Specialty Focus   
Volume VII | Issue 41                                                                                    
Oct. 9, 2018   
Practice specific news, analysis and commentary for Florida's Medical Specialists  
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

Tales of a 106-Year-Old Doctor
Samantha Bresnahan, CNN

Wearing his favorite tie, Dr. A. William Frankland settles into his beige armchair and recounts a life story Hollywood producers could only dream of. He was born as a twin in 1912; began medical school in the 1930s; held a military post in Singapore during WWII that resulted in being held as a POW for more than three years; returned to England after the war and studied under Alexander Fleming, the man who discovered penicillin; became an allergist and developed a pollen count system to help people understand what triggered their allergic reactions. All of that happened by the 1950s, and in honor, the Allergy Clinic at St. Mary's Hospital in London was named after him. At that point, he had more than a half-century of his career to go.
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Women in Medicine Breakfast Roundtable  

Hollywood, FL
Study Finds Women Who Drank More Water Had Fewer Recurring Urinary Tract Infections
A study led by the University of Miami Miller School of Medicine has shown that increased water consumption helps reduce the recurrence of urinary tract infections (cystitis) among women.

"While it's been widely assumed that increased water intake helps to flush out bacteria and reduce the risk of recurrent UTI, there has been no supporting research data showing such a beneficial effect of water," said Thomas M. Hooton, MD, lead study author and clinical professor of medicine at the Miller School's Division of Infectious Diseases. The study was published online on Monday, October 1 in the journal JAMA Internal Medicine.

"This study provides convincing evidence that increased daily intake of water can reduce frequent UTIs," said Hooton, a top expert on UTIs. "The mechanism is presumably via the flushing effect of increased urine volume, but there may be other effects we are not aware of."
Holiday Gift Giving: Healthcare Providers Beware of Federal Law 
As we approach the holidays, now may be an appropriate time to point out the rules relating to gifts that providers can give to Medicare and Medicaid beneficiaries. During this time of the year, some healthcare professionals may want to give gifts to their patients, other physicians or even referral sources. Before you do, consider this: It can land you in a heap of trouble with the federal government unless you follow the law. In December 2016, the Health and Human Services Office of the Inspector General released a policy statement regarding gifts of nominal value to Medicare and Medicaid beneficiaries. At that time, the OIG raised the nominal value of gifts allowed from having a retail value of no more than $10 per item or $50 in aggregate annually per beneficiary to $15 per item or $75 in aggregate annually per beneficiary.
With rising obesity, microbiomes tip the scale  
Mitra Rangarajan, ANP-BC, MPH
Human beings have grappled with obesity for thousands of years. Greek philosopher and physician Galen described "bad humors" as the cause of obesity and prescribed low-calorie foods, massages, baths, greens and garlic to his patients to help them slim down. In the 18th century, William Banting successfully lost weight following a low-carb diet and spread his mantra to the public in a pamphlet called a " Letter on Corpulence," which sold faster than chocolates. In June 2013, the American Medical Association passed a Resolution 420 declaring obesity as a disease, paving the way for treatment reimbursement.
Florida's largest medical cannabis producer seeing 'huge transition' from opioids to marijuana treatment: CEO
Elizabeth Gurdus | CNBC
Trulieve CEO Kim Rivers describes how Florida's largest fully licensed medical marijuana company is faring amid the   cannabis craze. Rivers tells CNBC's Jim Cramer that Trulieve is "seeing a huge transition" from opioids to medical cannabis.