Weight Loss , , f - Southwest Florida`s Health and Wellness Magazine

Transcription

SOU T H W EST
FLO RID A'S
www.swfhealthandwellness.com
FREE
Parkinson's Awareness
Join us and look into:
liThe Other
of
Parkinso . . . l
Disease
I
- - -- -
Doctors
to speak
on common,
•
serious nR';.J
condition ...
EW
EFFECTIVE
Weight
Loss ,
,f
S. Bergma n, M.D.
E. Gurevitch, M. D.
K. Besharat, M. D.
D. Harris, M. D.
M. D'Angelo, M. D.
J. Jay, M. D.
W. Figlesthaler, M.D.
S. luke, M.D.
C. Langford, 0 .0.
E. R. Gr ieco, M.D.
N. Franco, M.D.
'"
R. Rivera, M. D.
.-
D. Wilkinson, M. D.
Bonita Springs
Fort Myers
Marco Island
Naples
Naples - North
Naples - East
28930 Trails Edge Blvd.
Bonita Springs, FL34134
4571 Colonial Blvd.
Fort Myers, FL 33966
40 5. Heathwood Drive
Marco Island, FL 34145
990 Tamiami Trail North
Naples, FL341 02
6101 Pine Ridge Road
Naples, FL34119
8340 Collier Blvd.
Naples, FL34114
www.SpecialistslnUrology.com • 239-434-6300
- - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - -
Think Foot ... Think Ankle
Avoid Disaster
Myles Samotin, MD
Naples ONLY Orthopaedic Surgeon
Fellowship Trained in Foot & Ankle Problems.
fyou are looking for excellence in FOOT and ANKLE care; if you are
looking for a doctor who practices state-of-the-art Medicine; if
you are educated enough to understand that you may only want
an ORTHOPAEDIC SURGEON to touch your feet, then you owe it to
yourself to make an appointment.
There are many people with very serious problems of the foot and ankle
who go from doctor to doctor and remain undiagnosed or poorly treated.
The typical patient coming to see Dr. Samotin has been evaluated by many
other doctors. The patient usually finds that Dr. Samotin is the last doctor
they have to see.
Myles Rubin Samotin, MD
Board Certified Orthopaedic Surgeon
Fellowship Trained, Sub-specialist in Foot and Ankle Surgery
Columbia Uni versity, Hospit al for Joint Dise ases, Ne w York City
713 E. Marion Ave, Suite 135 (3rd floor). Punta Gorda, FL 33950
Call for information on our next seminar.
941.661.6757 or 239.514.4200
• • XAetna:*We are now BlueCross BlueShield and AETNA providers.
- - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - -
I LOVE MY PIIen
(Ampheta-HCL)
PhenTabz RX is serious
weight loss
safe, significant
weight loss
with incredible
ENERGYl
-
...... Tabz R'
60T.~
"
~~
I
FOR MEDICAL OFFICES ON LY:
To carry PhenTabz for your pa tients
call: 888.666. 1714
or for more information visit:
Gentech-Pharmaceutical.com
AVAILABLE AT CENTER OF THE MONTH:
Medical Weight Loss Centers
8381 Riverwalk Park Blvd, Suite #20 1
Fort Myers, FL 339 19
239-292-3227
- - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - -
Contents
April2011
8
Natural Treatment
for Prostate Enlargement
9 Opioids and Constipation
10 What do Varicose Veins,
high blood pressure, high
cholesterol and diabetes
mellitus have in common?
12 Eye lifts offer more than
cosmetic benefits
19
16 Parkinson's Awareness
Join us and look into:
"The Other Side of
Parkinson's Disease"
18 Why Alcohol is Bad for
your Heart
Reduce Risk for Cancer, Stroke,
Heart Attack, Alzheimer
No More Hot Flashes or
Night Sweats
Lose Weight
Reduce Fat
Increase Muscle
Increase Bone Density
Sleep Better, More Energy
.) Increase Memory
Increase Sex Drive
Treat Erectile Dysfunction
20
Reconstructive Abdominal Wall
Surgery Now Available Locally ...
No More Recurring Hernias
22
Back to basics:
Handwashing is key to
illness prevention
23
Doctors to speak on common,
serious heart condition ...
13 Watching the Grass Grow
24
14 Those with Profound
Hearing Loss Need Not
"Settle" for Less in Life
Dental Implants
NEW SAFE & EFFECTIVE
Weight Loss
26 Primary Insomnia
27 THE BIG STIFF (TOE)
30 Spiritual Wellness
Are You Running From
Your Pain?
J
Southwest Florida 's Health&Wellness Magazine can be found in over 600 Southwest Florida medical facilities including, hospital's, doctor's, chiropractor's and
dentist's offices. Find a copy of your FREE Southwest Florida's Health&Wellness
Magazine in most grocery and convenience stores as well.
To get your article published and for ad rates, call 239.389.9449
[email protected]
G WHIZ Marketing, LLC 11520 Jamaica Court I Marco Island, Florida 34145
Need to be seen for General Medical C:IIlril!!!"lI
Dr Robert Watine is Board Certified in Intemal Medicine.
If you are not feeling well or need a check up, Dr. Watine will see
you the same day. You will always see the doctor. Never a nurse
practitioner or a P.A.
He is on staff at Charlotte Regional Medical Center, Peace River
Regional Medical Center and Fawcett Memorial Hospital.
Robert S. Watlne, MD
DlpIo............ 1IcNud of I........ Medic....
3310 T....I....I TnIIl, Su. . 102,
Port ChIutotte, FL 33952
©Copyright SOUTHWEST FLORIDA'S HEALTH&WElLNESS Magazine 2011. All rights reserved. Any reproduction of the material in this magazine in whole or in part without w ritten prior consent is prohibited. Articles and other
material in this Magazine are not necessarily the views of SOUTHWEST FLORIDA'S Health&Weliness Magazine.
SOUTHWEST FLORIDA'S Health&Weliness Magazine reserves the right to publish and edit , or not publish any
material tha t is sent. SWFL Health & Well ness Magazine will not knowingly publish any advertisement which is
illegal or misleading to its readers. The information in SOUTHW EST FLORIDA'S Health & Wellness Magazine
; I
- - - - - - - - - - - - - - - - - - - - - w ww.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - -
ALVARO R. BADA M.D.
Board Certified General Surgery
Fellow American College of Surgeons
Now Offiring No Incision Surgery for Heartburn!
Murdock Executive Center 18308 Murdock Circle, # 10 1
www.badamd .com
I New Patients
I
941.255 .0069
Welcome I www.refluxbadamd.com
Breast Surgery • No Incision Surgery • Single Incision Surgery
Hemorrhoids
{In Office Procedure} •
Colonoscopy • Heartburn Treatment
Laparoscopic Surgery • Hernia • Colon & Rectal Surgery
Appendix • Gallbladder • Endoscopy
12200 San Servando Avenue, North Port, Florida 34287 (941) 426-1692 www.warmmineralsprings.com Open Daily 9-5.
- - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - -
Complete Eye Examinations
Our Team of Trained
Professionals Include:
Full Optical & Contacts
Registered Nurses
licensed Practical Nurses
Psychiatric Nurses
Physical Therapists
Occupational Therapists
Speech-Language Pathologists
Medical Social Workers
Home Health Aides
Custom Care Delivered
With Dignity & Respect:
Post Operative Care & Instructions
Diagnosis & Disease Management Education
Safety with Low Vision
Fall Prevention Safety
Pain Management
Foot & Orthopedic Programs
Wound Care & IV Therapy
Injections & Instructions
Diabetic Care & Instructions
caUtoday\
941-764-0035
Dr. David Klein M.D., EA.C.S.
Medication Management
Ophthalmology and Ophthalmic Surgery
Camraer-Implant Surgery
eVA Rehabilitation
ADL Training & Much More ..
Don't Forget Your Eyes!
• Cataract Surgery . Glaucoma Treatment · Botox· and Resrylane· . Eyelid Surgery
• Retinal Disorders · Neuro-ophthalmology • Pediatric Ophthalmology
• Oculo-plastic Surgery- Including Blepharoplasry
PORT CHARLOTTE
CAPE CORAL
P: 941 .629.1600
F: 941 .629.1606
P: 239 .242.054 1
F: 239.242.0581
HHA Lie. f: 299991998
HHA LiC. f: 299993039
visit infinityhc.com
©'iJ@XD] @Jj
n~~nft&m
~~
Present this coupon to redeem the offer.
Expires05/30/20ll . Not valid with other offen.
For uninsured patients only. Sony, no
Medicaid.
(00220, IlOl40)
Present this coupon to redeem the offer.
Expires 05/30/2011. Not valid with other
coupons and offers.
This coupon must be presented. Expires
05/30/2011 . Not valid with other offers.
PC-V-He.lthWeJlnee.12-2010
Port Charlotte phone: (941) 585 - 0955
Venice phone: (941) 484 - 8481
(8090)
ODIII0,I)0031,IlOl50,I>0210)
In absence of gum disease. Present this coupon
to redeem the offer. Expires 05/30/2011 . Not
valid with other offers. For uninsured patients
only. Sony, no Medicaid.
463 US Highway 41 Bypass S
Venice, FL 34285
Uninsured patients only. Sony, no Medicaid.
PC-V-HedbWeJlnee.12-2010
1931 Tamiami Trail, Suite 6
Port Charlotte, FL 33948
PC \
1I~.lth\\~II,,~S5
12 2010
8
Health & Well ness April 2011 - Charlotte/South Sarasota Edition
Natural Treatment
for Prostate Enlargement
T
he prostate is a male reproductive
gland that produces the fluid that
carries sperm during ejaculation. It
surrounds the urethra, the tube through which urine
passes out of the body.
