January 2014

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

Shorter Wait Times Spell Better Outcomes for Cardiac Patients ............................................ 3

Rehabilitation After Cancer Diagnosis and Treatment ..................................................... 3

Hospitals Noted for Exceptional Stroke Care ................................... 4

Hip Replacement Restores Quality of Life . 4

Low-Dose Technology Makes Scans Safer . 5

Fullness, Bloating, Nausea Could be Gastroparesis .......................................................5

Graves’ Disease Result of Overactive Thyroid ............................................. 6

Outpatient Surgery Center Offers Variety, Convenience ......................................... 6

Blood Donors Needed Throughout the Year ......................................... 7

Fitness and Nutrition Keys to Healthy Weight .................................................... 7

Social Workers and Case Managers Play Key Role in Emergency Department ........... 8

Bridging the Gap between the Deaf and the Hearing ........................................ 8

Employees Honored with “Doc Coggins” Commitment to Excellence Award .............. 9

Mother’s Health Impacts Unborn Baby ...... 9

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

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

Calendar of Events ...........................................12

Event participants, including hospital namesake B. Thomas Golisano—back row, second from left—look on as patients show great form while breaking ground for the new Golisano Children’s Hospital of Southwest Florida.

Lee Memorial Health System Foundation recently hosted a special evening of appreciation and ceremonial groundbreaking event for generous donors and benefactors of the Golisano Children’s Hospital of Southwest Florida capital campaign. The fundraising campaign, which is ongoing, was created to support construction of a new, 128-bed state-of-the-art pediatric medical facility on the campus of HealthPark Medical Center.

B. Thomas Golisano, for whom the hospital is named, issued a $20 million challenge in the spring of 2012. For every dollar donated to the capital campaign, Mr. Golisano matched it dollar for dollar up to $20 million. In October 2013, Lee Memorial Health System Foundation announced that the $20 million grant was completed.

“Thanks to the generosity of people in this community, we put our shovels in the ground and marked a major step forward in our journey to make the new Golisano Children’s Hospital a reality,” Mr. Golisano says. “I look forward to following the progress of construction and congratulate everyone who helped us reach this milestone. Together we will bring an unprecedented level of lifesaving care to children in the region.”

Jim Nathan, president of Lee Memorial Health System, was moved by the charitable giving of Mr. Golisano and our community. “The incredible generosity of Tom Golisano and his special gift truly inspired so many Southwest

Florida residents to band together in support of keeping kids close to home for specialized medical care,” he says. “We are humbled and honored to have the support of so many as we work for the children of Lee, Collier, Charlotte, Hendry and Glades counties.”

Chief Foundation Officer Sharon MacDonald adds that there is still additional fundraising to do to meet the full $100 million goal. “The challenge grant was a great success,” she says. “Though the challenge grant has been met, we will carry on our efforts to raise an additional $19 million to achieve our capital campaign goal.”

For more information about the capital campaign or to make a donation, contact Lee Memorial Health System Foundation at 239-343-6950 or visit www.ChildrensHospitalGoal.org.

Artist’s rendering of 128-bed state-of-the-art pediatric medical facility on the campus of HealthPark Medical Center.

Special Event Honors Generous Golisano Children’s Hospital

BenefactorsSpecial Event Honors Generous Golisano Children’s Hospital

Benefactors

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 GEORGEKATHY BRIDGE-LILESSANDY HEISEJIM NATHANSUE TWINING

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

World Series Champs Tee Off Feb. 21Come out to celebrate and play golf with the 2013 World Series Champion Boston Red Sox!Members of the 2013 World Series Champion Boston Red Sox will be out in force on Friday, Feb. 21 at the beautiful Forest Country Club as they come together to support Golisano Children’s Hospital of Southwest Florida through the Children’s Hospital Celebrity Classic golf tournament.

Scanlon Auto Group serves as the presenting sponsor for the 21st annual edition of the event. All proceeds and sponsorship dollars will be matched dollar for dollar by a generous children’s hospital supporter—doubling all donations made.

Once again, the pretournament Boston Tee Party—set for Thursday, Feb. 20 at The Forest—gives you a chance to take home Red Sox memorabilia, dining packages and exclusive vacations as part of the event’s auction fun. Plus, enjoy great food and beverages.

To reserve your spot to play golf alongside Boston champions in this sure sell-out event, email BostonGolf@LeeMemorial.org, call 239-343-6076 or visit www.facebook.com/RedSoxCelebrityClassic.

Above: Supporters pause to celebrate success at the 2013 Radiothon.

Cat Country 107.1 “Helping Kids with Cancer” Radiothon Set for Jan. 17It’s easy to save a life—just listen to Cat Country 107.1 on Friday, Jan. 17 from 6 a.m. to 6 p.m. and make a lifesaving pledge to the 12th Annual “Helping Kids with Cancer” Radiothon supporting Barbara’s Friends—Golisano Children’s Hospital Cancer Fund.

Broadcast live from the Clear Channel Lounge in Fort Myers, the event gives you a chance to tune in and hear the stories of patients and family members who will be helped by your donations. Special celebrity guests from across Southwest Florida also will share stories of hope, courage and caring.

Make a note to tune in today. To listen online, visit www.catcountryonline.com. Call 866-609-KIDS (5437) anytime to make your pledge or call Lee Memorial Health System Foundation at 239-343-6065 for more information.

Minnesota Twins Events Help Regional Cancer Center Patients Fan favorite Joe Mauer of the Minnesota Twins at the 2013 celebrity classic.Come out to the prestigious Fiddlesticks Country Club on Thursday, Feb. 20 to golf alongside your favorite Twins stars as part of the 16th Annual Minnesota Twins Celebrity Classic. Enjoy lunch, golf, dinner and more. Start off your golf adventure the evening before at the Minnesota Mixer on Feb. 19 and enjoy great food, wonderful auction packages and great company.

On Sunday, Feb. 23 be sure to join Minnesota Twins players for the Twins and Pins Celebrity Bowling Classic at Gator Lanes in Fort Myers. Roll cancer into the gutter as you bowl two games with a Twins representative, bid on exciting auction packages and enjoy a great luncheon buffet.

Corporate sponsorship and individual registrations for both events are available. For registration and sponsorship information, email TwinsGolf@LeeMemorial.org, TwinsBowling@LeeMemorial.org or call 239-343-6106.

Garden Party and Fashion Show Join supporters of lifesaving cancer care on Feb. 6 as they band together to present this fundraiser at Harborside Event Center to help patients at Lee Memorial Health System’s Regional Cancer Center.

Preview the latest fashions while you enjoy lunch, auctions, chance drawings and much more. Call Lee Memorial Health System Foundation at 239-343-6950 to purchase tickets—just $60 per person—and for more information.

FineMark Tour Players Classic Set for Feb. 28 – March 1

Pictured above are members of the event committee who together raised more than $314,000 during last year’s event. Come out and hit the courts at the Bonita Bay Club to support Barbara’s Friends—Golisano Children’s Hospital Cancer Fund. Play, watch and learn as you interact with players from the world of professional tennis. Among those scheduled to appear are Amy Alcini, Owen Davidson, Roy Emerson, Gigi Fernandez, Don Johnson, Rick Leach, David Pate, JoAnne Russell and Fred Stolle, all of whom reached No. 1 rankings during their careers.

For complete information and to register for 2014 activities, visit www.TourPlayersClassic.com or call Lee Memorial Health System Foundation at 239-343-6950.

