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Meaningful
solutions or stopgaps?
By FEDERICO MARIONA MD
WCMS President-Elect
A number of years ago the late Peter Mc Cabe, MD, then
President of the Michigan State Medical Society addressed
the dysfunctional legal system as it related to professional
medical liability issues. He was searching for meaningful
solutions, a well thought out multidisciplinary approach.
Today, this issue remains as one of the prime targets of
organized medicine, a complex national issue that
jeopardizes patient care.
Recently, the other concern of practicing physicians, fair
and timely payment for services rendered, has again been
brought to the forefront in our region. Patient care is our
primary target, but economic viability is a survival issue.
The announced first wave of reductions in PPO network
physicians brings physician profiling to the front burner.
The basis for physician disaffiliation does not come with a
clear description of the technology employed by the health
plans. We must assume that self-insured employers, insurance
underwriters and health plans have a combined gargantuan
detailed database. Those practitioners, now considered
"suppliers" of health care, that exceed a spending
threshold over an arbitrarily established medical loss rate
based on an esoteric proprietary system, will receive the
pink slip. These decisions are based primarily on financial
reasons, as physician executives frequently state. And,
there are more reductions to come, since those managers
believe that reducing payment is the only solution.
It was in 1989 when Lee Iacocca, then Chairman of the
Chrysler Corp., said, "how would you like to compete
with this albatross called run away health care costs around
your neck?" Seven-hundred dollars per car. Today,
General Motors Corp. claims that their cost of health care
is $1,400 dollars per vehicle.
How can we physicians maintain viable practices when more
than 50 percent of gross income is invested in running our
offices? As "suppliers" we are asked to continue
to discount our services and be subjected to further
reimbursement reductions through contracts that we naively
sign.
Our collective efforts at obtaining meaningful solutions are
precluded by existing statutes, as we are frequently
reminded.
The patient-physician relationship is modulated by
professional and ethical issues that we cannot forget. We
must remain the fiduciaries of our patients while
maintaining our integrity, self-effacement and compassion.
As individuals, we cannot move forward efficiently and
productively. We must provide the necessary data to move
from anecdotes and anger to information and action.
We must have supportive professional organizations to play
an assertive role in both of these situations, professional
liability and fair reimbursement. We need our organizations
to avoid perceived or real conflicts of interest and
maintain organizational fiduciary commitment, avoiding
self-interest in words and actions.
As individuals, we must act in like manner. Support evidence
based practices, monitor clinical outcomes improvement and
patient safety.
At this time of crisis, well-mannered, well-substantiated
and well-directed persistent efforts are essential to
convert stopgaps into meaningful solutions.
EDITORIAL: Where BCBS Is Driving Us
By JOSEPH WEISS, MD
Editor
To summarize what you have already heard: The results
of fall auto contracts between the auto companies (GM,
DaimlerChrysler, and Ford) and the UAW included a new health
care contract. Hourly autoworkers will continue coverage
under Blue Preferred Plus plans but physician reimbursement
will be governed by TRUST contracts. Please note that the
practicing physician community was not included in any of
these contract negotiations.
Previously, autoworkers paid for office visits but at the
rate set by the doctor's office. The new health care
provisions summarily made office visits a covered benefit,
paid at TRUST rates, even though the affected autoworkers
pay 100 percent of the cost, 100 percent of the time.
This arbitrary determination made by the auto companies and
the UAW and implemented by BCBS, threatens doctors. If the
medical community abides by this contract, then nothing
stops BCBS from going to any employer and promising
discounted prices for office services from visits to x-rays,
from laboratory studies to in-office biopsies. All BCBS
needs to say is that the service being priced will be
accepted by TRUST at a discount favorable to the employer
that BCBS is soliciting.
MSMS is challenging the validity of this contract. First,
MSMS is bringing to the attention of BCBS that their
application of the TRUST agreement is illegal. BCBS is an
administrator for the auto/UAW program, not the underwriter
of it. The TRUST agreement can apply only to a BCBS-sponsored
plan. Second, the TRUST agreement refers to riders and
certificates on file with the Michigan Office of Financial
and Insurance Services (OFIS), the insurance commissioner.
MSMS review reveals that no such riders and certificates
exist either at BCBS or OFIS.
BCBS states that any physician not agreeing to the
automotive agreement will be dropped completely from the
BCBS network.
