Changing Shoes May Help Bunions and Hammertoes Shoving your foot in a tight shoe can be more than just uncomfortable—it can be downright painful and may lead to conditions like bunions or hammertoes. “The cause of bunions and hammertoes is multifactorial,” says foot and ankle orthopedic surgeon Jeremy Schwartz, M.D. “Genetics, shoe wear and trauma are some of the most common causes.” A bunion is a deformity of the great toe joint, not a bone spur on the side as commonly believed. A hammertoe is a deformity of the smaller toes where the toes bend up and curl under. “Although these conditions are not always preventable, wearing sensible shoes with a wide toe box and relatively low heel can help preserve your feet,” Dr. Schwartz says. “Women often experience these conditions more than men because fashion footwear can force the foot into unnatural positions. We treat both bunions and hammertoes in patients of all ages, from children and adolescents, to octogenarians. If the condition is a result of poor-fitting shoes, the condition tends to develop earlier in life.” There is not a cure for bunions or hammertoes, but treatment can be as simple as changing shoes. “The only treatment that works for these conditions are shoe modifications, which can alleviate the symptoms but not fix the deformity — or surgical correction,” Dr. Schwartz says. “Bunions and hammertoes are not improved with therapy, medication or splints.” There are surgical procedures to correct the problems, but Dr. Schwartz advises a less invasive approach initially, to see if that offers relief. “There are numerous bunion and hammertoe surgeries done to correct these problems,” he says. “However, I start with something basic because allowing toes more room to spread out in their natural position often alleviates the problem. If a patient requires surgery, it is vital to have the correct procedure done by a well-qualified orthopedic surgeon.” Jeremy Schwartz, M.D. Orthopedic Specialists of SW Florida 2531 Cleveland Ave. Suite 1 Fort Myers, FL 33901 239-334-7000 4 6 8 12 Lee Health Calendar Lee Health Leading the Fight Against Sepsis Events at the Healthy Life Center Coconut Point A publication of Lee Health November 2016 Join us in the Walk to Defeat ALS 8:30 a.m., Nov. 5 Miromar Outlets, Estero, Florida For more information, or to register, visit tinyurl.com/2016ALSWalk Sanet Vision Integrator Keeps Therapy Fun
Transcript
Changing Shoes May Help Bunions and HammertoesShoving your foot in a tight shoe can be more than just uncomfortable—it can be downright painful and may lead to conditions like bunions or hammertoes.
“The cause of bunions and hammertoes is multifactorial,” says foot and ankle orthopedic surgeon Jeremy Schwartz, M.D. “Genetics, shoe wear and trauma are some of the most common causes.”
A bunion is a deformity of the great toe joint, not a bone spur on the side as commonly believed. A hammertoe is a deformity of the smaller toes where the toes bend up and curl under.
“Although these conditions are not always preventable, wearing sensible shoes with a wide toe box and relatively low heel can help preserve your feet,” Dr. Schwartz says. “Women often experience these conditions
more than men because fashion footwear can force the foot into unnatural positions. We treat both bunions and hammertoes in patients of all ages, from children and adolescents, to octogenarians. If the condition is a result of poor-fitting shoes, the condition tends to develop earlier in life.”
There is not a cure for bunions or hammertoes, but treatment can be as simple as changing shoes. “The only treatment that works for these conditions are shoe modifications, which can alleviate the symptoms but not fix the deformity — or surgical correction,” Dr. Schwartz says. “Bunions and hammertoes are not improved with therapy, medication or splints.”
There are surgical procedures to correct the problems, but Dr. Schwartz advises a less invasive approach initially, to see if that offers relief. “There are numerous bunion
and hammertoe surgeries done to correct these problems,” he says. “However, I start with something basic because allowing toes more room to spread out in their natural position often alleviates the problem. If a patient requires surgery, it is vital to have the correct procedure done by a well-qualified orthopedic surgeon.”
Jeremy Schwartz, M.D.Orthopedic Specialists of SW Florida2531 Cleveland Ave.Suite 1Fort Myers, FL 33901239-334-7000
4 6 8 12Lee HealthCalendar
Lee HealthLeading the FightAgainst Sepsis
Events at the Healthy Life Center Coconut Point
A publication of Lee Health November 2016
Join us in the
Walk toDefeat ALS
8:30 a.m., Nov. 5Miromar Outlets, Estero, FloridaFor more information, or to register, visittinyurl.com/2016ALSWalk
Jerry HemmerWilliam N. HorowitzNeil LeClairMichael Mullins
Nick NaplesMichael B. PeceriDavid M. PlattGuy F. Rhoades
David ShellenbargerMadeleine TaeniPablo VeintimillaScotty Wood
TRUSTEES EX-OFFICIOKathy Bridge-LilesSanford N. Cohen, M.D.Jim EberzPhil FortinDenise KertonJim Nathan
EMERITUS COMMITTEEAmanda CrossFrank HaskellGarrett “Buzz” ReasonerAlexander RoulstonJoseph D. Zaks
Lee Health FoundationNEWS & EVENTS
Betty & Frank Bireley Rockin’ Ribbons & Blues Event on Nov. 11Join us at MarineMax Fort Myers on Friday evening, Nov. 11 for the 7th Annual Betty & Frank Bireley Rockin’ Ribbons & Blues event benefiting patients receiving care at the Regional Cancer Center.
What better way to begin to usher in the upcoming holiday season than enjoying great rock and roll from two of our area’s finest bands while you dance the night away and partake of great food, cocktails and a some very special surprises?
Tickets for this uniquely fun event are just $100 per person and are available for purchase online at www.LeeMemorial.org/go/RibbonsandBlues.
To make reservations by phone, please call the Foundation office at 239-343-6950. Rock on!
Giving Tuesday Kicks Off Year End Giving SeasonAfter the Thanksgiving holiday, there are two days for great shopping deals, and one day just for giving. On Tuesday, Nov. 29, thousands of families, businesses, communities, students and people just like you from around the world will join together to celebrate generosity and to give.
At Lee Health, we invite you to embrace the spirit of giving. Lee Health Foundation has made it easy, and fun, to give—however much you can, to the areas you care about most. Mark your calendars for Giving Tuesday and visit LeeHealth.org/Foundation/GivingTuesday.
Let everyone know what you’re doing and encourage them to join this new tradition of global generosity. Use #GivingTuesday and #LeeHealthGives on your favorite social channels.
Call the Foundation at 239-214-0819 for more ways to spread hope and healing in Southwest Florida.
