September 2014 - Lee Memorial Health System
Transcription
September 2014 - Lee Memorial Health System
September 2014 Alter-G Treadmill Reduces Weight on Joints “If a patient has difficulty walking or has developed abnormalities in their walking pattern, the Alter-G can take as much as 80 percent of the body weight off his or her feet, allowing the patient to normalize his or her gait pattern,” Tad says. In This Issue Foundation News and Events.................2 A Heart Healthy Recipe to Try.................3 Cardiac Rehabilitation Now Available for Heart Failure Patients........................3 Stroke Requires Immediate Care............4 Knee Replacement Restores Mobility....4 Check the Volume – Noise-Induced Hearing Loss is Possible, Preventable....5 Patients Live Longer with Advanced Prostate Cancer Protocols.......................5 Patients Take Control with Balance Vest.............................................6 Cataracts Affect Most Older Adults........6 Car Seat Inspections and a Baby Care Class Keep Little Ones Safe.....................7 Home Health Monitors Patients from a Distance........................................7 Children with Fever or Those Recently Vaccinated Should Avoid Aspirin...........8 Eliminating Elective Pre-term Deliveries..................................8 Lee Memorial Health System Welcomes Pulmonologists......................9 An Overview of the Spectrum of COPD....................................................9 Physician Directory...............................10 Map.........................................................11 Calendar of Events.................................12 Astronauts get the feeling of floating in space, and now, people on Earth can defy gravity, too. The Alter-G treadmill was designed by NASA and uses differential air pressure to manipulate the weight that we bear through our lower extremities. Licensed physical therapists provide a comprehensive evaluation for rehabilitation patients and may recommend that patients exercise on the Alter-G. “The therapist can program the amount of weight bearing from 100 percent of someone’s body weight to as low as 20 percent, in 1 percent increments,” says Tad Cranfield, therapy supervisor, Outpatient Center at HealthPark Commons. “This allows us to limit the effects of gravity, which has many applications for our patients.” The treadmill is often recommended for patients who have difficulty walking. “If a patient has difficulty walking or has developed abnormalities in their walking pattern, the Alter-G can take as much as 80 percent of the body weight off his or her feet, allowing the patient to normalize his or her gait pattern,” Tad says. “Then, we slowly reintroduce weight bearing until they are able to walk properly on land.” The Alter-G is especially effective for patients who have had an injury or surgery on one of their legs or feet and have weight bearing limitations due to surgical conditions or pain. “We can start these patients standing and walking earlier in the rehabilitation process with precise weight bearing,” Tad says. “Basically, anyone who has difficulty standing or walking, and is trying to improve their mobility, might benefit from using the Alter-G.” The Alter-G is designed for two types of people: rehabilitation patients who need help with walking because of neurological disorders, pain or weakness due to an injury or other health problems; and people from the community—like athletes—who may have a running injury and want to return to training or competition. Runners who put in high mileage training and want to avoid injury often use the Alter-G to train without exposing their joints to the pounding they receive on hard pavement. “Studies show that jogging with the removal of 20 percent of body weight does not alter metabolic responses, such as VO2 (measure of aerobic fitness) and heart rate,” Tad says. “This allows athletes to achieve their workout goals, while limiting the negative effects of ground reaction forces. “Basically, anyone who has difficulty standing or walking, and is trying to improve their mobility, might benefit from using the Alter-G.” “Once the Alter-G has been set, the user can stand, perform exercises, walk or run on the treadmill,” Tad says. It does this while keeping you safe from falling and allowing a therapist to observe the walking pattern. Therapists and patients are able to get feedback by viewing the patient’s legs and feet on a screen from three different camera angles, then make corrections to the walking pattern, in real time. Use of the Alter-G requires a prescription for patients who are under the care of a physician or physical therapist. People from the community who want to use the Alter-G do not need a prescription, but must fill out a health history form, just like wellness clients and may need a doctor’s clearance to exercise, depending on their health history. “This is really a remarkable piece of equipment,” Tad says. “It helps people rehabilitate quickly and get back to their routine. Movement is freedom and the Alter-G helps patients recover in ways they could not in the past.” For more information about the Alter-G, call 239-343-7244. To view a video on the Alter-G Treadmill, go to tinyurl.com/AlterGTreadmill Lee Memorial Health System Foundation News & Events Campaign Gift Honors Dr. Arnall Lee Memorial Health System Foundation thanks FineMark National Bank & Trust for their generous $100,000 capital campaign gift made in memory of longtime children’s hospital leader Dr. Bob Arnall. FineMark National Bank & Trust’s President and CEO Joseph R. Catti, who also serves as capital campaign chair, said of the gift, “We are very fortunate to be in the position to make this gift to such a worthy cause as Golisano Children’s Hospital of Southwest Florida. We are honored to present this donation in memory of Dr. Bob Arnall, a dedicated physician who worked at Lee Memorial for decades and also served as director of the children’s hospital from 1999 until 2008.” The donation will provide lifesaving treatment for young patients through construction of the new Golisano Children’s Hospital of Southwest Florida. “We greatly appreciate this generous donation from FineMark National Bank & Trust,” said Jim Nathan, president of Lee Memorial Health System. “Choosing to honor Dr. Arnall in this way is very special for all of us who were touched by Dr. Bob’s compassion and concern for others and who continue to benefit from his vision of having leading edge health care for the children of Southwest Florida. We hope others will consider helping achieve Dr. Bob’s vision by supporting the campaign to help build the new Golisano Children’s Hospital of Southwest Florida.” Call 239-343-6053, visit ChildrensHospitalGoal.org or email [email protected] to learn how you can help save children’s lives by supporting the capital campaign. Taking part in the check presentation were, from left, Joseph R. Catti, president/CEO, FineMark; Sharon MacDonald, chief foundation officer, Lee Memorial Health System Foundation; Jim Nathan, president, Lee Memorial Health System and Dr. Arnall’s son, Robert Arnall, executive vice president & senior lender, FineMark. Lee Memorial Health System Team Members Donate More than $140,000 What do educational conferences, lifesaving medical equipment and a new children’s hospital have in common? They’re just a few of the projects that will be funded through gifts made by Lee Memorial Health System employees, physicians and volunteers during the annual RX Games giving campaign. Friendly fundraising competition between teams resulted in $143,454 raised with Team HealthPark bringing in the highest total for the second year in a row. Participants took part in contests such as the bedpan bean bag toss, trivia challenges and top master chef. Local businesses, including Bahama Breeze, Dunkin’ Donuts, Jet’s Pizza, Olive Garden, Rib City and Subway provided prizes and delicious food to thank RX Games donors. For information about the campaign and sponsorship exposure for your business, call 239-343-6053 or email [email protected]. Cheerleaders Kandi and Kip, better known as Wendy Piascik, vice president of patient care services, and Scott Kashman, chief administrative officer for Cape Coral Hospital, provided extra special spirit for their Cape Coral Hospital team during the 2014 RX Games. Go team! Ada’s Cooking For A Cause Ada’s Natural Market on College Parkway in Fort Myers recently hosted a 6-session cooking class for Lee Memorial Health System Foundation’s Impact Initiative program. Heather and Dan Creighton, owners of Ada’s, donated 10 percent of related sales to support Cape Coral Hospital’s Optimal Healing Environment project. More than $4,200 was raised as students learned to prepare great tasting meals made from natural, healthy ingredients. The series was underwritten by Kurt Maurillo from the Wolf, Metzger, Maurillo & Banfield Wealth Management Group of Wells Fargo Advisors. Learn more about Impact Initiative by contacting Christin Collins at [email protected] or 239-343-6062. Impact Initiative Cooking Class participants included, from left, Barb Stevens, Christin Collins, Jane Gold, Noelle Melanson, Christina Schwinn, Chef Winfield, Becky Sharon, David Collins, Terri Lee, Brittany Cohill, Jennifer Taschner-Blurton, Kavitha Taschner, Elaine Green, Maria Taschner, Cindy Lastovica and Tiffany Williams. Lee Memorial Health System Foundation Board of Trustees Officers Charles K. Idelson, Chairperson James W. Orr, Jr., M.D., Vice Chairperson Joseph R. Catti, Treasurer Elaine Hawkins, Secretary Trustees John Blais Amanda Cross James Doyle, Jr. Dorothy Fitzgerald Joe Gammons Jonathan Gopman Jerry Hemmer William N. Horowitz Neil LeClair Michael Mullins Nick Naples Michael B. Peceri David M. Platt Guy F. Rhoades Sonya Sawyer David Shellenbarger Madeleine Taeni Pablo Veintimilla Stuart Zaikov Trustees Ex-Officio Richard Akin Mary Ann George Kathy Bridge-Liles Sandy Heise Jim Nathan Sue Twining Emeritus Committee John Gleeson Frank Haskell Garrett “Buzz” Reasoner Alexander Roulston Joseph D. Zaks HEALTHY NEWS is published as a community service by LEE MEMORIAL HEALTH SYSTEM, P. O. Box 2218, Fort Myers, FL 33902 [email protected] September 2014 System President Jim Nathan Vice president Strategic Services kevin newingham Editorial Jennifer Foote Kali Lynch Lynn Melvin JL Watson A Heart Healthy Recipe to Try Three Sisters Soup Ingredients: 6 cups fat-free, low sodium chicken stock