3

HEALTHY NEWS IS PUBLISHED AS A COMMUNITY SERVICE BY LEE MEMORIAL HEALTH SYSTEM, P. O. BOX 2218, FORT MYERS, FL 33902HealthyNews@LeeMemorial.org

January 2014

SYSTEM PRESIDENTJIM NATHAN

VICE PRESIDENT STRATEGIC SERVICESKEVIN NEWINGHAM

EDITORIALKALI LYNCHLYNN MELVINJULIE PEDRETTIJL WATSON

DESIGNKEVIN OWEN

LEE MEMORIAL HEALTH SYSTEMBOARD OF DIRECTORS

DISTRICT 1STEPHEN R. BROWN, M.D. MARILYN STOUT

DISTRICT 2RICHARD B. AKINNANCY M. MCGOVERN, RN, MSM

DISTRICT 3SANFORD N. COHEN, M.D.DAVID F. COLLINS

DISTRICT 4DIANE CHAMPION CHRIS HANSEN

DISTRICT 5JESSICA CARTERSTEPHANIE L. MEYER, BSN, RN

Rehabilitation After Cancer Diagnosis and Treatment Fort Myers resident Karen Sumoski was diagnosed with colon cancer in July 2012. Colon resection surgery took 12 inches of her colon. Then, three months later, a follow-up PET scan revealed a tumor in her lung. After surgery to remove the mass, Karen started six months of chemotherapy.

“I would go to the Regional Cancer Center for chemo every other Wednesday, and I’d spend the whole day there,” Karen says. “Then, I’d go home with a pump that administered chemo for another 48 hours. Those six months were tough—I slept about 20 hours a day.”

Though the treatment took a lot out of her, Karen’s oncologist Francisco Rodriquez, M.D., wanted her to start walking. “I decided to try walking, but I couldn’t walk in a straight line—I was staggering down my sidewalk,” she says. “I turned around, went home and collapsed. After a couple more falls, I mentioned it to Dr. Rodriguez. He called it ‘noodle legs’—a side effect of the chemo.”

By the time she was done with chemotherapy, Karen could barely walk. That’s when she started physical rehabilitation through the Survivorship Training And Rehab (STAR) Program®—a rehabilitation program specifically created for cancer patients and survivors.

“The STAR Program is offered by a group of trained professionals who have completed the STAR Program Certification course,” explains Marie Hepp, ARNP, oncology education and survivorship coordinator. “As a rehab-driven program, referrals should be based on the inability to return to previous activity levels at work, home, recreation and social situations after a cancer diagnosis; offer an opportunity to heal optimally; potentially improve one’s quality of life; and require involvement of health care professionals who are experts in oncology rehab. Appropriate referrals to the STAR Program should be made for physical, occupational or speech therapy and/or lymphedema.”

Karen worked with physical therapist Nathalie Grondin. “Nathalie showed me how to walk again,” she says. “I have neuropathy in my feet and I know my limitations, so I still use a walker at times, but I would not be where I am today without the therapy. I thank God for Nathalie—she gave me my life back.”

The STAR Program also helps with fatigue—an issue that cancer patients and survivors report nearly 100 percent of the time. “Research shows that exercise improves fatigue and that between 65-90 percent of cancer survivors should be referred to a rehab therapy, but are not,” Marie says. “The unmet needs are overwhelming and place a heavy burden on the patients/survivors, their families and caregivers, and the health care system.”

For more information about the STAR Program, contact Marie Hepp, ARNP at 239-343-9511 or Marie.Hepp@LeeMemorial.org.

Shorter Wait Times Spell Better Outcomes for Cardiac PatientsHealthPark Medical Center was the first Lee Memorial Health System hospital to gain recognition as an accredited chest pain and heart failure center with the Society of Cardiovascular Patient Care (SCPC). Now, physicians and administrators are working to bring that same accreditation to Cape Coral Hospital, Gulf Coast Medical Center and Lee Memorial Hospital.

“We have already put protocols in place that have improved our patient care and cut the amount of time a patient waits before receiving care,” says Cindy Brown, vice president, Patient Care Services, HealthPark Medical Center.

Shorter wait times mean quicker recovery for patients who present with conditions as simple as heart palpitations and as serious as cardiac arrest.

“We always strive for the best patient outcomes, and the recognition we have received at HealthPark Medical Center has confirmed that people who trust us with their health will find the standard of care that they expect,” Cindy says. “We have already taken steps at all of our hospitals to ensure that cardiac patients receive expedited care.”

All hospitals have atomic clocks so that staff members have an accurate time of when a patient arrives and how long he or she waits before seeing a physician. “It doesn’t sound like much but in a serious situation, one or two minutes can make a difference,” says cardiologist Richard Chazal, M.D.

Gulf Coast Medical Center created special parking for the employees at the catheterization lab. This allows them to get into the building quickly if they are returning to an emergent situation. Gulf Coast Medical Center and HealthPark

Medical Center also offer special parking for family members of a patient who is transported to the hospital by EMS.

“We want these patients to know that they are a priority for us,” Dr. Chazal says. “In addition, we have adopted door-to-EKG protocols at all four hospitals. That’s the first step to determine if someone is experiencing a heart attack. I cannot stress enough how each small moment adds up to tremendous time savings.”

HealthPark Medical Center held CPR training last year and Cape Coral Hospital will offer it in 2014. “It’s important for the community residents to know CPR,” Dr. Chazal says. “You can save a life and buy someone time until the ambulance arrives.”

The goal will always be to treat patients quickly with the highest level of knowledge possible, Dr. Chazal says. “We are adopting new policies at our hospitals because we want to enhance patient satisfaction scores, improve staff satisfaction and deliver the highest level of care,” he says.

Richard Chazal, M.D.CardiologyLee Physician Group9800 S. HealthPark DriveSuite 320Fort Myers, FL 33908239-343-6410tinyurl.com/DrChazal

“Research shows that exercise improves

fatigue and that between 65-90 percent

of cancer survivors should be referred to a rehab therapy, but are

not,” Marie says.

4www.LeeMemorial.org

Hip Replacement Restores Quality of LifeDamaged hip joints—most commonly caused by arthritis—result in chronic pain, and increasingly limited mobility and function. Each year, more than 750,000 people undergo hip replacement surgery with the goal of reduced pain and a return to everyday and leisure activities.

“Hip replacement surgery is very common for people between the ages of 65 and 85, but we are also seeing younger people—in their 40s and 50s—opting for surgery,” says David Heligman, M.D., orthopedic surgeon. “We have implant options that are designed to last 30, 40 or 50 years for the younger patients, while other implants are better suited for older people because they aren’t meant to last as long.”

Hip replacement surgery involves the removal of the diseased or damaged bone and/or cartilage and the implantation of the artificial joint. “The new hip is designed to mimic the natural motion of a healthy hip joint,” Dr. Heligman says.

Physical therapy after surgery helps ensure that patients properly move their hip through specific strengthening and mobility exercises. “After surgery, the patient’s range of motion improves, as does their quality of life,” Dr. Heligman says. “Approximately six to eight weeks after surgery, most patients are able to return to their normal activities and the things they want to do.”

David Heligman, M.D.Institute for Orthopaedic Surgery & Sports Medicine8350 Riverwalk Park BoulevardSuite 1Fort Myers, FL 33919239-482-5399

To view a video on hip replacement surgery, go to tinyurl.com/NewHipNow

Cape Coral Hospital, Gulf Coast Medical Center and Lee Memorial Hospital Noted for Exceptional Stroke Care Gulf Coast Medical Center has earned top honors. The hospital ranks in the top 5 percent in the nation for stroke care.

Cape Coral Hospital also received accolades from DNV (Det Norske Veritas), a leading accreditor of U.S. hospitals. Cape Coral Hospital is now recognized as a Primary Stroke Center, an achievement that provides Cape Coral residents greater access to care and treatment in less than 60 minutes, or within the “golden hour,” and demonstrates that Cape Coral Hospital’s stroke program meets critical elements of performance to achieve long-term success in improving outcomes for stroke patients.

There are now three primary stroke centers in Lee County: Cape Coral Hospital, Gulf Coast Medical Center and Lee Memorial Hospital.

