This page contains a Flash digital edition of a book.
Texas Medicine (ISSN 0040-4470) is published monthly by the Texas Medical Association, 401 W. 15th St., Austin 78701. (800) 880-1300, (512) 370-1300


Copyright 2011 Texas Medical Association.


Owned and issued monthly by the association. Publisher: Texas Medical Association


TMA Executive Vice President: Louis J. Goodman, PhD, Austin Vice President, Communications: Steve Levine


Staff Editor: Larry BeSaw


Managing Editor: Shari Henson Senior Editor: Ken Ortolon


Associate Editor: Crystal Conde


Clinical Articles Editor: Lynn M. Alperin Editorial Assistant: Doris White-Hudson


Art Director: Lauren Levi


Advertising Staff (512) 370-1300


Coordinator: Kristen Friesen TMA Board of Trustees


A. Tomas Garcia III, MD, Houston, Chair


Carlos J. Cárdenas, MD, Edinburg, Vice Chair Dan K. McCoy, MD, Dallas, Secretary Douglas W. Curran, MD, Athens Lewis E. Foxhall, MD, Houston


David N. Henkes, MD, San Antonio Austin I. King, MD, Abilene Don R. Read, MD, Dallas


David D. Teuscher, MD, Beaumont


Jason Sapp, DO, Temple, Resident/Fellow Member Neil Parikh, Houston, Medical Student Member C. Bruce Malone, MD, Austin, President


Michael E. Speer, MD, Houston, President-Elect


Susan R. Bailey, MD, Fort Worth, Immediate Past President Art L. Klawitter, MD, Needville, Secretary/Treasurer


Stephen L. Brotherton, MD, Fort Worth, Speaker of the House Clifford K. Moy, MD, Austin, Vice Speaker of the House


Texas Medicine Editorial Board


John C. Jennings, MD, Odessa, Chair, (432) 335-5113 John J. Costanzi, MD, Austin, (512) 413-3322 Gordon Green, MD, Dallas, (214) 648-1500 David L. Morgan, MD, Temple (254) 724-7405


Sidney C. Ontai, MD, MBA, Plainview, (806) 293-2270 John R. Pettigrove, MD, Corpus Christi, (512) 696-6163 Charlotte H. Smith, MD, Austin, (512) 324-7131 Philip Suarez, MD, Victoria, (361) 578-5233 Surendra K. Varma, MD, Lubbock, (806) 743-7337


4 TEXAS MEDICINE July 2011


The articles published in Texas Medicine do not necessarily reflect the official policy of the Texas Medi- cal Association. Publication of an advertisement is not to be consid- ered an endorsement or approval by the Texas Medical Association of the product or service involved. Periodi- cals Postage Paid at Austin, TX, and additional mailing offices.


Subscriptions: 401 W. 15th St., Austin, TX 78701, c/o Finance Office. Sub- scription rates are: Members, $20 per year; nonmembers and institu- tions, $40 per year; foreign, $48 U.S. currency; single copy, $4 plus $0.32 sales tax. For more information, e-mail knowledge@texmed.org.


Postmaster: Send address changes to Texas Medicine, 401 W. 15th St., Austin, TX 78701.


Texas Medicine Mission Statement


Key Objective: To improve the health of all Texans by furthering dialogue and understanding within the Texas Medical Association membership.


Critical Objectives:


1. To promote integrity in the prac- tice of medicine among Texas physicians.


2. To further the practice of medi- cine as the artful application of scientific knowledge in the health care of Texans.


3. To ensure that Texas physicians are informed on political, legal, and administrative activities that influence the practice of medicine through the publication of timely, credible, and relevant articles.


4. To encourage balanced debate on issues that affect health care in Texas.


5. To enhance the character and reputation of Texas physicians through the promotion of profes- sionalism, advocacy, and service.


6. To enhance the desirability of membership in the Texas Medical Association.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68