• A small amount of prostate enlargement is
present in many men over age 40 and more than
90% of men over age 80.
An enlarged prostate means the gland has grown
bigger. Prostate enlargement happens to almost all
men as they get older. As the gland grows, it can
press on the urethra and cause urination and
bladder problems.
Less than half of all men with BPH have
symptoms of the disease, which include:
An enlarged prostate is often called benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy. It is not cancer, and it does not raise your
risk for prostate cancer.
The actual cause of prostate enlargement is
unknown. Factors linked to aging and the testicles
themselves may playa role in the growth of the
gland. Men who have had their testicles removed at
a young age (for example, as a result of testicular
cancer) do not develop BPH.
Similarly, if the testicles are removed after a man
develops BPH, the prostate begins to shrink in size.
Some facts about prostate enlargement:
• The likelihood of developing an enlarged prostate
increases with age.
• BPH is so common that it has been said all men
will have an enlarged prostate if they live
long enough.
• No risk factors have been identified other than
having normally functioning testicles.
• Dribbling at the end of urinating
• Inability to urinate (urinary retention)
• Incomplete emptying of your bladder
• Incontinence
Needing to urinate two or more times per night
• Pain with urination or bloody urine (these may
indicate infection)
• Slowed or delayed start of the urinary stream
• Straining to urinate
• Strong and sudden urge to urinate
• Weak urine stream
The choice of a treatment is based on the severity
of your symptoms, the extent to which they affect
your daily life, and the presence of any other
medical conditions. Treatment options include
"watchful waiting," lifestyle changes, medication,
or surgery.
Lucky for you or the men in your life Prostate
RX®, which uses 100% locally grown pure
saw palmetto liquid extract is available.
Prostate RX®contains one of the purest forms of
saw palmetto used in a prostate supplement.
Prostate RX®naturally treats BPH, unlike other
BPH medications Prostate RX®is all-natural and
free of stimulant ingredients with virtually no
side effects making it suitable for everyday use.
As mentioned above, Prostate RX®is made from
saw palmetto berries grown locally in Naples and
is sold directly to consumers, making it the most
natural and affordable option available to treat
the symptoms of an enlarged prostate.
If you are over 60, you are more likely to have
symptoms. But many men with an enlarged
prostate have only minor symptoms. Self-care
steps are often enough to make you feel better.
For more information about
Prostate Rx®, call: 1-888-772-2741
or to order on-line, please visit
www.prostaterx.net today!
Many herbs have been tried for treating an enlarged
prostate. Saw palmetto is used by millions of men
to ease BPH symptoms and is often recommended
as an alternative to medication. Studies have shown
that it helps alleviate symptoms.
Complete 6 Month Supply
Saw palmetto has been used in numerous clinical
studies around the world and has been proven to be
helpful it's to overall prostate health. There are other
natural compounds that can be used for prostate
health but saw palmetto is recorded to be the best.
180 - Liquid Filled SoftGels
Buy today for $46.98
Breaks down to $7.83 per month
Lifetime FREE Shipping
Complete 12 Month Supply
365 - Liquid Filled SoftGels
Buy today for $74.88
Breaks down to $6.24 per month
- - - - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - -
•
FAMILY OWNED SINCE 1999
,\1//
.....
""
h
.I'f£§J
100% Pure Saw Palmetto
1]
~
Fl3frda
~..
"WE ARE THE
EXCLUSIVE FLORIDA
GROWERS SELLING
DIRECT TO YOU"
Dietary Supplement
®
• Max Strength
• 320 mg. Softgels
• 1·A Day Dosage
Laboratory Tested
Standardized Extract Results 93.2%
Opioids
and Consti P~!!9JJ
• Do you suffer from Prostate Enlargement (or BPH)?
• Stop getting up all night!
.
If You're Not Buying from
Prostate Rx"
..........~~.~'~~ ~~~.~.~~~~~. ~i~~~~:-::-b.
*Lifetime Free Shipping
Toll Free Order Hotline
1-888-772-2741
24 Hours a Day . 7 Days a Week
Online Ordering
Send Personal Checks to: Prostate Rx" lnc.
1206 Kings Way, Naples, FL 34104
320 mg 180 sohgels
Complete
6·Month Supply
Prostate Rr
320 mg 365 soItgeIs
Compl,t, 12·Month Supply
Stool softeners such as colace work by reducing the surface tension and help
create softened, more lubricated stools. While stool softeners are useful in combating constipation, they are often not sufficient and laxatives are usually
combined with stool softeners to produce a greater effect. Commonly used
laxatives include Milk of Magnesia (MOM), Miralax, Du1colax, and Senna.
$783 per momrn...
$46.98
$624 per month
2 year shelf life
Patients with constipation refractory to oral agents may need an enema or a
suppository. If you are suffering from opioid-induced constipation, it is
important to discuss the appropriate treatment with your physician.
Total
Made In USA
Patients can become tolerant to some side effects of narcotics; however, constipation can remain problematic in a patient engaged in chronic, or even shortterm, narcotic therapy. Narcotics exact their constipating effect by slowing
normal gastrointestinal function. Opioid-induced constipation can be a significant problem resulting in a decreased quality of life and needs to be treated
aggressively to prevent bowel obstruction.
There are many ways to treat opioid-induced constipation. Initial treatments
include increasing intake of dietary fiber. However, it is important to also
increase intake of fluids . An increase in dietary fiber without an increase in
fluids can perpetnate constipation. Other important treatments include stool
softeners and laxatives.
www.prostaterx.net
Prostate RX"
pioids, or narcotics, are commonly used medications and are a
cornerstone treatment for acute, as well as, chronic pain.
While there are benefits to using an opioid, such as vicodin,
they are often responsible for many undesirable effects. One of the more
common side effects of narcotic pain medications is constipation.
~
FLORIDA PAIN CENTERS - PAIN MANAGEMENT CONSULTANTS, PA
23 Barkley Circle· Fort Myers, FL 33907 • 239.333.1177
10
What do Varicose Veins,
high blood pressure, high cholesterol
and diabetes ll1ellitus have in cOll1ll1on?
By Joseph Magnant, MD, FACS
I
f you have been told by your physician
that your varicose veins are cosmetic or
pose no immediate threat or that your
swollen achy legs are just something you are
going to have to live with, you might want to
reconsider your options. A number of patients
have presented in the past months with complications of their varicose veins including clotting off
of the veins (thrombosis) with progression to DVT
although none had what they would call "pain ".
Most had physicians who knew about their vein
problems and either had not made any specific recommendations or had suggested conservative therapy
until real "pain" or other pressing complications
(thrombosis, bleeding?) occurred. With the modern,
minimally invasive technique of endovenous ablation
available for the treatment of these patients'
problems, I believe it is time to change the way we
approach venous insufficiency.
Many patients have traditionally been told by their
primary care physicians that as long as their swollen,
discolored legs don't hurt or their varicose veins are
not painful, clotted or bleeding that they should leave
them alone. So, is one to conclude that active treatments should be offered only for medical conditions
which are painful or have progressed to the point of
complications? Hypertension has earned the nick
name of "the silent killer" due to the fact that many
patients with high blood pressure are unaware of their
condition until a screening blood pressure reveals a
high reading. Untreated or undiagnosed high blood
pressure leads to premature heart attack, kidney
failure, stroke and death. Similarly, active treatment
of high cholesterol through weight loss, dietary
modification, exercise and medication when appropriate has been shown to reduce the risk of stroke,
heart attack and deaths related to hardening of the
arteries. Screening blood tests for high cholesterol
are routinely performed a part of an annual medical
evaluation after the age of 40. Physicians are not
likely to advise their patients with high cholesterol
that they should wait until their first heart attack
or stroke before considering
active therapy. The same can be
said for the treatment of diabetes
mellitus.
Tighter blood sugar
control with dietary modification, increased physical activity
and medications when needed has
been shown to slow the progression of a variety of complications
of diabetes including retinopathy
(eye problems), nephropathy
(kidney
failure) ,
neuropathy
(numbness and tingling in the
feet) as well as atherosclerosis
(hardening of the arteries). Logic
dictates a proactive approach to
patients with diabetes to reduce the
chances of these complications.
and or with external bleeding from their varicose
veins: one patient bled on the pool deck, another
bled on the floor in Walmart, and a third bled in her
bathtub (figure I). What all these patients and
scores of other share in common is the fact that
until the specific complication occurred, they had
no severe pain or real disability from their
varicose veins. Most did complain of achy or
swollen legs, itching, heaviness, throbbing and heat
over the veins,
Charlotte/South Sarasota Edition - April 2011 Health & Wellness
Venous insufficiency is a medical problem, much
like the abovementioned conditions and I believe it
is time we start treating it as such rather than
wishing it away with unfilled compression hose
prescriptions or compression hose still in their
boxes. Earlier diagnosis and intervention where
appropriate will reduce the long term consequences
and complications of venous insufficiency such as
thrombosis, bleeding, skin changes and ulceration.
The modem, minimally invasive technique of
endovenous ablation has made this possible.
Of the estimated 35-40 million adults in the U.S.
who suf-fer from symptomatic superficial venous
insufficiency, or venous reflux disease, the majority
have symptoms and signs which cause significant
discomfort. Until 2000, the only treatments available for patients with significant saphenous vein
insufficiency were compression hose, high ligation
and stripping. The latter two treatments were often
considered too invasive for patients with symptoms
other than bleeding veins or non-healing leg or ankle
venous ulcers.