The MSMS response is as follows: 1) any physician so dropped
can claim breach of contract by BCBS, and sue the Blues. 2)
MSMS plans to go to the courts for a declaratory judgment.
Such a court decision occurs when a judge reviews a matter
that could come to court at a later date. The judge passes
now on what a decision likely would be if the case actually
reaches the courtroom. 3) MSMS staff will meet with the auto
companies to explain to their staff and lawyers, the legal
effects of BCBS's intentions. 4) MSMS will inform the
physician community of the care needed in making future
contracts with BCBS.
What could be our ultimate response to BCBS? For now, if the
Blues demand our acceptance of the auto contract, we must
accept it. Short of a declaratory judgment, actions through
the courts will take years. Few of us could keep our offices
going for that time without being in the BCBS network.
Our final weapon remains ourselves. If BCBS implements this
illegal use of the TRUST affiliation, physicians eventually
will leave the state. Those who can will leave now.
Physicians considering locating in Michigan will go
elsewhere. Today BCBS can triumph, tomorrow the Blues will
fail. The true loser will be the public; ultimately there
will be too few doctors available to render so much needed
care.
The tactics of BCBS to save money will cause an exodus of
physicians sufficient to bankrupt health care in this state.
AHA charged in class action lawsuits by uninsured
patients
The American Hospital Association (AHA), the hospital
industry's trade association, has been charged as a
defendant in class action lawsuits brought by uninsured
patients against nonprofit hospital systems and hospitals in
Michigan, Florida, Georgia, New Mexico, New York, Ohio and
Pennsylvania. In addition to naming the AHA as a defendant
in eight new class action lawsuits, all previous class
action lawsuits filed since June 17, 2004, are being amended
to also name AHA as a defendant.
These eight new class action lawsuits by uninsured patients
also name nonprofit hospital systems and hospitals in
Michigan, Florida, Georgia, New Mexico, New York, Ohio and
Pennsylvania as defendants. The lawsuits charge that the
defendant nonprofit hospital systems and hospitals, working
with the AHA, have failed to provide government required
charity care to uninsured patients. With the filings of
these lawsuits, 39 litigations are underway in 20 states
against defendants that control approximately 340 hospitals
in aggregate.
In Michigan, defendants are Trinity Health-Michigan, Inc.
and Trinity Health Corporation and American Hospital
Association; William Beaumont Hospital and Beaumont
Properties, Inc. and American Hospital Association. The
cases are filed in the United States District Court for the
Eastern District of Michigan; litigation was filed by Kelley
Cawthorne and Vroon & Crongeyer, LLP.
Organ donation: The Gift of Life
More than 85,000 people in the United States now await
life-saving transplants and more than 6,000 people die each
year while waiting for organs to become available. Both of
these numbers grow daily. In addition, current epidemics of
morbid obesity, hypertension and diabetes have the potential
to drive the need for organs to still greater levels and
make this an even more critical public health issue in
coming years. Despite efforts by many hospitals, the federal
government, organ procurement professionals, and selfless
individuals who themselves have become living organ donors,
more involvement is needed.
The Gift of Life Foundation is trying to increase the number
of organ donors each year through education. The Gift of
Life Foundation is comprised of organ recipients and their
family members, donor family members, health care
professionals, and business executives. The common factor
that unites each member is a passion about organ donation
and saving thousands of lives each year.
Gift of Life, the Michigan organ and tissue donation
program, is a nonprofit, independent corporation certified
by Medicare and designated by the Centers for Medicare and
Medicaid Services as an organ recovery organization for
Michigan. It was incorporated in 1971 by transplant surgeons
in Michigan in order to have a central coordination network
for the sharing of kidneys. As transplant surgery was
developed for other organs, Gift of Life also became
responsible for recovering those organs as well.
For more information about organ donation, the Gift of Life
Foundation, and for other resources, visit www.msms.org/peml/odon/odon.html
or contact David Fox at MSMS at (517) 336-5731 or dkfox@msms.org.
Fight for Health Conference
Join MSMS and the Michigan Department of Community Health in
the "Fight for Health," an all-day conference
focusing on the state's most insidious epidemic: obesity.
