Gracy Woods I Nursing Home v. Martha Mahan, as the Representative of the Estate of Mary Rivera

ACCEPTED 03-15-00596-CV 8332526 THIRD COURT OF APPEALS AUSTIN, TEXAS 12/21/2015 4:56:48 PM JEFFREY D. KYLE CLERK NO. 03-15-00596-CV FILED IN IN THE THIRD COURT OF APPEALS 3rd COURT OF APPEALS AUSTIN, TEXAS AUSTIN, TEXAS 12/21/2015 4:56:48 PM JEFFREY D. KYLE Clerk GRACY WOODS I NURSING HOME APPELLANT v. MARTHA MAHAN, AS THE REPRESENTATIVE OF THE ESTATE OF MARY RIVERA APPELLEE ON INTERLOCUTORY APPEAL FROM THE 250TH JUDICIAL DISTRICT,' TRAVIS COUNTY, TEXAS APPELLEE'S BRIEF Jack Modesett, III Texas Bar No. 14244337 Walter V. Williatns Texas Bar No. 21584800 MODESETTWILLIAMS, PLLC 515 Congress Avenue, Suite 1650 Austin, Texas 78701 512-472-6097- Telephone 512-481-0130- Telecopier j ack@modesettlaw .cotn ATTORNEYS FOR APPELLEE ORAL ARGUMENT REQUESTED IDENTITIES OF PARTIES AND COUNSEL Pursuant to Tex. R. App. P. 38.1(a), Appellee cetiifies that the following is a complete list of all parties to this litigation and the names and addresses of all counsel. Party Appellate Counsel Trial Counsel Grace Woods I E1nily J. Davenpoti Emily J. Davenport Nursing Home, Janice Byington Janice Byington Appellant Reed, Claymon, Meeker & Reed, Claymon, Meeker & Hargett, PLLC Hargett, PLLC 5608 Parkcrest Dr. Suite 5608 Parkcrest Dr. Suite 200 200 Austin, Texas 78731 Austin, Texas 78731 edavenport@rcmhlaw.com edavenport@rcmhlaw.com jbyington@rcmhlaw.com jbyington@rcmhlaw.com Martha Mahan, as Jack Modesett, III Jack Modesett, III the Representative Walter V. Williams Walter V. Williams of the Estate of ModesettWilliams, PLLC ModesettWilliams, PLLC Mary Rivera, 515 Congress Ave., 515 Congress Ave., Appellee Suite 1650 Suite 1650 Austin, Texas 78701 Austin, Texas 78701 jack@modesettlaw.com j ack@modesettlaw.com walter@modwill.com walter@modwill.com 1 TABLE OF CONTENTS IDENTITY OF PARTIES AND COUNSEL .................................................... i TABLE OF CONTENTS ................................................................................ ii TABLE OF AUTHORITIES ......................................................... .iv ABBREVIATIONS OF RECORD REFERENCES ......................................... vi APPENDIX ..................................................................................................... vii STATEMENT OF THE CASE ....................................................................... viii COURSE OF PROCEEDINGS AND DISPOSITION ................................... viii STATEMENTREGARDINGORALARGUMENT........................................ 1 STATEMENT OF JURISDICTION ................................................................. 1 ISSUES PRESENTED ...................................................................................... 1 STATEMENT OF FACTS ................................................................................ 2 SUMMARY OF ARGUMENT ......................................................................... 4 ARGUMENT AND AUTHORITIES ................................................................ 5 I. STANDARD OF REVIEW ................................................................. 5 II. DR. LIPSON IS QUALIFIED ............................................................. 5 A. Summary ofDr. Lipson's Qualifications ............................... 6 B. Dr. Lipson is Qualified to Offer Causation Opinion ............. 9 C. Dr. Lipson is Qualified to Offer Opinions on Standard of Care and Breach ................................................ 18 11 III. THE REPORT IS A GOOD FAITH EFFORT TO COMPLY WITH CHAPTER 74 ................................................. 21 A. Summary of Dr. Lipson's Report ........................................ 21 B. The Report is Sufficient as to Breach and Causation ......... 28 CONCLUSION AND PRAYER ..................................................................... 32 CERTIFICATE OF SERVICE ....................................................................... 33 CERTIFICATE OF COMPLIANCE .............................................................. 34 111 NO. 03-15-00596-CV IN THE THIRD COURT OF APPEALS AUSTIN, TEXAS GRACY WOODS I NURSING HOME APPELLANT v. MARTHA MAHAN, AS THE REPRESENTATIVE OF THE ESTATE OF MARY RIVERA APPELLEE ON INTERLOCUTORY APPEAL FROM THE 250TH JUDICIAL DISTRICT, TRAVIS COUNTY, TEXAS APPELLEE'S BRIEF Jack Modesett, III Texas Bar No. 14244337 Walter V. Williatns Texas Bar No. 21584800 MODESETTWILLIAMS, PLLC 515 Congress Avenue, Suite 1650 Austin, Texas 78701 512-4 72-6097- Telephone 512-481-0130- Telecopier jack@tnodesettlaw.cotn ATTORNEYS FOR APPELLEE ORAL ARGUMENT REQUESTED whether S.B. had been raped. Timberlawn's arguments are best summarized in the conclusion and prayer set forth in its brief: [Levine] did not and/ or could not express an opinion, based on his education, training or experience, that [S.B.] was sexually assaulted or raped. [S.B.' s] expert did not nor could not articulate facts to support any opinion that [Timberlawn' s] alleged breaches in the standard of care proximately caused [S.B. 's] alleged sexual assault or rape. [S.B. 's] expert has not shown himself to be qualified to render an opinion that [S.B.] was sexually assaulted or raped or that the alleged breaches in the standard of care proximately caused [S.B. 's] sexual assault or rape. Thus, the premise of Timberlawn's arguments is that unless S.B. can present the report of a qualified expert opining that S.B. was actually raped, her expert report( s) cannot identify the alleged causal relationship between Timberlawn' s actions or omissions and S.B.' s alleged injuries, as required by section 74.351(r)(6). We reject this premise. In some healthcare liability claims, the ((injury, harm, or damages claimed" flow from the existence of a medical condition that itself resulted from the breach of the applicable standard of care. In such cases, identifying the causal relationship between the alleged breach of the standard of care and the resulting harm involves not only an explanation as to how the standard of care was breached, but also how the breach gave rise to the new, deleterious medical condition. Similarly, other healthcare liability claims may allege that a breach of the applicable standard of care exacerbated a pre-existing medical condition, or hindered or prevented the effective treatment of such a condition. Identifying the ((breach/injury" causal relationship in these cases may well require an expert to opine as to the existence, extent, and prognosis of the pre-existing medical condition, as well as how the alleged breach of the standard of care aggravated such a condition, impeded or prohibited its treatment, and otherwise affected the patient's prognosis. However, S.B. 's claim is different. S.B. alleges that, as a result of Timberlawn's failure to meet the applicable standards of care 11 ABBREVIATIONS AND RECORD REFERENCES Abbreviations: Appellee will be referred to as "Appellee", "Mahan" or "Ms. Rivera." Appellant, Gracy Woods I Nursing Home will be referred to as "Appellant" or "Gracy Woods." Record References: References to the Clerk's Record are in the form of "CR " References to the Clerk's Supplemental Record are in the form of"Supp. CR_." References to the Reporter's Record are in the form of"RR_." References to the Appendix items attached to the Brief are in the form of "App._." Vl APPENDIX Report of Loren Lipson, M.D. with exhibits 1 .......................................... Appendix 1 1 Appellant's Appendix 5, "Report of Loren Lipson, M.D." does not contain all of Dr. Lipson's referenced exhibits. Vll STATEMENT OF THE CASE Appellee is satisfied with Appellant's statement of the case. Tex. R. App. P. 38.2(a)(l )(B). COURSE OF THE PROCEEDINGS AND DISPOSITION Appellee is satisfied with Appellant's Course of Proceedings. Tex. R. App. P. 38.2(a)(l)(B). Vlll NO. 03-15-00596-CV IN THE THIRD COURT OF APPEALS AUSTIN, TEXAS GRACY WOODS I NURSING HOME APPELLANT v. MARTHA MAHAN, AS THE REPRESENTATIVE OF THE ESTATE OF MARY RIVERA APPELLEE ON INTERLOCUTORY APPEAL FROM THE 250TH JUDICIAL DISTRICT, TRAVIS COUNTY, TEXAS APPELLEE'S BRIEF Jack Modesett, III Texas Bar No. 14244337 Walter V. Williatns Texas Bar No. 21584800 MODESETTWILLIAMS, PLLC 515 Congress Avenue, Suite 1650 Austin, Texas 78701 512-4 72-6097- Telephone 512-481-0130- Telecopier jack@tnodesettlaw.cotn ATTORNEYS FOR APPELLEE ORAL ARGUMENT REQUESTED STATEMENT REGARDING ORAL ARGUMENT Appellee requests oral argument pursuant to TEX. R. APr. P. 39.1 and respectfully submits that oral argument would aid the Court in determining the legal and factual issues presented in this appeal. STATEMENT OF JURISDICTION Appellee is satisfied with Appellant's Statement of Jurisdiction. Tex. R. App. P. 38.2(a)(1)(B). ISSUES PRESENTED Appellee is satisfied with Appellant's statement of the Issues Presented. Tex. R. App. P. 38.2(a)(1)(B). 1 STATEMENT OF FACTS On November 8, 2013, 78 year-old demented Mary Rivera was sexually assaulted in her room, while a resident at Appellant's nursing home facility. (CR 17.) The rape occurred after regularly scheduled events at the nursing home during which alcohol was served. (CR 17.) Mrs. Rivera's daughter, Martha Mahan, had previously complained to the facility that younger male residents had behaved inappropriately towards Mrs. Rivera. Appellant took no action. (CR 17.) Early in the morning of November 9, 2013, Mahan went to visit her mother in the nursing home. Mrs. Rivera was distressed. Mahan noted broken glass on the floor of her room. When she took her mother to the bathroom, Mrs. Rivera attempted to urinate standing up, which was unusual. Mahan also found a wad of bloody rags in Mrs. Rivera's trashcan. (CR 17-18.) Mahan showed this evidence to nursing home employees, who destroyed it. (CR 17-18.) Ultimately, Mrs. Rivera was taken to St. David's Medical Center where a Sexual Assault Nurse Examiner (SANE) performed a post-rape examination. (CR 18, 92, 100.) This SANE nurse found bruising to posterior fourchette and periurethral areas of Mrs. Rivera's vulva as well as bruising on her posterior vaginal wall. (CR 18, 94, 100.) According to the SANE nurse, this definitively indicated penetration of the female sexual organ. (CR 18, 94, 100.) 2 j. Unive~·sity of Southe111 California S¢l:Cool of Medicine~ Los Angeles? California; Chie~ Dlvlsion of Gerlatdo Medicine· jn the DepartJ;ne11t ofMedlcinej January 19&4- 2005. k. University of Southern Califotnhh Los Angeles~ Califot:nia~ Associate Professot of' Gerontology, L~onard Davis School of Gerontology~ Ethel Percy An.drus Gerontology Center~ Januaty 1984 ,_ Septetnber 2006. 1. University of Southern CalifomiaJ Los Angeles,· California; Assooiate Professor cf Clinical Pharmacy, U.S.C7 Sohool of Pharmacy~ October 1989 .... September 2006~ m. Los Angeles County/University of Southe:n1 California Medical Center~ Los Angeles, California; Staff Physloia11 in Medioinej (Oeriatdo Medicine), 1984..2004. u, Sabbatioal Leave> Harvard Medical School~ Boston, Massachusetts~ Dlvisio11 of Agingt John A. Hartfol'd Seniol' Scholar in Gerlatdc Medicine-~ 19 84- 1985. o. B:dghant & Women~s Hospital, Boston,. Massaohusetts; Clinioal Fellow in Medioine (Oer!atrio Medicine)~ 1984 ..1985. p 4 :Beth Israel I-iospital~ Boston~ Massachusetts; Clinical Fel~ow in Medicine (Ge:dai1'lc Ivfedioine), 1984 .... 1935 q. University of Southern California, Los Angeles~ California; Senior Research Associate; Getontology Research Institute; Ethel Percy Andrus Gerontology Cente1~ 1985 .-.. 1989. r. University of Southern. California., Los Angeles~ California; Fellow Institute of Advance Study, Ethel Percy Andtus Gerontology Center, 19B5 . . . 1987. $. University of Southern California University Hospital, Los A11geles~ California; Chief of Geriatric Medicine~ 1991.. 2005 University of Southern California . . . School of DentistJ:y - Associate Professor of Medical Dentistry and Public HealthJ 1994 i -September 2006. I u. Unlversity of Sottthem California~ School of Independent Health _Professionals - Associate Professor o:f Oocupa.!ional Science and Oooupational Therapy~ 1998~ S~ptember 2006. I l I I I I I J ·-·--· ----·----,---,--··-·~-------·- --- -····-·····-·----··-·-----:-- ··--· ··--·{:·· i .. D ' '\,! • j 'i J .• ~~-. . . J APPENDIX 1 SUMMARY OF THE ARGUMENT A smattering of citations to black letter law belie what Appellant's Brief really appears to be: a cut-and-paste boilerplate appeal of an adverse ruling on a Section 74.351 motion to dismiss. Appellant challenges the qualifications of an expert eminently qualified on nursing home healthcare, and argues that a detailed and comprehensive export report somehow fails to meet the "good faith" standard. Appellant largely ignores both the level of detail of Dr. Lipson's report, as well as his unassailable CV. Dr. Lipson is the expert that the U.S. Department of Justice, U.S. Department of Health and Human Services, the Office of the Inspector General, and the states of Alaska, California, and New Mexico have turned to regarding geriatric medicine, elder abuse, and long term care of the elderly. He is quite possibly the most qualified expert in the country on these issues. His report details his background, the facts and documents that form the basis of his opinion, the applicable standard of care, specifically what Appellant should have done but failed to do, breach, causation, and the resulting injury. His report certainly meets the "good faith" standard, as the trial court correctly determined. The trial court's determination was not an abuse of discretion-- it was in no way "an arbitrary or unreasonable [act] without reference to any guiding rules or principles" -- and it should be affirmed. 4 ARGUMENT AND AUTHORITIES I. STANDARD OF REVIEW A trial court's order granting or denying a motion to dismiss filed under Section 74.351 of the Texas Civil Practices and Remedies Code is reviewed under an abuse of discretion standard. Hendrick Med. Ctr. v. Texas Podiatric Med. Ass'n, 392 S.W.3d 294, 296-97 (Tex. App.-Eastland 2012, no pet.); Bowie Memorial Hasp. v. Wright, 79 S.W.3d 48, 52 (Tex. 2002); Am. Transitional Care Ctrs. v. Palacios, 46 S.W.3d 873, 875, 877-78 (Tex. 2001 ). An abuse of discretion occurs if the court acts in an arbitrary or unreasonable manner without reference to any guiding rules or principles. Wright, 79 S.W.3d at 52. A court of appeals may not substitute its own judgment for the trial court's judgment. !d. II. DR. LIPSON IS QUALIFIED Appellant complains that Dr. Lipson is not qualified under TEx. CN. PRAC. & REM. CODE § 74.402 (be a healthcare provider or consultant in "same field" as a defendant, knowledge of the standard of care and qualified on basis of training or experience) and § 74.403 (i.e., be a physician and be otherwise qualified). Dr. Lipson is a nationally prominent physician, professor, lecturer and consultant in geriatric medicine, abuse of the elderly and related topics. Dr. Lipson's qualifications are extensive; he may be the most qualified expert in the country and is the one the U.S. Department of Justice and the U.S. Department of 5 Health and Human Services retain when they need expertise in this area. He is qualified under both TEX. CIV. PRAC. & REM. CODE §74.402 and §74.403. A. SUMMARY OF DR. LIPSON'S QUALIFICATIONS 1. Educational Background in Geriatric Medicine Dr. Lipson is a graduate of UCLA and The John Hopkins University School of Medicine. (See Dr. Lipson's CV, CR 24-67 1). Dr. Lipson did his internship and residency at The John Hopkins Hospital. Dr. Lipson has fellowships from Harvard (Geriatric Medicine), Beth Israel Hospital (Gerontology), Brigham-Women's Hospital (Gerontology), Hebrew Rehabilitation Center (Geriatric Medicine) and John Hopkins (Clinical Fellow) among others. Id. 2. Certification in Geriatric Medicine He is boarded in Internal Medicine and Quality Assurance and Utilization Review and holds a Certificate of Expertise in Geriatric Medicine from the American Board of Internal Medicine. Quality assurance is the study and implementation of improvements to care provided, in Dr. Lipson's case, for the elder population in both the nursing home and hospital setting. I d. 3. Twenty-Seven Academic Appointments in Geriatric Medicine Dr. Lipson has received twenty-seven academic appointments to include John Hopkins, Harvard Medical School (Scholar Geriatric Medicine), 1 Appendix 1 to Appellee's Brief. 