Ways to GiveAs you begin to map out your year-end charitable giving plans, please consider these ways to support Lee Health’s lifesaving mission:
Capital Campaign – Consider making a gift to help build the new outpatient center, Lee Health - Coconut Point.
Unrestricted Gift – Your unrestricted gift allows Lee Health to direct your donation to meet our most urgent needs.
Honor a Loved One – Show you care by making a gift to celebrate his/her accomplishments, memory or milestone event.
Stock – Donating appreciated stock may allow you to make a charitable donation while improving your capital gains tax situation.
Will and Estate Gifts – Name Lee Health as a beneficiary of your will, trust or other estate plan.
Published as a community service by Lee Health, P. O. Box 2218, Fort Myers, FL 33902 [email protected]
NOVEMBER 2016
LEE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORSPRESIDENT
Jim Nathan
CHIEF STRATEGY OFFICER
Kevin Newingham
EDITORIALJennifer FooteLynn MelvinJL Watson
DESIGNKevin Owen
District 1Stephen R. Brown, M.D.Therese Everly
District 2Donna ClarkeNancy M. McGovern, RN, MSN
District 3Sanford Cohen, M.D.David F. Collins
District 4Chris HansenDiane Champion
District 5Jessica Carter PeerStephanie L. Meyer, BSN, RN
Risk Factors for Heart Disease Different for WomenHeart disease continues to be the leading cause of death in the United States. There are risk factors—such as family history, high blood pressure and high cholesterol—that affect both men and women. But, there also are factors that represent a greater risk and may play a bigger role in the development of heart disease in women.
Examples include:
• Smoking – Women who smoke are twice as likely to have a heart attack as male smokers.
• Diabetes – Women with diabetes often have additional risk factors, like obesity, high blood pressure and high cholesterol.
• Obesity – Excess body fat can increase risk of diabetes, high blood pressure and high cholesterol.
• High triglycerides – Elevated triglycerides contribute to heart disease in women more often than in men.
“Additionally, there are unique risk factors that increase a woman’s long-term incidence of heart disease” says Lee Physician Group cardiologist Karla Quevedo, M.D. “Many woman do not think of pregnancy as potential risk factor for their heart health, but it can be if they experience complications. Systemic autoimmune disorders, including lupus, can also be a factor.”
• Preeclampsia—high blood pressure and protein in the urine of pregnant women—can be serious and should be monitored regularly by a physician. “Gestational diabetes and pregnancy-induced high blood pressure are also risk factors,” Dr. Quevedo says. “Women need to be vigilant during their pregnancy and check in regularly with their doctor to make sure if there is a problem, they can address it early.”
It is also important for women to understand their risk factors for heart disease and consider the following lifestyle modifications to decrease the risk of heart disease and/or heart attack:
• Avoid or quit smoking
• Consume a diet rich in fruits and vegetables, whole grains, high-fiber foods, low-fat dairy and fish; limit salt
• Maintain a healthy weight or lose weight
• Participate in regular moderate physical activity
• Take appropriate, prescribed blood pressure and/or cholesterol medications
Karla Quevedo, M.D.CardiologyLee Physician Group9800 S. HealthPark DriveSuite 320Fort Myers, FL 33908238-343-6350tinyurl.com/MeetDrQuevedo
Mammograms an Important Part of Breast HealthPink ribbons are a well-known symbol of breast cancer, a disease that affects one in eight American women. Yet, many women still forego an annual mammogram.
The National Comprehensive Cancer Network and the American College of Radiology recommend annual mammograms for women age 40 and older. “Having your annual mammogram can reveal early signs of breast cancer and benign changes within your breast tissue,” says Diana Hammock, director, Outpatient Breast Health Imaging. “Mammography will also reveal what type of density your breast tissue is, which will allow the radiologist to determine if you should have any additional testing such as an MRI or breast ultrasound.”
Women who have a strong family history of breast cancer are at a higher risk for developing the disease and need to follow up with their health care provider to determine the best time to begin screenings. In addition, women need to perform monthly self-exams.
“By performing your own breast exam, you may discover a new lump
earlier than when your annual mammography may be due,” Diana says. “If you should discover a new lump, it is important for you to follow up with your health care provider as soon as possible. Many people state they forget to do their monthly breast self-exam because they are very busy; you owe it to yourself and your loved ones.”
Documenting exams on a calendar or associating your monthly breast exam with a bill you must routinely pay is a good way to remember to stay on track. Many women do not make an appointment for a mammogram because they are embarrassed or believe it is a painful experience.
“Having a mammogram should not be extremely painful for the patient,” Diana explains. “You will, however, feel pressure as our technologist compresses the breast tissue. It is very important to compress the tissue tight enough to obtain a good high quality image for the radiologist to review.”
Good compression lowers the radiation dose to the breast tissue and compresses fibrous tissue, which allows the physician to see small areas of possible abnormalities which could be an early sign of breast cancer. “Most of our patients say it was not as bad as what they had heard from other patients or what they had anticipated,” Diana says. “Our Breast Health Centers are staffed with mammography-certified female technologists who are very compassionate about their job. Our team treats every patient with the highest quality patient care; and understands how stressful this procedure can be for some patients.”
Making an appointment with a friend is a great way to support one another and remind each other when your annual exam is due.
Call 239-424-1499 to schedule a mammogram.
4LeeHealth.org
Sanet Vision Integrator Keeps Therapy Fun and Engaging
Alex Konikow uses the Sanet
Vision Integrator to work on
visual tracking and scanning, as well as eye-hand coordination and
visual tolerance
Medical Nutrition Therapy for Diabetes or Chronic Kidney DiseaseTrying to make good food choices when you have a chronic condition can be difficult.Medical nutrition therapy (MNT) is a service to help you choose the right foods to eat for specific health concerns.
Medicare and other health care insurers provide the MNT benefit to people diagnosed with diabetes and/or chronic kidney disease.
Through individualized counseling, a registered dietitian will assist you with setting priorities and goals, making an
action plan, and will assess your progress through follow-up visits.
MNT promotes self-care and accountability. It is provided by registered dietitians who are also certified diabetes educators.
If you would like to learn more about MNT, speak to your doctor or give us a call at 239-424-3127.
“Medical nutrition therapy involves in-depth individualized nutrition assessment and a duration and frequency of care using the Nutrition Care Process to manage disease.”The Academy of Nutrition and Dietetics
Counseling Puts People on the Right Nutritional TrackKnowing how to count carbohydrates, grams of protein and sugar limits can be overwhelming. Getting the right nutrition without overindulging in excess calories and fat requires the advice a trained professional.