The conference is scheduled for Friday, October 8, at the
Novi Sheraton Hotel. Following a brief welcome by MSMS
President John M. MacKeigan, MD, Michigan Surgeon General
Kimberlydawn Wisdom, MD, will present her "Prescription
for a Healthier Michigan."
Following the Surgeon General's presentation, a series of
morning and afternoon concurrent sessions will be held,
including the following:*
-The Science of Obesity
Connecting the Dots: Providers, Patients, and the Fight for
Health - Joanne Ikeda, MA, RD
-Community Resources as Agents of Change - Amy Malow, MS,
RD, CNSD
-Overweight and Metabolic Syndrome - Janice Werbinski, MD,
FACOG
-Cultural Competency - Ronald Davis, MD
-The Family Dynamics of Treating Obesity - Keith Levick, PhD
-Balancing Physical Activity and Nutrition - Jonathan K.
Ehrman, PhD
-Assessing Healthy Eating and Physical Activity Across the
Lifespan - Mary Noel, PhD, MPH, RD; Anita M. Sandretto, PhD
-Special Populations: Assessment and Solutions - Edie
Kieffer, MPH, PhD; Othelia Washington Pryor, PhD
-Evidence-based Options for System Change
-Motivational Counseling
-Child Overweight - Douglas Neal Henry, MD
-Closing Plenary Session: How to Promote Long-term Lifestyle
Change and Management - James Hill, PhD
Fees for the program are
$75 per person for early registration (by September 20),
$125 per person (after September 20). For more
information or to register, contact Rebecca Blake at MSMS at
517-336-5729 or rblake@msms.org.
*Preliminary agenda.
Speakers and topics may change.
Get ready to take action on forthcoming legislation
The MSMS Committee on State Legislation & Regulations
recently addressed several pieces of pending and upcoming
health care legislation that physicians likely will need to
act on this fall. Following is a summary and status of the
bills discussed:
House Bill 5338 & House
Bill 5905
Sponsor: Rep. Jim Howell
Senate Committee: Judiciary
BRIEF SUMMARY: The bills would allow certain types of
technical defects in affidavits of merit and affidavits of
meritorious defense to be corrected relating back to the
date the original affidavit was filed.
RECOMMENDATION TO MSMS BOARD: Opposed unanimously.
To send an electronic message to your state legislator
opposing these bills, visit the MSMS Action Center at http://action.msms.org
Senate Bill 1008
Sponsor: Rep. Gilda Jacobs
Senate Committee: Health Policy
BRIEF SUMMARY: The bill would create a licensure
process for speech language pathologists in Michigan.
RECOMMENDATION TO MSMS BOARD: Unanimously voted
"No Position."
HB 5408
Sponsor: Rep. Barb VanderVeen
House Committee: Health Policy
BRIEF SUMMARY: The bill would create licensure for
dieticians and physicians and would end the current
requirement that a physician supervise a patient partaking
in a weight-loss program with a dietician or nutritionist.
RECOMMENDATION TO MSMS BOARD: Opposed unanimously.
If bill moves forward, Committee will author an amendatory
bill.
SB 1129
Sponsor: Rep. Virg Bernero
Senate Committee: Awaiting third reading in Senate,
reported favorably by Committee on Health Policy.
BRIEF SUMMARY: This bill would require that labs
processing information on HIV-infected patients report HIV
infection and management tests to the Department of
Community Health. The bill would require doctors and
labs to invest more time in obtaining information and does
not specify between HIV-infected patients and patients with
AIDS.
RECOMMENDATION TO MSMS BOARD: Voted unanimously to
table the discussion.
HB 5718
Sponsor: Rep. Ed Gaffney
House Committee: Judiciary
BRIEF SUMMARY: This bill would require a patient
advocate, otherwise known as a Durable Power of Attorney, to
comply with a written or oral advanced directive of the
patient. Section 5511 of this bill requires that the
patient advocate represent a current desire of the patient
who is unable to make his/her health decisions unless that
desire conflicts with a desire expressed in a valid written
or advanced directive.
RECOMMENDATION TO MSMS BOARD: Unanimously voted "No
Position."
HB 5848
Sponsor: Rep. Barb VanderVeen
Health Committee: Health Policy
BRIEF SUMMARY: This bill, known as the "Good
Samaritan Law," would grant physicians immunity from
liability when treating indigent patients "pro
bono" in the physician’s office. Physicians
would not have to see indigent patients at the free clinic
nor be affiliated with the free clinic to be eligible for
immunity.
