Table Of Content111 13L.\N  01:.  L.H3 JIfIVHONIN~  JOONL.A  J1f130IJVl  SOJI3L.A  \/01· 99 NO· 1 rVNnVl:Q,/1:.38~nV~A 1669
But 
Tahle, 
Editor's P'li;  .................. .. 
Pres ident's P~gl' ................ . 
l egislative Upuare ........... .. 
I  EOUCOM .............. · 
MCMS News .............. .. 
M:1honing COLlnty Health 
1 
MCMS Members ... . 
A look Back ............... .. . 
Editor SERGUI 
Managing Edilor ELEANOR PERSHING 
THOMAS S. BONIFACE., MD  SERGUI 
Can  You 
L. KEVIN NASH Ml 
The Bulletin  -publ 
Mahoning County Me,] j 
Youngstown, Ohio 44512. Phor 
Tell  The  Difference? 
The opinions and con  u,ior 
represent the V1cWS <l.f t 
view of the Mahoning Cour 
do not imply sponsorship 
County Medical Su 'WY 
OPEN  MRI'S VS.  CLOSED  MRI'S 
The Bulletin reserves tl 
for clarity and length, 
submitted, inc 
Subscription rate of $20.00 per year 
and changes of address she 
C( 
~ost experts agree the technology  That's why at Advanced Radiology, 
behind open MRI's and closed MRI's is  only Board Certified and University Trained 
CHANDERtv 
essentially the same when it comes to the  professionals read our patients' MRI's.  CHRIS A. KN 
quality of the image.  DOUGLAS M. GOLI 
And that clearly makes a difference.  DANIEL W. HAND 
Contributions Levels: 
Most experts also agree that the 
Want to know more about the safety,  OS I 
professional reading the image is as  $125.00 Physician Sustainer  DENISE L. BOBOVNYIK 
convenience and quality of our open 
CHANDER M. KOHL' 
$ 10.00 Resident/Student 
important as the image itself. 
MRI's? Call us today.  L. KEVIN NASH, M 
$200.00 Family Sustainer 
OSMAJ 
$300.00 "300-Club" 
CHESTER A. AMEDIA, tv 
RICHARD]. MARINA, MD  THOI\, 
Mel 
Make your personal check 
Advanced  Radiology
 THOMAS E. ALBA 
payable to OMPAC  RONALD A. RHODES 
or  jANARD 
cllarge your 
 Ed 
•ALeader In Imaging Innovation •  OMPAC membership 
 SERGUL 
on your personal 
 FOUND/\ 
5500 Market St. (old Rt. 82)· Howland, OH 44484  MasterCard or Visa. 
 RASHID A. ABDU 
NORTON \. GERMAN, 
216-856-XRAY(9729} -or-1-800-998-4MRI(674} 
PRABHUDAS lAKHA 
Ex, 
All Radiologists are Board Certified And University Trained 
ElEA 
2  BULLETIN  January/February 1996  Jantwry/Fehruary 1996  BULLETIN
BULLETIN 
Tahle of Contents 
Editor's Page  ................  . .......................... .... .. 4 
President's Page...  ..... ... ... '" ..... '" ............... .... .. 6 
Legislative Update  ........ .. ... .......... .. ... ........ 8 
NEOUCOM.. ......... .....  .............................. ........ 10 
MCMS News..  ...... .. ..... .. .  . ..... 12 
Mahoning County Health Notes ...............  .. 16 
MCMS Members..  ..........................  .... 18 
A Look Back . ........ ............................ .......  24 
Editor SERGUL A. ERZURUM, MD 
Mallagil1g Editor ELEANOR PERSHING  Ediloricil Boa rd DENISE L. ROBOVNYIK, MD 
Can  You 
THOMAS S. BONIFACE, MD  SERGUL A. ERZLRLM, MD  CHRIS A KNIGHT, MD 
L. KEVIN NASH, MD  DAVID E. PICHETTE, MD 
The Bulletin is publi$hed ~1X rime" a year by the 
Mahoning County Medical Socit.'t);, 5104 Market Street, 
he  Difference?  Youngstown, Ohio 44512.Phonc. (330) 786-4700. Fax (330) 788-0704 
The opinions and c'1nclusjons eXI?rcSscd h1:rein do nor ncccs',lrily 
J,e, 
represent the views of  editorial ~taff nor the official 
view of the Mahoning C()un'XMecilcal Society. Advercisements 
do not imply sponsorship or endorsement by the Mahllning 
County Medical Soc.iety of pr!)dJ.JCts or services advertised. 
