Established 1880 , the Journal of the Arkansas Medical Society is owned and edited by the Arkansas Medical Society and published quarterly under the direction of the AMS Board of Trustees .

Arkansas Medical Society 10 Corporate Hill Dr ., Ste . 300 , Little Rock , AR 72205 501-224-8967 ams @ arkmed . org ARKMED . org / thejournal

TABLE OF CONTENTS

2021-2022 EXECUTIVE COMMITTEE

Danny Wilkerson , MD , Little Rock - President , Chairman of the Board of Trustees

Seth Barnes , MD , Hot Springs - President-Elect George Conner , MD , Forrest City - Vice President Bradley Bibb , MD , Jonesboro - Secretary Jacob Dickinson , MD , Mountain Home - Treasurer Chad Rodgers , MD , Little Rock - Immediate Past President

JOURNAL STAFF

Laura Haywood , Managing Editor Membership and Communications Specialist lhaywood @ arkmed . org

Laura Hawkins , Advertising Representative hawkins @ arkmed . org

Nicole Richards , Advertising Representative nrichards @ arkmed . org

Graphic design by Scribner Creative

EXECUTIVE STAFF

David Wroten - Executive Vice President Mary Ann Mansfield - Director of Operations H . Scott Smith , JD - Director of Governmental Affairs Tereasa Holmes , CMPE - Director of Practice and Health Policy

DISTRIBUTION : The Journal of the Arkansas Medical Society ( ISNN 0004-1858 ) is published quarterly by the Arkansas Medical Society , 10 Corporate Hill Drive , Suite 300 , Little Rock , AR 72205 . Subscription rate : $ 30.00 annually for domestic ; $ 40.00 , foreign ; $ 3.00 , single issue .

Periodicals postage is paid at Little Rock , AR , and at additional mailing offices . The Journal is printed by Walsworth Press Inc ., Fulton , MO 65251 .

Postmaster : Send address changes to : The Journal of the Arkansas Medical Society , P . O . Box 55088 , Little Rock , AR 72215-5088 .

Articles and advertisements published in The Journal are for the interest of its readers and do not represent the official position or endorsement of The Journal or the Arkansas Medical Society . The Journal reserves the right to make the final decision on all content and advertisements .

Editor Emeritus : Alfred Kahn , Jr ., MD ( deceased )

SPRING 2022 | VOLUME 118 | NUMBER 9 186