RECOMMENDATION TO MSMS BOARD: Supported unanimously
HB 5908
Sponsor: Rep. Shelley Taub
House Committee: Insurance
BRIEF SUMMARY: This bill pertains to payment and
review processes of denied reimbursement claims. It
mandates the disclosure of certain information when certain
adverse claim determinations are made. The bill is
currently in committee and probably will not move until fall
of 2004.
HB 6043
Sponsor: Rep. Mickey Mortimer
House Committee: Tax Policy
BRIEF SUMMARY: This bill would establish a tax credit
available to physicians equal to the difference between the
reimbursement received from a Medicaid-covered service and
the amount that would be reimbursed were that procedure
covered by Medicare.
HB 5311
Sponsor: Rep. Joe Hune
House Committee: Judiciary
BRIEF SUMMARY: Under the bill, commonly known as the
"I'm sorry" law, an expression of sympathy or
compassion would not be admissible in court and could not be
considered as evidence of liability in a medical malpractice
suit.
Bill passed in Michigan House on July 6, 2004.
To view the complete
language of any of the bills listed above, visit www.msms.org/grpa/stategov/stategov.html
(click on "Michigan Legislature").
MSMS also is preparing to introduce legislation this fall
based on resolutions from the House of Delegates meeting in
April. Following are highlights of the resolutions:
90-04A Fees for Copies of
Records
Introduced by: Narinder K. Sherma, MD
Referred to: Reference Committee B
BRIEF SUMMARY: That MSMS seek clear legislation
allowing physician charges for copies of medical records and
materials and that these fees be annually adjusted for
inflation. A similar bill that became law was opposed
by MSMS because no time was given for implementation of new
practices.
92-04A Hospital Board
Representation
Introduced by: Narinder K. Sherma, MD
Referred to: Reference Committee B
BRIEF SUMMARY: MSMS seek legislation to mandate an
adequate number of actively practicing physicians (elected
by medical staffs) on hospital boards of trustees. The
committee recommended that AMA policy be referenced in
writing the language for this legislation.
58-03A Required Reporting
of HIV by Laboratories
Introduced by: Stanley G. Reedy, MD
Referred to: Reference Committee D
BRIEF SUMMARY: MSMS work with the Michigan executive
and legislative branches to modify the current statute to
require clinical laboratories to report HIV infection in
Michigan to the local and state public health departments.
This form of legislation was adopted at the MSMS House of
Delegates.
Continuity of Medical
Liability Insurance
Approved by: MSMS Board of Directors
BRIEF SUMMARY: MSMS is currently seeking sponsors and
co-sponsors for legislation that would require medical
liability carriers to provide adequate notice (90 days) to
physicians prior to termination of liability insurance
coverage. It is likely to be introduced to the
legislature in September.
To view the 2004 MSMS House
of Delegates resolutions and summary reports, visit www.msms.org/msmsto/aboutmsms/about.html.
For more information about state legislation, contact Colin
Ford at MSMS at (517) 336-5737 or cford@msms.org.
Also, visit www.msms.org/grpa/index.html.
Discuss bills with your lawmakers one-on-one
To help physicians get involved in the legislative
process as advocates for their patients and their
profession, MSMS developed the "Doctor of the Day"
program. This program gives physicians-as well as their
spouses, residents, and medical students-the opportunity to
meet with state legislators and others who have influence on
Michigan's health policy. During "Doctor of the
Day," physicians meet with lawmakers, and attend
session and committee meetings, and learn how the Michigan
Legislature works. During the legislative session,
"Doctor of the Day" visits can be scheduled on
Tuesdays, Wednesdays, or Thursdays. Visits typically last
all day and include a break for lunch. MSMS will make all
arrangements for either individual physicians or groups, and
provide necessary materials and lunch to help physicians get
their messages across to legislators.
To schedule a "Doctor
of the Day" visit, contact Brian Reuwer at MSMS at
517-336-5788 or breuwer@msms.org.
Or visit www.msms.org/grpa/Headlines/doctorofday.html.
Meet the city-appointed members of the Detroit Wayne
County Public Health Authority
Detroit Mayor Kwame Kilpatrick appointed Noble Maseru, the
city's Health Director (three-year appointment); and Dr.