RI'S  VS.  CLOSED  MRI'S 
The Bulletin reserves the right to edit all contributions 
for clarity and length, as well as to reject any material 
submitted, including advertisements. 
Subscription rate of $20.00 per year is included in MCMS dues. Correspondence 
and changes of add ress shou ld be ma il ed to the above add ress. 
~ the technology  That's why at Advanced Radiology, 
COUNCIL 
)sed MRl's is  only Board Certified and University Trained 
Officers 
n it comes to the  professionals read our patients' MRf's.  CHANDER M. KOHLI, MD Presidellt 
CHRIS A. KN IGHT, MD President-Elect 
And that clearly makes a difference.  DOUGLAS M. GOLDSMITH, DO Secretaryrrreas urer 
that the  Contributions Levels:  DAN IEL W. HANDEL, MD Immediate Past President 
~ e 
Want to know more about the safety, 
nage is as  OSMA Delegates 
convenience and quality of our open $125.00 Physician Sustainer  DENISE L. BOBOVNYIK, MD  DANIEL W. HANDEL, MD 
self. 
MRI's? Call us today.  $ 10.00 Resident/Student  CHANDER M. KOHLI, MD  CHRIS A. KNIGHT, MD 
$200.00 Family Sustainer  L. KEVIN NASH, MD  HAI-SHIUH WANG, MD 
$300.00 "300-Club"  OSMA Altertlate Delegates 
CHESTER A. AMEDlA, MD  JANE F. BUTTERWORTH, MD 
RICHARD j. MARINA, MD  THOMAS j. TRAIKOFF, DO  LYN E. YAKUBOV, MD 
need  Radiology 
 Make your personal check 
 Members-at-Large 
THOMAS E. ALBANI, MD  jENIFER R. LLOYD, DO 
payable to OMPAC 
RONALD A. RHODES, MD  MARC S. SAUNDERS, DO 
or 
 JANARDAN T. TALLAM, MD 
charge your 
In Imaging Innovation.  Editor of Bulletin 
~eader
OMPAC membership 
 SERGUL A. ERZURUM, MD 
on your personal 
FOUNDATION TRUSTEES 
J Market St. (old Rt. 82). Howland, OH 44484 
MasterCard or Visa. 
RASH ID A. ABDU, MD  DAVID]. DUNCH, MD 
56-XRAY(9729) -or-1-S00-99S-4MRI(674) 
NORTON J. GERMAN, MD  STEVEN M. KALAVSKY, MD 
PRABHUDAS LAKHANI, MD  C. CONNER WHITE, MD 
are Board Certified And University Trained 
Executive Director 
ELEANOR PERSHING 
BUllETIN  january/Fehruary 1996  jamlllry/Fehruary 1996  BUllETIN  3
From the Desk of the Editor 
OUR 
These Changing Times ... 
DOCTORS 
AS  HEALTH  CARE  CONTINUES  TO 
CHANGE, THE POPULATION OF PATIENTS  to be of secondary importance. A  study I" 
Entman ct al in Florida examined the rate ( 
IN  OUR  OFFICE  ALSO  CHANGES.  NO 
malpractice of obstetricians and the quality 
I 
longer are patients sitting in your waiting room because the want  clinical care they delivered. No correlation w. 
found between quality of care and malpractic, 
to see you, but because they have to see you. Changes in insur
suits. This contradicts everything we wert 
ance coverage and constant changes in health  taught, but over and over again it is seen: clain. 
plans, require patients to go to physicians, hos are initiated when there has been no eviden , 
NowOSMAl 
pitals and facilities they may not have chosen  of medical injury or negligence, We have al. 
special low J 
themselves. Because of this, there is already an  seen the contrary: medical negligence has (X 
element of distrust by the patient towards the  curred but the patient is not interested in com  IN...  Blue Cross c 
physician prior to meeting him/her.  pensation. Approximately 1 % of patients hru  Super Blue® 
To complicate matters more, the physician's  pitalized suffer from medica'l negligence, but I · 
office is changing also. It no longer is the same  than 3% initiate a claim!  Vision and d 
environment recognized by the patient. Man If these statistics are true, than interpersoI12  available, to 
aged care has forced physicians to become more  communication between the patient, f::llnily an; 
efficient and cost effective which often requires  physician must be critical. Studies have shaWl  Whatever y< 
seeing more patients at a quicker pace. Less time  that patients who file claims tend to be signifi 
on health in 
is available to socialize with our patients and to  cantly less satisfied with their physician prior t· 
get to know them. This can lead to the patients  the incident. These patients report ,feelin.  your family 
feeling as if their doctor doesn't care and that  rushed, feeling ignored, receiving inadequ3tl  And enjoy h 
they are just numbers.  explanations and spending less time with th, 
protection. 