or vegetable stock 1 16-ounce can low sodium yellow corn or hominy, drained and rinsed 1 16-ounce can low sodium kidney beans, drained and rinsed 1 small onion, chopped DESIGN KEVIN OWEN 1 celery rib, chopped Lee Memorial Health System Board of Directors District 1 Stephen R. Brown, M.D. Marilyn Stout District 2 Richard B. Akin Nancy M. McGovern, RN, MSM District 3 Sanford N. Cohen, M.D. David F. Collins 1 15-ounce can cooked pumpkin (Be careful, don’t get pumpkin pie filling) 5 fresh sage leaves, chopped or ½ teaspoon dried ½teaspoon curry powder Directions: 1. Bring stock to a slow boil. District 4 Diane Champion Chris Hansen 2. Add corn/hominy, beans, onion and celery. Boil for 10 minutes. District 5 Jessica Carter Stephanie L. Meyer, BSN, RN 3. Add sage leaves, curry and pumpkin, and simmer on medium-low heat for 20 minutes. Recipe is from the American Heart Association Cardiac Rehabilitation Now Available for Heart Failure Patients Exercise is a valuable part of recovery after a cardiac event or after the diagnosis of a heart condition. Cardiac rehabilitation is an effective tool in helping patients understand how to exercise safely. In addition to exercise, cardiac rehabilitation includes risk factor education, lifestyle modification classes and support. Cardiac rehabilitation helps heart patients improve their quality of life, experience fewer hospital stays and reduce the risk of developing future heart problems. Recently, the Centers for Medicare and Medicaid Services “This expansion of coverage for (CMS) expanded HF is something that our national coverage for cardiac organization—the American Association of Cardiovascular and Pulmonary rehabilitation to patients Rehabilitation (AACVPR)—has been with chronic, stable lobbying for for a long time,” explains Marion Harris-Barter, cardiac rehabilitation heart failure (HF). nurse who coordinates the intake for patients Recently, the Centers for Medicare and Medicaid Services (CMS) expanded coverage for cardiac rehabilitation to patients with chronic, stable heart failure (HF). referred to the program and president of the Florida Cardiovascular and Pulmonary Rehabilitation Association. “HF is a condition that requires appropriate treatment and lifelong management to keep patients out of the hospital. Since the announcement that CMS is covering cardiac rehabilitation for HF, we have developed new treatment plans to provide the specific education and support HF patients need to understand and manage their condition.” Bob Friedel opportunity to take control, learn and manage their health. “Bob is a great example of someone taking control of his health,” Helen says. “He has chosen to not let HF slow him down.” Bob Friedel, 69, was the first patient referred to cardiac rehabilitation specifically for HF. Bob admits that Dr. Chazal was right in referring him to cardiac rehabilitation. “I think it is a great program,” he says. “I’m really getting something out of it. I have more energy and at my last appointment, Dr. Chazal said my heart function has improved to 45 percent. Even though I never felt that bad before, I want to keep up everything I’ve learned so I can keep feeling as good as I have.” “I disagreed with my cardiologist [Richard Chazal, M.D.] because I didn’t think I needed this program,” Bob says. “I felt great—really no different than I felt before I was diagnosed, but he explained to me that I needed to go to rehabilitation to keep it from getting worse.” While not everyone gets the same results as Bob, studies show that patients participating in a cardiac rehabilitation program generally feel better and have a lower incidence of hospitalization for heart failure. Helen Tolliver, RN is one of the cardiac rehabilitation nurses who worked with Bob. “Bob has a weakened heart, but he never believed it and you wouldn’t know it if you met him,” she says. “He looked great, felt great and worked at a high level, but the reality is that his heart—when he started—was only working at 35 percent.” There are specific criteria for referral, so speak to your cardiologist if you have HF and are interested in participating in cardiac rehabilitation. Helen, Marion and the other staff understand that patients can be frightened about a cardiac event or the diagnosis of a heart condition, but cardiac rehabilitation offers the 3 Stroke Requires Immediate Care Lee Memorial Health System Hospitals Provide 24/7 Access to Treatment The fourth leading cause of death in the United States, strokes occur when the blood supply to the brain is interrupted or severely reduced. When it comes to stroke care, time lost is brain lost, so seek immediate attention—call 911—if you or someone you are with experiences any signs or symptoms of a stroke. Hospital designated as Primary Stroke Centers, our community has 24/7, year-round access to world-class stroke care, including lifesaving procedures like stents and coiling for brain aneurysms and strokes. F.A.S.T. is an easy way to remember the sudden signs of stroke: F – Face Drooping – Does one side of the face droop or is it numb? Ask the person to smile. Is the person’s smile uneven? A – Arm Weakness – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward? What are the Differences between a Primary Stroke Center and a Comprehensive Stroke Center? Primary Stroke Centers • Takes care of most cases of ischemic—blood vessel blockage—types of stroke. • Minimally invasive catheter procedures are not required. • No requirement for a separate intensive care unit for stroke patients. Comprehensive Stroke Center • Cares for all types of stroke patients, including bleeding—or hemorrhagic— strokes, such as those caused by brain aneurysms. • 24/7 access to minimally invasive catheter procedures to treat stroke. • Dedicated neuroscience By incorporating • Access to neurosurgery intensive care unit for stroke up-to-date, researchwithin 2 hours. patients. based protocols, Lee • Sends complex patients Memorial Health • On-site neurological to a Comprehensive System hospitals availability 24/7 with the Stroke Center. have created a hubability to perform complex and-spoke system in procedures. order to provide the • Receives patients from best, most efficient Primary Stroke Centers. treatment. In other words, the Primary Stroke Centers serve as the first line for stroke patients and the Comprehensive Stroke Center is available for the most serious cases, including patients needing neurointerventional procedures. Gulf Coast Medical Center treats all stroke patients, while also accepting transfers from the Primary Stroke Centers. S – Speech Difficulty – Is speech slurred? Is the person unable to speak or hard to understand? Ask the person to repeat a simple sentence, like “The sky is blue.” Is the sentence repeated correctly? T – Time to Call 911 – If someone shows any of these symptoms, even if the symptoms go away, call 911 and get the person to the hospital immediately. Check the time so you know when the first symptoms appeared. Other symptoms include: • Abrupt change in balance or the ability to walk • Loss of vision in one or both eyes Lee Memorial Health System’s HealthPark Medical Center also is working toward Primary Stroke Center designation, which it will officially earn this fall/winter. • Sudden onset of severe headache, which may be accompanied by vomiting, dizziness or altered consciousness Remember to think F.A.S.T. when it comes to stroke. Dial 911 for assistance. And rest easy knowing that the best care is available right here in Southwest Florida. With the recent recognition and designation of Gulf Coast Medical Center as a Comprehensive Stroke Center—along with Cape Coral Hospital and Lee Memorial Knee Replacement Restores Mobility Trips up and down the stairs in her home were treacherous. Delivering food to the senior center was almost impossible for Kewanee, Ill. resident Rose Melbourne. Then, one night, the 76-year-old sat down and couldn’t get up. “I didn’t know what to expect, but I did not have to take anything stronger than Tylenol,” Rose says. “I had a fluid build-up on my knees,” Rose says. A visiting orthopedic physician administered a shot, but the medication did little to relieve her pain. Rose called her daughter in Florida, who suggested that she fly here to see an orthopedic surgeon who could help determine the best treatment option. “I knew if I came to Florida, I could see someone and stay at my daughter’s house, which has no steps,” she says. A few weeks later, Rose flew to Florida, moved in with her daughter, Laura, researched physicians and met with orthopedic surgeon Edward Humbert, D.O. Dr. Humbert determined that Rose was an ideal candidate for knee replacement surgery. “Her cartilage was gone, resulting in the condition of bone rubbing on bone,” Dr. Humbert says. “This condition is quite painful and results in a lower quality of life.” After her first surgery in October 2013, Rose decided to stay in Florida to recuperate; then complete surgery on her right knee. “At first I thought I would wait for a year between surgeries, but I recovered so well, I knew I wanted to regain full mobility,” she says. Because previous methods to treat Rose’s knees were unsuccessful, Dr. Humbert recommended knee replacement for both knees, beginning with her left knee, which was the most painful. To prepare, Rose exercised and changed her eating habits. She lost 40 pounds before her surgery and another 25 pounds afterward. “I wanted the surgery to be successful,” she says. Rose’s experience is common, Dr. Humbert says. “So often, when patients are still in the hospital following their first joint replacement, they want to know when they can schedule the second one,” he says. “The technology today allows us to make a real difference and to eliminate or reduce years of constant pain.” Dr. Humbert advised Rose that knee replacement surgery can be painful, but she was prepared. “I didn’t know what to expect, but I did not have to take anything stronger than Tylenol,” Rose says. “I was discharged a week early from therapy.” Dr. Humbert replaced Rose’s right knee in March and she returned home to Illinois early in the summer. Her new knees take her up and down the stairs in her house with ease and she is in the process of setting up a garage sale. She plans to return to Florida in the near future for another visit—this time without a surgical appointment. “My life has changed,” she says. “I have discovered muscles I did not know I had. My friends cannot believe