6 Massachusetts General Hospital, USC (Associate Professor-Geriatric Medicine), USC (Chief-Division of Geriatric Medicine), Brigham-Women's Hospital (Geriatric Medicine), Beth Israel (Geriatric Medicine), USC (Gerontology Research Institute) and University of Alaska (Geriatrics). His teaching responsibilities include USC-Fellowship Program-Geriatric Medicine, USC- Development and Improvement of Geriatric Medical Curriculum, USC-Steering Committee-Pacific Geriatric Education Center, and USC-Ethel Percy Andrus Gerontology-Director and lecturer. His teaching responsibilities at the University of Alaska also include Director-Care of Elderly, Co-Director in Geriatric Education and Faculty Consultant to Geriatric residents. !d. 4. Geriatric Administrative Positions, Including Directorships Dr. Lipson has further served in numerous administrative positions to include Chief of Division Geriatric Medicine, Senior Staff Physician-Geriatric Programs, Director of the USC Ambulatory Health Center Japanese Retirement Homes, Director-Geriatric Medicine VA Clinic, Director of USC Teaching Nursing Home Program, Director of Senior Cancer Center, Director of Senior Care Program-USC, Co-Director-Adult Protective Team-Geriatric Medicine Program- LAC/USC, Medical Director-Alaska Geriatric Education Center and Medical Director National Resource Center for Studies in Native American, Alaskans and Hawaiian Elders, University of Alaska. !d. 7 5. Geriatric Consultancies: Boards, Program Development His public service includes Consultant-Geriatric Medicine-State of Alaska, Board of Directors, California Association of Medical Directors, and Task Force on Elder Abuse, City of Los Angeles. I d. Dr. Lipson's consultancies include Geriatric Medicine-Silverado Senior Living Centers, Geriatric Medicine-Glendale Adventist Medical Center, Geriatric Program Development-Bay Shores Medical Group, Geriatric Program Development-San Dimas Community Hospital, Geriatric Program Development and Long Term Care-The Motion Picture & Television Home, Long Term & Geriatric Medicine- State of Califo1nia, Elder Abuse & Geriatric Medicine - State of California, Office of the Attorney General, Long Term Care, Elder Abuse and Geriatric Medicine-State of California-Office of the Attorney General - Medicaid Fraud, Geriatric Medicine and Elder Abuse-State of New Mexico, Geriatric Medicine and Elder Abuse-United States of America- Department of Justice, and Long Term Care, Geriatric Medicine and Elder Abuse-United States of America-Department of Health and Human Services- Office of the Inspector General. I d. 6. Lectures on Elder Abuse: Washington U; Harvard; Stanford; Yale; Brown; Baylor, etc. Dr. Lipson has lectured all over the country on issues involving geriatrics, long term care, and elder abuse. The lectures include Washington University, 8 Harvard, Yale, the University of New Brunswick, the University of Florida, Stanford, University of Pittsburgh, University of Hawaii, University of California San Francisco, Brown, University of Nevada, University of Guam, ICansas University, Baylor, Chicago Medical College, University of Oklahoma, University of Colorado, University of l(entucky, University of Utah, Southern Illinois Medical School, Allegheny Medical School, University of Arizona as well as many others. ld. Dr. Lipson has published numerous peer-reviewed articles, book chapters and monograms dealing with the care of the elderly. ld. B. DR. LIPSON IS QUALIFIED TO OFFER CAUSATION OPINION 1. Dr. Lipson Does Not Need to "Diagnose" the Sexual Assault Mrs. Rivera's daughter found her crying and confused, in pain, with a pile of bloodied tissues in the trashcan and broken Christmas decorations on the floor of her room. (CR 73-74.) Ms. Mahan noticed her mother appeared to be in pain and urinated while standing up, which was very unusual, and ultimately took her to St. David's Hospital. (CR 74.) Mrs. Rivera was examined by a Sexual Assault Nurse Examiner (SANE nurse), who found specific evidence of vaginal trauma; she had bruising to both the front of the vagina as well as the posterior of the vaginal wall. (CR 98, 100.) The SANE nurse concluded that her exam "definitively indicate[s] 9 penetration of the female sexual organ." (CR 100.) She recommended that Mrs. Rivera have an HIV and other STD tests conducted. (CR 78.) Appellant strangely treats sexual assault as a disease to be diagnosed and treated. Appellant argues that Dr. Lipson is not qualified to issue opinions about whether Mrs. Rivera was sexually assaulted because his report does not show "that he has ever examined a patient for sexual assault, diagnosed a patient with sexual assault, or treated a patient for sexual assault." (Appellant's Br. at 12.) In a health care liability case resulting from a patient's sexual assault by another patient while under the defendant's care, there is no requirement that the expert opine that the victim was sexually assaulted. UHS of Timber/awn, Inc. v. S.B. ex rei. A.B., 281 S.W.3d 207, 211-13 (Tex. App.-Dallas 2009, pet. denied). In UHS of Timber/awn, Inc., the Dallas Court of Appeals rejected the identical argument Appellant makes - nearly verbatim - here. Timberlawn asserts Levine's revised report and curriculum vitae do not establish he is qualified to render an opinion as to causation, and the revised report is inadequate and conclusory as to that issue. These arguments all flow from Timberlawn's position disputing whether S.B. was, in fact, raped. Timberlawn contends that, absent a statement in Levine's revised report (presumably based on all reasonable medical probability) that S.B. was in fact raped, Levine's revised report fails to identify the {(causal relationship between [Timberlawn' s actions] and the injury, harm, or damages claimed." See TEX. CIV. PRAC. & REM.CODE ANN.§ 74.351(r)(6). Timberlawn argues Levine did not opine, nor did he show he was qualified to opine, as to 10 1/1. Normal Aging vs. Disease. Symposhtm on Geriatric Medicine. Annenberg Centerl Rancho Mirage. Californi~ 2/202. 172. Medications in the Eldedy, Memorial Lecture Series, Outpatient Department, Veterans Administration~ Los Angeles, California, 2/26/0'2. 173. Life Style Redesign in Elder Ca:ro. zua Annual North- Ame.dcan Forum on Women's Health! Anah~im~ California} 3/1/02. 174. Dementia in the Elderly. Memorial Looture Series, Outpatient Department~ Vetet·ana Adminfstra.tto:n, Los Angeles:. California; ::l/12/02. 175. Diabetes in the Elderly. Endocrine Orand Rounds, Harbor General Hospital, Torranoe, California, 4/l/0/2. 176. Medications in the Elderly. Mtllll..lecture series~ Co1111'riissloh on Aging~ I" ,, ~f ' • ., .. State of Alaska, Anchorage and Fairbanks,' 4112/02.. 4/26/02. 177. Treatment (!f l)aiti in. the. Elderly. Care o£ the Eldei'ly Cortfereno~\ Univel'sity of Alaska~ Sitka Sitka, Alnska~ 9/19/02. 178. Treatment of Cardiovascular Risk Factors in the Elderly. Care of the Eldetly Conference~ University of Alaska> SitkaJ. Alaska 9/19/02. 179. Special Issues in Long Tenn Cat·~, Assessment and Evaluation of the Artcho:rage Plorteers' Home; Anchorage~ Alaska, 12!10~12/14/02. 180. Identification and Treatment of Cardiovascular Risk Factors in 'lhe Elderly - A symposium Montgomery Cardiology · Programs. Montgotnety~ Alabama> 3/2l/03~ I ••• un. Me4ications in the Eldel'ly, Multi..lecture serlesj Connnission,on Aging> State of Alask~ Anchotage and Fairbanksi 4/23 ..4/26/03. 182. Assess1nent of Mental Competency and Discussion of an Elder Abuse Case. Symposium on Eldet Abuse) Departtnent of Justice .... Bureau of Medi~Cal Praud and Bldet Abus~~ Squaw Valley; California, 5/27~-5/30/03. 183. Medications in the Elderly. Multi-lecture series, Commission on. Aging, State of Alt'\ska;,Juneau and K6tchU~JUl, 6127-6129i03. i84. De1nentla in the Elderly: Medications in the Elderly. Csx~ of the Elderly Conference~ University ofAlask~ Sitk~ Sitka~ Alask~ 9/18w9/19/03. 18S. Demerttiay Gerlatdc Symposium:.... St. Mmy~s Hospital and Soan, tong Beach, CaUfonlia; 10/4/03. i I i ~: ! - ......·-----:- ·~--;-~*'--.~., .•- ------ ~..t..... ~~·-···-·----18-. ·-""--·-·· -··-···-.. ·-.......... · · "· ,- - ·- - . --.----·------·--·-----.._. ___,____,_~--~. - -1--- . ! "'". ..,. A • l APPENDIX 1 51 I relevant to its treatment of her, she was raped. Rape is not a medical condition. It is an assault. Moreover, rape may-or may not-be accompanied by medically ascertainable evidence of physical trauma, or even physical evidence that it occurred. Medical evidence of an alleged sexual assault is not required even in criminal prosecutions; the rule in Texas is that ((penetration may be proven by circumstantial evidence." See Villalon v. State, 791 S.W.2d 130, 133 (Tex.Crim.App.1990) .... We decline to hold that in order to identify the causal relationship between Timberlawn 's actions and S.B. 's claimed injury, see TEX. CIV. PRAC. & REM.CODE ANN.§ 74.351(r)(6), she was required to proffer an expert report opining that she was in fact raped. Thus we reject Timberlawn's arguments that the trial court erred in not dismissing S.B.'s claim because: (1) Levine's report did not show him to be qualified to render an opinion on whether S.B. was in fact raped; and (2) because Levine's report did not render an opinion on that issue. UHS of Timber/awn, Inc. v. S.B. ex rei. A.B., 281 S.W.3d 207,211-13 (Tex. App.- Dallas 2009, pet. denied) (emphasis added). Sexual assault is not a disease, and this is a case about negligence in nursing home health care, not gynecology; Mrs. Rivera was injured as a result of Appellant's multiple failures in protecting her from sexual assault. The Court's inquiry should focus on whether the expert has the "knowledge, skill, experience, training or education regarding the specific issue before the Court which would qualify the expert to opine on a particular subject." Tenet Hasp. Ltd. v. Love) 347 S.W.3d 743, 749-50 (Tex. App.- El Paso 2011, no pet.) The specific issue before the court is the nursing home's breach of its duty to protect its patient from sexual assault, despite being put on notice of a prior sexual assault and inappropriate 12 behavior towards Mrs. Rivera by males at the facility. See Diversicare Gen. PartnerJ Inc. v. Rubio, 185 S.W.3d 842, 850 (Tex. 2005) (involving sexual assault by another resident; nursing home is obligated to protect "the patient population from harming themselves and each other"). 2. Dr. Lipson Properly Relies on the Medical Records and Exa1nination by Sexual Assault Nurse Examiner Appellant argues that Dr. Lipson is not qualified to offer causation opinions under TEX. Crv. PRAc. & REM. CODE § 74.403(a). Under Section 74.403(a), "a person may qualify as an expert witness on the issue of causal relationship between the alleged departure from accepted standards of care and the injury, harm, or damages claimed only if the person is a physician and is otherwise qualified to render opinions on that causal relationship under the Texas Rules of Evidence." Dr. Lipson is a physician. CR 15.2 He is also qualified to render opinions on that causal relationship under the Texas Rules ofEvidence. 3 Appellant suggests that Dr. Lipson may not rely upon the SANE nurse report or the medical records in detennining that Mrs. Rivera was sexually assaulted. But Dr. Lipson properly relies on medical records available to him. The assault has been copiously documented by the SANE nurse and a doctor and reviewed by Dr. 2 Appendix 1 to Appellee's Brief. 3 See generally Tex. R. Evid. 702 (a qualified witness may testify in the form of an opinion if it will help the trier of fact to understand the evidence or to determine a fact in issue) and 703 (an expeti may base an opinion on facts or data that the expert has been made aware of, reviewed, or personally observed). 13 Lipson. (See CR 78-100.) The SANE nurse found bruising to both the front of the vagina as well as the posterior of the vaginal wall. (CR 98, 100.) The nurse stated that the findings "definitively indicate penetration of the female sexual organ." (CR 100.) In arguing that Dr. Lipson is unqualified, Appellant does not even mention the SANE nurse report or her declaration. Appellant's argument that Dr. Lipson cannot rely on the SANE examination or other medical records ignores TEX. R. EVID. 703 and strains credulity. It is like saying a surgeon could not rely on a radiologist's reading of an MRI to provide the opinion that a patient had a brain tumor. Experts can undoubtedly rely on medical records (and even hearsay) in formulating an expert report. See TEX. R. EVID. 703 (expert may base opinion on facts or data that the expert has been made aware of, reviewed, or personally observed, including facts or data that would not normally be admissible so long as experts in that field would reasonably rely on those kinds of facts or data). As the court noted in Palacios, [A] plaintiff need not present evidence in the report as if it were actually litigating the merits. The report can be informal in that the information in the report does not have to meet the same requirements as the evidence offered in a summary-judgment proceeding or at trial. See, e.g., Tex. R. Civ. P. 166(f) (setting out the requirements for the form and content of affidavits offered as summary-judgment proof); Tex.R. Evid. 802 (stating that most hearsay is inadmissible). 46 S.W.3d at 879. 14 Expert witnesses must be able to rely upon the medical records to render op1n1on. Expert witnesses may rely on witness statements. If one follows Appellant's argument to its logical conclusion, experts could not rely on the nursing home chart (made mostly by nurses), the medical records (made by nurses and treating doctors whose resumes are not available). This is not the law in Texas. A reading of the statute and the relevant case law make it clear that the limitations of § 74.402 and § 74.403 do not apply to the underlying information reviewed by experts, such as the medical records or SANE nurse examination. Indeed, the Texas Supreme Cou1i has expressly stated that expert reports would likely be inadequate if they did not look at the medical records. See Loaisiga v. Cerda, 379 S.W.3d 248, 261 (Tex. 2012) (involving the sexual assault of patients). The Supreme Court also held in the same case that experts could rely upon the pleadings on file in the case to render expert opinions. Id. Even a case relied on by Appellant's notes that "section 74.351 does not prohibit experts, as opposed to courts, from making inferences based on medical history." Cortez v. Tomas, 02- 11-00231-CV, 2012 WL 407382, at *2 (Tex. App.-Fort Worth Feb. 9, 2012, no pet.) Dr. Lipson may properly rely on the SANE nurse examination and other medical records in reaching his conclusions. 3. The Cases Appellant Relies On Are Distinguishable 15 Broders v. Heise, 924 S.W.2d 148 (Tex. 1996); Cortez v. Tomas) supra)· and Pediatrix Med. Servs. Inc. v. De La OJ 368 S.W.3d 34 (Tex.App.-El Paso 2012, no pet.), on which Appellant relies, are distinguishable. In those cases, simply put, the expert at issue did not have experience in the area of health care at issue. For example, in Broders, a hospital and physicians were sued after allegedly failing to diagnose head trauma, resulting in death. In affirming the trial court's evidentiary ruling, the Texas Supreme Court noted that there was no evidence that Plaintiffs expert, while a physician, had experience or knowledge about the effectiveness of treatlnents for head trauma. Id. at 153. In contrast to Broders and the other cases Appellant cites, Dr. Lipson is highly qualified in the precise area of health care at issue. Based on his knowledge and experience, he is qualified to testify that Appellant should have been able to prevent Mrs. Rivera's sexual assault. He has taught future nursing home directors at multiple Tier 1 universities and governmental entities. In his CV there are at least 9 references to lectures, courses and papers relating to "Elder Abuse." There are over 30 references .to geriatrics, including fellowships at Harvard. There are multiple references to his directorships over programs and facilities involving care for the elderly. His experience includes consulting at nursing homes and gove1nmental entities on the operation of nursing homes. He is familiar with treatment of patients like Mrs. Rivera and familiar with the training of employees 16 providing care to residents like Mrs. Rivera. He is board certified in Quality Assurance. Dr. Lipson has spent many years learning, lecturing, writing, and testifying on nursing home abuse issues. (See Dr. Lipson's Dec. and CV, CR 15- 67.) 