The Journal of the Arkansas Medical Society Medical Journal November 2019 Vol. 116 No. 5 | Page 3

by CASEY L. PENN ON THE COVER 104 Dealing With Drug- Seeking Patients 102 Robert A. Zimmerman, MD, PhD Special Section: Short Dermatological Cases Derm Dilemma: Purulent Ulcer Ashley Ederle, MD; Kevin St. Clair, MD 108 A Closer Look at Quality ROSEMARY NABAWEESI, DrPH, MBChB and CHAD RODGERS, MD, FAAP SCIENTIFIC ARTICLE Winner of the ASAE Excellence in Communications Award Kanishk Agnihotri, MD; Sabeeda Kadavath, MD; Anil Kumar Jonnalagadda, MD; Hakan Paydak, MD Volume 116 • Number 5 November 2019 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. 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] Lead Toxicity Resulting From a Retained Bullet Fragment: Case Report and Review of Relevant Clinical Considerations CASE STUDY Meningoencephalitis Caused by Varicella Zoster Virus Despite Proper Immunization Joseph Hunter Holthoff, MD, PhD; Barrett J. Burger, BS; Philip Doerner, DO; Sridhar Enuganti, MBBS; Trevor J. Johnson BS; Robert H. Hopkins, MD PEOPLE+EVENTS 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. www.ArkMed.org 112 Steven A. Dunnagan, MD Printed by The Ovid Bell Press Inc., Fulton, Missouri 65251. Periodicals postage is paid at Little Rock, AR, and at additional mailing offices. © Copyright 2019 by the Arkansas Medical Society. 110 Subcutaneous ICD Established 1890. 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. 100 114 118 Join us to stay updated on health care news in Arkansas. 2019 Prism Award Finalist Printed Periodicals facebook.com/ArkMedSoc twitter.com/ArkMedSoc NUMBER 5 ArkMed.org NOVEMBER 2019 • 99