These factors may add to the malpractice  physician during an exam. Malpractice attome~'  ... for substantial savings on 
problem in our society which already gets  confirm these findings, stating that 80% of pa, 
That's why 
enough attention from lawyers' advertisements  tients filing malpractice claims are dissatisfie,  health insurance, through their  I 
on television and newspapers. Therefore, it is of  for these reasons.  membership in the Ohio State  Blue Cross; 
vital importance that we address the potential  It appears patients are most fulfilled when  Medical Association.  to protect 0 
risk factors for a malpractice suite: quality of  they become active partners in their health carc 
medical care and interpersonal communication  and the decision making. Patients want theil  The OSMA Insurance Agency is  Get low, sta 
skills.  physician to care, to relate to them on a per,  proud to present its latest sponsored  on, and sup 
Interestingly, quality of medical care appears  sonal level. We, as physicians, feel we arc pro' 
product ofTering ...a new health  claims turn 
viding thls to our patients; however, using ex· 
insurance plan which means sav
cessive medical lingo, feeling pressed for time. 
To find out 
Sergul A. Erzurum, MD  or making decisions for the patient may he in·  ings for our membership. 
save, conta 
terpreted differently by our patients. 
The savings result from a new 
Therefore, if we want to decrease our chaner  Agency tod 
of malpractice litigation, it becomes obviolls thai  arrangement OSMA has made with 
practicing good medicine is not enough; we must  Blue Cross & Blue Shield of Ohio.  1-800-86()' 
improve Ollr relationship with our patients. IT. 
these changing times, however, the relationship 
e 
with our patients is going to be more stressed 
from the outset. So, how can we improve our 
interpersonal relationships with our patient, I----------~-----------------V-u -
while still maintain,ing an office which can sur·  "~.'<" ".  OSMA Insurance A gency  .:;.  f
vive in today's health care arena?  :~.  ' ;  P.O. Box 16182Yi~ "  . ~  (] 
This is a difficult question, and the answer  \.  /  Columbus, Ohio 43216-6182  )'
starts with a need to examine ollr practice meth· 
continued on PRo 22 
® Registered Marks of the 81 
() 1994 Blue Cross & Blue 5 
4  BULLETIN  January/February 1996  January/February 1996  BULLETIN
O'UR 
Times... 
~ing 
.RE  CONTINUES  TO  DOCTORS 
lULATION OF PATIENTS  to be of secondary importance. A study hI 
Entman et al in Florida examined the rate \I' 
ALSO  CHANGES.  NO 
malpractice of obstetricians and the quality 
(I' 
.aiting room because the want  clinical care they delivered. No correlation wa, 
found between quality of care and malpractice 
to see you. Changes in insur
suits. This contradicts everything we  wen 
e and constant changes in health  taught, but over and over again it is seen: claim, 
patients to go to physicians, hos are initiated when there has been no evidence 
Now OSMA members can get 
iii ties they may not have chosen  of medical injury or negligence. We have als(l 
special low prices on traditional 
iecause of this, there is already an  seen the contrary: medical negligence has oc· 
strust by the patient towards the  curred but the patient is not interested in com·  IN... 
 Blue Cross coverage and also on 
lr to meeting him/her.  pensation. Approximately 1% of patients ho;·  Super Blue®P lus. 
cate 111atters more, the physician's  pitalized suffer from medical negligence, but b) 
sing also. It no longer is the same  than 3°1.) initiate a claim!  Vision and dental plans are 
recognized by the patient. Man If these statistics are true, than interpersonal 
available, too. 
forced physicians to become more  communication between the patient, family and 
:ost effective which often requires  physiCian must be critical. Studies have shown  Whatever you choose, you'll save 
.ltients at a quicker pace. Less time  that patients who file claims tend to be signifi. 
on health insurance for yow'self, 
socialize with our patients and to  cantly less satisfied with their physici,)l1 prior t~ 
\em. This can lead to the patients  the incident. These patients report feelin¥  your family and your office staff. 
.1eir doctor doesn't care and that  rushed, feeling ignored, receiving inadequatl'  And enjoy high benefit levels of 
lumbers.  explanations and spending less time with the 
protection. 
