Archive for July, 2019

Gov. Ivey Hosts Bill Signing Ceremony for MAT Act

Gov. Ivey Hosts Bill Signing Ceremony for MAT Act

Wednesday, Gov. Kay Ivey hosted a formal bill signing ceremony at the Alabama Capitol for this year’s Medication Assisted Treatment Act (“MAT Act”). Flanked by an array of both state and national leaders, the signing of this legislation represents another step Alabama is taking to combat the drug abuse epidemic and help those struggling with addiction.

Passing this bill was no easy feat, however. Introduced just six days before the 2019 Legislative Session ended, the Medical Association worked closely with Sen. Larry Stutts, M.D. in drafting the language for the bill and was instrumental in pushing it to final passage.

“It really is extraordinary what we were able to get done in such a short timeframe,” said Association President, John Meigs, M.D. “I know this was a priority for Senator Stutts, and we were proud to see it become a priority for all legislators. MAT has already been proven to help reduce drug addiction and I am anxious to see its impact in Alabama.”

The Alabama Board of Medical Examiners, with the guidance from a panel of industry stakeholders, is developing rules for medication assisted therapy in Alabama. If you would like to learn more about MAT and the federally-required qualifications for physicians, go to SAMHSA.gov. The Alabama Department of Mental Health also has information about MAT listed here, and a list of current grants for addiction treatment can be found here.

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In Memoriam: John Kendall Black Jr., 1939-2019

In Memoriam: John Kendall Black Jr., 1939-2019

Dr. John Kendall Black, Jr., 79, of Huntsville, passed away Wednesday. He was born on August 26, 1939, in Birmingham, Ala., the only son of John K. and Ruby W. Black. In fact, for 13 years, he was the only grandchild in the family.

Dr. Black was educated at Central Park Elementary School and Ensley High School in Birmingham. He graduated with honors from Ensley and received a National Merit Scholarship Award.

In 1956, he entered the University of Alabama in Tuscaloosa on a Combined Degree Program. While at the University, Dr. Black was a member of Kappa Sigma Social Fraternity, Alpha Chi Sigma Chemistry Fraternity and the American Chemistry Society. He received the honorary President’s Medal from the Army ROTC program at the University.

After three years of pre-medical studies, Dr. Black was accepted to the Medical College of Alabama in Birmingham. He began his studies in 1959 and was awarded the Bachelor of Science degree from the University of Alabama in 1960. He graduated from the Medical College in 1963. During his tenure in medical school, Dr. Black also served as a student extern at the Jefferson Hillman Hospital, Caraway Methodist Hospital, and South Highland Hospital.

He served a mixed Medical Surgical Internship at the Jefferson Hillman Hospital’s program from 1963 to 1964. Upon completing his internship, Dr. Black entered the United States Air Force on what was then known as the Berry program. He spent two years on active duty and then six years on reserve duty with the Air Force. While stationed at Maxwell Air Force Base in Montgomery, Dr. Black continued his civic duties by working as an outpatient emergency room physician at St. Margaret’s Hospital.

In 1966, Dr. Black and his family moved to Jacksonville, Fla., where he spent the next four years training in an Orthopedic Surgery Residency with the Jacksonville Hospital’s Educational Programs and the College of Medicine of the University of Florida. During this time, Dr. Black served both as a junior resident as well as the Chief Resident for the Orthopedic Surgery Program. While serving as a resident, Dr. Black also found time to continue his activities as an insurance physician for several of the insurance companies in Jacksonville.

Dr. Black also authored two papers while serving as chief resident: “Leiomyosarcoma of Apparently Vascular Origin,” which was presented to and published by the Duval County Medical Society after being selected the number one research paper for the resident group. He also authored a paper on “Vertical Fractures of the Patella,” which was presented to the Southern Medical Association meeting and published in the Southern Medical Journal.

