Table Of Content

INDEX TO VOLUME 88, 1992 AUTHORS Pitner, R., Pharm.D. .....537 Abercrombie, Stoney A., M.D. .....498 Plyler, John W., M.D. Arnett, Frank C., M.D. : Price, David B., M.D. .....75 Baens, Maria, M.D. .....307 Pritchard, Paul B., III, M.D. Ball, David W., J.D., LL.M. .....349, 441 Pruitt, A. Bert, M.D. .....433 Barton, W. E., Ph.D. .....5 Santos, Alberto, M.D. ..386 Baughman, Otis L., Ill, M.D. .....475 Seabrook, Catherine W., R.N., B.S.N., C.N.R.N. .....263 Baxley, Elizabeth G., M.D. .....496 Shipes, D., MLS. .....5 Bell, James, M.D. .....475 Shipley, Charles F., III, M.D. .....291 Bessinger, C. D., Jr., M.D. .....109 Sims, John C. R. .....577 Boulware, Raleigh J., M.D. .....566 Slaughter, Sabra C., Ph.D. .....470 Brannon, William L., M.D. .....209 Smathers, Beverly R., D.V.M. .....378 Brown, Juan A., M.D. .....- 340 Smith, Imogene, Ed.D. .....478 Bryan, Charles S., M.D. .....353 Smith, W. Allen, Ph.D. .....521 Byars, Linda, R.N. .....566 Stafford, Robert H., M.D. .....433 Chessman, Alec, M.D. .....478 Starr, Christopher W., Ph.D. Cleghorn, G. Dean, Ed.D. .....462 Storrs, Bruce B., M.D. Cone, D. Lindsie, M.D. .....487 Sword, David O., MLS. .....65 Dennis, Edward J., III, M.D. .....291 Sy, Francisco S., M.D., Dr.P.H. .....378 Doetsch, Karl, Ph.D. .....96 Truesdale, Diane W., M.D. .....566 Eleazer, G. Paul, M.D. .....524 Tyler, Jane L., M.D. Filler, Lilly, M.D. .....291 Vera, Cristian L., M.D. .....245 Fowler, Stanley D., Ph.D. .....493 Wannamaker, Braxton B., M.D. .....221 Garr, David, M.D. .....489 Watkins, John R. .....501 Gray, E. W., M.Ag. .....5 Wickwar, Hardy. Gregorie, Harry B., Jr., M.D. .....9: Wiley, K., M.D. .....537 Gurecki, Paul, M.D. 2 Williams, Arthur V., M.D. .....285, 559 Hainer, Barry L., M.D. .....466 Williams, James C., Jr., Ph.D. .....33 Halford, James G., Jr., M.D. .....475, 496 Wohlreich, Madelaine M., M.D. .....: 386 Hester, William H., M.D. .....501 Worthington, Curtis, M.D. .....207, 2 Higgins, Earl B., Ed.D. .....470 Zamora, Sergio, Ph.D. .....11 Higgins, Edmund S., M.D. .....51 Zwerling, Martin H., M.D. .....444 Holden, Kenton R., M.D. Holmes, S. Larry, M.D. .....498 ORIGINAL SCIENTIFIC ARTICLES Jones, Frederic, M.D. .....496 Aesthetic Considerations in Facial Plastic Reconstruc- Jones, Jeffrey L., M.D., M.P.H. .....378 tive Surgery: A Plastic Surgical Perspective—Ram Kalus, Rami, M.D. ..... 1] Kalus, M.D., Sergio Zamora, Ph.D. ..... 1] Kammerman, Sandra K. .....493 An Initial Investigation of the Status of Borrelia Khoury, Julianne H., R.N., M.S.N. .....263 burgdorferi and Its Suspected Primary Vector, lxodes Kilgore, Donald G., Jr., M.D. .....33, 393 scapularis In South Carolina—W. E. Barton, Ph.D., E. Latham, Bruce B., M.D. .....570 W. Gray, M.Ag., D. Shipes, M.S. .....5 Lawton, B. M., Jr., M.D. .....444 Blindness in South Carolina—Baxter F. McLendon, Lilliewood, Eugene W., M.D. .....470 M.D. .....417 Lin, Tu, M. D. .....570 Carcinoma of the Esophagus: Basis for Hope—Harry B. Lovelace, Oscar, M.D. .....498 Gregorie, Jr., M.D. .....93 Manson, William T., III. .....496 Chronic Fatigue Syndrome: A Depressive Disorder?