Applications for Alcohol SBI Office Champions Project is Due Sept. 20

AAFP

The AAFP encourages members, especially those serving a significant number of women of childbearing age, to apply for the Alcohol Screening and Brief Intervention (SBI) Office Champions Project. The project, which will accept up to 25 family medicine practices, aims to increase the use of alcohol SBI within primary care settings, utilizing the office champions model. Applications are due September 20, 2019. Physicians who complete this quality improvement project also will receive Part IV maintenance of certification credit.

Learn more and apply today!  Contact Reshana Peterson at RPeterson@aafp.org or 913-906-6103 with questions.

CDC Health Advisory: Severe Pulmonary Disease Associated with Using E-Cigarette Products

CDC

The Centers for Disease Control and Prevention (CDC) has issued a Health Advisory for Severe Pulmonary Disease Associated with Using E-Cigarette Products. The health advisory provides background information and recommendations for clinicians, public health officials, and the public based on currently available information. Below are recommendations for you from the CDC. Please read the CDC Health Advisory in its entirety.

Recommendations for Clinicians

  1. Report cases of severe pulmonary disease of unclear etiology and a history of e-cigarette product use within the past 90 days to your state or local health department. Reporting of cases may help CDC and state health departments determine the cause or causes of these pulmonary illnesses.
  2. Ask all patients who report e-cigarette product use within the last 90 days about signs and symptoms of pulmonary illness.
  3. If e-cigarette product use is suspected as a possible etiology of a patient’s severe pulmonary disease, obtain detailed history regarding:
  • Substance(s) used: nicotine, cannabinoids (e.g., marijuana, THC, THC concentrates, CBD, CBD oil, synthetic cannabinoids [e.g., K2 or spice], hash oil, Dank vapes), flavors, or other substances
  • Substance source(s): commercially available liquids (i.e., bottles, cartridges, or pods), homemade liquids, and re-use of old cartridges or pods with homemade or commercially bought liquids
  • Device(s) used: manufacturer; brand name; product name; model; serial number of the product, device, or e-liquid; if the device can be customized by the user; and any product modifications by the user (e.g., exposure of the atomizer or heating coil)
  • Where the product(s) were purchased
  • Method of substance use: aerosolization, dabbing, or dripping
  • Other potential cases: sharing e-cigarette products (devices, liquids, refill pods, or cartridges) with others
  1. Determine if any remaining product, including devices and liquids, are available for testing. Testing can be coordinated with the local or state health departments.
  2. Consider all possible causes of illness in patients reporting respiratory and gastrointestinal symptoms and of e-cigarette product use. Evaluate and treat for other possible causes of illness (e.g., infectious, rheumatologic, neoplastic) as clinically indicated. Consider consultation with specialists (pulmonary, infectious disease, critical care, medical toxicology) as appropriate.
  3. Clinical improvement of patients with severe pulmonary disease associated with e-cigarette use has been reported with the use of corticosteroids. The decision to use corticosteroids should be made on a case-by-case basis based on risks and benefits and the likelihood of other etiologies.
  4. Lipoid pneumonia associated with inhalation of lipids in aerosols generated by e-cigarettes has been reported based on the detection of lipid-laden alveolar macrophages obtained by bronchoalveolar lavage (BAL) and lipid staining (e.g., oil red O). The decision about whether to perform a BAL should be based on individual clinical circumstances.
  5. Lung biopsies have been performed on some patients. If a lung biopsy is obtained, lipid staining may be considered during pathologic examination, and is best performed on fresh tissue. Routine pathology tissue processing (including formalin-fixation and paraffin-embedding) can remove lipids. Conducting routine tissue processing and histopathologic evaluation is still important. Consider consultation with specialists in pulmonary medicine and pathology to help inform any evaluation plan.
  6. Patients who have received treatment for severe pulmonary disease related to e-cigarette product use should undergo follow-up evaluation as clinically indicated to monitor pulmonary function.

New! Annals of Family Medicine Supplement on Practice Transformation

ABFM

The Annals of Family Medicine Special Supplement: Lessons From Practice Transformation is now available. It includes editorials, original research, research briefs, special reports and innovations in Primary Care.

Register by Sept. 13 for best rate

KAFP-Foundation

Register for the KAFP-Foundation Let’s Move, Kansas 5K Run/Walk by Friday, Sept. 13 for the best price. The adult pricing goes up on Sept. 14, 2019. Join us on Saturday, Oct. 19 at Sedgwick County Park in Wichita. All proceeds benefit the KAFP-Foundation.

Registration Rates

Children / Youth 17 & under:

  • 5 Mile Walk: $20 for all participants 17 and under
  • 5K timed race: Adult pricing applies for participants 17 and under

Adults:

  • August 20 – September 13: $35
  • September 14 – October 4: $40
  • October 5 – October 11: $45
  • October 19 Register Onsite: $50

Invite your co-workers, friends and family to register as a team for the Let’s Move, Kansas 5K Run/Walk and get $3.00 off per registrant. The largest team will receive a team trophy! Visit www.LetsMoveKansas.com to see a listing of teams to join! It is a great way to support the Foundation’s programs for residents and students while living a healthy lifestyle and sharing a great day with your friends, family and colleagues!