In 1970, Dr. Black and his family moved to Huntsville where he entered practice with Doctors Denton, Robinson, and Mitchell. During this time frame, Dr. Black served as an attending physician for the Alabama Crippled Children’s Clinic Services in the Huntsville region. In 1971, he was selected to be first team physician for Grissom High School where he served for several years.

As his children grew to be of high school age, Dr. Black was fortunate to be associated with Dr. Bob Sammons as a team physician for Huntsville High School. This association lasted for approximately 15 years, and involved attendance at a great number of athletic competitions both in and out of town, as well as to areas of competition in the high school playoff system.

Dr. Black was certified by the National Board of Medical Examiners in 1964, the Medical Licensure Commission of the State of Alabama in 1964, and the American Board of Orthopedic Surgery in 1972.

He became a member of the Madison County Medical Society in 1970 where he served as chairman of the Madison County Health Industry Committee, a member of the Board of Trustees, Vice President, President, Member of the Board of Censors, and a member of the Madison County Board of Health.

He was also a member of the Medical Association of the State of Alabama since 1970 until his death. He has served as the Chairman of the District 3 Peer Review Committee, a member of the University of Alabama Medical School Advisory Board, and a member of the Medical Scholarship Awards Committee.

Dr. Black served as a member of the House of Delegates and College of Counselors for the Medical Association of the State of Alabama. During this time, he served on the Council of Public Affairs, a member of the Board of Directors of the Alabama Political Action Committee, and became a lifetime member of the College of Counselors. It was also during this time that Dr. Black served as Vice-President of the Medical Association and became its President in 1981.

During his tenure as President, Dr. Black presided over a reorganization of the House of Delegates and College of Counselors which resulted in the development of a Vice Speaker and Speaker position within the Medical Association. He was honored by selection as the first physician to hold each of these positions with the Medical Association of the State of Alabama.  It was also during this time frame that Dr. Black became associated with and mentored by a number of wonderful people in the Huntsville area. They introduced him to others and educated him in the motto “Pay Your Civic Rent”.

As a result, Dr. Black served as a member of the Board of Directors of Blue Cross/Blue Shield of Alabama and served on the Committee that developed the Preferred Medical Doctors Program. In Huntsville, he served as a member of The Huntsville Chamber of Commerce where he also served on the Huntsville Leadership 2000 Committee Development Committee, ultimately serving as a General Chairman for the Leadership 2000 Program.

In 1990, he was appointed Chairman of the Board of the initial Downtown Redevelopment Committee, and in 1996, was selected to a term on the University of Alabama Huntsville Foundation Board.

In 2005, Dr. Black was diagnosed with prostate cancer which required surgery, radiation and other medical treatments. As a result, he directed his energies into serving on the Leadership Council of The American Cancer Society for the North Alabama region. He served as a member followed by election to the positions of Vice-President then as President in 2012. Dr. Black was selected as a community volunteer for the Mid-South Division in 2013. In 2015, Dr. Black was one of 21 volunteers throughout the USA selected to receive the St. George Medal for Service to the ACS.

Dr. Black practiced General Orthopaedic surgery 47 years in Huntsville-Madison County. During this time, he found time to hunt, fish, as well as play golf and tennis.

Most of all, he loved his family, particularly his beautiful wife, Debbie; children, Elaine and her husband, Gaius, and Kendall III; as well as Debbie’s children, Misty, Brad, and Chad. He and Debbie have nine grandchildren: Abby, Patrick, Bailey, Ashlyn, Elise, Marley, Brayden, Addison, and Hendrix.

Visitation will be from 1 to 3 p.m. on Sunday, July 28 at Laughlin Service Funeral Home. The memorial service will follow in the chapel with the Rev. Coy Hallmark officiating. A private family burial will follow.

In lieu of flowers, memorials may be made to the American Cancer Society.

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Help Us Address “Surprise Billing” Issues

Help Us Address “Surprise Billing” Issues

Last week, the U.S. House Energy and Commerce Committee advanced a legislative package (HR 3630) to address the ongoing “Surprise Billing” issues affecting patients and physicians.