“We have worked as a team to achieve this goal,” says Scott Kashman, chief administrative officer, Cape Coral Hospital. “We worked with the system and the oversight neuro group to assure we were following all of the evidence-based protocols for stroke care.”

Scott and his staff added a clinical regulatory analyst, and additional bedside staff to maintain a ratio of four patients to one staff member. “We also had to make sure our nursing staff received training on care of the stroke patient and we comply in all the departments affected (Emergency Department, Lab, Radiology) with specific timelines that are identified for each step of the care,” Scott says.

Gulf Coast Medical Center Chief Administrative Officer Josh DeTillio says that his hospital is working toward becoming a Comprehensive Stroke Center in the summer of 2014.

Currently, neuro-interventions are performed at HealthPark Medical Center.

“Beginning in March 2014 we will have two neuro-interventional physicians providing 24/7 coverage for our stroke center,” Josh says. “These physicians are credentialed to provide a full range of neuro-interventional procedures, including stenting and coiling to treat strokes and brain aneurysms. For the population we serve, neuroscience and stroke care are becoming increasingly important services to provide to our community.”

“Time is Brain” and patients with signs and symptoms of a stroke should go to the nearest primary stroke center for treatment. For every minute without oxygenated blood flow to the brain, 2 million neurons can die, causing long-term brain damage.

“We want the community to know that we have world-class services right here in Lee County at Lee Memorial Health System,” Josh says. “Neuro-intervention is cutting edge and can make a big difference in our patients’ lives.”

According to the American Heart Association/American Stroke Association, stroke is one of the leading causes of death and serious, long-term disability in the United States. On average, someone suffers a stroke every 40 seconds; someone dies of a stroke every four minutes; and 795,000 people suffer a new or recurrent stroke each year.

Gulf Coast Medical CenterCape Coral Hospital

Lee Memorial Hospital Ranked in the Top 5%

in the Nation for Joint Replacement

5

Fullness, Bloating, Nausea Could be GastroparesisFor most people, a full plate of food is satisfying. For those who experience feelings of fullness and/or abdominal bloating or nausea after just a few bites, eating is not as pleasurable. These symptoms may be caused by a condition called gastroparesis.

“Gastroparesis occurs because the stomach does not contract properly to push food through the body fast enough,” explains Michael Bays, D.O., gastroenterologist. “Though we don’t always know why people develop gastroparesis, it is a common problem for people with diabetes because of neuropathy—or damage to the nerves.”

When diagnosing gastroparesis, gastroenterologists rule out other causes, like ulcers or tumors, by performing an endoscopy—a procedure that allows the doctor to see inside the stomach. A test used to definitively diagnose gastroparesis is the gastric emptying study, which measures how long it takes for food to move through the stomach. “This is an easy test,” Dr. Bays says. “We have the patient eat eggs or bread that has a small amount of radioactive material. Then, he or she lies under a scanner that detects the radioactive material and monitors the rate at which the stomach empties. If more than half of the food is still in the stomach after half an hour, then we have a gastroparesis diagnosis.”

While there isn’t a cure, there are ways to treat the symptoms of gastroparesis, Dr. Bays says. “Dietary manipulation is one option,” he says. “Eat smaller meals more frequently throughout the day, opt for liquids or softer foods, walk after eating and avoid fibrous fruits and vegetables.”

A new treatment option that Dr. Bays employs is the injection of Botox into the stomach muscle, which helps relax the portion of the stomach that releases food into the small intestines. This procedure provides approximately six months of relief.

“If a patient with gastroparesis also has diabetes, then managing one’s diabetes is another important element of treatment,” Dr. Bays says. “The bottom line is that patients should follow their treatment protocol to ensure the best outcome.”

Michael Bays, D.O.Gastroenterology Associates of S.W. Florida4790 Barkley CircleBuilding AFort Myers, FL 33907239-275-8882

Low-Dose Technology Makes Scans Safer Some injuries and illnesses are readily apparent, but others require a look inside the human body. Physicians use CT scans to help diagnose conditions ranging from sinus infections and appendicitis to looking for the presence of kidney stones.

While safe, most CT scans emit small doses of radiation as they get a complete picture of the injury or internal organ. Lee Memorial Health System provides CT scans with “low-dose” technology.

“CT systems that have specialized capability can produce excellent image quality while reducing the radiation dose to the patient,” says Mark Williams, director of Outpatient Imaging for Lee Memorial Health System. “Depending on what type of

scan, the dose can be reduced by as much as 50 percent, which is significant.”

When it comes to medical imaging, the benefit obtained by having the procedure should outweigh the risk from receiving a dose of radiation. “Less radiation exposure is always better if you can still provide a high quality scan,” Mark says.

Most radiology providers do not have this advanced “low-dose” CT technology, so if a patient’s physician wants him or her to have a CT scan, they can ask to be sent to a radiology provider that does offer a CT scanner with low-dose technology.

To schedule an appointment, call 239-424-1499. Evening and Saturday appointments available.

“CT systems that have specialized

capability can produce excellent image quality while

reducing the radiation dose to the patient,”

says Mark Williams.

To view a video on gastroparesis and Botox, go to tinyurl.com/GastroHeal

“Gastroparesis occurs because the stomach

does not contract properly to push food through the

body fast enough,” explains

Michael Bays, D.O.

6www.LeeMemorial.org

Graves’ Disease Result of Overactive ThyroidWhen all of the body’s organs function normally, everything is in tune. When an organ or organ system fails, the results can affect the entire body. Graves’ disease is the result of the thyroid producing too much of its hormone.

“The thyroid has an important function,” says endocrinologist Heitham Ajlouni, M.D. “It helps control metabolism, which is the rate at which your body regulates itself, from heart rate to how fast it burns the calories you consume every time you eat. In certain people, for reasons we do not know, the thyroid either does not produce enough hormone (hypothyroidism) or produces too much hormone (hyperthyroidism).”

The disorder is most common in women older than age 20 but can strike men, too. Common signs and symptoms of Graves’ disease include:

“If someone experiences several of these symptoms simultaneously, he or she should see a primary care physician, who can help determine if the thyroid is not functioning properly,” Dr. Ajlouni says. “Patients can begin treatment and regain a more normal life.”

Treatment can include oral medication or radioactive iodine therapy, which is done on an outpatient basis, and less commonly, removal of the thyroid gland surgically.

“Eliminating the thyroid does not entirely solve the problem,” Dr. Ajlouni says. “Once it is gone, the patient still needs thyroid hormone replacement, but in the proper dose. To achieve this, we prescribe thyroid hormone replacement that the patient will need to take for the remainder of his or her life.”

Heitham Ajlouni, M.D.EndocrinologyLee Physician Group8960 Colonial Center DriveSuite 302Fort Myers, FL 33905239-343-9686tinyurl.com/DrAjlouni

Outpatient Surgery Center Offers Variety, Convenience The Outpatient Surgery Center, 8970 Colonial Center Drive, Fort Myers, recently marked its third year of operation, and with it celebrated a number of exciting milestones.

“In the time since we opened, we have completed more than 9,000 procedures and we have more than 60 surgeons who use our facility,” says Kathy Fairfax, director. “Through the years, we have also added more types of procedures.”

Today, the Outpatient Surgery Center offers the following procedures:

“Our growth continues as we plan to incorporate new equipment and technology,” Kathy says. “IntraBeam, for example, is new in our facility and provides breast cancer radiation treatment directly into the breast where the tumor was located, rather than external, postsurgical radiation. This ensures a more accurate delivery of radiation treatment, and reduces or eliminates the need for radiation therapy after surgery.”

