SCMA News Briefs
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Recommendations for Use of Influenza Antiviral Medications
By Dep. Health Officer Mark Netherda, MD
February 2009
Sonoma County and throughout the United States to date, preliminary data from a limited number of states indicate
TOP STORY
that the prevalence of influenza A subtype
medication oseltamivir (Tamiflu) is high. Therefore, CDC is issuing interim
SCMA NEWS
and chemoprophylaxis of influenza during
When influenza A (H1N1) virus infection or exposure is suspected, zanamivir
(Relenza) or a combination of oseltamivir
options than oseltamivir alone. Most labs
in Sonoma County, including the Public Health Department, do not differentiate
LOCAL MEDICAL NEWS
influenza virus (e.g., H1N1 vs. H3N2). The
CDC will update their recommendations as more information is gained through
Both (1) people providing medical care for
patients with suspected influenza and (2)
people who are candidates for chemoprophylaxis against influenza
STATE AND NATIONAL NEWS
* Medi-Cal Claims with Patient SSNs Will
Consider use of influenza tests that can
distinguish influenza A from influenza B.
Patients testing positive for influenza B
RESOURCES
zanamivir (no preference) if treatment is indicated.
APPLICANTS
People who are candidates for chemoprophylaxis should be provided with medications most likely to be effective
SCMA News Briefs - February 2009 - Page 1
their findings to the Board of Supervisors
during institutional outbreaks should be obtained and sent for testing to determine
Physician Directory Set for Delivery
viruses associated with the outbreak and
Directory published by SCMA is back from
the printer and will be delivered to all
members free of charge in the first week
require chemoprophylaxis due to exposure
of February. This year’s directory includes
detailed specialty and contact information
alphabetical listings and specialty indexes
local/regional data suggest a prevalence
of H1N1 activity. Rimantadine can be used
if zanamivir use is contraindicated. People
ordered at www.scma.org or by contacting
or influenza B should receive oseltamivir
www.cdc.gov/flu/professionals/antivirals/i
two-thirds of the practicing physicians in
Sonoma County. For more information on joining SCMA, visit www.scma.org.
SCMA Board Reaffirms Position Volunteer Needed for SCMA Health Statement on Sutter Proposal Careers Scholarship Committee
In response to Sutter’s latest proposal to
SCMA needs a physician volunteer for its
SCMA board of directors has reaffirmed an
earlier position statement that emphasizes
The statement says, in part, that SCMA’s
patients will continue to have access to care and to their physicians. We continue
Nominations Needed for SCMA Elections
SCMA’s position statement is among many
of Health Services is analyzing in response to Sutter’s proposal, including those
received at public hearings on Jan. 13 and
14. DHS officials are expected to report
from Healdsburg (1), Petaluma (1), and Santa Rosa (2)
SCMA News Briefs - February 2009 - Page 2
Center, 547 Mendocino Ave. Panelists include Drs. Richard Quint and Claudia
commitment, beginning July 1. Nominations can be e-mailed to
Obama Community Discussion Group Recommends Finance Reform
On Dec. 30, nearly 50 local physicians and
Biden Transition Project. According to a
For more details, contact Cynthia Melody
RCHC and Health Action, the group identified financing as the biggest problem
“The health care financing model is the
underlying problem in the system,” the
Local Health Groups Can Apply for
group concluded, “because it is wasteful,
PFMC Community Grants
does not provide equal access to care, and
Nonprofit health organizations in Sonoma
does not reflect a value of health care as a
civil right equal to education and public
Foundation for Medical Care. The grants,
foundation to support local projects that
similar groups around the country, will be
considered as part of a health care reform
round of grants is April 1. For application
materials, contact Marilyn Flowers at 800-
548-7677, Ext. 120, or [email protected].
For more information, visit www.pfmc.org.
BBR Needs Blood Donations
Blood Bank of the Redwoods’ blood supply
Meetings on Health Care Reform Set for Feb. 11 and 21
They are in great need of blood donors for
reform will be held in Santa Rosa during
2324 Bethards Dr., Santa Rosa. The office
Newly elected county supervisors Shirlee
Zane and Efren Carrillo will host a Feb. 11
forum on the role of county government in
Building, 1351 Maple Ave. To RSVP, contact [email protected].
On Feb. 21, Dr. John Shearer will moderate a discussion of single-payer plans from 3 to 4:30 p.m. at the Glaser
SCMA News Briefs - February 2009 - Page 3
Medi-Cal Claims with Patient SSNs
advocacy efforts and will not be used in a
Will Be Denied as of Feb. 1
longer bill Medi-Cal or the Child Health
identifiers. All providers must use the 14-character Medi-Cal identification number
from recipients’ Benefits Identification
CME Events at Sonoma Developmental
consists of a 9-digit client index number, a check digit, and a 4-digit issue date. (The
issue date is used to deactivate cards that
February. Both are scheduled for McDougall Hall from 1 to 2 p.m.
The only exemption to this rule is for Medicare crossover claims. Physicians may
continue to bill Medicare crossover claims
David Gray will discuss ICD-9 coding. On
Feb. 26, Dr. Gopa Green will discuss renal
number as it appears on beneficiaries’
osteodystrophy. For details, call JoAnne
Physicians are also urged to use Medi-Cal
Charles Amezcua, MD
patient’s permission) use a SSN to verify
eligibility via the Medi-Cal Eligibility
Santiago Centurion, MD Dermatology Physicians Urged to Complete Balance Billing Survey on CMA Website
impact of the recent ban on balance billing
the Department of Managed Health Care’s
Julie Clark, MD
regulation defining balance billing as an
“unfair billing pattern.” CMA also is
The survey is located on the home page of the CMA website at www.cmanet.org.
SCMA News Briefs - February 2009 - Page 4
Randall Hrabko, MD Regina Sullivan, MD Daciana Iancu, MD Michael Tsao, MD Francesca Manfredi, DO Jamie Weinstein, MD
Margaret Marquez, MD
The Sonoma County Medical Association, a
501(c)(6) nonprofit association, supports
Founded in 1858, SCMA is affiliated with
David Pastran, MD
the California Medical Association and the
Carina Quezada, MD Pediatrics 3925 Old Redwood Hwy. Santa Rosa 95403 393-4000 Fax 566-5292 Univ Southern California 1994 Mitchell Savitsky, MD Emergency Medicine 401 Bicentennial Way Santa Rosa 95403 393-4000 Fax 393-4741 George Washington Univ 1978
SCMA News Briefs - February 2009 - Page 5
June 11, 2011 Bale/Doneen Thoughts – Pioglitazone (Actos) and Bladder Cancer The French drug regulatory authority (AFSSAPS) has called a halt to all formal marketing of pioglitazone (Actos) and is recommending that physicians should not prescribe any more drugs containing pioglitazone. They have made these statements based on a signal that pioglitazone may be associated with a small
Degenerative Joint Disease and Your Pet Degenerative joint disease (DJD), also known as arthritis or osteoarthritis, is a progressive deterioration of joint cartilage resulting in inflammation and irreversible changes in the joints. DJD can affect cats and dogs, males or females of any age or any breed. Two broad classes of DJD are primary and secondary. Primary DJD is believed to be a result