RequiresSpecial Support and Care
Transcription
RequiresSpecial Support and Care
JUNE 2015 in rs ea 2Y a w. Ro Lee Memorial Hospital HealthPark Medical Center Devoted to Excellence in Health Care Inside 3 4 5 9 Surviving Cancer Requires Special Support and Care The reality of a cancer diagnosis hits hard. For Michele Turns, a triple negative breast cancer diagnosis left her feeling like she was hit by a ton of bricks. City Center Combines Rehabilitation and Wellness Services Pediatric Cardiologist Treats Adult Patient A Perfect Fit: The 3-D Knee AgePlayTM Provides Interactive Experience on Challenges of Aging Alone 100 Years 2016 marks our 100th anniversary. Share your stories, photos or memories with us by emailing [email protected]. Michele Turns “When Dr. [David] Rock told me that the lump in my left breast was cancer, I told him I wanted a bilateral mastectomy,” Michele says. “I wanted that cancer out of my body and I didn’t want to worry about my other breast.” Michele worked with occupational and physical therapy to alleviate her peripheral neuropathy—the tingling and pain in her hands—and balance issues. She also met with the palliative care team and tried acupuncture to aid in her recovery. That option was drastic and not one that Dr. Rock supported. Instead, he recommended a lumpectomy to remove the cancerous mass and a sentinel node biopsy to check whether the cancer had spread to other lymph nodes in Michele’s body. The cancer had not spread, but Michele’s oncologist Bill Harwin, M.D., told her she needed chemotherapy and radiation. In addition to those treatment protocols and care from the medical team, Michele says her church, friends and pets helped in her recovery. “So much about healing is knowing someone cares,” she says. “Cancer makes you reprioritize your life, and helped me focus on what is important. I now wake up saying, ‘Thank you, God, for this beautiful day.’” “When you have cancer, you wake up every morning thinking about it,” Michele says. “Every ache and pain and cough triggers the thought that the cancer has spread. At my heart level I understood that I am more than this disease, but it is hard to think past the cancer.” Since finishing treatment, Michele must now have a mammogram on the affected breast every six months for the next two years. The first mammogram did not show any cancer. A nurse herself, Michele had faith in the treatment. For five months, she had 16 rounds of chemotherapy, followed by radiation. That protocol left her with side effects, including fatigue, peripheral neuropathy in her hands and balance issues. To address these and other concerns, Michele was referred to the Survivorship Training and Rehab (STAR) Program®. The Regional Cancer Center is hosting a special Celebration of Life luncheon in honor of National Cancer Survivors Day®. STAR is a state-of-the-art cancer rehabilitation program. More than 60 medical providers work collaboratively in the program to ensure that cancer patients are screened for services they might need. The STAR team consists of physicians, nurse navigators, physical and occupational therapists, speech therapists, social workers, registered dietitians, exercise physiologists and other clinicians. Once referred to the program, patients are screened by the STAR navigator, Denise Pfeiffer. Denise reviews patient histories and works with patients to determine their physical, emotional and nutritional needs; and individual limitations that interfere with their quality of life. She works with physicians to refer patients to the appropriate clinician—whether that is physical, occupational or speech therapy; nutrition, counseling services, support groups, social work or palliative care services. The goal for cancer rehabilitation is to minimize the effects of cancer and encourage survivors to have the best possible quality of life. 11 a.m.-1:30 p.m., June 7 Crowne Plaza Fort Myers at Bell Tower Shops 13051 Bell Tower Drive Fort Myers, FL 33907 Guest speaker Don S. Dizon, M.D., from Massachusetts General Hospital will discuss Survivorship. This event is sponsored by Regional Cancer Center—Lee Memorial Health System, 21st Century Oncology, Florida Cancer Specialists, Florida Gynecologic Oncology—and The Landings Yacht, Golf and Tennis Club. Space is limited; RSVP required to attend. Send your name, phone number and the number of guests (two guests maximum) to [email protected] or call 239-343-9557. Lee Memorial Health System Foundation News & Events Southwest Florida Wine & Food Fest Fulfills $10 Million Children’s Hospital Pledge Group Issues Additional $1.2 Million Matching Challenge through July 31 SWFL Children’s Charities, Inc. continued their giving ways by presenting hospital leaders with the final installment of their $10 million pledge to help build the new Golisano Children’s Hospital of Southwest Florida, then added a wonderful new twist–a $1.2 million matching challenge to the community. much good for children who depend upon the lifesaving care provided at our Children’s Hospital.” “SWFL Children’s Charities is pleased to issue this challenge to everyone here in Southwest Florida,” said organization president Elaine Hawkins as the check presentation was made. “From May 1 through July 31, we will match each and every dollar donated to the Golisano Children’s Hospital capital campaign, up to a total of $1.2 million, with matching funds provided only through July 31.” SWFL Children’s Charities sponsors the annual Southwest Florida Wine & Food Fest each year, donating proceeds to local charities with the lion’s share directed to Golisano Children’s Hospital. Donations are being used to support construction of the new state-ofthe-art, 128-bed Golisano Children’s Hospital on the campus of HealthPark Medical Center, set to open in early 2017. Act now to be sure your donation is matched. Gifts eligible for matching funds include those made through cash, written campaign pledges payable within five years, children’s hospital event sponsorships and donations of stock. Longtime Children’s Hospital supporter and Southwest Florida Wine and Food Fest Trustee David Copham noted, “The matching program is a great way for those who want to help local kids to step up, now, rather than later, to donate to the capital campaign.” He added, “If you haven’t already made your donation, now is the time. Your gift will do twice as Community groups, businesses, and individuals wishing to make a capital campaign gift to help Golisano Children’s Hospital “Meet the Match” by July 31 are asked to visit www.childrenshospitalgoal.org or contact Lee Memorial Health System Foundation at 239-343-6950. The match is in addition to the $10 million already gifted by SWFL Children’s Charities. SWFL Children’s Charities recently completed their $10 million pledge to Golisano Children’s Hospital of Southwest Florida and announced an additional new $1.2 million matching challenge to the community. Funds were raised through the successful Southwest Florida Wine and Food Fest. SWFL Children’s Charities Trustees and Golisano Children’s Hospital representatives taking part in the ceremony were, from left: Steve & Ester Machiz, Elaine Hawkins, Vicki & Richard Pitbladdo, Ute Rosinus, Debbie Toler, Fred Hawkins, Dorothy Fitzgerald, Sharon MacDonald, Dave & Cheryl Copham, Art Cherry, Jim Nathan and Sandy Stillwell. Red Sox Events Raise More Than $1,050,000 for patients at Golisano Children’s Hospital of Southwest Florida Dinner Presenting Sponsor and CVS Health – Diamond Dinner VIP Party Sponsor; with additional major support provided by Florida Radiology Consultants, PNC Healthcare, PriceWaterhouseCoopers, Scanlon Auto Group and WebTPA. Lee Memorial Health System Foundation is pleased to announce the 2015 Boston Red Sox Children’s Hospital Celebrity Classic Event Series raised $1,050,947–a record total–directed to Golisano Children’s Hospital of Southwest Florida’s Gift of a Lifetime capital campaign. The total includes support provided by major sponsors Jack and Shelley Blais. Once again, the Boston Red Sox generously provided outstanding resources and support to make the events possible. Scheduled for completion in early 2017, the new Golisano Children’s Hospital building will include 128-beds for the care of local children along with the latest medical equipment and a specialty trained team of medical care providers. This year’s event series included the auction of a brand new Viper automobile by Galeana Family of Dealerships, a Boston Tee Party cocktail reception and celebrity golf tournament featuring major Red Sox stars, both held at the magnificent Forest Country Club in south Fort Myers; and the annual Diamond Dinner event held on the field at JetBlue Park in late March. For more information about the 2016 Boston Red Sox Children’s Hospital Celebrity Event Series, please contact Katy Martinez at 239-343-6076 or [email protected]. Hundreds of local residents and die-hard Red Sox fans joined together with major corporate sponsors to ensure the success of the events. Sponsors included Wells Fargo Insurance Services – Tee Party Sponsor; Galeana Automotive Group – Diamond Taking part in the Red Sox check presentation ceremony at JetBlue Park are (from left to right): Destiny Haggett and her son, Chansen Savakinus, 2015 Most Valuable Patient (MVP); Katie Haas, Boston Red Sox; Major Event Sponsor Jack Blais, Manager John Farrell, Boston Red Sox; Major Event Sponsor Shelley Blais; Bill Harley, The Forest Country Club; Auction Chairperson Kristy Gudobba; Katy Martinez, Lee Memorial Health System Foundation and fan-favorite Wally. July 18 Fishing Tournament Supports Lifesaving Trauma Care Accidents happen. When they do, Lee Memorial Health System’s