4. The Degree of Appellant's Negligence Does Not Protect It From Liability Appellant argues that Dr. Lipson's inability to identify the attacker or the precise time Mrs. Rivera was attacked means that he is unqualified. (See Appellant's Br., 21-22.) Appellant's position is that Mrs. Rivera's suit cannot go forward because the attacker was not apprehended. The reason the attacker was able to sexually assault Mrs. Rivera in the first place, and the reason he was not apprehended, was because Appellant did not timely check on Mrs. Rivera in her room, adequately patrol the halls, or have Mrs. Rivera moved to a more observable location. Appellant treats its own negligence as a defense; it essentially argues that it cannot be held liable because its failure to monitor and protect Mrs. Rivera was so egregious that that attacker cannot be identified and the precise time of the assault cannot be determined. Sticking one's head in the sand cannot be a defense. Further, if anyone had superior access to this information, it was Appellant, whose agents destroyed the bloody rags, evidence of a crime, when given the opportunity. To meet the requirements of Section 74.351, Dr. Lipson does not have to be omnipotent. He does not have to succeed where the Austin Police Departtnent 17 failed by identifying the attacker and sleuthing out other details of the assault. Those details are irrelevant to the cause of action being asserted. No jury is going to be asked to identify the rapist was or determine precisely when the rape occun ed. The relevant issues addressed by Dr. Lipson are: what do the records say 4 about Mrs. Rivera's assault; what is the standard of care with respect to the assault; did Appellant breach the standard of care concerning the assault; and, was Mrs. Rivera injured as a result of that breach. In short, should this nursing home have prevented Mrs. Rivera's sexual assault? Dr. Lipson is well qualified to render those opinions. C. DR. LIPSON IS QUALIFIED TO OFFER OPINIONS ON STANDARD OF CARE AND BREACH In what appears to be a copy-and-paste job of other appeals Appellant has likely filed in similar cases, Appellant argues that Dr. Lipson is not qualified to opine on the standard of care for nursing homes, or breach of such standard of care. Appellant appears to have overlooked the pages and pages of Dr. Lipson's CV setting out his experience, described in this brief supra. Dr. Lipson is well qualified to opine on nursing home elder abuse. He is, in fact, perhaps the most qualified person in the country to opine on this subject. The trial court acted within its discretion in concluding that Dr. Lipson is qualified to render his opinions on the standard of care and breach at issue in this case. 18 ... ;.: ,;=t - ··::tt ~- 0· PART A .. PATIENT INFORMATION ".PLEASE COMPLETE P.ART A AND PART B (£,, Today's Date: /d___tJvJ3_ Have you received .c~ Facility Before? 0 Yes D No I came to the Emergency Department today because~ ~ I T FOR FEMALE PATIENTS ONLY: Are you pregnant? DYes I Last menstrual period: _ _/_~/_ _ Have you had a baby within the past six weeks? DYes~~- E~F~o~rm~co~m~p~le~te~d~b~y:~O~S~e~lf~·==~~~~~~============~~R~e~la~tio~n=sh~ip~:~~~~~~~~~~~~~~~~~~== N PART B .. CURRENT SYMPTOMS ~------------------------------------------------------------------------- 1 Please check any of the following symptoms you surre-ntly have: D Persistent cough greater than 3 weeks ErS__,_Throat D Fever greater than 100.4oF C}t:rody aches D Night Sweats D Cough (not related to allergies or COPD) D Cough with blood production D Rash D Fatigue D Nasal congestion (not related to allergies or sinus infections) 0 History of TB or Positive TB Skin Test 0 Close contact with person who has lnfluenza-Jil 2 seconds DEFORMITY/DISABILITY .. Loss of Consciousness: DYes DNo 0 No Neuro Deficits 0 Neuro Changes I Extremity: Neurovascular Integrity Intact: DYes ON/A DNa T CHIEF COMPLAINT: y I TRIAGE ACUITY: 1 Resuscitation 2 Emergent 3 Urgent 4 Semi Urgent 5 Non Urgent DISPOSITION: D Immediate Bed D Stable- To Walling Area after Instructions ~ Comments: ~· {~ -~ctl 5 r I · ttqsrp Triage Nurse Signature: ·~yfa\ ,-' --=s<-es·- ':):i, llf\ 11:Y- ,fiJI' \.,, Ae!) ~f'~ '"'*= 11111111111111111111111111111111111 (;:) MARY DELAROSA · RlV~~1\oo071683103 M/Rii: L001D2Z 5 ~ 3 Acct • ER 8 I 15~~~ Loc:L. EH ' 11112/13 \1\\11~\m Ullll\111111111\1\lllllllll\11\11\II\\\ \\1\1 1\1\\ Ill\ 1\11 '"EDPRS* Sign~ln Sheet ·for Ernergency Services T3107BC (Rev. 7/i2) ~OJ__ APPENDIX 1 Parfb& of PATIENT INFORMATION FOR OFFICE USE ONLY f}fL+d._r:t mt+~u PATIENT'S NAMErn MRNo.: ACCTNo.: ADDRESS 1: DOS: LOCATION ADDReSS 2: I COMMENTS/COMPLETION DATE: ClTY, STATE, i Cf /)(f) (' '7l;t 7&6/~ FACILITY FROM WHICH PHI WILL BE RELEASED (Check all that ap_pj'l) DATES OF SERVICE BIRTH DATE: {) St. David's Hospital r/-tl--t_~ SOCIAL SECURitY' NO.: I ' St. David's Rehabilitation Center (Optional) St. David's Georgetown Hospital CONTACT NUMBERS: Other FACILITY/PERSON TO WHOM PHI WILL BE RElEASED/DISCLOSED: PURPOSE OF DISCLOSURE: (Note:** IJPdicates Foe for Copies}_ Avc;_-fiV\ \Pn l) ( e NAME: Follow Up Care Insurance** ADDRESS 1: Attorney** Personal Usek* I ADDRESS2: It '-f Other** Please Explain L-(___.~ CITY, STATE, ZIP: METHOD OF RELEASE/DISCLOSURE: 1 0 Fax (t::me~ cy Only) Fa}!)umb~~~ CONTACT NUMBERS: 0 Mall ther ' ( /JL) rL . ( INFORMATION TO BE USED/DISCLOSED: (Check aJI that apply) 1 t ·- Is this request for psychotherapy notes? 0 Yes, then this is the only Item you may request on this authorization. You must submit another authorization for other Items below;·- 0 No, then you may check as many Items below as you need, D Pertinent Package 0 EKG, EEG, EMG 0 Pathology Slides 0 Psychiatric Evaluatlons{Tests D Front Sheet 0 Laboratory Report 0 Physician Orders 0 Infections Disease (Including HIV Test Results) 0 Discharge summary 0 EA Information 0 Progress Notes 0 Consultations D History/Physical 0 Imaging Reports (X·rays, CTs, MRis) 0 Nursing Information ~omplete Copy 0 Operative ReporVProcedure 0 Cathl.ab 0 Imaging Films 0 Pathology Report 0 Medication Records 0 Therapy Notes ~~~~lzatlon Record '~P1Slcc· .\ J understand that: 1. I may refuse to sign this authorization and that It Is strictly voluntary. 2. My treatment, payment, enrollment or eligibility for benefits may not be conditioned on signing this authorization. 3. Medldallnformation Is considered Protected Health Information (PHI) under both Federal and State Privacy Laws. 4. Unless otherwise specified, this authorization shall expire 180 days from the date of my signature, OR from the date of discharge, whichever Is later. (Othervvlse spectfled date ) 5. I acknowledge, and hereby consent to such, that the released information may contain alcohol, drug abuse, psychiatric, HIV testing, HIV results or AIDS information. 6. A facility may not condition the provision of treatment to an individual on signing an authorization except for: 1. · Research-related treatment; and 2. Health care that Is solely for the purpose of creating Information for disclosure to a third party. 7. I may revoke an authorization In writing except to the extent that: i, The facility has taken action prior to receiving the revocation; or 2. If an authorization was obtained as a condition of obtaining Insurance coverage. Further details may be found In the Notice of Privacy Practices. -- 8. If the requester or receiver Is not a health plan or health care provider, the released Information may no longer be protected by federal privacy regulations and may be redlsclosed. 9. I understand that I may see and obtain a copy of the Information described on this form, for a reasonable copy fee, If I ask for it. There Is a fee for copy setvlces rendered. 1o. I will receive a copy of this form after I sign it. SIGNATURES J have read the above and authorize tl)p disclosure of the protected health information as~staled. s~c;::J!Vhori2J~ cU-UL---- Date: !f/;J(~ Witness (If applicable}: , • v Wttness (If Applicable): - Cl\ J(Ll{d '1Clf\\ ,) I Print Name of Patient or Authorized Party: Relationship to Patient: StDavid's I MEDICAL CENTER Authorization for Release of Protected Health Information RIVERA.I1ARY DELAROSA ER Acct;ff: L00071683103M/R#: L001022503 loc:L.ER IF Dr: CEA 11/12/13 IUIIlllllllllllllllllll Califonrla; and AffiJiat6 Professor~ Biomedical WWAMI Ptogram> College of A:tts and Sciences~ and Affiliate Professor~ College of Health and Social Welfar1;1 at the University of Alaska Anchorage. 3. MaiH11g Address! P.O, BoxJ South Pasadena, California 91 031 4. Business Telephone: 626-403w0169 5. Fax: 626-403.-0165 6. Paget! 800 ..20~-2380 (Numetio Only) B. Educafio.tt 1. High Sobool- :Sirminghmn Bigh School~ Van Nuys) Califor.hla. Graduated, June 1961. 2~ University- U.C.L.A.~ B.S. in Chemistrywithami:no1•inMath and En~lish. (Sununa Cmn. Laude)1 June 1965, 3. Medical School - The J'olms llopldns University Schqol of Medicine> Baltimore~ 'Maryland: M.D., June 1969 4, Internship ..... The Johns Hopkins I-Iospital1 Osler Medical Service~ 1969-1970. 5. Residency .. The Joh1.1s Hopldns Hospital~ Osle1· Medical Servlce~ 1970-1971 I I I -··.-----···-······-··-·------ --- ···----"· .,. --··--·--:--------.-:::-7-:-.------;-:--,-~,-.,·-----~-~----·-;·--·--· ...... ---·-··-·· ·---.. ---·~--·--....- ..,....................... -·------·--'·--··~----------··------- ............ I ! ......... \ . - ii j l iI 'i d • . . "'"' '1l • I APPENDIX 1 24 I I 6, Fellowships: a. Tite Johns Hopkins University School of Medicine, Balthnote:l Marylnnd: Clinical Fellow in Medicine~ 1969~ 1971 · b. The Natiol1al ftlstitutes of Health., Beth~sd~ Marylaud! Research Associate - l?rote:in Chemistty; Physical Biochemistry~ Moleculat Biology ..... Labot·atory of ~Chemical Biology. Nationat Institute of Atthtitis~ Metaoolio and Digesti~e Diseases (NIAMDD), 1971-1973, o. Massaclmsetts Genetal Hospital~ Bostoni Massachusetts: Clinical and Research Fellow 1n Medicine (Endocrlnology and Metabolism)~ 1973.-1976 d, Harvard Medical School, Boston, h1assaoltusettsf Clinitml .and Research Fellow in Medicine (Endoorinology and Metabolfsin)>l973 .. 197S. · e~ Ha:rvru:d Medical School, Boston, Mass~ohusetts: Jolm A. H'ru:tfht•d Seufol' Scholar in G0ri~rtdc Medicine_, D:lvision of Aging,1984 ...1985 - f. Beth Israel .Hospital~ Boston, Massachtlsetts! Clinieal Fellow in Medicine (Gerontology)~ 1984...1985 g. Brigham - Women~s Hospital, Boston> Massachusetts~ Clinical Fellow in Medlcine (Get:ontology)1 19&4.. 1985 . h. Hebrew Rehabilitation Center for the Aged> Boston, Mass'achusetts! Cih1ical Fellow in Gerlatrio Medicine~ 1984 ..1985. i Institute of Advanced Studies on Gerontology; Ethel Pemy Andrus Gerontology Cente1; ·usc~ Los Angeles, Califot.nla! Fellow in In.stitute, Area-Drugs .in the Elderly; 1985-19&7 j. Geriatric Research Institute~ Ethel Percy Andrus Gerontology Center> USC1 Los Angeles; California: Senior ~esearch Associate; 1985..1989. 7. Honors and. Award I -~:-_-----;-.---~·~·#·~-~---~ .. ~~----.~-----··;--,-.. ---- .---:-.-=.-·.:.:·:;=·:;-;~·-:::.-:.::::.·.:;·.:.--:;·=..:.:.·.:-..=.:.:.:-•• :· :~:: :_-.;··- ·--2;---~ .. ·-· ........--· ..... ·:-~------------------~-----~··--,..---,..,- .. c-·~~-.~-~ I ----··••----·-i--- ... I va , "\ & • .' II APPENDIX 1 25__ 1 1965 Phi Beta Kappa; Recipient of' Merck Award in Chemistry; Outstanding U~tdergt•aduate in Chemtstty Award of Phi Llllllbda Upsilo11; Medal for Soholarship o-£ the Am~dQan Institute of Chemists; The Ramsey :Ptize irt Physical Chemistry; Sigma XI- All atU.C.L.A. 1968-1969 Hemy Strong Denison Scholarship for Research in Medicine1 The Johns Hopkins Universlty Sohool of' Medicine~ 1975 -1977 National Reseru:oh Sel'Vioe Award in Diabetes (NIAMDD)} Natioru:tllnstituteu of Health. 1975-1978 Daland ·Fellowship in Clinical Medicine, American Phllosophloal Society. 1977 _: '1978 CHnioal Investiga.to1' Awro.'d iu Diabetes, NIAMDD> National Institutes ofBealth. 1984.-.1985 John. A. Hartfoi'd Senlot Soholat• Award in Gel'latdo Medicine, Division of Aging, Hanrard'Medical School. 1989 The Genesis Awru:d, Fo:t.' Innovative Health Care DeHve1y, Los Artgeles Bushless Journal. 1989 Ptofessional. Leadership Program Award, Volunteer Cento:r of Los Artgelos. 1999 One of Top 20 :Physicians in the Ch-eater Los Angeles Ate a (and only Gerlafliclan natned)ll Los Atlgeles Business Jm:unal. 2000 One of Top 1?rlmmy--Caxe Physioiaus in th~ U.S.~Tow.n an.d Country Magazine. 2002 One of Top Ten Physicians in Los Angetes1 Amet1car-On-Line. 8. Licensure: California.. ·-:::-----· ---~···~---------------··---···---···-···----·-·- ·-·-- -- --. 3 · · · - -·.,.-.:;·.:··-~.-.·--;-;.~-, "0.: .-,.- ...- .., -~,----:·"' ... - . - - - -,·-----·-·--·-............. - .................... ~-- •..• --·-~------;-~,...,...,. ' . APPENDIX 1 9. Boards! A1nedo(tn Board of I:ntel'nal Medicine> 1974. Atnedcan Boatd of Quality Assurance rutd Utilization Review Physicians, 1995 Certificate of Expertise itt Geriatric Medicinel American Board of Intel'nal Medicine, 1996 C. Pl·ofesstonal Background 1. Academic Appointments a~ Tlw Jolms Hopkins University School of Medicine~ Baltlmore7 Maryland; Clinical Fellow in Medioine~ 1969"197L b. Massachusetts General Hospital7 Boston7 Massachusetts; Cltntoa1 and Reaeatoh Fellow in Medicine (Endocrinology and Metabolism)> 1973 ..1976. c. Hawatd Medioal School~ J3oston, Massachusetts; Clinioa1 and Research Fellow in Medicitl.e (Endocrinology and MetaboliStn), 1973.. 1975. d. Hlu.\Tatd Medical School) Bosto~ Massachusetts; fustructQr ln M¢dioine (Diabetes)~ 1975~1978-. e. Mammch\lseii:s General Hospital> Boston1 Massachusetts-; Clitllcal Assistant in Medicine (Diabetes Unit):~ 1976~1978.. University of Southern California School of Medicine; Los Angeles~ Califonda; Assistant Pxofessor of Medicine (Diabet(7s Division); 1978-1981. gt University of Southern Cruiforoia School of Medicine~ Los Angelesj Califo:mla; Assistant Professor of Medicine~ with tenure (Division of Diabetes and Clinical Nutrition)~ 1981 - Jtmtiaty 1984. h. Los Angeles County/Unive:rsity of So'U-thetn Califomia Medical Centex) Los Angeloo., California~ Staff Physician in Medicine (Diabetes Service), 1978 -.January 1984 i. University of Southern California School of lVIediclne;p :Los Angeles~ Califotuia; Associate Professor of Medicine (Division of Geriatric Medicine), January 1984-Septelnber 2006. ··"'"'·~~~:·-::::~.::o c·c~=::c:."'"""'-~O:.-.:-:::;,..,.~·-;_:·:,·:-c. ;.-,-,-··.;·,-:;o·~c-···· ---~·-;--~·-·:~ ·---···c-···-···..··-········ ........,.....!. . -.,........ _--·-- _·- -----~····--· -.· ·------ ·~ . ·."· .. --~------------ . -.-·. ,. . -.---. l ·-:· --' ~--- ~~ t1 • ., ' . "\ J • ~ I APPENDIX 1 27 j. Unive~·sity of Southe111 California S¢l:Cool of Medicine~ Los Angeles? California; Chie~ Dlvlsion of Gerlatdo Medicine· jn the DepartJ;ne11t ofMedlcinej January 19&4- 2005. k. University of Southern Califotnhh Los Angeles~ Califot:nia~ Associate Professot of' Gerontology, L~onard Davis School of Gerontology~ Ethel Percy An.drus Gerontology Center~ Januaty 1984 ,_ Septetnber 2006. 1. University of Southern CalifomiaJ Los Angeles,· California; Assooiate Professor cf Clinical Pharmacy, U.S.C7 Sohool of Pharmacy~ October 1989 .... September 2006~ m. Los Angeles County/University of Southe:n1 California Medical Center~ Los Angeles, California; Staff Physloia11 in Medioinej (Oeriatdo Medicine), 1984..2004. u, Sabbatioal Leave> Harvard Medical School~ Boston, Massachusetts~ Dlvisio11 of Agingt John A. Hartfol'd Seniol' Scholar in Gerlatdc Medicine-~ 19 84- 1985. o. B:dghant & Women~s Hospital, Boston,. Massaohusetts; Clinioal Fellow in Medioine (Oer!atrio Medicine)~ 1984 ..1985. p 4 :Beth Israel I-iospital~ Boston~ Massachusetts; Clinical Fel~ow in Medicine (Ge:dai1'lc Ivfedioine), 1984 .... 1935 q. University of Southern California, Los Angeles~ California; Senior Research Associate; Getontology Research Institute; Ethel Percy Andrus Gerontology Cente1~ 1985 .-.. 1989. r. University of Southern. California., Los Angeles~ California; Fellow Institute of Advance Study, Ethel Percy Andtus Gerontology Center, 19B5 . . . 1987. $. University of Southern California University Hospital, Los A11geles~ California; Chief of Geriatric Medicine~ 1991.. 2005 University of Southern California . . . School of DentistJ:y - Associate Professor of Medical Dentistry and Public HealthJ 1994 i -September 2006. I u. Unlversity of Sottthem California~ School of Independent Health _Professionals - Associate Professor o:f Oocupa.!ional Science and Oooupational Therapy~ 1998~ S~ptember 2006. I l I I I I I J ·-·--· ----·----,---,--··-·~-------·- --- -····-·····-·----··-·-----:-- ··--· ··--·{:·· i .. D ' '\,! • j 'i J .