Thus most patients with venous insufficiency were
advised to wait until the end complications
occurred before considering anything more than
compression hose. The landscape of venous insufficiency treatment was transformed dramatically by
LEFT
LOWER
Vein Specialists At Royal Palm Square
239.694.8346 I weknowveins.com
EXTREMITY
figure 2
MEDIAL
ANTERIOR
the introduction of endovenous ablation (sealing
veins with heat rather than vein stripping) in 1999.
The radiofrequency catheter system was the first
system approved by the FDA in 1999 and the
LASER system for endovenous ablation received
FDA approval in 2001.
Joseph Magnant, MD, FAGS
11
Over the past decade, our understanding of venous
insufficiency has been greatly improved as
endovenous ablation has been applied with excellent results to patients with some of the more
advanced stages of venous insufficiency. Superficial veins other tban the great saphenous vein, such
as the small saphenous vein, intersaphenous vein,
anterior accessory saphenous vein and perforating
veins are now treatable with endovenous ablation
(figure 2). Modem ultrasound evaluation of the
lower extremity venous system by experienced
vascular technologists accurately identifies which
veins are insufficient (leaking) and stratifies the
severity of reflux. Ultrasound directed sealing of
the abnormal veins under local anesthesia has
yielded far superior results than vein ligation or
stripping. The net result has been relief for millions
LATERAL
POSTERIOR
of patients worldwide and for hundreds of thousands of patients in the USA. Ulcers are being
healed in record time, stasis dermatitis changes
are being reversed and leg swelling and pain is
receding in thousands of patients once thought to
be untreatable.
So the question is when to consider getting your
vein problems evaluated and whether it is wise to
leave varicose veins alone until complications like
superficial venous thrombosis (clotting of the
varicose veins) with possible progression to deep
vein thrombosis(DVT), hemorrhage(bleeding) or
ulceration occur. The next time someone tells you
to wait for one of the above occur before to seeking
evaluation or treatment of your venous problem,
reflect back on the goals of treatment in patients
with other medical diseases such as high blood
pressure, high cholesterol and diabetes. The
common goal is quite simply prevention of long
term complications, not necessarily relief of
"pain". It has been II years since the introduction
of endovenous ablation as the preferred treatment
of patients with symptomatic venous insufficiency
and it is time to shed the light of this safe, effective
and minimally invasive treatment on the mass of
patients still suffering from venous insufficiency.
By Lisa Minic
s we age it is very common for our
eyelids to become droopy, which
is called ptosis. The drooping upper
eyelid may droop so low as to cover a major part
of the eye eventually obstructing and reducing
normal vision. Severe lid drooping requires people
to tilt their heads back to see under the lid or raise
their eyebrows to physically lift eyelids in order to
see. If you find yourself doing this or are just
noticing that your eyelids are drooping you should
be aware that eyelid surgery or blepharoplasty is
an available option to correct this problem and
your appearance. Blepharoplasty, frequently
called an "eye lift", is done for functional as well
as cosmetic reasons.
Ophthalmologists are trained to perform this procedure the same as plastic surgeons. Often, plastic
surgeons defer to an ophthalmologist because they
have a better understanding of the anatomy of the eye.
The surgery involves removing fat usually along
with excess skin and muscle from the upper and
lower eyelids. Eyelid surgery can correct drooping
upper lids and puffy bags below your eyes,
features that may interfere with your vision and
can make you look older and more tired than you
feel. The procedure takes less than an hour and the
recovery time is quick and painless. It does not
interfere with your daily activities.
Benefits of the upper lid ptosis when done for
cosmetic purposes will give the patient a more
youthful, rested appearance. The same benefit is
accomplished when it is done for medical purposes
and the patient's field of vision is increased due to
the correction of the drooping eyelid.
Lower lid ptosis is almost always considered
cosmetic. Very often the patient will request the
"bags" removed, which usually represents herniated fat under the skin. This will also give the
patient a more youthful appearance.
If you experience impaired vision caused by
droopy eye lids, the eye care team at Dr. Klein's
office can perform the testing to see if you qualify
for the upper lid ptosis through health insurance.
The testing consists of a visual field test and
photos. Test results are sent to the insurance
company for consideration of full coverage for the
eye lift surgery. This procedure can be done in the
office or in a surgical facility. When the drooping
of the eyelids interferes with the patient's vision, it
is considered a medical condition and may be
covered by insurance.
When an insurance
company is paying for the surgery it is usually performed in a surgical facility. The surgery can be
perfonned in Dr. Klein 's office when it is not
medically necessary and not covered by insurance.
Please call today to schedule an initial consultation
with Dr. Klein and his experienced eye care team.
Don't let a droopy eyelid impact your vision or
appearance any longer!
Dr. David Klein
Dr. David Klein has been practicing for 32 years and his love for medicine is greater
than ever! Whether in the office or volunteering, Dr. Klein is making Port Charlotte
proud and helping everyone see the good all around us in Port Charlotte.
941-764-0035
1600 Tamiami Trail, Suite 101, Port Charlotte, FI 33948
(located in the 4 story-red brick building)
Eye Care Team Member Spotlight
Jill Zobel has been with Dr. Klein for a total of 17
years. Jill first began working with Dr. Klein just
out of high school. Afier four years she moved to
the east coast of Florida. When she decided to
return to Port Charlotte, her first phone call was to
Dr. Klein's office manager to see if there was a
position open in his office. While on the east coast,
Jill obtained her degree as a Certified Ophthalmic
Assistant. Jill works with the patient's right beside
Dr. Klein on a daily basis and also assists with
office surgeries. Jill is the contact lens specialist
for Dr. Klein's office and is very knowledgeable in
the various types ofcontact lenses, as well as fitting
patients with monovision lenses.
Charlotte/South Sarasota Edition - April 2011 Health & Well ness
13
atching the GrBy~~~Eg£Q~
Y
u look at the overgrown grass and say
to yourself, "I really need to cut the
grass" but you don't because you just
don 't "feel like doing it." Then you begin to say
negative things to yourself, feeling guilty that you
don't do something that you know needs to be done.
When this is repeated over and over about various
tasks, you begin to think that something is wrong,
you're not acting like you used to when you just did
these tasks. You find yourself having difficulty
sleeping, you are worried. In addition you may find
yourself not getting any pleasure out of activities that
you used to enjoy, and your thinking is fuzzy and a
little confused. You are irritated and find yourself isolating from people. Perhaps you feel anxious, and
nervous about doing things that you never had
problems with before; like going grocery shopping. If
this describes how life is, you are experiencing
symptoms of Major Depression.
Psychology has come a long way in the last fifty
years. For instance we have discovered that
"depressed people have depressed thoughts." Seriously, this was a major breakthrough that led to
present psychotherapy treatment programs for those
with major depression. The idea is that people who
are depressed have depressed thoughts that keep the
depression in place. If people change the way that
they think then they change the way they feel , which
changes their behavior. Depressed thoughts usually
consist of negative thoughts about yourself.
Examples would be ''I'm worthless," ''I'm no good,"
or "I can't do anything right." These thoughts lead to
feelings of hopelessness and helplessness and therefore more depression. Very often the thoughts that
people are struggling with are not true and the task
of psychotherapy is to help people change the way
they think.
Psychotherapists who utilize this Cognitive Behavioral approach to the treatment of Major Depression
help people identify irrational thoughts and help them
practice new rational thoughts that help lift their
depression. For instance the example above "I can't
do anything right" would be changed to reflect that
the truth is, people make choices that are right and
they also make choices that don't turn out right. The
evidence suggests that you probably could not find
someone who does everything wrong! This is an
example of "Black or White thinking." There are ten
common mental mistakes that people make that can
be changed through the course of psychotherapy.
To help identify these mistakes psychotherapists will
ask you to keep a journal of your negative thinking.
In addition the psychotherapist utilizing this
approach will ask you to do "homework assignments" outside of therapy hour. Research about effective psychotherapy suggests that people who work at
changing their behavior outside of the therapy
sessions are more likely to have successful outcomes
from psychotherapy.
Another tool that helps people combat major depression is regular aerobic exercise which has been linked
to alleviating symptoms of depression, anxiety, and
addiction. Regular exercise like walking, running,
biking, and swimming at least four times per week
for over 30 minutes has the effect of increasing a
person's self-confidence and in addition activates the
body's "feel good" chemistry. You should check with
your doctor before attempting aerobic activity.
So you say "yea but I just don 't feel like doing
anything," and the truth is that this is just a feeling.
It is surprising how many people respond as though
their feelings are the reality. If you do the things that
you don't feel like doing, most of the time you feel
better because you don 't have to go through feeling
guilty and all the self-recriminations that follow.
Cognitive Behavioral Psychotherapy is one of the
advances made in the treatment of Major Depression however; the use of antidepressant medicine in
conjunction with CBT psychotherapy is the most
effective way of alleviating the symptoms. Together
these treatment methods provide the tools that will
help you combat further episodes of depression.
So instead of watching the grass grow why don ' t
you come in to see our staff at the Beacon Clinic
so we can help you get back to the life that you
want to live?
Port Charlotte Office
3782 Tamiami Trail, Port Charlotte, FL
Phone: 941-629-7855 in between Gatorz bar
and grill and The Port Charlotte Post Office
Englewood Office
356 Indiana Avenue, Englewood, FL
Phone: 941-681-3400 Across from Stefano's
Restaurant, near Dearborn st.
