GA SB 158

Posted on July 18, 2015

Cindy Zeldin and Donald Palmisano, Jr talk GA SB 158

GA SB 158

This week we continue our monthly series with Medical Association of Georgia. I hosted MAG CEO/Executive Director, Donald J. Palmisano, Jr., and Cindy Zeldin, Executive Director for Georgians for a Healthy Future. We talked about the challenges Georgians face regarding the lack of information available to them about how inclusive health plans are regarding what physicians, hospitals, etc., are included in the plans.

Donald talked about how on the healthcare exchanges, patients must review every plan one at a time, checking the physician directories for each one to see if the physician(s) they need are there. In many cases, this means going through as many as 30-80 unique plans.

This is complicated by the fact that in many cases, the listed physician directories are incorrect, or change frequently, leading patients to make their choices based on outdated/inaccurate information.

In the Georgia legislature, the senate is considering SB 158, aimed at addressing the issue of transparency in the health insurance space so patients and physicians can make sense out of this important part of how we access healthcare today.

Cindy joined Donald to talk about how Georgians for a Healthy Future has been advocating on behalf of the state’s citizens to help them get signed up for the newly-available health plans on the exchange. She shared how last year, over 500,000 people gained access to new health plans.

We discussed the need for these patients to get educated about how to

Special Guestsplan for the financial obligations they will face regarding co-pays, co-insurance, deductibles, etc. Folks need to learn what each of these are and have a plan for how to handle them. One such strategy is having a health savings account, which allows them to pay for their healthcare costs with pre-tax dollars out of an account that will grow over time.

We also talked about how important it is for physicians and citizens to engage with their state legislators to talk about how these issues affect them in their daily lives. SB 158 is still in the early stages, with decisions being made on it coming next spring.

Special Guests:

Donald Palmisano, CEO, Executive Director of Medical Association of Georgia

JD Law, Loyola School of Law
Board of Directors, Physician Advocacy Institute
Medical Payment Subcommitte Member, State Board of Workers’ Compensation
Treasurer, Board of Directors, Physicians’ Institute for Excellence in Medicine
Former Director, Government Relations/General Counsel/Director, GAMPAC

Cindy Zeldin, Executive Director, Georgians for a Healthy Future

Master of Arts, Public Policy with focus on Women’s Studies, The George Washington University
Master of Public Health, Public Policy, Emory University
Previous Principal Management Analyst, Healthcare Div., Dept. of Audits, State of Georgia
Former Senior Program Associate, Health Policy Program, New America Foundation

Pain Management

Posted on July 10, 2015

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Dr. Randy Rizor, Dr. John Porter, and Dr. Charles MacNeill of Physicians Spine and Rehabilitation Specialists of Georgia

Pain Management

This week I sat down with 3 of the physicians from The Physicians Spine & Rehabilitation Specialists of Georgia, Dr. Randy Rizor, Dr. John Porter, and Dr. Charlie MacNeill. Since 1995, The Physicians Spine & Rehabilitation Specialists of Georgia has provided innovative, effective, and comprehensive treatment of pain with special emphasis on spinal pain and care of the injured worker.

The practice has offices and surgery centers at convenient locations around the Atlanta metro area in Sandy Springs, Marietta, and Rome, as well as an office in Calhoun. Their eight physicians have all earned additional qualifications in pain management, the only pain management certification recognized by the American Board of Medical Specialties.

We talked about a number of the advances in technology and technique such as Tenex TX and Platelet Rich Plasma that allow these pain specialists to more effectively reduce or in some cases, eliminate pain for their patients. This gives their patients the ability to rehabilitate and return to levels of activity and function at or near pre-injury levels. The physicians shared how they had previously been practicing anesthesiologists who were frequently called upon to help relieve intractable pain for their patients, ultimately inspiring them to launch a stand alone practice aimed at helping pain patients.

The doctors explained the difference between simply medicating patients with opioid medications versus recognized pain interventions coupled with rehabilitation measures to achieve pain relief and return of quality of life. This approach helps avoid the pitfalls of using opioid meds, particularly when they would be taken over an extended period of time. The Physicians Spine & Rehabilitation Specialists of Georgia operate under the philosophy of: Diagnose, Treat, Rehabilitate.

