1 Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH; Miami Valley Hospital, Dayton, OH(∗).
2 West Virginia School of Osteopathic Medicine, Lewisburg, WV (student)(†).
3 West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia; Beckley Appalachian Regional Healthcare, Beckley, WV(‡). Electronic address: [email protected].