I’m getting around as well as I am. I’ve slimmed down even more and plan to go back to my volunteer work.” Edward T. Humbert, D.O. Joint Implant Surgeons of Florida 7331 College Parkway Suite 300 Fort Myers, FL 33907 239-337-2003 Before: Raw bone rubbing on raw bone. www.LeeMemorial.org tes a After: A new surface crea t. smooth functioning join 4 Check the Volume – Noise-Induced Hearing Loss is Possible, Preventable Whether it is music, chatter on the TV or the radio, traffic, or birds and other animals, wherever we are, we are surrounded by sounds. Other sounds also permeate our existence, including power tools, hairdryers, firecrackers, squeaking toys, household appliances and emergency vehicle sirens. Though we can’t escape many of these sounds, we can manage volume levels, distance from the source and length of time listening in order to prevent noise-induced hearing loss. “The damage of hearing loss is cumulative,” Dr. Morgenstein says. “Slight hearing loss in childhood or adolescence can lead to substantial hearing loss in adulthood. Hearing loss can be permanent, so I urge parents to monitor their children’s level of noise and length of exposure. One of the best tips I give parents is to keep their child’s MP3 player at half the maximum volume and limit the child’s listening to 20 minutes on, 20 minutes off. I remind parents that if they can hear the music coming from their child’s ear bud, the volume is too high.” “Noise-induced hearing loss is a significant social and public health concern, especially for adolescents,” explains Stuart Morgenstein, D.O., pediatric ear, nose and throat physician. “Approximately 18 percent of people ages 6-19 years old have noise-induced hearing loss. However, it is preventable by limiting exposure to sounds of a certain decibel.” Dr. Morgenstein adds that parents can help protect their children’s ears by knowing which sounds affect hearing and using earplugs and earmuffs, when necessary. “This is important because noise-induced hearing loss is preventable,” Dr. Morgenstein says. To learn more about noise-induced hearing loss, Dr. Morgenstein recommends visiting www.noisyplanet.nidcd.nih.gov. Decibels are the measure of the intensity of sounds, and sounds that are higher than 85 decibels can cause hearing loss, Dr. Morgenstein says. “For example, squeaking toys can range from 78-108 decibels,” he says. As kids get older, their ears are exposed to other high decibel sounds, including firecrackers—125 decibels; music on an MP3 player—when listened to at maximum volume is 75-105 decibels; and concerts— which can range from 130-140 decibels. Stuart Morgenstein, D.O. Pediatric Ear, Nose and Throat Golisano Children’s Hospital of Southwest Florida 15901 Bass Road Suite 102 Fort Myers, FL 33908 239-343-9890 Patients Live Longer with Advanced Prostate Cancer Protocols Living with Prostate Cancer Each year 260,000 men in the United States are diagnosed with prostate cancer and 34,000 die from the disease. The numbers continue to increase because of our aging population. Fortunately, modern-day medicine allows us many options in treating prostate cancer. The earlier there’s a diagnosis, the more successful the chance for a cure. This is especially important in younger patients who have a longer life expectancy. “Fortunately, because of newer advances in prostate diagnosis and care, most patients with prostate cancer live long and satisfying lives,” says urologist Steven H. Paletsky, M.D. The disease can strike any man but the incidence is higher in black men than white men, and is lowest in Hispanics and the American Indian population. “Prostate cancer is very manageable when we catch it in the early stages,” Dr. Paletsky says. “For the 80 percent of men who seek treatment, the cancer is localized to the prostate gland itself. Approximately 20 percent of patients, when first diagnosed, have cancer that has spread. It is extremely important to make the diagnosis when the cancer is confined to the prostate since a cure is only possible in those patients.” “Not all patients need to be treated for prostate cancer,” Dr. Paletsky warns. “Those patients who have very minimal disease can be watched using ‘active surveillance.’ This is monitoring their PSA, performing rectal examinations on a routine basis, and periodically performing a biopsy to see if the cancer is increasing in size.” This treatment option is especially important in older patients who may not be good candidates for definitive treatment. If the cancer is detected after it has left the gland and traveled to other parts of the body, a physician’s goal is to control the disease. About 30 percent of men age 50 have the potential to develop prostate cancer. This incidence increases to approximately 50 percent in 70-year-old patients. “As one ages, the incidence of prostate cancer increases,” Dr. Paletsky says. “Approximately 1 in 7 patients will develop prostate cancer in his lifetime. Small cancers usually do not cause a significant problem, but as the cancer increases in size, then survivability decreases.” Treatment options include: • Radiation therapy: This involves approximately 40 daily treatments exposing the prostate to a short course of radiation. Over time, this treatment has produced better results by localizing the prostate cancer. • Brachytherapy “prostate seeds”: This is a very common way of precisely delivering radiation exclusively to the prostate organ. This is a form of radiation therapy since the isotope “seed” is radioactive. The advantage of prostate seeding is that it is generally one treatment delivered to the patient. There is no specific known cause for prostate cancer but it appears more often as men age. It is unusual for a man younger than age 50 to develop prostate cancer. “At one time, researchers thought testosterone increased the incidence of prostate cancer, but as we know today, testosterone is not the cause of prostate cancer, but may feed a prostate cancer making it grow faster,” Dr. Paletsky says. “Decreasing testosterone levels early, by removing the male organs (testicles), decreases the growth rate of prostate cancer. Modern-day treatment, however, is accomplished with drugs, which have the same effect of decreasing testosterone. One needs to remember that testosterone is the highest in younger patients when the incidence of prostate cancer is generally the lowest. As we age, the level of testosterone decreases and the incidence of prostate cancer increases.” • Surgery: All surgery is designed to remove the entire prostate. Advances in robotic procedures and the perineal approach—which utilizes a small incision around the rectum—have helped many patients retain continence and erectile function. • Suppression of hormone levels: This option is for patients who have already had a cancer diagnosis and the cancer has spread. There are certain drugs that can do this effectively, which do not change the overall lifestyle of the patient. These medications are all designed to decrease testosterone. • Medication: In advanced stages of prostate cancer, medication is used to control the disease. Physicians recommend specific drugs or types of drugs on an individual basis. Patients can reduce their risk of developing prostate cancer by: • Maintaining a healthy weight. Obese patients are more likely to develop prostate cancer “Living with prostate cancer now is certainly different than it was many years ago,” Dr. Paletsky says. “Patients can live many years and have a good, fruitful, enjoyable life. When properly treated, even patients whose cancer has spread, die with their cancer, not because of their prostate cancer.” • Reducing consumption of red meat and dairy products • Eating healthy fruits and vegetables Steven H. Paletsky, M.D. Florida Specialists in Urology 7335 Gladiolus Drive Fort Myers, FL 33908 239-689-6677 • Increasing intake of vitamins D and E, selenium, soy, green tea, lycopene (tomato-rich products) and anti-inflammatory medications Screening for prostate cancer is relatively simple. The first step is PSA (prostatespecific antigen), a simple blood test that costs about $30. “It is also important to see your physician to get a digital rectal examination on a yearly basis,” Dr. Paletsky says. “What is important is the fact that the PSA should minimally increase on a yearly basis. An abrupt change signals the possibility of prostate cancer. This is the ‘PSA velocity.’” The level of the PSA reflects the size of the prostate. Small prostates have a low PSA. As the prostate increases in size with aging, the PSA generally increases. 5 Patients Take Control with Balance Vest For Shirley Cropper walking on her own was a struggle. Essential tremors and peripheral neuropathy—or nerve damage—left her unsteady on her feet, requiring the use of a walker. After a couple serious falls, including one that left her unconscious, she talked to her doctor about a referral for balance therapy. Though Shirley previously attended therapy with Dawn Root, physical therapist, treatment was different this time because Dawn was armed with a tool that she thought might help Shirley—a BalanceWear™ vest. “The weighted vest affects the body’s ability to sense where it is in space,” Dawn explains. “By strategically placing ¼ and ½ pound weights in various positions on the torso, we can counterbalance weakness and improve balance. Patients aren’t automatically cured, but we see great improvements when used in conjunction with therapy.” Dawn says the weighted vest is an individualized approach to balance therapy because the positioning of the weights is very specific for each patient. Additionally, some patients may just need to use the vest during therapy sessions, while others need to wear it all the time. Shirley wears her vest all of the time. “The weighted vest affects the body’s ability to sense where it is in space,” Dawn explains. “By strategically placing ¼ and ½ pound weights in various positions on the torso, we can counterbalance weakness and improve balance.” “I use it every day,” Shirley says. “From the moment Dawn put the vest on me and I tried it for the first time, I wanted one. I remember walking a straight line and thinking that Dawn was supporting me, but she wasn’t—for me, the vest worked right away. Now I’m able to clean and do my thing without fear of falling.” The weighted vest helps patients with balance and mobility loss caused by: • Parkinson’s disease • Multiple sclerosis Lee Center for Rehabilitation & Wellness