The DJP Update

DJP Update 9-29-2013 Update on 3 friends who served America during the Vietnam War; Lagniappe

Update on 3 friends who served America during the Vietnam War

I do a lot of reading about WWII and have the advantage to visit frequently the National WWII Museum here in New Orleans.  But as a doctor who was in the U.S. Air Force during the Vietnam War, I always am interested in stories about friends who also served during during the years of the war in Vietnam.  Some stories, i.e., Paul Galanti, P.O.W., are in my leadership books and I give an update on Paul here.  Also, I now bring to your attention 2 other Americans, who are doctors, and who continue to help others by sharing knowledge for health and pleasure.

Dr. Richard Carmona
Former Surgeon General of the United States

I had the privilege to get to know Dr. Carmona during my tour of duty on AMA Board and during AMA presidency.  I sat next to him at some dinners when he was keynote speaker.  He can mesmerized the audience when he speaks without notes or teleprompter and relates the American Dream as experienced by him.  On many occasions we ran into each other in the Atlanta Airport as we got a late dinner together, mine usually from Popeye’s and his a more healthy choice, between plane changes.

Dr. Carmona is now at Canyon Ranch and Canyon Ranch Institute:  http://canyonranchinstitute.org/

He is on Twitter:  @DrRichCarmona

By the way, he did a great job this Saturday night on The Huckabee Show discussing the chemical weapon Sarin.

http://www.canyonranchinstitute.org/about-cri/leadership/team/richard-carmona

“After dropping out of high school, Dr. Carmona enlisted in the U.S. Army in 1967. While serving, he earned his General Equivalency Diploma and went on to become a combat-decorated Special Forces Vietnam veteran.”

http://www.encyclopedia.com/doc/1G2-3433900026.html
“…combat in Vietnam in the Army Special Forces as a Green Beret and medic, for which he earned two Purple Hearts and a Bronze Star,”

——-

Dr. Joe Gutierrez
Past President Medical Society District of Columbia and member AMA House of Delegates:  Bonsai expert!

Joe served with the U.S. Marines in Vietnam and did many surgical procedures there.

Northern Virginia Bonsai Society has newsletters with Joe’s trees.

Here is another group in 2009 featuring Joe’s 1st place  Bonsai Douglas Fir.

http://www.descanso-bonsai.com/Jun-09.pdf

Joe on the lecture circuit:

http://vienna.patch.com/groups/events/p/learn-about-bonsai_e8fc989e

http://www.workhousearts.org/events/events/japanese-art-and-culture-day-workhouse

An article with quotes from Joe:

http://www.gazette.net/article/20120420/ENTERTAINMENT/704209809/1076/weekly-sports-briefs&template=gazette

To shed some light on “what a bonsai is — how bonsai are developed and cared for,” there will be a presentation by Joseph Gutierrez, of the Potomac Bonsai Association. Visitors will have a close-up look “to learn a bit about how to judge a bonsai — to increase their appreciation of bonsai.” He will focus “on azaleas as bonsai, since azaleas do very well in this area, are readily available.”
Bonsai can help us “better learn how to appreciate plants and trees … and how to do the proper things to a tree at the proper time,” Gutierrez said. “Bonsai are living things, they constantly undergo change because they continue to grow; and learning what happens to a tree during the various seasons helps one enjoy and appreciate bonsai more.”

Asked about the pots used for Bonsai, Guiterrez indicated that the pots must suit the tree and the style of the tree. “Some pots are considered to be quite “masculine,” as are the trees that are planted into them … e.g., heavy trunks; other trees are quite “feminine,” as some are very slender and graceful or flowering trees … and these are often planted into glazed or ornamented pots.”

—————–

Paul Galanti
Naval Aviator; P.O.W.

My writings about Paul are in my leadership books.  Details of his almost 7 years in the infamous “Hanoi Hilton” are in my book, ON LEADERSHIP.

Here is a video you must watch.  Dr. Joe Gutierrez alerted me to it.  It discusses the visit of the POWs to the White House when President Nixon negotiated the POW release and the 40 year reunion of that visit.

http://t.co/n4Z1GE9gHK

More about Paul Galanti:

http://t.co/1Zalj33Av3

http://www.pownetwork.org/bios/g/g046.htm

And Paul’s work in Virginia with the Department of Veterans Services:  http://www.dvs.virginia.gov/aboutus.shtml

Paul tweets at: @a4jock

Here is my tweet about the reunion:

DJPNEWS
NAM-POWs Vietnam #POW reunion. 40 yrs later. #Nixon http://t.co/n4Z1GE9gHK American #heroes including @a4jock http://t.co/1Zalj33Av3
9/29/13 11:44 AM
—————–

Thanks to all of you who served our country in the military.  I know many of you who never speak about your tours but please know that America appreciates your service.  I certainly do.