Trauma Center, the only trauma center on Florida’s Gulf Coast between Tampa and Miami, is ready to help. The “catch and release” event offers a fun—and affordable— way to help a great cause. Adults can take part for just $65 per person while the cost for an angler age 12 and younger is only $25. Come out and enjoy the post tournament barbecue for only $8. Sponsorship opportunities also are available. Now, you can help the Trauma Center by taking part in the 12th Annual David Lee Root, Jr. Memorial Fishing Tournament on Saturday, July 18 at D & D Bait and Tackle in Matlacha. Along with the chance to compete for tournament prizes, participants will enjoy great food and drink at the barbecue, which follows the fishing fun. Those in attendance will also have the chance to compete for drawing prizes, including gift cards, fishing equipment, merchandise and more. D & D Bait and Tackle owners Dave and Debbie Root generously organize and host the tournament each year in memory of their son, David Root Jr. Proceeds benefit the Lee Memorial Health System Trauma Center. David Jr., then 18, never made it to the Trauma Center. Involved in a terrible car crash on Pine Island, he was transferred to another hospital, where he died that night. One year later, his brother, Dustin, then age 15, also suffered a traumatic injury in an automobile accident. Airlifted to the Trauma Center at Lee Memorial, his life was saved by the trauma team. Visit www.LeeMemorial.org/root for more information or contact Jason Powella at 239-343-6065 or [email protected]. From left to right: Bob Mansfield, along with Doug, Dave, Debbie and Dustin Root, present proceeds from the 2014 tournament. Helping to make the check presentation a success (front row) is master angler Brody Root. This year’s event is set for July 18. 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 www.LeeMemorial.org 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 2 David Shellenbarger Madeleine Taeni Pablo Veintimilla Stuart Zaikov TRUSTEES EX-OFFICIO Sanford N. Cohen, M.D. Mary Ann George Phil Fortin Kathy Bridge-Liles Jim Nathan Sue Twining EMERITUS COMMITTEE John Gleeson Frank Haskell Garrett “Buzz” Reasoner Alexander Roulston Joseph D. Zaks City Center Combines Rehabilitation and Wellness Services When medical staff and physicians address an immediate injury or illness, this is often just the beginning of the healing process. Many patients need the specialized care of rehabilitation professionals to make a full recovery. City Center is home to adult outpatient rehabilitation, children’s rehabilitation and the Wellness Center – Fort Myers. Moreno Ave “Quality rehabilitation care, state-of-the-art equipment and a convenient location close to work or home are generally the most important qualities patients look for in an outpatient rehabilitation center,” says Ray Cyr, system director, Rehabilitation Services. “Our newest facility, Outpatient Rehabilitation at City Center hits the mark on all of these.” Carrell Rd Patients who enter the center receive one-on-one sessions with licensed therapy staff, designed to meet their individual needs. Services include physical, occupational and speech therapy. At times patients will benefit from all three services. “We can help you recover from everything from basic sprains, strains and surgery to more involved things like stroke, and other brain and neurological disorders,” Ray says. Colonial Blvd to patients finishing formal therapy with ongoing needs for lifestyle changes and wellness,” says Diana Rippl, director, Health and Wellness Integration. “Having these services together eases the burden for patients and their families, and reduces the number of stops they have to make to stay well.” For pediatric rehabilitation, City Center is home to the newest location of the Children’s Rehabilitation Center. Associated with Golisano Children’s Hospital of Southwest Florida, this location provides a convenient access point to families in need. It is the only location north of the HealthPark campus and is aimed at helping children who need rehabilitative services. The center boasts all new pediatric equipment, as well as its own entrance and pediatric-designed waiting area, treatment rooms and gym. Outpatient Rehabilitation at City Center 3114 Cleveland Ave. Fort Myers, FL 33901 Hours: 7:30 a.m.-5:30 p.m., Monday-Friday Scheduling: 239-424-1499 Clinic: 239-343-4960 Outpatient Rehabilitation at City Center is also home to specialty programs including: • The Balance Clinic (the area’s premier balance and vestibular rehabilitation care) • Driving rehabilitation and evaluation • Wheelchair seating evaluations • Functional capacity evaluations Cleveland Ave. Hanson St • Phase 3 spine rehabilitation • Concussion rehabilitation • Vital Stim® swallowing therapy • Speak Out!® voice therapy for Parkinson’s care Pediatric Rehabilitation 3114 Cleveland Ave. Fort Myers, FL 33901 Hours: 7:30 a.m.-5:30 p.m., Monday-Friday Scheduling: 239-343-4970 Wellness Center: 239-343-4980 Hours: 5:15 a.m.-7 p.m., Monday-Friday 7 a.m.-1 p.m., Saturday, Closed Sunday Another unique feature is the Wellness Center – Fort Myers, a full service medically-based fitness center. “Integration with an expertly staffed fitness center offers a smooth transition Maze Procedure Nearly Eliminates Stroke Risk for Patients with Atrial Fibrillation A common condition that affects millions of Americans, atrial fibrillation—or an irregular heartbeat—can cause a number of serious problems, including congestive heart failure, leaky valves and high blood pressure in the lungs. One of the biggest risks associated with atrial fibrillation is stroke. Paul DiGiorgi, M.D., cardiothoracic surgeon, says approximately one-third of patients with atrial fibrillation will have a stroke. While blood thinners have been the traditional route for treatment, a new minimally invasive surgical option—the maze procedure—can reduce stroke risk by 99 percent. normal heart showing proper flow of electrical impulses abnormal heart showing erratic flow (atrial fibrillation) of electrical impulses electrical impulse electrical impulse “The maze procedure has been around for 30 years, but was not commonly adopted because it required open-heart surgery,” Dr. DiGiorgi says. “But, with improvements in technology, we now can perform this procedure minimally invasively and get the same efficacy as the original surgical maze procedure, but without the trauma to the patient.” To understand how the maze procedure essentially cures atrial fibrillation, it helps to understand what happens in the heart during atrial fibrillation. “Normally, the smaller, back chamber of the heart—the atria—fills and beats, sending blood to the main, larger ventricular chamber of the heart,” Dr. DiGiorgi explains. “With atrial fibrillation, the atria does not beat properly, but fibrillates and decreases the filling of the main pumping chamber. Because the blood does not pass through as smoothly and quickly, it gets stagnant. Additionally, there is a pouch-like appendage on the back of the heart, called the left atrial appendage, which can harbor blood clots that can break off and cause a stroke.” The maze procedure involves the ablation (burning) of nerves in specific lines on the back of the heart, which forces the heart’s electrical impulses to follow a path that SYSTEM PRESIDENT Jim Nathan JUNE 2015 Published as a community service by Lee Memorial Health System, P. O. Box 2218, Fort Myers, FL 33902 [email protected] CHIEF STRATEGY OFFICER Kevin Newingham prevents the erratic atrial fibrillation rhythm. Additionally, the left atrial appendage is clipped, which further reduces the risk of stroke. If you have persistent atrial fibrillation, talk to your cardiologist about all treatment options, including the maze procedure. “This is an exciting time for patients with persistent atrial fibrillation—those patients who have had a stroke and those who have not,” Dr. DiGiorgi says. “They have an alternative to a lifetime of blood thinners, and it’s an alternative that is safe, minimally invasive and nearly eliminates their risk for stroke.” Dr. DiGiorgi says the hospital stay after a maze procedure is usually three days and the recovery is one to two weeks. HealthPark Medical Center is the only hospital in Southwest Florida performing the maze procedure. EDITORIAL Jennifer Foote Kali Lynch Lynn Melvin JL Watson DESIGN Kevin Owen LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS District 1 District 2 District 3 Stephen R. Brown, M.D. Donna Clarke Sanford Cohen, M.D. Therese Everly Nancy M. McGovern, RN, MSN David F. Collins 3 Paul DiGiorgi, M.D. Cardiothoracic Surgery Lee Physician Group 9981 S. HealthPark Drive Suite 120 Fort Myers, FL 33908 239-343-6341 www.tinyurl.com/DrDiGiorgi District 4 Chris Hansen Diane Champion District 5 Jessica Carter Stephanie L. Meyer, BSN, RN Golisano Children’s Hospital of Southwest Florida Pediatric Cardiologist Treats Adult at Our Port Charlotte Location Her heart is in the right place. But for Lora Wolff, part of the organ that pumps blood through her body is in the wrong position. Lora, 41, was born with congenitally corrected transposition of the great arteries (CCTGA). The condition results in the ventricles, the large pumping chamber of the heart, in a reverse position. The condition affects .5-1 percent of all babies born with a heart defect. In 1974, when Lora was born, doctors were not sure how to treat her. Because physicians did not have a plan to permanently treat her, the solution was a pacemaker that was supposed to be temporary. She was first hooked to an external pacemaker, and then received a temporary internal pacemaker at the age of 4. She had that