is currently the only facility in our area to offer this type of therapy, though weighting patients with balance problems has been around for a while. “The difference between weighting patients with and without the vest is the strategic placement of the weights with the vest,” Dawn says. “We can truly individualize the care for each patient.” • Stroke • Head trauma • Brain surgery • Osteoporosis Dawn—who is certified by BalanceWear™—is joined by Rebecca Loiacano, physical therapist, who is currently in the process of certification. Together they have seen patients from as far away as Tampa and Ocala. • Ataxia, or lack of coordination • Cerebral palsy “The vest doesn’t help everyone,” Dawn says. “But for those it does help, it changes their lives.” • Dizziness • Inner ear issues If you think you could benefit from the weighted vest, talk to you physician about a referral to physical therapy. To view a video on the balance vest, go to tinyurl.com/BalanceVest Cataracts Affect Most Older Adults Graying hair, slower reaction times and cataracts can all be part of the aging process, but seniors are not the only age group who need their eyes checked. “Presently, we consider aging to be the most likely cause of cataracts,” says ophthalmologist David C. Brown, M.D. “This concept, however, is an oversimplification. Other factors may contribute to the condition.” Risk factors include: • Family history of cataracts • Eye injuries • Some medications, such as cortisone • Health problems, including diabetes Regular eye exams are an integral part of a good health routine. “People who suffer visual impairment from cataracts, even modest impairment, are much more inclined to have automobile accidents or falls with broken bones, and cataracts can even be a contributing factor to the progression of dementia,” Dr. Brown says. • Long exposure to sunlight Common complaints of a cataract patient could include: • Smoking • Difficulty reading • Alcohol • Glare “Because many cataracts take years to develop, the onset of visual disturbance may be virtually unnoticed by the patient,” Dr. Brown says. “Commonly, people feel that their glasses are outdated or inadequate, when in fact it may be a result of cataract formation.” Cataracts cloud the lens of the eye, and can affect people of any age, including infants but are most common in men and women age 65 and older. Approximately 75 percent of people age 75 and older have cataracts. There are no medical treatments, such as eye drops or medication to prevent cataracts. People who develop cataracts have only one treatment option: surgery. “Over the years, cataract treatment has improved, including surgical techniques, diagnostics and intraocular (in the eye) lens options to improve vision outcomes,” Dr. Brown says. www.LeeMemorial.org Cataract surgery is the most common surgical procedure performed in the United States. “The cataract operation is performed in a painless manner with the aid of sophisticated surgical devices,” Dr. Brown says. “Great advances in cataract surgery have included state of the art lens replacement for correcting vision. These lenses can even correct astigmatism and reading problems. Because the operation is quick and painless, there is essentially no risk and even patients with serious medical conditions may undergo cataract surgery.” 6 • Trouble driving at night • Loss of color perception David C. Brown, M.D. Eye Centers of Florida 4101 Evans Avenue Fort Myers, FL 33901 239-939-3456 Car Seat Inspections and a Baby Care Class Keep Little Ones Safe It seems easy enough: purchase a car seat, read directions and install it in the car; but, the reality is that 3 out of every 4 car seats are not properly installed. to avoid this tragic accident. We also go over general car seat safety, and encourage parents to sign up for the free inspection.” To help parents, grandparents and other caregivers ensure the safety of their child’s car seat, Golisano Children’s Hospital of Southwest Florida and the Kohl’s Kids Safety Program offer free car seat fittings throughout Southwest Florida. Golisano Children’s Hospital also offers a Baby Care & Car Seat Safety course to help parents keep their children as safe as possible. Additionally, for those families who qualify, Golisano Children’s Hospital—through a grant from the Florida Occupant Protection Resource Center (OPRC)—has a reduced rate car seat program, as well as a special needs car seat rental program. For more information, general injury prevention questions or to schedule a car seat inspection, contact Lorena Rodriguez at 239-343-5803 or Sally Kreuscher, child advocacy program coordinator, at 239-343-6199. “It isn’t mandatory to have a car seat inspected,” explains Lorena Rodriguez, child advocate. “But, we recommend it—especially before baby’s delivery—because the number of car seats installed incorrectly is so high. A lot of parents think they have it right, but the instructions are usually very general and every vehicle and car seat is different. So, by scheduling an inspection—which takes about 25-30 minutes, we can help teach parents how to safely and properly install the car seat. That way they are 100 percent sure that their baby’s seat is installed correctly, which can reduce fatal injury by up to 71 percent for infants and 54 percent for toddlers ages 1-4.” Important facts and tips about car seat and child restraint safety: • Car seats expire—usually between six to 10 years after they are manufactured— because technology improves, standards change and materials wear down. • Avoid purchasing and/or installing a secondhand car seat because it could be expired, it could have been recalled, important information could be missing or it could have been involved in an accident, which means it would fall short of current safety standards. Lorena, who is a certified child passenger safety tech, adds that car seat inspections can be done at any time and can be very helpful for parents with multiple children in child restraints. In addition to completing the car seat inspections, Lorena teaches the Baby Care & Car Seat Safety course, which helps prepare expectant parents for the birth of their new baby. • Rear-facing is the safest option and provides the best protection for the baby’s head, neck and spine. The law states that babies younger than 1 year and smaller than 20 pounds should remain rear-facing. The American Academy of Pediatrics, as well as the child advocates, recommend keeping a child rearfacing until he or she is 2 years old or until he or she grows out of the rearfacing seat. “The class is a real confidence builder,” Lorena says. “We teach parents about what to expect the first few days, as well as basic infant care, safe sleep, cord care, bathing—and drowning prevention, diapering—along with falls prevention, and childproofing. We spread awareness about the dangers of unintentionally leaving a baby or child in the car, and we advise parents to use reminders • Convertible car seats are a good option because they work for babies as small as 5 pounds up to children who weigh 65-80 pounds, depending on the brand of the car seat. • Children younger than 13 should sit in the back seat of the car, and children should use a booster seat until they are 57 inches—or 4’ 9”. • Beginning in 2015, the law will require children to be in a restraint until their 6th birthday. Home Health Monitors Patients from a Distance There is no place like home when you are recovering from surgery, ill or just need extra help while recovering from a health problem. With Lee Memorial Home Health, you can receive professional health care in the comfort and familiarity of your own home. “Today, advanced technology medical equipment for use in the home provides treatments and services that once were available only in the hospital,” says Jonathan Hollander, clinical director, Lee Memorial Home Health. “Additionally, in the privacy of your own home, you can receive care from Lee Memorial Home Health’s highly skilled registered nurses; physical, speech and occupational therapists; certified home health aides and medical social workers.” Services include: • • Self-care skills (bathing, preparing food, cleaning, etc.) • • • Communication skills (speech therapy, community outreach) Muscle re-education (learning to walk again, help with grasping, moving) Personal care with hygiene and related tasks Counseling and social support “We offer a wide range of services to meet the special medical, physical and emotional needs of our patients,” Jonathan says. “Our team of health care professionals will develop a comprehensive home care plan, and monitor and review your progress. Registered nurses supervise your care and treatment. Physical, speech and occupational therapists provide rehabilitation services as prescribed by the physician, and home health aides provide a full range of personal care services. Medical social workers provide counseling and social service support to you and family members.” Telehealth is one of the program’s vital components. Telehealth allows remote monitoring of a patient’s blood pressure, oxygen level, heart rate and weight, as appropriate. “The installers take the Telehealth equipment to the home and train our patients or their caregivers on how to take the patient’s vital signs,” says Cathy Brady, manager, Telehealth and Lifeline programs. “Once the vital signs are taken and questions are answered, this information is transmitted to our central monitoring station here in Home Health. We have nurses who review this information. If the patient has an abnormal vital sign reading or answers yes to one of the disease specific questions, the Telehealth nurse will intervene.” taking the incorrect amount or taking medications at the wrong time. “The medication dispenser is used for someone who is unable to safely manage their own medications,” Cathy says. “This could be due to a physical or cognitive reason. The medication dispenser is filled by a loved one, a friend or caregiver. Both of the medication dispensers are locked and monitored. The dispensers are programmed at predetermined times to dispense the users medication.” The dispensers provide audible and visual reminders that it is time to take medication, thus increasing medication compliance by the user. Multiple alerts can be sent to the caregiver, acknowledging missed doses, as well as reminders that it is time to refill the dispenser and loss of electricity. “The medication dispenser gives