LAGNIAPPE:  It any of you write a blog or write a column in your medical society newsletter and wish to have it available to the world on the Internet, it is simple to get a Web link and post your updates or columns using WordPress.  (More info at:  http://wordpress.org/about/ ) That is what I do with my DJP Updates.  You don’t have to be a programmer to post or edit using WordPress.  Also, once posted, the search engines quickly pick up the articles.  Of course, you could post on FaceBook etc. but the advantage of your own Web address and WordPress is that anyone can visit without joining or seeing advertisements, etc.

To see what I am talking about, go to:  www.DJPupdate.com and see the updates.

Stay well.
Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us
(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)
DJP Updates:  www.DJPupdate.com
Twitter:  www.twitter.com/DJPNEWS
YouTube: http://www.youtube.com/user/IntrepidResources  Check out the videos.  You can post your views on your own YouTube site.
This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

DJP Update 9-20-2013 Thanks to Tulane Medical Alumni Assn (TMAA): DJP Outstanding Medical Alumnus 2013

Honored and humbled to be selected by Tulane Medical Alumni Association (TMAA) as Outstanding Medical Alumnus 2013.  The award will be given October 4.

Great appreciation to TMAA Board for selecting me and to the many outstanding medical mentors I have had during medical school, residency, and throughout my medical career.  They taught me and inspired me.

No doubt those mentors deserve this high honor more than I do.

And special thanks to family and friends who encouraged and helped me throughout my career in medicine.  We all know the sacrifices they make as we strive to help patients 24 hours a day.  I also reflect on a turning point in my life that many of you have heard me relate in speeches and in my leadership books.  That event was my decision to quit Tulane Medical School after the first anatomy test in the first semester.  I told my heroic policeman Dad that I did not think I was smart enough to be a doctor. This was his immediate response:

“Son, you are smart enough to be a doctor, but you must remember 3 things:  Do your homework, have courage, and don’t give up!  Do that and very little in life is impossible.”  I followed his advice, stayed in school, and that has made all the difference to me.  If only all kids who suffer hard times, sometimes without one or both parents, had such a loving mentor.  What a different world we would see.

Here is the link re 2013 award:

http://tmaa.tulane.edu/newsletters/2013sept/classnotes.html

Previous recipients include Dr. Michael E. DeBakey, pioneering cardiovascular surgeon, Dr. George E. Burch, internationally renowned cardiologist, Dr. Charles B. Wilson, famous neurosurgeon,  Dr. John L. Ochsner, acclaimed heart surgeon, Dr. Gerald S. Berenson of the famous Bogalusa Heart Study, etc.  See link below for more.

http://tmaa.tulane.edu/spotlight_past.html

LAGNIAPPE:  Starting a new book, this time a suspense thriller.  Stay tuned!

Stay well.  Looking forward to seeing most of you at Interim Meeting of AMA.  No doubt there will be great followup discussions on the trials and tribulations of PPACA!

Donald

Donald J. Palmisano, MD, JD, FACS
Intrepid Resources® / The Medical Risk Manager Company
5000 West Esplanade Ave., #432
Metairie, LA 70006
USA
504-455-5895 office
504-455-9392 fax
DJP@donaldpalmisano.com
www.donaldpalmisano.com
www.onleadership.us
(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)
DJP Updates:  www.DJPupdate.com
Twitter:  www.twitter.com/DJPNEWS
YouTube: http://www.youtube.com/user/IntrepidResources  Check out the videos.  You can post your views on your own YouTube site.
This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.
You can share it with your members and it has the potential to reach 800,000 physicians.
To join the list, send me an  email stating “Join DJP Update”
To get off the list, state ” Remove DJP Update” in subject line.

DJP Update 8-17-2013 Eulogy for Dr. Herbert Ichinose

For all the friends of Herb who could not attend the church services today, my eulogy for him is below.  And for all of us, attending a funeral or memorial service should cause us to reflect and tell our loved ones how much we appreciate and love them because we never know when we or they will depart for eternity.  That call or letter won’t be forgotten.

I told Herb’s family the sentiments of the out-of-town friends who wrote me this morning about Herb.  Thanks.

DJP
EULOGY FOR DR. HERBERT ICHINOSE

August 17, 2013

St. Genevieve Catholic Church

Slidell, Louisiana

Today we mourn the passing of a beloved person, Dr. Herbert Ichinose.  But we also share the joy of knowing and loving Herb.

Herb left us on August 12, 2013, slipping away at home surrounded by his family; but his legacy lives on in his family and friends.  He was of great faith and left a legacy of being a man who sought after the wisdom of God, a husband who deeply cared for his wife, and a father and grandfather who was playful and giving.

