february 2015 stress may lead to a “broken” · pdf fileosteoarthritis ......

In This IssueFoundation News and Events ................2

Direct Anterior Approach to Hip Replacement Relieves Pain of Osteoarthritis ..........................................3

Patient Survives Double Brain Aneurysm .........................3

Congenital Heart Defects: Rare, but Possible .............................................4

Vision Machine Puts Life in Balance for Patients with Brain Injuries ....................4

New Treatment Enhances Life for Patients with Brain Tumors ..............5

Occupational Health Partnerships Help Companies Keep Employees Healthy....5

Local Woman Takes a More Active Role in her Health ...........................................6

Where’s Larry? .........................................6

Post Office Volunteer Gets Patrons’ Stamp of Approval ..................................6

Signs of the Most Common Eating Disorders .....................................7

Radiology Technologists Aid in Diagnosis of Internal Injuries and Diseases ..........8

Home Health Patients Receive Care Outside of the Hospital ..........................8

Home Health Helps Octogenarian Stay Independent ...................................8

Treating the Whole Person with Integrative Medicine ..............................9

Mind-Body Program Offers New Way of Thinking about Yoga ..........................9

Physician Directory ..............................10

Map ........................................................11

Events and Screenings .........................12

2016 marks our

100th anniversary. Share your

stories, photos or memories

with us by emailing

[email protected].

Stress May Lead to a

“Broken” Heart

Chest pain often signals something serious and life-threatening, like a heart attack. For some people, particularly elderly women, this type of pain can indicate a stress cardiomyopathy, known as “broken heart syndrome.”

The condition was first identified as a transient heart condition in Japan in the early 1990s. Patients experienced chest pain or shortness of breath after severe psychological or physical stress, such as an intense argument, news of the death of a loved one or a severe car accident.

“Interestingly, patients appear to have an acute heart attack, known as ‘ST elevation myocardial infarction (STEMI),’ but are found to have no blockages in the coronary arteries after cardiac catheterization,” says cardiologist Bhavin Patel, D.O. “However, there is abnormal movement of the left ventricle, including ballooning of the apex, known as takotsubo cardiomyopathy.”

The bulging ventricle resembles a takotsubo, a pot used by Japanese fishermen to trap octopuses. It is often identified on left ventriculography and confirmed by echocardiography. Patients are found to have systolic heart failure, a weakening of the heart’s pump function.

“Although we do not know the exact cause behind stress cardiomyopathy, it is believed that the release of stress hormones, such as cortisol and adrenaline, results in weakness of the left ventricle,” Dr. Patel says. “It predominantly affects elderly women because of the reduced levels of estrogen after menopause. It most commonly afflicts Asians and Caucasian women.”

The best way to avoid the condition is to avoid any physical or emotional stress that may have played a role in triggering the disorder.

Therefore, it is important to reduce and control stress levels by:• Eating a heart-healthy diet

• Maintaining an ideal body weight

• Engaging in regular aerobic exercise

• Avoiding excessive alcohol

“Treatment options include routine heart failure medications, such as beta blockers, ACE and aldosterone inhibitors, along with diuretics,” Dr. Patel says. “We teach patients the importance of following a specific congestive heart failure diet, maintaining daily weights, and 1200mg sodium and fluid restrictions.”

Someone who has experienced one episode may experience future occurrences, if the condition is not treated. It can also worsen over time.

“The good news is that if identified and treated early, the systolic dysfunction and ventricle wall abnormalities improve in approximately four weeks and most patients recover fully within three months,” Dr. Patel says. “However, it is important to remain on lifelong medical therapy to avoid a reoccurrence.”

Bhavin Patel, D.O.CardiologyLee Physician Group9800 S. HealthPark DriveSuite 320Fort Myers, FL 33908239-343-6359tinyurl.com/DrBhavinPatel

For some people, particularly elderly

women, this type of pain can indicate a stress

cardiomyopathy, known as “broken heart syndrome.”

Normal Heart “Broken” HeartOctopus Trap(Tako-Tsubo)

The bulging ventricle resembles a takotsubo, a pot used by Japanese fishermen to trap octopuses.

February 2015

CARDIACCARE

2015

2www.LeeMemorial.org

LEE MEMORIAL HEALTH SYSTEM FOUNDATION NEWS & EVENTS

LEE MEMORIAL HEALTH SYSTEM FOUNDATION BOARD OF TRUSTEES

OFFICERSCHARLES K. IDELSON, CHAIRPERSON

JAMES W. ORR, JR., M.D., VICE CHAIRPERSON

JOSEPH R. CATTI, TREASURER

ELAINE HAWKINS, SECRETARY

TRUSTEESJOHN BLAISAMANDA CROSSJAMES DOYLE, JR.DOROTHY FITZGERALDJOE GAMMONS

JONATHAN GOPMANJERRY HEMMERWILLIAM N. HOROWITZNEIL LECLAIRMICHAEL MULLINS

NICK NAPLESMICHAEL B. PECERIDAVID M. PLATTGUY F. RHOADESSONYA SAWYER

DAVID SHELLENBARGERMADELEINE TAENIPABLO VEINTIMILLASTUART ZAIKOV

TRUSTEES EX-OFFICIORICHARD AKINMARY ANN GEORGEPHIL FORTINKATHY BRIDGE-LILESJIM NATHANSUE TWINING

EMERITUS COMMITTEEJOHN GLEESONFRANK HASKELLGARRETT “BUZZ” REASONERALEXANDER ROULSTONJOSEPH D. ZAKS

Twins Hall-of-Famer Rod Carew was one of numerous celebrities who took part in the 2014

Minnesota Twins Celebrity Classic Golf event.

Red Sox Help Golisano Children’s Hospital Patients on Feb. 27You’re invited to take part in the Boston Red Sox Children’s Hospital Celebrity Classic Event Series this February and March as your baseball heroes join together to help build a new Golisano Children’s Hospital of Southwest Florida. All event proceeds will, once again, be matched dollar for dollar by a generous long-time donor.

All the fun takes place at the beautiful Forest Country Club and JetBlue Park. Register online by visiting www.LeeMemorial.org/go/RedSox. You also can email BostonGolf@

LeeMemorial.org or call 239-343-6076 to register for any or all of these events, which are sure to sell out.

Boston Tee PartyThe Forest Country ClubFeb. 26Come out to this very special “Sox Hop”—‘50s attire encouraged and welcomed—to kick off the charity events. Great company, delicious food and refreshments, and the

chance to see Elvis perform make this a night to remember. Bid on autographed items from your favorite Sox players and legends, along with exclusive dining, sports and travel packages.

Golf TournamentThe Forest Country ClubFeb. 27 Tee it up with the 2013 World Series Champion Boston Red Sox at our area’s most

prestigious charity golf event at the beautiful Forest Country Club. Enjoy golf, lunch, on-course beverages and more as you help save the lives of children from across Southwest Florida.

Diamond DinnerJetBlue ParkMarch 26Galeana Chrysler Dodge Jeep Ram of Fort Myers sponsors this wonderful evening that is sure to please fans of all ages. This 18th edition of the Diamond Dinner takes

place right on the field at JetBlue Park in south Fort Myers. Enjoy dinner catered by Stevie Tomato’s Sports Page, an autograph session and auction. The fun begins at 6 p.m., about two hours after that afternoon’s game (game tickets are not included).

Minnesota Twins Help Local Cancer Patients on Feb. 26Come on out Twins fans! Here’s your chance to golf alongside your favorite stars and hot prospects while helping local patients who receive lifesaving care at the Regional Cancer Center.To join your Twin City favorites at Fiddlesticks Country

Club, please go to www.LeeMemorial.org/go/Twins to register online. Need more information? Email [email protected] or call 239-343-6106.

Minnesota MixerFiddlesticks Country ClubFeb. 25Don’t miss your chance to enjoy great food and refreshments at this evening event as

you have the chance to bid on a truly unique collection of sports memorabilia, travel packages, dining experiences and more. Start your golf adventure out in style at the beautiful Fiddlesticks Country Club.

Golf TournamentFiddlesticks Country ClubFeb. 26 Enjoy golf on the courses at the exclusive Fiddlesticks Country Club, while swinging away to help patients at the Regional Cancer Center. Don’t miss your chance to play

golf next to your favorite Twins players as you enjoy lunch, on-course refreshments, dinner and the chance to win great prizes.

Southwest Florida Wine & Food Fest Set For Feb. 27 & 28Co-chairs Elaine Hawkins and Dorothy Fitzgerald invite you to join scores of philanthropic-minded participants at the 2015 Southwest Florida Wine & Food Fest set for Feb. 27 and 28. Extraordinary chef vintner dinners held in homes from Naples to Captiva on Friday evening are followed by a Grand Tasting and Auction the next afternoon at Miromar Lakes Beach Clubhouse.

All the fun—and fine wine—supports wonderful charities serving local children, primarily Golisano

Children’s Hospital of Southwest Florida. Southwest Florida Children’s Charities, host and organizer of the event, has pledged to donate $10 million to support construction of a new children’s hospital building.LTC Global stepped up to serve as title sponsor for this year’s event, which has grown to become one of the most successful wine festivals in the United States.For more information about sponsorship and attendance, please visit www.swflwinefest.org, email [email protected] or call event organizers at 239-513-7990 to register today.

