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Digitized by tiie Internet Archive in 2011 witii funding from Nortii Carolina History of Health Digital Collection, an LSTA-funded NC ECHO digitization grant project http://www.archive.org/details/northcarolinamed612000 UNiVERSiTY OF NORTH CAROLINA! AUG - 8 2002 I iir.ALTH SCItNCES LIBRARY he Official ournal of the orth Carolina orth Carolina I ledical Society anuary/ Journal ebruary 2000 edical plume 61 I'umkjer 1 For Doctors and Their Patients Hurricanes, High Water, and Heroic Efforts Plus: Endoscopic ultrasound Hypercalcemia NC Diabetes in Green tobacco sickness Toxic chemical release Origins of oophorectomy Ginkgo biloba "As a pediatrician, I understand the importance ofthe personal touch. my So does hank!' Kathleen Lucas. M.D. Between running a practice and building a new building, Dr. Kathleen Lucas is a busy A pediatrician. But she's never too busy to give herpatients the FIRST Citizens Bank attention they need. "The personal touch is important BUSINESS BANKING in any business. That's ivhy -Sweep Accounts First Citizens has my personal and -Medical Building Real Estate Loans corporate accounts, and they've -Medical Equipment Loans & Leases justfinanced my new building. -Retirement Accounts They couldn't be more helpful." -Online Banking (Business Express") Thanks, Dr. Lucas. We think the -Business Insurance people loho look after our kids deserve special treatment themselves. firstcitizens.com 1-888-FC DIRECT (1-888-323-4732) Normalcreditapprovalapplies.MemberFDIC. The Medical Protective Company — NORTH CAROLINA January/February 2000, Volume 61, Number 1 MEDICAL JOURNAL Published Bimonthly by For Doctors and Their Patients The North CarolinaMedical Society (ISSN 0029-2559) EDITOR BUSINESSMANAGER Tmehnet,JotuhrenaNlo'rstphubClaircoahtinoanIinsstsiutpupteorotfedMebdyicpirniev,ataencdontthreibMuatrioynsD,ugkreanBtisddflreomFotuhnedaDtuikoen,Eannddowb-y FrancisA,Neelon.MD DonaldR.Wall ComponentSocietiesoftheNCMedicalSociety. Durham TheSocietyisnottobeconsideredasendorsingtheviewsandopinionsadvancedbyauthorsof SECTIONEDITORS EDdEwPaUrdTYC.EHaDlIpeTrOinR,MD EDaungieenleJ.WS.exLtinofno,rsM,DMD pthaepeNrosrtdehliCvaerroeldinaattMheedAincanluaSlocMieeteyt:inCghaopr.pIuVb.liSsehcet.di3,nptghi.s4J.ournal. ConstitutionandBylawsof Durham NORTH CAROLINA MEDICALJOURNAL ACEEubSOgeSNenOnSAeCUleILAx.ATanTSItdENeearGdE.,DEJJrI.rD,TI.MOMTDRODSR MWCEayiDCHrnlhIegtlanhaTipdiraOeeaemRlrtAIBsH.NoAi.nlHLBlalH,(yamBCCtrphohkOteeamo,Arimn.RrM..MDDMCDmDte.) CCB(Isaaunpobrrthxsooeocllrn3riine9inne:1paatt09i,MMa1oeed9nDddd/uriir2aecck8tsaaee6slls-:,U6SSne4ohoti1cctcvi0.itee,,eprttt:ysfyo/.ia/xttuA:whyndewd9dMweM1re.ra9edn/nstic2hasmce8gea6middl-aiinn9rCcgu2eeas1cEnltc9dtjir.ieooitnruepo,-rtormnsfDaaaiuatiltlnrs.t:dhchEeonadcmiaDom)tsmu,,[email protected],adssCnsuodrkpleepiygs.uartberieldddgiiuhasn,tbhgo©evedde2ib.0ty0o(r0TFiohaTrlehoemNvaoetNrrtoe-trrhtsh, WiWlilnisatmoBn.-SBallytehme.MD JoMhonrseohneHa.dKCeiltlyy,MD LniisghttedainndIenxdpe.rxesMsedmiaciulso.nlAyl:l2a2d0ve0rWti.seMmaeinntsSta.r,eSaucicteepBt-e2d1s0u.bjReoctotmot1h2.eDaupprrhoavma.lNofCth2e77E0di5t.o)rial F,CMhaaxpetlonHiMlaluney.Jr..MD PaStrhieclkbyD.Kenan,MD BpuobalridcaotfiotnhedoNeosrtnhotCacornosltiintautMeeadniycaelndJoourrsneamle.ntThoefathpepesaurbajenccteoorfcalnaiamdsveorfttihseemaednvteritnistheimsent. Asheville Durham JFMlaADomruNeersAnhcPGae.mITWN.eaGNvaesErhD.IMTDOR RRWiioMWlcnielkanbiylsaadLtmn.oBeG.nL,-aMSnPaagocllrkteee,ymr,.MMMDDD A4APis6rdnsi7vnun-eeut8rsai.5tnl1i$g5s:5s,iunTsbfgphsaexecrc:rieOiap9lvpr1tie9iisd/soes4nnBu6ete7(las-6lt8(iiPp0vsrl7eseu1u:ssessD.t)ao:Ixnn)$c..2F.Pr0ee1rn(i2pco0lhd1u,i-sc03a651l%s8BlpTNuowfCseftaetSgatd.ex,C=piFaru$icl2dlt1eo.a.nt2.0BR)oMa.xlOeS2ii0g6n9hg53l2Ne.51CcC,oap2r8i7y0e6,s00:/N18.$C335a.2-n578d0591ar1te91g.u9l1ar9/ 91D9u/2r8h6a-m6410 MaCrhayrlJ,otRtaeab,MD additionalmailingoffices, fax;919/286-9219 Greenville POSTMASTER:SENDADDRESSCHANGESTOTHENORTHCAROLINAMEDICAL e-mail:[email protected] SOCIETY,222N.PERSONST.,P.O.Box27167,RALEIGH,NC27611-7167. ? PhysicianSolutionsInc. For a copy of North Carolina's Leading Locum Tenens and Permanent Physician Placement Company our corporate Specializing in: Locum Tenens Coverage Permanent Physician Placement capabilities*; Medical Director with Specialty Advisory Board On-Call Physician Service Practice Management Consulting brochure Physician Solutions Inc. callus at - ": P.O. Box 98313 Raleigh, North Carolina 27624 Phone: 919-845-0054 919.845.0054- ; Fax: 919-845-1947 374 NCMJJanuw\/Februar\2000. Volume61 Number1