We extend our sincere condolences to Herb’s family:  His wife, Beverly Nadine Burlison Ichinose; four children: Linda Williams, Lorna Reynolds, John Ichinose, Dr. Eugene Ichinose; his two stepsons, Jack and Rob Burlison, and 17 grandchildren.  His late wife, Elaine Okimoto Ichinose, and his parents, Samuro and Katsue Ichinose, preceded Herb in death.

Whenever I would think of Herb over the years, the word kindness immediately came to mind.  Always gracious, he was a gentleman and a gentle man. Whenever I called him for advice about the pathology in a case I was studying as a consultant to help defend a doctor, He always made the answer easy to understand and backed it up with outstanding references.  Herb remained the quintessential superb teacher who was patient and generous with his time.  If I wrote a book about a guru in a mystical Tibetan Shangri-La, Herb’s character would be the starring role.  Never did I hear anyone speak a word of dislike regarding Herb in the 50 plus years I knew him.  As one doctor stated today in an email, Herb combined brilliance and humility, a rare combination.

When I think of Herb, I also am reminded of words from Ralph Waldo Emerson writing about success:

To laugh often and love much;

to win the respect of intelligent persons

and the affection of children;

to earn the approbation of honest critics

…

to appreciate beauty;

to find the best in others;

to give of one’s self;

…

because you have lived,

this is to have succeeded.

I first met Herb when I was a medical student and he presented a case as a scholarly teacher at Tulane Medical School.  It was obvious to all that he was brilliant and kind.  I became friends with him and another professor friend of his, Dr. Glenn Kokame.  They enjoyed telling me that they met each other for the first time in the cafeteria at Tulane University as freshmen undergraduates.  Herb said none of the folks in the cafeteria looked like him but suddenly he saw a student behind him who did.  They introduced themselves and discovered they both were from Kauai, Hawaii!  That was the start of their wonderful friendship.

Herb became a full professor of pathology at Tulane Medical School and when he went into private practice he continued as a Clinical Professor of Pathology.  Always pursuing the unknown in the field of science he authored over 50 scientific papers and received many prestigious awards.  Despite the devastation he and Beverly suffered with Hurricane Katrina and his evacuation by a Coast Guard helicopter following Katrina, he never retired, continuing as a pathologist and embarking on the pursuit of anti-aging medicine.

When a loved one dies, the pain of loss can appear overwhelming.  But if we will reflect on the treasure trove of memories, the good times, the laughter, the moments of great joy, our pain will lessen and in time we will be left with comfort for his love and how he enriched our lives.

And let us remember what General George Patton, Jr. said:

It is foolish and wrong to mourn the men who died. Rather we should thank God that such men lived.

And I thank God that Herb lived and enriched our lives.  Today we celebrate his life.

I recently attended a Jesuit Retreat at Manresa, in Convent, Louisiana at the recommendation of my surgical partner, Dr. Jim Brown.  To sum up that retreat, the priest said:

“Remember, God loves you.”  Well, I am certain God loves Herb and the two of them are having wonderful philosophical discussions this very moment in heaven.  The poet Shelley spoke of “that sweet, strange mystery of what beyond these things may lie, and yet remain unseen.” But Faith, Hope, and Charity will keep our spirits joyful about Herb’s spirit’s new residence.

May we be so blest to have the love of God and all of family and friends!  Goodbye for now, dear Herb, We look forward to seeing you again in eternity.

Donald J. Palmisano, MD, JD

DJP@donaldpalmisano.com

—————————————–

Stay well,

Donald

Some past selected DJP Updates can be found at: www.DJPupdate.com

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  www.DJPupdate.com

Twitter:  www.twitter.com/DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources  Check out the videos.  You can post your views on your own YouTube site.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

DJP Update 6-16-2013 American Medical Association (AMA) Annual Meeting in progress + Lagniappe

Dateline:  Chicago

The policy of the AMA, policy that must be followed by the Board of Trustees, is made at the Annual and Interim Meetings of the AMA.  Resolutions are sent in by medical and specialty societies as well as individuals, and full debate and voting occurs.  There are reference committees to express viewpoints on the submitted resolutions.  Then the Reference Committee gives a summary and recommendations.  Finally, all resolutions go to the full House of Delegates (about 550 voting delegates) for more debate and a final vote.

There remains much debate between the meetings as to whether the AMA Board went beyond AMA policy in supporting PPACA, The Patient Protection and Affordable Care Act.  Some resolutions address removing support of PPACA.  The candidates for president-elect and plus those competing for the two available slots on the AMA board are facing questions such as “Would you advocate removing AMA support for PPACA?”  As the regulations and other disclosures of PPACA come to light, that is an important question.  Elections occur Tuesday morning.