Feb. 26 Fashion Show Benefits Regional Cancer CenterJoin friends and supporters of the Regional Cancer Center on Feb. 26 as they come out in full force to a special garden party and fashion show at Harborside Event Center in downtown Fort Myers. In addition to a preview of the very latest fashions, guests also will enjoy lunch and the chance to take home wonderful auction packages.

Tanger Outlets is once again proud to serve as primary sponsor for this event, which also recognizes community leaders who have played a key role in the fight against cancer.

Tickets are just $60 per person and sponsorships are still available. Register online by visiting www.LeeMemorial.org/go/FashionForCancer or phone in your reservation to Lee Memorial Health System Foundation at 239-343-6950.

Red Sox Celebrities and sponsors gather together to support last year’s Boston Red Sox Children’s Hospital Celebrity Classic.”


HEALTHY NEWS IS PUBLISHED AS A COMMUNITY SERVICE BY LEE MEMORIAL HEALTH SYSTEM, P. O. BOX 2218, FORT MYERS, FL [email protected]

February 2015

SYSTEM PRESIDENTJIM NATHAN

VICE PRESIDENT STRATEGIC SERVICESKEVIN NEWINGHAM

EDITORIALJENNIFER FOOTEKALI LYNCHLYNN MELVINJL WATSON

DESIGNKEVIN OWEN

LEE MEMORIAL HEALTH SYSTEMBOARD OF DIRECTORS

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 CARTERSTEPHANIE L. MEYER, BSN, RN

Patient Survives Double Brain AneurysmWhen Myrna Oxendine, 74, woke up with dizziness and had trouble standing, she sought medical care. However, a phone call to her primary care physician yielded little help because Myrna was unable to effectively communicate her complaints.

“That’s when they told me I was going to the hospital,” Myrna says. Fortunately, she lives near Lee Memorial Hospital and received treatment soon after her symptoms developed. However, her diagnosis was unexpected. “I was surprised when they told me I had not one, but two brain aneurysms, because they were completely unrelated to the symptoms I had with the dizziness,” Myrna says.

After completing a series of tests, physicians located an aneurysm on the right and left sides of her brain. Her mother had surgery for an aneurysm 40 years ago and survived. Even so, Myrna’s diagnosis may or may not be an inherited condition, says neurosurgeon Gregory Velat, M.D.

Dr. Velat treated Myrna by coiling the aneurysm on the left side of her brain to reduce the chance that it would rupture. The coiling procedure is a minimally-invasive treatment that involves the use of a catheter that is passed through the groin and into the brain. Platinum coils are released into the aneurysm, causing it to clot off, thereby eliminating or reducing the chances of rupture. “We do not know what exactly causes intracranial aneurysms to form,” Dr. Velat says. A genetic component has been identified in some families with a high incidence of intracranial aneurysms. “It’s relatively rare for someone to have one aneurysm, and even more unusual for someone to have multiple intracranial aneurysms,” he says.

About 2-3 percent of the adult population in the United States will experience an intracranial aneurysm and of that group only a small percentage will experience two at the same time. Risk factors for the condition include uncontrolled high blood pressure and smoking. Dr. Velat did not treat the aneurysm on the right side of Myrna’s brain because it is actually located outside of the brain space at the base of her skull. He continues to follow up with her with annual exams.

“We keep track of each patient’s progress initially with scheduled diagnostic cerebral angiograms because a coiled aneurysm may return if the aneurysm coils compact over time,” Dr. Velat says. A 6-month follow up diagnostic cerebral angiogram showed complete closure of the treated aneurysm.

“Myrna’s prognosis is good and she is back doing the things she wants to do,” Dr. Velat says. That includes dancing, working in the yard and spending time with her family. “I’m just a normal person again,” Myrna says. “I take aspirin and as long as I keep my blood pressure down, I should be fine. I’m just so grateful to be alive.”

Gregory Velat, M.D.NeurosurgeryLee Physician Group13681 Doctor’s WaySuite 350Fort Myers, FL 33912239-343-3800

Direct Anterior Approach to Hip Replacement Relieves Pain of OsteoarthritisIn osteoarthritis of the hip, the protective cartilage wears away over time and the joint space becomes narrowed, which could result in bone rubbing on bone. This is typically a gradual process that worsens over time.

“There are many conservative measures we can use to treat osteoarthritis, including physical therapy, anti-inflammatory medications, injections, etc.,” explains orthopedic surgeon Daniel Harmon, D.O. “When these conservative measures fail, a total hip replacement is the surgical option that can predictably relieve the pain associated with bone on bone arthritis.”

Dr. Harmon says the direct anterior approach to hip replacement—which means the procedure is performed through the front of the hip—is an emerging technique and one that is performed by specially trained surgeons.

“The direct anterior approach is a muscle sparing surgery, which allows the surgeon to reach the hip joint while keeping the muscles surrounding the pelvis intact,” Dr. Harmon says. “Because they are undisturbed, the most important muscles for hip function—the gluteal muscles—do not require a healing process to recover from surgical trauma. By keeping these muscles intact, the anterior approach has been shown to decrease postoperative pain, allowing for less use of narcotic pain medication. It has also been shown to reduce the need for walking aids, such as a cane or walker; decrease the length of stay in the hospital;

and enable an earlier return to functional status.”

Dr. Harmon adds that physical therapy begins the same day of surgery and a reasonable goal for discharge from the hospital is one or two days after the operation.

Daniel Harmon, D.O.Orthopedic Center of Florida12670 Creekside LaneFort Myers, FL 33919239-482-2663

“The anterior approach allows us to make a small incision in the front of the

hip, as opposed to the side or back,”

Dr. Harmon explains.

Myrna Oxendine underwent successful brain aneurysm coiling.

The coiling procedure is a minimally-invasive treatment

that involves the use of a catheter that is passed

through the groin and into the brain. Platinum coils are released into the aneurysm, causing it to clot off, thereby eliminating or reducing the

chances of rupture.

If you experience signs or symptoms of a heart condition or neurological deficiency, Dial 911, Don’t Drive.

JOINTREPLACEMENT

2015


Congenital Heart Defects: Rare, but PossibleCongenital heart defects (CHDs) occur when the heart or blood vessels near the heart do not develop normally before birth. Pediatric cardiologist Eric Eason, D.O., says they are rare, but of all the congenital defects, CHDs are the most common.

“The most common CHD we see are holes in the walls that separate chambers of the heart—called septal defect,” Dr. Eason explains. “These may occur in the upper part of the heart—atrial septal defects (ASD)—or the lower part of the heart—ventricular septal defects (VSD).”

Children with an ASD do not have any symptoms and many times, the small or moderate size holes close by themselves. If the hole is larger, the only abnormal finding may be a murmur. Large ASDs can be closed with open-heart surgery or by cardiac catheterization, where a device is inserted into the heart through a catheter to close the hole.

Dr. Eason says there is no real prevention for CHDs, but if you or another family member has a heart defect or has had a child with a heart defect, then the risk may be higher.

Identifying heart defects can be done even before the baby is born thanks to fetal echocardiograms. “We have caught a number of CHDs thanks to this technology,” Dr. Eason says. “Finding CHDs while the infant is in utero allows us to counsel and educate the family before the birth of the baby. It also allows us to have a better idea whether we can deliver and treat the baby locally or whether the baby should be delivered at a referral facility.”

CHDs should not be a concern for most people, but proper prenatal care will ensure the best health for mom and baby and allow appropriate testing to be done in order to find any issues as early as possible.

Eric Eason, D.O.Pediatric CardiologyGolisano Children’s Hospital of Southwest Florida16281 Bass RoadSuite 301Fort Myers, FL 33908239-343-7490tinyurl.com/DrEason

Learn Basic CPR in One HourWhat: Adult CPR, choking and AED (automated external defibrillator)

When: Feb. 28

Time: 9-10 a.m., 10-11 a.m. and 11 a.m.-noon, general public

Noon-1 p.m., high school students only

Where: Cape Coral Hospital 636 Del Prado Blvd. Cape Coral, FL 33990

Cost: Free

Reservations: 239-424-2300.

Presented by Lee Memorial Health System, Lee County EMS and the Lee County Fire Department.

Participants receive an informational book on CPR from the American Heart Association.

Vision Machine Puts Life in Balance for PatientsPatients who have experienced a stroke may be left with deficits once they recover. Weakness on one side of the body, balance issues and vision problems are all effects from damage to the brain.

Lee Memorial Health System patients can take advantage of the Sanet Vision Integrator, a machine that improves visual abilities and visual-related learning problems for stroke patients, and other patients who have experienced a traumatic brain injury.

“Typical patients are our neurological patients (cerebrovascular accident, head injury), visually impaired patients, young athletes or anyone who needs to work on balance,” says Christine Breckenridge, occupational therapist. “Therapists and therapy assistants use it to address our patient’s goals in therapy.”

The machine incorporates features of a saccadic (eye movement) trainer, virtual rotator, tachistoscope (a device that displays an image for a specific amount of time) and programmable metronome. The machine speaks to each patient and gives verbal instructions, which helps improve auditory-visual integration and memory.