— McElmurray, Charles T., M.D. .....487 Edmund S. Higgins, M.D. .....51 McHugh, Terrance P., M.D. Cystic Fibrosis: A Disease Caused by a Single Defect in McLendon, Baxter F., M.D. .....417 Salt-Transporting Epithelial Cells—James C. Williams, Meyer, Pamela, M.S.P.H. .....378 SP, FARR. i354 Muniz, Bonnie M., R.N., B.A., B.S.N. .....263 Epidemiology of Rocky Mountain Spotted Fever in Musham, Catherine, Ph.D. .....466 South Carolina, 1985-1990—Beverly R. Smathers, Nankin, Howard R., M.D. .....570 D.V.M., Jeffrey L. Jones, M.D., M.P.H., Francisco S. Neglia, William J., M.D. .....566 Sy, M.D., Dr.P.H., Pamela Meyer, M.S.P.H. .....378 Nelson, George H., Ph.D., M.D. .....291 Hyperkalemia: Mechanisms, Etiology, and Treatment— O’Brien, Paul H., M.D. .....75 Arthur V. Williams, M.D. .....559 Osterman, Juraj, M. D. .....570 Hyponatremia: Manifestations and Treatment—Arthur Pennypacker, Leslye C., M.D. .....521 V. Williams, M.D. .....285 Petit, Charles D., M.D. .....5 41 Immobilization Hypercalcemia in an Adult Patient with Pinosky, Samuel T., M.D. .....386 Pancreatitis and Sepsis: Case Report—Bruce B. Lath- 590 The Journal of the South Carolina Medical Association INDEX TO VOLUME 88, 1992 AUTHORS Pitner, R., Pharm.D. .....537 Abercrombie, Stoney A., M.D. .....498 Plyler, John W., M.D. Arnett, Frank C., M.D. : Price, David B., M.D. .....75 Baens, Maria, M.D. .....307 Pritchard, Paul B., III, M.D. Ball, David W., J.D., LL.M. .....349, 441 Pruitt, A. Bert, M.D. .....433 Barton, W. E., Ph.D. .....5 Santos, Alberto, M.D. ..386 Baughman, Otis L., Ill, M.D. .....475 Seabrook, Catherine W., R.N., B.S.N., C.N.R.N. .....263 Baxley, Elizabeth G., M.D. .....496 Shipes, D., MLS. .....5 Bell, James, M.D. .....475 Shipley, Charles F., III, M.D. .....291 Bessinger, C. D., Jr., M.D. .....109 Sims, John C. R. .....577 Boulware, Raleigh J., M.D. .....566 Slaughter, Sabra C., Ph.D. .....470 Brannon, William L., M.D. .....209 Smathers, Beverly R., D.V.M. .....378 Brown, Juan A., M.D. .....- 340 Smith, Imogene, Ed.D. .....478 Bryan, Charles S., M.D. .....353 Smith, W. Allen, Ph.D. .....521 Byars, Linda, R.N. .....566 Stafford, Robert H., M.D. .....433 Chessman, Alec, M.D. .....478 Starr, Christopher W., Ph.D. Cleghorn, G. Dean, Ed.D. .....462 Storrs, Bruce B., M.D. Cone, D. Lindsie, M.D. .....487 Sword, David O., MLS. .....65 Dennis, Edward J., III, M.D. .....291 Sy, Francisco S., M.D., Dr.P.H. .....378 Doetsch, Karl, Ph.D. .....96 Truesdale, Diane W., M.D. .....566 Eleazer, G. Paul, M.D. .....524 Tyler, Jane L., M.D. Filler, Lilly, M.D. .....291 Vera, Cristian L., M.D. .....245 Fowler, Stanley D., Ph.D. .....493 Wannamaker, Braxton B., M.D. .....221 Garr, David, M.D. .....489 Watkins, John R. .....501 Gray, E. W., M.Ag. .....5 Wickwar, Hardy. Gregorie, Harry B., Jr., M.D. .....9: Wiley, K., M.D. .....537 Gurecki, Paul, M.D. 2 Williams, Arthur V., M.D. .....285, 559 Hainer, Barry L., M.D. .....466 Williams, James C., Jr., Ph.D. .....33 Halford, James G., Jr., M.D. .....475, 496 Wohlreich, Madelaine M., M.D. .....: 386 Hester, William H., M.D. .....501 Worthington, Curtis, M.D. .....207, 2 Higgins, Earl B., Ed.D. .....470 Zamora, Sergio, Ph.D. .....11 Higgins, Edmund S., M.D. .....51 Zwerling, Martin H., M.D. .....444 Holden, Kenton R., M.D. Holmes, S. Larry, M.D. .....498 ORIGINAL SCIENTIFIC ARTICLES Jones, Frederic, M.D. .....496 Aesthetic Considerations in Facial Plastic Reconstruc- Jones, Jeffrey L., M.D., M.P.H. .....378 tive Surgery: A Plastic Surgical Perspective—Ram Kalus, Rami, M.D. ..... 