While this is not the same bill the Association and other medical societies were supporting, the committee did agree to adopt an amendment establishing an independent dispute resolution (IDR) process for out-of-network (OON) claims of $1,250 or more. Arbitrators leading the process would be permitted to consider things like median contracted in-network rate, provider’s level of training, experience, quality and outcomes, and acuity of care/services rendered.

Although HR 3630 still has flaws, the Association views this as progress from where we were – there was no IDR language in the original bill. Also, with HR 3502 still awaiting a hearing, it appears HR 3630 will most likely become the primary piece of legislation moving forward in the U.S. House.

With this in mind, we have slightly revised the wording of the previous letter to legislators. Still touting HR 3502 as the model we support, these new revisions more broadly address the need for IDR language to be included in whatever bill goes to the floor. Click here to read our letter to our Congressional Delegation in which several other medical specialty societies have also signed.

What can you do? Contact your legislators! We have prepared an email and guidelines in order to make this process as easy as possible for you. Simply click the button below, enter your information, and stand up for a solution that best addresses the needs of patients and physicians.

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Why I Give: Dr. John Meigs

Why I Give: Dr. John Meigs

As president of the Medical Association, I want to thank you for your membership in our organization. While membership is essential to our success, so too is advocacy. Past President Dr. Underwood recently said, “It’s amazing how politics can determine the direction of medicine.” He’s exactly right.

Yet, instead of waiting until politicians are about to make a decision impacting you and your patients, physicians should be involved long before those decisions arise. Be proactive, not reactive. Choosing not to participate in the political process – when it’s known the decisions of lawmakers directly affect medicine – is akin to getting sued, consciously sitting out of jury selection and letting the plaintiff’s lawyer pick the jury.

I know you’re busy; I know how valuable your time is. But there’s other ways you can participate besides making a phone call or sending an email – you can give to ALAPAC. Membership dollars cannot be used for elections purposes, and so separate political action committees must be established to help elect candidates physicians can work with on health care important issues.

For me, giving to ALAPAC ensures that my voice, and the voice of all Alabama physicians, is heard. I truly believe it is incumbent upon physicians to join the organizations fighting for them, to get to know their elected officials and to contribute to PACs supporting the objectives of such organizations.

Right now, ALAPAC is in the midst of its year-end fundraising campaign and trying to raise $75,000 in 75 days. When it comes to contributions, even a small donation can have a big impact. So, I challenge all of you – those who have already contributed and those who have not – to give to ALAPAC to increase medicine’s voice.

Simply text ALAPAC to 91999 or donate here.

With thanks,

John S. Meigs, M.D.
President
Medical Association of the State of Alabama

 

Disclaimer: Contributions to ALAPAC are not tax-deductible as charitable contributions for Federal income tax purposes. Voluntary political contributions to Alabama Medical PAC (ALAPAC) are not limited to the suggested amount. The Medical Association will not favor or disadvantage anyone based upon the amount or failure to contribute. A portion of the contributions may be used in connection with Federal elections. Corporate funds will be used in either state elections or for education purposes. Federal contributions are subject to the limitations of FEC Regulations 110.1, .2, and .5.

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ALAPAC Launches $75K in 75 Days Campaign

ALAPAC Launches $75K in 75 Days Campaign

Earlier this month, ALAPAC kicked off its year-end fundraising campaign and is seeking to raise $75,000 in 75 days. As the official political action committee of Alabama physicians, ALAPAC provides financial and technical support to candidates medicine can work with on the myriad of health care issues affecting our state.

It may not be a normal election year, but that doesn’t mean there are not elections. In fact, there are two special elections for the Alabama House of Representatives going on right now. What’s more is that in one of these special elections, Charlotte Meadows – the wife of a physician and a former practice manager – is on the ballot and has already made the runoff with 44% of the vote!