pacemaker until the age of 19, when it was replaced by another one. She still lives with a pacemaker. “Patients with corrected transposition will commonly do well as children and teenagers, but sometimes can go into failure as adults,” says pediatric cardiologist Eric Eason, D.O. “CCTGA can produce fatigue and arrhythmias, among other symptoms.” As a child, Lora’s prognosis was not good. Doctors made no promises to her parents on her life expectancy. “The prognosis for these patients varies based on the severity of other defects within the heart, the success of prior procedures and development of other complications,” Dr. Eason says. “Since the care for infants and children has improved greatly, prognosis for adults with CHD (congenital heart defect) is improving dramatically compared to the 1970s. Currently, there are more adults living with congenital heart disease than there are children.” As a young adult, Lora, who lives in Punta Gorda, went through a series of physicians and landed with pediatric cardiologist Sam Edwards, M.D., who treated her condition for several years before referring her to physicians in Miami. “Patients who have had repairs of their congenital heart disease require lifelong follow up with specialists who have specific training in this type of heart disease,” Dr. Eason says. “Thus, it takes a coordinated, teamwork approach of numerous specialists, both pediatric and adult, to keep adult congenital heart disease patients healthy.” The problem for Lora was that so few children had her condition that by the time she was grown, adult cardiologists did not know how to treat a pediatric heart condition, and she had outlived the expectations for most pediatric cardiologists, so most did not have a successful treatment plan in place, either. Lora sought ongoing treatment at University of Miami, until Dr. Eason arrived at Golisano Children’s Hospital of Southwest Florida in 2013. After enduring more than 30 lifetime surgeries and the implantation of a defibrillator in 2011, Lora is excited to finally find a cardiologist close to home who understands and can treat her condition. She still makes trips to Miami twice each year because she may be a candidate for a heart transplant in the future. Lora Wolff Even though Lora is one of the oldest patients in Dr. Eason’s pediatric practice, the fit is just right. “He’s not just looking at me as just another pediatric patient,” she says. Even though Lora is one of the oldest patients in Dr. Eason’s pediatric practice, the fit is just right. “He’s not just looking at me as just another pediatric patient,” she says. “He’s checking my heart and working on a treatment plan that is just right for me as an older adult with CCTGA.” Lora has already beaten tremendous odds. She has lived long enough to give birth to four children and lives a normal life. Most people who meet her have no idea her heart is unique. “My heart surgery scar is not noticeable,” she says. “My pacemaker scar is really ugly, so on the occasion when someone notices that, I tell them what it is. More than anything, I’m glad I met my lifetime goal—to have children and to live long enough that they would remember me.” At ages 14-19, her children have watched their mother remain healthy, even as she outlived her expected mortality rate. “My goal now is to watch them all graduate,” she says. Dr. Eason sees a bright future for Lora and other patients like her. “Outcomes vary by the severity of the congenital defect,” he says. “The more severe forms sometimes will require heart transplantation. However, with close followup and medical management, adults can enjoy productive lives, much like Lora.” “Lora represents the population of kids who have benefited from improved pediatric care, but now represent special challenges as they move into adulthood,” Dr. Eason says. “Golisano Children’s Hospital, local adult cardiologists, and the Heart and Vascular Institute are collaborating to ensure the framework is in place to take care of this special population.” Eric Eason, D.O. Pediatric Cardiology Golisano Children’s Hospital of Southwest Florida 16281 Bass Road Suite 304 Fort Myers, FL 33908 239-343-7490 www.tinyurl.com/DrEason New Pediatric Rehabilitation Location Opens in Fort Myers Welcome to The “Y” in Naples Lee Memorial Health System has partnered with the Greater Naples YMCA to bring expanded services to Collier County. The YMCA, located at Airport Pulling and Pine Ridge roads, will soon offer: • Physical therapy • Speech therapy • Occupational therapy • Orthopedic sports medicine Through the agreement, staff from Lee Memorial Health System will work with patients, close to home. “This is a great partnership because patients who live in and near Naples will be able to get care without making a longer drive,” says Lisa Edwards, Lee Memorial Health System rehabilitation manager. “Our goal is to bring care to people where they work and live.” Programs will be available this fall. www.LeeMemorial.org 4 The newest Golisano Children’s Hospital of Southwest Florida rehabilitation facility is now open at City Center, 3114 Cleveland Ave., Fort Myers, FL 33901. Appointments: 239-343-4970. MR CLEAN Cleans Up Stroke Mr. Clean is a popular moniker for a fictional cleaning character, but stroke specialists rely on their own version of the name to treat patients. The MR CLEAN study shows that the quicker patients get interventional care, the better the potential outcome. “We aim to treat most patients within 30 minutes after hospital arrival, but that’s not always possible, based on where they are and when they make the call to 911,” Dr. Razack says. “If you cannot get to a primary stroke center within 15 minutes, you need to see an endovascular specialist.” The Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN) found that patients who received advanced care consisting of directly working within the brain’s blood vessels within six hours of the onset of symptoms are more likely to recover from a stroke. Lee Memorial Hospital and Cape Coral Hospital are primary stroke centers, making them a first line of defense for patients who live near these locations. Patients at highest risk or those who sustain a stroke may be transported to a primary location first, then relocated to Gulf Coast Medical Center for advanced treatment if physicians deem it necessary. “This study is important because it reinforces our role as a comprehensive stroke center,” says neurointerventional radiologist Nasser Razack, M.D. Gulf Coast Medical Center is the only comprehensive stroke center in Southwest Florida and is equipped to treat patients in this manner. “These tiers of treatment give patients the best possible care,” Dr. Razack says. “If someone is stable, he or she will stay where treatment started. If the stroke is advanced or if time has lapsed between the onset of the stroke and treatment time, we are prepared to start the necessary protocols and transfer the patient to Gulf Coast Medical Center in order to get the best outcome possible for each person.” The MR CLEAN trial demonstrates a major milestone in stoke treatment, the likes of which have not been seen since 1995. “There has been no greater impact on stroke in the last 20 years than this trial,” Dr. Razack says. “Patients also have a tremendous impact on their recovery by seeking treatment as soon as signs and symptoms of a stroke appear. Don’t wait to figure out if someone is having a stroke. When in doubt, call 911.” The Multicenter Randomized Clinical Trial ofEndovascular Treatment for Acute Ischemic Stroke in the Netherlands Gray Matters Time wasted is brain wasted for stroke patients. If you suspect someone is having a stroke, check the following FAST signs: (MR CLEAN) found that Stroke symptoms: Face—Does one side of the face droop? Arms—Is one arm weak or numb? Speech—Is speech slurred? Time—Time is critical. Call 911. Don’t drive. patients who received advanced care consisting of directly working within the brain’s blood vessels within six hours of the onset of symptoms are more likely to recover from a stroke. Nasser Razack, M.D. Neuronterventional Radiology Lee Physician Group 13685 Doctor’s Way Suite 350 Fort Myers, FL 33912 239-425-4893 www.tinyurl.com/DrRazack “This is the only knee that is actually customized to the patient’s anatomy,” explains George Markovich, M.D. A Perfect Fit: The 3-D Knee Knee replacements often are the last resort for patients dealing with pain caused by osteoarthritis or rheumatoid arthritis. A common surgery, knee replacements now have a more customizable option thanks to 3-D technology and manufacturing techniques. “This is the only knee that is actually customized to the patient’s anatomy,” explains George Markovich, M.D., orthopedic surgeon. “Using a digital CT scan and 3-D models, we create a perfectly matched implant.” Dr. Markovich says the old, off-the-shelf joint implants were limited in sizes because they were most often molded using anatomical information from men. “Some of the sizes were very clunky and large in certain diameters, so they didn’t match women as well,” he says. “And women make up about 65 percent of knee replacement surgeries, so it is nice to have an option to recreate the size, shape and pattern of the individuals’ joint.” The benefits of this individualized care include quicker surgery, less blood loss, less time in the hospital and faster recovery overall. “By matching each patient’s particular anatomy, we do not have to manipulate the bone to accept the implant—it is designed to fit the bone,” Dr. Markovich says. “With the 3-D knee, the proper alignment and fit is determined more accurately, which is especially important in patients with severe deformities