John Waller Jr., Senior Vice President for Urban and
Community Health at the Detroit Medical Center (one-year
appointment) to the Detroit Wayne County Public Health
Authority. Their biographies appear below.
Other appointees to the Board announced at the Aug. 18
inaugural meeting include:
Cynthia Taueg, vice president for urban and community health
for Detroit-based St. John Health, who was appointed by
Granholm. On the recommendation of legislative leaders,
Granholm also appointed Sister Mary Giovanni, founder and
CEO of Angela Hospice Home Care Inc.
Maryann Mahaffey, president of the Detroit City Council,
will serve as the council's representative.
The Wayne County Commission will be represented by its
chairwoman, Jewel Ware.
Gail Warden, former president and chief operating officer of
Henry Ford Health System and the man who led the day-to-day
efforts to establish the health authority, has been
appointed by Michigan Department of Community Health
Director Janet Olszewski.
Wayne County Executive Robert Ficano's nominees are Ron
Gettelfinger, president of the UAW, and Sandra Cicirelli,
mayor of Westland. Ficano named UAW member Chuck Gayney as
an alternate.
Noble Maseru
Noble A. W. Maseru, PhD, is the director of public health
for the City of Detroit. He joined the Kilpatrick
Administration in February 2003. Maseru has a career
that spans 28 years in the areas of human services, academic
and public health practice.
Dr. Maseru holds a bachelor of science degree from Wayne
State University, a master of public health from the Emory
University School of Medicine, and a doctorate in health
policy from Atlanta University. He earned a fellowship
from the Accrediting Commission on Health Education for
Health Services Administration in Washington, DC, and served
in the Site Visitor Training Program of the Council on
Education for Public Health.
Dr. Maseru oversees the day-to-day operations of the City of
Detroit's Department of Health and Wellness Promotion,
leading more than 1,100 employees in 12 divisions. The
department has an annual budget of over $101million.
Dr. Maseru will also direct the Kilpatrick Administration's
efforts toward disease prevention and will focus on meeting
the needs of city residents who are traditionally
under-served.
Before coming to the City of Detroit, Dr. Maseru most
recently served as an academic and public health policy
scientist with the Public Health Sciences Institute at
Morehouse College. While there, he led the effort to
develop and implement public health programs at historically
black colleges and universities. No stranger to
Detroit, he served from 1998-2000 as the Vice President of
the Division of Community Health with the Greater Detroit
Area Health Council, southeast Michigan's leading coalition
of business, labor, health care providers, consumers and
government. At that position, he led efforts to
identify community-based health needs and design
institutional intervention strategies.
John Waller, Jr., PhD
John B. Waller, Jr. is Associate Professor and
Past-Chairperson in the Department of Community Medicine,
Wayne State University School of Medicine. In addition
to the Wayne State University faculty appointment, Dr.
Waller holds the position of Senior Vice-President for Urban
and Community Health, The Detroit Medical Center. He
directs The Detroit Medical Center/Wayne State University
Community Health Institutes, and Health Centers-Detroit (a
network of family primary care health centers). Dr.
Waller has a bachelor's of science degree from Temple
University and has earned both a master's degree in public
health and a doctorate in public health from the University
of Michigan School of Public Health. His experience is
in University-level instruction and public health
administration which is distinguished by a major emphasis in
the epidemiologic characterization and the prevention and
control of urban population-based problems in; 1)
interpersonal violence, 2) homelessness and health in
general, 3) maternal-child health issues, 4) chronic and
disabling conditions, 5) minority health, and 6) survey
research. He has over 40 years as a public health
professional including directing the Departments of Health
in the cities of Detroit, Michigan and Newark, New Jersey.
Dr. Waller also serves on numerous boards charged with
studying urban health, health planning, and health care.
He held the position of 1999/2000 American Public Health
Association's Vice-President for the United States. He
is Past-Chairperson of the Detroit Empowerment Zone
Corporation, Past-Chairperson for the Board of Greater
Detroit Area Health Council; and Past-President for the
Council of Graduate Programs in Preventive Medicine.
He holds several voluntary board memberships including:
Board Chairperson for Health Services Technical Assistance,
and Board Chairperson of the Detroit Community Health
Connection, which operates several community health centers
in the City of Detroit.