“This really helps our patients who have had a stroke, with scanning and promoting awareness when they have neglect of one side,” Christine says. “There are programs that address cognitive deficits, such as sequencing, and auditory and visual memory.”

The machine also incorporates balance with a balance board attachment and tests reaction time for high-level athletes. “We plan to start a vision program and use it with our visually-impaired patients, as well,” Christine says.

The machine increases attention span for patients with vision problems and allows them to read or use a computer for longer periods of time. Patient goals include:

• Improved environmental awareness if they have neglect (to prevent bumping into furniture or the ability to see the curb and avoid it)

• Improve balance (to decrease falls)

• Scanning (in order to read or drive)

• Coordination/reaction time (for athletes or patients returning to work)

• Cognitive goals to promote memory, sequencing and attention span (in order to promote more function in daily tasks)

To view a demonstration of the Sanet Vision Integrator, visit www.svivision.com. For more information, email [email protected].

Lee Memorial Health System

patients can take advantage of

the Sanet Vision Integrator, a

machine that improves visual

abilities and visual-related

learning problems for

stroke patients, and

other patients who have experienced a

traumatic brain injury.

“The most common CHD we see are holes in the walls that separate chambers of the heart—called septal defect,” Dr. Eason explains.

5

To view a video on electro-field therapy, go to tinyurl.com/EFieldTherapy

New Treatment Enhances Life for Patients with Brain TumorsGlioblastoma is the most aggressive and deadliest form of brain cancer. A new treatment option—electric field therapy, or EFT—is offering hope for patients to live longer and more comfortable lives.

“EFT uses tiny devices that are placed on the scalp of a patient, which create an electrical field that is aimed at and deposited into tumors in the brain,” explains Constantine Mantz, M.D., radiation oncologist. “The electrical field stuns the cancer cells and works to prevent them from multiplying. In many cases, the tumor stops growing. And, in some cases, the tumor diminishes.”

A very exciting aspect of this treatment is that it doesn’t appear to cause permanent damage to the brain or other tissue, and doesn’t have the toxicity and side effects of chemotherapy and other treatments.

Dr. Mantz adds that the typical course of treatment using EFT is 4-6 weeks. An MRI is done after treatment and continued every three months to keep tabs on the tumors.

“This is not a cure, but it does offer an opportunity to control a brain tumor where other therapies have failed,” Dr. Mantz says. “Especially in the case of glioblastoma, which can be deadly in a few short months, this technology may allow a patient a chance at preserving his or her quality of life longer than otherwise possible, and perhaps enjoy greater longevity.”

EFT is available at the Regional Cancer Center, and is not offered anywhere else in Southwest Florida. “We are taking this technology a step further by opening a clinical study to treat other types of malignant brain tumors, in addition to glioblastoma,” Dr. Mantz says. “We plan to enroll as many as 80 patients to this study.”

If you or a loved one is interested in learning more about EFT, call 239-936-0382 and request an EFT consultation with Dr. Mantz.

Constantine Mantz, M.D.21st Century Oncology8931 Colonial Center DriveSuite 100Fort Myers, FL 33905239-936-0382

Occupational Health Partnerships Help Companies Keep Employees HealthyWe go to the doctor’s office or the hospital when we need medical care, but occupational health takes the practice of medicine into the workplace. Occupational health is dedicated to championing the health and safety of employees and employers.

“We aim to prevent injury or illness in the workplace, and if such an incident were to occur, then we treat those injuries or illness,” says Andrew Singh, M.D. “Occupational health is a preventive medicine specialty and we strive to help employers create a healthy workplace.”

Many people think of occupational health workers as the medical providers for drug screens or worker’s compensation injuries. “While these are indeed our services, we offer much more than that,” Dr. Singh says. “We ensure school bus and commercial motor vehicle drivers are sufficiently healthy to be driving, thereby protecting the general public. We certify that workers, such as firefighters and police, are able to meet the physical demands of their job, or jobs that require special protective equipment, such as respirators.”

Dr. Singh and his staff assist employers with numerous federal regulations, whether it is noise in the workplace or working with hazardous substances. Dr. Singh is specifically trained in reducing workplace dangers and increasing worker safety.

Workplace wellness programs have become more prevalent in recent years. Numerous studies have shown that engaging employees in healthy lifestyles at work, via health assessments, tobacco cessation, exercise, nutrition programs or a myriad of other programs, can provide dramatic results. These programs not only improve the health of the employee, but also improve company morale, increase productivity and decrease health care costs.

Dr. Singh has worked with different types of companies in Lee County to provide workplace wellness programs. “Our most popular service is to provide a computer questionnaire to employees to gauge their health, and conduct on-site health screenings compromised of blood pressure, body mass indexes and instant blood work, including blood sugar and cholesterol screening for common diseases,” Dr. Singh says. “Each participant meets with an advanced registered nurse practitioner or physician to discuss his or her results and discuss lifestyle changes that would improve his or her overall health.”

One company in particular, Markham Norton Mosteller Wright & Company, a local certified public accountant and consulting firm, has been very successful at improving its overall health of employees. Partner Gail Markham initiated her company’s partnership with Lee Memorial Health System two years ago after attending an Imagine Solutions Conference and through her involvement in the Horizon Council—both initiatives that tackled obesity, with a goal of a healthier

workforce and local population.

“I’ve always been interested in health and nutrition,” Gail says.

Working with Dr. Singh, Gail, her three partners, and most of their 36 employees tracked their cholesterol, blood pressure, weight and other basic health information. “We made it a fun contest,” Gail says. “We looked at our numbers before and after and the winner won something special, like a weekend at Useppa Island or a major theme park.”

The results benefit all the participants. “As a result, we continue to be more healthy, health conscious and we really enjoyed the team-building exercises,” Gail says. “Good health makes our entire team more productive and happier.”

Andrew Singh, M.D.Occupational MedicineLee Physician Group4771 S. Cleveland Ave.Fort Myers, FL 33907239-343-9841tinyurl.com/DrSingh

“EFT uses tiny devices that are placed on the scalp of a patient, which create an electrical field that is aimed at and deposited into tumors in the brain,” explains Constantine Mantz, M.D.

“We aim to prevent injury or illness in the workplace, and if such an incident were to occur, then we treat those injuries or illness,” says Andrew Singh, M.D.

http://tinyurl.com/EmpHealth

To view a video on occupational health, go to www.tinyurl.com/EmpHealth


Where’s Larry?At the Rehabilitation HospitalLarry Antonucci, M.D., Lee Memorial Health System’s chief operating officer and former practicing obstetrician has spent countless hours in the exam room, the operating room and the boardroom. Now, he is spending time each month working in various jobs to better understand and appreciate the jobs and roles of every employee throughout the health system.

Larry recently spent time in the Rehabilitation Hospital at Lee Memorial Hospital where patients regain their basic, daily functions after a stroke, cancer, serious fracture or other traumatic injury. Larry rounded with Luann Deppe, RN, rehabilitation nurse, before joining patients in occupational and physical therapy.

Post Office Volunteer Gets Patrons’ Stamp of ApprovalPatrons who purchase stamps at the post office inside the Lee Memorial Hospital gift shop get something a little extra when they leave. Volunteer Bill Kendall, 90, dispenses a little good will. “You have a wonderful day,” he says to most customers.

Bill has been a Monday morning fixture for 19 years, putting postage on envelopes, weighing packages and helping customers who aren’t adept at taping their boxes closed the correct way. “He’s always so friendly and sweet to me,” says Denise Anderson, RN, director of surgical services, Lee Memorial Hospital. “If I have a package, he makes sure it’s nice and secure.”

Bill, who had prior volunteer experience as a board member for his condominium community, made the switch to the Lee Memorial Auxiliary because he wanted to be part of the hospital community. “It gives me something to do,” he says. “The hospital gets a benefit and I like to do something for the community.”

The job is a perfect fits because it allows Bill to sit part of the time, and stand when he needs to reach for something or deposit a package in the area behind the desk. “At my age I can’t stand all the time,” he says.

Bill serves as many as 15 customers per hour, and runs low on change when he has completed numerous transactions. That’s when gift shop store clerk and volunteer Brian Anderson steps in. Brian gets change, helps when the computer system develops a glitch and when Bill needs something but cannot leave his post.

“He’s a very interesting guy,” Brian says. “The customers love him. If he’s not here, they ask about him and want to know where he is.”

Bill plans to stay on the job for another year before sending his last customer package. “I want to get 20 years in,” he says. “And I really like seeing the people every day. I like helping them.”

Larry observes Whitney Walsh, occupational therapist, as she works with Earl Vallier. Earl is recovering from a stroke. An avid fisherman, Earl is using rubber worms, a tackle box and a fishing rod in his therapy. The therapists personalize the therapy by using items that are meaningful to the patients.

Larry watches as Dan Fowler, physical therapist, and Whitney Walsh, occupational therapist, work with Bill Ferolli. Bill is recovering from a stroke and is using the fishing equipment during his treatment.

Lee Memorial Hospital post office volunteer Bill Kendall sells stamps to Denise Anderson, R.N.