Special Guests:

Dr. Charlie MacNeill, MD Co-founder of The Physicians Spine & Rehabilitation Specialists of Georgia

Doctor of Medicine degree from Emory University School of Medicine
Residency in Anesthesiology at Emory and Grady Hospitals
Board certified in Anesthesiology and Sub-specialty board certified in Pain Medicine
Awarded two Bronze Stars during his tour as a Vietnamese linguist and cryptographer

Dr. Randy Rizor, MD Co-founder of The Physicians Spine & Rehabilitation Specialists of Georgia

Doctor of Medicine Degree from the University of Toledo School of Medicine
Residency in Anesthesiology at Dartmouth-Hitchcock Medical Center
Certified by the American Board of Anesthesiology
Sub-specialty certification in Pain Management from the American Board of Anesthesiology

Dr. John Porter, MD Co-founder of The Physicians Spine & Rehabilitation Specialists of Georgia

Doctor of Medicine degree from the University of Cincinnati College of Medicine
Residency in anesthesiology at Dartmouth-Hitchcock Medical Center
Fellowship in cardiac anesthesia at Emory University Medical School
Certified by the American Board of Anesthesiology and received Sub-specialty Certification in Pain Management from the American Board of Anesthesiology

Functional Neurology

Posted on July 3, 2015July 3, 2015

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Dr. Gilles LaMarche of Life University

Functional Neurology

This week on Top Docs Radio I sat down with Doctors of Chiropractic, Dr. Gilles LaMarche, and Dr. Jake Shores. Gilles is the VP of Professional Relations for Life University, in Marietta, GA. The college is home to the largest chiropractic medicine schools in the world.

Jake is Clinical Director for Carrick Brain Centers, with offices in Dallas, TX, and Marietta, GA. Carrick Brain Centers employs a functional neurology approach to treating patients with traumatic brain injuries (TBI), Post Traumatic Stress Disorder (PTSD), and other neurologic problems.

We talked about how the body has an innate capacity to heal itself if it’s given proper nutrition and when therapeutic approaches tap into that self-healing power. The Functional Neurology Society defines functional neurology this way: “Functional Neurology is based on the principles of neuroplasticity. The various parts of your nervous system can be altered to work more efficiently and even regenerate. The goal of a Functional Neurologist is to optimize this remarkable ability.”

Jake shared how the Carrick Brain Centers utilize the concept of neuroplasticity to help their patients work around previous neurologic injuries and challenges through a variety of movements and activities that help activate pathways in the brain that reawaken areas that have not been functioning to their capacity.

We talked about some patient examples that highlight how this approach can help people gain or regain function that was thought to be improbable elsewhere.

Gilles discussed the various health-related fields of study Life University offers, ranging from kinesiology to functional neurology, vitalistic nutrition, business, and others, including some masters-level degrees.

Life University also offers a number of men’s and women’s athletic sports and they’re competing on a high level—the men’s 15 man rugby team won the National Championship this year. The school is working to nearly double their enrollment by 2018 from 3000 students to at least 6000.

Special Guests:

Gilles LaMarche, DC, VP of Professional Relations at Life University

Doctor of Chiropractic, Canadian Memorial Chiropractic College
Author, The ART of Responsibility, Insight Publishing 2012
Certified Six Advisors Coach, Six Advisors Coaching Academy
Previous Vice President, Parker College of Chiropractic

Jake Shores, DC, Clinical Director at Carrick Brain Centers

Doctor of Chiropractice, Life University
Functional Neurology, The Carrick Institute
Diplomate, American Chiropractic Neurology Board
Board Certified Specialist in Neurology

TRU Integrative Health and Wellness

Posted on June 26, 2015

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Katie and Rob Truax of TRU Health and Wellness

TRU Integrative Health and Wellness

This week I sat down with the founders of TRU Integrative Health and Wellness, located in Buckhead. Rob Truax, chiropractor and integrative wellness expert, and Katie Truax, a licensed therapist who focuses her work on couples and relationships.

We talked about how they came to start their practice and place emphasis on a holistic approach to health and wellness, taking into account each client’s mind, body, and spirit.