The registered dietitians at Lee Health Solutions are available to assist people of all ages who want to lose weight or adopt and maintain a healthy lifestyle. “Anyone with a nutrition concern is eligible to be seen for nutrition counseling, children ages 2 through adult populations,” says nutritionist Julie Hill.
Nutrition therapy is often recommended for:• Management of celiac disease• Heart failure• Kidney problems• Unintended weight loss
• Cardiovascular disease• Reflux• Irritable bowel syndrome (IBS)• Diverticulitis, and more
“People who are extremely active or athletes are commonly seen to help them meet their personal health goals,” Julie says.
By targeting what people eat, nutritionists can determine what works for their body and lifestyle and what does not. “Identifying foods that may alleviate symptoms or help you live a better quality of life is essential,” Julie says.
“Some foods that are considered healthy may be damaging to the body for those with a condition or disease.”
In addition, nutrition therapy can enhance the effectiveness of medical treatment. In certain cases, improved nutrition in combination with other lifestyle changes could reduce the need for medications. People can be confused by the vast amount of information available on the Internet.
“As we all know, not everything you read on the internet is scientifically based,” says nutritionist Stacy Zell. “A registered dietitian can help you to get beyond the hype of the headlines and provide you with sound information that is based on current research.”
Stacy and other Lee Health Solutions registered dietitians are available for clients who receive a referral from their physician and those who are self-referred. “There is a difference between knowing you need to make changes in your eating habits and actually being able to make those changes,” Stacy says. “Cooking ability, financial resources, stress level, emotional relationship with food, and work schedules all vary greatly among individuals. Nutrition counseling aims to not only identify what would be beneficial to change, but to also help you to incorporate those changes into your unique daily life.”
For more information on nutrition counseling call Lee Health Solutions at 239-424-3120.
It’s All About YouOne in four Americans have multiple chronic health conditions. Chronic health conditions may include, but are not limited to: arthritis, diabetes, cancer, heart disease, respiratory conditions, and high blood pressure. When diagnosed with a chronic health condition, the individual must learn how to self-manage the condition. The “It’s All About You” program teaches participants the necessary tools to better cope and care for their diagnosis.
This program is a six-week workshop offered at no cost. Through this program, participants will learn to:
• Live with a chronic health condition
• Make smarter decisions related to healthy eating
• Understand the benefits of exercise
• More easily manage medications
Anyone with a chronic health condition or cares for a loved one with a chronic health condition may attend. Participants must be 18 years of age or older.
Call 239-424-3122 today to register for a workshop near you.
Following a stroke or traumatic brain injury (TBI), patients may be left with a number of deficits ranging from weakness on one side of the body to balance issues, vision problems or cognitive impairments. As part of a therapy program, patients may benefit from the use of the Sanet Vision Integrator, a fun, interactive computerized system that improves visual abilities and visual-related learning problems.
Using a 50-inch, touch screen monitor and a variety of programs, patients work to enhance or improve eye-hand coordination, visual scanning and tracking, reaction time, and auditory and visual memory.
“Recovering from a stroke or TBI can be a long and difficult road, so the Sanet Vision Integrator provides valuable feedback to the therapist and the patient, including accuracy and speed,” says Lee Health occupational therapist Renee Black.” I document the patient’s scores and compare them visit to visit in order to track progress. This tracking doesn’t just help in planning therapy sessions, it also helps keep the patient engaged and excited about their progress and motivates them to continue to improve.”
Alexandra “Alex” Konikow suffered a traumatic brain injury, among other injuries, in a car accident a year ago. The Sanet Vision Integrator has helped improve her exophoria, or the tendency of her eye to deviate outward. It is helping restore her eye-hand coordination and peripheral vision, too. “We’re also using the technology to work on her memory and divided attention skills, which are essential because she wants to
be able to return to school and driving at some point in the future,” Renee says. “Alex says she appreciates the Sanet Vision Integrator, as well as other brain games, apps and websites that challenge her in a fun way. Using these technologies, we have seen great improvements in her vision, memory, abilities and confidence.”
The Sanet Vision Integrator can also be used for patients recovering from less traumatic conditions, as well, such as vertigo, inner ear disorders, vision problems or sports injuries. It is available for use in occupational and physical therapy by physician referral.
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Children’s Health Center Closer to Opening DateGolisano I Nicklaus Children’s Health Center is opening in phases with the first component coming this month. The partnership between Lee Health and Nicklaus Children’s Hospital is designed to keep Collier County children close to home for care.
“We recognized the need for this partnership because children were leaving the area for services we knew we could provide in the community,” says Emad Salman, M.D., pediatric oncology and hematology. “Our goal is to provide high-quality care and reduce some of the stress for parents.”
Services include:
• Urgent care
• Endocrinology
• Neurology
• Surgery
• Sleep medicine
• Nephrology
• Allergy
• Infectious disease
• Hematology/Oncology
• Cardiology
• Gastro-intestinal
• Autism spectrum disorders
• Pulmonology
• Orthopedics
• Pharmacy
• Lab station
• Rehabilitation services
• Physical therapy
• Occupational therapy
• Speech language pathology
• Audiology services
Many of the services will begin moving into the building this month. Urgent care and lab services will open in December. While the center serves the needs of most Collier County children, the partnership provides coordinated services with Nicklaus Children’s Hospital in Miami for children who need to travel for specialized care.
Keeping Care Close to Port CharlotteWhen Lee Health opened the Pediatric Specialty Clinic in Port Charlotte in 2014, we recognized the need for care in the community.
“We had parents who were driving their children more then 40-50 miles for care,” says pediatric oncologist/hematologist Emad Salman, M.D. “For many of those families it was a burden. We wanted to take care of those children in their own community.”
The clinic has grown to include a large number of specialties. Physicians drive to Port Charlotte on a regular schedule to care for children who might not otherwise get the care they need.
Specialties include:
• Cardiology
• Endocrinology
• General surgery
• Hematology
• Infectious disease
• Nephrology
• Neurology
• Oncology
• Sleep
• Ear, nose and throat
• Pulmonary
• Allergy (Suite 130)
“This saves time and money, but the important component is that our patients get the care they need,” says Kathy Bridge-Liles, chief administrative officer, Golisano Children’s Hospital of Southwest Florida. “Our goal is and will always be to do what’s best for our patients. Bringing care close to home is our mission.”
