Digitized by the Internet Archive 2015 in https://archive.org/details/connecticutmedic5616conn Connecticut Medicine The Journal of the Connecticut State Medical Society VOLUME JANUARY NUMBER 56 1992 1 scientific: RobertJ. Schwartz, Lenworth M. Jacobs, Evaluatingthe ComplianceofUniversal Precautions byAeromedical andRichardJ. Juda Personnel Before andAfter an Educational Seminar on Infectious Diseases BernardPercarpio, JeffreyBitterman, Combined Modality Preoperative Therapy for Unresectable KertSabbath, FrancisAlfano, Rectal Cancer RonaldRuszkowski, andJoseph Bowen DanielA. Gerardi, RichardHeilman, 11 Non-Hodgkin’s Lymphoma Presenting with Cardiac Tamponade andMichele Conlon The University ofConnecticut 14 Abstracts: Eleventh Medical Student Research Day Health Center — Epitomes ofProgress 21 ImportantAdvances in Clinical Medicine Otolaryngology/Head and Neck Surgery 5>V STACKS special articles: Clifton R. Cleveland 29 CPR Anthony P. Redmond 31 CMIC/CNA Professional Liability Insurance Premium Structure Comparison Mehdi S. Eslami 33 Connecticut’s Leading Insurer ofPhysicians DrugInfo?rmatio“n Update ^ Collin Freeman 35 Drug Treatment ofInsomnia in the Elderly TheMedicalLetter 39 f0 dArthritiS health sciences LIBRARY E. Tremain Bradley 45 Filially Really? UNIVERSITY OF MARYLAND. BALTIMORE departments: Letter to the Editor TylerCymet 47 The Ten Laws ofSurgery » El 1992 50 YearsAgo 48 What Chance ofa Cure? The President’s Page R&T UK CSC. Anthony P. Redmond 49 A Possible Solution Reflections on Medicine Robert U. Massey 50 Two Hundred Years Old This Year Law, Medicine, andPublic Policy Joseph M. Healey 51 Implementing the PSAD: Substance and Process Over Form i MedicalNews Capsules TimothyB. Norbeck 52 The Month’s Reading in Review CSMS 53 From the ExecutiveD—irectors’s Office House ofDelegates Semi-Annual Meeting TimothyB. Norbeck 56 Address ofthe Executive Director general: 59 CSMS Physician Placement Service 60 Information forAuthors Owned,Published and Copyrighted,©1992 by theConnecticut StateMedical Society CONNECTICUTMEDICINE (ISSN0010-6178), published monthlyat 160St. Ronan St.,New Haven, CT06511 Subscription rateincluded in membership dues.Non-members: $25.00peryear.Second-class postage paid at New Haven, CT POSTMASTER: Send addresschangesto 160St. Ronan St.,NewHaven,CT06511 Our Record Speaks for Itself CMIC became the leading insurer of Connecticut physicians by offering its members a service oriented, competitively priced and financially strong alternative to commercial companies. Medical practice is demanding enough these days you can .... CMIC depend on for security and service. CMIC Call today for more information. CmiC Connecticut Medical Insurance Company 80 Glastonbury Boulevard • Glastonbury, CT 06033 800.228.0287 Established in 1984 by the Connecticut State Medical Society VOLUME JANUARY NUMBER 56 1992 1 scientific: RobertJ. Schwartz, Lenworth M. Jacobs, 3 Evaluatingthe Compliance ofUniversal Precautions byAeromedical andRichardJ. Juda Personnel Before andAfter an Educational Seminar on Infectious Diseases BernardPercarpio,JeffreyBitterman, 7 Combined Modality Preoperative Therapy for Unresectable KertSabbath, FrancisAlfano, Rectal Cancer , RonaldRuszkowski, andJoseph Bowen DanielA. Gerardi, RichardHeilman, 11 Non-Hodgkin’s Lymphoma Presenting with Cardiac Tamponade andMichele Conlon The University ofConnecticut 14 Abstracts: Eleventh Medical Student Research Dav Health Center — Epitomes ofProgress 21 ImportantAdvances in Clinical Medicine Otolaryngology/Head and Neck Surgery STACKS special articles: Clifton R. Cleveland 29 CPR Anthony P. Redmond 31 CMIC/CNA Professional Liability Insurance Premium Structure Comparison Mehdi S. Eslami 33 Connecticut’s Leading Insurer ofPhysicians ^ Drug Information Update Collin Freeman 35 Drug Treatment ofInsomnia in the Elderly The MedicalLetter 39 Drugs forRheiimatoidArthritis u E. Tremain Bradley 45 Finally Really? UNIVERSITY OF MARYUND BALTIMORE departments: Letter to the Editor ^ Tyler Cymet 47 The Ten Laws ofSurgery FES; -14 1992 50 YearsAgo 48 What Chance ofa Cure? The President’s Page KgX UK CSC. Anthony P. Redmond 49 A Possible Solution Reflections on Medicine Robert U. Massey 50 Two Hundred Years Old This Year Law, Medicine, andPublic Policy Joseph M. Healey 51 Implementing the PSAD: Substance and Process Over Form ^ MedicalNews Capsules TimothyB. Norbeck 52 The Month’s Reading in Review CSMS 53 