Residents and medical students can use the discount code STURES19 for an additional $5.00 off.

Thank you to our  2019 sponsors:

Presenting sponsor, KU School of Medicine-Wichita
Media sponsor, KMUW Wichita 89.1
Platinum sponsors, Grene Vision Group and Wichita Surgical Specialists
Gold sponsors, Advanced Physical Therapy, Blue Cross Blue Shield of Kansas, Premier Property Management, Primary Care Associates and West Wichita Family Physicians, PA
Silver sponsor, Wichita Urology
Bronze sponsors, Post Rock Family Medicine and Wichita Marriott

If you cannot participate in the race on October 19, the KAFP-Foundation would greatly appreciate a donation to support residents and students. Give today. The mission of the KAFP-Foundation is to promote the philosophy of family medicine, research and education of Kansas family physicians.

Plan Ahead and Sign Up for for FDOD Early

KAFP

Get your Family Doctor of the Day (FDOD) volunteer date on your calendar early and get first pick on dates and get it crossed of your to-do-list now! The 2020 legislative session will be here before you know it! We invite all of our active members and residents with a Kansas license, to serve as the FDOD at the Statehouse during the legislative session.

FDOD is a volunteer program organized by the Kansas Academy of Family Physicians, in which KAFP provides for a family physician to be present at the Statehouse each day during the legislative session. KAFP relies on its trusted membership to volunteer to serve as FDOD.

The FDOD program is an opportunity to network in Topeka, learn about the legislative process, perhaps attend part of a session or committee, and provide a much-appreciated service to legislators on behalf of KAFP.

Volunteers assist legislators and their staff with health needs that may arise throughout the day. Checking blood pressure, distributing ibuprofen, examining sore throats: the health issues are mainly minor health needs, with a few more serious ailments during the year. The legislators are grateful for the program and it definitely puts family medicine in a favorable light!

FDOD volunteers report to the Capitol Building in Topeka at 9:00 a.m. and stay until 3:00 p.m. taking care of legislators, staff and sometimes even visitors who need medical attention.

Thank you for your consideration of taking a day to volunteer for this important program.

Teams Now Forming for Let’s Move, Kansas

KAFP-Foundation

The KAFP-Foundation challenges you to gather your co-workers, friends and family and register as a team for the Let’s Move, Kansas 5K Run/Walk. It will be a fun event for your entire family or clinic!  Join us on Saturday, Oct. 19 at Sedgwick County Park in Wichita. All proceeds benefit the KAFP-Foundation. The mission of the KAFP-Foundation is to promote the philosophy of family medicine, research and education of Kansas family physicians.

Register a team and get $3.00 off per registrant AND if you are a resident or medical student, use the discount code STURES19 for an additional $5.00 off per registrant. The largest team will receive a team trophy! Visit www.LetsMoveKansas.com to see a listing of teams to join! It is a great way to support the Foundation’s programs for residents and students while living a healthy lifestyle and sharing a great day with your friends, family and colleagues!

Sponsorship opportunities close Saturday, Aug. 31. Act now if your hospital, clinic or company is interested in being a sponsor for this event, click here for more information.

Thank you to our  sponsors:

Presenting sponsor, KU School of Medicine-Wichita
Media sponsor, KMUW Wichita 89.1
Platinum sponsors, Grene Vision Group and Wichita Surgical Specialists
Gold sponsors, Advanced Physical Therapy, Blue Cross Blue Shield of Kansas, Premier Property Management  and West Wichita Family Physicians, PA
Silver sponsor, Wichita Urology
Bronze sponsors, Post Rock Family Medicine and Wichita Marriott

If you cannot participate in the race on October 19, the KAFP-Foundation would greatly appreciate a donation to support residents and students. Give today.

Path to Improved Health for Seniors

FamilyDoctor.org

Please share these important preventive health care services with your older adult patients and their families:

