Q&A – MD Update

Opioids and Pain

December 1, 2016January 19, 2017 MD-Update Staff â– , â– MD-UPDATE, adverse effect of opioids, ample evidence show lack, ample evidence show lack of efficacy, area of disagreement, best-practices consensus, CDC guideline, CNS impact, consensus, controlled substance manager, current state of opioid use, Danesh Mazloomdoost, degenerative pain problem, east Kentucky, epicenter of the opioid epidemic, escalate dose, escalate dose of opioids, exaggerated study claim, family member use opioids, find means, HB1, heroin, ineffective maintenance therapy, intolerable episode, Kentucky, lead front, long-term prognosis drop, long-term set, Mazloomdoost, mechanical chain, Medicaid, Medicaid population, medicine, medicine need, misuse, monitor compliance, non-malignant pain patient, Opioid, opioid abuse, opioid epidemic, opioid maintenance, Opioid misuse, opioid problem, opioid use, opioid-exposed, opioid-naive, opioid-naive patient, opioids, pain, pain issue, pain medicine doctor, pain medicine physician, pain problem, physician, population of Kentucky, prognosis, prognosis drop, Q&A, rate of the general population, regenerative interventional technique, rescue therapy, see patient, socioeconomic line, specific origin of pain, steroid-based, steroid-based injection, steroid-based technique, substance manager, substantial head start, tissue heal, twofold great opioid use, underlie cause, underlie problem cause pain, use of steroid-based injection, use pain management, vast majority of pain issue, workup skill

■ MD-UPDATE: Describe the current state of opioid use, abuse, misuse, and addiction in Kentucky. MAZLOOMDOOST: Kentucky is consistently ranked

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Q&A with Ronald Waldridge, II, MD

October 1, 2016 MD-Update Staff â– , â– MD-UPDATE, AAPL, board room, board-certified family practice physician, business topic, Care associate, care responsibility, doctor, educate physician, eight month program, executive Ronald Waldridge, group 's physician, group president, human resource management, KentuckyOne, KentuckyOne 's physician leadership pathway program, KentuckyOne health, KentuckyOne health physician leadership pathway, leadership, Louisville MD-UPDATE Editor-in-Chief Jennifer Newton, means of educate physician, medical group 's physician, medical group board, medical group president, pathway, patient care responsibility, physician, physician leadership pathway, PLP, primary Care associate, Q&A, resource management, Ronald Waldridge, Shelby, Shelby county coroner, Shelby county emergency service, support physician, tool, Waldridge, Waldridge serve, WALDRIGE

LOUISVILLE MD-UPDATE Editor-in-Chief Jennifer Newton talked with KentuckyOne Health Medical Group’s Physician Executive Ronald Waldridge, II, MD, to learn more

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Q&A with Stephen Toadvine, MD President of Baptist Health Medical Group

May 1, 2016 MD-Update Staff academic family medicine, area nurse home, area of high need, associate program director, baptist health, Barbourville, care doctor, chief medical officer, chief medical officer position, CMO, CMO job, CMO position, Corbin, critical premature neonate, direct patient care, doctor, Dr. Ross Halbleib, family medicine, family practice, family practice residency, fellowship, general breadth, general breadth of knowledge, group of Booth, Hardin memorial health, health family medicine physician, health system, healthcare, healthcare administration, hospital 's CEO, hospital-owned, hospital-owned practice, ideal of a physician, ideal primary care doctor, John Henson, Ky., longtime baptist health family medicine physician, Louisville Stephen Toadvine, MD-UPDATE, MD-UPDATE Editor-in-Chief Jennifer Newton, medical school, medical staff committee, medicine, national healthcare policy, physician, physician leadership, practice of clinical medicine, president of baptist health, primary care, professional satisfaction, Q&A, reimbursement, residency, rural track residency, Rush-Copley, Rush-Copley hospital, satisfaction, spectrum of age, strong sense of service, telehealth, TOADVINE, track residency, tremendous example, tremendous example of the ideal primary care doctor

LOUISVILLE Stephen Toadvine, MD, was named president of Baptist Health Medical Group, effective April 4, 2016. As a longtime Baptist