OBITUARY
In Memoriam: Samuel Indenbaum October 1931 - August
2004
Dr. Samuel Indenbaum died on August 31, 2004. He experienced
a declivitous course from a progressive neurologic disorder.
His passing creates a silence no other voice will replace.
Sam was born in Detroit in 1931 and raised in the city. He
graduated from Wayne State's Medical School in 1956 and
interned at Detroit Receiving Hospital. He returned to
practice in Detroit in 1964, after two years in the navy,
and four years of training in Internal Medicine and
Rheumatology at the Mayo Clinic. For the next 40 years he
practiced in this area, maintaining an office and acting as
Chief of Rheumatology at Sinai Hospital.
Many will remember his years as a delegate from the WCMS to
MSMS where he served as chair of Reference Committees of the
House of Delegates and as a member of the Public Health
Committee.
His long career included a great deal of involvement at the
state and local level of organized medicine. He was elected
Secretary of the WCMS for 1987-1988 and served on the
Executive Council as well as many WCMS committees either as
chair or vice chair.
He worked locally but he had a worldview of medicine. He
spoke from experience: placing his perspective in line with
comments that reflected his years, running a practice,
directing a hospital department, caring for patients, and
with his wife Valerie, raising a family of four children.
His themes were physician responsibility, adapting but not
succumbing to the world of managed care, meeting the demands
that technology placed on the profession, and always and
foremost, protecting the interests of the patient. He
commented often, but never needed to raise his voice. For a
number of years, Dr. Indenbaum was an Associate Editor of
the Detroit Medical News.
Colleagues knew what he had to say was worth listening to.
No one overlooked an editorial in the Detroit Medical News,
if the byline said: Sam Indenbaum.
I knew Sam as a fellow rheumatologist; he was a superb
clinician and a compassionate physician. It is not only the
Michigan Rheumatism Society that lost a voice that served us
well, the physician community loses a member who defined
advocacy by his practice of it.
— Joseph J. Weiss
MEMBERSHIP
Richard Philip Abramson, MD
Urology
Medical School: Albany Med. College
Residency: Lenox Hill Hosp & Beth Israel Med
Office: 20952 Twelve Mile Rd. #200, St. Clair Shores, MI
48081
Tele: 586-771-4820
Suhail Muhammad Banister,
MD
Pediatrics
Medical School: Hahnemann University School of Medicine 1976
Residency: Cleveland Clinic Foundation
Office: 5050 Schaefer Rd, Dearborn, MI 48126-3249
Tele: 313-581-2600, Fax: 313-581-0228
Carl Buccellato, MD
OB/GYN
Medical School: University of Michigan 1995
Residency: McGaw Med Ctr of Northwestern 1999
Office: 17904 Mack Ave., Grosse Pointe, MI 48230
Tele: 313-882-6780 Fax: 313-882-1027
Email: carl.buccellato@stjohn.org
Ruey Chen, MD
Anatomic and Clinical Pathology
Medical School: National Taiwan University College of
Medicine 1977
Residency: Wayne State University Pathology 1983
Office: 6071 W. Outer Drive, Detroit, MI 48235
Tele: 734-246-6954, Fax: 734-246-6918
Email: rchenp@hotmail.com
Kamal Gang, MD
Family Practice
Medical School: Jawahar Lal Nehru, Medical College 1979
Residency: St. Joseph Hospital
Office: 8400 Pelham Rd, Taylor, MI 48180
Tele: 313-291-8820, Fax: 313-291-4349
Email: kugarg@sbcglobal.net
Michael M. Gatt, Jr., MD
OBG
Medical School: MSU College of Human Medicine 1990
Residency: Providence Hospital 1990-1994
Office: Westside Obstetrics Gynecology
