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Volume 117 • Number 3 SEPTEMBER 2020 Cover Story 54 David Wroten Executive Vice President Penny Henderson Executive Assistant Journal Advertising Nicole Richards Managing Editor Laura Haywood Membership and Communcications Specialist EDITORIAL BOARD Appathurai Balamurugan, MD, DrPH, MPH Family & Preventative Medicine/Public Health Tim Paden, MD Family Medicine Sandra Johnson, MD Dermatology Issam Makhoul, MD Oncology Naveen Patil, MD, MHSA, MA, FIDSA Internal Medicine/Infectious Disease Benjamin Tharian, MD, MRCP, FACP, FRACP Gastroenterologist/Hepatologist Robert Zimmerman, MD Urology Tobias Vancil, MD Internal Medicine Darrell Over, MD Family Medicine EDITOR EMERITUS Alfred Kahn Jr., MD (1916-2013) ARKANSAS MEDICAL SOCIETY 2020-2021 OFFICERS Chad Rodgers, MD, Little Rock President Dennis Yelvington, MD, Stuttgart Immediate Past President Danny Wilkerson, MD, Little Rock President Elect Seth Barnes, MD, Hot Springs Vice President George Conner, MD, Forrest City Secretary Bradley Bibb, MD, Jonesboro Treasurer COVID-19 Alters Practice Patterns: Physicians and Clinics Adapt Casey L. Penn Commentary 52 Your Patient May Be Lying To You – Here is Why Darrell R. Over, MD, MSc, FAAFP Case Study 58 Doctor, My Epidural Site is Leaking! A Diagnostic Dilemma in An Anxious Post-Partum Patient Anita Akbar Ali, MD; Nazish Hashmi, MD; Mark A. Stevens, MD AFMC: A Closer Look 60 Containing Disease Outbreaks in Residential Care Settings Laura Hobart-Porter, DO, FAAPMR Scientific Article 62 Arkansas Physician Order for Life Sustaining Treatment (POLST) Sarah Beth Harrington, MD, FAAHPM; Heather Moore, MD; Masil George, MD; David E. Smith, MD Case Study 66 Salmonella Osteomyelitis in an Immunocompetent Child: A Question of Penetration Thomas Nienaber, MBBS; Holly Maples, PhD; Courtney Edgar Zarate, MD People and Events 68 Case Study 69 Obesity and Covid-19: Synergistic Pandemics Manish Joshi MD, FCCP; Eduardo Mireles-Cabodevila, MD; Thaddeus Bartter, MD, FCCP Derm Dilemma Michelle Huynh 70 Established 1880. Owned and edited by the Arkansas Medical Society and published under the direction of the Board of Trustees. Advertising Information: Penny Henderson, [phone] or [email protected]. #10 Corporate Hill Drive, Suite 300, Little Rock, AR 72205. Postmaster: Send address changes to: The Journal of the Arkansas Medical Society, P.O. Box 55088, Little Rock, AR 72215-5088. Subscription rate: $30.00 annually for domestic; $40.00, foreign. Single issue $3.00. VISIT US ONLINE OR FOLLOW ON SOCIAL MEDIA ARKMED.org The Journal of the Arkansas Medical Society (ISNN 0004- 1858) is published monthly by the Arkansas Medical Society: #10 Corporate Hill Drive, Suite 300, Little Rock, AR 72205 [phone] Printed by The Ovid Bell Press Inc., Fulton, Missouri 65251. Periodicals postage is paid at Little Rock, AR, and at additional mailing offices. 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. @ArkMedSoc © Copyright 2020 by the Arkansas Medical Society. @ArkMedSociety 2019 Prism Award Finalist Printed Periodicals @ArkMedSoc Volume 117 • Number 3 SEPTEMBER 2020 • 51