TRU Integrative Health and Wellness is Atlanta’s premiere health and wellness group, offering comprehensive wellness services to the residents of Buckhead and the greater Atlanta area in a serene, spa like environment. They offer chiropractic care, holistic and natural healthcare, weight loss and wellness coaching, detoxification and purification programs, counseling for individuals, couples, families and groups, hypnotherapy, and energy healing.

The goal of TRU Integrative Health and Wellness is to provide the highest quality care in an individualized, customized, and affordable manner so that our clients and patients receive the care that is best for them and gets the results they are looking for.

Special Guests:

Rob Truax, DC, TRU Integrative Health and Wellness

Doctor of Chiropractic, Life University
Has provided chiropractic and integrative wellness care over 17 years

Katie Truax, MS, NCC, LPC, LMHC, TRU Integrative Health and Wellness

Master of Science, Professional Counseling, Georgia State University
Director of Clinical Operations, TRU Integrative Health and Wellness

Physicians Institute for Excellence in Medicine

Posted on June 11, 2015June 11, 2015

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Physicians Institute for Excellence in Medicine

This week I sat down with Bob Addleman, EVP of the Physicians’ Institute for Excellence in Medicine. We talked about how the organization, a subsidiary of Medical Association of Georgia, got its genesis. Bob shared how his passion for process improvement and healthcare ultimately led to him suggesting the development of an organization focused on improving the work environment as well as patient safety/outcomes.

The Physicians’ Institute for Excellence in Medicine (a nonprofit subsidiary of the Medical Association of Georgia) is a national leader in developing and managing collaborative educational projects, with a focus on outcomes-based and performance improvement activities. To date, the Physicians’ Institute has developed and managed 31 distinct initiatives representing work with over 400 organizations and more than 8000 participants located in 25 states focusing on an array of clinical areas. The Physicians’ Institute also provides leadership training and Patient-Centered Medical Home consulting to healthcare providers and organizations.

Physicians’ Institute is working with Georgia Academy of Family Physicians’ “Patient-Centered Medical Home University” (PCMHU). Now in fourth year, PCMHU has assisted more than 40 Georgia primary care practices achieve recognition from the National Council for Quality Assurance as a patient-centered medical home. Addleton is lead faculty member and practice advisor.

In June, Physicians’ Institute plans to launch new service called “Leadership in Practice,” which will provide leadership training and team development activities to medical associations, health systems, and physician organizations. Model has been adopted by thousands of organizations internationally and has over a 20-year history of application and research behind its design. Gives participants 360 degree feedback about their leadership behaviors. Addleton is a certified administrator and coach.

Physicians’ Institute is known for its collaborative grants system. For example, it awarded $1.2 million in grants to primary care organizations in five states for an ambitious project that is aimed at improving the care of patients experiencing chronic pain. Final report will be available in near future.

Physicians’ Institute has also been national leader in the FDA-mandated effort to promote Risk Evaluation and Mitigation Strategies (REMS) education for extended-release and long acting opioids as a member of CO*RE (Collaboration for REMS Education). Has worked with 15 state medical societies, including MAG, through a grant that was awarded to the MAG Foundation. To date, more than 3,000 physicians have participated in these efforts.

Addleton is the vice president (and president-elect) of the leading international organization is this field – the Alliance for Continuing Education in the Health Professions (ACEHP). He will become ACEHP’s president in January 2016.

Special Guest:

Bob Addleton, EVP, Physicians’ Institute for Excellence in Medicine

Doctorate in Educational Leadership, University of Alabama
Certified in Continuing Professional Development
Fellow and President-Elect, of the Alliance for Continuing Education in the Health Professions
Certified as a Quality Team Facilitator, Six Sigma Green Belt, and Lean Green Belt
Trainer for The Leadership Challenge©.
Faculty Member, Georgia Academy of Family Physicians’ “Patient Centered Medical Home University”, and is the Dean of the Georgia Physicians Leadership Academy.

Dr. Scott Kelly

Posted on June 3, 2015June 5, 2015

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Dr. Scott Kelly, author of “What I’ve Learned From You: Lessons of Life Taught to a Doctor By His Patients”

Dr. Scott Kelly

I sat down with practicing orthopedic physician and author of the book, “What I’ve Learned From You: The Lessons Of Life Taught To A Doctor By His Patients“. He shared the story of how this moving and inspirational book came together. He described how the book was drawn from journaling he did during his medical training over the course of several years.

