Table Of Content

Digitized by the Internet Archive in 2016 with funding from University of Maryland, Baltimore, Health Sciences and Human Services Library https://archive.org/details/journaloftenness8914tenn Journal of the Tennessee Medical Association More than 165 Years of Informing Tennessee Physicians If having a bank that’s ready when you are is important, you should examine First Tennessee’s physician banking service. You’ll enjoy not waiting in lines, your very own banker attuned to your needs, free Priority Banking services - we’ll even come to you when you can’t come to us. For special treatment, call. Stat. FIRSTTENNESSEE Hereforyou. Chattanooga 423-757-4253 • Johnson City423-461-1291 • Kingsport423-378-7012 Knoxville423-971-2112 • Memphis901-681-2502 — —————— ——— — — — Table of Contents President’s Comments 149 Strong as Oaks Journal of theTennessee Medical Association Editorials 150 A New Look Volume 89, Number5 - May, 1996 151 Foxy in the Henhouse 152 Impairment Ratings Office of Publication 2301 21st Avenue South PO Box 120909, Nashville, TN 37212-0909 Phone (615) 385-2100 Medicine and Law Fax (615) 383-5918 Editor 153 It’s Time To Take Off the Gag—TMA Takes Progressive Action To Head John B. Thomison, M.D. OffManaged Care Gag Rules Betsy Kauffman Humphrey Assistant Editor Robert W. Ikard, M.D. Managing Editor Jean Wishnick Business Manager Practicing Medicine SDro.naVl.dP.H—. CAolmexmaunndiecrations 155 Building for the Future—Memphis Integrated Delivery Systems May Provide Russ Miller a Glimpse of the Future for Tennessee Doctors Tim Sewell 158 Grading TennCare Cyril F. Chang, PhD; David M. Mirvis, MD 161 Loss Prevention Case of the Month Complication During Arthroscopy Tennessee Medicine MD Journalofflu*TennesseeMedicalAssociation J. Kelley Avery, ISSN 0040-3318 Published monthly under the direction of The Journal the Board ofTrustees forand by members of the Tennessee Medical Association, a non- profitorganizationwithadefinite membership 164 Original Contribution Diagnosis of Meckel’s Diverticulum by Computerized forscientific and educational purposes. Tomography Robert W. Ikard, MD Devoted to the interests of the medical profession of Tennessee. This Association is 166 Vanderbilt Morning Report Antiphospholipid and Anticentromere Antibodies notresponsible for the authenticity ofopinion Occurring Together in a Patient With Pulmonary Hypertension ocratsitoanstemseunbtmsitmtaeddetobyTeauntnheosrsseeorMiendciocminmeunfio-r 167 Trauma Rounds An Abdominal Hernia Secondary to Blunt Trauma publication. The author or communicant shall 169 Department of Health Report Project TEACH in the School System be heldentirely responsible. Advertisers must conform to the policies and regulations estab- lishedbytheBoardofTrusteesoftheTennes- see Medical Association. Subscriptions (nonmembers) $20 peryear News and Views for US, $26 for Canada and foreign. Single copy $2.50. Payment of Tennessee Medical Association membership dues includes the 171 Letters to the Editor Disability Evaluations subscription price ofTennessee Medicine. 171 TMA Alliance Report A Year of Firsts Copyright 1996,TennesseeMedicalAsso- ciation. All material subject to this copyright 171 In Memoriam appearinginTennesseeMedicine maybepho- 171 New Members tocopiedfor noncommercial scientific oredu- cationaluse only. 172 Personal News Second Class postage paid at Nashville, 172 PRA Recipients TN, andat additional mailingoffices. 172 Actions of the Tennessee Board of Medical Examiners POSTMASTER: Send address changes to: 173 Special Communication Management ofPrescribing With Emphasis on Addic- Tennesssee Medicine PO Box 120909 tive or Dependence-Producing Drugs (Tennessee Board of Medical Examiners Nashville, TN 37212-0909 Policy Statement) 174 Continuing Medical Education Opportunities 177 Career Opportunity Advertising 178 Information for Authors 178 Advertisers in this Issue TennesseeMedicine ~May, 1996 147 UIk Coaatul Uviiiu Eke Ei the World ;T.% ' • g jg II|i . '...