from previous trauma or surgeries. This leads to more favorable outcomes. Using this technology, the ultimate goal is a knee replacement that works better and lasts longer.” George Markovich, M.D. Institute for Orthopaedic & Sports Medicine 8350 Riverwalk Park Blvd. Suite 1 Fort Myers, FL 33919 239-482-5399 To view a video on 3-D knee replacement surgeries, go to www.tinyurl.com/3DKneeFit 5 Abdominal Pain Not Usually Associated with Cancer Stomach pain can be sharp and last an extended period of time, but the larger pain is doing nothing about it. advice: Consume 4-6 glasses of water each day, exercise, take fiber and include a probiotic like Align. Many people refuse to visit a physician for abdominal pain because they fear they may have cancer. “Most people don’t realize that the odds are way in their favor that they do not have cancer,” says general surgeon Stephen Moenning, M.D. Dr. Moenning treats patients who suffer from abdominal issues, from appendicitis to inflammatory bowel disease. “Of course, different conditions require different levels of treatment,” Dr. Moenning says. “Gallbladder dysfunction can include gallstones, blockage. In serious cases, we have to operate to remove the gallbladder. This offers relief and patients recover, usually without complications.” Abdominal conditions can be inherited—like colitis (inflammation of the colon)—or can come on suddenly, as often happens with appendicitis (inflammation of the appendix). Appendicitis can affect people of all ages, including young children. Other conditions, including gallbladder dysfunction, are more common in older adults. “When a patient comes to see me, I examine all aspects of the abdomen,” Dr. Moenning says. “I learn about family history, conduct a physical exam and explore diagnostic challenges. As a practitioner, abdominal pain is interesting because we get back a good history on each patient. It’s detective work.” Common abdominal disorder symptoms include: •Bleeding •Constipation •Fever •Cramping •Diarrhea The best treatment is to avoid developing painful abdominal issues. “One of the best things anyone can do is to get a colonoscopy at age 50, or earlier if there is a family history of colitis of colon cancer,” Dr. Moenning says. “Colon cancer is the silent killer because it doesn’t present with symptoms until it’s too late. Don’t die of embarrassment.” Stephen Moenning, M.D. General Surgery Lee Physician Group 708 Del Prado Blvd. Suite 1 Cape Coral, FL 33904 239-424-2755 www.tinyurl.com/DrMoenning Irritable bowel syndrome is common, especially in patients older than age 50. Dr. Moenning starts with basic Gait Mapping System Directs Individualized Care Following a stroke, traumatic injury or orthopedic procedure, many patients may require additional, specialized care and training, and close medical supervision. The Rehabilitation Hospital at Lee Memorial Hospital provides the comprehensive, individualized care these patients need on their road to recovery. Part of the care may involve the use of a gait mapping system, which provides objective information on a person’s walking pattern. Using a sensored walkway and a computer program, physical therapists can analyze and measure a variety of gait patterns, including footfall, stance, step length and speed. “Using this technology, we show our patients their specific patterns and direct therapies to address their issues,” explains Joe Ryan, DPT, manager of rehabilitation services at the Rehabilitation Hospital. “Also, because it is so quick and easy to use, we can periodically test the patients in order to show them how they are progressing in therapy. We have found that it really keeps the patients motivated and engaged in their recovery because they can see objective progress.” By pinpointing specific issues, Joe says physical therapists can set goals for patients, like increasing stance percentage or extending step length. “One of the most important elements we look at is speed,” Joe says. “A patient who walks 0.8 or 0.9 meters/second is a lot more likely to be able to go out and engage in the community—go grocery shopping, out to dinner, the movies, etc.—than someone who shuffles or walks more slowly.” The patient who needs a walker, cane or hands-on assistance from a physical therapist is still able to gain valuable information from the system because the computer program can be directed to erase the therapists’ foot prints or the imprint of the assistive device. The goal of all therapies and treatment at the Rehabilitation Hospital is to help patients regain their basic, daily functions and get them back to their lives. “It is not enough to send patients home just surviving,” Joe says. “We want our patients to have a good quality of life and to be able to participate in their lives. Mobility is key to that and the gait mapping system helps us direct treatment to each patient’s goals.” To view a video on the Rehabilitation Hospital, go to www.tinyurl.com/GoodGait Shape Up Your Summer with Sizzling Savings Take advantage of the Wellness Centers Super Summer Special! 3 months for $150 Come by a location near you to receive a free 1-week pass. Wellness Center – Cape Coral offers swim lessons for all ages. Call 239-424-3226 for information. Wellness Center – Cape Coral 609 SE 13th Court Cape Coral, FL 33990 239-424-3220 www.LeeMemorial.org Feel G R E AT Th is sum mer! Wellness Center – Fort Myers 3114 Cleveland Ave. Fort Myers, FL 33901 239-343-4980 6 Routine Exams Help Men Stay Healthy Men often provide great care for their families, but fail to address an issue that should be at the forefront of their agenda: their health. “Men tend to avoid seeing health care providers unless they sense great risk or have an active problem,” says family practice physician and director, Lee Memorial Health System/Florida State University Family Medicine Residency Program Gary Goforth, M.D. “However, many serious conditions such as colon cancer, depression, abdominal aortic aneurysm, diabetes and hypertension can be detected earlier to avoid major complications.” “Our goal is to get men to pay attention to their health,” Dr. Goforth says. Dr. Goforth focuses on basic care and his exams include: • Blood pressure check • Weight assessment • Prostate and testicle exam • Skin check (melanoma, basal cell, squamous cell carcinomas) “I try to emphasize the need for additional testing to include colonoscopy, abdominal aortic aneurysm ultrasound scans, lipid and diabetes screening,” Dr. Goforth says. “I also focus on family history and the importance of diligent screening for family history conditions (heart disease, cancer). I strongly encourage smoking cessation for all smokers; weight loss and exercise for patients with a body mass index (BMI) over 25. I also encourage administration of the recommended adult vaccines, includingTdap, Pneumococcal (Prevnar at age 65, then Pneumovax one year later), Zostavax (for preventing shingles after age 50) and other vaccines for certain conditions.” Patients who do not have regular exams and screenings could be at-risk for coronary heart disease, stroke and peripheral vascular disease; or death from an aortic aneurysm rupture not detected by a screening ultrasound exam. Dr. Goforth recommends: • Colonoscopy every 10 years beginning at age 50 (every 3-5 years if polyps are present) • Abdominal aortic aneurysm screening for men aged 65-75 years old if prior smoking history “Our goal is to get men to pay attention to their health,” Dr. Goforth says. “The best time to visit your primary care physician is before a problem exists. That way we have a historical record of your health and are in a better position to help with any problems that may arise.” Gary Goforth, M.D. Family Medicine Lee Physician Group 2780 Cleveland Ave. Suite 709 Fort Myers, FL 33901 239-343-3831 www.tinyurl.com/DrGoforth • Lipid screening in men age 35 and older • Blood pressure screening in adults beginning at age 18 • HIV screening for all adolescents and adults • Depression screening for adults age 18 and older when staff-assisted depression care supports are in place • Obesity screening and management for all adults • Diabetes screening for adults with obesity or sustained blood pressure higher than 135/80 An Exciting Summer for the Family Medicine Residency Program From an application pool of more than 1,500 medical school graduates, Lee Memorial Health System and The Florida State University College of Medicine Family Medicine Residency Program are proud to welcome six new first-year residents, including: Also in July, the following physicians will be promoted to third-year residents: • Shane Drahos, M.D., West Palm Beach, Fla. • Greg Stepp, M.D., Deland, Fla. • Tyler Hendricks, M.D., Jacksonville, Fla. • Ashley Wallace, M.D., Pittsburgh, Pa. • Alim Karim, M.D., Ontario, Canada • Clinton Walls, M.D., Cape Coral, Fla. • Olevia Metry, M.D. • Lee Coghill, M.D. • Elizabeth Midney, M.D. • Alyson Lewis, M.D. • Carl Nyberg, M.D. • Roy Klossner, M.D. • Sherry Farag, M.D. • Chelsey Scheiner, M.D. • Lucia Huffman, M.D. • James Toldi, D.O. The summer also brings the first resident to graduate from the program—Kristin Miller, M.D. Under the guidance of physicians and faculty, medical school graduates are required to complete residency training in their chosen specialty in order to become independent, practicing physicians. The Family Medicine Residency Program prepares these new physicians with a 36-month curriculum that includes rotations in: In July, the inaugural group of residents who started the program in 2014 will advance as second-year residents. This group includes: • Mohammad Ayaz Sadat, M.D. • Jack Arnold, M.D. • Adult medicine • General surgery • Practice