By Dr. Noel Crosby, Au.D.
Advances in Super Power Hearing Aids Provide Amplification PLUS
Wireless Communication Opportunities
F
LEVELS OF HEARING LOSS
or millions with mild to moderate
hearing loss, the choice to delay treatment through hearing aids is an option ...
an ill-advised choice to be sure ... but an alternative
just the same. However, for those with profound or
severe hearing loss, super power hearing aids
provide the necessary and vital link to the hearing
world and choosing the correct hearing aid is essential for maximum benefit. (See chart for explanation
of levels of hearing loss.)
The primary goal for the user with profound hearing
loss is the ability to understand speech. That's where
a new product introduced by Oticon (and recommended by me) comes in. The Oticon Chili is
designed to "help users distinguish various sounds
while making sense of what they are hearing. The
unique amplification technique helps to maximize
audibility and speech recognition without the jumble
and distortion power users can encounter with even
the most advanced hearing aids available today."
Additionally, the Oticon Cbili meets additional contemporary needs of the user ... the ability to enjoy
advances in wireless communication. In a press
release announcing Chili's launch, Oticon President
Peer Lauritsen said, ""Our goal for Chili was an
ambitious one - to empower people with moderately-severe to profound hearing loss to live active, vital
lives. The results of a dedicated, in-depth study of
super power users, their families and friends and
Mild Hearing Loss
Those with mild hearing loss have some difficulties understanding conversations, especially in noisy environments. The quietest
sounds they are capable of hearing (with
good ear) are generally between 20-40
decibels (dB); i.e.
whisper (20 dB); refrigerator (40 dB)
Moderate Hearing Loss
The quietest sounds heard by people with
this level of hearing loss are 41-70 dB.
Without the use of a hearing aid, conversations can be difficult to understand ; i.e.
normal conversation (60 dB)
Severe Hearing Loss
People who have severe hearing loss will
benefit from powerful hearing aids even
though they often lip-read in addition to using
hearing aids. Some also use sign language.
The quietest sounds heard by people with
their better ear are between 70 and 95 dB;
i.e. city traffic, vacuum cleaner (80dB); lawnmower (90 dB)
Profound Hearing Loss
People with profound hearing loss rely extensively on lip-reading and/or sign language.
On average, the quietest sounds heard by
those with this level of loss (with their better
ear) are 95 dB or more; i.e. amplified music,
chain saw (110 dB); snowmobile (120 dB); jet
taking off (180 dB)
6'. i"
..
I believe the Oticon Chili can exceed the expectations of those with profound hearing loss. It amplifies and aids in speecb understanding wbile
offering new opportunities for wireless communication and entertainment. If you would like to learn
more about tbe Cbili, please contact my office.
The Cochlear Implant: When Hearing Aids
Aren't the Solution
A cochlear implant is a surgically implanted electronic device that provides a sense of sound to a
person wbo is profoundly deaf or severely hard of
hearing. Hearing through a cochlear implant is not
like normal hearing and it takes time to learn how
to bear witb tbe device after it is implanted.
However, cochlear implants help many people
hear and recognize warning signals, understand
enviromnental sounds, enjoy conversations and
talk over the phone.
Generally speaking, cocblear implants are designed
for those with severe to profound sensorineural
hearing loss and they work quite differently from
bearing aids. While bearing aids amplify sounds so
that damaged parts of the ear can detect those
sounds, cochlear implants bypass the damaged
portions of the ear and directly stimulate tbe
auditory nerve. After the implant is put into place,
sound will be picked up by a microphone and sent
through the device's speech processor to tbe
implant's electrodes inside the cochlea.
Dr. Noel Crosby, Au.D., owner and practicing audiologist at Advanced Hearing Solutions in Engle-
To determine whether you are a candidate for
cochlear implants, it is important to take the first
step by having your hearing tested by your Audiologist. Criteria for potential cocblear implant
candidates include:
wood, FL is an experienced professional whose career has been devoted to helping people of all
• baving severe to profound bearing loss in both ears
PROFESSIONAL BIO
••'
information from super power users who are routinely interviewed and tested by Otic on audiologists and researcbers enabled us to identify their
most important needs and desires. We looked
beyond the need for amplification to better understand the real life challenges and the impact of
severe hearing loss on personal connections and
social interactions."
ages hear and understand more clearly.
With over 23 years of experience, Dr. Crosby's career path is marked by the pursuit of advanced
education. After completing her undergraduate requirements, she received her Bachelor and Master
of Science degrees from Florida State University and her Doctorate in Audiology from the University of Florida.
Her credibility as an authority grew during her tenure as the Director of Audiology at the Silverstein Institute in
Sarasota, FL from 1991-1998. Today, in addition to managing a successful audiology practice, Dr. Crosby just completed her second term as president of The Florida Academy of Audiology.
• having a functioning auditory nerve
• baving lived at least a short amount of time
without any hearing
For more information, please contact me,
Dr. Noel Crosby, at Advanced Hearing
Solutions at 941-474-8393, or visit our
website at:
www.advancedhearingsolutions.net
There's hope for Psoriasis...
Announcing the: CA~ISA PSORIASIS
at Riverchase Dermatology
CENTER
He "Wrote the Book" on Psoriasis.
Riverchase Dermatology is committed to being Southwest Florida's most comprehensive
skin center, providing patients with the most advanced treatments available.
Charles Camisa, MD, is Board Certified in Dermatology and Dermatologic Immunology.
Dr. Camisa is a leading expert in psoriasis, eczema, bullous diseases, and many other
complex skin conditions. He has authored three textbooks on psoriasis as well as many
peer-reviewed articles. Patients throughout the country seek his experience.
The Camisa Psoriasis Center offers the latest treatments using Ultraviolet Phototherapy,
Xtrac Laser, and injectable biologics. Dr. Camisa is also available for General Dermatology
appointments in both Naples and Fort Myers offices.
Call today to schedule your appointment.
RIVERCHASE DERMATOLOGY
www.riverchasedermatology.com
Fort Myers:
239-437 -8810
7331 Gladiolus Dr.
Downtown Naples:
239-596-9075
261 9th St. South
CASlLE CONNOLLY
~
AiD.
~~ TOP DOCTORS·
- - - - - - - - - - - - - - - - www.swfHealth a ndWellness.com - - - - - - - - - - -- - - -
16
17
P
arkinson.s disease (PD) is traditionally
recognized by the motor signs that typically bring the patients to the physicians
for medical evaluation: tremor, rigidity, slowness of
movements and changes in their gait pattern, associated later on with balance problems. These
problems are due to reduced levels of dopamine in
the brain, caused by premature death of dopaminergic cells in one area of the upper brainstem called
"Substantia Nigra". Because of this, and as a result
of the emphasis given to dopaminergic therapy for
more than 4 decades, we have ignored for a number
of years other (non dopaminergic) aspects of the
disease such as cognitive, mood and sleep disorders,
as well as other common problems caused by autonomic dysfunction (these include: problems regulating blood pressure, sweating, saliva production,
bladder control, erectile dysfunction, bowel and
stomach problems, among others).
The negative impact in the guality oflife (g.o.l.) of
patients with PD created by behavioral problems,
including drug induced psychosis has been increasingly recognized. More so since the incremental use
of dopamine agonists (DA) over the past 15 years
and the number of publications reporting the so
called "impulse control disorders" and "sleep
attacks", caused by dopaminergic tberapy, in particular DA.
Q
•
Very seldom patients or carepartners openly bring to
the discussion during a visit to their neurologist or
Primary Care Physician (PCP) their concerns about
hypersexuality, visual hallucinations, paranoid delusions, compulsive behavior, etc. There are many
factors involved in this unfortunate reality, but
clearly, lack of awareness and understanding creates
a number of misconceptions in the mind of both,
patient and caregiver, which prevent them from
having access to adequate tberapy.
This coming April 12th, the "Parkinson's
Disease Treatment Center of SW Florida"
will be holding a free educational program
at the Charlotte Harbor Event and Conference Center, in Punta Gorda. The purpose of
this presentation is to educate the audience in terms
of the non motor complications of PD, making
emphasis in the behavioral problems that often
lead to hospitalizations and placement of loved
ones in long term care facilities. Early recognition
and adequate medical management could make a
huge difference in the patients' outcome and in the
q.o.1. of both, patients and caregivers.
Some "non motor" problems to be
reviewed include:
• Memory loss, depression and dementia
• Confusion, behavioral problems' (including
hallucinations, delusions and compulsiveness),
anxiety, apathy, mood changes
• Low blood pressure upon standing
• Sleep disturbances
The audience will also bave tbe opportunity of
learning from local professionals, very effective
non pharmacologic interventions which along with
optimal medical treatment should be able to furtber
improve the functional status of patients, as well as
their g.o.1. and that of their care partners.
'The use of investigational drugs in the treatment
of some of the non motor problems affecting PD
patients, how to participate in phase III clinical
trials currently being conducted as part of their
FDA approval process and the off label use of
Onabotulinum toxin type A (Botox) are some of
the topics that will be discussed in this program.
There is limited seating, early registration is
strongly recommended. For more information
and/or registration contact Ms. Janelle Kelly at
941-228-1936 or register on line at:
[email protected]
Key words: Parkinson's disease, non motor complications, psychosis, hallucinations, delusions,
paranoid behavior, depression, anxiety, impulse
control disorders, compulsive behavior, dopamine
deregulation syndrome, dementia, Botox, unconventional therapies, Tai Chi, Yoga, nutrition and
pbysical fitness.