From the Executive D—irectors’s Office House ofDelegates Semi-Annual Meeting TimothyB. Norbeck 56 Address ofthe Executive Director general: 59 CSMS Physician Placement Service 60 Information forAuthors x Owned. Published and Copyrighted, ©1992 bytheConnecticutStateMedical Society CONNECTICUTMEDICINE (ISSN0010-6178),published monthly at 160St. Ronan St.,New Haven, CT06511 Subscription rateincluded in membership dues.Non-members: $25.00 peryear. Second-class postage paid at New Haven, CT POSTMASTER: Send addresschangesto 160 St. Ronan St.,New Haven, CT06511 — TheJournal oftheConnecticutState Medical Society VOLUME FEBRUARY NUMBER 56 1992 2 health sciences library .UNIVERSITY OF MARYLAND scientific: j BALTIMORE William G. Covey andSean Duerr 63 Laparoscopic Chole Nocturnal Hemoglo WAR 16 Mary F. Lachman,Andrew Ricci, Jr., 65 Detection of Occult 1892 CarlA. Pedersen, Richard W. Cartun, Lymph Nodes Using STACKS andKenneth B. Strumpf Epitomes ofProgress 69 Important Advance; REC’D. NOT IN CIRC. ' special articles: Creighton Barker 81 The First Seventy-Five Years ofThe Connecticut State Medical Society Michael T. Kovalchik 87 Theo’s Story George Flesh 89 Why I No Longer Do Abortions The Medical Letter 91 Monoclonal Antibodies for Gram-Negative Sepsis Kenneth R. Dardick 93 Implications of Public Act 91-168 for Connecticut’s Physicians andLauren E. Dardick ConnecticutInfectious Disease Society 97 Position Statement ofthe Connecticut Infectious Disease Society on HIV Infection in Health Care Workers departments: 50 YearsAgo 100 The Law and Planned Parenthood The President’s Page Anthony P. Redmond 101 HCFA’s RBRVS and YOU Reflections on Medicine Robert U. Massey 103 The Healthiest Place in the World slacks Law, Medicine, andPublic Policy Joseph M. Healey 104 Treatment Standards, Futility, and the Wanglie Case MedicalNews Capsules Timothy B. Norbeck 105 This Month’s Reading in Review S. Steven WoIfson 106 Commission on Victim Services Letters to the Editor Sidney Vernon 107 The Benefits of Hyperventilation Herbert S. Hoffman The Interaction ofLovastatin and Warfarin CSMS Council 108 From the Executive Director’s Office general: 111 CSMS Physician Placement Service Owned, Published and Copyrighted, ©1992 by the Connecticut State Medical Society CONNECTICUTMEDICINE(ISSN0010-6178), published monthlyat 160St. Ronan St.,NewHaven. CT06511 Subscriptionrateincluded in membership dues.Non-members: $25.00 peryear. Second-class postage paid atNew Haven, CT POSTMASTER: Send addresschangesto 160St. Ronan St.,NewHaven, CT06511 ! VOLUME MARCH NUMBER 56 1992 3 scientific: Jose Missri andDaniel Goodfield 115 Transesophageal Echocardiography: A Clinical Perspective RobertK. Watson and 125 Treatment Outcome ofSleep Apnea . l Siobhan Thompson STACKS special articles: , CharlesJ. Bartlett 131 Medical Licensure in Connecticut > i Sultan Ahamed and GerhardHaas 139 Analysis ofLawsuits Against General Surgeons in Connecticut During the Years 1985 to 1990 HEALTH SCIENCES LIBRARY UARs6Mndal1Curtls 143 A Job Well Done? UNIVERSITY OF BALTIMORE James W.Loy 147 It’s the Little Things That Build a Practice — m SpecialAlert AllMedical Practices 149 OSHA Bloodborne Pathogens Standard: APR 13 Universal Precautions Mandatory! l^irtmentS: RECTO, NOT 50 YearsAgo 159 The Diagnosis and Treatment ofHysterical Paralyses by the — Intravenous Administration of Pentothal Sodium Case Reports The President’s Page Anthony P. Redmond 161 The Many Many Medical Societies Reflections on Medicine Robert U. Massey 163 Before CSMS Law, Medicine, andPublic Policy Joseph M. Healey 166 Futility, Shared Decision Making, and the Doctor-Patient Relationship MedicalNews Capsules Timothy B. Norbeck 167 This Month’s Reading in Review Letters to the Editor HenryN. Blansfield 169 Opiate Dependent Patients EdwardJ. Volpintesta 170 Essay on Our Times William P. Arnold, Jr. 170 Do Physicians Have Mutual Interests? From the Executive Director’s Office CSMS 171 Council Minutes general: 160 In Memoriam 174 Around the State 175 CSMS Physician Placement Service IBC Information forAuthors Owned, Published and Copyrighted, ©1992 by the Connecticut State Medical Society CONNECTICUTMEDICINE (ISSN0010-6178), published monthly at 160St. Ronan St., New Haven, CT06511 Subscription rateincluded in membership dues. Non-members: $25.00 peryear.Second-class postage paid at NewHaven,CT POSTMASTER: Send addresschangesto 160 St. Ronan St.,New Haven, CT06511