:ors may add to the malpractice  physician during an exam. Malpractice attorney, 
... for substantial savings on 
Jur society which already gets  confirm these findings, stating that 80'X)  of pa· 
That's why OSMA has chosen 
health insurance, through their 
'ion from lawyers' advertisements  tients filing malpractice claims arc dissatisfieJ 
md newspapers. Therefore, it is of  for these reasons.  membership in the Ohio State  Blue Cross & Blue Shield of Ohio 
lce that we address the potential  It appears patients are most fulfilled when  Medical Association.  to protect our members' health. 
'r a malpractice suite: quality of  they become active partners in their health care 
nd interpersonal communication  and the decision making. Patients want their  The OS:MA Insurance Agency is  Get low, stable rates you can count 
physician to care, to relate to them on a per·  proud to present its latest sponsored  on, and superior service with quick 
:Iy, quality of medical care appears  sonal level. We, as physicians, feel we are pro
product otfering ...a new health  claims turnaround! 
viding this to our patients; however, using ex· 
insurance plan which means sav
cessive medical lingo, feeling pressed for time, 
To find out how much you can 
rgul A. Erzurum, MD  or making decisions for the patient may be in ings for our membership. 
save, contact the OSMA Insurance 
terpreted differently by our patients. 
The savings result from a new 
Therefore, if we want to decrease our chance  Agency today. 
ofmalpractice litigation, it becomes obvious that  arrangement OSMA has made with 
practicing good medicine is not enough; we must  Blue Cross & Blue Shield of Ohio.  1-800-860-4525 
improve our relationship with our patients. In 
these changing times, however, the rclationshir 
with our patients is going to be more stressed 
... 
from the outset. So, how can we improve our 
interpersonal relationships with our patient) 
BlueCrossBlueShleld
while still maintaining an office which can SLIT '  .•: . .... ".  OSMA Insurance Agency 
of Ohio
vive in today's health care arena?  ~:'  . i  P.O. Box 16182 
This is a difficult question, and the answer  ~  ,"  ,;  Columbus, Ohio 43216-6182  You can trust the best. 
rA. starts with a need to examine our practice meth
A 8;'4~Y'-- !Jj) 
continued on /)K. 22 
() 
)  ® Registered Marks 01 the Blue Cross and Blue Shield Association 
© 1994 Blue Cross & Blue ShIeld Mutual of Ohio 
5 
BUllETIN  ]anuary/FehntaT)' 1996  January/February 1996  BUllETIN
President's Page 
A  Vision for  1996 
'VE B  EN TOLD BY MANY OF YOU THAT I HAVE 
A  BUSY YEAR AHEAD. FORTUNATELY,  I DON'T  a he::lld1 c::lre lI1stitution-th sedifference ' mao 
rcsult in conflicting attitudes and goals. We mu,: 
FEAR HARD WORK OR CHALLENGE AS LONG AS 
put our eli  imilariti  aside, and cooperate with 
there is a positive ou rcome for my efforts. I feel it i~ an honor to  each other to safeguard the physician-patien! 
Therapy, 
relationship and promote the positive image (l~  lJ..k:w:~r.~:"cal  OCCl 
be  in this position, anJ  have dedicated myself to uphold the 
physicians as a who! . 
principles and mis,ion of our Society. It will be  We abo n 'ed to hec  me more involveel at ,I  Thl 
erapy,  Speech 
my rersonal commitment to represent you dur community level in orJer to develop a better 
ing the'e changing times in the prOJctice of medi under ·tanding of me existing problems. With 
cine.  this goal in mind, Drs. William Crawford anti  _-...,.__ therapy and Aquati 
There OJre difficult times ahead for the medi Th()mas Uetesco will continue to serve as chair· 
cal community. Issues include the "dvent of  persons of the Community Relationship Com 
m:1l1aged care, the financial controls of medical  mittce. 
SPORTS INJURY • STROKE • 
services insurance companies, the upsurge in  At a politicallcl'el, (he role of the physician 
medical malpractice litigation and awards, and  in influencing lcgishtion to improve the prac·  WORK SIMULATION • PAl 
the formation of medicli entities limiting the  tice of medicine in serving patients is critical 
physician's ability to care for patients. For those  Dr.  Handel, as chairperson of thc Legislation 
of u . who have prOJcticed our profession during  Committee, will keep us abrcClst of changes at 
the golden era of mcliicine, these changes ap me state <mel  federal levels. The concept of d  Medicare, Work4 
pear to have taken place overnight while we sat  free clinic for the needy is just one of the man) 
& Private Insuran 
on the sidelines and watched. However, we must  topics that will undergo further consideration. 
not let ourselves become disheartened. We must  Our community has a wealth of dedicated. 