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Q&A with 2015 KMA President

November 1, 2015February 1, 2017 MD-Update Staff 10-physician, Allergy & Immunology, allergy specialist, AMA, Ardis Hoven, circuitous background, community connector, community connector program, current American medical association, doctor practice, EMR requirement, ENT, ENT group, ENT physician, focus group of physician, focus of the KMA, focus of the meet, function of the organization, graduate school day, Greg Cooper, H., incoming Kentucky EDICAL association, Kentucky, Kentucky EDICAL, Kentucky EDICAL association, KMA, KMA meet, leadership, leadership academy, MD-UPDATE, MD-UPDATE Editor-in-Chief Jennifer Newton, medicine, membership, non-profit work, northern Kentucky, organized medicine, physician, physician active, physician leadership, postponement of induction, president two term, priority, Q&A, Smoke-Free Kentucky, Smoke-Free Kentucky legislation, throat literature, vice-speaker, vice-speaker of the house, young doctor practice

MD-UPDATE: Tell us about yourself and your professional background. MILLER: I had a circuitous background before I came into medicine.

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Dr. Preston Nunnelley Has More to Say

March 1, 2015March 22, 2017 MD-Update Staff 60-plus year, allopathic, allopathic school, baptist health, bill, board of Licensure, care doctor, central baptist hospital, chief medical officer, chief medical officer of baptist health, commissioner of public health, continual medical education, Corbin, curb addiction, dermatology, doctor, doctor practice, doctor short, Dr. Patrick Murphy, Dr. Preston Nunnelley, great Louisville medical society, growth of the hospital, GYN, GYN practice, health of Kentucky, Kasper report, KBML, Kentucky, Kentucky board, Kentucky board of medical Licensure, Kentucky institute, Kentucky institute of medicine, Kentucky medical association, Kentucky scholarship program, KMA, l-r, legitimate pain, Lexington, Lexington medical society, Licensure, MD-UPDATE, medical Licensure, medical school debt, medicine, Nunnelley, OB, organized medicine, osteopathic school, P., pain, pain management specialist, panel meet, people seek primary care, pharmacy robbery, photo, physician, prescribe pain medication, prescription, prescription drug abuse, president of board of Licensure, president of the board of Licensure, president of the Kentucky medical association, president of the Lexington medical society, Preston, Preston P., pretty time-consuming, primary care, primary care doctor, private OB, quality of care, risk of prescribe pain medication, rural Kentucky scholarship program, school debt, See MD-UPDATE #90, under-served area, well-documented shortage, well-documented shortage of physician

This is Part 2 of a career retrospective on Preston P. Nunnelley, MD. With over 40 years in private OB/GYN

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Q & A with Dr. Preston Nunnelley, VP and Chief Medical Officer for Baptist Health Lexington

January 15, 2015December 28, 2017 MD-Update Staff 24, 24 hour stay, 3D ultrasound, A., addiction, amniotic fluid analysis, baby, baptist health, big challenge, change-Preston, change-Preston P., charge of rotate internship, chief medical officer, civil engineer, Clay hospital, Dr. Nunnelley, Dr. Nunnelley look, Dr. Preston Nunnelley, drug abuse, early diagnosis of fetal abnormality, family practice physician, George Prewitt, Gil Dunn, GYN, GYN practice, gynecology, Jack Lewis, Kentucky, Kentucky medicine, Lexington, Lexington image002, Maternal-Fetal medicine, MD-UPDATE, MD-UPDATE publisher, medicine, Nunnelley, OB, obstetrics, P., Pattie A., point of a specialty practice, point of labor, prenatal care, prescriptive drug abuse, Preston, Preston P., preventative, private OB, right decision, rotate internship, specialist look, specialty practice, status of the baby, surgery, UK major, ultrasound, unfinished business, Vinci robot, VP

For over 40 years, Preston P. Nunnelley, MD, has been in private OB/GYN practice, a leader in Kentucky medicine and

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Lexington Clinic Becomes Only AAAHC Accredited Medical Group Practice in Kentucky

July 1, 2014 MD-Update Staff AAAHC, AAAHC accreditation, AAAHC accreditation process, AAAHC process, accreditation, accreditation association, ambulatory health, ambulatory surgical center, area of care, aspect of care, benchmark, Bratton, chief medical officer, clinic, commission accreditation, Dr. Bratton, Dr. Kibler, Dr. Robert L., Dr. W. ben Kibler, ensured team readiness, great sense, great sense of pride, high quality of care, hospital-employed, hospital-employed practice, improvement, independent physician group, Kentucky, key component of preparation, L., Lexington, Lexington clinic, Lexington clinic physician group, Lexington clinic surgery center, MD-UPDATE, mock survey, Mr. Tom Thomas, multi-specialty clinic set, national benchmark, performance improvement, physician, physician group, physician group accreditation, physician-owned, prong, quality care, quality indicator, see patient, senior director, senior director of quality, significance of the accreditation association, team readiness, Thomas, three-pronged process, type of accreditation, W.