Pediatric Headache Signs Similar to Those in AdultsAdults who complain of a headache can take over-the-counter medication to find relief. Children who experience this pain may not be able to articulate their feelings enough for a parent to understand what is happening.
“There are a lot of similarities between headaches in children and adults,” says pediatric neurologist Natalie Gillson, M.D. “The biggest difference is the description of the pain and duration. Often, adult headaches are classified by the type of pain and duration of pain. However, this is difficult for most children to describe and keep track of. Also when it comes to migraine, the biggest difference is location. Headache pain can occur in any region of the head and often ‘all over.’”
The ‘red flag’ headache symptoms – which suggest that the headache could be due to a structural/anatomical cause include waking up in the morning with a headache, a headache that is worse with lying down, headaches that wake children up from sleep; and headaches that worsen with bearing down, coughing or sneezing.
“Mostly, I see that healthy lifestyle changes can make the biggest impact on headache frequency,” Dr. Gillson says. “Improving sleep, reducing stress, increasing water intake, reducing electronic screen time, exercising and eliminating caffeine can all help. Over-the-counter Tylenol and ibuprofen with a full glass of water and rest is typically the best place to start when treating a child’s headache.”
Dr. Gillson warns parents not to overuse analgesics to treat headaches in children. “Most parents don’t know that if you use over-the-counter analgesics too often it can lead to ‘medication overuse headache’
and more headaches,” she says. “This cycle of rebound headaches is difficult to treat and causes chronic mild headaches to persist for weeks to months. More than two doses of medication a week for more than 2-3 weeks is too much.”
Golisano I Nicklaus Children’s Health Center3361 Pine Ridge Road Naples, FL 34109239-254-4270
6LeeHealth.org
Museum Offers Glimpse into Medical PastEvery day, in every way, physicians, nurses and staff at all Lee Health locations are focused on what’s best for patients.
But almost right smack dab in the middle of the system’s four main campuses, on the Fort Myers campus of Florida SouthWestern State College, is a tribute to medicine’s past.
The Museum of Medical History on the first floor of the health sciences building shows how medicine has evolved. Displays include a re-creation of an old-time doctor’s office with a roll top desk that belonged to Dr. Otis Brungard, a LaBelle physician from the early 20th century. The museum also contains a replica pharmacy or apothecary from a bygone era, nurses’ uniforms and caps; and countless medical devices and textbooks.
Many of the displayed items are from Lee Health, which celebrates its centennial this year. The museum includes a birthing table dating back to 1916, when Lee Memorial Hospital opened.
From the museum website: “The museum is dedicated to protecting, preserving, and interpreting the history and development of medicine from all periods.”
All periods includes ancient medicine from other cultures, which are shown in a series of paintings in the hall leading from the museum to the building’s front door.
The museum is the brainchild of retired physician Roger Scott, M.D., Lee County’s first board certified surgeon. He collaborated with Fort Myers surgeon Jacob H. Goldberger, M.D., to create the museum, which honors the memory of Dr. Goldberger’s partner, Dr. David Bernstein.
“There’s a story behind everything,” Dr. Scott said of the thousands of items either displayed or stored away. The museum was founded in 2000 and moved into its present location in 2011. Over the years an enormous number of items
have been collected. Dr. Scott said what is displayed constitutes only about 20 percent of the collection.
“We probably have the largest collection in the state of Florida,” Dr. Scott said. The 1,800-square foot museum can’t possibly hold all that has been donated. Dr. Scott said a Fort Myers warehouse contains items that aren’t displayed.
The displayed collection includes an X-ray machine that was used by the American military doctors during World War II.
“This device is really one of Dr. Scott’s favorite devices,” says Dr. J. B. Ellsberry, associate dean of the Florida SouthWestern College School of Health Professions.
The portable X-ray machine was used by Americans in both the European and Pacific theaters of World War II, according to Dr. Ellsberry. It was also used during the Korean War and viewers of the 1970s hit show M*A*S*H might see a replica of the machine used in the series.
The collection is carefully catalogued. “Everything in the museum, every bottle, every piece of paper has a number on it,” Dr. Scott said.
The museum is open 11:30 a.m.-4:30 p.m., Monday-Friday in Room 178. Private tours are available. For information, call 489-9208.
Free Wellness Center VisitsGet Healthy for Fall!This coupon is good for
7 FREE Visits to the Wellness Centers in November.Stop by the front desk for more information.Wellness Center – Cape Coral609 SE 13th CourtCape Coral, FL 33990239-424-3220
Wellness Center – Fort Myers3114 Cleveland Ave.Fort Myers, FL 33901239-343-4980
Please cut out and bring in.
Sepsis is a leading cause of death in the United States, affecting approximately 750,000 patients per year. The difference between sepsis and other diseases, such as heart attack or stroke, is that sepsis can be very difficult to recognize and patients can present with vague symptoms that quickly evolve into a full blown multi-system organ failure.
National, as well as local efforts, are to focus on early recognition of sepsis and early treatment, including a series of interventions that have been shown to improve outcomes.
“In the last 20 years, a much better understanding of this disease state and altered physiological responses, combined with multiple landmark studies, has placed the emphasis on timely recognition and time-sensitive therapies,” says emergency room physician, Keith Lafferty, M.D. “In fact, with such a beneficial and multidisciplinary approach, the mortality rate has dramatically decreased from 47% to 31% in 2001 and is currently at 19%.”
In 2014 a team of Lee Health physicians and providers convened the first Sepsis Committee to design an evidence-based approach to the early recognition and care of sepsis patients. The committee includes a large number of physicians, who use the Epic electronic health record system to identify and track patients who have the disease. “Epic helps alert nurses and physicians when a sepsis patient is recognized by vital signs or labs, as well as a MEWS (modified early warning system) score for change in patient condition,” says Aaron Wohl, M.D., emergency department physician. “Also, we now have the addition of the critical
care outreach nurse as part of the rapid response team notification of sepsis patients.”
Sepsis is such a dangerous entity because it can be subtle in its presentation and rapidly lead to irreversible organ dysfunction and death. “We have taken specific steps to reduce the number of infections in our hospitals by taking a multi-pronged approach,” says Kenneth Tolep, M.D., pulmonary, critical care and sleep medicine specialist.
Steps for reduction include:
• Improvement in sterile technique for Intensive Care Unit procedures
• Removal of invasive devices when they are no longer needed
• Use of a team approach to ensure invasive devices do not become secondarily infected
“Lee Health is also implementing Code Sepsis, a rapid warning system that will facilitate the earlier treatment of patients with sepsis and facilitate the transfer of those patients to the ICU,” Dr. Lafferty says. “The earlier we can treat it, the better the outcome.”