It’s All About You empowers people with any type of chronic condition to take better care of themselves by taking a more active role in their health.

Local Woman Takes a More Active Role in her HealthWhen Trish Smith was diagnosed with diabetes, she knew very little about the condition and the ways to manage it. A member of Mount Hermon Church, Trish learned about a chronic disease management class from a fellow church member and quickly signed up to attend. The class—It’s All About You—is a free, research-based, six week program offered by Lee Memorial Health System. The program was developed by Dr. Kate Lorig of Stanford University.

“I was dumbfounded when I joined the class because I was new to everything—I didn’t know what I was doing or what I was supposed to do,” Trish says. “It’s All About You really taught me how to control and manage my diabetes and to not let it control me. I learned about the importance of consistently checking my blood sugar and how exercise can help control my blood sugar. I have asthma, too, but my main concern was the diabetes. Everything the instructors taught us was good for us, and I didn’t miss a class.”

It’s All About You empowers people with any type of chronic condition to take better care of themselves by taking a more active role in their health.

The program covers:

• An overview of self-management and chronic health conditions

• Using your mind to manage symptoms

• Getting a good night’s sleep

• Making an action plan

• Feedback and problem-solving

• Dealing with difficult emotions

• Physical activity and exercise

• Preventing falls

• Making decisions

• Pain and fatigue management

Diane Spears, RN, a nursing director at Lee Memorial Hospital, told Trish about It’s All About You. She helped Trish even more by referring her to Lee Community Healthcare, Inc., Lee Memorial Health System’s community health centers that serve uninsured and underinsured patients. “Diane kept telling me that I needed a new doctor and that I should make an appointment at the North Fort Myers office,” Trish says. “I did, and I started seeing Dr. [Luzan] Phillpotts. She is really good—she changed my medications and gave me a referral to the [Lee Health Solutions] diabetes self-management class, so I can learn even more about controlling my diabetes.”

Between It’s All About You, a diabetes-specific self-management class and a better rapport with her doctor, Trish is feeling good, more empowered and better able to manage her chronic conditions.

It’s All About You is a great program for people age 18 and older with any type of chronic condition, including, but not limited to:

• Arthritis

• Asthma

• Anxiety

• Cancer

• Chronic obstructive pulmonary disease (COPD)

• Diabetes

• Epilepsy

• Fibromyalgia

• Heart disease

• High blood pressure

• Kidney disease

• Lupus

• Parkinson’s disease

It’s All About You is supported, in part, by a grant from the Southwest Florida Community Foundation. Sessions are held at locations throughout our community. Call 239-424-3122 or visit Facebook.com/LeeMemorialHealthSystem and click on “Events.”

Volunteer Bill Kendall,

90, dispenses a little

good will. “You have a

wonderful day,” he says

to most customers.

WOMEN’SHEALTH

2014

7

This month, the Wellness Centers are offering a 2-for-1 enrollment fee special—two individuals can join the Wellness Centers for the price of one. Show your love with the gift of wellness.

We also offer gift certificates for personal training, lifestyle coaching, memberships, the Café/Pro Shop and massage.Wellness CentersCape Coral609 SE 13th Ct. Cape Coral, FL 33990239-424-3220

Fort Myers2070 Carrell RoadFort Myers, FL 33901239-418-2000

Sweetheart Special2-for-1

enrollment fee special

Signs of the Most Common Eating DisordersEating disorders are complex illnesses that cause a preoccupation with food and weight. The Lee Memorial Health System Behavioral Health Center treats eating disorders, most commonly binge eating disorder (BED), anorexia nervosa (AN) and bulimia (BL).

“BED is the most common eating disorder we see,” explains Daniel England, LCSW, social worker and clinical coordinator at the Behavioral Health Center.

Daniel says that there is some genetic component to BED, but it is impacted by the environmental stressors of low self-esteem, interpersonal problems, being bullied and weight stigma. “Frequently, binging occurs with other disorders, such as depression, anxiety or bipolar disorder,” Daniel says. “Treatment for BED involves finding alternatives to binging to satisfy a person’s needs to be happy, productive and healthy.”

Binge eating disorder (BED) is where a person eats a large portion of food in a short timeframe—usually in isolation—and with high levels of shame, guilt and distress.”

There are a number of warning signs that may indicate BED, including:

• Person eats “normal sized” meals, but stashes food and eats alone, even if not hungry

• Finding wrappers or other evidence of food in bedrooms, bathrooms, cars or other places where food is not ordinarily kept

• Person becomes more isolated or withdrawn

Anorexia nervosa (AN) is another common eating disorder where people try to maintain a weight that is far below what is normal for age and height. Signs that may indicate AN include:

• Inadequate food intake, resulting in very low—possibly dangerously low—body weight

• Strong fear of gaining weight—even what others may see as healthy weight

• Persistent efforts to restrict food intake

• Person’s self-esteem is tied directly—maybe even completely—to body image

• Person is unable to understand the seriousness of what is, in essence, starvation

• There may be some binging and purging over several months’ time or a person may only restrict food intake, or there may be a period of either behavior

Bulimia (BL) causes people to eat large amounts of food—called binging—and then purge—self-induced vomiting or abusing laxatives—to eliminate the extra calories. Signs that may indicate BL include:

• Frequent episodes of consuming very large amounts of food, then trying to eliminate that food by purging

• Feeling that the eating is getting out of control

• Person’s self-esteem is overly related to body image

If you recognize signs of an eating disorder, Daniel recommends expressing your concerns about what you have noticed going on and let your loved one know that it is perfectly acceptable for them to tell you whatever they want. “There is often shame and guilt felt by those with an eating disorder,” he says. “So, please avoid any talk of blame or lack of self-control or any other statements so that person feels free to open up to you.”

Mental health professionals can be very helpful, especially if there is underlying depression or anxiety. “Therapists who are trained in cognitive behavioral therapy or dialectical behavioral therapy can help address issues of guilt, self-esteem and thought distortions,” Daniel says. “Sometimes medications may be in order, and an evaluation by a psychiatrist or a psychiatric nurse practitioner can determine if medications are warranted. Nutritionists also can help plan menus and teach the whole family what is needed for a healthy diet, as well as supportive strategies for recovery.”

Daniel reminds loved ones to assure those with problems that eating issues do not make you a “bad” or “weak” person, and remember, help and support is available.

For those susceptible to eating disorders, risk factors include:

• Dieting – When people lose weight, others compliment them on their appearance. Fear of losing the positive reinforcement or getting even more attention can lead to eating disorders.

• Transitions in life – Moving, going to college, a new job or a breakup may be triggers for eating disorders.

• Occupations or extracurricular activities – Certain occupations where appearance is very important—like model, actor, etc.—may contribute to eating disorders.

• Sports—like wrestling, gymnastics, running and ballet—may also lead to issues if the athlete is pressured to “cut weight.”

Behavioral Health Center12550 New Brittany Blvd.Suite 200Fort Myers, FL 33907239-936-1114

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Radiology Technologists Aid in Diagnosis of Internal Injuries and DiseasesRadiology technologists provide diagnostic images under the supervision of the radiologist (physician) who interprets these images, which then help the patient’s physician plan for the care of the patient.

The focus of the technologist is the safety and comfort of the patient, as well as the quality of the images provided to the physician. Technologists also strive to protect themselves, the community, patients and visitors while working with radiation.

When a physician cannot view an injury with the naked eye, they rely on imaging technology. X-rays, Cat scans, MRI, nuclear medicine and ultrasounds are all tools available to the physician in diagnosing a wide range of diseases.

“Patients of all ages require our services,” says Robin Healey, lead radiology technologist, Gulf Coast Medical Center. “For example, kids who fall off the monkey bars at school and possibly fracture their arm, teenagers who may have scoliosis, football players with dislocated shoulders, adults with shortness of breath or chest pain, and geriatric patients who have fallen and broken their hip can all benefit from radiology technology.”

While most patients are conscious and understand the process, some patients need extra attention, something Robin and her co-workers are happy to provide. “I had an elderly patient with altered mental status who needed a naso-gastric tube placed in her nose as a way to get nutrition to her stomach,” Robin says. “Her daughter was distraught and saddened by the current state of her mother and all the commotion her mother had to endure. It was my responsibility to reassure her that we were doing the best thing for her mother.”

The patient made it through the procedure with no negative consequences and began to improve. “The next day her daughter thanked me for helping her through an emotionally stressful time,” Robin says. “Not only do we perform these radiologic procedures, but all of us see family members coping with foreign situations on a daily basis. Our goal is to provide comfort to our patients, but also to be there to ease family members and help answer any questions that they have.”

Technologists are engaged in continuing education, training in new practices, and peer review. “We are not just ‘button pushers’,” Robin says. “Practicing radiation safety is our No. 1 concern. One size does not fit all and it is up to the technologist to use experience and logic when we administer each scan. We also do more than bones. Other studies include visualizing all aspects of the gastrointestinal tract and the urinary system with contrast. We must know our anatomy very well in order to get the best visualizations of each part we are X-raying.”

