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4 Harris County Physician Newsletter %u2022 October 2025 %u2022 www.hcms.org %u2022 Go back to First PageKetamine is an NMDA receptor antagonist.Ketamine for Depression? YES!May alleviate suicidality.Often used in surgery, but at much higher doses.An IV dose usually does not exceed 0.5 mg/kg.Each IV infusion session lasts about 40 minutes.Esketamine is FDA-approved & scientifically validated.713-337-0177 info@patch-houston.comwww.patch-houston.com www.drjasongarvin.comScan the QR code to schedule a consultationor learn more.IN MEMORIAMRemembering Shelly E. Liss, MDShelly E. Liss, MD, a Physical Medicine and Rehabilitation specialist and HCMS member since 1962, passed away on Sept. 2. After retiring, he founded the Retired Physicians%u2019 Organization (RPO) in 1995 to connect retired doctors in Houston. For over 16 years, he led the group, organizing speakers, publishing a newsletter, and creating volunteer opportunities. In 2016, he received the RPO Lifetime Achievement Award for his dedication and leadership. He will be missed.Secrets to negotiating and renegotiating your office leaseThe HCMS website offers a section with practical information on several aspects of starting a practice (www.hcms.org/Starting-a-Practice). The section includes a Guide on Negotiating and Renegotiating Your Office Lease. Insight is offered on many sections included in a standard contract: Premises and Use, Lease Term and Renewal, Rent and Expenses, Buildout and Improvements, Compliance and Regulatory Obligations, Maintenance and Repairs, Assignment and Subletting, Insurance and Risk Allocation, Landlord Access and Business Disruption, Parking and Accessibility, Dispute Resolution, Medical Practice-Specific Needs, and Special Compliance Considerations for Medical Leases. In addition, it provides thoughtful insights into Frequently Negotiated Clauses and considerations for Renegotiating Leases, including Renegotiation Timeline starting six months before the lease expires. The Guide, which should not take the place of your own lawyer or advisor, can be found www.hcms.org/PhysicianLeasingGuide. Vote for your HCMS leadershipHCMS officer and board elections began Oct. 10 and will end Oct. 24., so be sure to vote today. Go to www.hcms.org/Candidates to learn more about the candidates. Results will be announced during the annual business meeting on Oct. 28.