• ~~-. . . J APPENDIX 1 v. University of Alnska, Anchorage_. Adju11ct Aasooiat~ Professor of Human Biology) 2001- September 2006. w. · UniversitJ of Alaska Southeast, Sitka .... Adj\.1not Associate Professor of Human Studies, 200~ .. 2006. x, University of Alaska, At~ohorage) Affiliate Professor, College of Health and Social Welfare, 2006 -:Present. y. Unive1'sity of Ala~ka. Anchorage~ Afftllate Professm.; Biomedioal WWAMr Program, College of Axts and Sciences~ 2006- Present. Univexsity of Alaska; A.ltchol'age~ Faculty Consultant in Geriat.dcs, • i Alaska Family Medictil Residency! September 2006- Present. aa, Un1vetsity of Southern California, Keel< School of Medicine~ :Professor Emeli'tt1s ofMediohte~ September 2006 - Present. 2A. Teaching Responsibilities (University ofSouthern Califotnia) · a. Attenditl.g· Staff :Physician LAC/USC Medical Cent~t· ott the Geue~al Medical Service- teaching and supervising patient oru:e~ both inpatient and ouipatient to house staff and students 1985 - 2004. b. Attending Staff Physician. at USC UniversitY Hospital in Geriatric Medicine for lv1edic~L Ho1.1se Staff and students. 1991- i005. a. Xn charge of the Fellowship Program - Geriatric Medicine. 1985 - 2004. . I d. Development at1d improvement of Gerlatdc Medical Cun·loulum in the Medical School- UniV'et'sity of Southern CaU£omia. 1985 -2004 e. Developn1ent of Oedatrlc Medical Core Cm:d:oulum for House Staff~ LAC/USC Medical Center, 1985 ~ 2004 fu~ Medical • I, f. Member of Stee1·1ng Committee~ Key Faculty and Study Site Cootditu~tor ~ Pacific Geriatric Education Center at the University of Southe1n Califottda(DHHS), 1984-1993. . . g. Atton.ding Physician Year HI Medicine Rotation) 1992. 1L Dit.'eotot and lecturer in various cou.rses at the Eth£;)1 Percy Andrus Gerontology Center including Gerontology 599 - Geriatric Health Issues~ '1 j I .. 1' . , a• APPENDIX 1 29 i. Director- C.reriatrics Update- A Board Review Course. j. Director__. ~istoty of Medicine in the Healtlt Sciences Program~ 1994 ~200L 2l3. ·Teaching ResponsibiHttes (University of Alaska) a. Director.-.. Care oftlte Elderly Cortferenc~, University of AlaskaJ So\lthefiSt- Sitka> 1994-Ptesent b. lustruoto:r .- Promoting Best .Practi<3es in Aging, University of Alaska, Anchorage> 2006- Present c, Co··Director- University of Washington Med(oal Soltool 596 ~ Human Biology - Course for Alaskan Students . - Muitl.. Disciplinary and Ethnicity in Gerontology and Geriatrics, (University of Alaska~ Anchotage .. Sprirtg and Fail$ 2009 and then yeady). d. Co~Dil'ector in Geriatric Education to Alaskan Medio~U St1Jdents iu. the University of Washington Medical School WW AMI Progt·arn> University of Alaska, Anchorage~ 2006 - Prese11t e. Fa-oulty consulmnt in Oerlatdcs to Residents of the Alaska :Fan:rl.ly Medicine Residency Program, 2006 . . ., Ptesent. 3. Administrative Responsibilities a. Chief of the Division of Geriatric Med~oine~ Departme11t of Medicine, Unive:tsity of Southern Califbrma. School of M~clicine. In charge of ataff arid fellow recruitment and trahrlng; divisional budg~t; gtatlt procu;rement; program. development and S\lpervision of researoh a11d olllrlcal activity. 1984 . . . 2005~ b.. Study Site Coordinato:r and. Key Faculty .of .the Pacific Gedatrlc Education Center, Dtrl.versity of Southern California Sohool of Mt;Jdicine1 1984--1993. · c. Senlo:t Staff Physician in charge of Ger1atr1o P.rogtmns at Los Ang~les County/O"niverslty of Southern Califo1nia Medical Center~ 1985 - 20044 d. Chief o:f Geri~ttic Medicine at the USC University Hospital> 1991 - 2004; - -- --~----· ._ __ ·--· - .. ··----·-- ,.._,~ __ ...__, __ , APPENDIX 1 30 e. Faculty liaison betwee11 Geriatric Medicine and Univel'sity affiliated hospitals and long term care fuollltles. Director of Oedatrio Medicine Private Praotice Platt. 1984 ..... 2004 f, Dlrectox of the USC Ambulato1y Health Center sites at the Japanese Retire:ment Homes and Angelus Plaza., 1985- 1993. g. Dft•ectot of the Division of Gedatdo Medicine>s Program at the V.A. OutpatielJ.t Clinic in downtown Los Angeles, 1986- 2001. h. Director of the DSC Teaching Nm·sing Hon1e Program at Hollenbeck :Home ~nd. Atherton Ba})tlst Home, 1999 -2005. i: Director of the Senior· Cancer Center at Nords Comprehensive Cancer Ce:nte1· and J.iospitalt 1999 - 200 1. j. Ditector of the Senior Cru:e Program.~ USC Care and. USC )?hysicians. 199& - 2002,. . k Co.-Director- Adult :Protective Terun - Gerlatdo Medioine Program- LAC/USC Medical Center, 2000 ..... 2004. L Director - Cate of the Eldedy Conference~ University of Alaska Southeast~ Sitka, 1994 - Present. m. Co~Pxrecto1.· ,__. Gerlatrlo Eduo~t.ion for Alaskan Medical Stndents in the WWAMr Program;. University of Alaska1 Anchorage. 2006 ~ :r~·esen.t, n. Medical Directol.' .-Alaska Gel'intdo Eduoatton Center~ Univet·sity of Alaska1 Anchorage. 2005 - Pxesent, o. Medical Dh·eotot . . . . National Resource Centet for Studies in l'lative Amerloan~ Alaskan, and Hawaiia11 Elders, Uni'\lersity of Alask~ Attchorage, 2006 .. Ptesent 4. Senrice A. University Service a. Medical Executive Cotunrlttee, Deparhnent ofMedloine~ USC 1985- 2003. b. Utilizatioll Management Comtnlttee; USC Universit-y Hospital, 1991-- 1999~ 2003 ..... Present, .Chairman o:tthis Co;nunlttee, 1994---1999. "til. 11 4 ' APPENDIX 1 31! o. Phru:maoy and Therapeutics Committee, LAC/USC Medical Center$ 2001-2004. d. Pharmacy attd Therapeutics C(ntJ.mittee~ USC University Hospital, 1991 - 2005:~ Chairman, 1996- 2000. e~ Pati~ut Ca1.·e Evaluation Committee~ USC University Hospiial, 1994 - 1999, f. Le6ture;r in School of Pharmacy:. University of Southern California> 1985 ..2004. g~ Continuing Medical Post. .Graduate Education Lectures at outlying hospitals~ 1979- 20Ct4. h. Core Cwt1cultlrn Conunittee forth~ New Medical Sol1ool Cu1·riculu:ml USC School o:fMedioine~ 1998 ..... 2002 · L County Operations Committee~ Department of Medicint)> lAC/USC Medical Center, 1997 . . . 2000 j. Development CotnrrtitteeJ< Depamnent of Medicine, LAC/USC Medical Center, 1997-2000, k. Senior Health Care Progrru.n, USC Cate2 (chair/member);~ USC 199~ ..... 2002. L Executive Committee~ USC Norris Comprehensive Cancer Center and Hospital._ Senior Cancer Catt;} Center, 1998 ... 200l. m. Co..Director - Adult l?tot~ctive To British Columbia Health Foundation., 1994 ..... 19,99. 8. Consultant in Gel'latdc Medicine w.d Long Term Care, Silverado Seniot· L:f:vlng Centers) San Juan Capistt·anoJ CA 2001 ..... 2002. ·9.. Consultant in Geriatric Medicine and Supervisor of the- Gedatdo Medicine Medical House StaffThaining Pxogram, !Ce:tn Medical Center~ Bakersfield~ CA 1936 .-... 2003. 10. Consultant ill Geriatric Medicine and Supetv1so.t of the Gedab:ic Family · Medicine House Staff Training Program, Glendalo Adventist lVIedtcal Center, Glendale~ CA 1998-2001 ········--------·------------ ... -·-: -- ·-.--·:----:·:····----------~-·--.- · : . ····· .- -----·-·. ------. ·---···----1:2---·--.--------- -- ... ... 6 • 1 ~ I ·, APPENDIX 1 35 11. Cons-ult$lt i.n Geriatric Progran1 Deveiopme11t . _. . Bay Shores Medio~l Gronp., Torrance~ CA.) 1986-1989. 12. Consultant in Geriat.tlc P1'c;>gram Development .... San Phnas Co):'U1rtun.lty, Hospital, 1986-1989. 13. Consultant in. Gedatrlc Program Development and Long Tenn Care - Keiro Services ~ The Jap.!inese ..... American Retirement Homes~ Los Angeles, CA.> 1986 .... 1993. 14. Consultant in Gedatric Ptogram Development and Loug Term Cal'e--the Motion Pfoture an State ofCaliforn1a) Depru.1to.ent of Social.S~rvices> 2000- Ptesent .I lI 16.. Consultant in Elder Abuse~ Gedatric Medicine ~nd Long Te11n Care~ State of California7 Department of Justice~ Office. of the Attorney Gertetalj Bureau ofMedioal Fraud and Elder Abuse., 2000 _.Present. 17, Consultant in Long Tetm Care~ Eld0r Abuse and Geriatric Medtoi~e - State ofCalifomia, Department of Justice~ Office of the Attot.ney Ge1~enu~ Bureau of Medical Fraud and Eld{)r Abuse - Operation Gua1'dians (lltttsing homes .. un.am10unced inspections) 2000 - Ptesent. 18. Consultant in Long Term Care.~ Geriatdo Medicine and Elder Abuse ..., State of New M~xico 1 Departm.ent of Justice, Offioo of the Attorney General, Medicaid Fraud and Elde:r Abuse Unit~ 2003 . . . Present. 19. Consulta11t in Long Term Cftte, Geciatrio Medicin6 and Elder Abuse> United States of Arnerlcal Department of Justice, Civil Rights Dl11Islon, • •• ·.t. .,......,:."' 1-.. - 2006 ._.Present. · .. ~.IL.".t:=~...·--·· . 20. Consultant mLong Term Cat·~, Gedatric Medioine and Elder AbUSt;\ United States of America} Department of Health and Ruman St:!J:1lloes~ Office <>f the Inspectur General, 2006 ..... Preseht 21. Boatd ofDil'eotors~ Musica Angelica:1 2006- Present. JF 4 JRcse~:rcb. Activities 1. R~search Tnte1·ests a. Use o'frnedications in the .senior populations with specific emphasis on prescribing habits of physicians. ·-·--·----·-·---·----·- ·--·-·-·-·--·---·-····-···.···-·-·---:--···;-·-··-- _________ _13_·-·-··-····-··-··---------·--- ·- ~~- -·-··----~·-- ~-; ·--~--'""-:-··-:·!;..:·.::o.:-•... ~···.::::.::=-;;;---.-;-·~;--·--- ·--·---····-···~-- •.. -· . ..... I APPENDIX 1 36 b, Health cat·e systems and delivery modes fat' the demented eldedy in Alaska. c. D1'Ug interactions in. the eldel'lyt looking at dtug-dtug interacttomt~ changed actions~ polypharmacy} n1isuse' and abuse. d. Studies in the elderly diabetic patient. e. Studies in the elderly hypertenst-ve patient. f. Studies in sexual dysfunction in the eldedyr g. Studies iti -elde1 abuse. 1 h~ Ma.h.).tenance of independen?e of living in frail attd demented ~etlio:rs. 2. Research it1 Progress: In'lestigations bt man a. Studies in prescribing habits .ofphysicilitns in retirement housing. b. Studies of adverse drug effects in the aging population with special [ emphasis on the most commonty prescribe medication and psychotropic agents~ c. Studies on. care- offi:ail and demented senfo~·s in Alaska. d, Studies on the prevention and early detection of elder abuse. e. Stud.tes on d~reased longevity in the Pueblo lndians~ G~ Long Tel·.m Cu:re Expedeuce. 1. Dltector of the two. USC Teaching"Nursing Hom~ Prog~·ams) 1999 ~ 2005 a. Hollen~beck Home- LOS Angeles b. Atherton Baptist Home- Alhambra 2. Member and M~mber Boru:d of Plreotor~ California Association o£ Medical DirectOJ.'S, 1992 .... 1999. 3. Consultant,_, State of Alask~ Department of AdministratlonJ Division of Longevity Se1·vioes (Aging Prow,wna and State of Alaska Long t~nn.Cnre Facilities- the Pionoo:ta' Hontes). 1991-2004. 4.. · Affiliate Professot, College of Ifealth at:td Social Welfare and College of Arts and Sciences~ Uruvet.sity of Alaska;- Anchorage. · Areas of involvement - Alaska Oerlatric Educatl011 Center, Gerlatrio. Assessment.~ Pre~med aud Medioal Education,. Long Tel'm Care, 2006 to Present. . 5. Consultant'- UniV'erslty of Alaska, Sitka. ArtYa.3 of involvement- Care of Elderly Cotuerettce-- Dit·ect()r=- 1994 . . Present !5. Consultant in Long Tetro Care) Elder Abuse and Gerlatdc Medidne - State of Alask~~ Peparlment ofLaw> 2000 - 2003 ·~.--- . -~ ---- -··-- ~-.- ---. - -- --- .. ~ ., b - "\a • APPENDIX 1 37 7. Consultat1.t in Lo11g Tenn Cru·c rutd Ged£~ttio Medicine ~ State of Californi~ DepartmentofSocxal Services. Consultant in Long Tetm Care~ Geriatric Medicine and Elder Abuse - • j State ofCalifomi~ Depru.1:ment of Justice~ Office of the Attmney General, Bureau of Medical Fraud and Elder Abuse; 2000 ..... 2003. 9. Consultant in Long Te:nn Cro:e . . . State of California> Department of Justice> Office of the Attomey GeneraL~ Bureau. of Medical Fraud 1:1nd Eldet Abuse - Operation Guardians (nuraiug home~ unannounwA inspections)? 2000 -·Present 10. Consultau.t in Long Term Caxej Gerlatrio M~dicine and Elder Abuse - State of New Mexico, Departroent of Jusdc{}~ Office of the Attorn~y General~ Medicaid Fraud and Eldet Abuse Unit> 2003 - Present. 11. C 2001 -2002. . 1'1, Consultant in Geriatric Program Development mtd Long Term cm~e - K.eiro Services ~ The Japanese Atu~rioan Retirement Homes, Los Angeles~ 1986-1994. · 18. Consultafit ih Gcdau:ic P.rogram. Developtnent and Long Term Cm·e- The Motion Plcture and Television Home; Woodland Hills~· CA1 1986 -1990 :m. Significant ln'Vi:ted :Luc¢ures (Since J utly 1984 ..... selected fll•onn ()ver 3,500 leetutres given) · · t Harbor General Hospital- U.C,L.A, Medical Center~ 7/a4. ··----. -~- --· ------ - ··-- ~-~-- -oo- ~--~-· ----- 0 --·-· _ _ _ _ _ _ _ _ _ _ . . _____ o --.~~ •• - ... --0 ~- o 15 --00---~.-.;·-~-·~···--•' ·- -•- ''~'"'"' -···-·--• - o -··.- 0-- • 0 -0 0 - .. o ~-·-- 0 -- * • 0 0 -----M 0 .... - - "o 0 0'". ! APPENDIX 1 lI 381 Ivfedicnl Grand Rounds - new concepts in the tl'eatment of Type II Diabetes, 2. Harbor General Hospital- U.C.L.A. Medicatcenter~ 7/84, Endocrl11e Grand Rounds -The ;t>.ewer oral agents. 3. MattinLnthe~· King Getteml Hospita~ Los Angeles, CA) .7/84 Medioal Grand Rounds .... The approach. to the patient with NIDDJ\4. 4. Nisei Awat:en~as Day1 Little Tokyo:. :Los A.tlge.les, CA, 7/84 Health issues for the elderly. Key11ote speech. 5, The Cleveland Clini¢, 9/84. Sym.posiUtn on Diabetes Mellitus- · The 'f~'eatment ofthe Patient with NIDDM. 6. American Academy ofVamily Practice> Kansas City> MO, 10/84 ·National Meeting, Jnvl£ed Speake:~:: a. Nutdtton in the elderly b~ New concepts in the thetapy of the Type II diabetic patient. 7. Associates of the Countway Library:t BatVatd Medical School~ 11184. Biannual History of Medicine lecture ~ "The Black Death Cornes to A:l.nedoa:H 3. Washington University of St. Louis and St. Louis V.A. Hospital, 11/84. Symposium on Diabetes Mellitus - The u:ootment of hYPertension in the patient with Oiabctes Mellitus, 9. The Jackson Laborato1'y, Bar Harbot·, Maine~ 12/84. Visithlg Scientist..- Insulin secretion in aging. 10. ,Gordon Research C<;mferenoo,.O:gmat,(}, CA~ 2/85. The biol()gy of' agbg; .- Invited Speake.r . . . Cyclic AMP and insulin secretion ~n aging. . 11. Thorndike Rounds,. Beth Israel Hospital, Boston~ MA 3/85. The appl'oach to the treatment of diabetes mellitus in the elde:dy individual. 12. Division on Aging, HarvardMedioa1Schoo1, 3/SS. Gtw.d Rounds - Hyperosmolru.· co11:1a"""' a complication of diabetes mell~tus in the Elderly. 13~ The University ofNewBrunswiok~ SaintJohr4 N.B. 1 3/85. Visiting professor of Biology; Lecture topics: a. The role of calmodulin in insulin secretion . ..... . ·u. APPENDIX 1 b~ Th~ exciting new approaches to the treatment of diabetes ·mellitus. 14. Beth lsraeL :Hospital:- Boston~ MA> 3/85 Endocrine Gl·and Rounds -Sex and the diabetic. 15. The Johns I-Iop1dns University Scholl of Medicin~, Baltimoret MD~ 3185. Visiting Professor of the History of Medioine. Lectw:e topic - ' 3/85 Endoorine G.ra.nd Rounds ...-·Insulin secre.tim1 in aging. 17. Yale Uni-versity School ofMedioine~ New Have14 CT, 4/85 Endocrine Reseruch Confel'en.ce -Insulin seQretion in aging~ ··• t... Hypertension Grand Rounds- Special problems ofhypei'tetlsioll in · the diabetio patient. · 18. University ofifl01'ida~ Gainesville~ FL 4/85 Gel'iatdc Medicine Grand Rounds . -The older diabetic . patient. 19i University of California at Lo::: Ang~les School of Medicine, 4/85, FaroHy Medicine Grand 'Rounds ~ Treatment of diabetes 1nellitus in the elderly. 20. Stanfol;'d University of Medicine .- V.A. Ho.apital, Menlo Patl; CAt 5/85~ Clinical Conference- Sexual dysfunction in the elderly. 22. University of Pittsburgh School o£ Medicine_, Pittsbut·gh) PA, 6/85. Symposium on Diabetes Mellitus - ~rhe older diabetiG patient. 23.. : ...t~!W..niv.ersity ofHawaH School o£Medio1ne) Honolulu, :HI~ 8/85 Medical Grand Rounds- Diabetes in the elderly. · 24. Depattme.nt of' Public Health and Social Welfare1 Guatp., 8/85 Special L~otute- Wellness and pathology in the eldedy, 25. American Aoade,my ofFamily Practice) Anaheim, CA. 10/85.. National Meetlttg -ln.vited Speaker- Oiabetes ill. the elderly. 26. University of Ct1lifornia at San Pranoisoo ~Valley Medical Center, Ftesno, CA:. 1liS$. Endootine symposium ..... Sexual Dysfunction 1u. the elderly, 21. Mayol'->s Conference on Aging, Los .Augeles> CA.:, 3/86. treatment of chronic diseases in the elderly. '( p • ~ 4 • -\ l I APPENDIX 1 40 28. V.A. Hospital~ Miutinez1 CA. and t.J.C. Davis Sohool afMedic1ne7 4/86. Medical Grand Rouu.ds ._ Treatmep,t of hypertension in diabetic patients. 