We  do  the 
work togcther to shape the future of medicine  experienced physicians who excel in their medi p~ 
and focus on enhancing the positive aspects of  cal fields. We need to disseminate information 
our chosen field. We need to improve our im about available health services in order to coun and billing 
age as patient advocates who consider it a privi teract the patient drain from this valley to out
lege to provide medical care.  side institutions. 
Along with these external problems, we as a  As part of the overall  marketing plan, we 
group are sometimes faced with internal dis intend to have our Society on an electronic hul· 
"Take a Step in the Right Direction, Contact the 
agreements. The young physician versus the old,  letin board in the near future. This will open a 
the private practitioner versus one employed by  venue of interactive communication between  UI~DER SAME OWNERSHIP 
the medical profession and the community at 
large. Dr. Fred Peachman will be chairing thif  Austin Woods  Carr' 
ehandeT H. Kohli, MD  ad-hoc committee. Dr. Lloyd Slusher willi act of 
chairperson of the committee investigating the  Re]
Re habilitation 
possibility of locating a permanent location for 
the Society. 
Under the guidance of Dr. Jim Enyeart, we  Hea11
Health Care Center 
will carryon the efforts of Dr. Handel in recruit
ing new members. Being a member, however, is  85(
4780 Kirk Road 
only the first step to success. We need members 
Austintown, Ohio 44515  YOUl
to take an active roll through volunteering their 
time, financial support, legislative activity or 
moral support. An organization is only as strong 
as its members. With this in mind, we urgently 
solicit your help with the committee of your 
choice. 
continued on pg. 22 
6  BUIJ.ETlN  January/February 1996  January/February 1996  BULLETIN
1996 
lY OF YOU THAT I HAVE 
FORTUNATELY,  I DON'T 
a health care institution-these differences 111ll 
'HALLENGE AS LONG AS  result in conflicting attitudes aDd goals, We l11U 
jlut uur dissimilarities aside, and cooper:1te will 
efforts. I feel it is 3n honor to  each other to safeguard the physician-patien 
heated myself to uphold the  relationship and rromote the positive im:lgc (II  Therapy, Occupational 
~'-;~~~;;cal 
phy~icians as j  whole, 
I rniSliion ofour Society. It will be 
We ,1Iso need to hecome more involved at ; 
ornmitment to represent you dur cOIllmunity level in urder to develop a hette!  erapy,  Speech Therapy, 
wing rimes in the practice ofmecli
understanding of the existing problems. Wid, 
this goal in mind, Drs. William C rowforLl 811,'  therapy and Aquatic Therapy 
difficult times ahead for the medi
Thomas Detesco will continue to ,erve as chalf' 
ty.  Issues include the Cldvent of 
persons of the Community Relationship Com. 
, the Financial controls of medical  mittee.. 
.::~:~:~:~:~:~;: 
ancc cumpanie~,  the up~urge in  At a pol irical level, the role of the physici:lI1  SPORTS INJURY • STROKE • INDUSTRIAL REHAB 
ractice litigation <lnd awards, and  in influencing legislation to improve dw prac. 
I of medical entities limiting the  tice of medicine in serving patients is critical.  WORK SIMULATION • PAIN  MANAGEMENT 
ility to care for patients. For those 
Dr. Handel, dS chairperson of the Legislation 
e practiced p ur profession dllring  Committee, will keep us abreost of changes :H 
1 of medicine, these changes op the st,He and federal levels. The concept of a 
1ken place overnight while we sat  free clinic for the needy is just one of the mam  Medicare, Worker's Compo 
:s and watched. However, we must 
topics that will undergo further considermion,  & Private Insurance Approved 
e.s become disheartened. We must 
Our community has a wealth of dedicated, 
to sh<1pe the future of medicine  experienced physicians who excel in their melli,  We do  the paperwork 
~nhancing the positive aspects of  cal fields. We need to disseminate information 
ld. We need to improve our im
about available health services in order to COlm· 
1dvocates who consider it a privi and billing for  you! 
teract the patient drain from this valley to out, 
~ medical care.  side institutions. 
I these external problems, we as a  As part of the overall marketing plan, we 
letimes f<1ced  with internal d is
intend to have our SOCiety on an electronic bul. 
1e young physician versus the old,  letin board in the nem future, This will open a  "Take a Step in the Right Direction, Contact the Caring Professionals" 
ctitioner versus one employed by 
venue of interactive communication between 
UNDER SAME 
OW~IERSHIP 
the medical profession and the community at 
large, Dr. Fred Peachman will be cha1iring thi~ 
wnder H. Kohli, MD  Austin Woods  Carrington South 
ad-hoc committee. Dr. Lloyd Slusher will act 8\ 
chairperson of the committee investigoting the 
possibility of locating a permanent location for  Rehabilitation  Rehabilitation 
the Society. 