Home Health Helps Octogenarian Stay IndependentWhen Raymond Trickler, 80, began experiencing problems with his heart and kidneys, his physician recommended teleheatlh services—part of Home Health—as a way to track vital signs and make note of any changes.

“The box greets me at 8 a.m., every single morning,” Raymond says. “It says, ‘It’s time for your vital signs—step on the scale.’” Raymond registers his weight, blood pressure, heart rate and oxygen levels. He also takes his temperature, just for his own peace of mind. Every three days he measures his blood sugar.

“An automated call tells me the results of my vital signs within 5-10 minutes,” Raymond says. “Then, a nurse comes to see me about once a week.”

The Home Health telehealth monitoring helps Raymond stay independent, without having to make frequent trips to his doctors’ offices—he has three separate physicians he visits on a regular basis—and allows health care providers to keep tabs on his health. “I like the program because I can still live at home,” Raymond says. “My mom, my brother and my sister all died in their 60s from heart attacks so I’m doing better, despite my family’s history.”

Home Health Patients Receive Care Outside of the HospitalPatients who spend time in the hospital receive around-the-clock care. When those patients go home, their need for care continues, even as their health continues to improve. Home Health is available to make sure these patients get the high-quality care they need.

“Home Health patients must participate in their care,” says Jonathan Hollander, clinical director, Home Health. “They are able to learn self-management and remain out of the hospital. This helps the community by reducing expensive care, which ultimately incurs costs for everyone. Also, Home Health allows for safe discharges to the community, which provides more hospital beds for patients who need inpatient care.”

Home Health helps the patient become self-sufficient in his or her own environment, which allows for improved learning without disruptions.

The number of patients receiving home care varies, from about 300 during the summer months to more than 450 in the peak of winter season. In addition, Home Health has a growth plan to increase those numbers to more than 500 in the future.

“Our typical client is a 79-year-old white female with a circulatory problem,” Jonathan says. However, Home Health provides services to a diverse population and varied disease processes.

Home Health services include:• Skilled nursing

• Physical therapy

• Occupational therapy

• Speech therapy

• Home Health aides

• Medical social workers

Home Health also provides cardiac care with telehealth, a home-based monitoring system that allows patients to take their vital signs each day and convey the information to health professionals. If the information indicates the patient has a health issue, a nurse will call him or her to discuss.

“We offer ostomy/wound care with certified wound care nurses, and also collaborate with Lee Memorial Health System’s Wound Care & Hyperbaric Medicine,” Jonathan says. “We offer orthopedic services and are trusted by leaders in the orthopedic community.”

Other services include infusion therapy, diabetes management, enteral nutrition therapy, pediatric services, Healthy Start (perinatal) and pulmonary services, as well as a geriatric care management program known as Choices.

“In addition, we offer Lifeline emergency response services and Lifeline Medication Management system,” says Cathy Brady, clinical manager. “Finally, Home Health works in close collaboration with the physician driven House Calls program for those who do not have the ability to visit a physician outside of their home.”

The program is covered by Medicare, Medicaid and most insurance plans, and has served Lee County since 1976.

Telehealth Nurse Manager Cathy Brady and Clarence Maustellar play with his cat. Clarence needed Home Health Services after he broke his leg.

9

To learn more about yoga programs available at the Wellness Center–

Cape Coral, call 239- 424-3220. Membership is not required to attend

yoga classes. A 14-visit pass is available for $99. This pass allows users to attend yoga classes and take advantage of the rest of

the center’s amenities. Visits do not have to be on consecutive days.

“I think people are attracted to the concept of IM because they want to take charge of their own health, which many people do through the use of supplements and herbs to treat various symptoms,” Dr. Auld says.

Mind-Body Program Offers New Way of Thinking about YogaThe movement begins with a something as simple as paying attention to your breath and ends with a deep sense of relaxation and improved physical health. The mind and body program at Lee Memorial Health System’s Wellness Center-Cape Coral offers the promise of better health and less stress.

“We have completely redone the yoga studio with new flooring, a relaxing color scheme and a beautiful new mural,” says Sarah Mitchell, health and wellness coordinator. “We wanted to create a space of calm, with a sense of purpose.”

A large hand-painted tree mural graces two perpendicular walls, lending a focal point when needed. The Wellness Center-Cape Coral has added new mind and body classes to its winter and spring calendar as a way to help class members reconnect with their physical and mental health needs. Classes include Barre, Yoga Nidra, Brain FITness, and mind and body classes.

“We want people, especially those who have not tried yoga, to come into the yoga room,” Sarah says. “So many won’t come in because they have never tried yoga and think they cannot do a pose.”

Sarah teaches yoga classes for beginners to advanced yoga practitioners. Yoga instructor Patrick Nolan takes participants in his sleep-based meditation yoga class—known as “Nidra”—to a place of restful relaxation.

“It’s not about posing,” Patrick says. “If you can breathe, you can do yoga; and you get just as much of the benefit as someone who can twist like Gumby.”

This class is for people of all ages and fitness levels, Patrick says. “Because it’s a guided exercise, there is no struggle with concentration that is often associated with meditation. It’s about relaxing the brain, which can be challenging. We have lifelong habits that fight that. This type of yoga engages the parasympathetic nervous system so you can’t immediately summon things that stress you.”

The class is accessible to anyone, even those who have to come from their work environment. “You can do it your work clothes, or while sitting,” Patrick says. “This class offers flexibility for the brain. As you get older, you want your body to stay as flexible as possible, but you want that for the brain, as well.”

All of the new and existing yoga classes are designed to help participants relax and manage everyday stress. “Yoga is really just about listening to your internal voice,” Patrick says. “That’s the voice that guides you to better health, from curbing food cravings to moving more, to dropping the mental habits that cause you stress. This type of yoga helps restore health and a sense of internal balance. It allows the mind and body to align.”

Treating the Whole Person with Integrative MedicineMarrying traditional medicine—or medications and surgery—and alternative approaches to care, integrative medicine treats the whole person—mind, body and spirit. Heather Auld, M.D., a physician fellowship trained in integrative medicine, explains this type of care and why it is attractive to the average person.

“Integrative medicine (IM) endorses both conventional medicine and alternative therapies that have been scientifically tested,” Dr. Auld says. “By combining the two, there is a broader spectrum of treatment options, and fewer side effects because the treatment used is often natural and less invasive.”

Dr. Auld says IM facilitates the body’s innate healing response and can be used to treat nearly every aspect of patient care, especially the prevention and treatment of chronic conditions. Some examples of chronic conditions that benefit from IM include:

• Obesity• Menopausal symptoms• Type 2 diabetes

• Stress• High cholesterol• Gastrointestinal issues

Examples of the various modalities, or treatment options, used in IM include:

• Nutritional counseling and measurement of micronutrients

• Bio-identical hormone therapy and non-hormonal therapy for menopause

• Naturopathy, a philosophy that emphasizes the healing power of nature

• Homeopathy, a medical philosophy based on the idea that the body can heal itself

• Acupuncture• Guided imagery• Essential oils• Herbal medicine• Massage therapy• Traditional Chinese and Indian

medicine

“I think people are attracted to the concept of IM because they want to take charge of their own health, which many people do through the use of supplements and herbs to treat various symptoms,” Dr. Auld says. “Integrative doctors are trained to deal with the safety and efficacy of herbs and dietary supplements and their interaction with prescription medications—the combination of

conventional and alternative medicine. Additionally, integrative doctors reinforce the fact that food remains the most important medicine at our disposal and stress that following a healthy diet, exercising regularly and reducing stress can dramatically reduce cancer, cardiovascular disease and diabetes. Through the practice of integrative medicine and by partnering with our patients, we, IM doctors, are making this a reality.”

Heather Auld, M.D.Integrative MedicineLee Physician Group16281 Bass RoadFort Myers, FL 33908239-495-4480

P H Y S I C I A N D I R E C T O R Y

Adult PhysiciansAllergy/Immunology

Gaston Turnier, M.D.Lee Ann Dunnington, ARNP11. 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, ARNPVirginia Pearson, ARNP2. 16261 Bass Road, Ste. 300

Fort Myers, FL 33908 239-343-6410

Robert Cross, M.D.Horace Dansby, 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, ARNP7. 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, ARNPCourtney Chumbley, ARNPVicki Hayes, ARNP9. 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.Bhavin Patel, M.D.Roshan Vatthyam, M.D.Karen Booth, ARNPDenise Bounds, PA-C3. 3501 Health Center Blvd.

Ste. 2330 Bonita Springs, FL 34135 239-495-4375

10. 9800 S. HealthPark Dr., Ste. 320 Fort Myers, FL 33908 239-343-6350

Community Health Centers

Jeannie Arana, M.D.Carrie Gittings, M.D.Luzan Phillpotts, D.O.Virginia Bihari, ARNPJulieann Chapman, ARNPPetra Debolt, ARNPMary Dion, ARNPJanet Loo, ARNPFrances Munroe, ARNPAngela Sterious, ARNP13. 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, ARNPRuth Taggart, ARNP7. 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, ARNPPam Salaz, ARNP16. 5225 Clayton Court

Fort Myers, FL 33907 239-343-8240

Joseph Hobson, D.O.Barbara Baker, ARNP7. 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, ARNPJudith Wagoner, ARNP8. 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.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, ARNP18. 2780 Cleveland Ave., Ste. 709

Fort Myers, FL 33901 239-343-3831

Patricia Daneshmand, D.O.Thomas Harris, M.D.Priscilla Ndiang’Ui, FNP-BCAmanda Volberg, ARNP7. 8960 Colonial Center Dr., Ste. 300

Fort Myers, FL 33905 239-343-9470

Anjana Chaudhari, M.D.3. 3501 Health Center Blvd.