Venue: Charlotte Harbor Event and Conference
Center, Punta Gorda, Florida
Logistics by: "Solutions for Success"
18
Why Alcohol is Bad for your
Heart
By Cesar Yepes, MD, Interventional Cardiologist
Y
our doctor has told you drinking too
much alcohol is bad for your heart.
Do you really know why?
Excessive drinking can be detrimental to your heart.
If you have more than one glass of alcohol per
night, you could be hurting your heart. Excessive
alcohol consumption over time can produce disturbances in a person's heart rhythm. But, limiting
your consumption to say just one glass of red wine
can be beneficial to prevent coronary artery disease
in the long term.
What can happen with excessive drinking:
Issue ONE: It can degenerate the electrical conduction system of the heart (in other words, the cables in
your heart don't work). Once this has happened, you
can control this with medicine, but it is irreversible.
Issue TWO: It can dilate the heart which is destroying the intrinsic muscles/architecture, fibers and
connections between them and the way they are
arranged. It also dilates the valves producing significant leaking. This is also treatable with medication, but is irreversible.
Degenerate the electrical conduction system of
the heart:
I) Atrial Fibrilation- muscle of the upper part/upper
2 chambers just fibrilates
2) Atrial Flutter- is similar to Atrial Fibrilation, but
more rhythmic and more isolated to one spot in
the upper heart
3) Ventricular Techychardia-This arrhythmia is
responsible for most of the sudden deaths in
cardiology
These issues can be addressed with a cardiologist
and medication can be prescribed. In some cases it
will require Ablation.
Ablation is when the specialist destroys the extra
"cables" or extra-pathways that are formed and
abnormally conducts the electricity in the heart as a
results of chronic alcohol intake.
It can dilate the heart which is destroying the intrin-
sic muscles/architecture, fibers and connections
between them and the way they are arranged.
This is the area that we can treat here in the office
by diagnosing "big heart" using an ultrasound echo
cardiogram where we are able to view all four
chambers and how blood travels through all four
cardiac valves.
Once we see how weak the heart is we can medically treat it, sometimes surgery may be needed.
Stroke:
Also, arrhythmia can also produce clots inside the
heart. Here are Charlotte Cardiovascular Institute,
we treat patients and dramatically drop the formation of clots from 10% per year to 0.5% per year.
Decreasing the formation of clots is important
because a clot can travel from your heart to your
brain and produce a stroke.
Heart Attack: Why excessive drinking can lead to
heart attacks.
Every time you drink alcohol, you are drinking
energy and your liver will transform your extra
energy into high cholesterol (LDL)-known as the
KILLER cholesterol. These two components will
clog your arteries by producing plaque. Eventually,
plaque can break off and form a clot that will completely close the flow into the heart. That is when a
person has a heart attack. Before this happens, a
stent can be surgically placed.
With over II years of experience and more than
2,500 interventions performed, I have seen how
stents have given my patients long healthy lives.
Charlotte Cardiovascular Institute
4161 Tamiami Trail, Suite 701, Port Charlotte, FL 33952
941.629.5356
SW Florida welcomes Dr. Cesar Yepes, his wife and three children to Port
Charlotte. They have been here for 9 months. Dr. Yepes studied at the
Montreal Heart Institute and Harvard Medical School. Here are some other
fun facts about the doctor, he speaks three languages English, Spanish and
French and in his free time, he likes to bike, play piano and dance. Welcome
Dr. Yepes. We are glad to have you part of our community.
19
Dental Implants
y father was a crew chief in the
Army Air Corps in WW2. He
was 18, and all the guys in his
crew were less than 25 years old. I have a great
picture of them in front of the Northrup P61
Black Widow they all loved. He told me lots of
stories about the plane: how the huge radial Continental engines worked, the incredible amount of
fuel it burned, how slow it could fly (when they
wanted it to), and how it always leaked oil. But
the thing that struck me when I looked at the
picture (forgive me, I am a dentist), is that most
of the guys had missing teeth. I asked my dad
about that, and he told me that missing teeth was
common among his peers. Most families had
money problems and couldn 't afford dental care.
And, in truth, dentistry was not much like the profession we all know today.
and integrates with
bone. That means it
actually fuses to bone
and isn 't just tolerated
by the body. Dental
implants are accepted
by the body and can
function as well as a
natural tooth. That is
unbelievable . Really,
space- age stuff.
However (isn't there always a however?), there are
limitations. Implants don't always work. Sometimes there is not enough solid bone to support
them. Sometimes people grind their teeth like a
cow chewing its cud and over stress them. Sometimes the patient has underlying medical problems
or is a heavy smoker or a diabetic. Sometimes the
bone is soft and mushy. Life is like that. But mostly,
they work. In fact, with proper diagnosis and treatment planning, well over 90% are successful.
You just don't see many people running around
with gaping holes in their mouths today. Fluoridation has worked, decay is less of a problem,
periodontal disease can be treated, and missing
teeth can be replaced. One of the incredible
advances in dentistry is titanium implants. When
I was in graduate school in the 1970s, implants
were mostly a dream. Stainless steel, cultured
sapphires, vitreous carbon, and many other materials were tested across the US. None of them
worked. Titanium did. Today, medical grade
titanium is used for hip and knee replacements,
bone plates, and dental implants. And they really
work! Titanium is non-toxic, bio-compatible,
1-888-536-2605
www.DentaIDestinationsDDS.com
"The Other Side of Parkinson's Disease"
April 12, 2011
@
4:00pm-6:00pm
Charlotte Harbor Event and Conference Center
75 Taylor St., Punta Gorda
Presentation at no charge
So, if you are a candidate for implants, do it, by all
means. The secret to success takes place before the
surgery. X-ray films, CT scans, and cone beam radiography may all be necessary to gather the information your doctor needs to properly treat you. The
lack of information can result in implant failure or,
even worse, a surgical disaster. So, be wary of a
doctor that says "no problem, we can do it", and,
conversely, don't think that the doctor that says he
needs specialized imaging before proceeding is
trying to rip you off. Your individual case may
require special treatment and may not be run of the
mill stuff.
Sophisticated dentistry is expensive. But, there are
ways to save money and still receive first class treatment. Just don't try to cut corners when you don't
know what you are doing. We can help.
foe !foa loohltg
a dentist
abroad?
Ramon A. Gil, M.D., Medical Director and founder of
Parkinson 's Disease Treatment Center of SW Florida. This
presentation is a unique opportunity to learn many " non
motor" aspects of Parkinson 's Disease that are often under
recognized and untreated, leading to a significant worsening
in quality of life of patients and caregivers, as well as preventable
hospitalizations or unnecessary placement in long term
care facilities.
Patients and caregivers are invited to attend
(941)228-1396 or email [email protected]
20
Reconstructive Abdominal Wall Surgery Now Available Locally...
No More Recurring
•
erOlaS
A
hernia may be likened to a failure in
the sidewall of a tire. The tire's inner
tube behaves like the organ and the
side wall like the body cavity wall providing the
restraint. A weakness in the sidewall allows a
bulge to develop, which can become a split,
allowing the inner tube to protrude, and leading to
the eventual failure of the tire. Hernias may
present either with pain at the site, a visible or
palpable lump, or in some cases by more vague
symptoms resulting from pressure on an organ
which has become "stuck" in the hernia, sometimes leading to organ dysfunction. Fatty tissue
usually enters a hernia first, but it may be
followed by or accompanied by an organ.
The most common types are inguinal (inner groin),
incisional (resulting from an incision), femoral
(outer groin), umbilical (belly button), and hiatal
(upper stomach).
In an inguinal hernia, the intestine or the bladder
protrudes through the abdominal wall or into the
inguinal canal in the groin. About 80% of all
hernias are inguinal.
• In an incisional hernia, the intestine pushes
through the abdominal wall at the site of
previous abdominal surgery.
• A femoral hernia occurs when the intestine
enters the canal carrying the femoral artery
into the upper thigh.
• In an umbilical hernia, part of the small intestine passes through the abdominal wall near
the navel.
• A hiatal hernia happens when the upper
stomach squeezes through the hiatus, an
opening in the diaphragm through which
the esophagus passes.
Dr. 8ada doesn't TREAT symptoms, he CURES them!
CALL NOW! (941) 255-0069
www.badamd.com • www.refluxbadamd.com
18308 Murdock Cr #1 01, Port Charlotte . Satellite Offices in North Port and Punta Gorda
21
Ultimately, all hernias are caused
by a combination of pressure and
an opening or weakness of muscle
or fascia: The pressure pushes an
organ or tissue through the
opening or weak spot. Sometimes
the muscle weakness is present at
birth; more often, it occurs later in 4P
life. Poor nutrition, smoking, and Alvaro R. Bada, M.D.
overexertion all can weaken muscles and make
hernias more likely. Anything that causes an
increase in pressure in the abdomen can then
cause a hernia, including obesity, lifting heavy
objects, diarrhea or constipation, or persistent
coughing or sneezing.
Hernias are typically easy to resolve with a laparoscopic surgery procedure. Unfortunately there are
some people who suffer with recurring hernias,
even after multiple surgeries. These patients can
quickly become frustrated and discouraged,
seeking treatment from various doctors, only to
have their hernia recur again and again. It may take
just a few months or sometimes even years for the
hernia to reappear, no matter the length of time
between occurrences a hernia that keeps coming
back can become trying and patients may lose confidence in doctors.