  • Annual wellness exam: Visit your doctor once a year for a physical. He or she will measure your height, weight, and body mass index. Your doctor will talk with you about any medicines you’re taking, your eating habits, and your activity level. This exam is a good way to check your overall health.
  • Influenza vaccine: This yearly vaccine helps prevent influenza (the flu). Older adults should get this vaccine every year. Between 70 and 90% of the deaths from influenza are in people 65 years of age or older.
  • Pneumococcal vaccines: The pneumococcal polysaccharide vaccine (PPSV) and pneumococcal conjugate vaccine (PCV13) are both important to help prevent pneumonia. For people who have pneumonia, it helps prevent life-threatening complications. This is especially important for older adults. They are more likely to get pneumonia and develop complications.
  • Breast cancer screening: The risk of getting breast cancer increases as you get older. More than 40 percent of all new breast cancer cases are in women 65 years of age and older. Women between the ages of 50 and 74 should have a mammogram every 2 years to screen for breast cancer. Depending on your breast cancer risk factors, your doctor may recommend you have a mammogram more often.
  • Colorectal cancer screening: Sixty percent of new colorectal cancer cases are in adults 70 years of age and older. The AAFP recommends screening for colorectal cancer with fecal immunochemical tests, flexible sigmoidoscopy, or colonoscopy starting at age 50 years and continuing until age 75 years. The risks, benefits, and strength of supporting evidence of different screening methods vary. Your doctor can discuss options for the type of screening tests available.
  • Diabetes screening: Diabetes is very common in older adults. It affects 1 out of every 4 adults 65 years of age and older. If you are overweight or obese, your doctor may test you for diabetes, even if you don’t have symptoms.
  • High Blood Pressure Screening: The possibility of developing high blood pressure increases as you get older. Your doctor will probably check this each time you are in the office, and at least once a year.
  • Cholesterol screening: High cholesterol is a risk factor for heart disease and stroke. Men 35 years of age and older should have their cholesterol levels checked on a regular basis. Women 45 years of age and older who are at risk for coronary heart disease should also be tested. Cholesterol levels are checked with a blood test.
  • Osteoporosis screening: The risk of osteoporosis increases as you get older. Women who are 65 years of age and older should be tested for osteoporosis. This test is called a bone mass (or bone density) test.

2019–20 Influenza Season Recommendations Released

CDC

The CDC has released Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2019–20 Influenza Season in the August 23 issue of MMWR Recommendations and Reports. The summary section is reprinted below.

This report updates the 2018–19 recommendations of the Advisory Committee on Immunization Practices (ACIP) regarding the use of seasonal influenza vaccines in the United States (MMWR Recomm Rep 2018;67[No. RR-3]). Routine annual influenza vaccination is recommended for all persons aged ≥6 months who do not have contraindications. A licensed, recommended, and age-appropriate vaccine should be used. Inactivated influenza vaccines (IIVs), recombinant influenza vaccine (RIV), and live attenuated influenza vaccine (LAIV) are expected to be available for the 2019–20 season. Standard-dose, unadjuvanted, inactivated influenza vaccines will be available in quadrivalent formulations (IIV4s). High-dose (HD-IIV3) and adjuvanted (aIIV3) inactivated influenza vaccines will be available in trivalent formulations. Recombinant (RIV4) and live attenuated influenza vaccine (LAIV4) will be available in quadrivalent formulations.

Updates to the recommendations described in this report reflect discussions during public meetings of ACIP held on October 25, 2018; February 27, 2019; and June 27, 2019. Primary updates in this report include the following two items. First, 2019–20 U.S. trivalent influenza vaccines will contain hemagglutinin (HA) derived from an A/Brisbane/02/2018 (H1N1)pdm09–like virus, an A/Kansas/14/2017 (H3N2)–like virus, and a B/Colorado/06/2017–like virus (Victoria lineage). Quadrivalent influenza vaccines will contain HA derived from these three viruses, and a B/Phuket/3073/2013–like virus (Yamagata lineage). Second, recent labeling changes for two IIV4s, Afluria Quadrivalent and Fluzone Quadrivalent, are discussed. The age indication for Afluria Quadrivalent has been expanded from ≥5 years to ≥6 months. The dose volume for Afluria Quadrivalent is 0.25 mL for children aged 6 through 35 months and 0.5 mL for all persons aged ≥36 months (≥3 years). The dose volume for Fluzone Quadrivalent for children aged 6 through 35 months, which was previously 0.25 mL, is now either 0.25 mL or 0.5 mL. The dose volume for Fluzone Quadrivalent is 0.5 mL for all persons aged ≥36 months (≥3 years).

This report focuses on the recommendations for use of vaccines for the prevention and control of influenza during the 2019–20 season in the United States. A brief summary of these recommendations and a Background Document containing additional information are available at https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html. These recommendations apply to U.S.-licensed influenza vaccines used within Food and Drug Administration–licensed indications. Updates and other information are available from CDC’s influenza website (https://www.cdc.gov/flu). Vaccination and health care providers should check this site periodically for additional information.

Diabetes Programs Available

Health ICT

A listing of diabetes programs across the state are available. Download the two-page flyer and share with your patients and post in your office. The Diabetes Prevention Program offers lifestyle modification designed to keep people with slightly elevated blood sugars from developing diabetes. The Diabetes Self-Management Education and Support program is designed to help people already diagnosed with diabetes better manage their disease through diet, physical activity, medications, and work with their health care team.

Lakin Family Doc Grabs #1 Spot for Advice

Eat This, Not That

This article published in Eat This, Not That, which garners more than 5 million visitors per month, featured five family physician including Dr. Drew Miller of Lakin who grabbed the number one spot with his advice in 50 Things Doctors Would Tell Their Own Mothers.