management • Behavioral medicine •Ophthalmology • Community medicine •Pediatrics • Ear, nose and throat •Geriatrics • Obstetrics and gynecology •Urology • Sports medicine •Orthopedics •Neurology • Critical care •Cardiology • Emergency medicine Most physicians set up practice near the location where they complete their residency training. So, Lee Memorial Health System hopes the residency program will play a significant role in meeting the primary care needs of Lee County and Southwest Florida. The system hopes to retain more than 50 percent of these talented residency graduates here in our community. Family Medicine Residency Program 2780 Cleveland Ave. Suite 709 Fort Myers, FL 33901 239-343-3831 Family Medicine physicians are accepting new patients of all ages. 7 The Need for Blood is Real Sylvie Luders lives with sickle cell disease—an inherited disorder that affects the shape of red blood cells. The condition also affects the immune system and can lead to serious infections, chronic anemia and damage to vital organs. For six years, Sylvie has required regular blood transfusions to decrease the risk of stroke. Sylvie is just one patient who relies on Lee Memorial Health System having an adequate supply of blood. “The need is constant,” says Susie Nystrom, director, Blood Center Services. “The health system transfuses about 426 units of blood each week. Surgeries—like trauma, orthopedic, gynecologic or open-heart surgeries—are the main reason patients need blood. But, hematology/oncology patients—both adult and pediatric—also need red blood cells and platelets.” “In 2009, when I was around 17, I started having symptoms of a stroke,” Sylvie says. “One whole side of my body would go numb—my face, hands, arms, legs. MRIs and tests found that the sickle cell disease caused blockages in the main arteries to my brain. My doctor [Emad Salman, M.D., pediatric hematologist/oncologist] said I would need regular blood transfusions to prevent a stroke.” Because the health system also is home to the regional Level II Trauma Center, which serves Lee, Collier, Charlotte, Hendry and Glades counties, the need for blood can fluctuate. Susie says there have been trauma patients—motorcycle or car accident victims— who need hundreds of units of blood to save their lives. In the beginning, Sylvie got a transfusion every three weeks. The frequency later changed to every four weeks, and now stands at every five weeks. In addition to decreasing the occurrence of life-threatening blood clots, the transfusions assist the blood’s oxygencarrying capacity and reduce the percentage of red blood cells that carry the sickle gene. “There is no substitute for human blood,” says Nancy Hendrick, Blood Center community relations coordinator. “We rely on our community to help ensure we have a safe and adequate supply of blood to care for our patients. We need all blood types, but O negative is so important because it is universal, meaning it can be transfused to almost any patient in need.” Sylvie needs five units of blood every five weeks for her exchange transfusion, which involves the removal of her blood along with the transfusion of new blood. “I have one arm with blood going out and the other arm with new blood coming in,” she says. “I have gotten used to the process and I know it’s helping me stay as healthy as possible.” From the unexpected motor vehicle crash to the standing transfusion appointment, the need for blood is real. The Lee Memorial Health System Blood Centers are hosting blood drives in the hospitals: • 10 a.m.-5 p.m., June 9-10 and 7 a.m.-4 p.m., June 11, HealthPark Medical Center Atrium “We rely on our community to help ensure we have a safe and adequate supply of blood to care for our patients.” • 10 a.m.-5 p.m., June 29-30 and 7 a.m.-4 p.m., July 1, Gulf Coast Medical Center Main Entrance • 10 a.m.-5 p.m., July 14-15 and 7 a.m.-4 p.m., July 16, Cape Coral Hospital Auxiliary Conference Room • 10 a.m.-5 p.m., July 29-30 and 7 a.m.-4 p.m., July 31, Lee Memorial Hospital Auditorium Your donations stay in Lee County! Or, donate anytime at the Blood Center nearest you. Call 239-343-2333 or go to www.tinyurl.com/BloodCenters. Donors must: • Feel well and healthy on the day of donation • Be a minimum of 16 years old • Weigh at least 115 pounds Convenient Care a Good Option for Minor Injuries, Illnesses For patients who do not have a primary care physician or who experience illness or injury on a weekend, in the evening or on a holiday, a trip to the local emergency department might seem like the only choice. Sometimes it is, especially when the injury is lifethreatening. Conditions treated at Convenient Care include: • Coughs, colds, sore throats and flu symptoms However, for many patients, Convenient Care is a better option. “It can be difficult to make a decision, especially when someone needs medical care immediately,” says family physician Nicole Higgs-Doughty, M.D. “That’s when you need to assess how serious the injury or condition is, then head to the appropriate destination.” • Ear pain • Eye redness, pain or irritation (Not including any change in vision) Sudden accidents, acute pain and trauma usually warrant a trip to the emergency department, and may require an ambulance for transportation. “We do not recommend driving if someone is in a life-threatening situation,” Dr. Higgs-Doughty says. “Dial 911 if someone is in obvious distress and the survival of that person is at stake. Paramedics who arrive first on the scene are trained to help stabilize critical patients and are equipped to help more than family members and friends.” • Fever (Not associated with mental status changes or lethargy) • Minor breathing difficulty such as asthma complications (Not congestive heart failure) • Vomiting, diarrhea and mild dehydration (Not requiring IV fluids) The emergency department is the right choice for the following conditions: • Chest pain, pressure or discomfort and symptoms of a heart attack (arm, neck, jaw or back pain; dizziness; nausea; sweating; difficulty breathing and/or fatigue, particularly in women) • Severe difficulty with breathing and/or abdominal pain • Stroke symptoms (loss of vision, sudden numbness, weakness, slurred speech or confusion) • Any injury where a bone is protruding • Head trauma (loss of consciousness, nausea, vomiting, mental status changes) •Seizures • Serious neck or back injuries (related to car accidents, falls from ≥ 10 feet) • Urinary tract infections • Sexually transmitted diseases and minor female vaginal complaints • Gunshot wounds and deep knife wounds • Uncontrollable bleeding • Minor burns • Sprains and strains • Minor broken bones without overlying open wounds or bones protruding • Mild to moderate back pain • Animal bites • Skin tears, rashes, irritations or infections • Fever in babies younger than 3 months of age “Most walk-in consumers are seen for routine medical issues, but we also treat worker’s compensation injuries,” Dr. Higgs-Doughty says. “Many consumers are referred to us when primary care providers are overbooked and have no more available same-day appointments. At Convenient Care our goal is to give quality, safe, patient-centered care in a timely fashion.” • Pregnancy related issues •Poisoning • Suicidal or homicidal feelings and panic attacks Nicole Higgs-Doughty, M.D. Lee Physician Group Convenient Care—Page Field 4771 S. Cleveland Ave. Fort Myers, FL 33907 239-343-9800 www.tinyurl.com/DrHiggsDoughty Other injuries or conditions are less serious and are better served by Convenient Care. Lee Memorial Health System has four locations and most are open 7 a.m.-7 p.m., seven days a week. “We try to make it easy for people to access our locations so they can get the care they need and get back to their activities without a huge time commitment,” Dr. HiggsDoughty says. “We usually treat patients in order of their arrival so no one has to wait for hours to see a medical practitioner.” www.LeeMemorial.org • Allergic reactions (Not life-threatening) See all 3 Convenient Care locatio ns on pa ge 11. To view a video on Convenient Care, go to www.tinyurl.com/ConvenientDr 8 Common Causes of Headache Headaches are a common occurrence for many adults. In fact, according to the Migraine Research Foundation, someone goes to the emergency department with a headache or migraine every 10 seconds. Family medicine physician Gilberto Riveron, M.D., says there are a variety of causes of headaches, including emotional, environmental, physical and edible factors. Emotional “Stress is the most common cause of headaches,” Dr. Riveron says. “The chemical and physical changes caused by stress—like clenching your teeth—make you susceptible to tension headaches and migraines.” Making a conscious effort to relax and control how you to react to stress can help decrease the frequency of these types of headaches. Environmental • Tyramines in aged cheeses, wine, beer and processed meats There are a number of environmental factors that can cause headaches, including: • Bright lights, including the sun’s glare • Weather—sudden or drastic changes in temperature or barometric pressure • Sulphites in wine and dried fruits • Strong scents—perfumes, colognes or chemicals, like paint or gas • Smoking and second-hand smoke contain nicotine which causes blood vessels in the brain to narrow • MSG and nitrites found in cured meats • Salicylates in vinegar and certain teas and fruits “Being dehydrated or skipping meals also can trigger headaches,” he says. “Caffeine can either help a headache—some headache medications actually contain caffeine—or cause one—if you don’t drink your regular cup of coffee, you may experience a nagging headache.” Physical “Poor posture, especially from