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

Eric A. Goldsmith, D.O.Stephen Moenning, M.D.13. 708 Del Prado Blvd., Ste. 1

Cape Coral, FL 33990 239-424-2755

General & Vascular Surgery

Moutaa BenMaamer, M.D. John Moss, D.O.Kimberly Printz, ARNP8. 8380 Riverwalk Park, Ste. 100

Fort Myers, FL 33919 239-343-9960

House Calls – Geriatrics

Jennifer Cittadino, ARNPAmie Peterson, ARNP8. 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, ARNP18. 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, ARNP1. 1569 Matthew Dr.

Fort Myers, FL 33907 239-343-8220

Alberto Concepcion, M.D.Jason Triana, M.D.3. 3501 Health Center Blvd.


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 863-675-4450

John Ardesia, D.O.Adriana Loukanova, M.D.Leah Lynch, M.D.Gaurav Nayyar, M.D.Binh Truong, M.D.Diana Young, M.D.Mary Ellen DeMartini, ARNPVicky Brooks, ARNPShawn Steiner, ARNPKathryn Udell, ARNP2. 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 239-541-4421

Carmen Barres, M.D.7. 8960 Colonial Center Dr., Ste. 300

Fort Myers, FL 33905 239-343-9470

Charles Briseño, M.D.Shailaja Hegde, M.D.Aldith Lewis, D.O.Bruce J. Lipschutz, D.O.Diane St. Pierre, ARNPMelinda Welsh, ARNP8. 9131 College Point Court

Fort Myers, FL 33919 239-343-9100

Integrative Medicine

Heather Auld, M.D.Teresa Spano, N.D.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, ARNPJudith Anne Petrin, ARNP8. 12600 Creekside Ln., Ste. 7

Fort Myers, FL 33919 239-343-9220

Neurosurgery

John J. Dusseau, M.D.Jeffery S. Henn, M.D.Saman P. Javedan, M.D.Dean D. Lin, M.D.7. 8931 Colonial Center Blvd.

Ste. 401 Fort Myers, FL 33905 239-343-3800

10. 9981 S. HealthPark Dr., Ste. 120 Fort Myers, FL 33908 239-433-8888

13. 708 Del Prado Blvd., Ste. 6 Cape Coral, FL 33904 239-343-3800

18. 2780 Cleveland Ave., Ste. 819 Fort Myers, FL 33901 239-343-3800

Gregory Velat, M.D.24. 13681 Doctor’s Way, Suite 350

Fort Myers, FL 33912 239-343-3800

Neurointerventional Radiology

Christopher Firment, M.D.Anthony Kam, M.D.Nasser Razack, M.D.Creed Rucker, M.D.24. 13681 Doctor’s Way, Suite 350

Fort Myers, FL 33912 239-343-3800

Obstetrics/Gynecology

John Oliva, M.D.Dirk Peterson, M.D.4. 1682 NE Pine Island Road

Cape Coral, FL 33909 239-424-1600

Shelly Chvotzkin, M.D.Edward Marineau, M.D.Bipin Shah, M.D.Kristin Fazio, CNMKwee Green, CNMTammy Leuttich, CNMChristina Sierra, CNMCindy Stewart, CNMKristin Trout, CNMMandi Wade, CNM2. 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/CNMMiranda Marcus, ARNPNancy Redecker, ARNP/CNMZoe Sheppard, ARNP/CNMKim Town, ARNPDenise Waszkowski ARNP/CNM3. 3501 Health Center Blvd.


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, ARNPCarolyn Hoffman, ARNPDaniel Nalepka, PA-C4. 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

Ahmed Hassan, M.D.Rabia Khan, D.O.Colleen Tallen, M.D.7. 8960 Colonial Center Dr., Ste. 206

Fort Myers, FL 33905 239-343-9560

Psychiatry

Daryl Tanski, M.D.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.Nancyann Harrod, ARNP8. 9131 College Point Court

Fort Myers, FL 33919 239-343-9130

Call Center available evenings and weekends to make

physician appointments.

7 a.m.-7 p.m., 7 days a week239-481-4111

Rahul Challapalli, M.D.Vijay Das, M.D.Razak Dosani, M.D.Abusayeed Feroz, M.D.Sagar Naik, M.D.Debra Berry, ARNPAnn Cromika, ARNPMiriam Ellenburg, ARNPJanice Kirk, ARNP4. 1682 NE Pine Island Road

Cape Coral, FL 33909 239-343-8260

16. 5216 Clayton Court Fort Myers, FL 33907 239-343-8260

Rheumatology

Juan Bustillo, M.D.7. 8960 Colonial Center Dr., Ste. 204

Fort Myers, FL 33905 239-343-9633

Sleep Medicine

Jose Colon, M.D.Javaad Khan, M.D.Debra Peck, ARNP17. 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

Russell Becker, D.O. 8380 Riverwalk Park Blvd., Ste. 100

Fort Myers, FL 33919 239-343-9960

Wound Care & Hyperbaric Medicine

Lisa Chow, M.D.Robert Kupsaw, M.D.21. 13778 Plantation Rd.

Fort Myers, FL 33912 239-343-0454

Pediatric PhysiciansJohn Distasio, M.D., PhDDenise 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, ARNPAmy Hicks, ARNPKori Howell, ARNPMichelle Klempka, ARNPJulie Vega, ARNPAmanda Ranft, ARNP3. 3501 Health Center Blvd., Ste. 2220

Bonita Springs, FL 34135 239-343-9888

11. 4751 S. Cleveland Ave. Fort Myers, FL 33907 239-343-9888

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 SpecialtiesPediatric Behavioral Medicine

Adrienne Tedeschi, M.D.Pamela Papola, M.D.15. 15910 Bass Road, Ste. 108 Fort Myers, FL 33908 239-343-605022 . 18316 Murdock Circle, Ste. 106 Port Charlotte, FL 33948 941-235-4900Pediatric Cardiology

Eric Eason, D.O.15. 16281 Bass Road, Ste. 301

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

Pediatric Endocrinology

Asjad Khan, M.D.Cayce Jehaimi, M.D.Dina Pearson, M.D.Sujana Reddy, M.D.Tammy McCarty, ARNP15. 15901 Bass Road, Ste. 102

Fort Myers, FL 33908 239-343-9890

Pediatric Hematology/Oncology

Craig MacArthur, M.D.Cameron Nicholson, M.D.Emad Salman, M.D.Kelly Sawzcyn, M.D.Jennifer Vega, ARNPPam Wojciki, ARNP10. 9981 S. HealthPark Drive, Ste. 156

Fort Myers, FL 33908 239-343-5333

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

Pediatric Nephrology

Irina Gershin-Stevens, D.O.15. 15901 Bass Road, Suite 102

Fort Myers, FL 33908 239-343-9890

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

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

Pediatric Sleep Medicine

Jose Colon, M.D.17. 13601 Plantation Road

Fort Myers, FL 33912 239-343-0762

Pediatric Surgery

Rodrigo Mon, M.D.Amy Stanfill, MD.Indravadan Vyas, M.D.15. 15901 Bass Road, Ste. 108

239-343-9890

Pediatric Specialty Clinic s

12.1265 Creekside Pkwy., Ste. 200 Naples, FL 34008 239-254-4270

22 .18316 Murdock Circle, Suite 106 Port Charlotte, FL 33948 941-235-4900

Pediatric specialties available:• Allergy & Immunology• Endocrinology• Hematology/Oncology• Infectious Diseases• Nephrology• Neurology• Sleep Medicine• Surgery

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

Bonita SpringsBonita Community Health Center3501 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

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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 ......... 239-343-50009981 S. HealthPark Dr., Fort Myers, FL 33908(Summerlin and Bass Road)

Golisano Children’s Hospital ofSouthwest Florida ............ 239-343-KIDS (5437)

Lee Memorial Hospital ................ 239-343-2000Blood Center Location2776 Cleveland Ave., Fort Myers, FL 33901

The Rehabilitation Hospital ........ 239-343-3900

Bonita Community Health Center ........................ 239-949-1050Blood Center Location 3501 Health Center Blvd., Bonita Springs, FL 34135

Regional Cancer Center ......... 239-343-95008931 Colonial Center Drive, Suite 200Fort Myers, FL 33905

An outpatient department of Lee Memorial HospitalFort 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.

Bonita Springs

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Colonial Blvd.

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Summerlin Rd.

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Coconut Rd.

Bonita Beach Rd.