29. Pasadena Council on Alcoholism, PasadenC4 CA> 4/86. Symposium on tlie Older Alcoholic Patient. Pathology and normalcy in aging. 30. Brown University Medical School) Providence, R1 4/86. Medical Gra.nct · Rounds- Hypertension in the eldf;}rly. 31. Medical Board Dl'ug Review, Sacramento1 CA, 5/86. Invited Sp~aker- The new otal agents. · 32~ Confere1lce - Scll;lntific Basis of Se~ual Dysfunction- Sponso:red by NlH a11d the National Kidney Foundation, Baltitnote> MD) 6/86, " •. ··SS·. F.D.A. SyJnposlum of Bioequivalenoe of SoHd Pt¢paratlons~ Washington> D.C., 10!86. htvited Speaker- Oral sulfonyhu:ea agents. 34.. Univetsity of Nevada, Reno, NV~ 2/87. Visiti11g Professor of Medicine, Lecture topic . . . Sex after 60. 35. University of Guam~ .Guatu~ USA> 4/87. Sym.poslum on Cru:e of the EI~etly - Symposium Leader. 36. National Council on Hypertehston, Biannual Meeting; Las Vegas~ NV, 4/87. Invited Speaker ~ Antihypertensive medications and se~~H1l dysfunction. 37. Ame:doan Hospital Phrumaciats Assoolatlon, Washington~ D.C. 5/87, !~vited Speaker ..... Aging in .Alnerioa ~ Wellness vs. Disease. ! t,.,._;__. I f 38. University of California;. Davis- School o.f Medioine~ 6/87. Cours~ (In ~ Medicine~ Invited Speaker- f~ypertension i11 the elderly. i 39. University of Nevada, Las Vegas> Nevad~ 10/87. Visiting Professo1: ()f Medicine~ L~cture Topics: Ge1'iat.ric Medicine Today~ Geriatric Course Planning. 40. California Phrumacy Association~ San Francisco~ CA> 11/87. Invited Speake!!- Bndocrinology·of aging. i ' 41. Evanston Hospital> No1'thwestern Ui1iversity School of Medicine} 1 ~vanstou> lL~ 11/&7. V1sitingProfessm.·ofMedicine~ TQpic . . . Sr;;x after60. I I .. n ' '"'A • i /J • APPENDIX 1 41 42. Confe1'enct o:n Pathogenesis and Treatment of 'Pressure "Sores. Kansas City, MO, I/88. Invited Speaker. 43. Conference on HWhat Phannaceuti~als are Needed for the Elderly?, Phoenlx~ AZ>2/&8. Invited Speaker. 44: Confet~nce on l'Post Retirement I;Iealth Care Funding'~ sp'onsored by l.R,t, New Yotl; NY~ 3/88. I11vited Speat{er-The gedatdo I.mperative. · 45. Board Review Course: Geriatrics Updatej 1988, U.S.C~ School of Medicine, Pasadena, CA> 3(88 .. Two and one~half day s-ymposium on gel'iatrios. Dk~ctor, Modet·ator and Presenter for the course, 46. Symposhun on Geriatric Medicine - Motion Picture and Television Retirement Home And Hospital~ Woodland Hills, CA~ 4/88. Moderator. and Presenter, · 47. America11 Getiatdo Society National Meetingt Symposium and Phys~oian - :Patient Conununicatlou, Anaheim~ CA> 5/88. Co. .moderator and presenter. 48. Symposium on G$datdo Medicine, San Dima~ Co1111t).unity Hospital~ San. Pimas., CA, 9/88, Moderatot· attd Presentet. 49, .Amedcan Society for Entem1 Md Pal'ental Nutritlon Conferences= Ethios and Nutrltion~ New York~ NY, 10/88 SO. Symposium on Nutrition in the Elderly, California lv.tedical Centet1~ Los Angeles) CAJ 12/8&. Mod~rator and Pl'e.~enter~ Topic- Nutrition in the Eldel'ly. 51. Cali:f~~rJ:iia Academy ofFatuily Medicine~ AnuWll Meetlug, San Ftaucigoo> .. \.t-r.~<.l;lt{·s~---. CA 2/89. fuvited Keynote Speakel'7 Topic- Dementia. 52. Kansas University Medical Center, Fa.rully Medicint;1 Grand Rounda; Kansa$ City; KS; S/89~ Visiting FrofesS()f, Topic-- Drngs in the eldet•ly. 53. California Association f'ol' Homes for the Aged:~ Ann1.1al Meeting. Symposium on Drugs In the ElderlY:~ San Diego~ CA) 5/89, Invited SpefJ.ker, Topio ..... Mooioal Asp~ots ofDtugs in the Eldet'Ly. 54. Symposium on. Gel1atdc Ca1·e,. Motion Picture and Television I{Qme; ·\Voodland Hills, CA.; 6189. Modemtot and Pt:esenter1 Topic- Tests and exams pedodically needed fqr Seniot health i ············--·· ·······--·----·-·-.·---:---··--·········-····- ·-............ -. --- ···-····- ....._.- --;. --··-··-----19 ,--·-- ·-· - ·····-·- ---- .----··..·-·- -:-::~-~·. : : :.-. . o-.- -···· --· - - • -·----· • ·- ·-·-~~--:# ~#·-----· ---.. . "7.- ·~ 'i 4 I '\ J • ~I, APPENDIX 1 42 55. Syrn.poshu:n of Diseases Affecting Ex.t~nd¢d C-are Managentent of 1he Elde1'ly~California Federation on· Aging, Newport Beach, CA, 6/89y Moderato1·. 56. Symposium of Diabetes in the Elderly, USC School of Medicine~ Los Angeles~ CA> 8/S9. Moderator. 57. V.A. Medical Centet; Phoenix, AZ) 9/89. Medical Grend Rounds~ d111gs in the Elderly. 58r Gel'iatl.ic Medicine Symposium, Hawaii Medioa.l Association_, 9/&9~ lnvi.ted Speaket'7 Topic- Hypertension in the Elderly. 59~ Univ~rslty Medical Center of Kansas City~ Kansas City~ MO, 9/B9~ Medical OJ:and Routtds- Sex after 60. • 1~-l ... I 60, National Confe-.veuoc of Consulting Actuaries, Hot Springs~ VA> 9/89. fuvited Speaker. 61. California Pharmac.ista A~sooiatlCH\, Los Angeles1 CA~ 10/89. Enc'toorlnology in ihe Elde1'1y. Progran1 Dll'cotor.. 62. Family Medicine Program, Santa Rosa, CA~ 11/89~ Visiting Professor of Geda.trlc Medicine. 63. Symposium on Geriatric Moclioine. Tacoma Ge!leral Hospital> Tacoma, WAj 1/90, Course Director and Speaker. 64.. Symposium on Gedatric Medicine~ Antelope Valley Medical Center, Lancastet1 CA, 2190. Cour~e Diteotor and Speaker. 65 •.. Unive.t:sity of Nevada School of Medi~1ne>.. ~-R~no,. NV, 3/90. Visiting Ptofessot {)f Gel'iatrlc Medicine. 66. USC Gedat;dc Review CQurse; USC School of Medicine~ Los Angeles~ CA~ 3/90. Two and one ..half day :intensive course in geriatric medicine. Co1.u:s~ Director and Spe~er. 67. Eisenhowet· Hospital~ Rancho Mttag~~ CA, 3/90. Medical Grand Rounds- Dl'ugs in the Elderly. 68~ Atnedcau Geriatric Society Arulual Meeting, AtlantaJ GA, 5190. Symposium on Syndrome X: The con:elation of diabetes and hypertension. 69. American Diabetes Assooiaiiolt Symposit'tltl> Santa B~bartt;, CA; 6/90. Diabetes in The Mexicati. American Population. Invited Speaker. -- --- ·--.. . . ~-- -~--..- ---- -~ .... -·---:·----~· ----· --- . . -:- --~ --.. . ~:. -- -: . ----- ·--.. . -·· -~ - . 20 • - - - - - - - - - ----- -'; .7' ::;: :-~-.;:;::·:-. - .::·-••. • :· .-:;---.--·---.---·-· . ..___. ____ ···- - ---------- .. -~ ----·-.---.-·-- .... ... d • APPENDIX 1 I I 43 1 ·70. Loma .Linda Univer$ity School of Medicine~ Lorna Linda~ CA, 7/90. . ! Grand Rollilds, Drugs in the Eld~rly. 71. A.me;ricl;lll Heart Association/ American Diabetes Association Symposium, Santa Bal'bata, CA, 9/90. Treatm.en:t of the hypertel1Sive diabetic pat.ient. Keynote Speaker. ?2. Baylol' College of lVledioine, HotlSton l'Xl 10/90. Symposium on the 3 Complicated Diabetic. Invited Speaker. 73. City of Hope, Duarte~ CA1 1/9 L M~dical Gra11d Rounds, Diabetes ht the Elderly. 74. Providence Hospital, Anohol'age, AK) 2/91. Medical Grand Rounds-~' Sex after60. .•, 75. Sym.posium on Geriatdo Medicine, Antelope Valley Medical Cente1'11 Lanoaste1~ CA~ 3/91. Course Director and Speaker. 76. U.C.S.F. - Valley MedicaL Center1 FresnD~ CA, 3/91. Medical Gtand Rounds, Sex after 60. 77. U.C.D. ~ Sacram~ll:t<>., ¢A) 4/91. Medical Grand Rounds) Sex after 60. 78, Chicago Mec11cal College~ Cl'ticago~ IL~ .5/91. Medical Gtatul Rounds, Drugs in the Eldedy. 79. Symposium of Gt}riatric Medicine~ Antelope Vall~y M('3dical Center, Lancastet; CA~ 2/92. Couts<.1 Directo1' and Speaker. 80. Dep~oot ~-of Administration~ State of Alaska> 4192. In:vited Speaket, ~ .. '-llr..'l!I.>HN~·f~ ·~.-.· Assisted living in long tenn c~te. 8L Intetnational Institute for Reseru:oh Symposium.: Utilities and FAS 106, Washington~ D.-C.~ 7/92. Keynote Speaker, J?rugs in the~ retited population. 82, Alaska Oe.datric Institute$ Anoho1'age~ AK, 2/9'3~ Keynote. Spe~ke;r. 33. University of Oldahoma, Tulsa, OI~ 3/93., Farnily Medici11e Grand Rounds, Dt•ugs in the elderly. 84. Symposium on Gerlau:lc Medicine, Antelope Valley Medical' Center, Lancaster> CA1 3/93, Cours~ Ph:eotor and Speaker. .. . ~ I r '1 a • 1 A • APPENDIX 1 44 : 85, Depru:tme:nt of Administra.tion, State of Alaska~ 4/93. Invited Speaker~ Medfcatkms in the nursing home population. ·86. Dallas Business Group on Health, 5/93. In-vited Speaker, Medications in the Elderly. 87. Symposium on Rc;Jtirem~nt He~Ithoare Benefits, Chicago, lL) 9/93. lnvited Speaicer) Medications in the elderly. 88. University of Hawaii~ Divigio~1. of Geriatric Medicine~ Honolu.lu.) ·lU, 10/9/93. Visiting Professol' of Gerlatric Medicine Diabetes h1 tn~ eldetly, 7 Use of drugs in the eldetly. 89~ Providence l-Iospital~ Anchomge~ Alaska. Medical Oxand Rounds~ 2194. ))ementia. 90. Ne-vada AoadeJny of Fatn..Lly Medicine~ A).1l1Ual !vfeeting. Like Tahoe> Nevada> 2194·.. Keynote Speak~i'- Sex. niter 60r 91. University ofCnlorado Mfiliated Hospital. Medioa.l Grand Rounds~ 3194. Dl1lgs in the Elderly. 92,. University of Keu.tuclcy Affiliated Hospital. Geriatdc Medl.oal Orand Rounds~ Lexhlgfon, l{entuoky, 4/94. Dementia. 93. Alaska Psyclrlatrlc Institute- API 2000 Me~ting> Anchorage;. Alaska, 6/94. Plans for the Future_.. C()nsultant and Facilitator. 94. USC School of Medici·ne7 los Angeles> California - Medical Gnmd Rounds, 9/94. Drugs in the elderly. 95. Alaska State Mental Health Boatd - Q"tUru~dy:..,Meetlng, :OiHnghun~"· Alask~ 9/94~Invited Speaker~ The Alaska Geriatric Institute. 96. Alzheimer's Society of Northe~n Califomi~ Sacramento~ CA) 10/94-. Speaketf Researoh in dementia. 91. Alaska Gedatrlc Institut~~ Anchomg<;J~ Alask~ 2/95. Organizer an.d . Keynote Spealcer, The largest health ¢ate symposium in ihe history of the state of Alaska. 98. V.A, Medical Center W<;~stwood and UCLA-- Medical Grand Rounds) 2/95. 99. Symposium on ·Geriatri<} Medicinell A.ntelop~ V.alley MediQal Centet~ I.Jancast~r~ CA, 3/95~ Course Direotot' and Speaker. '\A • ~II' APPENDIX 1 45 100. Nevada Academy of Family Medicine} Ann.ual Meeting, Lake Taltoe~ Nevada, 3/95. Keyltote Speaker-.Dementia 10L Idaho Academy of Family Medicine, Annual Meeting~ Sun Valley~ Idaho, 5!95. Keynote Speaker-- Dementia! Sex aftet 60. 102. Martin L'Uthet King, Jr. Medical C~ntel\ Los Angeles~ CA, 6/95, Medical Orand Rounds- Dementia. 103, Martin Luther Ring, J'r.. Medical C~nter, Los Angeles> CAJJ 8/95. Mecioal C3nU1d Rounds~ Sex after 60. l 04. University of Alaska~ Southeast - Sitka Geriatric SymiJosium, Sitka1 Aluskaj 9/95. Orgauizer, Keynot~ Speaker. 105. V.A. Outpatient Clinic~ tas Vegas~ NV~ 10/95, Medioa1 Gmnd Rounds, Dementia. 106. V.A. Outpatient CHnic~ Los Angeles, CA~ 11/95. Gx~n.d Routlds - Dementia. ' 107. V.A..Outpatient Clinic Los Angeles> CA} 12/95. Grand Rounds- Sleep disorder in the elderly. 108. State of Alaska.) Di'Vision of Senior Serviof.'ls, 2{96. Leotutes and site visits to six State of Alaska nw:aing homes. 109. Symposium. on Geriatric Medicine~ Antelope Valley Medioal Center, Lancaster, CA~ 3/96. Course. Director and Speak~t. .11 0. Family ~e..T1'aitling Program, Spokane, Was4tngton, 3/96. Lecture ..... De:rnenti:a. 111. Family Medicine Tratu.ing Ptograrn, Central Montana7 4/96. Lecture ..... Drugs in the Elderly. 112. University of Utah Affiliated Programs, Salt Lake City, 4/96. Lectm:e - Depression in the Eldedy. 113, State of Alask~ Department of Administration~ DlvlslQn ()f S6nior Services, Course Cootdinato:c for visits of l6 Alaskan State officials to USC School of Medicine, Andtu$ Oetontology Center and affiliated local Southern California Geriamo Programs. Duration. ._ one month, early May to eaxly J~me, 1996:> Los .Angeles~ CA. APPENDIX 1 46! 114. State of Alaska; Division of Senior Services; Department of Administ.t:ation. Site visit to Ad111inistrative offices for review of Geriatric Programs. Jtmeau,. Alaska, 6/96. Outside Consultant and Lecturet 115. University of Alaska; Southeast Sitka. Care of the Elderly Sym.pOSA\l.!il~ Sitka, Alaska~ 9196. Cours~ Direotor and Leotut·e:c. 116. Boige Health Consortium- Medical Grand Rou11ds1 Boise~ Idaho, 11/96. Sex. after 60. 117. Symposium on Long 1'~nn Cm.•e for Prov1dc.ts~ Milwaulcee~ Wisconsin) 2197, Keynnte Speaker~ Drugs in the elderly,. 118. Symposium. on Gel'iatdc Medicine:~ Antelope Valley Medical Center~ Lancaster, CA:. 3/97. Course Director and Speaket'. Osteopathic Medical College, Des Moines1 Iowa~· 4/97: Symposium on • ,, ... "' u 119. diabetes Mellitus> Keynote St'ooker ~ Diabetes in the Elderly. 120. Utiiversity of Southern Illinois Medical School, ChampaigiJ, Urbana) IiHnois, 4/97, Medi:oal House Stuff Lectures. Topics - Diabete$ in -the Bldedy~ Drugs in the Elderly. 121. Allegheny Medioal School, :Philadelphia, PA, 5/97. Keyn<)te Speak(}7: .... Sy.trtposiunl. on Diabetes ruul Lipids in the Elderly. 122. State Seni-or Care Progratrl> Oldaho:ma City~ Oklahoma, 7/97, Keynote Speaker- Stat~ of Okl~homa Senlor Care Ftogram. 123.. Eastent Cal'olina Unive1'8ity Medical SchoolJ Greensboro, North Carolima> S/97. Medioal Grand Rounds. 124. University of Alaska, Southeast Sitka. Cm·e of the Eldel'ly Symposium, Sitka> Alaska~ 9/97~ Coutse Director and Lecturer. 125. Univel'sity of Colo1'ado11 Denver> CO~ 10/97. University of Colorado AffiHated. Programs~ Several States~ Medicat G1.m1d llounds. i 126. Arizona Chapter of the Amedcan Gerontologio Society) Pho~uix, A'l, 11197.. Sex Aftet 60. t . . l i 127. Symposium of Gerlattlc Medicine, Antelope Valley Medical Cenfut', Lancaster~ CA, 3/98. Course Director and Speaker. 128. Medical University of South Carolina, Charleston, Soutl1 Carolina_, 4!9&. Family Medicine Grand Rounds:> Sex After 60. I I I I I 1 I I 1 . ·--·-· +·--··-1~----··-- ·-·· I l lI '16. .... 6 • t ! , I APPENDIX 1 47 129. University of ColDrado2" Denvet~ CO~ 4/98 1 University of Colorado Affiliated Programsi Several Sites, Medical Grand Rounds. 130~ Eisenhowst M~dical Center; Rancho Mirage~ CA, 4/98. Medioal Chand Rounds/~ Dntgs itt the Elderly, l3L University of Alaslca 1:'\nd U.S.C.:> Sitka, Alaska; 9/98. Cro:e of the Elderly Symposium, Course Dh'eotor and Speal~:t:n'. 132. University of South Carolirta School of Medicine~ Charleston~ South Carol:ina11 10/98, Family Medicine G:ta.nd Rounds~ Sex A.ftel' 60. 133. V.A. Outpatient Clinic, Los Angeles; CA, 10/98, Memorial Leoture Set[es~ Medi.cations in the Elderly, 134. V.A. Outpatient Clirtio, tos Angeles_, CA~ 10/98, Me1notial Lecture Series . ~ - Alzheimer's disease. 135~ Visiting Professor of Geriatdo Medicine; Alaska. Gedatric Institute, Anchorage: Alaska> Aprilj 1199. Multiple Lectures~· 136. Visiting Profess('~\' of Gelia.trio Medicine, University of New Mexico School of Medicine;. Albuquerque, New Mexico, 6/99) Alzheim~t's disease. 137. Univetsity of Alaska~ Sitka, Alaska) 9/17/99..9/19/99. Care of the Elderly Conferenc1;J~ Course Director and Leoturel'. 138. Visiting Ptof~ssor of Ger1au1c Medioine~ University of .Arizona Affiliated Hospitals of Tucson and Phoenbc, A2} 10/20/99-10/23/99. 139. Symposium of the G!7rontological Society of .Alnerfc~ San Francisoo, CA., 11/.21/99. Inte1·disoiplinary Approaches to Teaching Gerlatrlcs, Invited Speaker. 140. State of AI~sk~ Anchorage, Alaslm~ '2/20/00-2/23/00. Task Force for the Assessment of Assisted Living in the Pioneersi Homes, Leader and Spokesperson. 141. Visiting Professor of Geriatric Medicine; University of Colorado School ofMedicine Afftliated Hospitals~ Denvo~~ Colorado, 3/7/00~3/8/00. 142. Visiting Ptofessor of -Geriatric Medicine, Affiliated lntel'nal Medicine Programs, Bl Paso, Texa~, 4/26/00--4/'2.7/00. I . . I ~---~--- ~_;-o-··-·· -·-: --:-----· ·----· -·-.--- ···;--;-;·· ... :····-··--,.--~- .... ·-- :.-;;-:::."·~·-·:;:·:=::.· ·.. :c;,.,.,~;-:-;··,·:·-···-.- ---------.1'~-----·-- . -- --·------" --- ---·· -- ------- --· i -1-------· '! .. u • .. 'Ll ' APPENDIX 1 143. Newp01t Beach> California> 5/5/00. Al111ual Meeting of the California Associ~tion ofMedioal Directors~ In~ited Speaker. 144. Antelope Valley Hospital,. tancaste;c, California, Medical Grand Roun,.1s, 11!17/99~ Treatment of Artlll'itic Fain in the Eldedy. 145. Kern Cotmty Medical CenterJ Bakersfield, California. Medfoal Grand Ro\U1c1s~ 1/7/00. Hazards ofDrugThecapies in the Elderly. I 1 146. Hoag Hospit~ Newport Beach.t Californ.ia, Medical Gr~nd Roun.ds)l 3/10/00. Sex After 60~ 1474 Visiting Professor of Oeriatric Medioin(i}; Affiliated Internal Mediolne Programs~ Bl Paso., Texas. 4/26/00.. 4/27/00 ; 148. Arrowhead Medical Ccnte:t.·~ San Bern~tdino County Hospital, Colt<>n, California~ 5/17/00. Medications in the ElderLy. 149. Annual Meeting of the Callfor.rrla Association of Medical Directors),j 11 Invited Speaker~ Newport Beach, Califoxnia, 5/5!00. 150.. Riverside General HospitaL, Merino Valley~ California~ 6/16/06. Medical Grm1d Rounds~ Medications in the Eldedy. 151. The Elderly Diabetic. Care of the Elderly Conference, University. of Al~ska:- Sitka~ Alaska~ 9/21100. 