Under the guidance of Dr. Jim Enyeart, we 
will carryon the efforts of Dr. Handel in recruit Health Care Center  Health Care Center 
ing new members. Being a member, however, i, 
only the first step to success, We need members  4780 Kirk Road  850 E. Midlothian Ave. 
to take an active roll through volunteering their  Austintown, Ohio 44515  Youngstown, Ohio 44502 
time, financial support, legislative octivity or 
moral support. An organization is on'!y as strong 
as its members. With this in mil1l.d, we urgently  (216)  792 ..0660  (216) 788 ..4022 
-:-:.
solicit your help with the committee of your  =:::: 
)
.~  ,  choice.  """1!I!I!111!1!1!1II!IPII""'piI!II!I~1!I!I!111!1!1!""" :-:.: 
)  , f ( .  ~rl"  :::::::::::::-:::::::::::::::::::::::::::::::::::::::::::::::::::;:::::::::::;::::::::::::::::::::::::  ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: 
continued on Pi;, 22 
[.  - "\"- '" 
.  1  '/ 
BUllETIN  ]anuary/Fdmw.r)' 1996  ]a1l1wry/FchrlW.1')' 1996  BUllETIN  7
Legislative Update 
Physician Action Critical 
T  THE NATIONAL LEVEL,  TWO PIECES OF 
LEGISLATION  ARE  MOVING  THROUGH 
 The Kassebaum/Kennedy bill currently· 
committee [Senate  Labor and Hurnan Re· 
CONGRESS  THAT DESERVE  PHYSICIAN 
sources] would allow for ratient porwbility 
(V 
support. H.R. 2925 introduced by Rep. Hyde R. III. deals with  health insLlwnce. This bill which also has thl 
strong support of the AMA faces stiff opposi 
relaxing certain antitrust provisions which currently prevent 
tion from the insurance industry and the _ a 
physician sponsored provider networks from  tional Manufacturers Assn. The AMA and rh( 
developing certain managed care products.The  bill's cusponsors arc keeping the scope of the bill 
"rule uf reasun" would apply taking into account  limited and resisting efforts to add amendment 
all relevant factors affecting competition.  which would redu e the chances for passage. 
According to a recent issue of the American  At the state lev~l. OSMA efforts on the l e~· 
Medical News, federal authorities a  ume that  islative front have gone very well. HR 350 tht 
physician networks are illegal per se unless doc tort reform issue passed the Hou e by a vote \ ~ 
tors are fully capitated: withhold a set percent 54-44. Rep. Ron Hood was the only locallegiy 
age of fees: or use a "messenger model" where a  lator to support the tort reform bill. Hopefulh 
third party conveys physicians rates to payers.  thi~ Gm pass the Senate hy mid-May and signed 
Rep. Hyde states that "granting these networks  into law by June 1st. It will take another inten" 
rule uf reason treatment wiil not guarantet: that  round of gras roots and lobbying efforr, to ac· 
they will he found permissible under current  complish passage. The current draft of the Nurse 
antitrust laws, hut it will ensure that they will  Practitioner bill passed through the Senate widl 
not be harred simply hec<1l.lse they fail to meet  the independent prescriptive authority provision _-----------------------------
the arbitrarily narrow definition of integration  removed due to OSMA and OMPAC effort~. 
CONFUSED WITH MEDICARE RBl 
currently employed by the Justice Dept. and the  I would ask that physicians in our comnm 
FrC."  nity take the following steps. Please write or cal'  CALL PROFESSIONAL MANAGEMENT ASS 
The AMA supports HR 2925. AMA board  Rer. Tr<1ficant asking his support for HR 292\ 
chairperson Nancy Dickey has stated that "these  and the Kasseb1Um/Kennedy bill once it reache, 
MEDICAL BILLING SI 
agencies fail to ([eat physician ventures in the  the HOLl~e for action. Please write or call Sena
Same manner as joint ventures in other indus tors DeWine anJ Glenn requesting their sup
tries, resulting in chilled innovation in the de port for the Kassehaum/Kennedy bill. Please .join  •  Computerized Billing & Account Re 
livery of medical services ,md dramatically re PLAN the OSMA's grassroots physician network  •  Processing of Patient Bills & Inquirit 
duced patient choice."  and hecome more politically involved. SUP· 
•  Electric Claims Submissions 
PORT OMPAC. OMPAC needs your contr,ihu
tions NOWI Respond to the recent mailing re •  Office Practice Management 
Daniel W. Handel, MD 
questing your support. Payment can be made  •  Medical Collection Dept. 
with  a  PERSONAL  check,  VIS A  or 
MasterCard. It represents an investment in your  _  Over 20 Years Experience In Medical 
professional future, an investment with much 
potential benefit and with little or no risk. 