As for my view of government intervention into Medicine, it remains the same as my first testimony in 1976 to Health Subcommittee of U.S. House Ways and Means.  The updated summary related to PPACA is in my Op-Ed 2010 Journal of the Louisiana State Medical Journal here:

http://www.donaldpalmisano.com/html/PEJLSMS2010.pdf

Another issue that will generate more debate and eventually a vote at this meeting is the issue of whether AMA should continue two House of Delegates Meetings (now June and November) or reduce to one in June.  Some say new technology allows interaction with members and two meetings are no longer necessary.  New technology would include virtual reference committees via Internet.

Opponents of reduction to one meeting point out the need to have face to face debate at least twice a year. The two meetings give greater accountability of board and some members want more transparency.

I think two meetings increase AMA credibility and communication.  But regardless of what happens in this vote, I strongly urge AMA to move to an issue I have advocated for many years, prior to my board service and during my board service and AMA presidency.  AMA should have a closed circuit equivalent of C-Span.  All board meetings would be available live to members.  They could watch live or later at AMA Website via a recording by inserting membership number and password. Sensitive matters such as litigation or staffing could occur in closed non-broadcast mode.  If that was available, just like C-Span for Congress, AMA members could see how the board members debate, advocate an issue, and how they vote.  That gives accountability much more than what individuals say when running for office.  Perhaps someone could add this as an amendment to an appropriate pending resolution.  If AMA wants transparency and communication, this is a proven way to enhance it.  Leaders have courage and are decisive; they are accountable for their actions.  Transparency gives the “Verify” of “Trust and Verify.”  The financial cost of this would be minimal.

As I have stated in past, I do less DJP Updates because I tweet almost daily and I encourage you to follow those tweets @DJPNEWS.  If you wish to see the tweets of all individuals tweeting about the AMA meeting, search the hashmark #AMAmtg at Twitter or in search engines.

Here are some of mine at this meeting.  Click on links to see any attached pictures.
Be sure to read this link in one of the tweets below.  It is AMA policy and Congress needs to pass it!  AMA and many other societies signed on to this letter at the link.

Medicare Patient Empowerment Act H.R. 1310 :  http://t.co/gMQxgHTeoy

DJPNEWS
FYI #AMAmtg RT @AmerMedicalAssn: #AMA Awards $11M to Transform the Way Future Physicians Are Trained http://t.co/3P1RF7etOL
6/14/13 9:41 AM
DJPNEWS
At #AMAmtg and now in #OSMAP where 1st item is Litigation Center of AMA/State Medical Socities http://t.co/7DiFH1Po8b
6/14/13 2:13 PM
DJPNEWS
Leonard Nelson, counsel for Litigation Center, presents a Center case. #AMAmtg http://t.co/JR4OqhPQJU
6/14/13 2:18 PM
DJPNEWS
Dr Lou Goodman, EVP Texas Med Assn and prez Physicians Foundation, updates re Foundation work. #AMAmtg http://t.co/WbvTyMFVlP
6/14/13 2:42 PM
DJPNEWS
Donald J. Palmisano, Jr. JD, EVP Med Assn. Georgia, presents success with The Physician Shield Law #AMAmtg http://t.co/2GqYhNj9Ys
6/14/13 4:40 PM

DJPNEWS
Dr Ana Pujols McKee, EVP and Chief Medical Officer at The Joint Commission, speaks at #OSMAP #AMAmtg http://t.co/1hLaGkCXtU
6/14/13 5:12 PM
DJPNEWS
Chair LSMS Delegation Dr Keith DeSonier and Greg Waddell LSMS General Counsel at OSMAP reception. #AMAmtg http://t.co/k3gLjYl287
6/14/13 6:17 PM
DJPNEWS
Dr Peter Lavine of DC and AMA Board Member Dr Monica Wehby OSMAP reception. My wonderful friends. #AMAmtg http://t.co/ngppQ6w10l
6/14/13 6:29 PM
DJPNEWS
Visiting with U.S. Rep. Tom Price MD @RepTomPrice of Georgia. He sits in HoD with #MAG at #AMAmtg http://t.co/fuwrF8m7cQ
6/15/13 12:53 PM
DJPNEWS
AMA House of Delegates in session. #AMAmtg in Chicago. http://t.co/zLdpBuOR22
6/15/13 2:27 PM

DJPNEWS
Excellent #AMA photographer Ted Grudzinski at work in HoD #AMAmtg . He is master at images of speakers. http://t.co/WcaO0rmzbO
6/15/13 2:33 PM
DJPNEWS
Nominating speeches for #AMA president-elect at #AMAmtg happening now: Dr. Joseph Annis and Dr. Robert Wah. #Democracy in action.
6/15/13 3:33 PM
DJPNEWS
Speaker and Vice-Speaker re-elected at #AMAmtg – Now the candidates for Board of Trustees give 2 min speeches.
6/15/13 3:36 PM