Periwinkle Way

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David Schulze, M.D.Avery Wright, D.O.Karen Knific, ARNPSarah McGregor, ARNPSonya Powell, ARNPCynthia Reichelt, ARNPLaura Snyder, PAMaureen Solliday, ARNPLauren Wright, ARNP


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calendar of eventsEvents & ScreeningsThe Better Back ClassDo you experience mild, recurrent neck or backaches? The Better Back Class is a four-week class that will take you through gentle core strengthening, flexibility and provide tips on back and neck care.Time and Date: 11:15 a.m.-noon, Feb. 4, 11, 18 and 25Location: WCFMFee: $16 for members; $28 for nonmembersRegistration and for More Information: Call 239-418-2000

Mobile Autism ScreeningGolisano Children’s Hospital of Southwest Florida hosts free autism screenings for children younger than age 5.Time and Date: 9:30 a.m.-2 p.m., Feb. 6Location: WCCCRegistration and for More Information: Call 239-343-6838; appointments are encouragedHealthy 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 “Neuroprotection: Healthy Brain.”Time and Date: Noon, Feb. 9Location: CCH Auxiliary Conference RoomRegistration and for More Information: Call 239-424-3232Young Driver ProgramThis program—which is a supplement to drivers’ education—teaches young drivers the legal issues of driving, how to stay focused and the responsibilities that go along with the driving privilege. This program is offered free of charge and is geared to the 15-20-year-old driver.Time and Date: 5:30-8:30 p.m., Feb. 24Location: LMH AuditoriumRegistration and for More Information: Call 239-343-3797; reservations are required

SHARE ClubSkin Cancer ScreeningsScreenings provided by Riverchase Dermatology.Times and Dates: 9-11 a.m., Feb. 2; 9-11 a.m., Feb. 23Locations: Feb 2 at North Fort Myers Recreation Center, 2000 N. Recreation Park Way, North Fort Myers; Feb. 23 at GCMC Community RoomRegistration and for More Information: Call 239-424-3765; appointments required.

Heart Report Card ScreeningJoin SHARE Club for this noninvasive screening. The Heart Report Card is for those who may not have symptoms, but could be at risk for heart disease. SHARE Club members receive a $50 discount.Time and Date: 9 a.m.-3 p.m., Feb. 3Location: GCMC Community RoomRegistration and for More Information: Call 239-424-3765; appointments required.

Diagnosing Memory ConcernsSHARE Club invites you to attend this presentation by Aboo Mannan, D.O., and Anne Petrin, ARNP from Lee Physician Group Memory Care. Dr. Mannan and Anne will discuss how to best diagnose memory concerns, as well as the latest treatment options. Refreshments provided by Brookdale Senior Living.Time and Date: 10 a.m., Feb. 9Location: GCMC Community RoomRegistration and for More Information: Call 239-424-3765

Identity Theft, More than a Financial RiskJoin SHARE Club for this presentation by Carrie Kerskie, identity theft expert, author and professional speaker. She will speak about how identity theft is more than just a financial risk.Time and Date: 10 a.m., Feb. 10Location: GCMC Community RoomRegistration and for More Information: Call 239-424-3765Arthritis: It’s No Walk in the ParkSHARE Club is hosting this event that will feature presenters speaking on current treatments, and the role of exercise and nutrition for those affected by arthritis. Vendors also will be on-site to present local resources that are available. Lunch will be served at noon.Time and Date: 10:30 a.m., Feb. 10Location: North Fort Myers Recreation Center, 2000 N. Recreation Park Way, North Fort MyersRegistration and for More Information: Call 239-424-3765When it is Time to Move to Assisted Living?Join SHARE Club for this presentation by McKenzie Millis, Shell Point Retirement Community. This presentation will provide you with a better understanding of what the differences are between independent living, assisted living and skilled nursing care. It also will help you know when to consider making a move to assisted living. Light breakfast sponsored by Shell Point Retirement Community. Time and Date: 10 a.m., Feb. 13Location: GCMC Community RoomRegistration and for More Information: Call 239-424-3765Diabetes Prevention and TreatmentSHARE Club invites you to this presentation by Anjana Chaudhari, M.D., Lee Physician Group family medicine physician, as she speaks about diabetes prevention and treatments. This event is sponsored by Right at Home, In Home Care & Assistance. Lunch will be served at 12:30 p.m.Time and Date: 12:30 p.m., Feb. 17

Location: Bonita Springs YMCA, 27200 Kent Road, Bonita SpringsRegistration and for More Information: Call 239-221-7560

Noninvasive Treatment and Testing for StrokeJoin SHARE Club for this presentation by Michelle Bierig, MPH, system director of noninvasive cardiology with Lee Memorial Health System, as she discusses noninvasive treatment and testing for stroke patients. This event is sponsored by Eye Centers of Florida.Time and Date: 10 a.m., Feb. 24Location: HPMC Rooms 1A & 1BRegistration and for More Information: Call 239-424-3765Sleep Smart – Improving Sleep HabitsSHARE Club invites you to this presentation by Debra Peck, Lee Memorial Health System ARNP. This event is sponsored by Right at Home, In Home Care & Assistance. Lunch will be served at 12:30 p.m.Time and Date: 12:30 p.m., Feb. 24Location: Bonita Springs YMCA, 27200 Kent Road, Bonita SpringsRegistration and for More Information: Call 239-221-7560

Learn Your Base – Memory ScreeningAre you having trouble remembering where you put your keys? SHARE Club is hosting memory screenings provided by the Alzheimer’s Association’s mobile memory bus. Times and Dates: 10 a.m.-2:30 p.m., Feb. 25 and 10:30 a.m.-2:30 p.m., Feb. 26Locations: Feb. 25 at North Fort Myers Recreation Center, 2000 N. Recreation Park Way, Fort Myers and Feb. 26 at Wa-Ke Hatchee Recreation Center, 16760 Bass Road, Fort MyersRegistration and for More Information: Call 239-405-7008; reservations are required.

CancerBladder Cancer Support GroupTime and Date: 3-5 p.m., first Wednesday of every monthLocation: RCCRegistration and for More Information: Contact Karen Godfrey, Bladder Cancer Advocacy Network volunteer advocate at 239-992-4809 or [email protected] Cancer Support GroupTime and Date: TBDLocation: TBDRegistration and for More Information: Registration is required. Contact Seth Berkowitz at 800-955-4572 or [email protected] Tumor Support GroupTime and Date: 6:30-7:45 p.m., third Tuesday of each monthLocation: LMH Volunteer Conference RoomRegistration and for More Information: Call Dona Ross at 239-433-4396Cancer Nutrition SeminarThis free monthly seminar is for oncology patients, survivors and caregivers. Each month features a different topic and food demonstration with tastings and recipe.Time and Date: 2-3 p.m., second Wednesday of the monthLocation: RCC, Fourth Floor Conference RoomRegistration and for More Information: Contact Valerie Butram at 239-343-9559 or [email protected] Cancer Support Group Time and Date: 5:30-7 p.m., fourth Tuesday of each monthLocation: GCMCRegistration and for More Information: Call Larry Mickley at 239-454-3308

Multiple Myeloma Support GroupTime and Date: 6-7 p.m., third Tuesday of the monthLocation: Hope Hospice, 9470 HealthPark Circle, Fort MyersRegistration and for More Information: Contact Joanie Borbely at 860-655-7107 or [email protected], Head and Neck Cancer Support GroupTime and Date: 3-4 p.m., fourth Tuesday of each monthLocation: GCMC Medical Offices, 13685 Doctor’s Way, Suite 250, Fort MyersRegistration and for More Information: Call Stacey Brill at 239-343-1645Thyroid Cancer Support GroupTime and Date: 10:30 a.m.-noon, third Saturday of each monthLocation: Lakes Regional Library15290 Bass Road, Fort MyersRegistration and for More Information: Call Sally Fontaine at 239-590-0797 or [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. This class is offered free of charge.Time and Date: 10-11:30 a.m., TuesdaysLocation: RCC Third Floor Specialty Clinic Conference RoomRegistration and for More Information: Class size is limited; call 239-343-9500

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.Time and Date: Weekly morning, afternoon and evening classes availableLocation: LMH, CCH and GCMCFee: Diabetes education is a covered benefit for Medicare and most commercial insurances.Registration and for More Information: 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.Time and Date: Weekly classes availableRegistration and for More Information: Call 239-424-3127

Weight LossWeight ManagementIndividualized weight loss counseling with a registered dietitian. Dietitian will give you a customized eating plan to help you achieve your weight loss goals.Time and Date: Weekly counseling sessions are availableRegistration and for More Information: Call 239-424-3120

Community Weight Loss Management ProgramOpen to anyone in the community, 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: varyLocation: WCCCRegistration and for More Information: Contact Sarah Mitchell at 239-424-3231 or [email protected]

