December 2019 BULLETIN available





Opinion

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Editorial …………………………..406 Winter nourishment Deval (Reshma) Paranjpe, MD, FACS

Editorial …………………………..410 Retirement Richard H. Daffner, MD, FACR

Editorial …………………………..413 Then and now Andrea G. Witlin, DO, PhD

Perspective ……………………..415 Choosing a Medicare plan Namita Ahuja, MD

Departments Society News …………………..418 • Greater Pittsburgh Diabetes Club • Pennsylvania Geriatrics Society – Western Division • Pittsburgh Ophthalmology Society • Pennsylvania Medical Society announcements Activities & Accolades………421 Membership Benefits………..422 In Memoriam ……………………424 • Robert Love Baker, MD Editorial Index………………….440 Advertising Index……………..442

Articles Materia Medica …………………425 Trikafta™ (ivacaftor/tezacaftor/elexacaftor): A breakthrough therapy for cystic fibrosis patients who carry at least one F508del mutation Adam Patrick, PharmD candidate

Legal Report ……………………428 Regulatory sprint to coordinated care: New Stark and Anti-Kickback rules Michael A. Cassidy, Esq.

Special Report …………………432 Update on the prevalence of blindness at the Western Pennsylvania School for Blind Children Heidi Ondek, EdD Albert Biglan, MD Beth Ramella, MEd

Special Report …………………437 Reportable Diseases 2019: Q1-3 Special Report …………………438 2019 PAMED House of Delegates report