DJPNEWS
Candidates for AMA Board of Trustees and only 2 can be elected this #AMAmtg : Dr. Barbe, Dr. Deren, Dr. Harmon, Dr. Hickey, and Dr. Sweet.
6/15/13 3:39 PM

DJPNEWS
Powerful speech from heart by Dr. Harmon. I wonder if voters read his bio and know he served our Country as a General. #AMAmtg #Patriot
6/15/13 3:44 PM

DJPNEWS
Dr. Mike Daren now giving his candidate speech for AMA Board. He is a surgeon and the editor of Connecticut Medicine. #AMAmtg
6/15/13 3:46 PM
DJPNEWS
Now the 2 candidates for Resident/Fellow Trustee slot on Board: Dr. May Babu and Dr. Benjamin Galper. Great seeing young doctors involved.
6/15/13 3:48 PM

DJPNEWS
Stirring story by Dr. Ben Galper re his grandfather. Personal stories always great in speeches as they make emotional connection. #AMAmtg
6/15/13 3:53 PM

DJPNEWS
Candidates for President-Elect give speeches at #AMAmtg http://t.co/m6ecECFhUL
6/15/13 4:08 PM

DJPNEWS
The 2 candidates for President-Elect at #AMAmtg , Dr. Wah + Dr. Annis, give their 2 minute speeches and take questions #DemocracyInAction
6/15/13 4:09 PM
DJPNEWS
Great opportunity for 2 candidates to distinguish themselves with question asked: Is there a time when #AMAmtg would withdraw support #PPACA
6/15/13 4:18 PM

DJPNEWS
Dr. Annis points out problem of #pricecontrols #AMAmtg . Wish candidates would speak of AMA policy supporting Rep. Dr. Price’s H.R. 1310
6/15/13 4:28 PM

DJPNEWS
All #AMAmtg should read letter to Rep. Tom Price re Medicare Patient Empowerment Act H.R. 1310 in unofficial packet http://t.co/gMQxgHTeoy
6/15/13 4:34 PM
DJPNEWS
My AMA prez hero throughout my medical career = Dr. Ed Annis. I gave tribute to him in my AMA Inaugural Speech in 2003. Memories #AMAmtg
6/15/13 4:39 PM
DJPNEWS
Excellent closing point by Dr. Wah: “Is there a lawyer in house?” Reference to doctors being called to save lives in emergencies. #AMAmtg
6/15/13 4:42 PM
DJPNEWS
“If we lose who we are, we will lose everything.” “Medicine’s best days are left to be lived.” Dr. Annis evokes memories his Dad. #AMAmtg
6/15/13 4:46 PM
DJPNEWS
Re Dr satisfaction in Medicine, here is one physician who found happiness by changing practice mode: http://t.co/KAoEOzBApN #AMAmtg
6/15/13 5:10 PM

DJPNEWS
Hmmm.. #AMAmtg “Dem… Congressman: ‘Not Fair’ To Subject Congress To Obamacare Just Like Everyone Else – ” http://t.co/VsOtCE4M0S #PPACA
6/16/13 9:59 AM

Here is an example of a retweet.  If you see a tweet you like, just hit retweet button and it goes to those following you on Twitter.  Remember, when you see a link in tweet, click on it and it will take you to a longer story or an image.

LaMedSoc
LSMS President Van Culotta listening to debate as a member of Reference Committee B at #AMAmtg http://t.co/2BXfCzRyJ9
6/16/13 10:17 AM
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LAGNIAPPE:  Robin’s brother’s son, our nephew, just finished high school and visited us in the New Orleans area.  We had fun. Among our activities we went into the Honey Island Swamp and visited the National World War II Museum.  His grandfather fought as a U.S. Marine on Okinawa.  Powerful exhibit at WWII Museum on this battle.

Here is a photo available in tweet showing alligator we meet in the swamp:  pic.twitter.com/x46j3bUhjk

DJPNEWS
Great time with nephew and friend from Ohio on their 1st visit to #NOLA : Honey Island Swamp, @WWIImuseum , TonyAngello’s, and more.
6/13/13 12:12 PM
DJPNEWS
Our Honey Island Swamp visit today. Excellent #photograph ! RT @marshallyo: This is awesome

DJP Update 5-1-2013 Connecticut Medicine May 2013 article medical liability by DJP:  Doctors, Lawyers, and Patients: Three’s a Crowd

And article includes a few words about the contingency fee!

Thanks to Connecticut Medicine journal for publishing and agreeing to share!