Ortho / Neuro / SpinePreoperative Joint Replacement Class Everything you need to know to feel comfortable before joint replacement surgery.Time and Date: 1:30 p.m., Tuesdays at Cape Coral Hospital; 10 – 11 a.m., Fridays at Gulf Coast Medical Center or varied times and dates at Lee Memorial Hospital Locations: CCH, GCMC or LMHRegistration and for More Information: Call Cape Coral Hospital at 239-424-3150; Gulf Coast Medical Center at 239-343-0300 or Lee Memorial Hospital at 239-343-3411 and leave a messageStroke Support GroupFor caregivers and stroke survivors.Time and Date: 10:30 a.m., every Tuesday (except third Tuesday of the month)Location: CCH Room ARegistration and for More Information: Call 239-424-2317Aquatic ArtPool exercises for people with Parkinson’s disease.Time and Date: 1-2 p.m., Mondays and WednesdaysLocation: WCCCRegistration and for More Information: Call 239-424-3220The Aphasia GroupFor those who have difficulty talking due to stroke.Time and Date: 9-10 a.m., TuesdaysLocation: WCCCFee: First session free, then $10 per sessionRegistration and for More Information: Call Nancy Gizzi at 239-424-3572

Pregnancy / New BabyChildbirth PreparationUnderstand the birthing process, choices inobstetrics, birthing fundamentals, breathing, relaxation, cesarean preparation, breastfeeding fundamentals and mother/baby care. Includes access to an on-line learning program plus a 3-hour Tour and Talk session that is conducted by nurses who are nationally certified by the International Childbirth Education Association. Women and their support person will receive a tour of the birth facilities and birthing beds; provides the opportunity for women to ask questions and seek additional information about the birthing process.Time and Date: Classes take place throughoutthe yearLocations: HPMC, GCMC, and CCHFee: $60 per couple (scholarships are available)Registration and for More Information:Call 239-343-5271 or visit www.LeeMemorial.org/BirthEdBaby Care & Car Seat SafetyThis is a one-time class for expectant parents.The class assists parents in becoming morecomfortable and confident in their parentingrole following the birth of their baby. This class also teaches parents how to properly use and install child restraints.Time and Date: Classes take place throughoutthe year. Locations: VaryFee: $20 per couple, $5 per additional person inattendanceRegistration and for More Information:Call 239-343-5101 or email [email protected]

Breastfeeding Plan to give your baby the best possible start. Learn about common problems encountered during the first few weeks. All classes are taught by board certified lactation consultants.Time and Date: Classes take place throughout the yearLocations: HPMC and GCMCFee: $20 per coupleRegistration and for More Information: Call 239-343-5271 or visit www.LeeMemorial.org/BirthEdPediatric CPR & First AidThis course teaches caregivers to respond and manage illnesses in a child or infant in the first few minutes until professional help arrives. The course covers infant/child CPR and First Aid basics.Locations: VaryFee: Please contact us for prices. Registration and for More Information:Call 239-343-5101 or email [email protected]

Partners in ParentingParenting classes presented by Golisano Children’s Hospital and The Child Advocacy Center of Southwest Florida. Classes teach parents how to focus on their strengths and set appropriate expectations for their children.Time and Date: Classes meet once a week for 2 ½ hours, day and evening locations available.Location: Fort Myers and Cape CoralFee: No charge and free child care available for infants and toddlers.Registration and for More Information: Call 239-939-2808

OtherOstomy Support GroupFor individuals considering or who have had an ostomy (colostomy, ileostomy or urostomy), and the spouses or caregivers of individuals with ostomies.Time and Date: 12:45-2:30 p.m., first Tuesday of each monthLocation: Myerlee Manor, 1499 South Brandywine Circle, Fort MyersRegistration and for More Information: Call Howard Weisberg at 239-482-8433Caregiver Support GroupThis group focuses on the unique needs and concerns of those caring for a loved one, regardless of their medical condition.Time and Date: 4:30-6 p.m., second Wednesday of each monthLocation: RCC lobbyRegistration and for More Information: Call Mark Geisler at 239-343-1126Pulmonary Fibrosis Support GroupTime and Date: 1-3 p.m., third Wednesday of each monthLocation: LMH Medical Office Building, Suite 705Registration and for More Information: Call Lynne Puglise at 941-875-5732

YogaThis class is available to the general public with priority given to current cancer patients and primary caregivers; no experience needed. Mats, straps, blocks and aromatherapy provided by a grant from the Junior League of Fort Myers.Time and Date: 9:15-10:30 a.m., every FridayLocation: RCC, Fourth Floor Conference RoomFee: $5/class for cancer patients and/or caregivers and $10/class for general public Registration and for More Information: Call 239-343-9503; registration is requiredYoga at HealthPark Medical CenterJoin us to relax, de-stress, energize and refresh with yoga at HealthPark Medical Center. Bring a mat, beach towel or blanket and wear comfortable clothing. Beginners welcome. Sponsored by Lee Center for Rehabilitation & Wellness.Time and Date: 5:30-6:30 p.m., WednesdaysLocation: HPMC Room 201Fee: $5/classRegistration and for More Information: Call 239-418-2000Huffers & Puffers Support GroupFor COPD patients, friends, family members and caregivers.Time and Date: 1-3 p.m., third Friday of each monthLocation: LMH Medical Office Building, Suite 705Registration and for More Information: Call Nayda Agosto at 239-343-3520Gentle Yoga – Multiple Sclerosis SocietyComplimentary yoga class for members of the Multiple Sclerosis Society.Time and Date: 11:30 a.m.-12:30 p.m., Tuesdays and ThursdaysLocation: WCFMRegistration and for More Information:Call 239-418-2000It’s All About YouCan I improve my quality of life? Yes, you can—even with chronic diseases like arthritis, high blood pressure, diabetes and other health conditions. Learn how to cope and enjoy your life. This 6-week workshop teaches people with chronic health conditions how to better manage their health and the symptoms that accompany chronic illnesses, such as pain, depression and fatigue. Workshops are facilitated by leaders, many of whom also have a chronic illness.Time and Date: VaryLocation: VaryRegistration and for More Information: Call 239-424-3122

Loss of an Adult ChildTime and Date: 6-7:30 p.m., first and third Tuesday of each monthLocation: GCMC Community RoomRegistration and for More Information: Call Mark Geisler at 239-343-1126Weight 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.Time and Date: VaryLocation: WCCCRegistration and for More Information: Contact Sarah Mitchell at 239-424-3231 or [email protected] CoachingThis service is available for Wellness Center members and nonmembers. Are you looking for motivation, accountability, direction in one or more areas of your well-being? This is what lifestyle coaching session can do for you. Time and Date: VaryLocation: WCCCRegistration and for More Information: Contact Sarah Mitchell at 239-424-3231 or [email protected] BreathersFor COPD patients, friends, family members and caregivers.Time and Date: 2-4 p.m., third Monday of each monthLocation: WCCCRegistration and for More Information: Call Jan Burket, COPD advocate, at 239-217-0545

Free Memory ScreeningsTime and Date: 1-3 p.m., every MondayLocation: Lee Physician Group Memory Care, 12600 Creekside Lane, Suite 7, Fort MyersRegistration and for More Information: Appointments are encouraged; call 239-343-9220

Trauma Support GroupA support group for people and caregivers who have survived traumatic injury.Time and Date: 6:30-8:30 p.m., second Tuesday of each monthLocation: LMH Med Room 3Registration and for More Information: Call 239-343-2561

Lee Physician Group Memory Care Support GroupThis support group is for caregivers of those with memory impairments. Our mission is to provide caregivers with knowledge, guidance and support in caring for their loved ones and themselves.Time and Date: 4:30 p.m., second Tuesday and last Thursday of each monthLocation: Riverwalk Professional Center, 12600 Creekside Lane, first floor conference room, Fort MyersRegistration and for More Information: Call Alexandra Henderson at 239-343-9224

Mended Heart Support GroupThis national support group is for people with heart disease. Meetings feature excellent speakers—including this month’s speaker, Jim Nathan, Lee Memorial Health System president—and generally last about an hour and a half.Time and Date: 6:30 p.m., second Tuesday of each monthLocation: Wa-Ke Hatchee Community Center, 16760 Bass Road, Fort MyersRegistration and for More Information: Call Joe Jansen at 239-461-0980

Brain Aneurysm Support GroupThis support group is for people who have experienced brain aneurysms. Family members, significant others and caregivers are welcome to attend.Time and Date: 5:30-7:30 p.m., Feb. 6Location: LMH 5th Floor Conference RoomRegistration and for More Information: Call Shaun Karleskint, RN or Tiffany Blauvelt, RN at 239-343-1571Powerful Tools for CaregiversA nationally recognized, evidence-based 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: VariesLocation: VariesFee: A donation of $30 helps defray the cost of the bookRegistration and for More Information: Call Alexandra Henderson at 239-343-9224

Powerful Tools for CaregiversTime and Date: 9 a.m.-Noon, Feb. 11 – March 18Location: Tony Rotino Senior Center, 5817 Driftwood Parkway, Cape Coral

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.Time and Date: 6-7:30 p.m., third Thursday of every monthLocation: Greater Naples YMCA, 5450 YMCA Road, NaplesRegistration and for More Information: Call 239-597-3148

Location GuideTo save space, we have abbreviated the names of our locations. Here is a guide to help you:CCH – Cape Coral HospitalGCMC – Gulf Coast Medical CenterHPMC – HealthPark Medical CenterLMH – Lee Memorial HospitalRCC – Regional Cancer CenterWCCC – Wellness Center–Cape CoralWCFM – Wellness Center–Fort Myers

mailto:[email protected]

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