1] Kalus, M.D., Sergio Zamora, Ph.D. ..... 1] Kammerman, Sandra K. .....493 An Initial Investigation of the Status of Borrelia Khoury, Julianne H., R.N., M.S.N. .....263 burgdorferi and Its Suspected Primary Vector, lxodes Kilgore, Donald G., Jr., M.D. .....33, 393 scapularis In South Carolina—W. E. Barton, Ph.D., E. Latham, Bruce B., M.D. .....570 W. Gray, M.Ag., D. Shipes, M.S. .....5 Lawton, B. M., Jr., M.D. .....444 Blindness in South Carolina—Baxter F. McLendon, Lilliewood, Eugene W., M.D. .....470 M.D. .....417 Lin, Tu, M. D. .....570 Carcinoma of the Esophagus: Basis for Hope—Harry B. Lovelace, Oscar, M.D. .....498 Gregorie, Jr., M.D. .....93 Manson, William T., III. .....496 Chronic Fatigue Syndrome: A Depressive Disorder?— McElmurray, Charles T., M.D. .....487 Edmund S. Higgins, M.D. .....51 McHugh, Terrance P., M.D. Cystic Fibrosis: A Disease Caused by a Single Defect in McLendon, Baxter F., M.D. .....417 Salt-Transporting Epithelial Cells—James C. Williams, Meyer, Pamela, M.S.P.H. .....378 SP, FARR. i354 Muniz, Bonnie M., R.N., B.A., B.S.N. .....263 Epidemiology of Rocky Mountain Spotted Fever in Musham, Catherine, Ph.D. .....466 South Carolina, 1985-1990—Beverly R. Smathers, Nankin, Howard R., M.D. .....570 D.V.M., Jeffrey L. Jones, M.D., M.P.H., Francisco S. Neglia, William J., M.D. .....566 Sy, M.D., Dr.P.H., Pamela Meyer, M.S.P.H. .....378 Nelson, George H., Ph.D., M.D. .....291 Hyperkalemia: Mechanisms, Etiology, and Treatment— O’Brien, Paul H., M.D. .....75 Arthur V. Williams, M.D. .....559 Osterman, Juraj, M. D. .....570 Hyponatremia: Manifestations and Treatment—Arthur Pennypacker, Leslye C., M.D. .....521 V. Williams, M.D. .....285 Petit, Charles D., M.D. .....5 41 Immobilization Hypercalcemia in an Adult Patient with Pinosky, Samuel T., M.D. .....386 Pancreatitis and Sepsis: Case Report—Bruce B. Lath- 590 The Journal of the South Carolina Medical Association am, M.D., Juraj Osterman, M.D., Tu Lin, M.D., Community-Oriented Primary Care in a Rural Commu- Howard R. Nankin, M. D. .....570 nity: The Hampton County Project—David Garr, M.D. Laparoscopic-Assisted Vaginal Hysterectomy: A Con- tinuing Evolution of Surgical Technique—A. Bert Coopetition in Rural Health Education: The South Car- Pruitt, M.D., Robert H. Stafford, M.D. .....433 olina AHEC Model—G. Dean Cleghorn, Ed.D. ..... 462 Lipoprotein Profiling for the 1990s Should Include Development and Implementation of a Multi-Site Junior Lipoprotein(a), Another Important Apo B-100 Contain- Core Clerkship in Family Medicine—Alex Chessman, ing Cholesterol Carrier—Karl Doetsch, Ph.D. ........ 96 M.D., Imogene Smith, Ed.D. ..... 478 Managing Agitation in the Critica! Care Setting— (The) Importance of Research in Ambulatory Generalist Alberto B. Santos, M.D., Madelaine M. Wohlreich, Practices—Barry L. Hainer, M.D., Catherine Musham, M.D., Samuel T. Pinosky, M.D. ..386 Ph.D. .....466 (The) MUSC Experience with Fine Needle Biopsies of Physician Recruitment and Retention: AHEC’s Role Breast Masses—Paul H. O’Brien, M.D., David B. William H. Hester, M.D., John R. Watkins. Price, M.D. .....75 Practice-Based Education for Family Medicine Resi- Neuroleptic Malignant Syndrome—Terrance P. dents in Prosperity, Abbeville, and Ninety-Six—Stoney McHugh, M.D. A. Abercrombie, M.D., S. Larry Holmes, M.D., Oscar Postcesarian Endometritis: A Brief Review and Com- Lovelace, M.D. ..... 