sitting at a desk all day, can take a toll on your head and neck,” Dr. Riveron says. “To avoid tension headaches, be sure your chair has good lower back support and your monitor is at eye level—not too high or too low. Staring at a screen all day can also strain your eyes and result in a headache, so get up from the computer at least every hour. Also, when looking at your cell phone, hold it upright because looking down at it strains your spine and neck. ” Just as there are a variety of factors that cause headaches, there also are a many different types of headaches. Get help immediately if you experience a sudden, intense headache accompanied by fever, weakness, numbness, difficulty speaking and confusion. Or, if you experience a new onset or type of headache that does not improve with standard home remedies, call your doctor and schedule an appointment. Gilberto Riveron, M.D. Family Medicine Lee Physician Group 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1660 www.tinyurl.com/DrRiveron Other physical factors that cause headaches include: • Hair accessories—tight braids, up-dos, ponytails and hats can squeeze and pull your scalp and cause a tension headache • Exercise can cause headaches for those who suffer migraines Edible Dr. Riveron says that foods that are aged, smoked, dried or pickled contain known headache triggers, including: AgePlay Provides Interactive Experience on Challenges of Aging TM Aging is inevitable and with time comes new physical challenges. Tasks that once seemed easy can become difficult or nearly impossible. of 10 children, a military veteran, a physician, an athlete or a CEO of a big company. “That’s not necessarily what we see,” Teresa says. “Instead, we just see an ‘old person.’ The better we understand the challenges some seniors may experience, the better service we can provide to them.” “With so many generational differences and so few intergenerational programs, today’s young people tend to believe much of the ageism that is taught to them by other people,” says Teresa Frank-Fahrner, Older Adult Services program coordinator. “Even our own seniors help to promote one of the most common myths about aging, which is that everyone will have significant memory loss as they get older. This is just not true. Significant memory loss is not a normal part of aging, but when we hear people say, ‘I must be having a senior moment,’ this portrays that all people who get old lose their memory.” Aging Sensitivity Experience AgePlay puts users through a number of experiences, from vision changes caused by glaucoma, macular degeneration, cataracts, stroke and yellowing of the lens; hearing loss; loss of sensation in fingers and hands and motor skills; and teaches participants how to best communicate and assist people with these losses. “We also discuss various causes of memory loss and confusion in memory to make sure that people understand that some of the causes of memory loss are treatable,” Teresa says. “We discuss depression and how common this is in our older generation; and why older people tend to avoid mentioning this to their family or physician, and what some of the treatment options are for depression.” Teresa works to combat these stereotypes, and one of the tools in her arsenal is AgePlayTM, a hands-on simulation training that allows people to experience some of the physical challenges people may have when they get older. The goal of the aging sensitivity experience is to enhance understanding and increase empathy for older people. “Clearing up the myths of aging is critical to maintaining the dignity and respect we have for our senior citizens,” Teresa says. “The value of a person’s life is sometimes determined by what we see. When we see an older person with wrinkles, who do we see?” AgePlay is available to local businesses and organizations who want their staff or employees to gain a better understanding of the aging experience. “This training is not about the negative side of aging,” Teresa says. “It is about increasing empathy for our most precious resource, our senior citizens.” Many people will not consider the life experience the older person may have had, such as being the mother For more information on pricing or to schedule this valuable training for your business, please call 239-424-3298. Skin Cancer Screenings Can Save Lives There are three major types of skin cancer—basal cell carcinoma, squamous cell carcinoma and melanoma. Both basal cell carcinoma and squamous cell carcinoma develop on areas of the body that are exposed to the sun, like the face, scalp, ears, arms, chest, hands and legs. Melanoma, on the other hand, can develop anywhere on the body in normal skin or in existing moles that become cancerous. What to expect at the skin cancer screening? The skin cancer screening is a visual inspection of your skin by a medical professional. He or she will look at your moles, freckles and other marks. No blood is drawn and nothing is cut or removed at the time of the screening. If a suspicious mark is found, you will need to see a dermatologist for a more thorough exam. It is important to practice monthly head-to-toe self-examinations so you are aware of new or changing moles, spots or lesions. If you see anything suspicious, see your doctor. It also helps to have annual screenings performed by a dermatologist. Skin cancer, if detected and treated early, has an almost 100 percent five-year survival rate. Join SHARE Club this month for a free cancer screening provided by Riverchase Dermatology, 8-11 a.m., June 24 at the Bonita Springs YMCA, 27200 Kent Road. This screening is for adults age 18 and older. Appointments are required; call 239-221-7560. 9 P H Y S I C I A N Adult Physicians Allergy/Immunology Elvin Mendez, M.D. 26.3410 Tamiami Trail, Ste 1 Port Charlotte, FL 33952 941-255-3722 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 Kristen Brist, ARNP Virginia Pearson, ARNP 2. 16261 Bass Road, Ste. 300 Fort Myers, FL 33908 239-343-6410 Robert Cross, M.D. Catherine Law, M.D. Kiran Mangalpally, M.D. 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1660 Michael Bolooki, M.D. Lynne Einbinder, M.D. Jihad Khalil, M.D. Mikhailia Lake, 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. Jennifer Carter, ARNP Courtney Chumbley, ARNP Vicki Hayes, ARNP 9. 14051 Metropolis Ave. Fort Myers, FL 33912 239-343-9270 Anita Arnold, M.D. M. Erick Burton, M.D. Richard A. Chazal, M.D. Michael A. Corbellini, D.O. Michael D. Danzig, M.D. Roshan Vatthyam, M.D. Denise Bounds, PA-C Karen Booth, ARNP 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 Cardiothoracic Surgery Randall Buss, M.D. George Comas, M.D. Paul DiGiorgi, M.D. Brian Hummel, M.D. Joseph Deily, PA-C Michael DePalma, PA-C Scott Hooper, PA-C Megan Mukavetz, PA-C 10.9981 S. HealthPark Dr., Ste. 120 Fort Myers, FL 33908 239-343-6341 Community Health Centers Jeannie Arana, M.D. Carrie Gittings, M.D. Luzan Phillpotts, D.O. Virginia Bihari, ARNP Julieann Chapman, ARNP Petra Debolt, ARNP Mary Dion, ARNP Janet Loo, ARNP Frances Munroe, ARNP Angela Sterious, 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 Pam Salaz, ARNP 16.5225 Clayton Court Fort Myers, FL 33907 239-343-8240 Joseph Hobson, D.O. Barbara Baker, ARNP Trisha Kalamaras, ARNP 7. 8960 Colonial Center Blvd. Ste. 300 Fort Myers, FL 33905 239-343-9627 Jonathan Brisson, D.O. Gregory E. Krill, M.D. 2. 16271 Bass Road Fort Myers, FL 33908 239-343-7100 Sebastian Draulans, M.D. Manuel A. Garcia, M.D. Erin Lake, ARNP Judith Wagoner, ARNP 8. 9131 College Point Court Fort Myers, FL 33919 239-343-9100 Gilberto Riveron, M.D. 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1600 Hilario David, M.D. Alla Zhukova, M.D. Barbara Spokas, PA 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. Lewis Caldrone, ARNP 18. 2780 Cleveland Ave., Ste. 709 Fort Myers, FL 33901 239-343-3831 Call Center available evenings and weekends to make physician appointments. 7 a.m.-7 p.m., 7 days a week 239-481-4111 Patricia Daneshmand, D.O. Thomas Harris, M.D. Priscilla Ndiang’Ui, FNP-BC Amanda Volberg, 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 Keit Doan, D.O. Eric A. Goldsmith, D.O. Stephen Moenning, M.D. Jennifer Parish, PA-C Rebeca Price, PA-C M. Bess Raulersen, PA-C 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. Kimberly Printz, ARNP Robin Garling, PA 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. Stacy O’Brien, ARNP 18.2780 Cleveland Ave., Ste. 809 Fort Myers, FL 33901 239-343-9680 Mary Beth Saunders, D.O. Pranav Shah, M.D. Rajendra S. Sharma, M.D. James Toomey, M.D. 10.9981 S. HealthPark Dr., Ste. 454 Fort Myers, FL 33908 239-343-9710 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 Alberto Concepcion, M.D. Jason Triana, M.D. 3. 3501 Health Center Blvd. Ste. 2310 Bonita Springs, FL 34135 239-495-5020 Francisco Marasigan, M.D. Christine Orlowicz, M.D. Bharath Radhakrishna, M.D. 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1600 Kai-Fu Chow, M.D. 5. 930 S. Main St. LaBelle, FL 33935 863-674-5520 D I R E C T O R Y John Ardesia, D.O. Adriana Loukanova, M.D. Leah Lynch, M.D. Gaurav Nayyar, M.D. Binh Truong, M.D. Diana Young, M.D. Theresa Corey, ARNP Mary Ellen DeMartini, ARNP Vicky Brooks, ARNP Shawn Steiner, 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. 6. 507 Cape Coral Pkwy. Cape Coral, FL 33904 239-541-4420 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. Melinda Welsh, ARNP 8. 9131 College Point Court Fort Myers, FL 33919 239-343-9100 Integrative Medicine Heather Auld, M.D. Teresa Spano, Naturopathic Consultant 15. 