MD UPDATE: Dr. Bratton and Mr. Thomas, can you describe the significance of the Accreditation Association for Ambulatory Health Care

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A Conversation with Incoming KMA President Dr. David J. Bensema

June 1, 2014 David J. Bensema, MD, MBA, FACP AMA, Bensema, chief medical information officer, community connector program, connector, direction of Dr. Fred Williams, diverse team, Dr. Ardis Hoven, Dr. Fred Williams, Dr. Steve, Dr. Steve stack, focus group, governor 's health, highlight of the strategic initiative, immediate past-president, immediate past-president of the AMA, in-person leadership, incoming KMA president, information officer, initiative, initiative focus, internal medicine specialist, Kentucky, KMA, KMA president, Lexington, Lexington emergency room physician, Lieutenant governor Jerry Abramson, obesity, physician, physician 's need, physician assistant, president of the AMA, president-elect, president-elect of the American medical association, public health initiative, resolution, set focus, strategic focus group, strategic initiative focus, title of the meet

Bensema, who resides in Lexington, is an internal medicine specialist by training and is currently the chief medical information officer

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Q&A with Dr. Damian P. “Pat” Alagia

May 1, 2014January 20, 2017 MD-Update Staff –my, –my father, acute set, administrative support staff, Alagia, ambulatory practice, bad apple, bunch of box, Care, catholic health care system, change business, change fund source, chief physician executive, CIRI, complexity of the job, cultural mindset, culture of accountability, culture of blame, Damian P., doctor, Dr. Hiram Polk, exceptional experience, executive Damian P., face of change business, full complement, full complement of hospital resource, future hospital admission, future of the health care model, general surgery resident, great parent, guidance of Dr. Hiram Polk, health care delivery model, health care model, health care system, high quality of care, hospital admission, hospital resource, incomplete amount, incomplete amount of information, jag corp, Jennifer Newton, Jennifer Newton talk, KentuckyOne, KentuckyOne health, length of stay, less-than-desired, less-than-desired outcome, MD-UPDATE, MD-UPDATE editor, native Kentuckian, new world of health care, next two-to-three year, nurse, outpatient, P., physician, physician engagement, physician enterprise, physician executive, physician leadership, proud cultural heritage, proud cultural heritage of the UofL academic health system, Q&A, safety, St. X, support staff, surgery resident, three-and-a-half million, three-and-a-half million people, two-to-three, two-to-three year, UofL, UofL academic health system

MD-UPDATE: Tell us a little about yourself. ALAGIA: I am a native Kentuckian born on the Fort Campbell army base

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CAM: It’s About Patients

March 1, 2012March 28, 2017 Megan C. Smith adult healthcare consumer, aisle, allopathic therapy, alternative medicine, brain, brain issue, brain symposium, business of patient empowerment, Cam, Cam therapy, Cam use, cam user, centralization, come issue, consumer 's desire, Coop, cosmeceuticals, deficiency, Dr. Jim, Dr. Jim roach, epidemic of brain disorder, food 30, founder of the midway center, good news, heal young brain symposium, health involve relaxation, health outcome, healthcare consumer, healthcare experience, hormone modulation, hundred of chemical, integration of Cam, integrative health, integrative medicine, involved question, Jim roach, jr, know smile, Lexington 's good food, lifestyle approach, low nutrient food, meal, medicine, midway center, midway foundation, national health interview survey, naturopath, naturopathy, new medium project, new toxin, NHIS, nonuser, nutrition, nutritional health, optimal recommendation, organic beauty product, organic cosmeceuticals, organized medicine, out-of-pocket spend, outcome, patient dissatisfaction, patient gain access, patient struggle, pharmaceuticals, physician, physician insight, physician try, processed meal, provider 's personal preference, research show, rise use, rise use of Cam, roach, roach 's handle, savvy customer, shopper of vitamin supplement, significant brain issue, small aisle, small aisle of organic beauty product, small bottle of vitamin, supper plate, symptom, therapeutic repertoire, therapy, toxin, traditional medicine, use of Cam, vitamin, vitamin aisle

LEXINGTON A few weeks ago, I was in Lexington’s Good Foods Coop selecting some must-have organic cosmeceuticals to take back

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