He has always had a passion for writing and uses the medium as a way to process things that are important to him or that make an impression on him in his daily life. Dr. Kelly talked about how he was going through some things in the attic and came across the journal several years after putting it away and how emotional it was to go back and read his thoughts and experiences from that time in his life.

He thought the interesting experiences and life lessons he picked up through numerous patient encounters would be great for his children to hear about and decided to put it into book for basically for them. He decided to submit the manuscript to publishers and was surprised by the enthusiastic positive response he received.

You’ll enjoy listening to him tell his story and you can readily hear how big of an impact those life experiences had on him that he carries with him today. Check this great interview and learn more at his website.

Dr. Scott Kelly, MD, of Resurgens Spine Center

Atlanta Plastic & Reconstructive Specialists

Posted on May 22, 2015

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Atlanta Plastic & Reconstructive Specialists

This week I featured 3 of the physicians from Atlanta Plastic & Reconstructive Specialists. They are known for providing expert care for patients in need of reconstructive surgery after cancer treatment or trauma as well as for those who are seeking aesthetic procedures.

Dr. Donald Nunn is a triple-boarded surgeon and unique in the fact that he completed residencies and board certification in 3 specialties, Oral & Maxillofacial Surgery, Ear, Nose, & Throat, and Plastic surgery. He is able to bring this range of training and experience to bear for his patients who need facial surgery as well as the full scope of plastic surgery procedures.

Dr. Bahair Ghazi shared how he benefited from spending several months training in Belgiam, learning some subtle differences in approach that he’s able to apply in his work when it can enhance the final outcome of his surgeries. It’s clear talking with Dr. Ghazi he is passionate about plastic surgery and how it can have such a positive impact on quality of life for the patients he sees. He shared some great information on the tummy tuck and pandectomy procedures for patients who have lost significant amounts of weight or that are wanting to become more active but excess body fat inhibits doing so.

Dr. Susann Bedford talked about how she feels a special relationship with the women she’s treating with breast surgery, whether reconstructive after cancer treatment, or aesthetic for women wanting to change their look for improved body image. She shared how she was able to spend time during her training with some of the world’s highly-regarded specialists in breast and plastic surgery, helping her provide some of the best techniques available to achieve the best aesthetic result possible for a given case.

Special Guests:

Dr. Donald Nunn, MD, of Atlanta Plastic & Reconstructive Specialists

Doctor of Dental Surgery, Medical College of Virginia
Residency, Oral & Maxillofacial Surgery, University of North Carolina
American Board of Oral & Maxillofacial Surgery
Doctor of Medicine, Medical College of Virginia
Residency, Neck and Head Surgery, Medical College of Virginia
Residency, Plastic Surgery, University of California
American Board of Plastic Surgery
American Board of Otolaryngology/Head and Neck Surgery

Dr. Bahair Ghazi, MD, of Atlanta Plastic & Reconstructive Specialists

Surgical Training
Emory University Plastic & Reconstructive Surgery
Emory University General Surgery
West Virginia University, M.D.
Externships
Cosmetic Surgery Sint Martens Latem, Belgium
Cosmetic & Breast Reconstruction Brussels, Belgium
Microsurgical Breast Reconstruction Ghent, Belgium
Board Certifications
American Board of Plastic Surgery
American Board of Surgery

Dr. Susann Beford, MD, of Atlanta Plastic & Reconstructive Specialists

Doctor of Medicine, University of Pittsburgh, School of Medicine
Residency, Plastic Surgery, Barnes-Jewish Hospital of Washington University Hospital
Fellowship, Breast & Aesthetic Surgery, Georgetown University
American Board of Surgery
American Board of Plastic Surgery

MAG 2015 Legislative Update

Posted on May 13, 2015May 13, 2015

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MAG 2015 Legislative Update

This week we continued our ongoing series with Medical Association of Georgia to get the MAG 2015 legislative update. MAG CEO, Donald Palmisano, Jr. and Director of Government Relations, Marcus Downs came by with Georgia Representative, Rick Jasperse. We talked about several of the health-related issues Rick and his colleagues have been and continue to work on in the Georgia legislature to promote and protect the health outcomes, safety, and access to care for the citizens of our state.