498 parison of Three Antibiotic Regimens— Lilly Filler, Preclinical Primary Care Preceptorships and the Student M.D., Charles F. Shipley, Ill, M.D., Edward J. Dennis, Health Coalition—Oris L. Baughman, III, M.D., James III, M.D., George H. Nelson, Ph.D., M.D. .....291 Bell, M.D., James G. Halford, Jr., M.D. ..... 475 Recent Clues to the Pathogenesis of Spondy- South Carolina AHEC’s Student Development and loarthropathies—Frank C. Arnett, M.D. Recruitment Program: A Model for Increasing Minority Resistance Training in Cardiac Rehabilitation: Risk, Participation in the Health Profession—Sabra C. Benefits, and Recommendations—David 0. Sword, M.S. Slaughter, Ph.D., Earl B. Higgins, Ed.D., Eugene W. ae 65 Lilliewood, M.D. .....470 Sino-Bronchial Reflex, Asthma, and Sinusitis—Juan A. Williamston—A Model Rural Practice for Resident Brown, M.D. .....340 Education—Elizabeth G. Baxley, M.D., William T. Treatment of Early Breast Cancer with Limited Surgery Manson, III, James G. Halford, Jr., M.D., Frederic and Radiation Therapy—Raleigh J. Boulware, M.D., Jones, M.D. .....496 Linda Byars, R.N., William J. Neglia, M.D., Diane W. (The) Winnsboro Rural Primary Care Education Project Truesdale, M.D. .....566 University of South Carolina School of Medicine Sandra K. Kammerman, Stanley D. Fowler, Ph.D. SPECIAL ARTICLES (The) Annual Meeting of the AMA: Report of the SCMA Delegation—Donald G. Kilgore, Jr., M.D...393 SPECIAL ISSUE: MEDICAL AND SURGICAL Health and Social Support for Aging Clienteles— TREATMENT OF EPILIPSY Hardy Wickwar. Guest Editor: Curtis Worthington, M.D. (The) Interim Meeting of the AMA: Report of the Childhood Epilepsy: An Overview—Kenton R. Holden, SCMA Delegation—Donald G. Kilgore, Jr., M.D. M.D. ..251 Classification of the Epilepsies—William L. Brannon, Medicare Fraud and Abuse Anti-Kickback Safe Harbor M.D. .....209 Regulations: Where do Physicians Go From Here?— Current Strategies in the Medical Management of David W. Ball, J.D., LL.M. .....349 Epilepsy—Braxton B. Wannamaker, M.D., John W. Medicine, Illness, and Creativity—Maria Baens, M.D. Plyler, M.D., Paul Gurecki, M.D. ...22 eee| | Functional Imaging of Epileptic Foci with PET and (The) Organic Dimensions of Health Policy—C.D. SPECT—Jane L. Tyler, M.D., Christopher W. Starr, Bessinger, Jr., M.D. ..... 109 Medicine in 1992: Past, Present, Future—Charles S. Hemispherectomy, Callostomy, and Frontal Lobectomy Bryan, M.D. .....353 for Seizures—Cristian L. Vera, M.D. ..245 Proper Prescribing Prevents Potential Problems— B.M. Intensive Neurodiagnostic Monitoring—Paul B. Lawton, Jr., M.D., Martin H. Zwerling, M.D. ..... 444 Pritchard, III, M.D. Proposals for Improving AIDS Education in South Car- Introduction—Curtis Worthington, M.D. ..... 207 olina—John C. R. Sims .....577 (The) Patient with Epilepsy—A Nursing Perspective— Should South Carolina Physicians Incorporate Their Julianne H. Khoury, R.N., M.S.N., Catherine W. Practices?