152. Treatmel1t of Arthxitic Pain. Care of the Elderly Conference;, University of Alaska, Sitk~, Alaska, 912.1100~ 153. Depression in th~ Elderly. Care of the Elderly Conference~ University of :_n:..; ,,11~ ·~ t.w~ Al~sl<:~ Sitl\~ .Alaska:, 9/21/00. ·. .. t., 154+ Treatment of Hype;rtension in the Elderly. Cw:e of the Elderly Confere11ce1 University ofAlask~ Sitka, Alaska., 9/21/00, 155. Medioations in the Elderly. Continuous Quality lw.ptovement (CQI) in ihe Smte..Assisted Living Faoilitles:- Depw:tment of Administration) Stat~ of Alaska, Ancho:tagej Alru1k~ 11/13/00. 156. Falls in the Eldedy~ Continuous Quality Improvement (CQl) in the State.. Assisted Living Faoilitles, Depru.tment o£ Adrrt:b:rlstratioll,· State of Alaska, Anchorage" Alaska, 11/13/00. l57. Dementia. Memorial Lecture Series) Outpatient Department~ Vet~rsns Admittistratlon~ Los Angeles:t California, 112101. -·- --~-· --·-~---:·--:------- :·-:-·- - ·--- ·:--:--------------------:-··--- -------· ----·-.. ·-··---------·----·-------16: ~t I APPENDIX 1 49 158. &ropsychiatdc Assessment of the Eld-e:rly. .Bu1'eau of Medi-Cal Fraud and Elder Abuse, Department of Justice~ State of Cali£ontta~ Ontario California> 2/22/01. 159. Treating Chronic Pain in the Elderly. Memol'lal Lecture Sed~s, Outpatient Depatime11t, Veterans Administration Los Angeles1 Californi~ 1/2/0L · 160, Medications in the Elderly. Continuot\s Quality In>.protrement (CQI) and the Risk..Plus Ptogrrun irt the State. .Asslsted Living Facilities~ Department of Administt'a.tion) State of Alaska, Sitka, Alaslta, SflfOl. 161. Falls in the Elderly. Con:tmuous Quality Improvement (CQI) and the IUsk-Plus PL'Ogran1 in the StateMAssisted Li'ving Faoilitieg; Depru.iment of Administration, State of Alaska, Sitk~ Alaskat 511101'. ' ·. 162, Sexuality. N01'th Amerioan Fotun1 on Women's Health, Los Angeles, 1 Cnllfotnia, 6119/01. ' I i 163. Alzheimet~s Disease, North American Fo1·urn on Women.~s Health1 Los Angele~> Califot·nia~ 6/19/0 1· 164. Ge:ropsycht>logical Evaluatron of Seniors. Syroposiuh1 on Eldet AbtlSt). Depattment of Justice-Bureau. of' Medical Fraud and Elder Abuse,. R~mcho Mirage1 California~ 9/7/01 165. Depression in the Elderly. Hoag Hospi1al. Newpott Beach> Califomla> 9/7101. I 166. Sleep Disorders in th~ Eldel'ly. Care of the Elderly Coufeten.oe. Uuivetsity I' of Alaska ..... SitkaJ Sitka.., Alaska, 9/2'3/01. t .... ! 167.. Medications in the El San Bernardino Gene.t:aJ Hospital, Colto~1)1 Californl~ 1l/29/01. 170F Patient and Family Satisfaction in Long Ter1n Cat~. Alasku. Pio.n~~ra~ Home, Anchorage~ Alaska. A :site visit and symposi~ 12111101... 1~/15/0L . ····-····-·-···· .... ···- . --·.---.·-::;-"-;':"';:-.!~--.-:::·-··--:~.: •.-.":.::-: ·-;- :·.·;-~ .. .. ~ . ., ~ ' . ... J • APPENDIX 1 sol 1/1. Normal Aging vs. Disease. Symposhtm on Geriatric Medicine. Annenberg Centerl Rancho Mirage. Californi~ 2/202. 172. Medications in the Eldedy, Memorial Lecture Series, Outpatient Department, Veterans Administration~ Los Angeles, California, 2/26/0'2. 173. Life Style Redesign in Elder Ca:ro. zua Annual North- Ame.dcan Forum on Women's Health! Anah~im~ California} 3/1/02. 174. Dementia in the Elderly. Memorial Looture Series, Outpatient Department~ Vetet·ana Adminfstra.tto:n, Los Angeles:. California; ::l/12/02. 175. Diabetes in the Elderly. Endocrine Orand Rounds, Harbor General Hospital, Torranoe, California, 4/l/0/2. 176. Medications in the Elderly. Mtllll..lecture series~ Co1111'riissloh on Aging~ I" ,, ~f ' • ., .. State of Alaska, Anchorage and Fairbanks,' 4112/02.. 4/26/02. 177. Treatment (!f l)aiti in. the. Elderly. Care o£ the Eldei'ly Cortfereno~\ Univel'sity of Alaska~ Sitka Sitka, Alnska~ 9/19/02. 178. Treatment of Cardiovascular Risk Factors in the Elderly. Care of the Eldetly Conference~ University of Alaska> SitkaJ. Alaska 9/19/02. 179. Special Issues in Long Tenn Cat·~, Assessment and Evaluation of the Artcho:rage Plorteers' Home; Anchorage~ Alaska, 12!10~12/14/02. 180. Identification and Treatment of Cardiovascular Risk Factors in 'lhe Elderly - A symposium Montgomery Cardiology · Programs. Montgotnety~ Alabama> 3/2l/03~ I ••• un. Me4ications in the Eldel'ly, Multi..lecture serlesj Connnission,on Aging> State of Alask~ Anchotage and Fairbanksi 4/23 ..4/26/03. 182. Assess1nent of Mental Competency and Discussion of an Elder Abuse Case. Symposium on Eldet Abuse) Departtnent of Justice .... Bureau of Medi~Cal Praud and Bldet Abus~~ Squaw Valley; California, 5/27~-5/30/03. 183. Medications in the Elderly. Multi-lecture series, Commission on. Aging, State of Alt'\ska;,Juneau and K6tchU~JUl, 6127-6129i03. i84. De1nentla in the Elderly: Medications in the Elderly. Csx~ of the Elderly Conference~ University ofAlask~ Sitk~ Sitka~ Alask~ 9/18w9/19/03. 18S. Demerttiay Gerlatdc Symposium:.... St. Mmy~s Hospital and Soan, tong Beach, CaUfonlia; 10/4/03. i I i ~: ! - ......·-----:- ·~--;-~*'--.~., .•- ------ ~..t..... ~~·-···-·----18-. ·-""--·-·· -··-···-.. ·-.......... · · "· ,- - ·- - . --.----·------·--·-----.._. ___,____,_~--~. - -1--- . ! "'". ..,. A • l APPENDIX 1 51 I 1&6. Senior Assessment for the Care Provider. Public Health Foront-- State of Alaska. Anchorage~ Alaska~ 12/1(03. 187. Seniot Assessment Workshop, Alaska G~tiatrlc Education Center, Unlversity· ofAlaskar Anohom.ge.,. Alaska) 1/23/04. 'i 188. Sleep Disorders in. the Eldedy. Coping wlth Chronic Disease. Care ofthe Elderly Conference~ Unive1'sity of Alaska~ Anchorage, Alaska.t 9/11/04. 189. Eldet Abuse. Coping wlth Chronic Oisease. Cardiovasoulru: lUsk Factors in the Elderly. Senio:r Lives Conference~ Untve1·.sity of Alm~ka-> Anohoragej Alaska 6/10/05. 190. Assessment of the Chart ln Sldl1ed Nul'Sing Facilities. Symposium on l • .:t.... ,.,. .. Eld.er Abuse; DeparttnJ}nt o~ Justice~ Bureau of l\1edical Fraud attd Eldet ... i . ! Abuse~ Long Beach~ CaUfo1nia~ 6/6~6/9/05. · ·' 191. Coping with Chronic Disease. The Chru:t in. the Skilled Nursing Home. Care· of the Elderly Conference~ University of Alaska~ Sitka~ 9/16/0S. 192. Sex After 60. The Chati: ifi the Skilled Nursing Home. Ptolnoting :Best Practices in Aging Gonfetence~ Unive~'Sity of Alaska> Anchorage- 6/S/06 -6/10/06. l93. Medic.al Realities and Dimin{sh~d Tribal Longevity. New Aspects of Long Tenn Care. Cate of th(1 Elderly Confetenc~, University of Alaska , Sitka~ 9114106- 9/16/06. . 194. Standw:d of Care> Symposium on Elder Abuse~ ))epattment of .Justice~ . State Qf Califomin, Buteau of Medi...CAL Fxaud a11d Elder AbuBe~ San ·. Mateo1 Callfotni.a IY.Iay~oo.ou-~..:.. 195. Integrated Therapies fot· Aging. The Thet·apies~ Care of the Elderly Conference~ University \>f AlMka~ Southeas~ Sitka 9/~S/08 ..... 9/27/08. 196. Human Biology 596 Course University of Washirtgton Medical School - WWAlYJl Program- Mnlti~Disciplinaty and E1hnicity in Gerontology and Geriatrics. L~ctur:es to Alaskan Medical Students~ Unive1's1ty of Alaska~ Anchorage, Apdl2009. · · 197. Mental Health and Dementia. . Inter-disciplinm'Y Ptao1ioo in Geriatrics Se)r After 60. Pt:omptlng Best Practices in Aging Confet-Gnce., Univexs~ty of Alaskf4 Anchorage, 6/3/09-6/5109. )[. PllJBLJ(CAT)[ONS - ---~--;-.- •• ·--~-:-·---~ -·- -- ------ -~.· - - - - - - · · - - - - - - •• · - - - : - · · · ,:, ·~: :!--.: - ·'--29 -.--::.·:-. ··-- ;-- ---,-·- ____ : . - ~----- ... -------- ~ . --·- ---·-- .. ---------- ----· ---- 'Yl1 • APPENDIX 1 52 Papers- Peet• Re'View L McCleverty> J.A. and Willdnsol\ Gl (Submi«~rs)~ Lipson> L. O., Maddox, M.D. and Kaesz, H.D. (Checkers): Dichlorotetracarbonyldbhodbm. Inorganio Synthesis Vol. VIIr. oltzclaw, H.F., Jr. (Ed) MoOrawwBill, New York, 1966 pp.211-214. 1 2. McCleV'erty1 J.A. and Wilkinson) G. (Submitters), Lipson~ L.G., Maddox~ M.D. and Kaesz~ H.D. (Checkers): Chlorocarbonylbl$ (tdpl1enylphosph1e) rl1odium and chloroom·bonylbis (triphenylarsh1e) thQdium. Inorganic Synthesis VoL VIII; Holtzclaw) H.G. Jr. (Ed), McGraw~Hill~ New Yotlc) NY 1966, pp214..217~ lipa~m} L.G. 1 Capuzzi1 c.M. and Margolis> S.M! Effect on method of cell isol~tion on the metabolic activity of. isolated rat liver cells. J. CellSC. · ·· 10~167 ..179, 1972. Lipson~ L.G.: Plague itt San. :F):anoisoo in 1900, Atm, Int. Med~ 77~303 .. 310, 1972. Kohler, T.R., Lipson> L.G., Flores,) J.> Witkum, P.A.~ Fischer~ J.B,~ and Sharp, G.W.O.! Sequence of events in the activation. of adenylate cyclase by cholera toxin. Bull Schwe;itz, Akad. Med. Wiss. 32--223..23:2~ 1976. 6. Beiteins~ r.z.) Lipson~ L.G. and McCarthur~ J.W.~Lu.teinizing hormone, follicle stimulating honuone and their subunits released in cultnre by human pituitary tumors. J. Clin. Endo. M~tab. 45!1271-1280~ 1977. 7. Fisoher, J.J.3~> Kohle1 1- T.R.., Lipson.t L.G.:~ Flores.t J.; Wttkam., P.A.; and 1 I I Shru:p.t G.W~G.~ Studies on the time oours~ and tat~ limiting steps irt the i activation of adenylate cyclase by cholera toxin. Biocltetu. J. '173 ~ 59-64.. J '197ft J f l 8. Lipso~ L. G., Beitins, LZ., Kornblith, F.D.lo MoArthm·!! J.W., Frie~en., fl llG.~ Klirnan~ B. and Kjelbe1·g, R.N.: Tissue cu1tme studies on lm.t.nan ! pituitruy ·tumors: Radioitumunoassa.y of ant~nior pituitary hormones in culture medium. Acta. Endo(~.cln. 88:239--249~ 1978. 9. Lipson, L.G~ and Shw.p~· G.W.G+; 1nsulin sec1·etion in vregnan.cy! Studies on adenylate Cyolase, phosphodiestarase, protein kinase and phosphoprotein phosphotase in Xsolated islets of Langerhans of the xat. Endocrinology 103!l272.-1280j 1978. 10~ Lipson, L.G.~ Beitins) l.Z.~ Kornblith, P.D., McArthur,· J~W., Friesen~ HLG.; Klim~ B. and Kjelberg, R.N.~ Tissue culture studies on hu.tnan .... , A ' .. 14 • APPENDIX 1 53 pitnitru:y tumoxa~ Loug"term .t:elease of antetior pituitary l1ormones. Acta. Endocrln. 90~421~433, 1979~ 1L Lipson~ L,G.~ Siegal~ E., Wohlheim~ C.B. and Shatp, G.W.G.: Insulin release in fast[ng! Studies on ade.nylate cyolaset phosphodies~rase7 p);.otein kinase and phosphoprotein phosphatase in isolated islets ofLa.ngerha.ng of the rat. E:ndoc1·inology 105:702..717~ 1979. 12. Lipson> L.G.) Bush~ M.J., Tieljen3 G.E. and Yoon, A.; Role of the aden.ylate cyclase sy.ste111 in altered insulin ~eiease from. islets of Langerhans of aging rats. Acta. Endoodn.. 96:222H226, 19tH. 13. Lipson~ L.O.: Bobl'ycld~ V.A.$ Bush, M.J.> Ttetjert, G.E. and Yoon~ A.: Insulin release in aging: Studies on adenylate oyclase, phosphodiestatase at1d protein kirt.ase in islolated islets on Lange1'hans of the rat. Endoodnology 108: 602-624> 1~81: 1;~ •• -: · ' • 14. Lipson> L.G.> Moore,~ D., Pope" A.M.J ToddJ G.J., an.dAvil~ S.; S~xual dysfunction in Hypertensive diabetic pf.ltients. J. Cardiovascular Med. 6: Supp. 1) 30-37~ 1981. 15. Cottou? D.B.~ Straa.anet1 B.G~, Lipson} L~G., and Goldstein~ D.A,: 'Ih~ effeets of terbutaline on add-base) eleob:olytes and glucose homeostasts dur1n.gthe managementof'preterm labor. Am. J. Obstet. And Gy.n, 14l~ 617.. 624~ 1982. 16. Oldhru~ S.B .1 LipsQ~ L. Lu~ C.C~, Santiago, N.A. 1 Gray~ G.M, and . Lipson, L.G.: Basal.-Jate.eal and intJ:acellular membrane vopulations of th(l tate exorbitallacd:tnttl gland. Am+ J. Physiol. 2.45: G 133 ..142, 19S3. 19. Premdaa, F.H., Molin~ I.M. and tipso.t4 L.G.: fusulini'elease in aging: Role L.G. and Lipso~ M.: Treatment of the obes~ maturity onset diabetic pmient$ A:roh. Int. Med. 144! 135-138, 1934. 'n , APPENDIX 1 54 21. OJdha.m, S.B.}Molloy, C. and Lipson~ L.G.: Calo~um inhibition of adenylatecyclase in the parathyroid gland. Endooi'lnology 114~ 207~214, 1984. 22. Lipson>.L.G,: Sexual dysftmction in the diabetic patient with hypert<;}nsion. Am.. J, Cardloi. 53: 46A..50[\ 1984. 23. Lipson> X.,. G.: Speci.ai problems in the treatment of hypertension in tht> patient with diabetes mellitus. Arch, Int Med. 144! 1829.. 1831> 1984. 24. Oldllam~ S.B,; Rude, R.K.; Molloy~ C. and Lipson:r L.G.~ The effect of )nagnesiun.t on calcium inhibition of parathyroid ade:nylate cyclase. Endocrinology.115: 1883u1890, 1984. 25~. ... Molina, J.M.J P.rem.das, F.H.~ Klenck, R.E.~ Eddlestonej G.~ Oldhmn~_S.~.:- ' · and Lipson; 1.G.: The dynamic insulin. secretmy respon~e or isolateci · · · pancreatic islets of the diabetic .mouse~ Evidenoe fot a gene dosage effect. on il'lsulin secretion. Diabetes 33: 1120.. 1123. 26. Bddlestone, G.T.~ Oldham> S.B.~ Lipson) L.G.~ Premdnsj F.H~ and Beigebna~ P.M.! Electrloal aotivtty~ cAMP concentration and insulin release in mouse islets ofLangerh~s, Am. J. Physiol. 248: C 145-153~ 1985. 27. Molina, J.M., Prerndas~ F.E. and Lipson1 L.G.: Insulin release in aging! Dynnntio response of isolated islets ofLangerhans of the rat ton . . glyce~aldehyde. Endoctinclogy 116: 821 ..826> 1985. 28. Oldham> S.B. and Lipson) L.G.: The high affinity cJtlcium inhibition \If parathyroid adenylate oyolase is not calmodulin-dependent. Calcif1 Tissue Int. 38~ 275-281~ 1986. 29. Bailey., C.J.; Day, D.; Bray~ G.A.; Lipson) L.G. and Flatt> P~R.: Role of adrenal glands in the development of the abnonnal glucose and insulin homeostasis ingenetioa,lly obese (ob/ob) mice. Hormone and Metabolism Research, 18~ 357-360; 19&6, 30. Prochazka_, M._, Pxemdaa, F.H.t Leiter1 EJI. and Lipson1 L.G.: Estrone treatment di$sociat~s. primru.y vel·sus secondary consequences of ''diabetes'' (DB) gene ~xp:ressionh1nrloe. Diabetes, 35~ 7?/5.. 728~ 1986. 31. :Gipson, L.G.: Diabetes in the elderly: Diagnosis.'# pathogenesis~ and therapyA Am. J. Med. 80! Supp. SA: 10~21~ 1986. --·~------------- ------~----·--- y ~ • APPENDIX 1 55 32.. Fadda> G.Z., Ak.tnal, M.~ Premdas, F.H., Lipso11~ L.G. andMassry) S.G.; Insulin release from pancreatic isLets! Effects of.CRF at1d excess l?TH. Kidney 1nt. 33% 1066.. 10721 1988. 3j, L~lter, E. H.) Prerodas> F.H.~ Hmrlson, D.H. and Lipson, L.G.~ Aging ar:d glucose homeostasis in C57BL/6J male mice. FASEB Journal. 2: 2807. . 2811,.1988. 34. Fadd~ G.Z.~ Aktnal~ M., Lipson~ L.G.~ SolimM, A. andMassry1 S.G.~ Correction of glucose into~erance and the impaired insulin release ()f chronic renal failure by verapamll. Kidney lnt. :36: 773~7?0, 1989. 35.. Fadda, G,Z., Akma.4 M.~ Lipson, L.G. and Massry, S.G.: Directeffeot of p~athyroid homtcne seo1•etion from pancreatic islets. Am. J. Physiol.~ 258 (EndoorlnDl. Metab. 21)~ E975.-.B984, 19.90. · .... ,. 36': Mulligan, R., Lipson~ L.G. and Heaton;! S. G.: Detecting diabetes iu ari"'' · eldel'ly dental patient population. Special cate in Dentistry: Feature Article: SeptemberwOctobex, 142.. 147, 1990. 37. Xin ..Gin) z.~ Fad.d~ G.Z,, Lipson, L.G. and Massry1 S.G.! Phosphate depletion impaits insulin seotetion by pa11CJ.'eatic islets. Kid. Int. 39~ 120.. 128~ l99L 38. Fadda.1 G.Z.) H$Jjat·, S~M.~ Pe.tna A. F.~ Chaut X.J., !Jipson, L.G. ar1d 1 Massry, S.G.: On the mechtmisms of impaired insulin secretion in chtonic l'enal.:failure. Jout~ Clin. Invest. 87: 225. .261~ 1991. · 39. Clark~ F. Carlson~ M., Zim.Ice, R.~ Frank~ 0,~ Patterson, K.~ Lat·son, B.) Rankin--Martinez> A.) Hobson, L., Crandall> J,~ Mcu1del, D. and Lipson, L.G.: A qualitative study (lfthe life dCJ.tnilins w:td adaptive stmt~gies of the lowincome).wellelderly~ Am. J. Occup. Therapy~ 1994 . 40. Clark F~ Carlson, M., Zhnke, R., Franlc1 G. 1 Patterson~ lC; Et1I1evor, B.~ Rankin-Martinez> A., Hobson~ L., Crandal~ J.~ Mandel) P.and Lipson, L.G,; Life domains and adaptive strategies of a gl'oup oflow..inconle, well older adults, Am. J1'. ofOocupati.onal Therapy~ 99.. 108~ 1995. 41. Rho 1 Jay P. and Lipson, L.G.! Focus on acetylcholinestnmmeinhibitot~ for the treatment ofAlzheitrt(lt's disease. Fot.tnulacy)) Vol. 32~ 677. .684_, 1997. 42. Clark, F., Azet)) S.P., Zemke, ll.~ Jacl :Hessle; C~~ Palmer) J. and Li.pson> L.G,: 1 Occupational Therapy for Independent...J..Av.i.ng Older Adults. J'AMA) 273: 1321..1326;J 1997. --·-·. --· --- _,......, __ *~--.. ··-- -:-:--:-: .. :-·:.--··---- ~- ..- - -··-··-·····~··· .. -·--·- ... --·· ·-·----·····- . \. .., a • 1! • 4111 I APPENDIX 1 56 43. Clad<~ F., Azen> S.P., C\ltlson> M.,. :M~andel~ D.~ LaBl·ee, L.~ Hay~ J.~ z~'nnke1 R.~ Jackson) J. and Livson!l L.G.: EPibeddhlg health..promoting chang~s into the daily lives of independent... living older adults~ Long.. tenn foUow..up of oco11pational therapy intel'Vention. Journal of Gerontology: Psychological Sciencest 56B, pp. 60"6~, 20<)1. · Reqt1ested Chapters, Papers> and Monograms 1. Sharp~ G.W.G.) Fisltet·, J.Cf., Lipsot~ L.G.~ Kohl~w, T. R., Flores, J. and Witkum, P.A.! Titne course studies on the mechanisms of action cholet'l:\ toxin. .Hormonal Receptors in Digestive Tract Physiology. In Bonftls, S,~ Fromageot~ P., Rosselin~ G. (-eds.)lt·Bldevier..North Holland Biomedical Press~ Amdste.rdm~ pp.447-454~ 1976. . 