Rep. Rick Jasperse represents Georgia’s 11th district, which includes all of Pickens and parts of Gordon and Bartow counties. He serves on a number of committees in the House of Representatives – and he is the vice chair of the House Health and Human Services Committee. Rep. Jasperse graduated from UGA with a degree in food science. He retired in 2009 after 29 years as a county agriculture agent.

H.B. 416 by Rep. Carl Rogers (R-Gainesville) will require licensed health care practitioners to wear an ID on their “lab coats or similar distinguishing clothing or uniforms” that states their name and license or educational degree. The only exceptions include optometrists, dentists and chiropractors – except those who practice in hospitals and nursing homes. This has been one of MAG’s legislative priorities for the last two years as voted on by MAG’s Board of Directors. A number of other groups also supported the bill, including speech language pathologists, audiologists, respiratory therapists, marriage and family therapists, ophthalmic technicians, registered dieticians, and APRNs.

The FY 2016 budget (H.B. 76) includes some $23 million in additional funds to increase the reimbursement rate for select Medicaid primary care and OB-GYN codes. This included $17.1 million for primary care physicians (i.e., 90 percent of the 2014 Medicare fee schedule for the applicable codes) and $5.9 million for OB/GYN physicians (90 percent of the 2014 Medicare fee schedule for the applicable codes).

The FY 2016 budget also includes $199,000 to maintain the Prescription Drug Monitoring Program in the state.

H.B. 504 by Rep. Sharon Cooper (R-Marietta) extends the flu vaccine protocol that is in place between physicians and pharmacists and nurses for adults to pneumococcal, shingles, and meningitis. MAG’s Board Directors voted to support this kind of measure given strict limits and notification requirements. MAG worked with Rep. Cooper to ensure that appropriate sanctions are in place for any violations.

S.B. 158 by Sen. Dean Burke, M.D. (R-Bainbridge) would have addressed rental networks, all-products clauses, and other key issues. MAG’s Board of Directors voted to support this measure. The bill evolved into S.R. 561, which is a “study bill” – which means that a group of legislators will develop a report for the General Assembly’s consideration in 2016.

Special Guests:

Donald Palmisano, CEO, Executive Director of Medical Association of Georgia

JD Law, Loyola School of Law
Board of Directors, Physician Advocacy Institute
Medical Payment Subcommitte Member, State Board of Workers’ Compensation
Treasurer, Board of Directors, Physicians’ Institute for Excellence in Medicine
Former Director, Government Relations/General Counsel/Director, GAMPAC

Marcus Downs, Director of Government Relations, MAG

Recipient, 2012, Outstanding Advocate Award, National Association of School Psychologists
National Institutes of Health Research Fellow, 2000
Former Director, Government Relations/External Coalitions/Research, Georgia Association of Educators

Representative Rick Jasperse, Georgia 11th District

BS, Food Science, University of Georgia School of Agriculture
Member, House Committees: Agriculture & Consumer Affairs, Appropriations, Human Relations & Aging, Public Safety and Homeland Security
Vice Chair, Health & Human Services Committee
Served on numerous boards: Mountain Conservation Trust Board, Chattahoochee Technical Collegeand Appalachian Cattlemen’s Association’s Board

Cholesterol Isn’t The Bad Guy In Heart Disease

Posted on May 11, 2015

Podcast: Download

Cholesterol Isn’t The Bad Guy In Heart Disease

I recently read an article by a former heart surgeon that talked about the fact that cholesterol isn’t the bad guy in heart disease. Instead, he argued that inflammation of the lining of the blood vessels caused by sugars and even the “healthy” oils we eat such as corn, canola (Omega-6 oils) is the real cause of what is still the #1 cause of death in America today.

I sat down with Dr. Ellie Campbell of Campbell Family Medicine in Cumming, GA to talk about the article and she was eager to discuss it. She completely agrees with the premise of the article and shared how the ratio of Omega-3 oils to Omega-6 oils has grown from ~1:1 or 1:2 to as much as 25:1 Omega-6 to Omega-3.

She also talked about the fact that higher levels of cholesterol in the blood don’t necessarily equate to plaque and heart disease/stroke. It’s when cholesterol molecules are oxidized and corrupted by inflammatory substances we eat that they become “sticky” and attach to the irritated walls of the blood vessels.