Here is the article posted at my Website:

http://www.donaldpalmisano.com/html/CMMay2013.pdf

Stay well,
Donald

Some past selected DJP Updates can be found at: www.DJPupdate.com

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

(Author of ON LEADERSHIP (2008, 2011 2nd edition) and THE LITTLE RED BOOK OF LEADERSHIP LESSONS (2012 & in bookstores and AMAZON now!)

DJP Updates:  www.DJPupdate.com

Twitter:  www.twitter.com/DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources  Check out the videos.  You can post your views on your own YouTube site.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

DJP Update 4-7-2013 Silent retreat; PPACA Updates on Twitter; Leadership videos; NPSF Safety Congress in NOLA; Home Repairs and a green house; and 50-Years as a doctor!

1- Retreat: On March 7-10 I attended the famous Manresa House House of Retreats in Convent, Louisiana.  My surgical partner, Dr. Jim Brown, has been going for years and this was my first retreat there. The attendees do not speak during the visit.  There are talks by a visiting Jesuit in the mornings and evenings (30 minutes each talk) and church services daily but one does not have to attend anything.  You have a small private room for sleeping.  The meals are simple but excellent.  The grounds are full of oak trees and cypress trees.  A beautiful setting to mediate.  Regardless of one’s religious beliefs or even if one has no beliefs, being silent for 3 days and having no other responsibilities to interrupt meditation is worthwhile.  Some photos of the grounds at:  http://www.manresala.org/Facilities/Manresa-Grounds.aspx
More info at http://www.manresala.org/
————-
2- The 15th Annual NPSF Patient Safety Congress NPSF is in New Orleans this year May 8-10.  Check it out and consider attending.  Details at:  http://www.npsf.org/calendar/event-details-3/?event=45
As many of you know the AMA was a founding member of the National Patient Safety Foundation.
————-
3- As I have mentioned, I do lots of tweets and less of the DJP Updates.  For PPACA or ACA or …, updates, be sure to follow @Sonodoc99 on Twitter for comprehensive links to articles on PPACA.
A reminder, Dr. Art Fougner, @sonodoc99, will be in the AMA House of Delegates starting in June  representing the Medical Society of the State of New York.  PPAC is in trouble.  This is no surprise to me and others who warned of the complex bill prior to passage.  Too bad the Congress did not read the bill and understand it.  The worse is yet to come.

As for tweets, don’t miss Dr. March Zwelling’s tweets:  @zdoc

Remember, even if you don’t join Twitter (free), you can look up someone’s tweets by the person or group’s Twitter ID.
For example, my tweets @DJPNEWS are found at:  www.twitter.com/DJPNEWS

A tweet I did today is about the fascinating study done by the Cleveland Clinic on the etiology of heart disease.

Donald Palmisano ‏@DJPNEWS 2h
“Study points to a new culprit in #heart disease” @nytimeshealth Cleveland Clinic study: carnitine metabolized by gut bacteria into TMAO

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4- Leadership videos are being posted on YouTube by The Doctors Company.  You can find all of the videos at the TDC YouTube site:  http://www.youtube.com/doctorscompany
I was invited to do 6 leadership videos and you can find 5 posted already at The Doctors Company site.  The 6th one will be up shortly.  Each video is about 2 minutes in duration.

I also posted the leadership videos involving me at:  http://www.youtube.com/intrepidresources

If you want a 2 minute summary of the definition of leadership from my research plus my 6 Commandments of Medicine, watch this one:  http://www.youtube.com/watch?v=BhiLWt0tkPg
This is the Cliff’s Notes version if you did not have time to read my leadership books yet!
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5- I have blocked out 2 weeks in my schedule to remain at home and watch daily the outside repairs at our home.  No interviews, no speeches.  The patio, walkway to front door, sidewalks, and driveway had to be replaced because of sinkage.  We also added a chain wall on the South and North boundaries and on the West boundary at the end of the driveway.   A big job.  This time we found a real professional cement contractor and he is putting mini-pilings (sonotube with rebar) plus rebar steel and highway mesh at all sites.  In addition we are adding a gate for the driveway.  The gate posts are 8 inch square steel.  Gate design in progress for our West Indies style home.  Robin in charge of gate design after much research.  Amazing how a Bobcat picks those 500 pound posts up and puts them 4 feet into the ground.  That is an an impressive machine in the hands of a skilled operator!  Nothing like being present daily at job site when a myriad of questions arise.  Better to be there and state what you want rather than having them guess when a challenge occurs.  We are lining the driveway edges with brick and we did the patio in a 45 degree herringbone pattern of brick.  It is best to get involved in research before having anyone place bricks.  New brick?  Old brick? Mortar is different and important not to use modern mortar with old brick.