2. Sharp, G.W.O.) Wledenkellert DjE. 1 Lipson~ L,G., Oldham, S.B.~ l{J;a.ue!z, "'' 1M\,,: Y., .Tanjis> D.> Pian-.Strdth, M.C.l\1!. and Wollheim, C.B.! ·Multiple :r:oledof calmodulin> the endocrine p~ncreas and the conttol of insulin secretion. Pa·oceedinga ofthe 11th Congress of the lnteruatlonat Dlabetes Fede1'ation. Int. Congress Serlea #600! E::tcerpta Medica.) Princeton, N.J.~ Mngofa} En.N. (Ed.)pp 329..336, 1983. 3. Lipson, L.G.! Hyperte11sion and diab~t~s niellttus. Diabetes forecast 38:53) 1985. 4. Lipson, L.(b Diabetes 1neiHtus in the elderly: Special problems, special a.ppt{)aches. Co. Medical, New York, N.Y.~ pp. 1-20) L985. 5.. Lipson,. L.G.: Diabetes after si-x.ty. .five. Dfabet~ Foxecast. Vol. 39~ No. 7, 54.. 58, 1986. 6. Lipso~ L.G.t Diabetes in the elderly! A multifaceted problem. Am. J. Med, 80! supp. 5A:1~2, 1986. 7. Lipson~ L.G. mtd Bray, G.A."j Energy intak:e and utilization in aging man: Chen (ed,), Nutdtional Aspects of Aging~ Vol. 1~;~ CRCpl'~SS.t tfio.~ Boca Raton_, lt"'L. Pp. 184..18S, 1986. 8~ · Lipson, t.G.: Diabetes and aging. fu Beigelrnan1 P .M~ and Kuman> D.J (Eds)? Diabetes Mellitus fo,: the house ()fficer. Williams and Willdn~ l3altimore, MD. 1 pp. 184.. 185, 1986. 9.. Lipson, L.G. and Kumar, D.~ Otal hypoglycemio agents. In Beigelman1 P.M, and Kumm.·, D. (Eda.) Diabetes Mellitus for the House Officer1 WHliams and Wilkins, Baltimore~ MC. Pp. 112.. tl8) 1986. •II • '1 A• APPENDIX 1 57 10. Lipson> L.G.~ Dental problems i11 the diabetic patie~1.ts. In Beigelmrut~ P.M. tmd Kumar~ D. (Eds,) Diab~tes Mellitus for the House Offic~r. Williams and Wilkins~ Baltimore~ MD., pp. 181 .. 183, 1986. '! 11. Lipson, L.G.,: Hypertension ln the diabetio patient. In Beigelman, P.M~ and Kumarp D.) (Eds.) Diabetes Mellitus for the Hol..lse Officer. Williams and Wilkins, Baltimol.'e~ MD,~ pp 16().. 163, 1986. 12, Lipson~ L.G.: Ryp~rtensio1tin the diabetic patient. In Beigehnan~ P.M. and Kumru.·~ D., (Eds.), Diabetes Mellitus fox the House Offl(ler. Williams and Wflldns~ Baltintore~ MD., :pp. 173.. 175p 1986 . 13. Dinwiddie, R. tmdL~pso~ L.G~: Improved control ofsenlm glucose in obese~ 11ew~onset h1sulinopenio non-immHn dependent diabetes mellitus: Partial respiration o£Nonnm1 dy11amic insulin secretion. Roedg Division, pp. J..6, 1986, .:..... ' · .,.., ·-- ",,_ ,"\ •a,., ... tt/"' 14. Lipson~ L.O. and Kato . .:Pahner> S.: Diabetes in Asians. Diabetes Forecast, V<>t 41, No.9, 48 ..51, 19B8. 15. Lipson~ L.OI) Kato~Palmer~ S., Boggs, W.L.) Moore,D., and. ope-1 A.: . Diabetes in the :Slack population. Dlabetes Forecast Vol. 41, No.9; pp. 34--38> 1988. 16. Williams~ B.R., Nichol, M.B.~ Lowe:~ B.F., McCombs~ J.S.~ Yoon, P.S. and Lipson) L.G.: phatmacist intetverttion residenti~l care f<\cnities.ln Rowet 1-W. and Alu·onheim1 J. C. (Eds.) Annual Re'\l'iew Qf Geronto~ogy a11d Geriatrics; Foous on Medioatlons and the Elderly. Spdnger PublishingCo.NewVod~N.Y.~pp.150.-162, Vo1.12, 1992, 17. The Use of Medications: A Ttaiuing and Referenoe Manual Developed fot Staff in.Residentlal Care Facilities for the Elderly~ 1195. Lipsort; • •~~-<" L.O.- Project Co-Director. 1&. Weiner, J. and Lipson,. L.G.: Htunrut diseases as n1odels of accelerated agblg. In Rose~ C., Glowacld, J. and :Silezikian> J. (Bds.) The Aging Skeleton> Academic Press, Chapter ~;.pp. 51..-58, 1999. 19. Raghaven~ D.~ Weiner1- J. and Lipson~ L.G.: Cancer in tlte elderly~ principles oftr~atrn~nt mSoulbartli~ R.L. et al (Bds.)~ Oxford Textbook Oncology; 1.nd Edition> Oxford University Press~ Oxford1 London~ 1999. Films and Videos -~~-~ ~-·~-~·~-· --·-·---· ·----- -=----=.::: __ ==-··:-_-,c·-;;·. ~ -------.-· --·· ·-·- ·---- .... ···:35-·--- ---·-----.--·------ --· ·-- ·-· -. ······----·-- . -·····---·---·-----··---· . ' • p • ··.& • APPENDIX 1 58 : 1. Discharge Planning for the Elderly H 1986~ 15 min. L.O. Lipson~ Moderator and oontent expert. 4. Discha:cge Plru.ll1irLg for the Elderly Hospitalized Patient IV. Community programs fotthe eldel.'ly. Hospital Satellite-Network, 1986~ 15 min. L.G. Lipson..,. Moderato1• trt~d content expert. .. . 5. Normal Aging Versus Disease:·:Physician1ourna! Update. Lifetime Netwotkj 1987 ~ 15 min. L. G. Lipson- Conten.t expert. 6. Dl'ugs and the Elde.rly. Physlcian1s Journal Updato. Lifethne N~twork) 1987~ 15 min. L.G~ Lipson- Collteni:expert, 7. .26. Caring fot a.11d Agirtg Soolety. 20 videos on various aspects of Geriatrics gnd Gerontology. Each 30 minutes in length. Producer- Neil Steinbetg Productions1 Executive Producers- HospitatSat~llite Netwot'lc and Age Wave~ 8ponsor-¥ariort Laborato:d¢s. 1987. .1988. L~G. Lipson.- Technical advisor and content exp~rt. CAlUNG FOR AN AGING SOCIETY SHOW TITLES AND NUMBER "tiSP#_ HSN# !lTLE 001 8649X NEW!MAGESOFAGING(F) DYCHTWALD ()02 0462X ff.OW tO TALK TO YOOR:DOCTOR (F) LIPSON 003 5733X GERIATRIC ASESSMENT (F) B'Ul'LER 004 8648X DRUGS AND THE ELDEl.U.,Y (F) :LAMY o. Producer> MarkAlyn Conunm1ications) Sponsor- Mal'ion LaboratOJ:ies) 1988. L.G. Lipson- Moderator and content expert. 28. Medical Checkup: Health .Awa:eenesa 1 88 Aging in the Hispanic Community. A 30 min. Video, Ptoduoer, Mru:kAlY.n Co.oornunioations~ Sponsor- Marlon LabQ(atodes. 1988. L.G. Lipson- Moderato:r attd content expert. Medical Cheokup: Hea.IthAwru·eness 188. Aging in the Asian Community. A30 min. Video. Produoer11 Mad<:Alyn Communications> Sponsor- Mation'Labor.atodes, 1988. L.G. Lipson ..... Model~atol' and content expert, 3Ct. MedicaL Checkup: Health Awareness ~ 88. Diabetes Mellitus in fue Black Community. A 30 min. Video. Pl'oduce.r)' Mark Alyn Comm\1~1lcations, Sponsot- Mation. Labotatodes 1 19$8. L.G.. .Lipson- Mode1•ator and content expert. 31. Medical Checkup; ftertlth Aw~u:eness '88. bia.betes MellitU$ in the Asian Community. A 30 min. Video. Ptoducer, Mark Alyn Conununicatio:ns~ Sponsor.-Marion Labofatoties~ 1988. t.G. Lipson.-- Mode1•ator and content expert. · 32. Medical Checkup~ Health Awareness ~ss. Diabetes Mellitus in the Hispanic Comriiuutty. A 30 min. ·video. Producer~ Mark Alyn Cmonmnications~ Sponsor- Marlon Laboratories, 1938. L.G. tipson ~ Moderato.t and content ex.pett. I 33--38. Diet and Exexci~~-~rArestyles for Aghtg. Hospital Sat~llite Network. Six lO~miutttE> Segments, 1989. L.G. Lipson- contei\t expe.r:t. ,.,p 39~ flow to Tall<; to the Older Patient. Baylor Hospital and Age Wave, 1989. L.G. t.ipson- Medical Moderator and content expert. 40-41. The Agifig Skin. Age Wa'Ve, 1991. t.G.Lipson-- Medical Bdito1: 42. Diabetes and the Elderly. Li-ving with Diabetes! Diabetes on the Air~ 1991. 43. Se:>r and Sexuality it1 Seniors-· A Pocumentary~ 1999 L.G. Lipson ..... Guest E.:s.pert. I • Abstracts ~ ll • I I '\,S.. APPENDIX 1 60 *1. Lipson} L.G.~ Mal'golis, S.M. and Cap-uzz4 D~M·.~ Compru.ison of acetate and mnino acid incorporation in rat li-ver cells isolated by thtee techniques. Fed.l?toc. 28:336 (abst. 607):. 1969. 2. Lipson} L,G,> Ackerman,) l.P, and K.liman, B.: simultaneous acl'omegaly and partlally suppressible ~dtenocol'tioal fun<~Hon in a patient with a pituitary tumor. Clin. Res. 24: 274A)1976. . 3. Lipson. L.G.) Beitins, I.Z.s Ko1·nblith, P.P~) McArthur, J. W., Ftlesen> H.G,j Klima.nt B. and Kjelberg, R.N. Horn:tone secretory patterns ofhmnan pituitary tumors in tissne culture. Clin. Res. 328A~ 1976, 4. Lipson~ L,G.> Fol'dsta11, C.A, and Sharp, G.W.G. Phosphorylation and dephosphotylation in the oontrol of the insulin release: Islet phosphoprotein phosphatase, Diabetes 25: Supp. 1~~74 (abst. 213)~ 1976. *5. Lipson) t.G.~ Vachon~ ·c., Fdiristall, C.A,.:I and Sharp~ G.W.G.: Stimula1ion of specific protein phosphotylation in intact rat~ islets of Langerhans by both 3wfsob\lty1..1- methlxanthine and :0-glucose. Olin. Re$, 26:530A~ 1978. 6~ Lipson, L.G. and Sharp~ G. W.O.: Insulin release in pregnancy~ Relatior.ship to protein and phosphorylation. Endocrinology 102: (abst. 711)~ 1978. 7. Lipson, L.G. WolJheim, C.l3. and Sharp, Q.W.G.i lnsulin release in fasling. Diabetes 27: Supp. 2, 489 (abst. 236), 1978. 8. Lipson~ L.G,J Bobtycki1 V.A.~ Bush~ MJ., Gt·oss~ E. and Inouyte) D.: Role ofadenylate · cyclase system in altered insulin rel~ase from islets of aged tats~ Clin.R$S, zg~s tA} 1980, *9. Cotto~ D.B.~ Strassner~ H.G,~ Lipson~ L.G. and Goldstein, D.A.! Effect ofterbutaline on se.J:l'Jl)1 concentrations of glucose~ insulin) votassiurn, ionized and total calcium lactate> and colloid osmotic pressure. Gyecol, Invest. 1980.,, .·t-:· .•.. *10. Lipson, L.G\~ Bush1 M.J.~ Ti~'ijen; .G.E. and Yoo:n) A.~ Insulin release ittagh~g! the t•ole of adenylate cyclase system. Endocrinology 106! (abs~. 34).} 1980. 11. Mirche~ a. C.~ Lipson~ L.G.;I Bush~ M.J?~ Yoon~ A. andBaxlsh~ J.J.: Analytical fraction of B.. c~lls. Diabetes 2.9: Supp. 2, 109A (abst. 425), 1980 12. Moore, D.) Pope~ A.M.~ Todd~ G.J.:t Rosenquist~ R.J.1 and Lipson> L.G. : Treatment of hypertensive dia.b~tia patients with pmzosln, Diabetes 29; Supp~ 2t 67A (abst. 267) 1980. ~ *13~ Oidhamj S.B., Lopson} L.G. and Ti~qen) G. E.; Evidence fo:r the presence of calmodulin 1 in human parathyroid tl.ssue~ VIII International Conference in Calcium Regulating f Honnones, 1980. I I .. ··--· ·-·-·~-·----·--·-·-- --- ·-----· ··-·- -· ·-·. . ........... _...._______,. . . . . . - .................... "'-'" . . -................................._3 8· ..... ·- ·- . . . . .:-···----............ --..·-·-----·-· . . . . . . . . . . . . . . . . _, _____. . ._.................................... 'II • I ' APPENDIX 1 61 . ~ *14. Lipsd'n, L.G.,. Bush} M.J. and Bobrycld, V.A.: The role of the aden.ylate cyalase system In the deoreased gluoose.-stirnulated insulin release fl'om isolated islets of' Langerhans of . aging rats. Gordon Research Conference . . . The Biology of Aging. 1980. 15. Lipson~ L.G. Oldham) S.B. and Bush, M.J,; Calmodulin·- stimula.tabl.e phosphodiestatase in isolated islets ofLangerhans oftherat. Clin. Res. 29:S6A, l981. 16. Lips~n. L.G., Moo:re, D.~ Pope. A.M., Todd, F.J. andAvlla> S.: lncldenceofhypertension in male diabetic populations. Clln. Res. 29:413A.l981. 17. Lipson1 L. G. and 0 Idham,. S.B ,! Colmodulfn...gf:irnulatable phosphodiestaxase ht pancreatic islets of the, pregnant rat. CHn. ~es. 29w413A_, 1981. fk18. Conteas, C.N.~ Lipson~ L.G, and Mircheff, A, C. .: Basal lateral membranes fi•om rat pm:otid acinar cells. Gastroenterology 80: 1128A> 198L .'. 19. LipsoJJ, L.G. and Oldham, S.B..: The presen Tissue int. 34!843, 1982. *24. Lipson, L.G., P.remdast F.H., l\1oli:na~ J.M.:Studies on dynamic insulin release in aging. The physiologist 25: 288 (abst. 47.8)> 1982. · *25. Molina, J.M., Pr.emdasJ F\ H. and Lipson) L.G,! Dyrtamics of insulin secretion in. aging Clin.Res. 31:58A1 1983. *26.- Shatpj G~W.G.~ Wolheim, C.B,j Siegel, E.; Lipson~.L~G. and Kraus, Y.: The tole of calmodulin in insulin soo:r:etion. International Diabetes Fed~ Meeting in Kenyaj November 1982. )It27. Eddlestone, G.T., Oldham~ S.B.> Lipson, l.t.G.. and Beigehnan~ P.M.; ~otskolin inc~;eases cyclic AMP and potentiates electrical acti-vity in the n1ouse pancreatic B.. oe11~ Fed. P1·oc. 42: 89711 (abst. 3544)~ 1983. -~·--:---:-···-----·---;-c-:~~-:-- --···-----~----·--·· -··------- ······-····:·---:-·--·- ··-·· --·_-·····-··---..-... ···---·--·-·--- ----39-- ·------- -···-··-·····--· ... - ··-··· ·- ··-· - . -:·--------···- · · · ·---·---- - - - • - ·-~---;---;··~--- ~· .. :-~:.-==·.:.::·~·-:·::--:::-.._:...--:-7o.~-:-:···.·-.· -~- •.• ~--- ' ' "'\ d • APPENDIX 1 62 *28, Bddlestont7t G~'l\~ Oldha~ S.:B.) Lipson, t.G. and Beigelman, PJvf.~ Forskolin ·potentiatiol1 of the B~cell resports~ to glucose. Diabetes 32; Supp. l(abst 552), 1983. *29. Oldham, S.B. and Lipson: L.G.: The effects of ionic ca1oium on magnesium activation of parathyroid adenylate cyclase. Calcif. Tissue IntA 35:686~ 1983. *30 Premdas~ F.H., Molina} J.M. and Lipson, L.G.: RestOL'a.tion ofnormal dynamic insulin in secretion in aging l'ats. The Phy~jologist26:A50~ (abst. 32.1)) l9S3. *31. Oldham, S.B. and Lipson~ L.G.! Calcium inhibition ofparathyroid adeuylate cyolase: Is calmoduli-n medicated? VIlllnternatiortal Conference on Calcium Regulation l!o~mones, Kob~~ Japan, October, 1983. 32. Johnson~ 1vf.D. and Lipsont L.G.: Prevaleltce ofHypertenslon and sex\lal d.ysfunction in diabetic women. Clin. Res. 32:48A1 1984, *33. Molina, J.M.~ Pt~fna~s, F,H,, Lipson~ L.G., Klenckj R,; Eddleston.e; G. and Oldham~ S.B.: · Comparison. of dynamic insulin release to P~glucose md D"glycera.ldehyde in isolated pancre~tic 1slets .from the db/db mouse. Clin. Res, 32:51~ 1984~ *34. Oldhatn~ S.B. and Lipson, L.G.: IoniQ oontrol ofpal'athy,..oid adenyla'te cyclase af)tivity. UCLA aymposium 1984 on.Mernbr~me Receptors and CeUular Recognition. 35. tipson> L.G.; Liebig, P.S, and Sloane~ R.B.! Training o-f faculty mentors and advocates in geriatrics. Annual Meeting of Gerontological Society-oflun.edca. November~ 1984> San Antonio~ Texas. *36. Lipson) L.G..1 Premdas, F.H.~ Molinas~ 1.M, and Lewis~ D.: Cyclic AMP end insulin secretion. Gordon Research Conference--. The Biology of Agi~g, 19~5. *3 7. F~dda G.~ Akmal.lvf.~ Pxemdas~ F.H.~ Lipson~ L.G. and Massl'Y~ S. G.: Direct evidence o1 ..... ~v~·:·t!:l·· an inhibitoty effect .if patathYJ.·oid hormone (PTil} on insulin,;;e'e~~e in chronic renal failure (CRF). KidneyJnternation.a1. 31~348~ 1987, Ar.o.e:ricanSooietyofNeplttology, Washington, D.C.j 1986. *38, Fadda G., Akma~ M., P,;erndas, F.H.~ Lipson, L.G. an41Vfassry, S. G.~ Cot.t:eotionof glucose intoletan.oe (GINT) ~d the impaired insulin release<> olu:onic renal failm'e. (CRF by verapamit Arnerioan SocietyofNeplu:ology, San. Antonio~ Texas 1988. 39. Palmer, S.K.~ Madlso.n, R.E~ and Lipson, L.G.~ Self-reported pre-val~ntce and. associated factors in type II diabetes in Japanese Amedcans in Los Angeles. Diabetes: 37: 150A (abst 537)~ 1988. *40. Garcia, D~L., Palmer} S.K., Boggs~ W.L. aud Lipson~ L.G.: Challenges in..patient oom.plianoe. of elderly Mex.lcan Amel'ioatt Diabetics. Diabetes: 37~68A (abst.. 269), Amerlcan Diabetes Association, New Odeans; t.A.~ 1988, ~--............_._ _,_ ...__....._ ~ ....... __ _ ------ -----~.-------:----·c-·---·-·-------- ---·--40----·- - -.... . - ~ . --~ . ~· ~ ---~-- --·· -- •-• ................... _. -~ ~ - o .... - - - - - - - -- - -~··--H~ .... '1J. •\ A • '\ .. APPENDIX 1 63 41. Schwamj W.J., Lefevre.} T.M. andLipsol\ L.G.! Falls in fh.e eldedy! Tleu~e ofmultipte balance tests. N?v· 1988 1neeting of Gerontological Society of Alnerica. · *42. Oldham, S.B., Eddlestone, G.T.> Premdas, FJI. and Lipson; L,G.: the influence of age on glucos~ and forskolin- stirrmlated insulih release from islets of the diabeti(} mOllSe. No. 198 8 meeting of Gerontological Society of Ametion~ *43. ·Lipson) L.G.: Caring for an aging society- twenty 30 minute 'Videos on gerontology and getiatrics. Nov, 1988~ meeting ofGerontologioal Society of America. •!144. Palmel', S.K.~ Madisonj R.E. and Lipson, L.G.~ Diabetes in older Japanese. .Am~:d.oans. November 198 Smeeting of Gerontological Society of Amedc~ *45. Boggs, W~L., Garcia, D.L,~ Palmer~ S,J(. ~ and Lipson, L.G.; Patient compliance in an ethnic population~ Diabetes oar~ in elderly Mexican"Amedoans> Nov. 19&8J meeting of Get:ontolo girreotion ofGlucosl:l rntole.rance (OINT) and the impah'ed ·insulin release of chronic renal failure (CRF) by Vel'apoamil.Kidneylnt. 35:427~ 1989,1989 Meetingoft11e21~ Nationa1Kidney 1 Foundation scientific Symposium. *47 Faddf4 G.Z.~ A1ctnal1 M.~ Lipson:, L.G. and Massry~ S.G.: Evidence for a dh:ect eff~ct of parathyroid honnone (PTH) on pancreatic isl~ts. Kidney Int. 37:466} 1990, 1990 meeting o:fthe 22nd National Kidney Foundation Scientific Symposium~ *48 Fadd~ G.Z., Akmal 1 M, 1 Lipson> L.G. and Massry 1 S.O.: Meohanism of impaired insulin .secretion in chtonlc renal failure. Kidney Int. 37!50~~ 1990. 1990 meeting ofthe 22nd National Kidney Foundation Scientific Symposium. *49, Com.unale, R., Fadda, G.Z.~ Ptem.ad, F.H.~ Thanaldtoharu~ P, Lipso~ L.(h andMe.ssl'Yt S.G.! ~educed K...fnduce.G!Jmulin secretion. in ·chronic renal failme (C:RF) oontribute to hnpah:ed extrarenal disposal ofK: Role of excess PTff. Am. Soc. Nep:hrol. 1~624~ 1990. *50 Williams~ B.:l Lowe) B., Nichol1 M., McCombs~ J,~ Yoon~ P. rutd Lipson, L.G.: hnptovlng drUg tberapi"s inresldetl.tial care faoilitiea. 1994 Annrutl Meeting of the Alnerloon Geriatric Society, Los Augeles, CA. lf 51. 1 Lipson, L.G.:~ McCombs,. J.~ Jelliffe~ R., Williams~ B., and Wilson~ P. : Medications I the elderly: pi'oblems, polici~s and new solutio~ asymposlun1. 