the user and family or caregiver peace of mind,” Cathy says. Call your physician to find out if Lee Memorial Home Health is right for you or call Home Health for an evaluation, 239-418-2900. Most of the services are covered by major insurance companies, Medicare and Medicaid. Home Health and Telehealth services are designed to keep patients comfortable in the own homes, avoiding unnecessary trips to the emergency department and hospital admissions. Another component is two medication dispensing systems. These systems help reduce medication errors, whether due to missed doses, 7 Children with Fever or Those Recently Vaccinated Should Avoid Aspirin Low-dose aspirin comes with a warning: Children and teenagers younger than 18 years old should not take aspirin if they have chickenpox, flu or any undiagnosed illness, or if they have recently received a vaccine. The reason: The threat of Reye’s syndrome. Symptoms can include: Reye’s syndrome is a condition that develops in children and teenagers, usually after exposure to aspirin during a viral infection, particularly varicella (chicken pox) or influenza (the flu). • Stupor • Vomiting, followed by confusion and agitation • Coma • Enlarged liver “Its symptoms are related to encephalopathy (brain dysfunction) and acute liver dysfunction and they usually show up several days after the viral infection is no longer apparent,” says family medicine physician Charles “Jack” Arnold, M.D. • Infants can have seizures and apneic episodes (pauses in breathing) To treat the disease, physicians focus on lessening the stress on the brain. This is accomplished by preventing seizures and relieving intracranial (brain) pressure. “The ideal situation is for a patient to take other medication and eliminate the chance of developing Reye’s syndrome,” Dr. Arnold says. “But if it’s too late, we can administer anti-seizure medication. Patients with Reye’s should be adequately oxygenated, with their head in a tilted, upright position.” Children who develop Reye’s have a 31 percent mortality rate. Children who develop high blood ammonia levels and children younger than age 5 are the most at-risk for developing the condition. The high ammonia levels represent a greater degree of acute liver dysfunction. “The good news is the incident rate of Reye’s syndrome is down,” Dr. Arnold says. “When first identified, it affected as many as 1 in 100,000 people. Now, it affects 1 in 1,000,000. This is most likely due to the FDA labeling on aspirin products and increasing public knowledge of the dangers of aspirin use to treat fevers in children suffering from the flu or chicken pox.” Charles “Jack” Arnold, M.D. Family Medicine Lee Physician Group 2780 Cleveland Avenue Suite 709 Fort Myers, FL 33901 239-343-3831 Eliminating Elective Pre-term Deliveries The final weeks of pregnancy can feel like time slows down as the excitement and anticipation of meeting your new baby grows. While it may be tempting to schedule an earlier delivery, it is not the best option for your baby, as significant and important growth takes place during the last weeks of gestation. Additionally, many hospitals, including Lee Memorial Health System hospitals, have changed their policies to curb early elective births prior to 39 weeks. Babies born prior to 39 weeks tend to have breathing and feeding problems, and increased risk of infection. “About four years ago, we noticed that there was an increased number of 37-38 week babies going to the NICU [neonatal intensive care unit] with respiratory issues,” explains Christine “Chris” Jabaay, RN, Lee Memorial Health System director of labor and delivery. “At the same time, the Florida Perinatal Collaborative and the March of Dimes were launching a pilot study to eliminate early elective deliveries. We decided to apply to participate in the study, and HealthPark Medical Center was chosen to participate.” Chris says the 2010 baseline submitted to March of Dimes showed that 30-35 percent of deliveries were elective and prior to 39 weeks. “Early on, we had good physician backup and administrative support,” Chris says. “Dr. Mary Yankaskas [obstetrician/gynecologist on Lee Memorial Health System’s medical staff] took the lead on helping to create the new policy. If other doctors had questions about the policy, then she was able to meet one-on-one with the doctor. Now, we have Dr. Sarah DiGiorgi [obstetrician/gynecologist on Lee Memorial Health System’s medical staff] in that leadership role and she has continued to provide great support. HealthPark Medical Center also has a dedicated scheduler, who serves as the gatekeeper and requires valid reasons and documentation to support the need for early deliveries.” There are times that an early delivery is medically necessary, Chris says. “An early delivery is much different from an elective early delivery,” she says. “Because of that, today we see less than 5 percent—usually 2 percent or less—of births that are prior to 39 weeks.” There are times that an early delivery is medically necessary, Chris says. “An early delivery is much different from an elective early delivery.” The success of the initiative and new policy recently earned Lee Memorial Health System’s Cape Coral Hospital and HealthPark Medical Center recognition from the March of Dimes and the American Congress of Obstetricians and Gynecologists for the significant reduction in early elective inductions and cesarean deliveries. Chris reminds all new parents that, if the pregnancy is a healthy one, allow labor to begin on its own—it’s the healthiest start for the baby. www.LeeMemorial.org 8 Lee Memorial Health System Welcomes Pulmonologists We are pleased to welcome new pulmonologists to Lee Memorial Health System. They provide much-needed care to members of our community. Brian Horner, D.O. Pulmonology tinyurl.com/DrHorner Ragai Meena, M.D. Pulmonology tinyurl.com/DrMeena His areas of expertise: • Bronchoscopy • Critical care medicine • Sleep medicine • Lung diseases, including emphysema, pneumonia, COPD and lung cancer His areas of expertise: • Bronchoscopy • Critical care medicine • Sleep medicine Stephen Wilczynski, M.D. Pulmonology tinyurl.com/DrWilczynski His areas of expertise: •Lung diseases, including asthma and COPD •Critical care medicine •Pulmonary testing 9131 College Pointe Court, Fort Myers, FL 33919 239-343-9130 Chronic obstructive pulmonary disease (COPD) is a common lung disease that affects millions of Americans, and is more common among Caucasians. This condition takes years to develop and usually is associated with tobacco use and smoking. COPD affects the airways and lung tissue in a way that results in a variety of symptoms, including shortness of breath, decreased endurance, chest pain and chronic cough with sputum production. “There is a wide spectrum of COPD symptoms,” explains Ragai Meena, M.D., pulmonologist. “The condition causes the airway to narrow during exhalation, which gives the feeling of shortness of breath and air being trapped in the lungs. An inflammatory component of the disease process leads to an overproduction of mucus and sputum. Hence, symptoms may vary from one person to another.” As the disease progresses through the years, patients may experience worsening COPD, which result in acute inflammation with or without an infection and require specific treatment with anti-inflammatory medications and antibiotics. “The endstage of COPD is emphysema,” Dr. Meena explains. “In this stage of the disease, patients are very short of breath, may require oxygen therapy and inhalers to help with breathing, and sometimes require being admitted to the hospital or the intensive care unit (ICU) if they are acutely ill.” To diagnose COPD, doctors perform a pulmonary function test (PFT). “The pulmonary function test is considered the gold standard for diagnosis by the American Thoracic Society (ATS),” Dr. Meena says. “During the test, we look at how much air the patient inhales and exhales, as well as how quickly the patient exhales.” Other tests used to diagnose COPD include chest X-rays or arterial blood gas analysis (ABG)—which measures how well the lungs are bringing oxygen into the blood and removing carbon dioxide. Smoking cessation is a key component of the management plan of this condition, which may help slow the progress of the damage to the lung tissues. Dr. Meena says the focus of treatment has shifted over the past few years. “It used to be focused on inhalers to make the airways wider and reduce the inflammation,” he says. “Now the focus is on combining inhalers with improving the quality of life, keeping patients from being admitted to the hospital and increasing a person’s endurance with pulmonary rehabilitation.” Pulmonary rehabilitation is a comprehensive program that helps patients increase their understanding of their disease, teaches breathing techniques to decrease anxiety with air hunger, advises patients of dietary modifications and proper medication use, and helps them develop an emergency action plan. The program also involves upper and lower body weight-bearing and non-weight-bearing exercises. Lee Memorial Health System hosts the “Huffers and Puffers” support group for COPD patients, friends, family members and caregivers. “We prescribe pulmonary rehabilitation based on a standardized staging system for COPD severity (GOLD staging) and patients’ symptoms,” Dr. Meena says. “This program is approved by Medicare due to its benefits of improving quality of life.” Time: 1-3 p.m., third Friday of the month By maintaining a healthy diet and exercise regimen, smoking cessation, properly taking medication and keeping up with doctors’ appointments, patients can feel better and slow the progression of lung damage. Ragai Meena, M.D. Pulmonology Lee Physician Group 9131 College Pointe Court Fort Myers, FL 33919 239-343-9130 tinyurl.com/DrMeena Location: Lee Memorial Hospital Medical Office Building, Suite 705 Registration and for More Information: Call Nayda Agosto at 239-343-3520 9 P h y s i c i an Adult Physicians Allergy/Immunology Gaston Turnier, M.D. Lee Ann Dunnington, ARNP 11.4761 S. Cleveland Ave., Ste. 3 Fort Myers, FL 33907 239-343-9722 12.1265 Creekside Pkwy. Ste. 200, Naples, FL 34108 239-254-2470 Cardiology James A. Conrad, M.D. Robert M. Grohowski, M.D. Subhash Kshetrapal, M.D. Steven T. Lee, M.D. Brian C. Taschner, M.D. Nicole Charles, ARNP Virginia Pearson, ARNP 2. 16261 Bass Road, Ste. 300 Fort Myers, FL 33908 239-343-6410 Michael Bolooki, M.D. Robert Cross, M.D. Horace Dansby, M.D. Kiran Mangalpally, M.D. 