BILLING. FREE CONSULTATION TO INDIVIDUAL 
Professional Management Associate 
726-1031 
THE FINANCIAL CENTE"N 
1280 Boardman-Canfield Rd., Y oungstowl 
8  BUllETIN  January/February 1996  January/February 1996 BUllETIN
ction Critical 
LEVEL , TWO PIECES OF 
E MOVINCJ  THRC') UG H 
The Kassebaum/Kennedy hill currently In 
Eachpatient is unique. 
. DESERVE  PHYSICI AN  committee rSenate Labor and Human Re
sources] would allow for patient portahility 01  Eachone has special objectives and life
, Rep. Hyde R. Ill. deals with  heaIrh It1sutance. This hill which also has thl  style requirements. To help achieve 
strong support of the AMA faces stiff 0ppOSI 
(lns which currently prevent 
these goals, Midwest Prosthetic, 
tion from the insurance industry and the NJ 
J l1soreJ provider networb from 
tional Manufacturers Assn. T he AMA and th  Orthotic Center combinesexperience 
Ttain managed care produC[s. The 
bill's cosponsors al"C keeping the scope of the bi ll 
and state of cile art materials to custom 
)" would apply taking into account 
limited and resisting efforts to add amenJment' 
Ictors affecting competition.  which would reduce the chances for passage.  craft each indi\~dual appliance. 
; to a recent i~sue of the American  At the state level, OSMA efforts on the leg When you want perfonnance... 
s, federal authorities a&;ume that 
islative front have gone very well. HB 3')0 the 
works are illegal per se unless doc L/?\!fl 
tort reform issue passed the House by a vote ot 
:api.rated: withhold a set percent 54-44. Rep. Ron Hood was the only IOGlllegi, Midwest Prosthetic
use a "messenger model" where a  Orthotic Center 
lator to support the tort reform btll. HopcfuU\ 
mveys physicians rates to payers.  this can pass the Senate by mid-May and signeJ  66C() South Aw.. Swtr ti  1834 S. LIIlLoln Ave. 
ItCS that "granting these networks  into law by June 1st. It will take another intemr  lh~rdmJn, OH4 451 2  Salem, OH4 4460 
treatment will not guarantee that  round of grassroots and lobbying efforts to ac 216/726,6124  216/332,0050 
Found permissible under current 
complish passage. The current draft of the N ur,e 
, but it will ensure that they will 
Practitioner bill passed through the Senate with 
simply became they fail to meet  the independent prescriptive authority provision 
narrow definition of integration 
removed due to OSMA and OMPAC efforts. 
loyed by the Justice Dept. and the 
I would ask that physiCians in our commu CONFUSED WITH MEDICARE RBRVS? 
nity take the following steps. Please write or call 
supports HR 2925 . AMA board  Rep. Traficant askin,g his support for HR 2925  CALL PROFESSIONAL MANAGEMENT ASSOCIATES, INC. 
mcy Dickey has stated that "these 
and the Kassebaum/Kennedy bill once it rcache, 
J treat physician ventures in the  the House for action. Please write or call Sena MEDICAL BILLING SERVICE 
as joint ventures in other indus
tors f)eWine and C lenn requesting their sup
in chilled innovation in the de
port for the Kassebaum/Kennedy bill. Please join 
cal ~ervices and dramatically re •  Computerized Billing & Account Reporting 
PLAN the OSMA's grassro()t~ physici,m network 
choice."  and hecome more politically involved. SUP •  Processing of Patient Bills & Inquiries 
PORT OMPAC. OMPAC needs your contribu •  Electric Claims Submissions 
mid W. I-Iandd, MD  tions NOW! Respond to the recent mailing re •  Office Practice Management 
questing your support. Payment can be Imldl' 
•  Medical Collection Dept. 
with  a  PERSONAL  check,  VISA  Of 
MasterCard. It represents an investment in YOUf 
professional future, an investment with much  - Over 20 Years Experience In Medical Billing 
potential benefit and with little or no risk. 
BILLING· FREE CONSULTATION TO INDIVIDUAL & GROUP PRACTICES 
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THE FINANCIAL CENTER 
~p Wjjwl/~/lJ7) 
1280 Boardman-Canfield Rd., Youngstown, OH  44512 
BULLETIN  ]amwl)'/FelmI£Lr)' 1996  jamtaT)'/Februar)' 1996  BULLETIN  9
NEOUCOM 
Professional 
MEDCAMP 
science outreach program 
inspires area students 
 Decisions. 