1995 Annual Meeting of the Ge.t:on.tologloal Society of Amerlca, Los Angeles#- CA. *52. Lipson, L.Gv and Kohn> J.: Govetil.tne.ntal responsivenesg to ohangos in dentographios of aging disease: A unique state apptO$.Oh to geriatLic ADRD ctU'e and tteatment. 1996 Annual Meeting of Southern Medioal Association, Baltimore~ Maryland. i -·--·- ·- .. __ --. -· .......... _.. ... --· ---· --·-· ..,_ ·-·. ---··- -#-- --- ·-- -~--- ---~ -~---. -- -·--~·-··-----·····- -···- ·· . ..........41· ··-.··:•·, ;·· ·:·""~.-;:-~·."-,·.~o=.--:=,;;,.;:•:;·;;··"'---···""•·-··· .. - ! · ......... - •• ,. .. --··•- ..... _ ... , -·-~-,r CCC "A , 1.!. • APPENDIX 1 64 53. Syrnpositn:n Anm.lal Meeting of Gerontological Society of America~ San Francisco, California~ 1998. *Presented I. G~·a>J.ts and Research Funding (1975..2001) I 1. National Rese~rch Service Awards irtDiabetesb 1975..1977. NIAlYIDD) NlH. 1F32 AM 05219 MET. 2. Clinical fnvestigatorAwardinDiabetes.19T7--197$. NIAMDD, NrH.l KOB ArV£0320 MET. Two adHHS Center Grant-· '~Gerlatl'io Education Center Ch:ant. ~' DHHS 1031 AH 69000. $952>000. 10/83 through ~/88. L. G. Lipson, Faculty Coordinator and Member of the Steering Co:rn:mittee. 14. NIH Center Grant .... t $5~000. L.G~ Lipson, M.D.> Course Director and P,L 28. NlH Research Gt~nt- <~Multicenter Tl'ail ofPl'ednisone h,_ Alzheimer's Disease. n 1995~ $80,000. L.G. Lipson, M.D., Co--P.I. 29~ State ofAlaska- Educational Grant (~Training of Administrators in Long Tenn. Care lnstitutions and Health Care Providers and Planners in Special Topics 'of Gerontology and Gedatdcs~n 31V96- 5/20/96, $16,000. L.G~ Lipson~ M.D., Director. 30. Glendale Adventist Medical Center- '~Family Praotioe Residency Training in Geriatric Medicine.~' 7/1/96- 6/30/001 $6,000/year. L.G. Lipson, M.D., DlreQtol!. 31. Research Grant from GJ). Searle and Co. ' '~Conttoll~d Onset Verapamll Investigation of Cardiovascular Ettdpoin.ts/' 5/97 through 5/02. $75.000. L.G. LipSOI\ M.D.~ P.t ., ...... 32. State of Alaska> "Training in Ge1•ophatntaoy, Fall Prevention> and Quality Assurance in the fraU and demented eldedy.H 4/98.. 1/1/02} $200}000. L.G. Lipson) M.D._, P.I. 33. Research Grant from Pfizer Phmmaceu.ticals, ~ HStudtes in Fine Motor Coordination in Alzheimer)s Disease.~~ 6/98.. 10/99, $97)000. L.G. Lipaon~ M.D.) PJ. 34.. Research Grantft·om the Keck Foundatio:n '1Studies on the Use ofM~dicattous in the Eldedy.~) 9/30/02~ $4,000. L.G. Lipson) M.P., P.J... 12/31/02. 35, State of Alaska~ '" "Training ~uality Assutancf;'l of the Frail and Demented Bldedy: CQI of Pioneers; ltomes/) 1/1/03~12/21/03. $100,000 L.GA Lipson> M.D.j P.r. r ••t\\'lJ'.e',.tt:J..H'J'J.c.."' 4 \'11i~&Jhrtl'1'~".t \.a. . 37. ~tate of ALaska_. Uuiversity of Alaska. Alaska Geriatric Education. Centet~- Conaultant 7/1103 ~ 12/3l/04. $18~000, 38, State of Ataska ..... University of Ala.Bk~ Alaska Geriatric Education Center ..... Consultant . _10/1/07 ..... 6/30!08. $10~000. 39. State ofAlaska.- University of Alaska, Alaska Oe11atrio Education Center- Consultant 7/1/08 ,_ 6/30/09, $10~000. . I -···· ··-·-;:----. ···----·-·----··,........_-.--·····-· .. .. ::- - ----~~ :---:--~~-··-- .... ···-·······- --·--··- ~ ·: .... -;-""";-;::·:--::--·-·--·~----· .. -----~-----·- ·--·~---·-··--··- ·····------· ~·-. - -----~~-;;· ··-·-- -- ~a ' ... 4 • APPENDIX 1 67 APPENDIX 1 68 NO. C-1 ..1)B .. 12~00162S INTHEGUARDIANSHIPOF § INTHEPROBATECOURTN~l ·~ § ~ ~\ MARYRIVERA, § OF ;.. ~.;. ~> ~ (:) ..,'\ § 1!/1:.· ._g~ 0 ~ 2 seconds DEFORMITY/DISABILITY .. Loss of Consciousness: DYes DNo 0 No Neuro Deficits 0 Neuro Changes I Extremity: Neurovascular Integrity Intact: DYes ON/A DNa T CHIEF COMPLAINT: y I TRIAGE ACUITY: 1 Resuscitation 2 Emergent 3 Urgent 4 Semi Urgent 5 Non Urgent DISPOSITION: D Immediate Bed D Stable- To Walling Area after Instructions ~ Comments: ~· {~ -~ctl 5 r I · ttqsrp Triage Nurse Signature: ·~yfa\ ,-' --=s<-es·- ':):i, llf\ 11:Y- ,fiJI' \.,, Ae!) ~f'~ '"'*= 11111111111111111111111111111111111 (;:) MARY DELAROSA · RlV~~1\oo071683103 M/Rii: L001D2Z 5 ~ 3 Acct • ER 8 I 15~~~ Loc:L. EH ' 11112/13 \1\\11~\m Ullll\111111111\1\lllllllll\11\11\II\\\ \\1\1 1\1\\ Ill\ 1\11 '"EDPRS* Sign~ln Sheet ·for Ernergency Services T3107BC (Rev. 7/i2) ~OJ__ APPENDIX 1 Parfb& of PATIENT INFORMATION FOR OFFICE USE ONLY f}fL+d._r:t mt+~u PATIENT'S NAMErn MRNo.: ACCTNo.: ADDRESS 1: DOS: LOCATION ADDReSS 2: I COMMENTS/COMPLETION DATE: ClTY, STATE, i Cf /)(f) (' '7l;t 7&6/~ FACILITY FROM WHICH PHI WILL BE RELEASED (Check all that ap_pj'l) DATES OF SERVICE BIRTH DATE: {) St. David's Hospital r/-tl--t_~ SOCIAL SECURitY' NO.: I ' St. David's Rehabilitation Center (Optional) St. David's Georgetown Hospital CONTACT NUMBERS: Other FACILITY/PERSON TO WHOM PHI WILL BE RElEASED/DISCLOSED: PURPOSE OF DISCLOSURE: (Note:** IJPdicates Foe for Copies}_ Avc;_-fiV\ \Pn l) ( e NAME: Follow Up Care Insurance** ADDRESS 1: Attorney** Personal Usek* I ADDRESS2: It '-f Other** Please Explain L-(___.~ CITY, STATE, ZIP: METHOD OF RELEASE/DISCLOSURE: 1 0 Fax (t::me~ cy Only) Fa}!)umb~~~ CONTACT NUMBERS: 0 Mall ther ' ( /JL) rL . ( INFORMATION TO BE USED/DISCLOSED: (Check aJI that apply) 1 t ·- Is this request for psychotherapy notes? 0 Yes, then this is the only Item you may request on this authorization. You must submit another authorization for other Items below;·- 0 No, then you may check as many Items below as you need, D Pertinent Package 0 EKG, EEG, EMG 0 Pathology Slides 0 Psychiatric Evaluatlons{Tests D Front Sheet 0 Laboratory Report 0 Physician Orders 0 Infections Disease (Including HIV Test Results) 0 Discharge summary 0 EA Information 0 Progress Notes 0 Consultations D History/Physical 0 Imaging Reports (X·rays, CTs, MRis) 0 Nursing Information ~omplete Copy 0 Operative ReporVProcedure 0 Cathl.ab 0 Imaging Films 0 Pathology Report 0 Medication Records 0 Therapy Notes ~~~~lzatlon Record '~P1Slcc· .\ J understand that: 1. I may refuse to sign this authorization and that It Is strictly voluntary. 2. My treatment, payment, enrollment or eligibility for benefits may not be conditioned on signing this authorization. 3. Medldallnformation Is considered Protected Health Information (PHI) under both Federal and State Privacy Laws. 4. Unless otherwise specified, this authorization shall expire 180 days from the date of my signature, OR from the date of discharge, whichever Is later. (Othervvlse spectfled date ) 5. I acknowledge, and hereby consent to such, that the released information may contain alcohol, drug abuse, psychiatric, HIV testing, HIV results or AIDS information. 6. A facility may not condition the provision of treatment to an individual on signing an authorization except for: 1. · Research-related treatment; and 2. Health care that Is solely for the purpose of creating Information for disclosure to a third party. 7. I may revoke an authorization In writing except to the extent that: i, The facility has taken action prior to receiving the revocation; or 2. If an authorization was obtained as a condition of obtaining Insurance coverage. Further details may be found In the Notice of Privacy Practices. -- 8. If the requester or receiver Is not a health plan or health care provider, the released Information may no longer be protected by federal privacy regulations and may be redlsclosed. 9. I understand that I may see and obtain a copy of the Information described on this form, for a reasonable copy fee, If I ask for it. There Is a fee for copy setvlces rendered. 1o. I will receive a copy of this form after I sign it. SIGNATURES J have read the above and authorize tl)p disclosure of the protected health information as~staled. s~c;::J!Vhori2J~ cU-UL---- Date: !f/;J(~ Witness (If applicable}: , • v Wttness (If Applicable): - Cl\ J(Ll{d '1Clf\\ ,) I Print Name of Patient or Authorized Party: Relationship to Patient: StDavid's I MEDICAL CENTER Authorization for Release of Protected Health Information RIVERA.I1ARY DELAROSA ER Acct;ff: L00071683103M/R#: L001022503 loc:L.ER IF Dr: CEA 11/12/13 IUIIlllllllllllllllllll 90 minutes. ·-15:09 Jenn· Black, R.N. APPENDIX 1 89 RIVERA. MARY 11/12/2013 11:15 MR# L001022503 Visit# L00071683103 Clinical Report" Nurses 3 of3 15:1 0. Reassessment after procedure. The patient reports no complaints and the patient is calm and resting quietly. Patient reports current pain level as 0/10. Overall patient status Is improved~ the patient states feels better. ED physician notified about patlent1s status. --15:10 Jenny Black, R.N. 15:26. (APD VS here with patient and family. APS referenence number 64190731. APD VS is working with guardian to move patient to a different ·nursing home. If that is not possible, APD VS will contact current nursing home to assure patient's safety there.). -~15:26 Jenny Black, R.N .. Assault I Forensic Flowsheet 15:09. The patient has family for support. Personal safety plan, reporting plans, STD and contraceptive prophylaxis, need for medical follow-up, counseling, coping/fear reduction and interventions/services discussed with patient. The patient has been given education and resource materials. --15:09 Jenny Black, R.N .. DISPOSITION I DISCHARGE 15:28. BP: 165/70 sitting. HR: 90. RR: 18. Temp: deferred. Condition at departure: improved and stable. Patient reports pain level on departure as 0/10. The goals identified in the patient's plan of care were met. The following issues were addressed: psycho-social issues, pain control, comfort issues, nutritional issues, educational issues and follow up care. Fall risk assessment completed. No fall risk identified. No learning barriers present. Discharge Instructions provided and reviewed with the patient. Reviewed referral to family practice, a women's shelter, Planned Parenthood, the public health departmen1 and crisis hotllne for followup and testing. Summary of care provided to famHy. Patient and family verbalized understanding. Written Instructions provided in English. Guardian verbalized understanding. The patient was discharged by the physician. The patient was discharged to the nursing home and accompanied by guardian. The patient left the Emergency Department ambulatory and via private vehicle. Driving (guardian.). --15:28 Jenny Black, R.N. 15:28. Departure time; 15:28. --15:28 Jenny Black, R.N.. . The patient's home medications have been reviewed and validated with patient by the nurse. -.-15:28 Jenny Black, R.N .. This report is not final APPENDIX 1 90 AUSTIN/TRAVIS COUNTY SEXUAL ASSAULT NURSE: EXAMINERS CONSENT FOR MEDICAL FORENSIC EXAMINATION, TREATMENT.,__AND COLLECTION OF EVIDENCE 1. I hereby authorize J (\'?( tterlL_ ·(2_;j C£Q MJf\--CJr·~~¥ual assault nurse examiner who is credentialed at St. David's Medical Center to perform a medical forensic examination, treatment and the collection of evidence. (.!Wj))(lnitial) 2. I understand that a forensic medical examination for evidence of sexual assault can, with my .consent, be conducted by a health care professional to discover and preserve evidence of the assault. I understand that the examination may include the collection of reference specimens at the11 If JJJ time of the examination or at a later date. {llLt!!!.!1 (initial) 3. I understand that the collection of evidence may include photographing~///// injuries, and that t~ese photographs may include the genital area. ~(initial) 4. I understand that I may refuse to consent or withdraw my consent at any time for any portion of the examination. I understand that if r refuse consen~ . to any exam procedure, it may result in loss of evidence. (initial) 5. I understand that I will not be billed for the evidence collection portion of this examination. I understand that I will be responsible for the payment of any medical treatment and medications to the extent I am not eligible for discounted medical care based on my financial classification and ability to~ pay. (initial) 6. I understand that the collection of evidence may include the collection o, ;/;t 111 blood and urine specimens for toxicology (drug screening). y~\initial) 7. I understand data without patient identity may be collected from this report for health and forensic purposes and provided to health authorities and other qualified persons with a valid educational or scientific interest for.. 1 , 1 JA demographic and/or epidemiological studies. ~ (rnittal) 8. If conducted, the report of the examinatron and any evidence obtained, ~ !1/J A will be released to law enforcement authorities. · 1 ~rnitial) I certify this form has been fully explained to me, that I have read It or have had it read to me, and that I understand Its contents. I hereby consent to a forensic medical examination for evidence of sexual assault. I similarly consent to the examination of mfnor child{ren) for whom I am the legal guardian.** I understand that under § 261.101 of the Texas Family Code, St. David's Medical Center, its employees, and/or representatives are required to report suspected or identified child abuse or neglect to the proper authorities. / o Patient o Parent ~uardian o Surrogate m~m~~ signature ~~~~IL3~-- 2 Dfftf/ F . *"'If the parent or guardian Is not available, the child may be·examlned for sexual abuse under the T~xa.s Family Code § 32.005. RIVERA,HARY DELAROSA ER Acct#-: L00071683103 14/R#: L001022503 Loc:L.ER 78 /F li li l il~ lllllllllllllllllllllllllllllllllil~1111~111111111111111 APPENDIX 1 91 Austin/Travis ColUlty Sexual Assault Nurse Examiners Sexual Assault Forensic Examination Report Patient name: Rivera, Mary Case: 13..3140743 Date of exrun: 11/12/2013 MR #: 1022503 DOB: Name of examiner.................. Jenny Black, RN, SANE A, CA~SANE Name offacility..................... St. David's Medical Center Law enforcetnent agency ....... Austin Police Department CPS~ APS notified.................. Yes (~ ~ \101 ~ \ Beginning time of exam 13:30 Ending time of exam 15: 15 Patient information Gender ................. Female . ........... ,. . H'lSpantc EthniClty . Accompanied by · Agency or relationship ........ Safe Place Advocate, Family Present during exam per patient's request. ...... daughter/~ \)(i\;vd ~e.t-vx. Advocate present during exam ......... ,.. No Patient action after assault and before exam Douched....... No j . . . . . . . . . . . . . . . . . . 111 • • • Wiped vulva................. ~~···· ... No Wiped anal area.................... No Washed................................. Yes Bathed................. ,.................. No Showered.. Yes I •• I . . . . . . . . . . . . . . . . . . . . . . . . Urinated................................ Yes Defecated..................... Yes I. I ...... Vonll.ted............. ,................. , No Had food .................. ,.. ,......... Yes Had drinlc........................... Yes I .. Brushed teeth ........................ No Used mouthwash ...................No Changed clothes .................... Yes Smoked........................... ,..... No Medications taken................. unknown (not received from hospital) Other..................................... Yes; cleaned dentures Information on assault Date and time of assault. ...... unknown, perhaps early 11/8/13 Number of assailants ........... unknown Gender of assailants ............. Unknown. ?jj~ ..P-JJ SAiJ6-A- Signature of examiner Page# 1 of4 APPENDIX 1 92 Patient name: Rivera, Mary Austin/Tmvis County Sexual Assault Nurse Examiners Case: XX-XXXXXXX Sexual Assault Forensic Examination Report Date of exam: 11/12/2013 MR #: 1022503 DOB: At time of assault Condotn..................... ,........... Unknown Lubrica11t............................... Unknown Contraceptive foam/ spertnicide .. ~ ...................... Unknown Assailant injured.................... unknown Assailant scratched................ unknown Penetration. Anal penetration....... I •••••• I ••••••••••••••••••• Unknown I ••••• I ••••• Vaginal penetration............... Unknown ....................... 1 ........... 1 .......... Oral penetration.................... Unlmown . . . . . . 1.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ejaculation, ............................ Unknown Weapon.................. Unkno'Wll I ••••••••••••••• Physical force ........................ Unknown Restraint .. ,...... Unknown I •••• I , , • • • • • • • • • I • • • • • Tllreat................................... ,.. Unlmown Coercion................................ Unlmown Feru--..................... ,............... 4 .......... Uil.lal.o'Wll. At time of exam Most recent sexual contact 0 ...... , More than a week ago Significant medical history Last normal menstrual period began..... ,.