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1660 Lynne Einbinder, M.D. Jihad Khalil, M.D. John R. Macaluso, M.D. Jesus Mendiolaza, M.D. Jian Xin Qin, M.D. Barbara Asorian, ARNP 7. 8960 Colonial Center Dr., Ste 302 Fort Myers, FL 33905 239-343-9700 Brian K. Arcement, M.D. James F. Butler, D.O. Vladimir Ilic, M.D. Murali M. Muppala, M.D. Courtney Chumbley, ARNP Vicki Hayes, ARNP Bradley Klement, PA 9. 14051 Metropolis Ave. Fort Myers, FL 33912 239-343-9270 M. Erick Burton, M.D. Richard A. Chazal, M.D. Michael A. Corbellini, D.O. Michael D. Danzig, M.D. Roshan Vatthyam, M.D. Karen Booth, ARNP Denise Bounds, PA-C 3. 3501 Health Center Blvd. Ste. 2330 Bonita Springs, FL 34135 239-495-4375 10. 9800 S. HealthPark Dr.,Ste.320 Fort Myers, FL 33908 239-343-6350 Community Health Centers Carrie Gittings, M.D. Luzan Phillpotts, D.O. Virginia Bihari, ARNP Julieann Chapman, ARNP Mary Dion, ARNP Janet Loo, ARNP Frances Munroe, ARNP Ericka Small, ARNP 13.1435 SE 8th Terrace, Ste E Cape Coral, FL 33990 239-424-2757 19.3511 Dr. Martin Luther King Blvd. Fort Myers, FL 33916 239-343-4910 20.13279 N. Cleveland Ave. North Fort Myers, FL 33903 239-652-4111 Endocrinology Heitham Ajlouni, M.D. Patricia Sareh, M.D. Dawn Stoner, ARNP Ruth Taggart, ARNP 7. 8960 Colonial Center Dr., Ste 302 Fort Myers, FL 33905 239-343-9686 Family Medicine Whistler Mondesir, M.D. Rodolfo Perez-Gallardo, M.D. Joseph R. Salaz, M.D. Albert van Zyl, M.D. Lynn Billet, ARNP Sue Hook, ARNP Pam Salaz, ARNP 16.5225 Clayton Court Fort Myers, FL 33907 239-343-8240 Joseph Hobson, D.O. Barbara Baker, ARNP 7. 8960 Colonial Center Blvd. Ste. 300 Fort Myers, FL 33905 239-343-9627 Gregory E. Krill, M.D. 2. 16271 Bass Road Fort Myers, FL 33908 239-343-7100 Priscilla Ndiang’Ui, FNP-BC 5. 930 S. Main St. LaBelle, FL 33935 863-675-4450 Sebastian Draulans, M.D. Manuel A. Garcia, M.D. Erin Lake, ARNP Judith Wagoner, ARNP Same day and Saturday appointments available. Call Center open 7 a.m. – 7 p.m., 7 days a week 239-481-4111 www.LeeMemorial.org 8. 9131 College Point Court Fort Myers, FL 33919 239-343-9100 Gilberto Riveron, M.D. Nicole Kauffman, ARNP 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1600 Hilario David, M.D. Alla Zhukova, M.D. 6. 507 Cape Coral Pkwy. Cape Coral, FL 33904 239-541-4421 Christina Cavanagh, M.D. Julia Fashner, M.D. Alfred Gitu, M.D. Gary Goforth, M.D. Brian Selius, D.O. Roseane Illes, Ph.D. Elena Reyes, Ph.D. 18. 2780 Cleveland Ave., Ste. 709 Fort Myers, FL 33901 239-343-3831 Patricia Daneshmand, D.O. Thomas Harris, M.D. Rick Waks, D.O. Amanda Volberg, ARNP Arlene Wright, ARNP 7. 8960 Colonial Center Dr., Ste. 300 Fort Myers, FL 33905 239-343-9470 Anjana Chaudhari, M.D. 3. 3501 Health Center Blvd. Ste. 2310 Bonita Springs, FL 34135 239-495-5020 General Surgery Eric A. Goldsmith, D.O. 11.4761 S. Cleveland Ave., Ste. 3 Fort Myers, FL 33907 239-424-1611 William Kokal, M.D. Darren Miter, D.O. 8. 8380 Riverwalk Park, Ste. 100 Fort Myers, FL 33919 239-343-9960 Bertrand Fonji, M.D. Eric A. Goldsmith, D.O. Barry Haicken, M.D. 13.708 Del Prado Blvd., Ste. 1 Cape Coral, FL 33990 239-424-2755 General & Vascular Surgery Moutaa BenMaamer, M.D. John Moss, D.O. 8. 8380 Riverwalk Park, Ste. 100 Fort Myers, FL 33919 239-343-9960 House Calls – Geriatrics Jennifer Cittadino, ARNP Amie Peterson, ARNP 8. 12600 Creekside Lane, Ste. 6 Fort Myers, FL 33919 239-343-9219 HIV Services Douglas G. Brust, M.D. 18.2780 Cleveland Ave., Ste. 819 Fort Myers, FL 33901 239-343-3764 Infectious Diseases Alvaro Beltran, M.D. Esther Morrison, M.D. Manuel Revuelta, M.D. 18.2776 Cleveland Ave., Ste. 809 Fort Myers, FL 33901 239-343-9680 Mary Beth Saunders, D.O. Rajendra S. Sharma, M.D. James Toomey, M.D. 10.9981 S. HealthPark Dr., Ste. 454 Fort Myers, FL 33908 239-343-9710 10 D i r e ctor y Internal Medicine George Ball, M.D. Patrick Bowman, M.D. Paul Mantell, M.D. Tina Wood, ARNP 1. 1569 Matthew Dr. Fort Myers, FL 33907 239-343-8220 Anjana Chaudhari, M.D. Alberto Concepcion, M.D. Jason Triana, M.D. Petra DeBolt, ARNP 3. 3501 Health Center Blvd. Ste. 2310 Bonita Springs, FL 34135 239-495-5020 Francisco Marasigan, M.D. Bharath Radhakrishna, M.D. 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1600 Kai-Fu Chow, M.D. Priscilla Ndiang’Ui, ARNP 5. 930 S. Main St. LaBelle, FL 33935 863-675-4450 John Ardesia, D.O. Adriana Loukanova, M.D. Leah Lynch, M.D. Gaurav Nayyar, M.D. Binh Truong, M.D. Diana Young, M.D. Mary Ellen DeMartini, ARNP Vicky Brooks, ARNP Shawn Steiner, ARNP Kathryn Udell, ARNP 2. 16271 Bass Road Fort Myers, FL 33908 239-343-7100 Ellen Hoefer-Hopf, M.D. Milena Loukanova, M.D. Felix R. Mestas, M.D. Barbara Spokas, PA 6. 507 Cape Coral Pkwy. Cape Coral, FL 33904 239-541-4421 Carmen Barres, M.D. 7. 8960 Colonial Center Dr., Ste. 300 Fort Myers, FL 33905 239-343-9470 Charles Briseño, M.D. Shailaja Hegde, M.D. Aldith Lewis, D.O. Bruce J. Lipschutz, D.O. 8. 9131 College Point Court Fort Myers, FL 33919 239-343-9100 Memory Care – Geriatrics Vasyl Kasiyan, M.D. Aboo Mannan, D.O. Tanja Mani, Ph.D. Michael Shain, Ph.D. Denise McPherson, ARNP Judith Anne Petrin, ARNP 8. 12600 Creekside Ln., Ste. 7 Fort Myers, FL 33919 239-343-9220 Neurosurgery John J. Dusseau, M.D. Jeffery S. Henn, M.D. Saman P. Javedan, M.D. Dean D. Lin, M.D. 7. 8931 Colonial Center Blvd. Ste. 401 Fort Myers, FL 33905 239-343-3800 10.9981 S. HealthPark Dr., Ste. 120 Fort Myers, FL 33908 239-433-8888 13.708 Del Prado Blvd., Ste. 6 Cape Coral, FL 33904 239-343-3800 18.2780 Cleveland Ave., Ste. 819 Fort Myers, FL 33901 239-343-3800 Gregory Velat, M.D. 24.13681 Doctor’s Way, Suite 350 Fort Myers, FL 33912 239-343-3800 Outpatient Radiology Appointments Available Evenings and Saturdays 239-424-1499 Neurointerventional Radiology Nasser Razack, M.D. Creed Rucker, M.D. 24.13681 Doctor’s Way, Suite 350 Fort Myers, FL 33912 239-343-3800 Obstetrics/Gynecology John Oliva, M.D. Dirk Peterson, M.D. 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1600 Shelly Chvotzkin, M.D. Edward Marineau, M.D. Bipin Shah, M.D. Kwee Green, CNM Tammy Leuttich, CNM Christina Sierra, CNM Cindy Stewart, CNM Kristin Trout, CNM Mandi Wade, CNM 2. 16271 Bass Road Fort Myers, FL 33908 239-343-7100 5. 930 S. Main St. LaBelle, FL 33935 239-343-7100 23. 4040 Palm Beach Blvd., Ste. F Fort Myers, FL 33916 239-343-7100 18.2780 Cleveland Ave., Ste. 709 Fort Myers, FL 33901 239-343-3800 Kevin S. Campbell, M.D. Diana D. DeVall, M.D. Martin Ebenger, M.D. Deidre Fish, M.D. Melissa Lee, M.D. Cherrie Morris, M.D. Patricia Hunsucker, ARNP/CNM Nancy Redecker, ARNP/CNM Zoe Sheppard, ARNP/CNM Kim Town, ARNP Denise Waszkowski ARNP/CNM 3. 3501 Health Center Blvd. Ste. 2130 Bonita Springs, FL 34135 239-343-6100 11.4761 S. Cleveland Ave., Ste. 4 Fort Myers, FL 33907 239-343-6100 15.15901 Bass Road, Suite 100 Fort Myers, FL 33908 239-343-6100 Occupational Health Services Paul Fortier, M.D. Andrew Singh, M.D. Kelly Campbell-Wigington, ARNP Carolyn Hoffman, ARNP Daniel Nalepka, PA-C 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-343-9841 11.4771 S. Cleveland Ave. Fort Myers, FL 33907 239-343-9841 2. 16230 Summerlin Rd., Ste. 215 Fort Myers, FL 33908 239-343-9841 n vela e l C N. 143 John Distasio, M.D., PhD Denise Drago, M.D. Kimberly Ghuman, M.D. Pierre Loredo, M.D. Anthony Pietroniro, M.D. Thomas Schiller, M.D. Lindsay Schwandner, M.D. Martin Sherman, M.D. Piedade Silva, M.D. Nancy Witham, M.D. William Daniel Wood Jr., M.D. Cynthia Hohman, ARNP Amy Hicks, ARNP Kori Howell, ARNP Julie Vega, ARNP 3. 3501 Health Center Blvd., Ste. 2220 Bonita Springs, FL 34135 239-343-9888 11.4751 S. Cleveland Ave. Fort Myers, FL 33907 239-343-9888 d ck Br o Hanc 20 Cape Coral Pkwy. G Mc d. Blv Pediatric Nephrology Irina Gershin-Stevens, D.O. 15. 15901 Bass Road, Suite 102 Fort Myers, FL 33908 239-343-9890 10 15 2 Sum lin mer (Hematology/Oncology) Kim Shimoda, Ph.D. 10. 9981 S. HealthPark Drive, Ste. 158 Fort Myers, FL 33908 239-343-5333 Pediatric Sleep Medicine Jose Colon, M.D. 17. 13601 Plantation Road Fort Myers, FL 33912 239-343-0762 Pediatric Surgery Rodrigo Mon, M.D. Amy Stanfill, MD. Indravadan Vyas, M.D. 15. 15901 Bass Road, Ste. 108 239-343-9890 Pediatric Specialty Clinic Naples 13.650 Del Prado Blvd., Ste. 107 Cape Coral, FL 33990 239-343-9888 12.1265 Creekside Pkwy., Ste. 200 Naples, FL 34008 239-254-4270 Pediatric Specialty Clinic Port Charlotte 14.260 Beth Stacey Blvd., Ste. C Lehigh Acres, FL 33936 239-343-9888 22 .18316 Murdock Circle, Suite 106 Port Charlotte, FL 33948 941-235-4900 Pediatric specialties available: • Allergy & Immunology • Endocrinology • Hematology/Oncology • Infectious Diseases • Nephrology • Neurology • Sleep Medicine • Surgery 14 Exit 131 Port Charlotte 17 Tam iam i Tr ail No rt h Exit 22 128 Pediatric Specialty Clinic Cochran Blvd. Alico Rd. Rd. Pediatric Neurology Margie Morales, M.D. Guillermo Philipps, M.D. Britt Stroud, M.D. Eric Vernier, M.D. Calee Vandeveer, ARNP 15. 15901 Bass Road, Suite 108 Fort Myers, FL 33908 239-343-6050 Pediatric Psychology 24 9 21 Lee Blvd. Exit 136 y. Daniels Pkwy. Gladiolus Dr. 7 Six Mile Cypress Pk w 16 8 Exit 138 Colonial Blvd. 1 11 6 r Fort Myers Plantation Rd. 18 Cape Coral o reg 23 Bea 19 Metro Pkwy. 13 m Pal Naples Immokalee Rd. Bonita Springs Lee Memorial Health System Hospitals Coconut Rd. Fort Myers and Cape Coral locations are open 7 a.m.-7 p.m., 7 days a week. For information or appointments, call 239-481-4111. 11 Vand erbilt Be 3 Cape Coral Hospital..................... 239-424-2000 Blood Center Location Bonita Beach Rd. 636 Del Prado Blvd., Cape Coral, FL 33990 Gulf Coast Medical Center............ 239-343-1000 13681 Doctor’s Way, Fort Myers, FL 33912 Andrew Singh, M.D. Avery Wright, D.O. Joy Coburn Weiner, ARNP Karen Knific, ARNP James Perry, PA Sonya Powell, ARNP Cynthia Reichelt, ARNP Laura Snyder, PA Lauren Wright, ARNP Bonita Springs Bonita Community Health Center 3501 Health Center Blvd. Urgent Care 7 a.m.-7 p.m. Mon.-Fri. 8 a.m.-4 p.m. Sat. and Sun. 239-949-1050 Corkscrew Rd. Exit 116 CONVENIENT CARE These walk-in medical centers provide treatment when you have common medical problems or minor, nonlife-threatening emergencies. Lab and X-ray services are available. Most major insurance plans are accepted. No appointment needed. Cape Coral • 1682 NE Pine Island Road Pediatric Specialty Clinic Exit 123 Convenient Care locations Ann Boudreaux, M.D. Karen Calkins, M.D. Nicole Higgs-Doughty, M.D. Karl Friedrich, M.D. Alan Goldstein, M.D. Saiful Islam, M.D. Chris Loutzenhiser, D.O. Tiffani MaGee, M.D. Abel Natali, M.D. Douglas Schulze, M.D. Fort Myers • 4771 S. Cleveland Ave. (North of Page Field) • 16230 Summerlin Rd., Ste. 215 (Summerlin & Bass Rds.) 12 Goodlette-Frank Rd. Estero Bonita Springs Tamiami Trail North Pediatric Infectious Diseases Michelle Hoffman, M.D. Stephanie Stovall, M.D. 10. 