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6- My restored greenhouse that suffered from Hurricane Katrina is now in great shape.  It is 17 feet long and 5 feet wide and can be entered from the back yard or from the house through French doors in our master dressing room by the master bedroom.

All is well in greenhouse.  I have a “Blueberry” grape plant from Napa that now has leaves on it.  I have a tomato plant and a rose bush with leaves and growing daily.  In addition, I have lots of different bromeliads plus an assortment of other plants such as strawberries, a Myer’s Asparagus fern, a poinsettia, an amaryllis, Tradescantia zebrina,  2 cacti, 2 blooming orchids, Swiss Chard, Kentucky Mint, Greek Oregano, Onion Chives, Rosemary, and Italian Parsley.

My secret to success:  the green house protects against freezing so plants such as the bromeliads do not die.  I have a homemade watering device that gives 20 minutes of drip water every 12 hours.  It is controlled by a battery powered timer and I use a hose that is filled with small holes for garden watering.  A most important technique is:  If a plant type dies in my greenhouse, I do not get that species again.  Sort of survival of the fittest for the environment I have in my green house.  This green house is a great source of peaceful meditation time and a wonderful opportunity to do macro photography.  It also serves as an intensive care unit for Robin’s indoor plants when they are near death.

Here is a photo I posted on Twitter today.  Click on link in tweet.
DJPNEWS
My greenhouse is doing well! 17 ft long and 5 ft wide with homemade twice daily watering system. http://t.co/tgfOyFoBhw
4/7/13 8:02 PM

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7- Finally, our 50-year medical school graduation celebrations are in progress.  Orleans Parish Medical Society had a wonderful brunch for us.  My Tulane Medical School Class will meet in May.  I plan to interview my classmates regarding 50 years of practice.

Stay well.
Donald

Some past selected DJP Updates can be found at: www.DJPupdate.com

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

Twitter:  @DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources  Check out the videos.  You can post your views on your own YouTube site.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.

DJP Update 1-30-2013 Tweets, Medical Meetings, Mardi Gras, and Superbowl; R.I.P. Paul Naccari, MD

1- TWITTER:  Here is another DJP Update.  Not as many updates as in past because I post daily on Twitter @DJPNEWS – So far, I have done 7,454 tweets.

Once again, I recommend you get on Twitter even if you don’t post tweets.  It is a terrific way to get the news on any topic you are interested in.  Just follow individuals who tweet about a subject you like.
For example, if there is a reporter you like, follow the reporter and you will get tweets giving links to breaking news long before you hear about it on TV or radio.  Reporters like to spread the news quickly!

As I have mentioned in past, the book that tells you all you need to know about getting started on Twitter is available via bookstores and on Amazon:

The Twitter Book [Paperback]Tim O’Reilly (Author), Sarah Milstein (Author)
4.8 out of 5

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Here are a few recent tweets of mine, including some retweets of the writings of others.    Remember, a tweet is limited to 140 characters.  THE TWITTER BOOK recommends you limit the tweet to 125 characters so that others can add comments with a retweet.

Fun tweet:  If you are a bird watcher, be sure to check out the sound collection immediately below!  Click on link in tweet.

DJPNEWS
Wonderful collection sounds #birds – #frogs – #insects – #mammals http://t.co/ymKW0Ng0 #nature #music #video – Thanks to MEP for alert!
1/29/13 6:51 PM

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DJPNEWS
Broken medical liability system. More evidence http://t.co/oA2PO3yK + 82% closed no payment and Dr wins 87% trials. Lawyers benefit most.
1/29/13 3:31 PM
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DJPNEWS
Great! #wisdom RT @sonodoc99: @DJPNEWS 10 #Leadership Nuggets from Abraham Lincoln | LinkedIn http://t.co/wBOCWDGC
1/29/13 11:31 AM

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DJPNEWS
#NOLA #SuperBowl RT @NOLASaintsNewz: (Yahoo Sports) Mayor: New Orleans deserves Super Bowl spotlight (@AP ) http://t.co/FfEm2opK #saints
1/28/13 9:06 PM

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Go to www.twitter.com/DJPNEWS to read more

2- Medical Meetings

A- I gave the keynote address at the Harris County Medical Society (HCMS) January 18, 2013 in Houston at the Petroleum Club.  Topic: Leadership.  Nice folks at this county medical society.  It is the largest county medical society in the world.

Russell W. H. Kridel, MD, FACS was installed as president of HCMS.  He gave a wonderful inauguration speech and I hope he publishes it.  In June 2012, Russ was elected chair-elect of the American Medical Association’s (AMA) Council on Science and Public Health.