Consider this: there are only two physicians in the Alabama Legislature, both of whom serve in the State Senate. This means there are zero physicians in the House of Representatives. Yet, the members of these bodies make decisions directly impacting you, your families, and your patients.

This is why electing quality candidates is so vital. With so many interest groups with objectives that are not in line with increasing access to quality care and maintaining a positive practice environment in Alabama, having elected officials who understand and respect physicians’ needs crucial. A contribution to ALAPAC can help elect this kind of candidate.

When like-minded people pool their resources good things can happen. So get involved! Making a contribution has never been easier. Simply text “ALAPAC” to 91999 or donate here.

 

Disclaimer: Contributions to ALAPAC are not tax-deductible as charitable contributions for Federal income tax purposes. Voluntary political contributions to Alabama Medical PAC (ALAPAC) are not limited to the suggested amount. The Medical Association will not favor or disadvantage anyone based upon the amount or failure to contribute. A portion of the contributions may be used in connection with Federal elections. Corporate funds will be used in either state elections or for education purposes. Federal contributions are subject to the limitations of FEC Regulations 110.1, .2, and .5.

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Call for Nominations: Senior Services Advisory Board

Call for Nominations: Senior Services Advisory Board

The Alabama Department of Senior Services has an advisory board, and one member of the board must be a representative of the medical profession appointed the Governor. The Senior Services Advisory Board typically meets twice annually and members are reimbursed for travel and other expenses actually incurred in the performance of their official duties.  Interested physicians should submit their CV here.

The purpose of the Senior Services Advisory Board is to:

  1. Collect facts and statistics and make special studies of conditions and problems pertaining to the employment, health, financial status, recreation, social adjustment or other conditions affecting the welfare of the aging people in this state.
  2. Keep abreast of the latest developments in this field of activity throughout the nation, and to interpret its findings to the public.
  3. Provide for a mutual exchange of ideas and information on national, state and local levels.
  4. Give a report of its activities to the Legislature, and make recommendations for needed improvements and additional resources to promote the welfare of the aging in this state.
  5. Serve as an advisory body in regard to new legislation in this field.
  6. Coordinate the services of all agencies in this state serving senior citizens and request and receive reports from the various state agencies and institutions on matters within the jurisdiction of the board.

Interested physicians should submit their CV here.

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Effective Nov. 18: Gabapentin Changed to Schedule V

Effective Nov. 18: Gabapentin Changed to Schedule V

On May 15, 2019, the Alabama State Committee of Public Health voted to change gabapentin to a Scheduled V medication, effective Nov. 18, 2019. The six-month implementation period was provided to allow time to implement the appropriate changes for a legend medication to move to a scheduled medication.

These changes may include the following: software requirement changes; increase in physical space to store scheduled medications; and changes in procedures for prescribing a controlled substance. Please begin to make the necessary adjustments to meet the implementation date, Nov. 18, 2019.

Schedule V drugs, substances, or chemicals are defined as drugs with lower potential for abuse than Schedule IV and consist of preparations containing limited quantities of certain narcotics. Schedule V drugs are generally used for antidiarrheal, antitussive and analgesic purposes. Some examples of Schedule V drugs are: cough preparations with less than 200 milligrams of codeine or per 100 milliliters (Robitussin AC), Lomotil, Motofen, Lyrica and Parepectolin.

Questions should be directed to Nancy Bishop, State Pharmacy Director, Alabama Department of Public Health.

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Employee vs. Independent Contractor: What’s the Difference and Why’s it Important?

Employee vs. Independent Contractor: What’s the Difference and Why’s it Important?

If you are reading this article, then you likely own or administer a health care practice. It may include workers of many stripes:  some may be treated as employees and others as independent contractors. But do you know why they are treated that way? If the IRS or the Alabama Department of Revenue audits your practice, you will need to know.

