Issue: SUMMER 2018 Vol. 13 - Issue 2
From the Editor's Desk
We All Use Checklists Now
– Lawrence I. Bonchek, M.D., FACS, FACC
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Fair Winds and Following Seas: Looking Back 44 Years in Health Care
– Thomas E. Beeman, PhD, Rear Admiral, USN (ret.)
The former president and CEO of Lancaster General Health offers reflections and a nautical farewell as he retires from his current position with Penn
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The MD/MBA: An Emerging Dual Degree in Health Care
– Jack D. Lemon, B.A.
Many of our physician leaders have obtained an MBA in recent years, and the MD/MBA dual degree is becoming more prevalent. This important article by a medical student in the dual program at Temple University Medical School discusses the advantaes of such training and the potential roles of its recipients. Dr. Monty Duke provides a comment.
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Scientific Reports 
Evalution of the Patient with Chest Pain: Is Conventional Stress Testing Obsolete?
– Ron M. Jacob, MD, FACC, FASE, FSCCT
The decision algorithm for evaluating the patient with chest pain has become much more intricate due to the advent of multiple non-invasive diagnostic modalities. Herewith a guide through the thicket of choices.
Geriatrics in Lancaster County Past, Present & Future
– J. Kenneth Brubaker, M.D.
As the population ages, geriatrics has become a vital concern. This article reviews the development of the specialty nationally and locally, and the establishemnt of the geriatrics fellowship and the Division of Geriatrics at LGH. Finally, it offers a vision for the future of geriatrics in our community.
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Photo Quiz from the Emergency Department: 'I Swallowed a Lock'
– Luke Bingaman, MPAS, PA-C, & Vito DiCamillo, M.D.

The photo quiz presents an X-ray that may seem obvious, but management of such patients is not. This article provides a review of management principles for swallowed foreign bodies.
Descendants of General Edward Hand: Lancaster Patriot, Military Officer, Physician, and Surgeon
– Nikitas J. Zervanos, M.D.

In the last issue of JLGH, Dr. Zervanos described the life of prominent Lancaster citizen and Revolutionary War surgeon, Dr. Edward Hand. Herein Dr. Zervanos provides a brief addendum with follow up about Dr. Hand's descendants, and the fate of his home, the local landmark Rock Ford.
Top Tips from Family Practice
Choosing Wisely XXIV: Recommendations from the American College of Occupational and Environmental Medicine, American College of Medical Technology, American Academy of Clinical Toxicology, American College of Medical Genetics and Genomics
– Alan S. Peterson, M.D.
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