TEXAS MEDICINE
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 2017 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
Editorial Staff Editor: Crystal Zuzek
Managing Editor: Shari Henson Associate Editor: Joey Berlin Reporter: Sean Price
Clinical Articles Editor: Lynn M. Alperin Editorial Assistant: Debra Heater
Art Directors: Torquil Dewar, Shelley Lai
Advertising Staff (512) 370-1423
Sales Director: Rebecca Stevens Sales & Marketing Coordinator: Abby Renel
TMA Board of Trustees Douglas W. Curran, MD, Athens, Chair
David N. Henkes, MD, San Antonio, Vice Chair David C. Fleeger, MD, Austin, Secretary Keith Bourgeois, MD, Houston Diana L. Fite, MD, Houston
Gary W. Floyd, MD, Fort Worth Dan K. McCoy, MD, Dallas
Richard W. Snyder II, MD, Dallas E. Linda Villarreal, MD, Edinburg
Carrie de Moor, MD, Frisco, Young Physician Member Laura Faye Gephart, MD, Temple, Resident Member Kayla Riggs, Houston, Student Member Don R. Read, MD, Dallas, President
Carlos J. Cardenas, MD, Edinburg, President-Elect
Tom Garcia, MD, Houston, Immediate Past President Michelle A. Berger, MD, Austin, Secretary/Treasurer Susan M. Strate, MD, Wichita Falls, Speaker Arlo F. Weltge, MD, Houston, Vice Speaker
Texas Medicine Editorial Board
Owen E. Winsett, MD, Austin, Chair Chelsea I. Clinton, MD, San Antonio Christopher J. Garrison, MD, Austin John C. Jennings, MD, Odessa Roger S. Khetan, MD, Dallas Charlotte H. Smith, MD, Seattle Gary Ventolini, MD, Midland
Alexis A. Wiesenthal, MD, San Antonio
Habeeb Salameh, MD, Galveston, Resident Member Chris Massey, Lubbock, Student Member
The articles published in Texas Medicine do not necessarily reflect the official policy of the Texas Medical Association. Publication of an advertisement is not to be considered an endorsement or approval by the Texas Medical Association of the product or ser- vice involved. Periodicals Postage Paid at Austin, TX, and additional mailing offices.
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Texas Medicine Mission Statement Key Objective: To improve the health of all Texans by furthering dialogue and under- standing within the Texas Medical Associa- tion membership.
Critical Objectives: • To promote integrity in the practice of medicine among Texas physicians.
• To further the practice of medicine as the artful application of scientific knowl- edge in the health care of Texans.
• To ensure that Texas physicians are informed on political, legal, and admin- istrative activities that influence the practice of medicine through the publi- cation of timely, credible, and relevant articles.
• To encourage balanced debate on is- sues that affect health care in Texas.
• To enhance the character and reputa- tion of Texas physicians through the promotion of professionalism, advo- cacy, and service.
• To enhance the desirability of member- ship in the Texas Medical Association.
4 TEXAS MEDICINE March 2017
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