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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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