With the growth and progress, Kathy says the center has maintained high levels of patient satisfaction. “Ninety percent of our patients are very satisfied with their experience,” she says. “Our patients’ satisfaction with their surgeons is also consistently high—above 95 percent. We have less than a 1 percent day-of-surgery cancellation rate, which adds to the satisfaction of both patients and surgeons. Our staff understands the stress our patients feel from the day their surgery is planned through the completion of their recovery. We strive to make every encounter a positive experience with the patient and his or her family—whether it is obtaining health history, guiding them through the registration process, providing their care or checking on them the day after surgery.”

Located off Colonial Boulevard near the Interstate 75 ramp, the Outpatient Surgery Center is adjacent to the Outpatient Center at the Sanctuary, offering one location for surgery, diagnostic procedures and physician appointments.

• Breast surgeries; biopsy, partial mastectomy and mastectomy with localization and nuclear medicine

• Lymph node biopsy

• Gynecological surgery

• Gynecologic oncology

• Urology procedures

• Pain management procedures

• General surgery

• Cosmetic and plastic surgery

• Gastrointestinal procedures

• Endoscopy

• Podiatry procedures

• Hand surgery

• Colorectal surgery

• Laser surgery

• Orthopedic surgery

• Laparoscopy

• Anxiety• Palpitations (fast heartbeat)• Decreased weight,

regardless of good appetite • Enlarged thyroid gland• Eye symptoms (double

vision, irritation and tearing)

• Protruding eyeballs• Fatigue• Shortness of breath• Tremors• Depression

“The thyroid has an important function,” says endocrinologist

Heitham Ajlouni, M.D.

7

Fitness and Nutrition Keys to Healthy WeightMaintaining a healthy weight requires a commitment to an exercise regimen and balanced nutrition. The Lee Memorial Health System Wellness Centers and our Weight Management Program registered dietitians can help you stay on track to ensure you maintain your optimal weight.

Kathy Gardner, wellness and fitness coordinator, and Mary K. Wallace, wellness and fitness specialist, at the Wellness Center, recommend including a well-rounded mix of cardio, weight training, core strength and stretching. “We recommend up to 150 minutes of cardio each week, with no less than 10-minute intervals and at least a moderate training level—walking 3-4.5 miles per hour, for example—and strength training two to three times per week,” Mary K. says. “The frequency for cardio is determined by the minutes completed each day. It is also important to stretch at the end of each session. Stretching is an often ignored part of the exercise routine, but it is just as important because it helps you improve flexibility and decrease risk of injuries.”

To stay motivated and to keep workouts fresh, Kathy recommends trying group exercises classes and different types of cardio activities.

“Some advice to help you maintain your exercise schedule is to prepare ahead of time—set an appointment with yourself to exercise,” Kathy says. “Exercise is not just about losing or maintaining your weight—it is preventative medicine. It’s about caring for your body and keeping yourself strong, healthy and able to enjoy each day. It’s worth the effort, time and self-discipline.”

When it comes to nutrition, counting calories is not necessarily the answer. “It is helpful to know how many calories your body needs to maintain your weight,” explains Jennifer Vargo, RD, registered dietitian. “Ideally our calories should be evenly distributed throughout the day in order to give the body enough energy—and to avoid giving it too much or too little energy. But, above and beyond the calories in your food, the quality of the food is most important.”

For example, Jennifer says the typical American is getting 10-15 grams of fiber a day, but 25-35 grams is what we should be consuming. “Fiber helps us regulate our blood sugar, helps lower cholesterol, removes toxins from the body and gives us a feeling of fullness,” she says. “Try a new fruit

or vegetable once a week to incorporate more fiber and nutrients into your diet. This and other nutritional goals—making a new recipe once a week is another idea—help keep you on track.”

Jennifer adds that managing stress is another way to maintain our weight. “Stress can knock us off track,” she says. “The easiest thing we can all do when we are under stress is breathe and move. Think of stress as energy and if you expend that energy, you will start to feel better—so go for a walk, dance and just get moving.”

To learn more about the Wellness Centers, go to www.LeeMemorial.org/wellness. Or, for information on the Weight Management Program, call 239-424-3120.

Guinness Book of World Record-holder John Sheppard has donated more than 41 gallons of blood.

“Some advice to help you maintain

your exercise schedule is to prepare ahead of

time—set an appointment with yourself to exercise,”

Kathy says.

Blood Donors Needed Throughout the Year New Year’s resolutions often last only a few days or weeks, but making a commitment to donate blood is a good resolution to keep throughout the year. The reason: the need for blood is always present in Southwest Florida.

“Lee Memorial Health System uses 800 units of blood every week to sustain the needs of the patients we serve,” says Nancy Hendrick, Lee Memorial Blood Centers community relations coordinator. That blood has to come from donations from local residents, and if there is not enough available, the system must purchase blood from other areas, a costly prospect.

“We need every type of blood,” Nancy says. “We especially need O-, A- and AB- because so few people have these blood types. We appreciate all donors, and we are especially grateful for people who donate every 56 days. Those six donations a year make an incredible difference in the lives of so many people.”

Donating with Lee Memorial Health System assures that your donation stays in Lee County, which benefits residents who live and work here. Donors also get the benefit of a “mini physical,” which gives them information about their blood pressure, cholesterol levels and heart rate in the minutes before they donate.

“The whole process takes approximately 45 minutes from start to finish; it’s not a lot of time to save lives,” Nancy says.

The process for blood donation includes:

• Filling out a short questionnaire

• Receiving a “mini physical”

• Donating blood (3-10 minutes)

• Relaxing

Guinness Book of World Record-holder John Sheppard has donated more than 41 gallons. With three more donations, he will reach the 42-gallon mark. At age 81, he continues to donate every 56 days, the minimum length of time allowed between donations.

“It’s a gift I want to share,” John says. “When I started donating, you had to be 18. Now, you only have to be 16, so that’s good.”

John keeps track of each of his donations so he knows when he can go again. “I’m serious about this,” he says. “I know what’s important.”

For the nearest Blood Center location or to schedule the Bloodmobile, call 239-343-2333.

8www.LeeMemorial.org

Bridging the Gap between the Deaf and the HearingClear communication between patients and health care providers is crucial for safe and accurate diagnosis and treatment. For patients who are deaf or hard of hearing, Lee Memorial Health System has sign language interpreters ready to help ensure comfort, clarity and understanding.

“We currently have contracts with three sign language interpreter vendors,” explains Yemisi Oloruntola-Coates, supervisor, Diversity & Language Services. “Each interpreter

is unique—one specializes in other languages, such as Spanish sign language; another specializes in oral interpreting for deaf or hard of hearing persons who lip-read instead of sign; and another is a local resource for the deaf. Other specialties include tactile signing, which is interpreting for persons who are blind as well as deaf by conveying signs into a person’s hands; cued speech; and signing exact English.”

If, by chance, an interpreter is not available, Yemisi says there still are ways to communicate. “We have language boards in picture and word form that we use for inpatient stays and the patient is able to point to the word or picture in order to communicate his or her basic needs,” she says. “We are currently piloting a video remote interpreting program at Cape Coral Hospital, and we plan to expand that service to the other hospital locations. Staff also can access an interpreter through an iPad, which is a very useful tool.”

Interpreters must be certified—especially in a medical setting where information conveyed is not used in everyday language. Studies and research indicates that misdiagnosis and misunderstandings of plan of care often is the result of a person who is not qualified or trained to interpret in a medical setting.

Lee Memorial Health System is committed to meeting the diverse needs of every patient. “Patient safety is our core goal,” Yemisi says. “So, we understand the importance of having trained and qualified interpreters in order to meet the needs of our patients, and to ensure effective communication.”

Interpreters are available in each hospital, as well as physician offices and outpatient facilities.

Social Workers and Case Managers Play Key Role in Emergency DepartmentAn emergency department is a busy place, and is often deluged with a high number of patients who need immediate attention. Many of those patients require more care than a staff of physicians and nurses can deliver—some require assistance that lasts long after they leave an emergency situation.