Education and staff participation over the last 12 months has fostered a heightened awareness in all four campuses, including prehospital 911 care by and the implementation of severe sepsis alerts, Dr. Lafferty says. “Family members of patients inflicted with this once-upon-a-time dismal prognosis disease state can take heed in that the most aggressive and state-of-the-art care is happening at our institutions; and take comfort in that time-sensitive therapies are becoming the norm.”
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Lee Health Leading the Fight Against Sepsis Infections
Roger Scott, M.D.
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What is Military Support?Military Support assists our deployed troops, their families and our veterans. The program was started in 2003 through an initial collaboration of Chief Human Resource Offier Jon Cecil and Kim Gaide, Lee Physician Group Medical Records practice manager. Other employees joined the committee and formed relationships with outside vendors, including utility and phone companies, to ensure that military families would not lose services while a family member was deployed to active duty. The committee assists families and raises money for the Care Package Postage Fund.
How Does Lee Health Help Military Families?We have many staff and community members who help us clip coupons for the families who are stationed overseas. They can use the barcoded coupons at the PX on base. We also collect and send blank greeting cards for Mother’s Day, Father’s Day, and the major holidays so our deployed troops can sign them and resend back to their loved ones. The staff supports our Military Support fundraisers at Easter, July 4th, Thanksgiving and Christmas. The money raised goes to our Care Box Postage Fund. We also have departments within the system that donate the items that our deployed troops need.
What are the Major Highlights of the Program?We are able to observe our homegrown men and women go off to war and come back to our community as citizens in many different career roles. A highlight has been going to the airport and welcoming home one of our returning families from Germany with a new baby and little dog in tow. This is our 5th year of the Military Appreciation Day at the First Christian Church, Nov. 5. This event for veterans and includes our active Guard and Reservists. Many employers, colleges and social agencies attend. We have free dental exams for those who do not have dental insurance, and a free daycare. Supporters will be at this event to help our veterans however they can.
We collaborated with Drew Steele of 92.5 FM and our community and sent more than 42,116 signed Christmas cards. It took 70 volunteers more than 300 hours to vet the cards.
Are You Doing Something/Do You Need Supplies for the Holiday Season?Yes. We do our Adopt-a-Military-Veteran Family for Christmas. Last year 17 families were adopted by our supporters in the community.Thanksgiving and Christmas fundraisers help put funds in our care box postage fund. We currently sponsor 55 local troops.
How Long Will Lee Health Continue to Support Veterans and Their Families?We will not stop the support until our last local deployed troop comes home.
Military Support Needs Your HelpThe program welcomes support in the way of:• Wet wipes
• Beef jerky
• Travel size toothbrushes and toothpaste
• Crystal Light On-the-Go solo packages for bottled water
• Small containers of foot powder and foot cream
For information on drop-off points, contact Kim Gaide at [email protected] or 239-343-2045 www.tinyurl.com/MilitarySupport
Great American Smokeout Encourages QuittersTobacco use remains the most prevalent, preventable cause of disease and death in the United States. The annual Great American Smokeout, sponsored by the American Cancer Society, occurs the third Thursday in November as a reminder to smokers to quit.
“The CDC (Centers for Disease Control and Prevention) estimates that 40 million people still smoke in the US today, contributing to more than 480,000 deaths per year,” says Pamela Ledward, PA-C. “The Great American Smokeout event is a fantastic opportunity that we can part take in to encourage our patients, or any smoker we know, to ‘take the plunge,’ with the goal of not smoking on that day, in an effort to hopefully be encouraged to quit completely, taking an important step toward a healthier life.”
Patients who developed tobacco habits at a young age pay for it with a decline in overall health. “Great efforts have been made in the recent years to create awareness of the detrimental effects of tobacco use,” Pamela says. “Working in pulmonary medicine I see this first-hand on a daily basis. We see patients in our office with chronic obstructive pulmonary disease (COPD), with different stages of respiratory disability, lung cancer—with smoking contributing as a cause for 90% of the lung cancers we see. We also see
different types of interstitial lung diseases, a majority of which are linked with tobacco use.”
Over-the-counter and prescription options are available for smokers who want to quit.
“There is not one method in itself that can guarantee a 100% quit rate,” Pamela says. Some of the more effective methods that have been used include nicotine replacement, counseling, and when used as directed, Chantix has also been very effective in aiding with smoking cessation. The best method however would include a multifactorial plan, individualized to the patient, with combinations of methods and resources.”
The effects of quitting tobacco use become evident about 20 minutes after a smoker has quit, when the heart rate begins to normalize. Within 2 hours of quitting smoking, blood pressure readings improve; within 12 hours, oxygen levels begin to normalize as carbon monoxide levels decrease. Just 24 hours after quitting, the risk of coronary artery disease decreases. “This is so significant, because a smoker versus a nonsmoker carries a 70% higher risk of coronary artery disease which can lead to heart attack, stroke, heart failure, and is lowered by 50% after 1 year of quitting smoking,” Pamela says.
Within 1-9 months after quitting, the inside of the lungs start repairing themselves.
Smoking has also been linked with other cancers which include:• Oral• Throat• Esophageal• Kidney
• Bladder• Pancreatic• Colon
“Quitting for one day is the first step,” Pamela says. “One day can lead to the next and the next. Quitting all tobacco use is one of the most important things a patient can do to ensure better health.”
The Great American SmokeoutNov. 17, 2016The American Society has information about the steps someone can take to quit smoking and provides quit-smoking programs, resources and support that can increase chances of quitting successfully. For more information, call the American Cancer Society at 1-800-227-2345.
Drop-off locations• Cape Coral Hospital – Human
Resources (south end of hospital near physicians offices) 424-3500 or Volunteer Services 424-3824
• 8300 College Parkway – Suite 200 Media Relations, 343-4801
• Gulf Coast Medical Center – Administration, 1st floor, 343-0430
• Outpatient Center at HealthPark Commons, 16281 Bass Road, 343-7200
• Lee Memorial Hospital – Main Lobby 7 a.m. - 8 p.m. daily 343-2045
• Outpatient Center at the Sanctuary – Surgery Center, 8970 Colonial Center Drive, 343-9614
• Santa Barbara Campus – Central Business Office, 424-1507
Military Support
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Events & ScreeningsHealthy Living Lecture Series with Dr. Sal LacagninaThe Healthy Living Lecture Series is a free monthly program that covers a variety of health care topics. The topic this month is “Turkey Trot--The Importance of Exercise”Noon-1 p.m., Nov. 22Lee Memorial Hospital AuditoriumCall 239-424-3234
Young Driver ProgramThis program educates young drivers on driving Issues and how to stay focused on the road. 5:30-8:30 p.m., Nov. 22Lee Memorial Hospital AuditoriumCall 239-343-3797
SHARE ClubUnless otherwise noted, call SHARE Club at 239-424-3765 to register for these events.