HREE  YOUNGSTOWN-AREA  STUDENTS 
It is an important decision 
WHO  PARTICIPATED  IN  THE  FIRST  a career as a physician in the sixth grade afte' 
hearing numerous stories told by his mother, ",h(  as to who will administer 
MEDCAMP  PROGRAM  IN  1991  ARE  NOW 
is a registered nurse. "My mother would comt  your insurance needs. Let 
in their first year in the combined B.S./M.D. program at the  home and teU the most fascinating stories,  Stillson and Donahay make 
Schuler says. "I had first wanted to be a pilot 
Northeastern Ohio Universities College of Medicine: Shannon  that decision easier for you 
but my eyesight is too bad and I knew I couldn'r 
to make. 
Huggins  of  Youngstown  and  Anastasia  fly for the Navy. So after hearing my mother'· 
Karabatsos of Canfield, both attending Kent  stories, I thought that if I became a doctor, i 
State University, and Christopher Schuler of  could buy my own plane and fly myself. But as :  We are professionals, locally 
Canfield, who attends Youngstown State Uni matured, I began to like the classes I was taking,  owned and operated ~ith over 
versity.  and I found that I liked helping people, espe·  60 years in the Mahomng Valley; 
MEDCAMP is a three-day, hands-on expe cially children. So my desire to be a physician  endorsed by the Mahoning County 
rience designed to stimulate students' interests  evolved. 
Medical Society for over 
in the basic sciences and medicine, and to ex "I Ilearned a lot at MEDCAMP, and if! hadn', 
40 years. 
pose them to opportunities for careers in those  already known [ wanted to be a physician, the 
fields. It is offered each summer for ninth-grade  experience certainly would have persuaded me." 
students who have demonstrated achievement  Students who participate in MEDCAMP  Call us... It cou ld be the most 
in science and an interest in medicine as a pos attend laboratory sessions on anatomy, physid  important professional decision you make. 
sible career. Preference is given to minorities,  diagnosis, physiology and microbiology. Physi· 
females,  rural  students,  and  other  cians, professors, graduate students and medical 
Life, Disability and other Health Insut 
underrepresented groups in medicine.  students guide the students in laboratory expe
A  1995 graduate of Canfield  riences such as taking blood pressures, reading 
High School, Anastasia Karabatsos  EKGs and identifying bacteria under a micro
says she had dreams of becoming a  scope, as well as a session on study skills. Stu
doctor as early as the third grade. "I  dents are introduced to a clinical study case oi 
started to have some doubts as I got  fictitious ill patient and are given the case his stillson 
older. I also thought I might like to  tory, symptoms and lab results_ Through lectures, 
be a lawyer or scientist," she says,  lab work and library study time, they are ex
"but MEDCAMP reinforced my  pected to provide a diagnosis of the patient in &!-'Donaha 
desire to become a physician. I liked  cluding history of the disease and treatment. 
being in the labs, looking through  "It was almost like being a real doctor," 
microscopes and seeing the cadav Schuler says. "It was as though we were study
ers-it just felt right, like it was a  ing a real patient with real symptoms. It was in AGENCY, INC. 
part of me.  It was the first time I  credible." 
had ever gotten to see a cadaver.  Karabatsos says the experience helped her 
Youngstown natives  And the bodies were treated with such respect  realize the importance of good srudy habits and 
John Fouse • Lloyd Peck 
Anastmia Karabatsos  that the experience didn't frighten me at all."  what it takes to be a physician. "I had always 
(left) and Shannon  Chaney High School graduate Shannon  worked hard in school to get good grades be
Huggins are in the first  Huggins, on the other hand, says she never had  cause I knew that it would be important later, 
year of the BS/MD  any doubts and never desired to be anything but  but MEDCAMP demonstrated the dedicarion 
program at Kent State  a physician. "I've wanted to be a doctor for as  that was necessary to become a phYSician." 
University.  long as I can remember. MEDCAMP was excit In high school, Karabarsos concentrated on 
ing because I knew that this would be my career  college preparatory courses and was a member 
Bank One Building • 30 North 1\ 
for the rest of my life."  of the speech and debate team, young leaders, 
Christopher Schuler, also a 1995 graduate of  Poland, OH 44514 • Phone: (216 
Canfield High School, first began thinking about  continu.ed on pg. 26 
BULLETIN
10  BULLETIN  January/Febru.ary 1996  January/February 1996