The Providence VA Medical Center - Rhode Island Medical Society

UNDER THE JOINTEDITORIAL SPONSORSHIP OF:The Warren Alpert Medical School ofBrown UniversityEdward J. Wing, MD, Dean of Medicine& Biological ScienceRhode Island Department of HealthDavid R. Gifford, MD, MPH, DirectorQuality Partners of Rhode IslandRichard W. Besdine, MD, ChiefMedical OfficerRhode Island Medical SocietyVera A. DePalo, MD, PresidentEDITORIAL STAFFJoseph H. Friedman, MDEditor-in-ChiefJoan M. Retsinas, PhDManaging EditorStanley M. Aronson, MD, MPHEditor EmeritusEDITORIAL BOARDStanley M. Aronson, MD, MPHJohn J. Cronan, MDJames P. Crowley, MDEdward R. Feller, MDJohn P. Fulton, PhDPeter A. Hollmann, MDAnthony E. Mega, MDMarguerite A. Neill, MDFrank J. Schaberg, Jr., MDLawrence W. Vernaglia, JD, MPHNewell E. Warde, PhDOFFICERSVera A. DePalo, MDPresidentGary Bubly, MDPresident-ElectNitin S. Damle, MDVice PresidentAlyn L. Adrain, MDSecretaryJerald C. Fingerhut, MDTreasurerDiane R. Siedlecki, MDImmediate Past PresidentDISTRICT & COUNTY PRESIDENTSGeoffrey R. Hamilton, MDBristol County Medical SocietyRobert G. Dinwoodie, DOKent County Medical SocietyRafael E. Padilla, MDPawtucket Medical AssociationPatrick J. Sweeney, MD, MPH, PhDProvidence Medical AssociationNitin S. Damle, MDWashington County Medical SocietyCover: “The Cardinal in a Snowy Bush,” watercolor,by Kristin Morrill. The artist studied art atNortheastern University, Worcester Art Museumand with several local NE artists privately. She receivedtwo grants for her series of Historical MillWorkers paintings currently on display in Pawtucket,RI, at the Library and the BV Visitor Center andonline at http://kristinmorrill.net/Historical_Mill_Workers.aspx. Her website: www.kristinmorrill.net; her e-mail : kristym@comcast.netMedicine HealthVOLUME 93 NO. 1 January 2010R HODE I SLANDPUBLICATION OF THE RHODE ISLAND MEDICAL SOCIETYCOMMENTARIES2 Choosing a TreatmentJoseph H. Friedman, MD3 Racism and the Threat of InfluenzaStanley M. Aronson, MDCONTRIBUTIONSSPECIAL ISSUE: The Providence VA Medical CenterGuest Editor: Sharon Rounds, MD4 Overview of the Providence VA Medical CenterSharon Rounds, MD6 Innovative Approaches to Healthcare Delivery at the Providence VA MedicalCenterSharon Rounds, MD8 Electronic Medical Record and Quality of Patient Care in the VATanya Ali, MD11 Primary Care at the Providence VA Medical Center: Challenges, Opportunitiesand InnovationsThomas P. O’Toole, MD13 Mental Health Care at the Providence VA Medical Center: Providing IntegratedComprehensive Mental Health ServicesMichael G. Goldstein, MD16 Military Blast Injury in Iraq and Afghanistan: The Veterans HealthAdministration’s Polytrauma System of CareStephen T. Mernoff, MD, FAAN, and Stephen Correia, PhD22 Neurorehabilitation Research Laboratory at the Providence VAMCAlbert Lo, MD, PhDCOLUMNS25 THE CREATIVE CLINICIAN: Fooled by the Fragments: Masquerading MicroangiopathySamir Dalia, MD, Cannon Milani, MD, Jorge Castillo, MD, Anthony Mega, MD,Fred J. Schiffman, MD27 GERIATRICS FOR THE P RACTICING P HYSICIAN: Sudden Cardiac Death and ImplantableCardioverter Defibrillators (ICD) in the Older AdultOmar Hyder, MD, and Ohad Ziv, MD29 HEALTH BY NUMBERS: Intimate Partner Violence Before or During Pregnancy inRhode IslandHyun (Hanna) Kim, PhD, Rachel Cain, and Samara Viner-Brown, MS32 PHYSICIAN’S LEXICON: Synonyms of NothingStanley M. Aronson, MD32 Vital Statistics33 January Heritage34 2009 IndexMedicine and Health/Rhode Island (USPS 464-820), a monthly publication, is owned and published by the Rhode Island Medical Society, 235Promenade St., Suite 500, Providence, RI 02908, Phone: (401) 331-3207. Single copies $5.00, individual subscriptions $50.00 per year, and $100per year for institutional subscriptions. Published articles represent opinions of the authors and do not necessarily reflect the official policy of the RhodeIsland Medical Society, unless clearly specified. Advertisements do not imply sponsorship or endorsement by the Rhode Island Medical Society. Periodicalspostage paid at Providence, Rhode Island. ISSN 1086-5462. POSTMASTER: Send address changes to Medicine and Health/Rhode Island, 235Promenade St., Suite 500, Providence, RI 02908. Classified Information: Cheryl Turcotte/Rhode Island Medical Society, phone: (401) 331-3207, fax:(401) 751-8050, e-mail: cturcotte@rimed.org. Production/Layout Design: John Teehan, e-mail: jdteehan@sff.net.VOLUME 93 NO. 1 JANUARY 20101