. Perhaps you’ve been seeing patients by telemedicine or fielding lots of phone calls and trying to figure out how to get paid for what you do. Perhaps you’ve been isolating at home with not a lot to do, spending more time with family and doing some online CME. The question on your mind might be: When this pandemic ends, what position will I be in?

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