—David W. Ball, J.D., LL. M. .....441 Seabrook, R.N., B.S.N., C.N.R.N., Bonnie M. Muntz, R.N., B.A., B.S.N. .....263 SPECIAL ISSUE: SOUTH CAROLINA AHEC: Surgery for Epilepsy in Children—Bruce B. Storrs, IMPROVING RURAL HEALTH THROUGH M.D. ..256 MEDICAL EDUCATION Surgical Management of Epilepsy: Invasive Monitoring Guest Editor: G. Dean Cleghorn, Ed.D. and Temporal Lobectomy—Curtis Worthington, M.D. Academic/Private Practice Partnerships in the USC oes 241 Family Medicine Junior Clerkship—D. Lindsie Cone, M.D., Charles T. McElmurray, M.D. ..... 87 December 1992 SYMPOSIUM: CURRENT ISSUES IN GERI- Seasons—Charles S. Bryan, M.D. .....27 ATRICS Why Should I Belong?—William H. Hester, M.D. Comprehensive Geriatric Assessment—Leslye C. Pen- ass OO nypacker, M.D., W. Allen Smith, Ph.D. .....521 William Osler and Medical Societies— Falls in the Elderly—Charles D. Petit, M.D. .....541 Charles S. Bryan, M.D. .....447 Selecting Empiric Drug Therapy for Pneumonia in Geriatric Patients—K. Wiley, M.D., R. Pitner, Pharm.D. FEATURES <eeeee Auxiliary Page .....5, 87, 127, 203, 274, 323, 366 Treatment of Hypertension in the Elderly—G. Paul 451, 509, 550, 589 Eleazer, M.D. .....524 Letters to the Editor .....37, 361, 400, 508 On the Cover .....3, 85, 124, 202, 273, 321, 365 EDITORIALS 450, 507, 548, 584 Appropriate Health Policy: A Larger View—Charles S. President’s Page .....3, 49, 91, 131, 205, 281, 329, ° Bryan, M.D. .....121 413, 457, 519, 557 Cardiac Rehabilitation - What Kind of Exercise?— Christie B. Hopkins, M.D. .....82 ASSOCIATION Changing Medical Education for Tomorrow’s Prac- CME Calendar 117, 317, 437, 585 tice—J. O’Neal Humphries, M.D. .....505 41, 83, 129, 193, 269, 325, : (The) Chronic Fatigue Syndrome: Caveat Emptor— Charles S. Bryan, M.D. .....79 Index to Volume 88, 1992 .....590 Dear Mr. President:—Charles S. Bryan, M. D. .....581 Physician Recognition Awards .....202, 368, 488 Death for Beginners—William H. Hunter, M.D. ..... 115 SCMA Newsletter 19, 65, 105, 163, 237, 299, 345, Do Doctors Control the Cost of Medical Care?—David 401, 429, 483, 573 B. Kee, Jr., M.D. ..359 Edward J. Dennis, If], M.D. (A Son’s Memories of ONE HUNDRED FORTY-FOURTH ANNUAL “Billy” )—William A. Dennis, M.D. .....315 MEETING Fits and Starts: Diagnostic Dilemmas in Epilepsy— Introduction .....133 Harold E. Booker, M.D. .....271 Schedule of Events .....133 Flight 563—Charles S. Bryan, M. D. .....583 Delegates and Alternates Geriatrics, Certification, and Practice—Allen H. John- Officer Reports .....155 son, M.D. .....546 Trustee Reports .....167 Grass Always Look Greener on the Other Side— Committee Reports .....169 Joseph K. Newsom, M.D. .....397 Report of the Editor .....181 L Through Z (With Apologies to Chris Hawk)— SCMA Delegation to the AMA Report .....182 Charles S. Bryan, M.D. ..... 199 SCIMER Report Lipoprotein(a)—Charles S. Bryan, M.D. .....122 Report of the Executive Vice President .....183 Lyme, Non-Lyme, and Lime—Charles S. Bryan, M.D. Board of Medical Examiners’ Report .....184 viens Resolutions ..186 Medical Burnout—Donald E. Saunders, Jr., M.D...312 AMA Special Guest .....190 Research, Patient Care and the Practicing Physician— Exhibitors .....195 Robert G. Brame, M.D. .....399 The Journal of the South Carolina Medical Association