9th Annual Veteran’s BreakfastAll veterans and their families are welcome to attend. Sponsored by SHARE Club and Lee Memorial Military Support program 9 a.m., Nov. 7, Cape Coral Hospital Auxiliary conference room
Brain Booster WorkshopBrain Boosters is a fun, interactive 60-minute workshop. You will learn to train your brain like any other muscle in your body….if you don’t use it, you lose it. Noon, Nov. 8, Wa-Ke Hatchee Recreation Center, 16760 Bass Road, Fort MyersCost: $5
Medicare Update 2017Jo Marshall, SHINE counselor, will speak about the Medicare changes for 2017 and how they might affect you and your health care.11 a.m., Nov. 9, Estero Recreation Center, 9200 Corkscrew Palms Blvd., Estero
“What You Need to Know About Your Thyroid”Patricia Sareh, M.D. will discuss what you need to know about how your thyroid glands can affect your overall health and well-being. Your thyroid greatly influences almost every cell in your body. When your thyroid levels are out of balance, so are you. 3 p.m., Nov. 10, Discovery Village, 2619 Forum Blvd., Fort Myers
Clear Captions Terri Prager, manager with Clear Captions will discuss the many free options those with hearing challenges have available to communicate clearly on a telephone. Clear Captions is FCC certified.10 a.m., Nov. 14, Lee Memorial Hospital Auditorium
FREE Memory Screening Provided by Alzheimer’s Association of SW Florida. 10 a.m.-4 p.m., Nov. 16, North Fort Myers Recreation CenterAppointments required. Please call 239-533-7207
CancerBladder Cancer Support Group3-5 p.m., first Wednesday ofevery monthRegional Cancer CenterContact Karen Godfrey, Bladder Cancer Advocacy Network volunteer advocate at 239-992-4809 or [email protected]
Blood Cancer Support GroupTime and date to be determinedLocation to be determinedRegistration is required. Contact Seth Berkowitz at 800-955-4572 or [email protected]
Brain Tumor Support Group6:30-7:45 p.m., third Tuesday of each monthLee Memorial Hospital Volunteer Conference RoomCall Dona Ross at 239-433-4396
Cancer Nutrition SeminarThis free monthly seminar is for oncology patients, survivors and caregivers. Each month features a different topic and food demonstration with tasting and recipe. These seminars are presented by oncology dietitians.2-3 p.m., second Wednesday of the monthRegional Cancer Center, fourth floor conference roomCall the Regional Cancer Center event line at 239-343-9557 or email [email protected]
Colorectal Cancer Support Group 5:30-7 p.m., fourth Friday of each monthGulf Coast Medical Center, Women’s Services Entrance, first floor, Room ACR #2 Call Larry Mickley at 239-454-3308
Multiple Myeloma Support Group6-7 p.m., third Tuesday of the monthHope Hospice, 9470 HealthPark Circle, Fort MyersContact Joanie Borbely at 860-655-7107 or [email protected]
Oral, Head and Neck Cancer Support Group3-4 p.m., fourth Tuesday of each monthGulf Coast Medical Center Medical Offices, 13685 Doctor’s Way, Suite 250, Fort MyersCall Stacey Brill at 239-343-1645
Thyroid Cancer Support Group10:30 a.m.-noon, third Saturday of each monthLakes Regional Library15290 Bass Road, Fort MyersCall Sally Fontaine at 239-590-0797 [email protected]
Mastectomy Pre-Operative Education ClassReceive 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., TuesdaysRegional Cancer Centerthird floor specialty clinic conference roomClass size is limited; call 239-343-9500
Breast Cancer Support GroupBreast cancer patients get the support and information they need.9-10:30 a.m. for newly-diagnosed patients; 11 a.m.-12:30 p.m. for general breast cancer patients first Saturday of each monthRegional Cancer Center, 4th floor conference roomCall Liz Bachoo-Garib at239-343-9554 or Tammy Zinn at 239-343-9546.
DiabetesDiabetes Self-Management ClassesA 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 and evening classes are availableCape Coral Hospital, Lee Memorial Hospital and the Outpatient Center at the SanctuaryDiabetes 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 ProgramAn educational program for expectant mothers with diabetes or gestational diabetes. This program is available in English and Spanish.Weekly classes availableCall 239-424-3127
Weight LossWeight ManagementIndividualized weight loss counseling with a registered dietitian.Weekly counseling sessions are available at Cape Coral Hospital, Gulf Coast Medical Center, HealthPark Medical Center and Lee Memorial HospitalCall 239-424-3120
Weight Management Exercise ProgramCommit to eight weeks. This program meets once a week for one hour. Participants work out together and then have a discussion/lecture.Times and dates varyWellness Center-Cape CoralContact Sarah Mitchell at239-424-3231 or [email protected]
Ortho/Neuro/SpinePreoperative Joint Replacement Class Everything you need to know to feel comfortable before joint replacement surgery.Tuesdays at Cape Coral Hospital; Wednesdays at Lee Memorial Hospital and Fridays at Gulf Coast Medical CenterCall 239-424-1499 for times and appointments
Aquatic ArtPool exercises for people with Parkinson’s disease.1-2 p.m., Mondays and WednesdaysWellness Center-Cape CoralCall 239-424-3220
Aphasia GroupFor those who have difficulty talking due to stroke.9:30-10:30 a.m., TuesdaysCape Coral Hospital Meeting Room A (located at Day Surgery Entrance)Call Nancy Gizzi at 239-424-3572
Stroke Support GroupFor caregivers and stroke survivors.4:30-5:30 p.m., first and third Monday of each monthLee Memorial Hospital Auditorium10:30-11:30 a.m, every TuesdayCape Coral Hospital Meeting Room A (located at Day Surgery entrance)Call 239-343-3493 for Lee Memorial Hospital or 239-424-2317 for Cape Coral Hospital
Pre-Op Spine ClassThis is a free class for individuals who are scheduled for spine surgery. Receive tips from a physical therapist to ensure a speedy recovery and the best possible return to normal function.7:30 a.m., every other TuesdayOutpatient Rehabilitation at City Center, 3114 Cleveland Ave., Fort MyersCall 239-343-4960
Pregnancy/ParentingChildbirth Preparation Traditional CourseThis includes 4 hours of classroom instruction taught by nurses who are certified by the International Childbirth Education Association (ICEA). This 1-day course is followed by a hospital tour. $60 per couple9 a.m.-1 p.m., Saturdays throughout the yearHealthPark Medical CenterCall 239-343-5271 or visit www.LeeHealth.org/BirthEd
Childbirth Preparation e-Learning CourseThis e-Learning course includes access to an online program and a hospital tour. To view a sample of the online program, go to www.LeeHealth.org/BirthEd. $60 per couple.Classes take place throughoutthe yearCape Coral Hospital, Gulf Coast Medical Center and HealthPark Medical CenterCall 239-343-5271
Baby Care & Car Seat SafetyThis 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.Times and dates vary$20 per couple, $5 per additional person in attendanceCall 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 yearHealthPark Medical Center and Gulf Coast Medical Center$20 per coupleCall 239-343-5271 or visit www.LeeHealth.org/BirthEd
Positive Parent Support GroupProvided 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 monthGreater Naples YMCA, 5450 YMCA Road, NaplesCall 239-597-3148
Partners in ParentingClasses 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 CoralNo charge and free child care available for infants and toddlers.Call 239-939-2808
Support Groups/ClassesBreast Cancer Support Group9-10:30 a.m., newly diagnosed patients, 11 a.m.-12:30 p.m., general cancer support group, first Saturday of the monthRegional Cancer Center 4th floor conference roomContact Liz Bachoo-Garib, RN, Breast Navigator at 343-9554 or Tammy Zinn, RN, Breast Navigator at 343-9546.