Many companies use independent contractors whenever possible. Why? Employees are much more expensive than independent contractors. Employees cast many burdens on their employers: health care benefits, minimum wage limitations, fringe benefit costs. None of these issues arise with independent contractors. In addition to administrative burdens, employees also cost their employers more in employment tax than independent contractors. All employers must generally pay employment taxes (Social Security and Medicare) of 7.65% of each employee’s salary/wages. There is no similar requirement related to independent contractors; they are responsible for their own employment taxes. Based on a salary of $43,000, an average employee costs its employer approximately $3,700 more than an independent contractor in tax-related costs alone. Thus, all other things being equal, businesses that treat their workers as independent contractors have a competitive advantage over those treating similar workers as employees.

But what makes one worker an employee and another an independent contractor? In a word: control. If a company has control over how a worker performs his or her job, then that worker is most likely an employee. The substance of the worker/employer relationship therefore determines the worker’s classification, no matter how the employer and the worker decide to define the relationship. That is, you cannot simply label your worker an independent contractor and expect the IRS or other government agency to take your word for it.

Since 1987, the IRS has used a “20 Factor Test” to analyze worker classification matters. Each factor indicates control or a lack of control, and, in turn, either employee or independent contractor status. For example, if you require your workers to attend formal training, then your control indicates employee status. Control is also evident if a worker must work set hours, gets paid by the hour, or can be terminated at any time. On the other hand, if a worker gets paid on a per-task basis, does the same type of work for other companies, and provides his/her own tools and equipment, then there may be insufficient control to trigger employee status.

Improperly classifying a worker as an independent contractor, when in fact the individual is an employee, can create significant withholding and tax exposure. That exposure could include liability for failing to withhold the employee’s unpaid income (around 28% of the employee’s salary) and employment taxes (7.65% of salary), in addition to the employer’s employment tax share (7.65% of salary) mentioned above. A range of penalties – from failure-to-file (25% of the tax due), failure-to-deposit (15%), accuracy (20%), to even fraud (75%) – as well as accrued interest may drastically increase the exposure.

Practices can prepare for government scrutiny by reviewing their compliance procedures and contracts with independent contractors. You may be able to avoid costly penalties by disclosing past missteps to the IRS before an audit, or the practice can clarify its relationship with the individual based on IRS guidance to better document the individual’s independent contractor status.

Article contributed by Allen Sullivan, partner with Burr & Forman LLP practicing in the firm’s Corporate and Tax Group. Burr & Forman LLP is an official partner with the Medical Association.

Posted in: Legal Watch

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How Can You Use Financial Metrics to Improve Profitability?

How Can You Use Financial Metrics to Improve Profitability?

There are many factors that can help your practice maintain financial profitability. It is especially important to review the structure of your financial statements to properly assess and optimize the health of your practice. Recently, we sat down with one of our healthcare experts, Miko Kulovitz, to discuss how important financial reporting can be to practice and what you can do to improve it.  We have outlined our conversation here:

Question: What are some of the common changes you recommend for a medical practice when you first look at its financial statements?

Answer: When we first look at the financial statements, we want to determine the health of the practice. Are they doing well? Are there areas we could improve? And those financial statements don’t always give us the information we need. A majority of practices use accounting software that is similar to QuickBooks, and that set-up isn’t always the best set-up that is going to show the medical practice how the financials need to be arranged. So when we come in, we’ll typically start with the construction of the financial statements and consider if the information is put together in a way that’s going to be useful to the physicians in making decisions and really driving the practice.

Question:  What does that generally look like?

Answer: We really want to be able to see what the operating net income is, aside from the physician expenses. We also want to be able to track by location how each division is doing. We want to see the profitability by provider. So there are a number of metrics that we need to make sure that we can track and have the financial statements divided in a way that presents that information to us.

Question: What are some of the financial metrics and practice profitability metrics that you like to monitor when you begin working with a practice?