5800 N. Lilly Road, Canton, MI 48187-3668
Tele: 734-891-2400 Fax: 734-981-8350
Bret Hughes, MD
Ophthalmology: Glaucoma and Cataract
Medical School: Tulane University 1988
Residency: Harlem Hospital 1990-1992, University of South
Florida 1992-1994
Office: 4717 St. Antoine Blvd., Detroit, MI 48201-1423
Tele: 313-577-1352, Fax: 313-577-4991
Email: bhughes@med.wayne.edu
Narendra N. Khanchandani,
MD
IM, PuD
Medical School: Topiwala National Medical College 1981,
Bombay, India
Residency: Wayne State University 1994-1996
Fellowship: Pulmonary Med Wayne State 1996-1999
Office: 4646 John R, Detroit, MI 48201
Tele: 313-576-1000
Email: nkhanch@speakeasy.net
Bobby G. Lee, MD
Internal Medicine
Medical School: University of Kansas School of Medicine 1995
Residency: University of Kansas School of Medicine, Internal
Medicine
Office: 23400 Michigan Ave Ste 705, Dearborn, MI 48124
Tele: 785-354-5242
Dennis R. Lemanski, DO
Family Practice
Medical School: Chicago College of Osteopathic Medicine 1976
Internship: Riverside Osteopathic Hospital 1976-1977
Office: 1640 Fort Street, Suite D, Trenton, MI 48183
Tele: 734-671-6741, Fax: 734-671-1038
Email: dlemans1@hfhs.org
Joseph W. McGoey, MD
Dermatology
Medical School: McMaster University, School of Medicine 1975
Residency: Henry Ford Hospital, Dermatology 1976
Email: coboconk@aol.com
Gordon A. McLorie, MD
Urology
Medical School: University of Toronto 1969
Office: 3901 Beaubien, Detroit, MI 48201-2119
Tele: 313-745-5588, Fax: 313-993-8783
Abdel-Wahar I. Meri, MD
Internal Medicine
Medical School: Wayne State U School of Medicine 2000
Residency: DMC/Wayne State U 2000-2003
Office: 705 Barclay Circle, Suite 110, Rochester Hills, Mi
48307
Tele: 248-852-2277, Fax: 248-852-2552
Email: ameris@lycos.com
Oktavijan P. Minanov, MD
Thoracic Surgery
Medical School: University of Michigan
Residency: Mt. Sinai School of Med & U of NC Hospitals
Office: 22151 Moross PBI Suite 203, Detroit, MI 48230
Tele: 313-881-4700 Fax: 313-881-3841
Email: minanov@sbcglobal.net
Suhasini S. Mistry, MD
Psychiatry
Medical School: B.J. Medical College, India
Residency: Detroit Psychiatry Institute 1977-1980; Fairlawn
Center, Pontiac 1980-1982
Office: 15645 Farmington, Livonia, MI 48154
Tele: 734-425-5320 Fax: 734-425-6212
Email: smistry@superiorengg.com
Syed M. Adil Najeeb, MD
Internal Medicine
Medical School: Army Medical College Rawalpindi 1992
Residency: St. Vincent Charity Hospital, Cook County
Hospital
Email: syednajeeb01@yahoo.com
Sam Nasser, MD
Orthopedic Surgery
Medical School: Wayne State University
Residency: Wayne State University Affil Hosp
Office: 4707 St Antoine Suite 1-S, Detroit, MI
Tele: 313-745-6957
P. Thomas Porter, MD
Hematology-Internal Medicine
Medical School: Wayne State U School of Medicine
Residency: Scripps Clinic & WSU/DMC
Office: 19229 Mack Ave. Suite 24, Grosse Pointe Woods, MI
48236
Tele: 313-884-5522
Arlene A. Rozzelle, MD
Plastic Surgery
Medical School: U of MA Med School, Worchester, MA
Residency: Rhode Island Hosp-Lifespan
Office 4201 St. Antoine POB 02787, Detroit, MI 48202
Tele: 313-745-4785
Andrew T. Turrisi, III, MD
Radiation Oncology
Medical School: Georgetown
Residency: Univ of PA Hlth System; Clinical Ctr at the NIH;
Georgetown Univ Hosp
Office: 3990 John R, Detroit, MI 48201
John D. Webber, MD
General Surgery
Medical School: WSU 1992
Residency: WSU 1999
Office: 3990 John R Ste 400, Detroit, MI
Tele: 313-745-7319
Miguel S. West, MD
Transplant Surgery
Medical School: University of Michigan 1982
Residency: Mt. Sinai Hospital, Maimonides Medical Center
Office: 3990 John R Ste 400, Detroit, MI 48201