16281 Bass Road, Ste. 301 Fort Myers, FL 33908 239-495-4480 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. Michael Goodman, M.D. Jeffrey S. Henn, M.D. Saman P. Javedan, M.D. Dean D. Lin, M.D. Gregory Velat, M.D. Debbie Dean, PA-C Elaine Fournier, PA-C Serena Warf, PA-C Stephanie Lage, PA-C John Daniel Prince, PA-C Marco van den Bosh, PA-C Jaclyn Wise, PA-C 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 Neurointerventional Radiology Christopher Firment, M.D. Anthony Kam, M.D. Nasser Razack, M.D. Creed Rucker, M.D. Fawad Shaheen, M.D. Stephanie Featherstone, PA-C 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. Gilbert Draulans, M.D. Lesley P. Furman, M.D. Edward Marineau, M.D. Bipin Shah, M.D. Kristin Fazio, CNM Kwee Green, CNM Tammy Leuttich, CNM Christina Sierra, CNM Cindy Stewart, 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 Miranda Marcus, ARNP 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 Palliative Care Andrew Esch, M.D. Ahmed Hassan, M.D. Rabia Khan, D.O. Colleen Tallen, M.D. Jeanine Briones, ARNP Debbie Chapa, ARNP Amber Greco, ARNP Holly Lanier, ARNP Lolita Melhado, ARNP Kathy Udell, ARNP Kimberly Vogelbach, ARNP 7. 8960 Colonial Center Dr., Ste. 206 Fort Myers, FL 33905 239-343-9560 Psychiatry Daryl Tanski, M.D. Susan Samerdyke, ARNP 25 Behavioral Health Center 12550 New Brittany Blvd. Fort Myers, FL 33907 239-343-9190 Pulmonology Brian Horner, D.O. Ragai Meena, M.D. Sunil Pammi, M.D. Stephen Wilczynski, M.D. Dolan Abu Aouf, PA-C Donna Bennett,PA-C Ann Brock, PA-C Nancy Ann Harrod, ARNP David Lyskowsi, PA-C Chris Mallari, PA-C George Mitchell, PA-C 11.4751 S. Cleveland Ave. Fort Myers, FL 33907 239-343-9888 13.650 Del Prado Blvd., Ste. 107 Cape Coral, FL 33990 239-343-9888 14.260 Beth Stacey Blvd., Ste. C Lehigh Acres, FL 33936 239-343-9888 Pediatric Specialties Pediatric Behavioral Medicine Adrienne Tedeschi, M.D. Pamela Papola, M.D. 15.15910 Bass Road, Ste. 108 Fort Myers, FL 33908 239-343-6050 nd vela e l C N. k Brd 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 Clinics 12.1265 Creekside Pkwy., Ste. 200 Naples, FL 34108 239-254-4270 22 .18316 Murdock Circle, Suite 106 Port Charlotte, FL 33948 941-235-4900 Pediatric specialties available: • Allergy & Immunology • Behavioral Medicine • Endocrinology • Hematology/Oncology • Infectious Diseases • Nephrology • Neurology • Sleep Medicine • Surgery Be 23 Fort Myers . lvd B r 24 9 21 Lee Blvd. Exit 136 y. Daniels Pkwy. Gladiolus Dr. 7 26 Six Mile Cypress Pk w Cape Coral Pkwy. Metro Pkwy. 1 11 16 8 25 Exit 138 Colonial Blvd. Plantation Rd. Cleveland Ave. 18 6 Gre c M . lvd B ach 19 10 14 Exit 131 17 Exit 128 15 2 Alico Rd. Rd. erlin m Sum Pediatric Neurology Margie Morales, M.D. Guillermo Philipps, M.D. Britt Stroud, M.D. Eric Vernier, M.D. 15. 15901 Bass Road, Suite 108 Fort Myers, FL 33908 239-343-6050 Estero Bonita Springs Immokalee Rd. Convenient Care locations Lee Memorial Health System Hospitals 12 Pediatric Specialty Clinic Corkscrew Rd. Exit 123 Coconut Rd. 3 EXIT 111 Livingston Road Naples Bonita Springs Airport - Pulling Road Pediatric Psychiatry Denise Dutchak, M.D. Ajay Mayor, M.D. Dawn Picotte M.D. 12550 New Brittany Blvd. Fort Myers, FL 33907 239-343-9190 Pediatric Psychology (Hematology/Oncology) Kim Shimoda, Ph.D. 10. 9981 S. HealthPark Drive, Ste. 158 Fort Myers, FL 33908 239-343-5333 20 Cape Coral go m Pal Goodlette-Frank Rd. 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 Schwander, 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 Michelle Klempka, ARNP Julie Vega, ARNP Amanda Ranft, ARNP 3. 3501 Health Center Blvd., Ste. 2220 Bonita Springs, FL 34135 239-343-9888 Pediatric Nephrology Irina Gershin-Stevens, D.O. 15. 15901 Bass Road, Suite 102 Fort Myers, FL 33908 239-343-9890 y. g Pkw oc Hanc Exit 141 Harbor Blvd. 26 Tamiami Trail North Pediatric Physicians 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 i Tr ail Islan 4 13 iam . d Rd Rd. Russell Becker, D.O. eriwSte. 8. 8380 Riverwalk ParkPBlvd., inkle100Way Fort Myers, FL 33919 239-343-9960 Wound Care & Hyperbaric Medicine Lisa Chow, M.D. James Gostigian, M.D. Robert Kupsaw, M.D. Frederick “Rick” Hall, PA 21. 13778 Plantation Rd. Fort Myers, FL 33912 239-343-0454 Pediatric Hematology/Oncology Craig MacArthur, M.D. Cameron Nicholson, M.D. Emad Salman, M.D. Kelly Sawczyn, M.D. Jennifer Vega, ARNP Pam Wojciki, ARNP 10. 9981 S.HealthPark Drive, Ste.156 Fort Myers, FL 33908 239-343-5333 Pine 5 Tam Pediatric Specialty Clinic Bass 16.5216 Clayton Court Fort Myers, FL 33907 239-343-8260 Rheumatology Juan Bustillo, M.D. Veronica Bynum, PA 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. 7. 8960 Colonial Center Dr., Ste. 210 Fort Myers, FL 33905 239-343-9430 Vascular Surgery 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 Port Charlotte 22 Vanderbilt Drive Rahul Challapalli, M.D. Vijay Das, M.D. Razak Dosani, M.D. Abusayeed Feroz, M.D. Sagar Naik, M.D. Christine Becker, PA Nelson Guzman, PA-C Alexander Iriarte, PA Eric Jordan, PA Jeff Jordan, PA Ira Saunders, PA Debra Berry, ARNP Christina Caffee, ARNP Ann Cromika, ARNP Miriam Ellenburg, ARNP Janice Kirk, ARNP 4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-343-8260 Pediatric Cardiology Eric Eason, D.O. 15. 16281 Bass Road, Ste. 304 Fort Myers, FL 33908 239-343-7490 Pediatric Ear, Nose and Throat Stuart Morgenstein, D.O. Andreas Werle, M.D. 15. 15901 Bass Road, Ste. 108 Fort Myers, FL 33908 239-343-9890 Del Prado Blvd. 8. 9131 College Point Court Fort Myers, FL 33919 239-343-9130 Exit 143 Exit 116 Vand erbil t Bea ch Ro Cape Coral Hospital..................... 239-424-2000 Bonita Beach Rd. ad Blood Center Location 636 Del Prado Blvd., Cape Coral, FL 33990 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. Ann Boudreaux, M.D. Karen Calkins, M.D. Nicole Higgs-Doughty, M.D. Oxana Douglas, M.D. Saiful Islam, M.D. Jeffrey Johns, D.O. Chris Loutzenhiser, D.O. Tiffani MaGee, M.D. Abel Natali-Lopez, M.D. Gustavo Prada, M.D. Fort Myers • 4771 S. Cleveland Ave. (North of Page Field) • 16230 Summerlin Rd., Ste. 215 (Summerlin & Bass Rds.) Cape Coral • 1682 NE Pine Island Road Gulf Coast Medical Center............ 239-343-1000 13681 Doctor’s Way, Fort Myers, FL 33912 (Daniels and Metro Parkway) David Schulze, M.D. Avery Wright, D.O. Karen Knific, ARNP Sarah McGregor, ARNP Sonya Powell, ARNP Cynthia Reichelt, ARNP Laura Snyder, PA Maureen Solliday, ARNP 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 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. 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 Rehabilitation Hospital............... 239-343-3900 3 Bonita Community Health Center ......................... 239-949-1050 Blood Center Location 3501 Health Center Blvd., Bonita Springs, FL 34135 7 Regional Cancer Center .......... 239-343-9500 8931 Colonial Center Drive, Suite 200 Fort Myers, FL 33905 26 Outpatient Surgery Center ..... 239-343-9600 8970 Colonial Center Drive Fort Myers, FL 33905 An outpatient department of Lee Memorial Hospital Calendar Events & Screenings Mobile Autism Screening Golisano Children’s Hospital of Southwest Florida hosts free screenings for children younger than age 5. 9:30 a.m.-2 p.m., June 5 Family Health Center, 2256 Heitman Street, downtown Fort Myers Call 239-343-6838; appointments are encouraged Healthy Living Lecture Series with Dr. Sal Lacagnina The Healthy Living Lecture Series is a free, monthly program that covers a variety of health care topics. Topic this month “Cancer: How to Avoid this Growing Epidemic.” Noon-1 p.m., June 9 Cape Coral Hospital Auxiliary Conference Room Call 239-424-3232 Pediatric CPR & First Aid Golisano Children’s Hospital of Southwest Florida Child Advocacy department is hosting a pediatric CPR and first aid class for parents and caregivers. 9 a.m.-4 p.m., June 20 HealthPark Medical Center $50 per person Call 239-343-5101 SHARE Club Early Heart Attack Signs and Symptoms Join SHARE Club for this presentation by Stephanie Syska, RN, director of emergency services and the cardiac decision unit at HealthPark Medical Center, as she discusses the different early signs and symptoms of a heart attack. 10 a.m., June 9 Emeritus of Bonita Springs, 26850 South Bay Drive, Bonita Springs (behind Promenade at Bonita Bay) Call 239-424-3765 Computer Technology: Why You Should Know the Basics Dennis Hart, SHARE Club volunteer computer instructor, will present why learning the basics of operating your computer is the right place to start. You also will learn about computer classes available at SHARE Club. 10 a.m., June 10 Cape Coral Hospital Auxiliary Conference Room Call 239-424-3765 The Challenge of Medication Management in Older Adults Join SHARE Club for this presentation by Stephen Kessinger, R.Ph., pharmacy director at Cape Coral Hospital, as he speaks about the challenges some older adults have with managing their medications. 10 a.m., June 17 Cape Coral Hospital Call 239-424-3765 Protein Needs of Older Adults SHARE Club invites you to attend this presentation by Carrie Bloemers, Lee Memorial Health System registered dietitian. She will discuss the protein needs of older adults to maintain good health. 10 a.m., June 22 Gulf Coast Medical Center Administrative Conference Room #2x Call 239-424-3765 Skin Cancer Screening SHARE Club invites adults age 18 years and older for this skin cancer screening provided by Riverchase Dermatology. Please wear loose-fitting clothing. 8-11 a.m., June 24 Bonita Springs YMCA, 27200 Kent Road, Bonita Springs Call 239-221-7560; appointments are required Cancer Bladder Cancer Support Group 3-5 p.m., first Wednesday of every month Regional Cancer Center Contact Karen Godfrey, Bladder Cancer Advocacy Network volunteer advocate at 239-992-4809 or [email protected] Blood Cancer Support Group Time and date to be determined Location to be determined Registration is required. Contact Seth Berkowitz at 800-955-4572 or [email protected] www.LeeMemorial.org Please call to register and for more information. Brain Tumor Support Group 6:30-7:45 p.m., third Tuesday of each month Lee Memorial Hospital Volunteer Conference Room Call Dona Ross at 239-433-4396 Cancer Nutrition Seminar This free monthly seminar is for oncology patients, survivors and caregivers. Each month features a different topic and food demonstration with tastings and recipe. 