July 15, 2018

Vol. 7, No. 28


In this Issue…

News and Announcements
Border Health Conference
Cyclospora Health Advisory Update
BCMS Auto Program and Phone App

BCMS Circle of Friends Sponsors

Sol Schwartz & Associates PC
First National Bank

Border Health Conference Sept. 11-12


TMA’s Border Health Caucus (of which BCMS is a member) has announced registration and schedule information for its upcoming Border Health Conference, Sept. 11-12 in Washington, D.C.  The group, now in its 17th year, holds the Border Health Conference annually, alternating between Washington, D.C. and a Texas border city. 


The conference brings together physicians, federal and state officials, hospital and health plan officials, along with community leaders to find solutions to barriers to health care.  The event schedule includes a dinner and issues briefing on Sept. 11 followed by a full day of meetings and visits with agency officials and offices of the Texas members of the U.S. House and Senate on Sept. 12.  Event concludes with a dinner on Sept. 12.


TMA has set up a room block at the Phoenix Park Hotel, 520 N. Capitol Street NW, Washington, DC  20001.  You may now book hotel accommodations by calling toll free at 855-371-6824 and using the Group Code:  22456 or Texas Medical Association – Border Health Caucus.  Deadline to make reservations under the room block is August 13, 2018.

For more information regarding the conference, please contact Dave Wilhelm in the TMA Advocacy Office at 512-370-1352 or by email at


For local discussion on this and other legislative advocacy topics, consider joining the BCMS Legislative and Socioeconomics Committee by contacting Mary Nava, chief government affairs officer at

Cyclospora Health Advisory Update

Recommendation to test patients with consistent symptoms for Cyclospora


During the past five summers, a large number of cyclosporiasis cases have occurred in Texas. Therefore, the Texas Department of State Health Services is advising healthcare providers to consider testing patients for the parasite Cyclospora if they have diarrheal illness lasting more than a few days or diarrhea accompanied by severe anorexia or fatigue. Diagnosis of cyclosporiasis can be made by submission of stool specimens for “Ova and Parasite” testing, with additional specific orders for Cyclospora identification. A single negative stool specimen does not exclude the diagnosis; three specimens are optimal. Cyclospora may also be detected by molecular methods (e.g., polymerase chain reaction (PCR)).


Symptoms of cyclosporiasis usually begin 2 to 14 days after ingestion of Cyclospora oocysts in contaminated food or water. Watery diarrhea can last from a few days to weeks or months, and affected patients may relapse. Additional symptoms may include anorexia, fatigue, weight loss, abdominal cramps, bloating, increased gas, nausea, vomiting, and low-grade fever.

Previous outbreaks of cyclosporiasis have been associated with consumption of imported fresh produce, including: fresh cilantro, pre-packaged salad mix, raspberries, basil, snow peas, and mesclun lettuce. Although washing may not eliminate all risk of transmission since Cyclospora can be difficult to completely remove from produce, thorough washing of all fresh produce is recommended. Cyclospora does not appear to be spread through direct person-to-person contact.
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Thank you to our BCMS Circle of Friends sponsors!

This information is sent on behalf of our sponsors but it is not an endorsement.

Donations from Circle of Friends sponsors help keep down the cost of dues and allow

BCMS to continue to provide quality service to its members.


The society continues its pledge to you and only will involve itself in

services and programs that benefit you, the member, and your patients.



Bexar County Medical Society

4334 N Loop 1604 W., Suite 200

San Antonio, TX 78249



About The Weekly Dose

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