Case managers and social workers are in every emergency department at Lee Memorial Health System. They work closely with physicians to help determine the needs of each patient. “Social workers and case managers constantly watch our patient tracking board for anything that may involve our services, whether it’s elderly patients, frequent emergency department visitors, substance abuse issues, mental health issues and trauma patients,” says social worker Charlie Johnson, MSW.

“We also may be asked to arrange for outpatient services, home health, medical equipment—the list goes on,” he says. “The physicians consult with social work and case management daily to explore options for our patients in order to better address their medical and psychosocial needs.”

Emergency department physician Anthony Dalley, M.D., works with Charlie and other social workers and case managers on issues that may not be readily apparent.

“Together, our role is to assess and assist patients and their families with the psychosocial stressors associated with illness, both urgent and chronic,” Dr. Dalley says. “Social workers, like Charlie, provide information, support, family reassurance and emotional comfort. They make arrangements for after-care services such as home health, medical equipment, mental health services and follow-up primary care. Having them there means that I can focus on what needs immediate attention, and they can help the patient and family members with what happens next.”

The social worker often is a voice of calm in a sea of chaos. “We provide crisis prevention by interacting with families and offering a supportive presence while they disseminate information given by our health care providers,” Charlie says. “Our roles vary from night to night, but most importantly we serve as a resource for those we work for and with. At times we are detectives, looking for family members and patient information when there is little or none. In this particular emergency department we are very involved with trauma patients and their families, providing comfort and presence; and securing belongings and obtaining pertinent information for the health care team.”

To help emergency department personnel assist you more efficiently, always carry information that includes:• Your birthday• A list of all medications, including prescription

and over-the-counter • Emergency contact name and phone number • List of allergies• Any medical issues or concerns that you have

To view a video on interpretation services for the deaf and hard of hearing, go to tinyurl.com/translatesign

“Social workers and case managers

constantly watch our patient tracking board for anything that may involve

our services...,” says social worker

Charlie Johnson, MSW.

“We currently have contracts with three sign language interpreter vendors,”

explains Yemisi Oloruntola-

Coates.

9

“Maternal health includes the preconception

(before pregnancy) and antepartum (before birth)

period,” says neonatologist

William Liu, M.D.

Employees Honored with “Doc Coggins” Commitment to Excellence AwardThe Lee Memorial Health System Board of Directors created the “Doc Coggins” Commitment to Excellence Award to honor any nonmanagement employee who exhibits exceptional dedication to his or her work and the health system’s mission and goals. Employees are nominated by their peers, and the award is named for long-time Lee Memorial Health System Director Lester “Doc” Coggins.

Appointed to the Board of Directors in 1982, Mr. Coggins was a well-respected community leader who served as treasurer of the Lee Memorial Health System Board nearly every year of his service until 1997.

This year’s “Doc Coggins” winners include:Micaela “Micki” Arseneau, RNPediatric Intensive Care Unit, Transport TeamGolisano Children’s Hospital of Southwest Florida

Rhonda Berger, CNAACertified Nursing Assistant – Advanced Progressive Care UnitLee Memorial Hospital

Lynn Boss, RNRN Case Manager, Care ManagementHealthPark Medical Center

Saundra “Sandi” Falk, RNPediatric Clinical Specialist, Surgical ServicesGolisano Children’s Hospital of Southwest Florida

Laura HeronAdministrative Secretary, Physician Services

Judy Johnson, RNCharge Nurse Specialist, Operating RoomHealthPark Medical Center

Debbie ManeeOncology Secretary/Customer ServiceRegional Cancer Center

Teri Marker, RT (R)Lead Radiology Technologist, RadiologyHealthPark Medical Center

Nancy SluderMedical Library Services AssociateLee Memorial Hospital

Janet Stedcke, RNClinical Educator, Intensive Care and Patient Care UnitsHealthPark Medical Center

Bea Wagoner, RNRegistered Nurse, Stroke UnitGulf Coast Medical Center

Christi YarianSenior Business Systems AnalystInformation Systems

Mother’s Health Impacts Unborn BabyThe way a mother-to-be takes care of her health has a profound and lasting effect on her baby. Adequate nutrition is crucial for a fetus to grow and develop into a healthy baby.

“Maternal health includes the preconception (before pregnancy) and antepartum (before birth) period,” says neonatologist William Liu, M.D. “It is an opportunity for the obstetrician to optimally screen the mother for any health and lifestyle risk factors.”

Mothers who are healthy, well-nourished and do not have chronic illness have healthier babies. Factors that make a difference include:

• A mother’s health, and past medical history and reproductive history

• Family history

• Social issues

Mothers who take care of their own bodies tend to have easier, healthier pregnancies. “For example, we know that ensuring adequate folic acid intake can significantly reduce the risk of having a baby with a neural tube defect (spina bifida, meningomyelocele),” says family medicine physician Gary Goforth, M.D. “We encourage women contemplating childbearing to discuss the impact of current health issues and significant family history on future pregnancies.”

Mothers who abuse drugs often give birth to babies who are addicted to those same drugs and may have a child who is born with birth defects that will follow him or her throughout a lifetime.

“Substance abuse impacts a baby’s development in many ways,” Dr. Liu says. “Most significantly, baby’s development remains intimately interlinked with mom’s health. The developing baby’s brain remains vulnerable to noxious or toxic exposures.”

The use of tobacco is a well-known and major contributor to growth retardation. “This risk continues postnatally with an association with sudden infant death syndrome (SIDS), possibly due to negative impact on brain stem cells that regulate heart rate, breathing and sleep/arousal responsivity,” Dr. Liu says. “The impact of alcohol abuse during pregnancy is incalculable. Fetal alcohol syndrome and fetal alcohol effect remain the most common known cause of mental retardation. Cocaine abuse is associated with a clear risk for pregnancy loss, as well as the effects seen in ‘crack babies.’ The emergence of newer psychoactive medications have definitive, if still poorly understood, effects on the baby’s brain development, with visible effects on newborn behavior.”

The prescription drug abuse epidemic has impacted Southwest Florida in the last five years. Most notably, the growing number of mothers dependent upon opioid pain relievers has led to an increasing number of babies born with neonatal abstinence syndrome (NAS)—a constellation of neurologic, involuntary, gastrointestinal and respiratory symptoms related to physiologic withdrawal of the newborn from a maternal source of in utero opioids.

The key to success is prevention, Dr. Liu says. “Golisano Children’s Hospital of Southwest Florida has helped organize the Southwest Florida NAS community task force, bringing together community leaders, health providers, health agencies and media to increase awareness and help educate the public at large, especially women of child-bearing age,” he says. “We hope that increased awareness may help women make smart decisions to utilize some degree of family planning if they are at risk, or dependent upon prescription drugs.”

The second layer occurs at the office of the care provider. Obstetricians and family

physicians are employing more effective screening to identify and provide appropriate education, counseling and care services to women prior to and during pregnancy. The mother who is already drug dependent should be enrolled in a reputable drug program, to minimize the risk for unhealthy and high-risk behaviors during the pregnancy, Dr. Liu says.

“When these mothers deliver, the hospital obstetrical staff are well educated and follow established protocols for screening of mothers at delivery, as well as ongoing follow-up of the newborn immediately after birth,” he says. “Newborns who go on to develop signs and symptoms of NAS are treated in the neonatal intensive care unit, and undergo a controlled withdrawal from their dependency.”

Gary Goforth, M.D.Family MedicineLee Physician Group2780 Cleveland AvenueSuite 709Fort Myers, FL 33901239-343-3831tinyurl.com/DrGoforth

William Liu, M.D.Pediatrix Medical Group of Florida9981 S. HealthPark DriveSuite 30618Fort Myers, FL 33908239-689-5681

• Drug exposure

• Infection exposure

• Genetic factors

10www.LeeMemorial.org

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

Adult PhysiciansAesthetic, Reconstructive and Hand Surgery

Drew A. Kreegel, M.D.2. 16410 HealthPark Commons Dr.