2-3 p.m., second Wednesday of the month Regional Cancer Center, Fourth Floor Conference Room Contact Valerie Butram at 239-343-9559 or [email protected] Colorectal Cancer Support Group 5:30-7 p.m., fourth Tuesday of each month Gulf Coast Medical Center, Women’s Services Entrance, first floor, Room ACR #12 Call Larry Mickley at 239-454-3308 Multiple Myeloma Support Group 6-7 p.m., third Tuesday of the month Hope Hospice, 9470 HealthPark Circle, Fort Myers Contact Joanie Borbely at 860-655-7107 or [email protected] Oral, Head and Neck Cancer Support Group 3-4 p.m., fourth Tuesday of each month Gulf Coast Medical Center Medical Offices, 13685 Doctor’s Way, Suite 250, Fort Myers Call Stacey Brill at 239-343-1645 Thyroid Cancer Support Group 10:30 a.m.-noon, third Saturday of each month Lakes Regional Library 15290 Bass Road, Fort Myers Call Sally Fontaine at 239-590-0797 or [email protected]. Mastectomy Pre-Operative Education Class Receive hands-on training and information regarding your upcoming mastectomy and valuable take-home tools to aid you during recovery. Free 10-11:30 a.m., Tuesdays Regional Cancer Center Third Floor Specialty Clinic Conference Room Class size is limited; call 239-343-9500 Diabetes Diabetes Self-Management Classes A 10-hour education program discussing all aspects of diabetes self-management, including meal planning, exercise, stress management, medication therapy and prevention of complications. Classes are available in English and Spanish. Weekly morning, afternoon and evening classes available Lee Memorial Hospital and Cape Coral Hospital. Diabetes education is a covered benefit for Medicare and most commercial insurances. Call 239-424-3127. Must be registered and a physician referral is required. Pregnancy & Diabetes Program An educational program for expectant mothers with diabetes or gestational diabetes. This program is available in English and Spanish. Weekly classes available Call 239-424-3127 Weight Loss Weight Management Individualized weight loss counseling with a registered dietitian. Weekly counseling sessions are available Call 239-424-3120 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 vary Wellness Center-Cape Coral Contact Sarah Mitchell at 239-424-3231 or [email protected] Community Weight Loss Management Program This weight loss program features 30 minutes of group activity and 30 minutes of discussion. This 8-week program is a great way to create a healthy lifestyle in a motivating group setting. Time and date vary Wellness Center-Cape Coral Contact Sarah Mitchell at 239-424-3231 or [email protected] Positive Parent Support Group Provided by Golisano Children’s Hospital of Southwest Florida in collaboration with the Greater Naples YMCA, this support group is for families of children with special abilities. It provides the opportunity for families to connect and establish supportive relationships. Snacks and beverages are provided. 6-7:30 p.m., third Thursday of every month Greater Naples YMCA, 5450 YMCA Road, Naples Call 239-597-3148 Ortho/Neuro/Spine Partners in Parenting Classes teach parents how to focus on their strengths and set appropriate expectations for their children. Classes meet once a week for 2 ½ hours, day and evening locations available. Fort Myers and Cape Coral No charge and free child care available for infants and toddlers. Call 239-939-2808 Preoperative Joint Replacement Class Everything you need to know to feel comfortable before joint replacement surgery. 10:30 a.m., every Tuesday at Cape Coral Hospital; 10 – 11 a.m., Fridays at Gulf Coast Medical Center or varied times and dates at Lee Memorial Hospital Call Cape Coral Hospital at 239-4243150; Gulf Coast Medical Center at 239-343-0300 or Lee Memorial Hospital at 239-343-3411 and leave a message Stroke Support Group For caregivers and stroke survivors. 10:30 a.m., every Tuesday (except third Tuesday of the month) Cape Coral Hospital, Room A Call 239-424-2317 Aquatic Art Pool exercises for people with Parkinson’s disease. 1-2 p.m., Mondays and Wednesdays Wellness Center-Cape Coral Call 239-424-3220 Aphasia Group For those who have difficulty talking due to stroke. 9-10 a.m., Tuesdays Wellness Center-Cape Coral First session free, then $10 per session Call Nancy Gizzi at 239-424-3572 Fort Myers Stroke Support Group An educational and social support group for stroke survivors and caregivers. 4:30-5:30 p.m., first and third Mondays of each month Lee Memorial Hospital Auditorium Call 239-343-3493 Pregnancy/Parenting 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. Women and their support person will receive a tour of the birth facilities and birthing beds. Classes take place throughout the year HealthPark Medical Center, Gulf Coast Medical Center, and Cape Coral Hospital $60 per couple (scholarships are available) 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. Classes take place throughout the year. Time and date vary $20 per couple, $5 per additional person in attendance 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. Classes take place throughout the year HealthPark Medical Center and Gulf Coast Medical Center$20 per couple Call 239-343-5271 or visit www.LeeMemorial.org/BirthEd Support Groups/Classes 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. 12:45-2:30 p.m., first Tuesday of each month Myerlee Manor, 1499 South Brandywine Circle, Fort Myers Call Howard Weisberg at 239-482-8433 Caregiver Support Group This group focuses on the unique needs and concerns of those caring for a loved one, regardless of their medical condition. 4:30-6 p.m., second Wednesday of each month Regional Cancer Center lobby Call Mark Geisler at 239-343-1126 Pulmonary Fibrosis Support Group 1-3 p.m., third Wednesday of each month Lee Memorial Hospital Medical Office Building, Suite 705 Call Lynne Puglise at 941-875-5732 Yoga This class is available to the general public with priority given to current cancer patients and primary caregivers. Mats, straps, blocks and aromatherapy provided by a grant from the Junior League of Fort Myers. 9:15-10:30 a.m., every Friday Regional Cancer Center, Fourth Floor Conference Room $5/class for cancer patients and/or caregivers and $10/class for general public Call 239-343-9503; registration is required Huffers & Puffers Support Group For COPD patients, friends, family members and caregivers. 1-3 p.m., third Friday of each month Lee Memorial Hospital Medical Office Building, Suite 705 Call Nayda Agosto at 239-343-3520 Gentle Yoga – Multiple Sclerosis Society Complimentary yoga class for members of the Multiple Sclerosis Society. 11:30 a.m.-12:30 p.m., Tuesdays and Thursdays Wellness Center-Fort Myers Call 239-418-2000 Wellness Center-Cape Coral Contact Sarah Mitchell at 239424-3231 or Sarah.Mitchell@ LeeMemorial.org Better Breathers For COPD patients, friends, family members and caregivers. 2-4 p.m., third Monday of each month Wellness Center-Cape Coral Call Jan Burket, COPD advocate, at 239-217-0545 Free Memory Screenings 1-3 p.m., every Monday Lee Physician Group Memory Care, 12600 Creekside Lane, Suite 7, Fort Myers Appointments are encouraged; call 239-343-9220 Lee Physician Group Memory Care Support Group This support group is for caregivers of those with memory impairments. Our mission is to provide knowledge, guidance and support in caring for their loved ones and themselves. 4:30 p.m., second Tuesday and last Thursday of each month Riverwalk Professional Center, 12600 Creekside Lane, first floor conference room, Fort Myers Call Alexandra Henderson at 239-343-9224 Mended Heart Support Group This national support group is for people with heart disease. Meetings feature excellent speakers—including this month’s speaker, Brittany Cahill, who will speak about stents. 6:30 p.m., second Tuesday of each month Wa-Ke Hatchee Community Center, 16760 Bass Road, Fort Myers Call Joe Jansen at 239-461-0980 Powerful Tools for Caregivers A nationally recognized, evidencebased program designed to help family caregivers take care of themselves while caring for a loved one at home, in a nursing facility or from long distance. Time and date vary Location varies A donation of $30 helps defray the cost of the book Call Alexandra Henderson at 239-343-9224 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. 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. Many workshop leaders also have a chronic illness. Time and date varies Location varies Call 239-424-3122 Brain Aneurysm Support Group This support group is for people who have experienced brain aneurysms. Family members, significant others and caregivers are welcome to attend. 5:30-7:30 p.m., June Lee Memorial Hospital 5th Floor Conference Room Call Shaun Karleskint, RN or Tiffany Blauvelt, RN at 239-343-1571 Loss of an Adult Child 6-7:30 p.m., first and third Tuesday of each month Gulf Coast Medical Center Community Room Call Mark Geisler at 239-343-1126 Trauma Support Group A support group for people and caregivers who have survived traumatic injury. 6:30-8:30 p.m., second Tuesday of each month Lee Memorial Hospital Med Room 3 Call 239-343-2561 Lifestyle Coaching This service is available for Wellness Center members and nonmembers. Are you looking for motivation, accountability, direction? Lifestyle coaching sessions can help. Time and date vary 3900.01 5-15 12