Dr. Campbell shared numerous suggestions for basic changes we can make that will not only serve to reduce our risk for heart disease but in some cases can actually reverse damage already done.

I also brought back Leana Kart, a chiropractor whose practice, Northwest Chiropractic and a member of the Georgia Chiropractic Association to talk about the fact that May is National Posture Awareness Month. She shared several tips on how to avoid “tech neck”, damage to the spine and neck caused by long periods of chin-down angles to look at a device in our lap. She also talked about why good posture contributes to keeping us healthy.

Special Guests:

Special Guests:

Dr. Ellie Campbell, DO, Family Practice & Integrative Medicine at Campbell Family Medicine

Doctor of Osteopathic Medicine, Kirksville College of Osteopathic Medicine
Family Medicine Residency, Medical College of Georgia
Board Certified Family Medicine

Dr. Leana Kart, DC, of NW Chiropractic

Doctor of Chiropractic, Life University
Owner of NW Chiropractic for over 26 years
Board Member, Georgia Chiropractic Association

Dr. Rolf Meinhold MDVIP

Posted on May 1, 2015May 1, 2015

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Dr. Rolf Meinhold MDVIP

On this week’s show I was joined in studio by Dr. Rolf Meinhold MDVIP. We were introduced to him by Justin Knott of Intrepy, LLC, a marketing firm with numerous local physician practices they serve. He’s a family practice physician who’s been practicing in the Atlanta area for around thirty years. He recently joined MDVIP to provide primary care services in their personalized healthcare program. Through their service MDVIP and its doctors are able to include access to the physician 24/7, coupled with online resources that give patients access to their health information. MDVIP offers a membership-based plan that provides such extended access to one’s physician with same-day or next-day appointments and 30 min appointment slots, Dr. Meinhold’s patients get significant time and access to their doctor.

Meinhold Family Practice is a MDVIP-affiliated practice utilizing the MDVIP Wellness Program to prevent little things from becoming big things…enabling patients to enjoy life and stay healthy.  Patients that truly value their health will appreciate having an enhanced doctor-patient relationship. Our practice through MDVIP has dramatically decreased our practice size to closely work with you. Within our smaller practice, you will receive the comprehensive care and personalized service you deserve to keep you healthy.

Dr. Meinhold’s Approach to Your Wellness: Improving the quality of people’s lives one patient at a time, speaks to two essential elements: Quality and Personalization. Improving quality is all about wellness. The better someone is and feels the more possibilities of enjoying the richness that life has to offer. Being person-oriented means giving respect and reverence to the unique relationship that exists between a doctor and a patient. Only by optimizing trust and care can wellness be achieved.

Because of Dr. Meinhold’s specialized training, he is able to manage middle to late childhood, adolescent and adult patients. He has an ongoing interest in the primary prevention of diabetes and heart disease through nutrition and weight management. In addition, he is a strong proponent of exploring the scientific basis for the mind-body connection in medicine.

Special Guest:

Dr. Rolf Meinhold, MD, Meinhold Family Medicine/MDVIP

Doctorate of Medicine, Vanderbilt University School of Medicine
Internship, Riverside Regional Medical Center
Board Certified, American Board of Family Medicine
Fluent in English and German

Justin Knott, Co-Founder, Intrepy, LLC

Previous VP Business Development, TAGin
Former Director, Investments, I4 Capital Partners
Previous Team Leader, B.A.S.E. Camp Children’s Cancer Foundation
BS, Finance, Investments, & Securities, University of Central Florida

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Physicians Institute for Excellence in Medicine

Dr. Scott Kelly

Dr. Scott Kelly

Atlanta Plastic & Reconstructive Specialists

Atlanta Plastic & Reconstructive Specialists

MAG 2015 Legislative Update

MAG 2015 Legislative Update

Cholesterol Isn’t The Bad Guy In Heart Disease

Cholesterol Isn’t The Bad Guy In Heart Disease

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Dr. Rolf Meinhold MDVIP

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Pain Management

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Dr. Scott Kelly

Atlanta Plastic & Reconstructive Specialists

MAG 2015 Legislative Update

Cholesterol Isn’t The Bad Guy In Heart Disease

Dr. Rolf Meinhold MDVIP

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