Tele: 313-745-7318, Fax: 313-993-0595
Email: mwest2@dmc.org
Reinstated Members
Anthony A. Bennett, MD
Diagnostic Radiology
Medical School: U of Missouri - Kansas City 1994
Residency: WSU/DMC 1994-1998
Fellowship: Case-Western Reserve, Cleveland OH 1998-1999
Office: 2200 Monroe Blvd., Dearborn 48124
Tele: 313-562-0773, Fax: 313-562-7565
Email: tonybennett@rocketmail.com
Melanio M. Derro, MD
General Practice
Medical School: University of Santo Tomas
Residency: Sinai Grace Hospital, Detroit-Macomb Hospital
Corp
Tele: 313-368-8300
Email: melaniomario@yahoo.com
Carolyn M. King, MD
Child & Adolescent Psychiatry
Medical School: Wayne State University 1993
Residency: University of Michigan Hospitals & Health
Centers
Office: 21 Kercheval Ste 233, Grosse Pointe Farms, MI 48236
Tele: 734-677-1784, Fax: 734-955-3562
Email: email@carolynking.com
Young J. Kwon, MD
Psychiatry
Medical School: Seoul National University 1972
Residency: Lafayette Clinic, Westland Medical Center
Office: 19366 Allen Rd Ste C, Brownstown Township, MI
48183-6809
Tele: 734-479-0949, Fax: 734-479-1637
Lyla Leipzig, MD
Endocrinology, Diabetes & Metabolism
Medical School: University of Michigan 1962
Residency: Wayne County General 1963-1970
Office: 25319 Little Mack, St. Clair Shores, MI 48081
Tele: 586-447-4000 Fax: 586-477-4008
Anne Marie B. McCarren, MD
OB/GYN
Medical School: Wayne State U School of Medicine 1991
Residency: Wayne State U - DMC
Office: 23715 Little Mack #100, St. Clair Shores, MI
48080-1144
Tele: 586-771-4780, Fax: 313-640-4966
Farzin R. Namei, MD
Family Medicine, Geriatric Medicine
Medical School: Shahid Beheshti Univ, FAC MED, Teheran, Iran
Residency: Saginaw CO-OP Hosps Inc
Office: 21400 11 Mile Road, St. Clair Shores, MI 48081
Tele: 586-443-5588 Fax: 586-443-5538
Maurice B. Potts, Jr., MD
Family Practice
Medical School: U De Guadalajara, Fac De Med., Mexico
Residency: Wayne St University, Detroit
Office: 19105 W. Seven Mile, Detroit MI 48219
Tele: 313-387-2000, Fax: 313-387-2037
Daniel J. Stachelski, MD
Family Practice
Medical School: Wayne State School of Medicine
Residency: Bon Secours Cottage Health System
Office: 22646 Nine Mile Road A, St. Clair Shores, MI 48080
Tele: 313-886-3220
Bryan S. Weinstein, DO
Psychiatry
Medical School: Michigan State University 1991
Residency: Wayne St University, Detroit
Office: 20010 Farmington Rd, Livonia, MI 48152-1408
Tele: 248-745-5146
Transfer From Washtenaw
County
Mohamad H. Raslan, MD
Pulmonary Diseases
Medical School: University of Damascus 1988
Residency: Sinai-Grace Hospital, St. Joseph Mercy-Oakland
Office: 4020 Venoy Rd Ste 200, Wayne, MI 48184
Tele: 734-485-1575, Fax: 734-485-1850
Email: raslan@aol.com
Associate Member
James J. Meciejko, Ph.D.
Lipidology
St. John Health System
Residents
Savitha Shastry, MD
Talat Danish, MD University of Michigan 2004
Medical Students
Ramsey N. Asmar Wayne State University 2006
Andrew R. Dinardo Wayne State University 2007
Stephanie L. Rains Wayne State University 2007
Andrea T. Scheid Wayne State University 2007
Residents - Oakwood
Hospital
Hayssam Fawaz, MD
Elena Gupta, MD
Amy Taneja, MD
Jeffrey Zapawa, MD
Residents - WSU/Dept of
Internal Medicine
Paoloa M. Aquino, MD
Krassimir Denchev, MD
Devangi D. Desai, MD
Alejandro Diez, MD
Haroon Faraz, MD
Rekha Galla, MD
Edward R. Kaminski, MD
Gihan A. Khair El-Din, MD
Karl A. Muendel, MD
Neelima Penugonda, MD
Latha Sree Polavaram, MD
Sangeetha Potu, MD
Hema M. Vankayala, MD
Medical Student
Omar I. Ahmad Wayne State University 2008
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