Abdominal Surgery Pre-Op Education Class11 a.m.-noon, ThursdaysRegional Cancer Center 4th floor conference roomReserve your seat. Contact Bobbi Marino at 239-343-9502 [email protected] A class designed for the oncology surgical patient. An opportunity to learn how to prepare yourself for abdominal surgery, what to expect during the hospital stay and after you are discharged home. Also, what to anticipate in
the weeks following surgery and what you can do to reduce post-surgical risks.
Pancreatic & Biliary - Cancer Support Group4-5 p.m., third Thursday of the monthRegional Cancer Center first floor Meditation RoomReserve your seat. Contact Bobbi Marino at 239-343-9502 [email protected] Ideal for patients and caregivers in a designated place and time to learn, share and support others that are fighting these cancers. An opportunity to hear from occasional guest speakers on ways to improve your quality of life and ways to improve coping skills.
Ostomy Support GroupFor 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 monthMyerlee Manor, 1499 South Brandywine Circle, Fort MyersCall Howard Weisberg at239-482-8433
Pulmonary Fibrosis Support Group12-3 p.m., second Wednesday of each monthLee Memorial Hospital Medical Office Building, Suite 705Call Lynne Puglise at 941-875-5732
YogaThis class is available to the general public with priority given to cancer patients and primary caregivers. No experience needed. Mats, straps, blocks and aromatherapy provided by a grant from the Junior League of Fort Myers.10-11:15 a.m., every WednesdayRegional Cancer Center 4th floor conference room $5/classCall 239-343-9503. Registration is required.
Huffers & Puffers Support GroupFor COPD patients, friends, family members and caregivers.1-3 p.m., third Fridayof each monthLee Memorial Hospital Medical Office Building, Suite 705Call Nayda Agosto at 239-343-3520
Gentle Yoga – Multiple Sclerosis SocietyComplimentary yoga class for members of the Multiple Sclerosis Society.11:30 a.m.-12:30 p.m., Tuesdays and ThursdaysWellness Center-Fort MyersCall 239-343-4980
Lifestyle CoachingThis service is available for Wellness Center members and nonmembers. Are you looking for motivation, accountability, direction? Lifestyle coaching sessions can help. Times and dates varyWellness Center-Cape CoralContact Sarah Mitchell at 239-424-3231 [email protected]
Better BreathersFor COPD patients, friends, family members and caregivers.2-4 p.m., third Monday ofeach monthWellness Center-Cape CoralCall Jan Burket, COPD advocate, at 239-217-0545
It’s All About You, Chronic Disease Self-Management ProgramCan 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 complimentary 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: Varies. For More Information: 239-424-3122
Free Memory Screenings1-3 p.m., every MondayLee Physician Group Memory Care, 12600 Creekside Lane, Suite 7, Fort MyersAppointments are encouraged; call 239-343-9220
Survivors GroupThis support group is for adults who are survivors of traumatic injuries, including traumatic brain injuries or spinal cord injuries. This group allows survivors to share their stories, and to develop hope, coping skills and support.6-8 p.m., second Tuesday of the monthLee Memorial Hospital AuditoriumContact Gloria Ingraham at239-343-2561 [email protected]
Lee Physician Group Memory Care Caregivers Support GroupThis 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 monthOutpatient Center at Riverwalk,12600 Creekside Lane, first floor conference roomCall Lynnette Morrow at239-343-9224
Brain Aneurysm Support GroupThis 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., Oct.6Lee Memorial Hospital 5th floor conference roomEmail Tiffany Blauvelt, RN at [email protected]
Chronic Pain Self-Management ProgramDo you suffer from chronic pain due to arthritis, fibromyalgia, traumatic injury or another cause? If so, then this program is for you. This complimentary 6-week program teaches you the tools necessary to self-manage your chronic pain. During the workshop, you will learn about foods that help with pain, the importance of physical activity, mindfulness, pacing and planning, and much more.Time and date variesLocation variesCall 239-424-3122
Nutrition CounselingIndividualized nutrition counseling with a registered dietitian helps support healing for a variety of health conditions.Weekly counseling sessions are available at Cape Coral Hospital, Gulf Coast Medical Center, HealthPark Medical Center and Lee Memorial Hospital.Call 239-424-3120
Mended Heart Support GroupMended Hearts is a National support group for individuals and families with heart disease. Excellent speakers are scheduled and the meetings last about an hour. Topics are generally hearts and health. Our Nov. 8 meeting features speakers Dr. Anuj Agarwal and Dr. Paul DiGiorgi, who will speak on controlling atrial fibrillation and procedures available to alleviate this condition. We encourage heart patients and families to attend Mended Hearts meetings and to join Mended Hearts. Mended Hearts is a great source of support and for discussions with former heart patients. 6:30 p.m., second Tuesday ofthe monthSanibel/Captiva room on the Lobby floor of HealthPark Medical Center. Call Joe Jansen at 239-461-0980
Please call to register and for more information.Lee Health Calendar
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Cape Coral Hospital ............................ 239-424-2000Blood Center Location636 Del Prado Blvd., Cape Coral, FL 33990
Gulf Coast Medical Center .................. 239-343-100013681 Doctor’s Way, Fort Myers, FL 33912(Daniels and Metro Parkway)
HealthPark Medical Center ................ 239-343-5000Golisano Children’s Hospital ofSouthwest Florida ....................239-343-KIDS (5437)9981 S. HealthPark Dr., Fort Myers, FL 33908(Summerlin and Bass Road)
Lee Memorial Hospital ........................ 239-343-2000Rehabilitation Hospital ........................239-343-3900Blood Center Location2776 Cleveland Ave., Fort Myers, FL 33901
Convenient Care .....................................239-424-16551682 NE Pine Island Road, Cape Coral, FL 339097 a.m. - 7 p.m., 7 days a week
Convenient Care .................................... 239-343-745016230 Summerlin Road, Fort Myers, FL 339087 a.m. - 7 p.m., 7 days a week
Convenient Care ................................... 239-343-98004771 S. Cleveland Ave., Fort Myers, FL 339077 a.m. - 7 p.m., 7 days a week
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Lee Physician Group DirectoryCall Center available evenings and weekends to make physician appointments. 7 a.m.-7 p.m., 7 days a week 239-481-4111 See map on page 10.