9981 S. HealthPark Dr., Ste. 454 Fort Myers, FL 33908 239-343-9710 y. g Pkw . lvd B ch Vanderbilt Drive Pediatric Hematology/Oncology Craig MacArthur, M.D. Cameron Nicholson, M.D. Emad Salman, M.D. Kelly Sawzcyn, M.D. Pam Wojciki, ARNP 10. 9981 S.HealthPark Drive, Ste.156 Fort Myers, FL 33908 239-343-5333 4 Rd. Pediatric Physicians lan Is Pine Pediatric Ear, Nose and Throat Stuart Morgenstein, D.O. 15. 15901 Bass Road, Ste. 108 Fort Myers, FL 33908 239-343-9890 Pediatric Endocrinology Asjad Khan, M.D. Cayce Jehaimi, M.D. Dina Pearson, M.D. Sujana Reddy, M.D. Tammy McCarty, ARNP 15. 15901 Bass Road, Ste. 102 Fort Myers, FL 33908 239-343-9890 Exit 141 . d Rd Bass 16.5216 Clayton Court Fort Myers, FL 33907 239-343-8260 Rheumatology Shabnam Ali, M.D. Juan Bustillo, M.D. 7. 8960 Colonial Center Dr., Ste. 204 Fort Myers, FL 33905 239-343-9633 Sleep Medicine Jose Colon, M.D. Javaad Khan, M.D. Debra Peck, ARNP 17.13601 Plantation Road Fort Myers, FL 33912 239-343-0762 Spine Center Sebastian Klisiewicz, M.D. Donna Lanthier, M.D. Periwinkle Way 7. 8960 Colonial Center Dr., Ste. 210 Fort Myers, FL 33905 239-343-9430 Wound Care & Hyperbaric Medicine Lisa Chow, M.D. Robert Kupsaw, M.D. 21. 13778 Plantation Rd. Fort Myers, FL 33912 239-343-0454 5 Pediatric Cardiology Eric Eason, D.O. 15. 16281 Bass Road, Ste. 301 Fort Myers, FL 33908 239-343-7490 Cleveland Ave. Rahul Challapalli, M.D. Vijay Das, M.D. Razak Dosani, M.D. Abusayeed Feroz, M.D. Sagar Naik, M.D. Janice Kirk, ARNP 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-343-8260 Pediatric Specialties Del Prado Blvd. Palliative Care Ahmed Hassan, M.D. Rabia Khan, D.O. Colleen Tallen, M.D. 7. 8960 Colonial Center Dr., Ste. 206 Fort Myers, FL 33905 239-343-9560 Pulmonology Brian Horner, D.O. Ragai Meena, M.D. Sunil Pammi, M.D. Stephen Wilczynski, M.D. Nancyann Harrod, ARNP 8. 9131 College Point Court Fort Myers, FL 33919 239-343-9130 (Daniels and Metro Parkway) HealthPark Medical Center.......... 239-343-5000 9981 S. HealthPark Dr., Fort Myers, FL 33908 (Summerlin and Bass Road) Golisano Children’s Hospital of Southwest Florida.............239-343-KIDS (5437) Lee Memorial Hospital................. 239-343-2000 Blood Center Location 2776 Cleveland Ave., Fort Myers, FL 33901 The Rehabilitation Hospital......... 239-343-3900 3 7 Bonita Community Health Center ......................... 239-949-1050 Blood Center Location 3501 Health Center Blvd., Bonita Springs, FL 34135 Regional Cancer Center .......... 239-343-9500 8931 Colonial Center Drive, Suite 200 Fort Myers, FL 33905 An outpatient department of Lee Memorial Hospital calendar of events Events & Screenings Wa-Ke Hatchee Recreation Center for SHARE Club. Time and Date: 2 p.m., Sept. 8 Location: GCMC Community Room Registration and for More Information: Call 239-424-3765 Thyroid Cancer Support Group Time and Date: 10:30 a.m.-noon, third Saturday of each month Location: Lakes Regional Library Healthy Living Lecture Series with Dr. Sal 15290 Bass Road, Fort Myers The Healthy Living Lecture Series is a free, monthly Registration and for More Information: program that covers a variety of health care topics. Keeping Your Balance: Are You at Risk? Call Sally Fontaine at 239-590-0797 or Join SHARE Club for this presentation by Nathalie [email protected]. The topic of this lecture is “Sugar, Salt and Fat: Grondin, Lee Memorial Health System physical Additives Contributing to Chronic Illness.” Women’s Cancer Support Group therapist. Sponsored by Shell Point Retirement Time and Date: 11:30 a.m., Sept. 10 Whether newly diagnosed, going through Community. Location: CCH Auxiliary Conference Room treatment or in remission, this group begins Time and Date: 10 a.m., Sept. 15 Registration and for More Information: Call with discussion and offers a variety of optional Location: North Fort Myers Recreation Center, 239-424-3232 expressive arts to help relieve stress and enhance 2000 Recreation Park Way, North Fort Myers the immune system. Supplies provided by a grant Fantastic Voyage Registration and for More Information: from the Junior League of Fort Myers. The advancement of technology in medicine has 239-424-3765 Time and Date: 2-3 p.m., third Tuesday of each been staggering. How can the public keep up with month Exercises You Can do to Improve Your Balance it? More importantly, most hospitals don’t have Location: RCC, Fourth Floor Conference Room Nathalie Grondin, Lee Memorial Health System these advancements. How do you know which Registration and for More Information: Call physical therapist, will discuss and demonstrate hospitals do unless you understand the newest 239-343-9582 or email exercises to enhance your balance. Sponsored by technologies for the repair of aneurysm and [email protected] Right At Home and Brookdale Senior Living. stroke? This lecture from Nasser Razack, M.D., Time and Date: 10 a.m., Sept. 16 neurointerventional radiologist, describes the Mastectomy Pre-Operative Education Class evolution of this technology in a story-like fashion Location: GCMC Community Room Receive hands-on training and information Registration and for More Information: Call for our community to enjoy. regarding your upcoming mastectomy and 239-424-3765 Time and Date: 11 a.m., Sept. 13 valuable take-home tools to aid you during Location: GCMC Community Room recovery. This class is offered free of charge. Happy 65th Birthday—Are You Medicare Ready? Registration and for More Information: Call Time and Date: 10-11:30 a.m., Tuesdays SHARE Club invites you to this presentation by 239-454-8725 Location: RCC Third Floor Specialty Clinic Jo Marshall, SHINE volunteer. Jo will provide Conference Room you with the information you need to better Parkinson’s Disease Functional Screening Clinic Registration and for More Information: Class understand the Medicare insurance options and Do you experience challenges with speaking, size is limited; call 239-343-9500 dressing, caring for yourself, walking, swallowing, various plans. Time and Date: 2 p.m., Sept. 18 bathing, driving or balance? Attend a Parkinson’s Location: LMH Auditorium Disease Functional Screening Clinic to find out Registration and for More Information: Call how you can improve in these areas and become Diabetes Self-Management Classes 239-424-3765 more involved in your community. A 10-hour education program discussing all Time and Date: 9:30 a.m.-2:30 p.m., Sept. 13 aspects of diabetes self-management, including Location: GCMC Medical Office Building, 13685 Arthritis: A Patient’s Perspective Join SHARE Club for this presentation by longmeal planning, exercise, stress management, Doctor’s Way, Suite 250, Fort Myers standing advocate for patients with rheumatoid medication therapy and prevention of Registration and for More Information: Call arthritis (RA), Barbara Carley. Barbara has 53 years complications. Classes are available in English and 239-418-2000 of experience with her own personal battle with Spanish. RA. Sponsored by Right At Home. Free Car Seat Fitting Time and Date: Weekly morning, afternoon and Time and Date: 10 a.m., Sept. 25 Three out of four car seats are not properly evening classes available Location: LMH Auditorium installed. Join Golisano Children’s Hospital of Location: LMH, CCH and GCMC Southwest Florida and Kohl’s Kids Safety Program Registration and for More Information: Call Fee: Diabetes education is a covered benefit for 239-424-3765 for a free car seat fitting and safety check. Parents Medicare and most commercial insurances. and grandparents are invited to have car seats Registration and for More Information: Call checked. Appointments are encouraged; 239-424-3127. Must be registered and a physician call 343-6199. referral is required. Bladder Cancer Support Group Time and Date: 3-5 p.m., first Wednesday of Naples Pregnancy & Diabetes Program every month Time and Date: 9 a.m.-noon, Sept. 15 An educational program for expectant mothers Location: RCC with diabetes or gestational diabetes. This Location: Collier County Health Department, Registration and for More Information: program is available in English and Spanish. 3339 Tamiami Trail E., Naples Contact Karen Godfrey, Bladder Cancer Time and Date: Weekly classes available Advocacy Network volunteer advocate at North Naples Registration and for More Information: 239-992-4809 or via email Time and Date: 9 – 11 a.m., Sept. 16 Call 239-424-3127 at [email protected] Location: Twinkle, Twinkle Little Store, 4172 Tamiami Trail, North Naples Blood Cancer Support Group Diabetes Cancer Lehigh Acres Time and Date: 9 – 11 a.m., Sept. 19 Location: Lehigh Acres Fire Station 104, 3102 15th Street SW, Lehigh Acres LaBelle Time and Date: 9 a.m.