Abdomen
Defective
inguinal
canal
_Abdominal
wall
Inguinal
canal
Hemlated/
loop of
Intestine
Spennatlc
eo'"
Scrotum
Alas, there is good news for patients with recurring
hernias. These patients can now elect to have the
abdominal wall reconstructed; results from this
surgery procedure are highly successful at preventing the hernia from recurring. The weak area of the
abdominal wall is surgically closed and reconstructed during this type of procedure.
There are few surgeons who accept the challenging
recurring hernia cases and perform the reconstructive surgery. Until recently, people suffering from
this condition had to he transferred out of the area
for this life changing surgery. Fortunately Dr. Bada,
who has completed and received certification
from the Comprehensive Solutions in Complex
Abdominal Wall Reconstruction Master class in
Nevada, can perform this surgery locally. Patients
no longer need to seek help from doctor after
doctor nor do they need to travel out of the area
for relief from recurring hernias. Dr. Bada has
seen great success with the reconstructive procedure and his patients are now hernia free!
If you suffer from recurring hernias and other
doctors or surgeons have been unsuccessful at
keeping them away, abdominal wall reconstruction may be the answer you have so desperately
been seeking. All hope is not lost, for an evaluation to see if you would be a candidate for this
procedure please call 941-255-0069.
Charlotte
Institute
Cesar B. Yepes, M.D.
4161 Tamiami Trail, Suite 701
22
Encourage everyone in the family to wash
their hands at these key times:
• Before mealtimes
• While cooking or preparing food
After going to the bathroom or changing diapers
When someone in the household is sick
• When sick, so illness doesn't spread
After touching pets
-.
The Clean Routine
Hands don't get clean by simply splashing them
under a little water, although most kids prefer that
technique. The Centers for Disease Control and
Prevention recommends the following steps:
!
•,
l
f
,
• Wet your hands with clean running water (warm
or cold) and apply soap.
Rub your hands together to make a lather and
scruh them well. Be sure to scrub the backs of
your hands, between your fingers , and under
your nails.
Continue rubbing your hands for at least
20 seconds.
Back to basics:
• Rinse your hands well under running water.
Handwashing is key to
illness prevention
Most families are frequently on the go. If a sink is
not available, hand sanitizer is an acceptable alternative, although soap and water is always best.
Antibacterial soap and sanitizers are not necessary.
In fact, they don't kill viruses and may actually be
harmful because their overuse may lead to
antihiotic-resistant bacteria.
By Wen Liou, MD., Helgemo & Liou Pediatrics
Make it a habit
The hest way to make handwashing a habit is to
start when kids are young, but it's never too late to
encourage this healthy habit. Start by stressing
hygiene around mealtime and after going to the
bathroom. Teach them the proper technique and
check to make sure they 're using it. If you're consistent and setting a good example yourself, you'll
soon find handwashing will become as routine to
your kids as brushing their teeth.
Water, soap and a sink.
After years of medical advances, this simple,
time-tested formula remains your family's best
defense against a host of illnesses, including
stomach viruses and the common cold - the two
ailments that I treat most frequently in my office.
Teaching your children the proper handwashing
technique and training them to make it a habit early
will equip them with an inexpensive, but priceless,
tool to protect their health for years to come.
When to wash
From morning until bedtime, kids touch everything in their paths. They also frequently rub their
eyes and nose and put their fingers in their mouths.
• Dry your hands using a clean towel or air dry.
Helgemo and Liou
Pediatrics
So teaching them to wash their hands at regular
times throughout the day is vital. Handwashing is
just as important for parents who can easily
transfer germs to their children.
2040 CTamiami Trail, Port Charlotte, FI33948
15121 Tamiami Trail, Suite A North Port, FI 34287
941-629-6601
www.helgemopediatrics.com
23
Doctors to speak on common, serious heart condition
April 9 symposium will focus on risks of atrial fibrillation
T
here are three things cardiologist Dr.
Sidney Peykar wants the public to
understand about a condition known as
atrial fibrillation. First, it's the most common form
of arrhythmia (irregular heartbeat), affecting about
2.2 million Americans, and up to 5 percent of the
population over 65. Second, it is a serious disorder,
and can lead to stroke. Third, many patients in Charlotte County may not be receiving the optimum
treatment for " A fib. "
If that happens, and the clot leaves the heart, the
patient becomes at risk for stroke. In fact, about
15 percent of strokes occur in patients with A fib .
The condition may only occur occasionally, with
the irregular beats lasting from a few minutes to a
few bours before returning to normal. Or A fib
can be chronic, where the heartbeat is constantly
trapped in an irregular pattern.
Symptoms can include chest pain, shortness of
breath, decreased blood pressure, weakness,
lightheadedness and confusion.
That's why he and partner Dr. J.C. Estrada are
hosting an April 9 symposium on the subject, sponsored by Charlotte Regional Medical Center.
All about treatment
The symposium will take a comprehensive look at
A fib, covering causes, diagnosis and treatment especially nonsurgical options. One top cuttingedge procedure is called "ablation," and is only
available in Charlotte County at Charlotte
Regional Medical Center.
"The older you get, the more likely you can develop
this condition," Peykar said. "By age 80, about 10
percent of Americans suffer from A fib - a staggering statistic when you consider the makeup of our
area's population."
If you want to attend
What: Symposium on Atrial Fibrillation
Who: Given by cardiologists Drs. Sidney Peykar
and J.e. Estrada, with a presentation from
the patient's perspective by electrophysiology
lab technician Gayle Lee, LPN.
When: 9 a.m. to II a.m. April 9
Where: fourth floor conference room of Charlotte
Regional Medical Center's medical office
building, 713 E. Marion Ave.,
Punta Gorda.
How much: The symposium is free; a compli-
mentary continental breakfast is
provided. However, seating is limited,
so attendees must pre-register by
calling (941) 637-2570.
In addition to the physicians' presentations, Gayle
Lee, LPN - an electrophysiology lab technician for
more than 10 years - will walk tbe audience
through a typical ablation procedure from beginning to end, as a patient would experience it.
What are the risks?
The heart is composed of four chambers that are
designed to beat rhythmically, like a coordinated
machine. When A fib occurs, the upper two
chambers beat irregularly, out of sync with the rest
of the heart. When the heart doesn 't beat effectively, some of the blood that should be pumped
out into tbe rest of the body may pool and clot.
"By the time we' re finished, attendees will have a
good idea of how common - as well as how serious A fib is," Peykar said. "But they will also know how it
can be treated, so we can put their fears to rest."
f---BEACON CLINIC
Children · Teens . Adults - - -- - - - -
"Evening Hours Available"
• Psychiatric Evaluations
•
•
•
•
Newborns to Adolescents
Well & Sick Waiting Area
New Patients Welcome
Most Insurances Accepted
Helgemo and Liou
Pediatrics
Peddtlc. 'l/edth Care at ,is Best I
2040 Tamiami Trail Suite C, Port CharloUe, FL 33948
15121 Tamiami Trail Suite A, North Port, FI
941.629.
. - - - - - Specialis/s: - - - - - ,
• Medication Management
Thomas Willingham rrr, MD
Kathleen A. Kaloski, MS , A.R.N.P, B.C
• Individual & Group Counseling
Charlene Rosenfield, MS., A.R.N.P, B.C
• Marriage I Couples I Family
Gerald N. Ross, Ed. D. , Psychologist
• Sexual Issues
Donna L. Chimato, MS., L.MH.C
• Work Place Stress Counseling
Chantelle Grant, MS, L.CS W.
Christina Rooney, MA., L.MH.C
3782 Tamlaml Trl # A,
356 North Indiana Avenue
Suzi Desio, MA., L.MH.C
Englewood, FL 34223
• Psychotherapy
,
Dr. Wen Uou
Pediatrician
941·629·4464
helgemopediatrics.com
(941) 629-7855
(941) 681-3400
Medicare & Most Insurances Accepted
24
NEW SAFE & EFFECTIVE
By Marlena Cecil, PA-C
(phenTabzRXTM) in the UK where it has received
the greatest reviews from both the medical community and more importantly the patients. Gentech has
finally released PhenTabzRXTM to the US and the
results are the same - phenomenal. Now before we
talk about PhenTabzRXTM it is absolutely imperative to remember that no matter how effective at
appetite suppression or increasing energy levels
something is - we still need to remember that long
term success ultimately comes from altering some
nutritional patterns and incorporating some level of
activity to our weekly regimen.
What is PhenTabzRX™?
PhenTabz RXTM is a true pharmacological diet pill
like Phentermine, Xenical or Adipex. PhenTabzRX
™ is NOT an herbal supplement but rather a
designer non-prescription pharmaceutical analog
providing superior appetite suppression and weight
loss without the side effects. One pill is taken in the
morning before breakfast and another before lunch
- that's it!
ithout the right tools losing
weight safely and keeping it off
are nearly impossible. Fighting
genetics, hunger, lack of energy and motivation is
enougb to make the strongest willed person quit or
not even bother attempting to lose weight! So,
when it comes to the battle of the bulge, you have
to put up a good figbt. But in our eat-and-run, oversized portion world, maintaining a healthy weight
is bard enough, therefore weigbt loss can be a
genuine struggle.
First things first, we need to lose weight safely and
consistently. Consistent weight loss is the key to
keeping motivation levels high and staying focused
on your goal. For the past several decades the
medical community was able to greatly enhance consistent weight loss via the all-time top selling appetite
suppressant/weight loss medication Phentermine
(Adipex & lonamin). While these medications were
very effective at decreasing appetite and increasing
energy, they have a multitude of undesirable side
effects and demonstrate a strong addictive nature.