Ste. 200, Fort Myers, FL 33908 239-343-9777

Allergy/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

Michael Bolooki, M.D.Robert Cross, M.D.Ashwini Sahni, M.D.4. 1682 NE Pine Island Road

Cape Coral, FL 33909 239-424-1660

Jihad Khalil, 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.Vicki Hayes, ARNPBradley Klement, PAJennifer McBreairty, ARNPApril McCann, ARNP9. 14051 Metropolis Ave.

Fort Myers, FL 33912 239-343-9270

M. Erick Burton, M.D.Richard A. Chazal, M.D.Michael A. Corbellini, D.O.Michael D. Danzig, M.D.Edward A. Palank, M.D.Roshan Vatthyam, M.D.Karen Booth, ARNPDenise Bounds, PA-C

3. 3501 Health Center Blvd. Ste. 2330 Bonita Springs, FL 34135 239-495-4375

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

Community Health Centers

Carrie Gittings, M.D.Luzan Phillpotts, D.O.Virginia Bihari, ARNPJulieann Chapman, ARNPMary Dion, ARNPJanet Loo, ARNPEricka Small, 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, 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.Pam Salaz, ARNP16. 5225 Clayton Court

Fort Myers, FL 33907 239-939-7222

Joseph Hobson, D.O.Lynn Billet, ARNPSue Hook, ARNP7. 8931 Colonial Center Blvd.

Ste. 206 Fort Myers, FL 33905 239-343-3800

Gregory E. Krill, M.D.2. 16271 Bass Road

Fort Myers, FL 33908 239-343-7100

Priscilla Ndiang’Ui, FNP-BC5. 930 S. Main St.

LaBelle, FL 33935 863-675-4450

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.Nicole Kauffman, ARNP4. 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 239-549-8789

Christina Cavanagh, M.D.Julia Fashner, M.D.Alfred Gitu, M.D.Gary Goforth, M.D.Elena Reyes, Ph.D.18. 2780 Cleveland Ave., Ste. 709

Fort Myers, FL 33901 239-343-3831

Patricia Daneshmand, D.O.Thomas Harris, M.D.Rhea Ramlal, D.O.Mala Singh, D.O.Rick Waks, D.O.Amanda Volberg, ARNPArlene Wright, ARNP7. 8960 Colonial Center Dr., Ste. 300

Fort Myers, FL 33905 239-343-9470

General Surgery

Eric A. Goldsmith, D.O.4. 1682 NE Pine Island Road Cape Coral, FL 33909 239-424-1611

11. 4761 S. Cleveland Ave., Ste. 3 Fort Myers, FL 33907 239-424-1611

William Kokal, M.D.Darren Miter, D.O.8. 8380 Riverwalk Park, Ste. 100 Fort Myers, FL 33919 239-343-9960

Bertrand Fonji, M.D.Barry Haicken, M.D.13. 1435 SE 8th Terrace, Ste. B Cape Coral, FL 33990 239-424-2755

General & Vascular Surgery

Moutaa BenMaamer, M.D. John Moss, D.O.8. 8380 Riverwalk Park, Ste. 100

Fort Myers, FL 33919 239-343-9960

House Calls

Jennifer Cittadino, ARNPMary Ann Crumlish, PAMary Lewis ARNPAmie Peterson, ARNPCynthia Reichelt, ARNP2. 12600 Creekside Lane, Ste. 6

Fort Myers, FL 33919 239-343-9219

Infectious Diseases

Alvaro Beltran, M.D.Douglas G. Brust, M.D.Esther Morrison, M.D.Manuel Revuelta, M.D.18. 2776 Cleveland Ave., Ste. 809

Fort Myers, FL 33901 239-343-9680

Mary Beth Saunders, D.O.Rajendra S. Sharma, M.D.James Toomey, M.D.10. 9981 S. HealthPark Dr., Ste. 454

Fort Myers, FL 33908 239-343-9710

Internal Medicine

George Ball, M.D.Patrick Bowman, M.D.Paul Mantell, M.D.Tina Wood, ARNP

1. 1569 Matthew Dr. Fort Myers, FL 33907 239-939-1700

Leah Lynch, M.D.Marlene Moulton, M.D.Binh Truong, M.D.Mary Ellen DeMartini, ARNP2. 16281 Bass Road, Ste. 304

Fort Myers, FL 33908 239-939-1700

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

Ste. 2180 Bonita Springs, FL 34135 239-495-5020

Phyllis Neef, M.D.Petra DeBolt, ARNP3. 3501 Health Center Blvd.

Ste. 2310 Bonita Springs, FL 34135 239-495-5020

Francisco Marasigan, M.D.Bharath Radhakrishna, M.D.4. 1682 NE Pine Island Road

Cape Coral, FL 33909 239-424-1600

Kai-Fu Chow, M.D.5. 930 S. Main St.

LaBelle, FL 33935 863-675-4450

John Ardesia, D.O.Lisa Chow, M.D.Adriana Loukanova, M.D.Gaurav Nayyar, M.D.Diana Young, M.D.Vicki 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.Barbara Spokas, PA6. 507 Cape Coral Pkwy.

Cape Coral, FL 33904 239-549-8789

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

Fort Myers, FL 33905 239-343-9470

Charles Briseño, M.D.Shailaja Hegde, M.D.Aldith Lewis, D.O.Bruce J. Lipschutz, D.O.8. 9131 College Point Court

Fort Myers, FL 33919 239-343-9100

Memory Care

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.Gregory Velat, 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

Obstetrics/Gynecology

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

Cape Coral, FL 33909 239-424-1600

Shelly Chvotzkin, M.D.Gilbert Draulans, M.D.Edward Marineau, M.D.Bipin Shah, M.D.Kwee 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

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/CNMNancy Redecker, ARNP/CNMZoe Sheppard, ARNP/CNMKim Town, ARNPDenise Waszkowski ARNP, CNM3. 3501 Health Center Blvd.

Ste. 2130 Bonita Springs, FL 34135 239-343-6100

11. 4761 S. Cleveland Ave., Ste. 4 Fort Myers, FL 33907 239-343-6100

15. 15901 Bass Road, Suite 100 Fort Myers, FL 33908 239-343-6100

Occupational Health Services

Andrew Singh, M.D.Kelly Campbell-Wigington, ARNPLauren Jacobsen, ARNP4. 1682 NE Pine Island Road

Cape Coral, FL 33909 239-424-1655

11. 4771 S. Cleveland Ave. Fort Myers, FL 33907 239-343-9841

OutpatientRadiologyAppointmentsAvailableEvenings and Saturdays239-424-1499

Same day and Saturday appointments available.

Schedule your appointment from 7 a.m. -7p.m., 7 Days A Week

239-481-4111

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Pine Island Rd.

Hancock Brdg Pkwy.

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Palm Beach Blvd.

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Lee Blvd.

Exit143

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Daniels Pkwy.

Alico Rd.

Bass Rd.

Summerlin Rd.

Corkscrew Rd.

Coconut Rd.

Bonita Beach Rd.