Answer: There are a lot of key metrics that we review⁠—from the financials to the revenue cycle management. We want to look at the practice as a whole, see how it is doing and find out how it stacks up to peers on a state level and a national level. We really want to make sure that a practice’s metrics are in line with what other practices of a similar size and specialty are doing.

We also want to make sure that A/R aging is the youngest that it can be. We don’t want A/R to age into older categories because that makes it a lot harder to collect, and we want to see the days in A/R. We want to make sure that money is collected as fast as possible and that the cash flow cycle is healthy. We want to look at the financial statements and see what the overhead percentage is. We want to look at those individual expense categories and see if the larger items, such as the salary, benefits and medical supplies, are in line with what we are expecting to see. And because we work with financial statements of physician practices on a daily basis, we know what those parameters are; so, those anomalies will often stand out to us and help us pose the right questions so we can do the research and see if there are things that we need to explain further.

Question: When you work with medical practices, one of the key things that the physicians are focused on is the compensation formula. Could you make some comments about the common compensation formula structures that you see and what is effective in a practice?

Answer: There is no one-size-fits-all method to compensating the physician. Every practice is different, every specialty is different. So, we really want to take a look at what makes the most sense for that particular practice. The compensation model should be set up in a manner that incentivizes the behavior that’s best for the practice and also rewards the physicians for the work that they are doing. We want to make sure that the compensation model is compliant with Stark Law, that there are no issues that would be a detriment to the practice and that the compensation model is fair. A lot of times, there are issues in which the model is not achieving the goals that the practice wants to achieve, so we really want to take a look to see if this model is performing as we need it to perform and if it is accomplishing those goals.

Question: I would assume a single-physician practice compensation model is not really a big deal. When you get larger and larger, are there some creative ways you’ve seen practices compensate their physicians?

Answer: Again, there are many different ways to do that. The main thing is to focus on the revenues, allocate those appropriately and make sure that the practice is compliant. Also, with the overhead, it’s going to be a matter of the practice’s preferences and what makes the most sense. Some practices split overhead evenly, and some might allocate a percentage of variable or percentage of fixed. Again, there are many ways to slice that. It is really important that we talk to the physicians and get to know the practice to be able to help guide them in a direction for what plan is going to work best for them.

Article contributed by Miko Kulovitz, Healthcare Senior Manager, Warren Averett Healthcare Consulting Group. Warren Averett is an official Gold Partner with the Medical Association.

Posted in: Management

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The Praying Doctor with Mark LeQuire, M.D.

The Praying Doctor with Mark LeQuire, M.D.

MONTGOMERY – Physicians are men and women of science. They practice the art of medicine, which means they are filled with the knowledge of biochemistry, anatomy, physiology and other sciences they apply to heal their patients’ bodies. But a patient is much more than a physical being, and so is a physician. Just ask Montgomery radiologist Mark LeQuire, M.D., FACR.

“At Baptist Health where I work there’s not a single board meeting, not a single committee meeting, not a single medical executive committee meeting that doesn’t start with a prayer,” Dr. LeQuire said smiling. Dr. LeQuire has been a member of the Medical Association’s Board of Censors for many years, and it’s difficult to think back to a time when one of those meetings didn’t begin with him leading the room in a devotional and prayer for friends and loved ones. It wasn’t always the case.

Because modern physicians are so quickly thought of as scientists who deal in hard facts drawn from what they can prove empirically, the thought of bringing faith into the treatment room is sometimes frowned upon. How can physicians also be children of faith? Better yet, how can a physician minister to a patient’s spiritual health while treating the physical being?

To know Dr. LeQuire is to know a man strong in his Catholic faith. Beneath the white coat of the physician, he wears two Christian medals – one is for his personal devotion to the Sacred Heart of Jesus and the Immaculate of the Heart of Mary and the other is the medal of St. Luke, the Patron Saint of Physicians. Coming from a long line of physicians and pastors, in his heart, he seemed to be searching for a sign to marry the two.