Lagniappe was the invocation delivered by Dr. John Graham, a Tulane Medical School classmate who now is an episcopal priest.  Great seeing John.  He informed me he will be in New Orleans for the 50-year celebration of our medical school class in May.  Time flies when one is having fun!

B- This past weekend was the annual meeting of the Louisiana State Medical Society (LSMS).  It was fun seeing everyone and going to the past presidents’ dinner and catching up with these fine people.
Dr. Vincent (Van) A. Culotta, Jr. was installed as the 2013 president of the LSMS.  Van has done great work with the medical society and the Louisiana legislature.  Nice to see him get the recognition he deserves for his leadership.  He will be at AMA meetings as part of the LSMS Delegation.

3- Mardi Gras and Superbowl
Superbowl in Superdome in New Orleans:  Sunday February 3, 2013 at 5:30 p.m. New Orleans time (Central) and 6:30 p.m. (Eastern)
More info at:  http://www.neworleanssuperbowl.com/  and http://www.nfl.com/superbowl/47/live/watch-free-live-stream-online

Mardi Gras:  Tuesday, February 12, 2013.  Parades and parties already started!

The city is full of activity with the start of the Mardi Gras celebrations and the arrival of the teams and crowds for the Superbowl!  The Ravens are staying at the Hilton Riverside and the 49ers are at the Marriott on Canal Street.  Check out the story in the last tweet above.  If you are coming to town, don’t forget to check out my restaurant list at:

http://www.donaldpalmisano.com/html/restaurants.shtml

This is a new restaurant I am adding, Annunciation.  It is outstanding.  My surgical partner, Dr. Jim Brown and his wife Pat, recommended this place to me and Robin and I have been there several times.
Annunciation Restaurant
In Warehouse district.  “Updated” Creole style. Excellent.
1016 Annunciation
New Orleans, La.
(504) 568-0245
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4- Media
There was an article today in The Wall Street Journal about employed physicians and unions.  http://online.wsj.com/article/SB10001424127887323375204578270401138739978.html?mod=googlenews_wsj

Fox News (Fox and Friends) called me today and asked me to be on the show tomorrow, Thursday, to comment on the article.  However, because of the activity with the Superbowl, no studios are available locally.  All booked up.  Interestingly also is the limo service Fox uses is completely booked up for transportation to and from studio.  I had planned to point out that the doctor responsibility is to the patient.  Collective bargaining can be of value for employed physicians who are not supervisors BUT the patient can never be held hostage.  I always make the point that my 6 commandments should not be broken:  SEC-C + 2.  Science, Ethics, Compassion, and Courage PLUS – Always do what is in the patient’s best interest, and – Do it with the patient’s informed consent.

http://www.donaldpalmisano.com/html/commencement_address.pdf

Other items can be negotiated but never at the expense of the patient.  Thus I will not be on Fox in morning.  This points out to me the need to move faster with my plans to have a studio set up at home in my attic where I have an office and do my book writing.  With the new high-speed cable Wi-Fi I had installed and the studio microphone I am ordering, it becomes possible to broadcast worldwide using Skype.  I plan to get that technology completed in my attic and then can do media from home.  Innovation is exciting.  It is possible to take a picture of the background where you are seated and then have the computer substitute any other image you want instead as the background.  Thus my attic office can show in the background the Mississippi River bridge: The Crescent City Connection (CCC), formerly the Greater New Orleans Bridge or the Superdome.  Fun!

5- R.I.P. Paul Francis Naccari Jr., MD.  Robin and I attended the funeral today of Dr. Naccari.  He was one of the first physicians in Eastern New Orleans and on the board of Methodist Hospital in the East, the hospital destroyed by Hurricane Katrina.  Our time on Earth is short and physicians spend much of the time caring for patients.  One such physician has left us.  His medical practice partner, Dr. Terry Segura, gave a beautiful eulogy:  Eloquent, organized, and from the heart.

Stay well,
Donald

Some past selected DJP Updates can be found at: www.DJPupdate.com

Donald J. Palmisano, MD, JD

Intrepid Resources® / The Medical Risk Manager Company

5000 West Esplanade Ave., #432

Metairie, LA 70006

USA

504-455-5895 office

504-455-9392 fax

DJP@donaldpalmisano.com

www.donaldpalmisano.com

www.onleadership.us

Twitter:  @DJPNEWS

YouTube: http://www.youtube.com/user/IntrepidResources  Check out the videos.  You can post your views on your own YouTube site.

This DJP Update goes to over 2300 leaders in Medicine representing all of the State Medical Associations and over 100 Specialty Societies plus some other friends.

You can share it with your members and it has the potential to reach 800,000 physicians.

To join the list, send me an  email stating “Join DJP Update”

To get off the list, state ” Remove DJP Update” in subject line.