Periwinkle Way

Palliative Care

Andrew E. Esch, M.D.Ahmed Hassan, M.D.Rabia Khan, D.O.7. 8960 Colonial Center Dr., Ste. 206

Fort Myers, FL 33905 239-343-9560

Pulmonology

Ashish Adi, M.D.Frank Grassi, M.D.Stephen Hannan, M.D.Sunil Pammi, M.D.Priya Raju, M.D.Houtan Sareh, M.D.Raymond Santucci, M.D.Kenneth Tolep, M.D.Adelaida Cereceda, ARNPNancyann Harrod, ARNP8. 9131 College Point Court

Fort Myers, FL 33919 239-343-9100

Rahul Challapalli, M.D.Vijay Das, M.D.Razak Dosani, M.D.Abusayeed Feroz, M.D.Sagar Naik, M.D.4. 1682 NE Pine Island Road

Cape Coral, FL 33909 239-424-1600

16. 5216 Clayton Court Fort Myers, FL 33907 239-274-8500

Rheumatology

Shabnam Ali, M.D.Juan Bustillo, M.D.Veronica Bynum, PA-C11. 4761 S. Cleveland Ave., Ste. 3

Fort Myers, FL 33907 239-343-9722

Sleep Medicine

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

Fort Myers, FL 33912 239-343-0762

Spine Center

Donna Lanthier, M.D.7. 8960 Colonial Center Dr., Ste. 202

Fort Myers, FL 33905 239-343-9465

Wound Care & Hyperbaric Medicine

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.Lindsay Graham, M.D.Pierre Loredo, M.D.Anthony Pietroniro, M.D.Thomas Schiller, M.D.Martin Sherman, M.D.Piedade Silva, M.D.Nancy Witham, M.D.William Daniel Wood Jr., M.D.Dianna Disesa, ARNPCynthia Hohman, ARNPAmy Hicks, ARNPKori Howell, ARNPJulie Vega, 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 Cardiology

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

Fort Myers, FL 33908 239-343-7490

Pediatric Ear, Nose and Throat

Douglas Gottschalk, D.O.15. 15901 Bass Road, Ste. 108

Fort Myers, FL 33908 239-343-9890

Pediatric Endocrinology

Asjad Khan, M.D.Cayce Jehaimi, M.D.Dina Pearson, M.D.Sujana Reddy, M.D.Tammy McCarty, 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.Pam Wojciki, ARNP10. 9981 S. HealthPark Drive, Ste. 156

Fort Myers, FL 33908 239-343-5333

Pediatric Infectious Diseases

Robin Churchill, M.D.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.Calee Vandeveer, ARNP15. 15901 Bass Road, Suite 108

Fort Myers, FL 33908 239-343-9890

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 Naples*

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

Pediatric Specialty Clinic Port Charlotte

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

Pediatric specialties available:• 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 Doughty-Higgs, M.D.Paul Fortier, M.D.Karl Friedrich, M.D.Alan Goldstein, M.D.Saiful Islam, M.D.

*An outpatient department of Lee Memorial Hospital

Chris Loutzenhiser, D.O.Tiffani MaGee, M.D.

Abel Natali, M.D.Rose Pothen, M.D.Douglas Schulze, M.D.Andrew Singh, M.D.Avery Wright, D.O.

Fort Myers4771 S. Cleveland Ave. (North of Page Field Commons) 239-343-9800

Cape Coral 1682 NE Pine Island Road 239-424-1655

Bonita SpringsBonita Community Health Center3501 Health Center Blvd.Urgent Care7 a.m.-7 p.m. Mon.-Fri.8 a.m.-4 p.m. Sat. and Sun.

Fort Myers and Cape Coral locations are open 7-7-7 except for the following day• New Year’s Day – Cape Coral location closed

OutpatientRadiologyAppointmentsAvailableEvenings and Saturdays239-424-1499

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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 Location3501 Health Center Blvd., Bonita Springs, FL 34135

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

12www.LeeMemorial.org

3900.01 12-13

calendar of eventsEvents & ScreeningsHealthy Living Lecture Series by Dr. SalThe Healthy Living Lecture Series is a free, monthly program that covers a variety of health care topics. The topic of this lecture is “New Year’s Resolutions vs. Lifestyle Management.”Time and Date: 12:30 p.m., Jan. 7Location: CCH Auxiliary Conference RoomRegistration and for More Information: Call 239-573-4508

Hip and Knee Replacement SeminarsJoin orthopedic surgeon Dr. Edward Humbert for a free seminar on surgical options for knee and hip replacement, including exciting new developments in minimally invasive surgery, joint resurfacing and new implant technology.Time and Date: 6 p.m., Jan. 8 and Feb. 5 Location: Hilton Naples Registration and for More Information: Call 239-454-8725

Mobile Autism ScreeningFree autism screening for children younger than age 5.Time and Date: 9:30 a.m.-2 p.m., Jan. 10Location: McDonald’s, 12990 S. Cleveland Ave., Fort MyersRegistration and for More Information: Appointments encouraged; call 239-343-6838

Free Car Seat FittingGolisano Children’s Hospital of Southwest Florida and Kohl’s Kids Safety Program hosts a free car seat fitting and safety check. Parents and grandparents are invited to have car seats checked.Time and Date: 9 a.m.-Noon, Jan. 11Location: LaBelle Fire Department, 290 S. Main Street, LaBelleRegistration and for More Information: Call 239-343-5224

Young Driver ProgramThis program educates young drivers on the different legal issues involved with driving. 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., Jan. 24Location: LMH AuditoriumRegistration and for More Information: Reservations are required; call 239-343-3797

SHARE ClubFree Health and Wellness ExpoAttend this health and wellness fair hosted by Shell Point Retirement Community. The LifeQuest Expo will highlight programs and services offered in the six dimensions of wellness. Time and Date: Noon-2 p.m., Jan. 7Location: Shell Point Retirement CommunityRegistration and for More Information: Call 239-489-8472

Draw for Fun, Draw to Stay YoungDoug MacGregor, renowned local cartoonist, will teach you to draw. Time and Date: 10 a.m.-Noon, Jan. 8, 15, 22 and 29Location: WCCCFee: $30 for SHARE Club members; $40 for guestsRegistration and for More Information: Call 239-424-3765

How Food Allergies Make You SickJoin Sal Lacagnina, D.O., as he talks about how our body’s reaction to foods can cause health problems. Refreshments provided by Right At Home.Time and Date: 9 a.m., Jan. 14Location: CCH Auxiliary Conference RoomRegistration and for More Information: Call 239-424-3765

Gastroesophageal Reflux DiseaseJoin Bertrand Fonji, M.D., Lee Physician Group general surgery, as he focuses on helping patients with gastroesophageal reflux disease (GERD). Sponsored by Calusa Harbour Senior Living.Time and Date: 10 a.m., Jan. 17Location: CCH Auxiliary Conference RoomRegistration and for More Information: Call 239-424-3765

Diagnosing Memory ConcernsAttend this presentation by Aboo Mannan, D.O., and Anne Petrin, ARNP from Lee Physician Group Memory Care. They will discuss how to best diagnose memory concerns and the latest treatment options. Refreshments provided by Brookdale Senior Living.Time and Date: 10 a.m., Jan. 21Location: GCMC Community RoomRegistration and for More Information: Call 239-424-3765

Free “Brown Bag Event” for SHARE Club MembersSit down with a pharmacist from Lee Pharmacy and review your medications and supplements. Please bring in all medications and supplements you are currently taking.Time and Date: 8:30-11:30 a.m., Jan. 21Location: RCCRegistration and for More Information: Appointments required; call 239-424-3765

Move It or Lose ItJoin SHARE Club and Tom Pitney, DPT, Lee Memorial Health System physical therapist, as he discusses how to prevent injuries so you can stay active. Lunch sponsored by Visiting Angels.Time and Date: 11 a.m., Jan. 23Location: GCMC Community RoomRegistration and for More Information: Call 239-424-3765

Skin Cancer ScreeningScreenings provided by Harris Dermatology. Time and Date: 11 a.m., Jan. 24Location: Wa-Ke Hatchee Park, 16760 Bass Road, Fort MyersRegistration and for More Information: Call 239-424-3765