“God created us and gave us all a talent. In the fourth grade, we had Professions Day where everybody got to dress up and come to school as what they wanted to be. I dressed up as a doctor. My friends said I did that because my father’s a physician, and I told them that really didn’t have anything to do with it. This was my calling,” Dr. LeQuire explained. “But, it is interesting if you look at the LeQuire family men from our inception in the 1700s in East Tennessee, we are all either physicians or pastors. All the physicians in that line were very strong people of faith. In the early days, there wasn’t this separation of medicine and faith. I think they had it right but didn’t know it. I don’t think there should be a separation of the two. Today our medical students aren’t being taught this in school…in fact, they’re being taught to keep the two separate. How can you separate the soul from the body when they’re the same?”

Already questioning the normal procedure for practicing medicine, it was an innocent conversation with his brother followed by “an angel” that changed Dr. LeQuire’s entire world.

His brother had finished seminary and he was about to finish medical school when the two met for dinner. His brother commented: “You’re going to heal the body, and I’ll heal the soul. That sounds pretty sweet, right?”

“I’ve never forgotten that conversation because it left me so confused. That was 39 years ago, and I’ve never forgotten it. I remembered it for a reason. It’s an act of gratitude and thankfulness and praise to our Lord and our God. It led me on a journey to where I am today,” Dr. LeQuire said.

If the conversation with his brother started Dr. LeQuire on his journey, it was a Medical Association Annual Meeting in Huntsville that sealed the deal. Passively listening to the debate concerning Obamacare during the Business Session, Dr. LeQuire noticed an older physician approach one of the microphones. Normally during an address to the House of Delegates, physicians state their name and district before making a comment. This was not a normal day.

“This gentleman approaches the microphone during the debate where everyone is discussing Obamacare and how it’s going to affect physician payments and money and so on. And, there’s this little guy at the mic. He says, ‘Excuse me, but whatever happened to the days when it was simple and physician priests took care of their patients.’” Dr. LeQuire paused a moment, his face lit up with a huge smile. “I have no idea who he was! I have never met him! He didn’t introduce himself, and I’ve never seen him again, but I’m convinced he was an angel sent there to that meeting for me! That was EVERYTHING! To this day, I still look for him. Until that moment, I was struggling with going to church on Sundays, but I can’t take my church to my work because it’s incorrect? And you can’t have God and science and you can’t be a true healer? So I decided I AM allowed to bring faith into my practice.”

While there are patients who may be agnostic or atheist, Dr. LeQuire is pretty quick to spot them when he meets with them. However, the majority of his patients are people of faith and ask him to pray for and with them.

He sees a lot of patients, and he remembers them all…but there’s one patient, in particular, Dr. LeQuire said was the “pinnacle” of his esteemed career.

The case was difficult, and the procedure was dangerous, but it would result in a cancer-free patient. He discussed the risks of the procedure with the patient and asked if he had any questions. The patient said, “No problem. We’re good to go. I’m good.” Dr. LeQuire said what gave him pause was how quickly the patient was to jump on board with the treatment plan, so he asked if he needed some time to think about the procedure, and his patient replied: “Doc, do you know why I picked you? I hear you’re the prayin’ doctor. I hear you’ll pray with me right here, before my procedure, and you’ll pray with me after my procedure. I picked you because you’re the prayin’ doctor.”

Dr. LeQuire never asks his patients to trust in him but rather to trust in God.

The journey has not been one he takes lightly or alone. He credits his bride, Gage, and mentors like Paul Nagrodski, M.D., for putting his “wheels back on the wagon.”

“Organized medicine, like being a member of the Medical Association, has been one of the greatest blessings of my life. It made me whole and complete. Come on board and find yourself. Physicians tend to get isolated by what we do every day. We need to get into organized medicine to discover ourselves. The greatest gift to me — getting into organized medicine —  was that I found myself,” Dr. LeQuire said.

Posted in: Physicians Giving Back

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