For information, call 239-495-4475 For upcoming events, go to LeeHealth.org/HealthyLifeCenter
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Every MondayYoga- all level welcome, please bring a mat!5-6 p.m. RSVP
Every Wednesday and SaturdayWalking Club8:30-9:30 a.m.
Wednesday, November 2Update on Alzheimer’s Disease - Latest Data and Treatment Recommendations 10:30-11:30 a.m. RSVPDr. Frederick W. Schaerf, neuropsychiatristParkinson’s Series: Balance and Fall Prevention: A Balancing Act 3-4 p.m. RSVP
Thursday, November 3Essential Oils for Thyroid Support11:30 a.m. – 1 p.m. RSVPCost: $5/participant and includes sampleThe Liquid Facelift: What’s New in Facial Rejuvenation2-3 p.m. RSVPDr. Patrick Flaharty, facial cosmetic surgeon Friday, November 4
Benefits of Aqua Therapy11:30 a.m.-12:30 p.m. RSVPMedicare 1011:30-3 p.m. RSVPSWFL Produce Box Pickup4-6 p.m.To place an order visit swflproduce.net
Saturday, November 5Dance Your Way to Better Health: Basic Dance Instruction 2-2:45 p.m. RSVP6 week class: 11/5-12/10
Monday, November 7Brain Booster: Train your brain like you would any other part of your body10-11 a.m. RSVP$5 FeeIs Your Brain on Overload? How to Manage Stress!11:30 a.m.-12:30 p.m.Create Thanksgiving Hostess Gifts with Tag1-2 p.m. RSVPCost: $10
Tuesday, November 8Heart Report Card10:30 a.m. – 3:30 p.m.Call 239-424-1499 for fees and to make an appointment.Sleep and Wellness5-6 p.m. RSVPDr. Jose Colon, sleep medicine
Wednesday, November 9Healthy Thanksgiving Cooking Demo: Have a Healthy Thanksgiving Without Giving Up Flavor11 a.m. – noon RSVP“Hear for the Holidays” Hearing and Tinnitus Screenings1-2:30 p.m. Call 239-495-4475 to schedule an appointmentParkinson’s Series: Voice and Communication: Let Yourself Be Heard 3-4 p.m. RSVP
Thursday, November 10Prayer Doodling: An Interactive Way to Pray for Others 11 a.m. – noon RSVPCauses of Abdominal Pain 2-3 p.m. RSVPDr. Peter Denk, general surgeon
Friday, November 11SWFL Produce Box Pickup4-6 p.m.To place an order visit swflproduce.net
Saturday, November 12My Big Toe Pain: Non-Operative and Surgical Treatment of Common Toe Problems10-11 a.m. RSVPDr. Evgeny Krynetskiy, orthopedic surgeon Dance Your Way to Better Health: Basic Dance Instruction2-2:45 p.m. RSVP6 week class: 11/5-12/10
Monday, November 14Everyone Tells You to Get Rid of Stress, But How? 3-4 p.m. RSVPTeresa Spano, naturopathic consultant
Tuesday, November 15Living Strong with a Weak Heart: Basics of Heart Failure10:30-11:30 a.m. RSVPHealthy Living for Your Brain and Body3-4:30 p.m. RSVP
Wednesday, November 16Body Composition Testing10:30 a.m.-1:30 p.m. Call 239-495-4475 to schedule Parkinson’s Series: Swallowing and Cognition3-4 p.m. RSVP
Thursday, November 17Navigating the Farmer’s Market: A Guide to Shopping Local 2–3 p.m. RSVPShipley Cardiothoracic Center Leaders Series: Lung Cancer Screening Overview5-6 p.m. RSVPDr. Paul DiGiorgi, cardiothoracic surgeon Dr. Raymond Santucci, pulmonologist and sleep specialist
Friday, November 18Balance and the Fear of Falling10:30-11:30 a.m. RSVPBalance Screening10-10:30 a.m. and 11:30 a.m.-noonCall 239-495-4475 to RSVPSurviving the Holidays When Your Heart is Hurting2-3 p.m. RSVP
SWFL Produce Box Pickup4-6 p.m. To place an order visit swflproduce.net
Saturday, November 19Dance Your Way to Better Health: Basic Dance Instruction2-2:45 p.m. RSVP6 week class: 11/5-12/10
Monday, November 21Holiday Portion Control11 a.m. – noon RSVP
Friday, November 25SWFL Produce Box Pickup4-6 p.m.To place an order visit swflproduce.net
Saturday, November 26Dance Your Way to Better Health: Basic Dance Instruction2-2:45 p.m. RSVP6 week class: 11/5-12/10
Tuesday, November 29The Importance of Exercise10:30-11:30 a.m. RSVPDr. Salvatore Lacagnina, internal medicine
Wednesday, November 30Parkinson’s Series: Activities of Daily Living: Taking Care of Business 3-4 p.m. RSVP