Adding to the difficulty is the abundance offad diets
that tempt and confuse us and ultimately do not
work. So where is the silver lining and what can we
do to seriously increase our cbance of success after all we all know people who have actually
reached their goal weight AND maintained it.
Pharmacological improvements in the past few
years are starting to provide us with greatly
advanced medications with far fewer side effects
and improved effectiveness. Yes - this is where we
hear about the silver lining. Gentech Pharmaceutical released their replacement for Phentermine
_..
---
-.::::::
/
How does PhenTabzRXTM work?
The patented ingredients in PhenTabzRXTM
perform two essential functions. It increases the
body's mobility of fat (Sympathomimetic Amine)
while increasing metabolic rate (increases cyclic
AMP levels within the body). PhenTabzRXTM then
greatly reduces appetite to ensure patients have
control and motivation. The bottom line is that
PhenTabzRXTM provides consistent significant
weight loss and increased energy.
plenty of energy for exercising. PhenTabzRXTM
really shines at increasing your metabolism and fat
burning which means your genetics will no longer
hold you back!
PhentabzRXTM means Fast, Safe and Consistent Weight Loss!
PhenTabz RXTM was clinically designed as the
replacement for Phentermine, Xenical, Alii, Adipex,
and other weight loss pills whose side effects
outweigh their benefits.
Appetite Control & Increased Energy
PhenTabzRXTM seriously reduces your hunger
levels allowing you to make the right choices that
you want to when it comes to food and portion size.
PhenTabzRXTM provides you with the energy levels
required to make it through your day including
Comparison Categories
25
If you are serious about losing body fat (not just
water weight) while achieving an incredible amount
of energy needed to get through the day - then look
no further than to the #1 selling PhenTabzRXTM.
PhenTabzRXTM
Phentermine
Average Weight Loss
2-5Ibs/wk
2-3Ibs/wk
Appetite Suppression
Strong
Strong
Metabolism Boost
Strong
Strong
Energy Boost
Strong
Medium
Prescription Strength
YES
YES
Safe Long-Term Use
YES
NO
Fat Mobilization
YES
YES
We have had many health care professionals
upgrade their patients to PhenTabzRXTM Ask your
doctor about PhenTabzRXTM today!
Medical Weight Loss Centers
8381 Riverwalk Park Blvd, Suite #201
Fort Myers, FL 33919
239-292-3227
The therapeutic goal of insomnia is to
restore the natural sleep pattern.
Sleep is an active process and is the net result of two
cyclical processes. Process C is the circadian influence of the day/night cycle. The Circadian influence is most effective in inducing sleep in the
evening time as our brain secretes a hormone called
Melatonin and the level rises. Process S is the metabolic influence and is thought to be related to the
accumulation of a product metabolized by the brain.
The influences increase depending on the time a
person awakens. In the evening, both process C and
process S are working hand in hand to create sleep
onset.
When one is sleep deprived, Process S
becomes stronger the next day to create a stronger
propensity for sleep to occur. Hence, the body has a
built-in mechanism to deal with sleep loss.
By Michael H C Wei, MD, FACP, FRCPC, FCCP, FAASM
I
nsomma IS a very common problem.
Almost everyone has encountered
insomnia at one time or another. It becomes
a medical problem when it is a consistent occurrence and interferes with daytime functions or
personal affect. Similarly, the greater the disruption
of daytime function or mood, the more severe the
problem is. National Sleep Foundation surveys
indicate thirty percent of adults have "transient"
insomnia, which is defined as a sporadic problem
lasting less than one month. Ten percent have
"chronic" insomnia, defined as lasting greater than
one month. Primary insomnia refers to insomnia
resulting from causes other than drugs, medical
illness and psychiatric illness.
There are two types of insomnia. The one that
effects the onset of sleep is called "sleep onset
insomnia," whereas the type that causes awakening
during the night with the inability to return to sleep
is referred to as "sleep maintenance insomnia."
Sleep onset insomnia tends to effect the population
under age 50, whereas, sleep maintenance insomnia
effects predominantly those who are over age 50. It
should also be noted that childhood insomnia is a
completely different type of problem.
Sleep onset insomnia is from the inability to initiate
sleep. Examples are psycho-physiological insomnia
which is also called "conditioned insomnia,"
whereby sleep or bedtime is associated with heightened anxiety and/or arousal. Inadequate sleep
hygiene refers to behavior that is not conducive to
sleep and interferes with the logical relaxation
process at bedtime. Examples of such activities are
watching TV, working on the computer, ngorous
exercise, or use of caffeine/nicotine.
Sleep maintenance insomnia is from the inability to
maintain sleep or to return to sleep after sleep interruption. Awakening at night is a very common phenomenon and most of us return to sleep within
seconds and have no recall of such occurrence.
When the awakening is associated with inability to
return to sleep, this becomes a problem. Common
causes are cigarettes and alcohol use, depression
and stress, and restless leg syndrome. Often times
medications, such as diuretics taken late in the day,
can also cause sleep interruption.
In summary, the causes of adult insomnia are many,
and the problem is commonly long standing and
complicated. Most patients request help after they
have almost concluded a physician 's visit, but such
brief attention does not do justice to such a common
and sometimes complex problem.
While sleep hypnotics can provide a "quick fix ,"
research has shown that in one year, the result of
hypnotic therapy is worse than a non-medicated
approach. The non-medicated approaches are
Sleep Hygiene, and Behavior Therapy. The Sleep
Hygiene approach is designed to restore the natural
sleep process by fostering unwinding before
bedtime. This may be accomplished by maintaining a regular sleep time and wake time, by avoiding
rigorous exercise, bright light and to avoid stimulating activities before bedtime.
Behavior therapy includes relaxation therapy,
stimulus control therapy, sleep restriction therapy
and Cognitive therapy. Behavioral therapy typically
has a lag time, but has better long-term results.
In summary, Sleep insomnia is a complex issue
that requires a comprehensive review of many vital
systems. While Sleep Centers are common and
patients can get tested through the primary care
physician, a Sleep Specialist is trained to ensure
that the many facets of information gathered
during a sleep study are bundled into a comprehensive care plan to optimize a reliable outcome and
long-term positive results.
Michael H C Wei, MD, FACP, FRCPC, FCCp, FAASM
Dr. Wei is Board certified in Sleep Medicine and is a
Fellow of the American Academy of Sleep Medicine.
Dr. Wei interprets Sleep Study at Charlotte Regional
Medical Center Sleep Disorder Center, Cornerstone
Sleep Disorder Center and would be the Medical
Director of the Dreamz Sleep Disorder Center in
Northport that is due to open this summer.
Call 941.347.4499
27
THE BIG STIFF (TOE)
By Myles Rubin Samotln, MD - Board Certified Orthopaedic Surgeon, Fellowship Trained in Foot and Ankle
s we know, arthritis can attack our
joints, and we know many people
who have had ')oint replacement" of
their big joints, the hips, knees or shoulders. But
what if you developed arthritis in a real small joint
such as the joints in your thumb or big toe. You
would probably try to work around it, using a different hand or grip to open that jar, or tum that screwdriver. But trying doing that with your big toe. You
can't do that since the big toe has to bend with every
step we take. So what can we do?
In any joint in our body, we have cartilage which we
call articular cartilage. For many different reasons,
including the biomechanics or stmctural abnormalities of our feet and toes, we can develop arthritis into
any joint with a resulting wear and tear of the articular cartilage. When this occurs, it allows our bones to
rub against each other, creating an overgrowth of
bone. It especially happens on the top of the bone of
our big toe, where it bends. The overgrowth can
prevent our toe from bending resulting in a stiff toe,
which we in orthopedics call hallux rigidus.
When arthritis forms in the hig toe (the hallux), like
any other arthritic joint, the symptoms we usually
develop can be several including pain, which occurs
when you push off with the big toe when walking,
swelling, a possible bump on the toe from the formation of osteophytes, and stiffuess in the toe, with the
inability to bend it up or down. Unfortunately, when
we walk we use other joints as well as our toes, such
as ankles, knees and hips. These may become painful
as well, since we will usually alter the way we walk
to prevent aggravating the arthritic joint.
How can you tell if you have this? If you are having
some of these symptoms, you should see your
medical doctor, especially a medical doctor who is an
orthopedic foot and ankle specialist. This condition,
hallux rigidus, can be easily treated if it is discovered
and treated early. If you wait until the bony bump is
formed on the top of your great toe, osteophytes
(bone spurs) will already have formed and the hallux
rigidus will be much harder to treat.
need a pain reliever such as oral anti-inflammatory, and
padding of the area around the joint and physical
therapy. Especially for the great toe, special shoe modifications and possibly the usage of orthotics will be
also be used. Injections of steroids may be attempted,
but generally do not work very well at this point.
There can be several primary reasons that a patient
will choose to have surgery performed on a hallux
rigidus. They may want to treat the problem, not
accommodate it, progression of the problem to the
point that there are other problems now occurring, or
that non-surgical treatment failed. The patient may
also decide for surgery to prevent further deterioration or deformity of the great toe.
When you see your orthopedic foot and ankle specialist, he will probably order regular X-Rays of
both your feet to determine what is normal and
what, if anything, is abnormal. Also, he will
perform a proper clinical exam to determine the
severity and limitation of your hallux rigidus.
From both your X-Rays and physical exam, as
well as your history, will proper modality treatments be determined.
Osteophytes
There are several different types of surgery for this
problem. Some involve replacements or tendon
transfers or can involve a fusion . The most important
thing I can say is that special care must be given to
the type of surgery performed, since an improper
surgery may not give the best results that could be
obtained. Having the best orthopedic specialist
making the proper choice for you will allow you the
best outcome possible.