Diagnosis and Treatment of Dry EyeLearn about one of the most common complaints in vision care. Presented by T. Aaron Judd, OD, chief optometrist with Frantz EyeCare. A light lunch will be provided.Time and Date: Noon, Jan. 27Location: Frantz EyeCare, 12731 New Brittany Blvd., Fort MyersRegistration and for More Information: Call 239-424-3765

Primary Prevention of Coronary Heart DiseaseRobert Cross, M.D., Lee Physician Group cardiologist, will talk about the prevention of coronary heart disease. Lunch provided by Calusa Harbour Senior Living.Time and Date: 11 a.m., Jan. 28Location: CCH Auxiliary Conference RoomRegistration and for More Information: Call 239-424-3765

Memory ScreeningScreenings provided by the Alzheimer’s Association.Time and Date: 9 a.m.-1 p.m., Jan. 29Location: North Fort Myers Recreation Center, 2000 Recreation Park Way, North Fort MyersRegistration and for More Information: Appointments required; call 239-424-3765

New Techniques in Managing IncontinenceJoin SHARE Club for this presentation by Jasper Rizzo, D.O., urologist from Southwest Florida Urological Associates. Lunch sponsored by Shell Point Retirement Community.Time and Date: 11 a.m., Jan. 29Location: HPMC Rooms 201-202Registration and for More Information: Call 239-424-3765

CancerBladder Cancer Support GroupTime and Date: 3-5 p.m., first Wednesday of every monthLocation: VariesRegistration and for More Information: Contact Karen Godfrey, Bladder Cancer Advocacy Network volunteer advocate at 239-992-4809 or via email at kgod@comcast.net

Oral, 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 239-343-1645

Blood Cancer Support GroupTime and Date: 2-3 p.m., second Wednesday of each monthLocation: Cypress Lake United Methodist Church, 8570 Cypress Lake Drive, Fort MyersRegistration and For More Information: Registration is required. Contact Seth Berkowitz at 877-534-0090 or seth.berkowitz@lls.org

Brain 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 239-433-4396 or Barbara Hardwick at 239-343-3167

Cancer Nutrition SeminarThis free monthly seminar is for oncology patients, survivors and caregivers. Valerie Butram is the oncology dietitian at the Regional Cancer Center. Each month will feature 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 Valerie.Butram@LeeMemorial.org

Colorectal Cancer Support Group Time and Date: 5:30-7 p.m., fourth Tuesday of each monthLocation: RCC, Second FloorRegistration and for More Information: Call Larry Mickley at 239-454-3308

Multiple Myeloma Support GroupTime and Date: 1-2 p.m., second Saturday of each month Location: HPMC Registration and for More Information: Call Joanie Borbely at 860-655-7107

Ovarian Cancer Support GroupTime and Date: 2-4 p.m., first Sunday of each month Location: LMH 6-NorthRegistration and for More Information: Call Barbara Hardwick at 239-343-3167

Thyroid 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

Women’s Cancer Support GroupWhether newly diagnosed, going through treatment or in remission, this group begins with discussion and offers a variety of optional expressive arts to help relieve stress and enhance the immune system. Supplies provided by a grant from the Junior League of Fort Myers.Time and Date: 2:15-3:45 p.m., third Tuesday of each monthLocation: RCC, Fourth Floor Conference RoomRegistration and for More Information: Registration is required. Call Marie Hepp at 239-343-9511

Smoking & HeartPhase III Cardiac Rehabilitation Exercise ProgramThis program is designed to improve each participant’s endurance, physical work capacity, muscular strength and flexibility. Phase III cardiac rehabilitation is for heart patients who have completed Phase II or need less supervision. Blood pressure, heart rate and perceived exertion are closely monitored. A physician referral is required for entry into the program. Time and Date: Vary per locationLocation: HPMC, LCRW and WCCCRegistration and for More Information: Call 239-343-5720 for HPMC; 239-418-2015 for LCRW; and 239-573-4800 for WCCC

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 availableLocations: LMH, CCH, HPMC, GCMCFee: Diabetes education is a covered benefit for Medicare and most commercial insurancesRegistration 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. Learn the importance of blood sugar control for the health of mom and baby. 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

Ortho / Neuro / SpinePreoperative Joint Replacement Class Everything you need to know to feel comfortable before joint replacement surgery. Time and Date: 10-11 a.m., Fridays at Gulf Coast Medical Center or varied times and dates at Lee Memorial HospitalLocation: GCMC and LMHRegistration and for More Information: Call Gulf Coast Medical Center at 239-343-0300 or Lee Memorial Hospital at 239-343-3411 and leave a message

Stroke 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 239-424-2317

Aquatic ArtPool exercises for people with Parkinson’s disease.Time and Date: 1-2 p.m., Mondays and WednesdaysLocation: WCCCRegistration and for More Information: Call 239-573-4800

The 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 in obstetrics, breathing, relaxation, cesarean preparation and mother/baby care. Tour birthing facilities, watch films and learn fundamentals of the birthing bed.Time and Date: Classes take place throughout the yearLocations: HPMC and GCMCFee: $60 per coupleRegistration and for More Information: Call 239-343-5271 or visit www.LeeMemorial.org/BirthEd

Baby CareThis is a one-time class for expectant parents. The class will assist parents in becoming more comfortable and confident in their parenting role following the birth of their baby. Time and Date: Classes take place throughout the year. Locations varyFee: $20 per couple, $5 per additional person in attendance Registration and for More Information: Call 239-343-5271 or visit www.LeeMemorial.org/BirthEd

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/BirthEd

Infant Resuscitation and Car Seat SafetyThis course teaches about the hazards to which children may be exposed, how to make the environment safer, child restraint systems and basic rescue techniques, like CPR and obstructed airway.Time and Date: Classes take place throughout the yearLocations: VaryFee: $25 per person. Special discount if you attended Childbirth Preparation.Registration and for More Information: Call 239-343-5271 or visit www.LeeMemorial.org/BirthEd

Partners in Parenting Parenting classes presented by Golisano Children’s Hospital and The Children’s 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 two-and-a-half hours, day and evening classes availableLocations: Fort Myers and Cape Coral Fee: No charge and free child care available for infants and toddlersRegistration 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 239-482-8433

Caregiver 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 239-343-1126

Pulmonary 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 Jim Puglise at 941-240-2535

Yoga This class is available to the general public with priority given to cancer patient and primary caregiver; no experience needed. Mats, straps, blocks and aromatherapy provided by a grant from the Junior League of Fort Myers. Time and Date: 9-10 a.m., FridaysFee: $5/class for cancer patient and/or primary caregiver or $10/class for general publicLocation: RCC, Fourth Floor Conference RoomRegistration and for More Information: Call 239-343-9503. Registration is required.

Yoga 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 239-418-2000

Huffers & 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 239-343-3520

Gentle 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: LCRWRegistration and for More Information:Call 239-418-2000

It’s All About YouThis 6-week workshop teaches persons with chronic health conditions how to better manage their health and the symptoms that accompany chronic illness such as pain and fatigue. Workshops are facilitated by leaders who also have chronic illness. Time and Date: VaryLocations: VaryRegistration and for More Information: Call 239-424-2122

Loss of an Adult ChildThis support group is for people whose adult children have passed away.Time 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 239-343-1126

Lymphedema Support GroupTime and Date: 10:30 a.m.-Noon, second Saturday of each monthLocation: RCC, Fourth Floor Conference RoomRegistration and for More Information: Call Claire Hauenstein at 239-437-1606

Mended Hearts Support GroupThis group provides support for people with heart disease, particularly those who have had heart surgery or stents.Time and Date: 6 p.m., second Monday of each monthLocation: HPMC Rooms H201-202Registration and for More Information: Contact Lex Roulston at Lex@Roulston.us

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 of

Cape CoralLCRW Lee Center for Rehabilitation &

Wellness