- Oceanfront, Come seeforyourself whyJeremy Cay and & Creekside, The Hammocks are Marshview two ofcoastal South Carolina,’sfastest Homesites sellingproperties. HistoricJeremy Cay at Edingsville The Hammocks atJeremy Inlet draws its Beach offers South Carolina’s most name from the geographic term “hammock,” beautiful oceanfront and oceanview which is used to describe an area higher than homesites. Dirt roads wind lazily among its surroundings, characterized by rich soil and oaks, palmettos, and tidal lagoons, and hardwood vegetation. Here, gigantic oaks rise offer residents some of the proudly above these magnifi- most majestic scenery ever. cent homesites and tropical It is a place of seclusion vegetation enhances the spec- and natural beauty, where tacularviews ofthe marsh, marshes, and two miles of ^ creek, and ocean. Individual Jf private beach that surround >UrT0LLY dock sites and controlled ™ BEACH this pristine island. KiAWAM access provide added value. !SLAND ...'SEABROOK ISLAND Jtremv'Gxv ' .[ru.pamrniHzs The Savage Company • One Hammocks Way, Edisto Island, SC 29438 (803) 869-1556 • 1-800-475-1556 • FAX: (803) 869-1557 — 8 Table of Contents President’s Comments Tennessee 185 A Paradigm for Healing Medicine Editorials 187 Tennessee Bicentennial Volume 89, Number6 - June, 1996 188 Hello, Choir! Are You Listening? 189 Some Happy Thoughts Office of Publication 2301 21st Avenue South PO Box 120909, Nashville, TN 37212-0909 Phone (615) 385-2100 Practicing Medicine Fax (615) 383-5918 Editor 191 Managed Care: Are Restrictive Provider Panels Out and Capitation In? John B. Thomison, M.D. Mo Kirtane Assistant Editor Robert W. Ikard, M.D. Managing Editor Jean Wishnick Business Manager Abstract of TMA’s 161st Annual Meeting Donald H. Alexander — Sr. V.P. Communications 193 Index to Proceedings Russ Miller 194 House of Delegates Proceedings 206 Reports of Officers Tennessee Medicine 211 Annual Award Presentations .lounmlofflu:TennesseeMedicnlAssociation 215 Photographic Highlights of the Annual Meeting ISSN 0040-331 216 House of Delegates Composition Published monthly under the direction of the Board ofTrustees forand by members of the Tennessee Medical Association, a non- News and Views profitorganizationwith adefinite membership forscientificandeducational purposes. Devoted to the interests of the medical 217 In Memoriam profession of Tennessee. This Association is 217 New Members onrotstraetsepmoennstisblmeafdoertbhyeaauutthhoernstiocritiynocfomopmiunniio-n 217 Personal News cations submitted to Tennessee Medicine for 218 PRA Recipients publication. The author or communicant shall 218 Actions of the Tennessee Board of Medical Examiners be held entirely responsible. Advertisers must conform to the policies andregulations estab-' 218 Continuing Medical Education Opportunities lishedbytheBoardofTrusteesoftheTennes- 222 Career Opportunity Advertising see Medical Association. Subscriptions (nonmembers) $20 peryear for US, $26 for Canada and foreign. Single copy $2.50. Payment of Tennessee Medical Association membership dues includes the subscription price ofTennessee Medicine. Copyright 1996,TennesseeMedicalAsso- ciation. All material subject to this copyright appearinginTennessee Medicinemaybepho- ON THE COVER tocopied for noncommercial scientific oredu- catioSnealcounsdeConllays.s postage paid at Nashville, Illustration of State Capitol with features of the new Bicentennial Mall: TN, and at additional mailingoffices. Railroad Trestle; River Wall; 2,000-Seat Amphitheater; Court of POSTMASTER: Send address changes to: Three Stars With 95-Bell Carillon Tennesssee Medicine PO Box 120909 Drawing by Tuck-Hinton Architects Nashville, TN 37212-0909 Mall Design By: Tuck-Hinton Architects Ross/Fowler Landscape Architects S.S.O.E., Inc., Engineers TennesseeMedicine ~June, 1996 183 That’s the toll-free number forthe specialists and advanced clinical infor- For afree copy ofthe Tennessee Tennessee Consultation Center (TCC) mation in virtually all fields. Consultation Center’s Directory of atThe UniversityofTennesseeMedical Dial 1-800-442-8862, and the TCC’s Consultants, call 1-800-442-8862. Centerat Knoxville. TCC is a physician trained information specialists will to physician consultation service pro- connect you with medical and dental vidingfastaccesstomedicalanddental professionals atthe University Medical Centerwho will answeryour questions quickly, competently and atno charge. THE UNIVERSITY OF TENNESSEE MEDICAL CENTER AT KNOXVILLE TennesseeConsultationCenter TthheeseUneinvteitriseistyemobfoTdeynntheessMeeedifc^aeldtCeeanfteCre’nsteprhialtosKonpohxyvialnldemiisscsioomnprtihsreodugohftUhneivseprisriittyofMeemxoprloiraaltiHoons,pitthaelpaansdsitohnefGorratdeuaactheingS,chaonodltohfeMcedoimcpianses.ioTnogteothreers,tore. The University ofTennes FFD/A&/Title IV/ So nts oi I