Since we can't walk on our hands, pain in your feet
needs to be properly and quickly evaluated. You need
to be evaluated by a Board Certified Orthopaedic
Surgeon M.D. with a Sub-specialty, Fellowship
Trained in Foot & Ankle surgery. In fact I am the
only surgeon with these qualifications in our area. I
believe this makes me uniquely able to deal with
these problems in a state-of-the-art atmosphere and
method that will keep you in good hands and provide
you with the most desired result.
As like many other conditions, there are both nonsurgical and surgical treatroents. Non-surgical treatment of an arthritic joint, even the great toe, is
generally the same as other joints, as the patient will
Don't Miss Out
On The Wonderful Sounds Of Life...
Providing Quality Hearing Healthcare
for Over 20 Years!
Surgery • Gynecology • Medi-Spa
• Complete diagnostic hearing services
• Hearings aids, new and used
• LACE - rehabilitation program
AND
UFirst Surgery Center
State Certified Facility
•••••••••••••••••••••••••••••
"Voted Best of Englewood
for 14 years"
• Most Insurances Accepted
941.474.8393
• All Inclusive Pricing for In Office Surgery
655 S. Indiana Ave., Englewood, FL
Surgeon Fee - Facility Fee - Anesthesia Fee - For Uninsured Patients
• Licensed Aesthetician In House
View Our FREE Video
on our Website!
www.advancedhearingsolutions.net
• Multi-Specialty · One Philosophy
Keeping the Patient First
FLORIDA PAIN CENTERS
PAIN MANAGEMENT CONSULTANTS, PA
Robert E. Tomas, D.O., FACOS
Anne Lord-Tomas, D.O., FACOOG
Board Certified General Surgery
Board Certified Gynecologist
12640 World Plaza Lane, Building 71
Ft Myers, FL 33907
We Pride Ourselves in Providing State-Of-The-Art Care
www.ufirsthealth.com
For Your Chronic Pain Condition.
239.243.8222 1,.800.2.UFIRST
23 Barkley Circle· Fort Myers, FL 33907 • 239.333.1177
- - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - -
..--. Regenocyte
STEM CELL THERAPY
/
Leading the World in Regenerative Cell Therapy
The Mobi l e Alert Solution
'
SAFETY JUST WENT MOBILE
GPSMED... Mobile Alert - is the First GPS
Emergency Response Alert System to bring you
TOTAL FREEDOM to GO MOBILE!! You can
now go anywhere in the country and always feel
safe and secure. You no longer need to stay at
home. close to the phone .. .you can VISIT
FAMILY. FRIENDS , PLAY GOLF. SHOP, TO THE
MOVIES ... no matter where you go. GPSMED will know
EXACTLY where you are if an emergency occurs!
West Florida
CHARLOTTE
NEUROSURGERY
Brain and Spine Su rgery
2525 Harbor Blvd . • Suite 208 • Port Charlotte, FL 33952
Phone: (941) 629-7920 • Fax: (941) 629-7926
www.charlotteneuro.com
I am pleased to announce my return to the
Port Charlotte community after being away
for 5 years. I enjoyed my friends, colleagues
and patients and once again I am able to work
with the great staff of Fawcett Memorial.
SUCCESSFULLY TREATING:
.. ...
Congestive Heart Failure
.
.. .
-
Peripheral Artery Disease
Please don't hesitate to call me personally if
I can be of any help to you.
• • .
I
.. .
- - - - - - - - - - - - - - - - - - - - www.swfHealthandWellness.com - - - - - - - - - - - - - - - - - - - -
30
",,"h &
w,"~" A"II
20 11 - . Ch" '"' <oj S ","
s" "'""
di"" 0
E
SplrItu~ess
•
Are You Running From Your Pain?
by Ter ry Hoskin s, Director of OasIs
ain and suffering finds us regardless
of who we are and is indeed a central
part of the human experience. As a
baby, when you first leam to walk, you feel pain
when you wobble back to the floor. As a toddler you
feel upset when your Momma doesn' t let you have
your way. As a child you feel pain when your dad
ignores you. As a teenager you feel pain when others
make fun of you at school. As an adult you feel pain
when your spouse shows lack of interest, the bills pile
up, pressures of work cave in, relationships get complicated, and your health eventually declines.
Every pbase of life offers moments of joy and
moments of suffering. What makes the difference in
your heart and mind is how you handle the pain that
comes your way. We can't bide from it, nor can we
run from it because we live in a world that is filled
with it. Our world is broken, the people we encounter
are broken, and we ourselves are broken. It is only
with the power of God in our lives that makes it
possible for us to handle the pain in a beneficial way.
The Runner's Response
Running from your pain will never solve your
problems, it will only snow ball and effect otber
areas of your life. While running from your pain
seems to protect oneself from the bad feelings, the
feelings are still there because tbey baven't been
faced head on. We internally begin to work harder
to go in the wrong direction because the pressures
of yesterday's problems compound with today's. A
far too common example is when someone
struggles with depression they begin to drink to
cope with tbe pain. In reality tbey just complied
another problem on top of their existing problem,
which only makes the depression worse.
You
one
•
•
•
•
•
•
•
•
•
•
might be a runner if you experience
or more of the following:
avoid conflict
refuse to examine your motives
hold people at arms length
let resentment build up towards otbers
isolate yourself
have difficulty asking for help
attack people with your words
overly sensitive to constructive criticism
think more highly of yourself than others
build lies to protect your own interests
God's Response To The Runner
The trials of life that we face happen for a reason.
God's Word says, "He (God) determined the times
set for them and the exact places where they should
live. God did this so that men would seek him and
perhaps reach out for bim and find bim, tbough he
is not far from each one of us." (Acts l7:26b-27,
NIV) Why does God allow us to suffer? His Word
tells us that we are given our specific set of circumstances so that we will look for for Him, and find
Him. God will allow our world to crash in around
us for our own good and to give us an opportunity
to find him. We need His help! God's Word says,
"Cast all your anxiety on him because he cares for
you." (I Peter 5:7, NIV) God responds to the
runner with love, longing for the runner to accept
that He is trustworthy and loving.
We can have the right attitude toward our troubles
like the Apostle Paul who said, "For our present
troubles are small and won't last very long. Yet they
produce for us a glory that vastly outweighs them
and will last forever!" (1 Corinthians 4:17, NLT)
When we learn to apply bis Word to the difficult
areas of our lives, we also find freedom. His Word
teaches us how to face our pain, by trusting Him, He
teacbes us how to speak tbe trutb in our most difficult relationships, He teaches us how to control our
thinking about our pain, so that we can truly walk in
tbe peace of God that He calls us too! So we must
stop running from our pain and start running into the
loving arms of God.
If you are tired of running from the pain in your life
and would like help, then please contact Oasis
today. Our counselors will walk along side of you
and help you begin the journey towards a new life
with counsel based on God's Word.
Oasi
Counseling :'~~----I
Refresh your life
using God's Word.
/
Call Today! 239.389.2073
Oasis Counseling Center wants to refresh your hope, heart, and life with God's Word. We are located on Marco Island and
our phone #389-2073. We are friends of HOPE Counseling Center located in Fort Myers, and their phone #481-0777.
This Spring say goodbye to your swollen, achy legs and
spider and varicose veins so you can get back in your
shorts. Dr. Magnant has your solution. He offers state
of the art vein treatments in a spa-like setting. You'll
find comfort in knowing that he is SWFL's premier Vein
Expert and is a Board Certified Vascular Surgeon.
RT.41 ..
BLVD.
&1-75
Schedule An Appointment Today!
239.694.8346
weknowveins.com
Joseph Magnant,
MD, FACS
Vein Expert and Board Certified
Vascular Surgeon
•
~ :. SENIORextra
............................................................................................
at CHARLOTTE REGIONAL MEDICAL CENTER
Wouldn't you know that Charlotte Regional Medical Center would think of a program this exciting, this event-packed, this
benefit-filled. Senior Extra is designed to help you get the most out of your lifestyle through active, independent, and
healthy living. Everything we do centers around your health and well ness - from education sessions to health screenings.
Here are just some of the extras available to you when you join Senior Extra at Charlotte Regional:
Attend Senior Extra programs & events
Access Senior Extra online information
•
You're always on the guest list
•
•
Bring a friend or spouse
Visit www.5eniorExtra.com for current health information &
events calendar
Monitor your health with free screenings
•
News about medical breakthroughs and well ness trends
•
Check cholesterol, blood sugar, hearing, vision, bone
density, & more
Free Senior Extra e-newsletter
•
Sign up for this complimentary service
Save yourself a doctor visit & co-pay
•
We'll deliver directly to your e-mail
•
Save with Senior Extra local discounts
•
Look for special offers from our merchant partners in
town
A service brought to you by:
a
For more information, call (941) 637-2570 or visit www.SeniorExtra.com.
Charlotte Regional
~ Medical Center

Weight Loss , , f - Southwest Florida`s Health and Wellness Magazine

Transcription

Similar documents

Phillips Place - Regency Centers

THE PARK EXPO AND CONFERENCE CENTER

CHARLOTTE: RECAP

NASAL-AIRE® II Dare to Dream

OUR MISSION Solutionists

Don Gasgarth`s Sunday November 13th 2016 From 8:00 am to 3:00

Humane Society of Charlotte Prepares for Pet Palooza 2013

water ridge office park

Flyer - BVB Properties