-noon, Sept. 20 Location: LaBelle Fire Department, 290 South Main Street Mobile Autism Screening Free autism screening for children younger than age 5. Time and Date: 9:30 a.m. – 2 p.m., Sept. 19 Location: Cape Coral Library, 921 SW 39th Terrace, Cape Coral Registration and for More Information: Appointments are encouraged; call 239-343-6838 Young Driver Program This program—which is a supplement to drivers’ education—teaches young drivers the legal issues of driving, how to stay focused and the responsibilities that go along with the driving privilege. This program is offered free of charge and is geared to the 15-20-year-old driver. Time and Date: 5:30-8:30 p.m., Sept. 23 Location: LMH Auditorium Registration and for More Information: Reservations are required; call 239-343-3797 SHARE Club Drawing Class with Doug MacGregor Join SHARE Club and Doug MacGregor, local cartoonist, for this four-week class designed to teach you to draw. Time and Date: 10 -11:30 a.m., Sept. 3, 10, 17 and 24 Location: Wa-Ke Hatchee Recreation Center, 16760 Bass Road, Fort Myers Fee: $30 for SHARE Club members and you must have a Lee County Parks & Recreation membership Registration and for More Information: Call 239-424-3765 How Balance Exercises and Tai Chi Can Prevent Falls SHARE Club invites you to this presentation by Marc Rowe, M.D., retired surgeon and instructor of tai chi and qi gong. Dr. Rowe will discuss and demonstrate various exercises that have been proven to reduce your risk of falls. He also will, along with fellow SHARE Club members, demonstrate tai chi. Dr. Rowe teaches tai chi at the www.LeeMemorial.org Time and Date: TBD Location: TBD Registration and for More Information: Registration is required. Contact Seth Berkowitz at877-534-0090 or [email protected] Weight Loss Weight Management Individualized weight loss counseling with a registered dietitian. Dietitian will give you a customized eating plan to help you achieve your weight loss goals. Time and Date: Weekly counseling sessions are Brain Tumor Support Group Time and Date: 6:30-7:45 p.m., third Tuesday of available Registration and for More Information: each month Call 239-424-3120 Location: LMH Volunteer Conference Room Registration and for More Information: Community Weight Loss Management Program Call Dona Ross at 239-433-4396 or Barbara Open to anyone in the community, this weight loss Hardwick at 239-343-3167 program features 30 minutes of group activity and 30 minutes of discussion. This 8-week program Cancer Nutrition Seminar is a great way to create a healthy lifestyle in a This free monthly seminar is for oncology patients, survivors and caregivers. Each month motivating group setting. features a different topic and food demonstration Time and Date: 6 -7 p.m., Sept. 8 (Mondays with tastings and recipe. through Oct. 27) Time and Date: 2-3 p.m., second Wednesday of Location: WCCC the month Registration and for More Information: Contact Location: RCC, Fourth Floor Conference Room Sarah Mitchell at 239-424-3231 or Registration and for More Information: [email protected]. Contact Valerie Butram at 239-343-9559 or [email protected] The Aphasia Group For those who have difficulty talking due to stroke. Time and Date: 9-10 a.m., Tuesdays Location: WCCC Fee: First session free, then $10 per session Registration and for More Information: Call Nancy Gizzi at 239-424-3572 Pregnancy / New Baby Childbirth Preparation Understand the birthing process, choices in obstetrics, birthing fundamentals, breathing, relaxation, cesarean preparation, breastfeeding fundamentals and mother/baby care. Includes access to an on-line learning program plus a 3-hour Tour and Talk session that is conducted by nurses who are nationally certified by the International Childbirth Education Association. Women and their support person will receive a tour of the birth facilities and birthing beds; provides the opportunity for women to ask questions and seek additional information about the birthing process. Time and Date: Classes take place throughout the year Locations: HPMC, GCMC, and CCH Fee: $60 per couple (scholarships are available) Registration and for More Information: Call 239-343-5271 or visit www.LeeMemorial.org/BirthEd Baby Care & Car Seat Safety This is a one-time class for expectant parents. The class assists parents in becoming more comfortable and confident in their parenting role following the birth of their baby. This class also teaches parents how to properly use and install child restraints. Time and Date: Classes take place throughout the year. Locations: Vary Fee: $20 per couple, $5 per additional person in attendance Registration and for More Information: Call 239-343-5101 or email [email protected] Breastfeeding Plan to give your baby the best possible start. Learn about common problems encountered during the first few weeks. All classes are taught by board certified lactation consultants. Time and Date: Classes take place throughout the year Locations: HPMC and GCMC Fee: $20 per couple Registration and for More Information: Call 239-343-5271 or visit www.LeeMemorial.org/BirthEd Pediatric CPR & First Aid This course teaches caregivers to respond and manage illnesses in a child or infant in the first few minutes until professional help arrives. The course covers infant/child CPR and First Aid basics. Locations: Vary Fee: Please contact us for prices. Registration and for More Information: Call 239-343-5101 or email [email protected] Other Ostomy Support Group For individuals considering or who have had an ostomy (colostomy, ileostomy or urostomy), and the spouses or caregivers of individuals with ostomies. Time and Date: 12:45-2:30 p.m., first Tuesday of each month Location: Myerlee Manor, 1499 South Brandywine Circle, Fort Myers Registration and for More Information: Call Howard Weisberg at 239-482-8433 Yoga at HealthPark Medical Center Join us to relax, de-stress, energize and refresh with yoga at HealthPark Medical Center. Bring a mat, beach towel or blanket and wear comfortable clothing. Beginners welcome. Sponsored by Lee Center for Rehabilitation & Wellness. Time and Date: 5:30-6:30 p.m., Wednesdays Location: HPMC Room 201 Fee: $5/class Registration and for More Information: Call 239-418-2000 Huffers & Puffers Support Group For COPD patients, friends, family members and caregivers. Time and Date: 1-3 p.m., third Friday of each month Location: LMH Medical Office Building, Suite 705 Registration and for More Information: Call Nayda Agosto at 239-343-3520 Gentle Yoga – Multiple Sclerosis Society Complimentary yoga class for members of the Multiple Sclerosis Society. Time and Date: 11:30 a.m.-12:30 p.m., Tuesdays and Thursdays Location: LCRW Registration and for More Information: Call 239-418-2000 It’s All About You Can I improve my quality of life? Yes, you can—even with chronic diseases like arthritis, high blood pressure, diabetes and other health conditions. Learn how to cope and enjoy your life. This 6-week workshop teaches people with chronic health conditions how to better manage their health and the symptoms that accompany chronic illnesses, such as pain, depression and fatigue. Workshops are facilitated by leaders, many of whom also have a chronic illness. Time and Date: Vary Location: Vary Registration and for More Information: Call 239-424-3122 Loss of an Adult Child Time and Date: 6-7:30 p.m., first and third Tuesday of each month Location: GCMC Community Room Registration and for More Information: Call Mark Geisler at 239-343-1126 Weight Management Exercise Program Commit to eight weeks. This program meets once a week for one hour. Participants work out together and then have a discussion/lecture. Time and Date: 6-7 p.m., Sept. 29 Location: WCCC Registration and for More Information: Contact Sarah Mitchell at 239-424-3231 or [email protected] Lifestyle Coaching This service is available for Wellness Center members and nonmembers. Are you looking for motivation, accountability, direction in one or more areas of your well-being? This is what lifestyle coaching session can do for you. Time and Date: Vary Location: WCCC Registration and for More Information: Contact Sarah Mitchell at 239-424-3231 or [email protected] Better Breathers For COPD patients, friends, family members and caregivers. Time and Date: 2-4 p.m., third Monday of each month Location: WCCC Registration and for More Information: Call Jan Burket, COPD advocate, at 239-217-0545 Free Memory Screenings Time and Date: 1-3 p.m., every Monday Caregiver Support Group Location: Lee Physician Group Memory Care, This group focuses on the unique needs and 12600 Creekside Lane, Suite 7, Fort Myers Colorectal Cancer Support Group Preoperative Joint Replacement Class concerns of those caring for a loved one, Registration and for More Information: Time and Date: 4:30-6 p.m., fourth Tuesday of Everything you need to know to feel comfortable regardless of their medical condition. each month before joint replacement surgery. Time and Date: 4:30-6 p.m., second Wednesday Appointments are encouraged; call 239-343-9220 Location: RCC, Fourth Floor Conference Room Time and Date: 10-11 a.m., Fridays at Gulf of each month Trauma Support Group Registration and for More Information: Coast Medical Center or varied times and dates Location: RCC lobby A support group for people and caregivers who Call Larry Mickley at 239-454-3308 at Lee Memorial Hospital Registration and for More Information: have survived traumatic injury. Location: GCMC and LMH Call Mark Geisler at 239-343-1126 Multiple Myeloma Support Group Time and Date: 6:30-8:30 p.m., second Tuesday Registration and for More Information: Call Time and Date: 6-7 p.m., third Tuesday of the of each month Pulmonary Fibrosis Support Group Gulf Coast Medical Center at 239-343-0300 or month Location: LMH Med Room 3 Time and Date: 1-3 p.m., third Wednesday Lee Memorial Hospital at 239-343-3411 and Location: Hope Hospice, 9470 HealthPark Registration and for More Information: Call of each month leave a message Circle, Fort Myers 239-343-2561 Location: LMH Medical Office Building, Registration and for More Information: Stroke Support Group Suite 705 Contact Joanie Borbely at 860-655-7107 or For caregivers and stroke survivors. Registration and for More Information: [email protected] Time and Date: 10:30 a.m., every Tuesday Call Lynne Puglise at 941-875-5732 (except third Tuesday of the month) Oral, Head and Neck Cancer Support Group Location Guide Yoga Location: CCH Room A Time and Date: 3-4 p.m., fourth Tuesday of each Registration and for More Information: This class is available to the general public with To save space, we have abbreviated month priority given to current cancer patients and Call 239-424-2317 the names of our locations. Here is a Location: GCMC Medical Offices, 13685 primary caregivers; no experience needed. Mats, guide to help you: Doctor’s Way, Suite 250, Fort Myers Aquatic Art straps, blocks and aromatherapy provided by a Registration and for More Information: Call Pool exercises for people with Parkinson’s CCH – Cape Coral Hospital grant from the Junior League of Fort Myers. Stacey Brill at 239-343-1645 disease. Time and Date: 10-11 a.m., Wednesdays GCMC – Gulf Coast Medical Center Time and Date: 1-2 p.m., Mondays and Location: RCC, Fourth Floor Conference Room Ovarian Cancer Support Group HPMC – HealthPark Medical Center Wednesdays Time and Date: 2-4 p.m., first Sunday of Fee: $5/class for cancer patients and/or caregivers Location: WCCC LMH – Lee Memorial Hospital each month or $10/class for general public Registration and for More Information: RCC – Regional Cancer Center Location: LMH 6-North Registration and for More Information: Call 239-424-3220 Registration and for More Information: WCCC – Wellness Center of Cape Coral Call 239-343-9503; registration is required Call Barbara Hardwick at 239-343-3167 LCRW – Lee Center for Rehabilitation Ortho / Neuro / Spine & Wellness 12 3900.01 8-14
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